Preserving the profession

by rcentor on June 25, 2007

Michael Moore is currently attacking the US health care system. He champions any country which has national health care.

I understand the roots of his activism. I have many friends who believe he is championing a just cause. While I will not impugn their beliefs, I will argue that nationalizing health care would have several untoward effects.

Nationalized health care could negatively impact medical school admissions. Money does matter. But in addition to many, medicine affords one more autonomy than many careers. In the US, you can make your own success. You can work longer or shorter hours. You can adjust your career to make more money or enjoy your personal life.

These two articles from GB represent the current problems with the NHS – Doctors fury at government policy and Out-of-hours demand riles doctors.

I have written extensively on the concept of health care as a right. Michael Moore believes that government should provide many “rights” to the population. This is socialistic thinking.

He represents an intellectual constituency. I personally disagree with that political philosophy.

He is using his bully pulpit to influence the political discussion. He has every right to do so. I have a right to disagree.

The externalities of socialistic medicine are many. When the government’s budget impacts health care, then we have an externality.

We do not have a perfect health care system, but I still believe that the proposed alternatives would deliver a worse system. Of course, I am expressing my opinion in this debate. I believe socialized medicine harms the profession.

KevinMD has these comments – Sicko: Do I hear bingo?

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{ 7 comments… read them below or add one }

Matt June 25, 2007 at 9:06 am

Physicians have convinced people that the current system is horrible, with their “crisis” states and such. So now the public is considering alternatives. Physicians haven’t offered any alternatives, it seems, other than tort “reform”, which does little for the average patient.

If you don’t want what Mr. Moore’s proposing, you better come up with some comprehensive solutions yourselves. You can’t tell the public everything is horrible and then complain when they select the only proposed solution out there.

julie June 25, 2007 at 10:20 am

I think it’s the insurance companies that need to be retooled not the medical field. As a nursing student and someone who has been in the medical field for a long time I think that we are a nation of medical advances but as someone who does have insurance but is denied certain things because of the red tape I get frustrated! It’s the insurance companies!!!!

Albert Fuchs June 25, 2007 at 12:31 pm

A reasonable and politically viable path to reform is in Dr David Gratzer’s book The Cure. It’s mandatory reading for anyone who cares about healthcare reform.

And DB is right. There is no product or service that ever improved after the gov’t became the only provider.

doc2 June 26, 2007 at 3:57 am

For Pity’s sake, the Cubans couldn’t provide health care for Fidel Castro. They had to import docs from Spain.

Caryn Isaacs June 26, 2007 at 9:02 am

I am the creator of the “Follow the Money” chart for health care system reform, which has been used by many including Al Gore and others to make their point about how we could better use our health care dollars. The problem with Mr. Moore and others proposals is they are using the same mis-information-dis-information as their opponents, which inspired me to make up the charts in the first place, back in 1992. My purpose at that time was primarily to educate doctors about how health care is financed and delivered. Without understanding the difference between health care delivery and health care financing we cannot begin to change either. A single payer plan (or Medicare for All) suggests only a new way of financing health care and does not in any way change the method of health care delivery. In plain language – it is not government run health care like a socialist program, it is simply one price ruling fits all such as our current taxation system.

JaneMarieMD June 26, 2007 at 8:29 pm

A single-payer or “Medicare for All” plan that is administered by the government and funded by taxes will be government-run health care. I think, Ms. Isaacs, you may be splitting hairs in the end. The way that healthcare is financed absolutely affects how it is delivered. I’m not sure the distinction you are trying to make is important (other than perhaps to keep the discussion dispassionate).

gmm July 9, 2007 at 9:46 pm

. When the government’s budget impacts health care, then we have an externality
++++++++++++

With all due respect, then what does one call an HMO’s decision not to pay for treatment that a doctor deems necessary, but they say was not? How is governmental interference different than managed care micromanagement and denial of claims?

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