shoshin wrote:> John, I have a lot of respect for you and your work on this
> website and your knowledge of GD, but you miss the boat on health
> insurance reform.
> First, I am a boomer (64 years old), and I like and respect Obama.
> I don’t hate him. He’s trying to deal with a several difficult
> situations, and I tremble to imagine how McCain/Palin would have
> butchered the landscape.
shoshin wrote:> You treat health care using the supply/demand paradigm, but that
> just doesn’t apply. You say if we had more doctors, the cost of
> health care would go down. That’s just wrong! It would go up! All
> those new doctors want to make the same living their peers do, so
> they will find a way to do it. The system is biased in their
> favor, if they can figure out to take advantage of it.
shoshin wrote:> A supply/demand function works in a situation where you have
> informed consumers. They can pick and choose from the various
> offerings, and competitive pressure forces the suppliers to
> produce a quality product at a reasonable price, or they are out
> of business. Medical care is NOTHING like that. (Another good
> example is education, which would require a whole separate essay.
> The “consumers” (parents and their kids, or college students)
> have no idea what an education is, so they focus (at least
> nowadays) on the obtaining of “certification.” The “educators”
> take advantage of the naïveté of their customers, and up goes the
> price. That’s why education is lousy and very expensive.)
shoshin wrote:> For a good description of one very important aspect of the health
> insurance system, read this article from the New Yorker.
> (http://www.newyorker.com/reporting/2009 ... ct_gawande).
> The writer (himself a doctor) describes how some doctors “game”
> the system to make huge incomes (i.e., fleece the taxpayers). And
> the temptation is such that soon, many doctors are doing it –why
> not? I deserve it!
shoshin wrote:> I don’t know about you, but my health insurance costs have
> steadily increased, while the coverage had gotten worse. Is that
> what you call a good system? Do you really think “more doctors”
> will help?
“Boomers understand at some level that President Obama's health care plan is an attempt to change the rationing equation so that Boomers receive less health care and Gen-Xers receive more. Since Obama's plan doesn't create any new doctors or hospitals, the supply of health care will not increase, and so Obama's health plan will not reduce price increases. It will simply rearrange the rationing priorities away from Boomers toward Gen-Xers.”
MisterB wrote:> I’m having trouble figuring out Obama. Is he a lightweight BSer or
> a devious plotter? Maybe it’s a little of both.
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