MovingTarget
Diamond Member
- Jun 22, 2003
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Originally posted by: miniMUNCH
Originally posted by: MovingTarget
tl;dr
Meh, I don't know what to think about the article. You have to think about what he is saying in context. Unless we move to a NHS type of healthcare system, then free market incentives will still be part of the system. You simply cannot remove it from the system w/o a government takeover. There are many models of universal coverage, and this criticism doesn't seem to apply to the multitude of them.
Then make free market incentives a dwindling aspect of the system... that is completely possible. There are already insurance companies and hospital systems that operate as non-profits... slowly push payers and providers towards non-profit status.
My main concerns/reasons why government run UHC will be a disaster:
1) the government will run it... i can't think of one large scale system the fed runs well
2a) there has to be real incentive to people to try to keep themselves healthy
2b) there has to a penalty of sorts for not trying
3) the economic impact on medical innovation and medical talent has not been fully weighed
as a aside for #3, though... once the money is out of the game as far as treating diseases and symptoms... maybe more cutting research will be applied to actually curing and preventing diseases in the first place.
But as first blood for #3, one of my friends quit medical school after two years because UHC is coming down the pike... he figured, "why go into massive debt to work for the fucking government in a system that is gonna go to shit". He would have made a really good doctor, too... his Dad is an awesome doctor and he would be just as good, if not better.
You make some good points. I will however disagree with your #2. I believe that being healthy is its own incentive. You feel much better when you are in better shape. When you aren't, you feel like crap and have extra societal pressure to bring yourself back up to par. As far as your friend goes, what is he doing instead? That seems a rather short-sighted decision. The only thing worse than going into a field after accumulating lots of debt is to accumulate lots of debt and never finish. We seem to be moving in the direction of UHI instead of UHC though. We seemed to have rejected such a system as Britain where doctors have to work for the government.
