Monthly Archives: November 2009

Medicine Today

I.

Two people get a splinter.  Not too severe but requiring immediate attention.

The first of our individuals, John has “good” insurance.  John, no longer living near his Mom, decides it requires a medical visit.  The large sliver is removed and the doctor is able to bill the insurance company $300.  The doctor also uses $50 worth of overpriced medical equipment.

The second individual, without access to his Mom, has however, found a even better skilled wife.  She quickly performed the exact same procedure as the doctor, albiet without the commute and wait for the doctor.  Likewise, the insurance company realized monetary benefits by not having to pay the doctor.

Apply this same methodology to all medical care and we quickly conclude that the current system is inefficient for most parties, save doctors and pharmaceuticals.

A minor sprained ankle that can be treated without either a doctors visit, expensive drugs and hours waiting to see a doctor and the huge bill for someone, is a benefit to everyone.

The only way for medical care to be both good and universally available to is deregulate medical practices and buy less drugs.  Logically, the only way to save money is to spend less somewhere.  You can’t be against rationing while simultaneously being against rising costs, it’s irrational.

II.

Insurances company do not need to be regulated, they just need to lose their anti-trust exemption.  Either we regulate or we don’t.  Allowing a monopoly is the worst kind of regulation.   There is no reason a medical practice and hospital affiliation shouldn’t offer it’s own “in-network” insurance.  The government can cover all “out-of-network” costs if you happen to be traveling.

III.

Another simple step is to allow all registered nurses to become sole operators offering house calls.  Even if they just became commissioned reps of a doctors office.   How much would you pay to have a trusted registered nurse doing house calls?  As a lay person, I have learned that Nurses are far better performing normally required medical service.

Avoiding exposure to a hospital or even a doctors office was lost when house calls became inefficient.

Finally, If you want to know wether the eventual bill is all corporate giveaway, check the stock market.  So long as Big Pharm and Insurance Cos continue to see stock gains we know the Healthcare bill is just corporate welfare masquerading as populism.