jonnygothispen wrote:I guess the point was that the health insurance industry meddling jacks administrative costs in their effort to increase profits by dicking around with the doctors, who then also spend more time on paperwork, and communicating with the insurers.
Ya, but health insurance purchased through exchanges will be more regularized, less dickering, more bargaining position for the consumer.
jonnygothispen wrote:Doctors candidly admit that it's about money. And they blame insurers for "conditioning" them to practice medicine this way, meaning less efficiently than they believe they should.
The insurance company is not trying to make money for the doctors, they are at odds. Insurance companies have a direct interest in controling costs.
Getting the practice of medicine away from profits-first really has little to do with whether payments come from medicare or an insurance company. Unless you are advocating a foolish government nationalization of medical facilities, we are stuck with influencing, not controling. Obamacare gives the government just as much leverage as medicare to encourage change in the delivery system.
jonnygothispen wrote: Public Citizen believes we'd save $400 billion a year if we switched to single payer from our current system.
For the sake of argument, I'll accept this as true. We are at a starting point of a collossally inefficient mess. Pretty much ANY other system will save money, since we are spending (by far) the most of comparable procedures.
The idea is not to move to a better system, which pure single payer certainly represents. The goal ought to look at how things work in the various models around the world, and use that information as a guide to building the best possible system. The Swiss, French, Japanese systems look great to me. Britian and Canada - cautionary tales.
And then there is the far bigger consideration: which approach is politically expedient? I don't see medicare-for-all being politically viable, the momentum this decade is to cut BACK medicare in coming decade. That may change if obamacare dies, we'll see.
I'm not saying Obamacare is any great shakes coming out of the shoot. Obamacare is first step in a long evolution.
Look, if Romney wins next fall, Obamacare is dead. I will then join you in the long march to single payer.