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  • sgreger1
    Member
    • Mar 2009
    • 9451

    #106
    Originally posted by Darwin View Post
    Although the demand for healthcare ever increases it does not automatically follow that the supply of same will increase considering how slowly the medical profession responds to such demand. Or can respond really. A medical educational process that is measured in the better part of a decade is simply not able to respond in a rapid fashion to increases in demand. That situation is not likely to improve a whole lot if prospective MDs start to get the impression that the end point of a hideously difficult and expensive medical degree is essentially being forced into what for all practical purposes will be government service. The doc supply does slowly change in response to demand in "normal" times but however coercive the government can be it can not force people into a medical profession that will be more and more characterized by stagnant regulated incomes, ever increasing paperwork, and ever greater demands that every action they take be economically justified. Even if government were to pick up the entire cost of a medical education if the above conditions still loom at the end of the process the MD pool is bound to either stagnate or decline.

    Supply lags demand already and the system has responded with such measures as certifying Nurse Practitioners and Physician's Assistants who have limited diagnostic and prescribing authority and so can gap fill to a certain degree. Anything more serious needs a genuine MD and whatever fill-in measures are adopted a greater supply of degreed professionals will be sorely needed by a large expansion of the system. And after all even MDs can overlook many things to a patient's detriment and lesser trained, much lesser in most cases, personnel will be more prone to this human frailty. In short the waving of rhetorical magic wands, in the form of gigantic omnibus health care bills, by the political class can not and will not be able to address this reality. It is difficult to see how implementing a vast new architecture of regulatory control over the medical system will somehow lure more people into the the profession. Lowering standards to the point where such as NPs and PAs eventually form the bulk of health care personnel is rather less than confidence inspiring in an age of ever increasing complexity in the medical arts.

    This is so true. We are going to end up importing foreign doctors from countries who need it more, and then filling in all of the gaps by over-using PA's and nurse practitioners.


    If anyone is wondering how this healthcare bill will plan out, they need not look further than our current Medicare system.

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    • Jimbob_Rebel
      Member
      • Jun 2010
      • 169

      #107
      Because know-it-all statist politicians decided to screw with the free market in order to garner votes with the parasitic class. Also, the AMA holds the number of liscensed physicians down to generate an artificial scarcity and big pharma price gouges without fear of competition. There are many things which could be done to make health care more affordable but the state prefers solutions which empowers the state.

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      • Jimbob_Rebel
        Member
        • Jun 2010
        • 169

        #108
        If leftism is statism, as today's lefties are all totalitarian nanny staters, then national socialism is undeniably leftist.

        Fascism and marxism are considered to be at oposite ends of the political spectrum but in fact reside side by side which is why Bennito Mussolini slipped from a leadership role among the italian communists to the fascists with so little effort.

        Fascism= private ownership, state control of capital.
        communism= state ownership, state control of capital.

        Tom, I'd have to say your concept of the Nazi state has been romantasized to an extent, and commend you for your honesty. Most liberals are incapable of such honesty even with themselves. The Nazis failed at war in part due to the feudal inefficiency of the regime Hitler crafted to serve him.

        Comment

        • tom502
          Member
          • Feb 2009
          • 8985

          #109
          Something very interesting:
          http://www.heretical.com/miscella/rudolf.html

          Comment

          • Gritztastic
            Member
            • Oct 2010
            • 51

            #110
            Originally posted by tom502 View Post
            It seems to me, there is a certain far left crowd that seeks to censor and halt free speech.
            Like the ACLU?

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