A Quote by Virginia Postrel
Medicare is immune from the competitive pressures that force private insurers to pay attention to what patients and doctors want.
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We right now give $15 billion every year as subsidies to private insurers under the Medicare system. Doesn't work any better through the private insurers. They just skim off $15 billion.
Economists specialize in pointing out unpleasant trade-offs - a skill that is on full display in the health care debate. We want patients to receive the best care available. We also want consumers to pay less. And we don't want to bankrupt the government or private insurers. Something must give.
I think doctors are really suffering now. They're suffering in the sense that they feel torn between serving their patients in the best way they can and dealing with all of requirements of the insurance companies and the HMOs and the hassles and the paper work and the increasing pressures to do less and less for their patients.
The system is broken. The doctors and the nurses can't do everything. The patients need human attention; the patients themselves need to be addressed, rather than just their disease.
From the simplest lyric to the most complex novel and densest drama, literature is asking us to pay attention. Pay attention to the frog. Pay attention to the west wind. Pay attention to the boy on the raft, the lady in the tower, the old man on the train. In sum, pay attention to the world and all that dwells therein and thereby learn at last to pay attention to yourself and all that dwells therein.
Patients want to be seen as people. For me, the person's life comes first; the disease is simply one aspect of it, which I can guide my patients to use as a redirection in their lives. When doctors look at their patients, however, they are trained to see only the disease.
Doctors should recognise the importance of the five human values; Truth, righteousness, Peace, Love and Non-violence. Love is the basis for all the other values. Doctors can infuse courage in patients by the love they show towards the patients. If doctors carry out their duties with love they will be crowned with success.
Nobody wants to pay higher taxes. But do you want your kids to get a good education? You have to pay for that. Do you want Medicare for senior citizens? I do. We have to pay for it.
Pay-for-procedure or fee-for-service reimbursement rewards doctors and hospitals for volume - not keeping patients healthy or being efficiency. Pay-for-Performance is clearly one tool that can change the incentives to reward quality.
We now have 30 percent, for example, of Medicare patients who are seeing doctors who are rewarded for doing this kind of work, like high blood pressure control. So, the Affordable Care Act has pushed this direction down the road.
If Medicare today includes Medicare supplemental, why wouldn't Medicare for all include a Medicare supplement for all who want it?
What Republicans want to do is to put doctors and patients and patients' families back in charge of people's health care rather than having pencil pushers of the government or in some insurance office doing that job.
Pay attention to your friends; pay attention to that cousin that jumps up on the picnic table at the family reunion and goes a little too 'nutty,' you know what I mean? Pay attention to that aunt that's down in the basement that never comes upstairs. We have to pay attention to our friends, pay attention to your family, and offer a hand.
At today's prices for medicines, doctors and hospitals-if the latter are available at any price-only millionaires can afford to be hurt or sick and pay for it. Very few people want socialized medicine in the U.S. But pressure for it is going to appear with the same hurricane force as the demand for pollution control if the medicine men and hospital operators don't take soon some Draconian measures... At the present rate of doctor fees and hospital costs under Medicare and Medicaid plans [taxpayers] are shovelling in billions with nothing but escalation in sight.
Putting aside competitive interests for a new kind of collaboration, Maryland pioneered a real-time encounter notification service to alert primary care doctors when their patients are hospitalized.
Part of my training was learning how to refer patients to cardiologists for heart problems, gastroenterologists for stomach issues, and rheumatologists for joint pain. Given that most physicians were trained this way, it's no wonder that the average Medicare patient has six doctors and is on five different medications.
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