Health in America
These are the truths:
Government or “Single Payer” monopolistic health care does not work. Look at
the VA or British or Canadian heath care with all their restrictions and delayed treatments and delayed surgeries. Also, look
at the low quality of Cardiology big health care companies like Kaiser provide in their outlying facilities.
Free health care will be abused by some patients
Salaried doctors are forced to see more patients
in less time than is safe. Most patients have multiple problems that can’t be addressed in 15 to 20 minutes of an office
visit. Hospitalists, seeing over 18 patients a day, cannot give patients the time they need
People without health insurance go to Emergency
Rooms because they are open 24x7 and they can’t be turned away (so they are basically free) - and we all end up paying
for this with higher premiums for our own health insurance as the hospitals have to charge more to us because of all the free
care they are obliged to give.
Emergency Rooms would see 90 percent less patients if patients were subsidized to see good primary care with doctors
that had the time and staff to control diabetes, hypertension, cholesterol, drug abuse etc. Primary care docs are a dying
breed as they are not paid for their time and suffer from high office overhead. They can make three times a much as a Hospitalist,
so why have an office?
Doctors order more tests because they are afraid of lawyers
Some Doctors order unnecessary procedures and tests because they profit from them
Most physicians are not trained well to do physical
examinations and rely too much on technology to make the diagnosis when symptoms occur, but basic physical exams will find
problems long before symptoms occur
Nurse practitioners have 1000 hours of training. Doctors have 11,000 hours of training. Nurse practitioners should
not be used as diagnosticians as they have very little knowledge of the over 100,000 medical diagnoses that can take 50 years
to learn or see. They do poor physical exams are often do not know how to treat simple diagnoses outside of the narrow range
of things they have been taught to do. I know of Heath Plans that are using people as “primary doctors” that have
had only 6 weeks of training and had never had exposure to the health field before!
The solution is to encourage more MD’s or DO’s to become Primary Care docs by
paying them enough to make a decent living. This will be cheaper in the long run by keeping people out of Emergency Rooms
and hospitals with good primary preventive care.
Also, make a national cap on malpractice damages, so that malpractice insurance would not
be as expensive and doctors won’t need to order so many unnecessary tests