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Wednesday, June 17, 2009

Doctors as Bean Counters



Wouldn’t it be nice if doctors stood out of the way, let consumers shape health care reform, and take what they get? After all they are supposed to be serving us, the consumers, right? Not the other way around. And they are supposed to be healers, not social scientists or economists, or “bean counters,” as the President recently exclaimed.

It should go without saying that doctor’s and all health care provider’s care given, should remain the same in quality and quantity, and only be allowed to get better under any new health care reform. Democratically appointed boards or committees of health care representation should see to that, and I don’t doubt that’s what we’ll see when health care universality is complete.

“But we are speaking for our patients! That’s why we don’t want government run health care! For our patients!” Say the doctor’s opposed to change. Gibberish I say. The truth is a doctor in America knows that if he or she takes Medicare recipients, that there is a cap, or a “ceiling” on reimbursement that is far lower than what private insurance pays for its own customers. And that is the measure the doctor’s use to analogize a newer system created by government. And so they fear a money reduction. The answer to how much reimbursement lay somewhere in between. An average perhaps. That average would truly speak for the patients. And in only the interest of the patients, economists and social scientists, who should be the only one’s creating a universal health care system, would be speaking for the people – speaking only for the patients.

We want doctors to live above the average pay line, far above it. We want them to earn hundreds of thousands of dollars per year. We want them to have nice homes, multiple cars, country club memberships and exotic vacations. We don’t want doctors who earn millions. We don’t want them to grow used to mansions, limousines, second homes in foreign lands and luxury motor yachts and tax loopholes.