International Mosaic Down Syndrome Association - Down syndrome Sites & Acknowledgement of Mosaic

19 Oct 2012 2:02 AM

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Reply # 1107955 on 758227

Luli

Will the "best and brightest" pass on Medicine and go to other preoossifns? Perhaps. But we're not interested in whether we've affected their choices. We're concerned about lowering the cost of health care. Most of the time you do not need the "best and brightest" doctor - just an adequate one. When you need a neurosurgeon, understand that they will still be highly paid.This is completely false. The reason that we as a society want the best and the brightest is because having the best and the brightest is the best thing for us. A solid knowledge of the medical implications in cost structure reveals that preventive measures are the most effective means of alleviating the higher long term cost of treating advanced disease. Bright individuals are more likely to be able to spot things at a much more rapid pace than a simply "adequate" doctor.Moreover your argument that , but most of the time they haven't got a clue what's going on with your body. They take educated guesses is a reason why the best and the brightest are the ones who should become doctors because their educated guesses are more likely result in accurate diagnosis. Having a competent doc miss a cancer diagnosis that could have simply been removed in earlier stages results in chemotherapy treatments that are severely more expensive. Your argument for competency would only increase the cost of healthcare within our society as we would spend more to cover the mistakes that a doctor should have previously noticed.

19 Oct 2012 2:07 AM

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Reply # 1107957 on 629099

Rasyad

Jordon Walker, do you practice meiindce?In any industry where someone is trying to raise barriers to entry or restrict free enterprise, they usually use some form of argument(s) that you are using. That public safety argument is the one that makes me roll my eyes the most. Again, the AMA and the practice of artificially restricting who can practice meiindce is only part of the problem. But they are a problem.I don't find any of your arguments convincing, and none offer up any evidence other than your opinion. There is certainly not enough evidence that would make me trust your judgments over what is in my best interest enough to restrict my freedom, which is what the current Healthcare system does.I would gladly trade the current system for one where the AMA was stripped of its power, the government was much more removed from the system, employers were not in the business of providing health coverage, and I had the ability opt-out of suing my doctor for negligence in return for lower costs. That system would put our current system to shame. It would be more efficient; it would cost less; we wouldn't suffer very many of the issues that we currently call a crisis. The "crisis" is created by perverted incentives across the system: from patients who are incentivized to not care about cost...to providers and producers who are either are protected from competition, incentivized to hide costs, or are compensated to treat and not to prevent.

20 Oct 2012 4:52 AM

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Reply # 1109032 on 919977

Lidia

People normally pay me for this and you are giivng it away!

20 Oct 2012 5:52 AM

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Reply # 1109061 on 1038288

Elshan

Yep, I'm not really inteersted in it myself, and I happen to be the most successful of all my buddies that were obsessed with getting some as soon as possible outta high school. They joined the military out of having no options to care for their poor, poor children or work really crappy jobs and toil nonstop with no free time while I sit on my ass making 5-6 grand a month from the internet. Isn't google grand? I love my girlfriend and all, but we share the same opinion on it. Feels good, but not good enough to rule our lives like so many others.

20 Oct 2012 5:52 AM

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Reply # 1109062 on 928768

Adrianaa

Ueuk понимает только nofollow. Кстати официально тэга nodeinx нет и при проверке кода html при его присутствии будут ошибки. А с недавнего времени яндекс тоже стал понимать nofollow, но только для ссылок.

20 Oct 2012 6:16 AM

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Reply # 1109076 on 758227

Pretty

Who's going to handle the meadcil malpractice suits if we start letting all of these dummies into med schools?If you're under the impression that we don't graduation rank morons from meadcil school every single year now, you are sadly misinformed. By Wall Street standards doctors are pikers.Not exactly. Doctors aren't forced to live in the most expensive American city nor is their employment as volatile as Wall Street employees. Doctors can always find a job most of my unemployed Wall Street friends will probably never find employment again - and if they do, it won't be at compensation levels that justify 100 hour work weeks so that they can stuff their families into 1,000 square feet for $6K per month and pay the highest taxes in the country. And that's another thing, outside of residency, doctors work fewer hours. Also, I think you have to look at the distribution. Most doctors don't make that much money, but neither to do most Wall Streeters. Wall Street comp resembles a pyramid with most people making much less than $200K and a few making a lot more. In the end, we all make what the market will bear with doctors probably making more than they otherwise would because there are larger barriers to entry for doctors than for Wall Streeters.

20 Oct 2012 6:19 AM

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Reply # 1109083 on 782044

Signora

I'm glad Dr. T disclosed his coifcnlt of interest at the end. Dr. T, for you to imply that the AMA is just some small group of doctors with "modest influence" on policy, whether on the state or Federal level, is nothing short of ridiculous.Correct me if I'm wrong, but I believe that the Federal government subsidizes residency, but they do not control the number of admissions into US medical schools. At any rate, what you are describing is NOT A FREE MARKET, not even close.No one is arguing for the need for more doctors. We are arguing for more freedom, and I guarantee that it would work better than what you are telling me (so emphatically) is in my best interest, because you think that I am an idiot. (If that isn't elitist, I don't know what is.)We are arguing for freedom, not more government or AMA prescriptions. We are saying that the government and the AMA have screwed this thing up enough, and we don't need any more of their "solutions."None of us can know how the system would look if the AMA and the government weren't so involved and if employers weren't in the business of providing insurance to employees, but I can guarandamtee you that it will look better than what you can come up with even if you think that you know what is best.The government should always err on the side of freedom when faced with a dilemna...

20 Oct 2012 6:30 AM

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Reply # 1109086 on 1096334

Fredrick

Nothnig I could say would give you undue credit for this story.

20 Oct 2012 6:30 AM

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Reply # 1109087 on 1096334

Abdurhman

Glad I've falinly found something I agree with!

20 Oct 2012 6:39 AM

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Reply # 1109095 on 757671

Joel

Ignoring the obvious pborlem with examining this distribution by its average, even a simple back-of-the-envelope analysis would lead one to believe that doctors' salaries are not causing high health care costs.If a doctor earns $200,000 per year and works 2,000 hours, then we are paying $100 per hour for their services. The average doctor in the U.S. sees 3 patients per hour, at a salary cost of $33 per visit using this estimate.If you add up all of my doctor visits in my life and I pay $33 per event, I don't need health insurance. If doctors' salaries are only costing us a small fraction of the total -- probably less than 1% based on just this quick analysis -- why on earth are we even talking about it as a significant issue in the health care debate?If you examine cost construction in medicine, you will find that driving the standard of care up is what is driving costs up. The standard of care is the expected set of procedures/tests/drugs/etc. for a given complaint. As technology improves, people (and their lawyers) expect doctors to flawlessly provide all of the technology to maintain their quality of life. This principle is ridiculous on its face and is the pborlem that our society needs to deal with when we construct a solution to our flawed healthcare system.