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DPChallenge Forums >> General Discussion >> An interesting New Eng Jour Med editorial
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02/06/2008 06:42:22 PM · #1
Market-Based Failure ΓΆ€” A Second Opinion on U.S. Health Care Costs

I thought this was an interesting editorial in the New England Journal of Medicine. If anything it just demonstrates we are headed for a crisis which will eventually occur. And while universal healthcare is often criticized in American debate, our current system seems to fare little better.

Personally I am not sure I would recommend to my son to go into medicine. I am afraid that crisis I spoke of will shake the whole profession (and likely the whole country) and he would be better off far away from the field.
02/06/2008 06:57:51 PM · #2
You gotta love greed. It's pervasive in our culture and it's got a stranglehold on each of us. Politics (with the rise in lobbying the last 10-15 years), medicine (as noted), energy (can anyone say $40 BILLION profit for Exxon?), rising cable prices, lack of competition in Broadband Internet...

I just found out this week that our two credit cards jumped from 15% to 25% and 31% and I have no idea why. Greed is going enslave this country soon.
02/06/2008 07:20:33 PM · #3
Originally posted by _eug:

You gotta love greed. It's pervasive in our culture and it's got a stranglehold on each of us. Politics (with the rise in lobbying the last 10-15 years), medicine (as noted), energy (can anyone say $40 BILLION profit for Exxon?), rising cable prices, lack of competition in Broadband Internet...

I just found out this week that our two credit cards jumped from 15% to 25% and 31% and I have no idea why. Greed is going enslave this country soon.


Check the fine print. If you miss or are late on a totally unrelated bill the CC can jack your rate. If your credit score changes down for some reason they can do it too. You know, I'm not a rabid populist or anything, but sometimes I think these huge corporations need a bit of a beatdown. I feel like we have our own robber barons these days, except they are not individuals but rather corporations. Top of the list: cable company, phone company, credit card companies, RIAA, oil, etc. etc.

Makes you wanna get a pitchfork and take to the streets...
02/06/2008 07:22:53 PM · #4
Originally posted by DrAchoo:



Makes you wanna get a pitchfork and take to the streets...


Let's get it on!
02/06/2008 07:24:31 PM · #5
Originally posted by thegrandwazoo:

Originally posted by DrAchoo:



Makes you wanna get a pitchfork and take to the streets...


Let's get it on!


You lead cuz you are a little bigger than me... ;)
02/06/2008 07:44:43 PM · #6
I'm with you there!
02/06/2008 07:44:59 PM · #7
It's an interesting article, about a subject I think about, and deal with a lot. What you say, is pretty much what I heard Michael Moore saying, in Sicko. And yes, I dont think that medicine lends itself to being rationalised by market forces.
I've worked in healthcare in 4 different continents, and have yet to see the perfect model.....each is very flawed, and each is heading on a rapid downhill spiral. In the UK, I saw an inefficient NHS, with full halls of public outpatients. In Canada, I saw huge overservicing, greed and waste. In NZ, there are endless waiting lists, for public funded health, and here in Australia (probably the best system of health I've seen so far), there is also a chaotic public hospital system, with immense waste and overservicing via the govt funded Medicare.
I believe that the problem boils down to one thing..........we doctors dont just treat disease......we treat the perception of disease. That's where the waste, and the inequity comes in.

But yes, healthcare is in deep deep trouble.
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