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Wednesday, June 10, 2009
John Stossel :: Townhall.com Columnist
Competition Would Save Medicine, Too
by John Stossel
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Was the Copenhagen Global Warming Summit Walk-Out a Win for the U.S.?


Competition so regularly brings us better stuff -- cars, phones, shoes, medicine -- that we've come to expect it. We complain on the rare occasion the supermarket doesn't carry a particular ice-cream flavor. We just assume the store will have 30,000 items, that it will be open 24/7, and that the food will be fresh and cheap.

I take it for granted that I can go to a foreign country, hand a piece of plastic to a total stranger who doesn't speak English ... and he'll rent me a car for a week. Later, Visa or MasterCard will have the accounting correct to the penny.

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Compare: Governments can't even count votes accurately -- or deliver the mail efficiently.

Yet now, somehow, government will run auto companies and guarantee us health care better than private firms? And the public seems eager for that!

If you think it's mainly the political class and mainstream media that are clueless, listen to the doctors. Dr. Atul Gawande, in an otherwise interesting New Yorker article on health-care costs, disparages medical savings accounts and high-deductible insurance. First, he explains the theory behind this proposal to cardiologist Lester Dyke:

"[People would] have more of their own money on the line, and that'd drive them to bargain with you and other surgeons, right?"

Gawande comments, "He gave me a quizzical look."

The doctors then dismiss the idea with a sneer.

"We tried to imagine the scenario. A cardiologist tells an elderly woman that she needs bypass surgery and has Dr. Dyke see her. They discuss the blockages in her heart, the operation, the risks. And now they're supposed to haggle over the price as if he were selling a rug in a souk? 'I'll do three vessels for $30,000, but if you take four, I'll throw in an extra night in the ICU' -- that sort of thing? Dyke shook his head. 'Who comes up with this stuff?' he asked." Continued...

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About The Author
John Stossel blogs at http://blogs.abcnews.com/johnstossel/ is an award-winning news correspondent and author of Myths, Lies, and Downright Stupidity: Get Out the Shovel--Why Everything You Know is Wrong.
 
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Conservatives' Koolaid is not the answer
Obviously, Mr. Stossel has not spent much time comparing health plans. Some of the nuances in HC; what: procedures are covered, the co-pay is/if there is one, is covered/not, the maximum/year, facilities/doctors/specialists are covered; millions of possibilities. Can you imagine covering this in a phone call? It's like reading "terms of use" for computer software, a credit card agreement, etc. Comparing this to an automobile is silly-I just signed paperwork on a car that didn't make sense; it was a leap of faith-so are many things in our lives. Next, the common claim that private business knows what it's doing and government does not-excuse me: who ran GM, Chrysler, and the banks into the ground??? Who's bailing out who??? Lastly, there were also superior products that failed due to marketing...the Betamax and the 8 mm camera are two that come to mind. What the health care system needs is some general standardization: a standard group of benefits to start with, and blocks of additional benefits that each company would offer that each employer or person could purchase. If folks are going to be able to have a legitimate chance at comparing, this should be made as easy as possible. However, I still can't imagine having a gall bladder attack, for instance, and calling around to find out who has the best rate! This is absurd! I suggest Mr. Stossel re-think his prescription and read this month's Money magazine: "Too Much Money for Too Much Medicine" by Dartmouth researcher Elliot Fisher. Fisher noted wide disparities in health care spending around the country without there being no correlation to better care, i.e. lower cost areas actually had slightly better mortalities and care. Further, he noted that "Under the system we have today, health-care providers are rewarded only for doing more stuff, not for providing better outcomes." Among his suggestions: rewarding doctors for providing good care at low cost instead!

Health Care RipOff contd.
As I was saying I had over SIXTEEN people that I can find involved in my care. SIXTEEN people each making huge salaries. I had a Primary Doctor, a secondary Doctor, a physicians assistant, 2 CRNA's and an Anesthesiologist to watch the CRNA's. I had one nurse per scalpel (I guess, never have figured out what all those people were doing!), a nurse to put on the cast, another Doctor, This time a radiologist, because none of the other Doctors are capable of reading an x ray. Circulating nurses, scrub nurses, brow sweat nurses, what the hey, its a growth industry!
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