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	<title>Comments on: Answers to real questions about healthcare reform</title>
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		<title>By: -DjD-</title>
		<link>http://davidjduran.com/2010/03/24/answers-to-real-questions-about-healthcare-reform/#comment-661</link>
		<dc:creator><![CDATA[-DjD-]]></dc:creator>
		<pubDate>Wed, 24 Mar 2010 23:29:59 +0000</pubDate>
		<guid isPermaLink="false">http://davidjduran.com/?p=1192#comment-661</guid>
		<description><![CDATA[Hey Amy. I think the basic point is that &quot;rationing&quot; by itself is just a word that means different things to different people. Some take it to mean &quot;pulling the plug on grandma&quot; while others look at it as figuring out what the most effective treatments are and spending more resource on those. In a country where the average person spends a &lt;a href=&quot;http://seekingalpha.com/article/146992-comparing-u-s-healthcare-spending-with-other-oecd-countries&quot; rel=&quot;nofollow&quot;&gt;shit-load on their healthcare&lt;/a&gt; (with no significant improvement in actual health) compared to the rest of the world, I&#039;m all for improving the system so we get more for our dollars, but it&#039;s not going to be easy and it will take time.

As for the number of doctors, the CNN article commented on this as well...

&lt;blockquote&gt;Question: What will happen when there are not enough doctors to oblige all the patients?
Last year, the American Academy of Family Physicians predicted a shortfall of 40,000 primary care doctors, and that was before the signing of the health care bill. That will put another 32 million people into the system -- with a promise of free preventive care -- and insurance to pay for regular doctor visits. Some physicians have expressed concern about this. Patients could see increased wait times, as in Massachusetts, where since &quot;RomneyCare&quot; went into effect, residents wait an 10 extra days to see the doctor. But others say the bill will help create more community health centers, so primary care can happen at these centers instead of expensive emergency rooms.&lt;/blockquote&gt;

It&#039;s definitely a challenge but one that we have a few years to prepare for as those provisions don&#039;t happen overnight, they get rolled out in 2014 I believe. Also part of the idea is that a lot of these people ARE already being seen but just not until they have to go to the ER when things get nasty and then our tax dollars pay even more for it anyway. A bit of smart preventative care up front could do a lot to reduce that.

And just for the record, don&#039;t get me wrong... I&#039;m sure it&#039;s no where near a &#039;perfect&#039; bill and I really can&#039;t imagine what a &#039;perfect&#039; solution would look like anyway for something as complex as healthcare. I am glad that after 15 months of intense debate, something is moving forward to make a start on it rather than continuing to drag heals and put it off for another couple of decades.]]></description>
		<content:encoded><![CDATA[<p>Hey Amy. I think the basic point is that &#8220;rationing&#8221; by itself is just a word that means different things to different people. Some take it to mean &#8220;pulling the plug on grandma&#8221; while others look at it as figuring out what the most effective treatments are and spending more resource on those. In a country where the average person spends a <a href="http://seekingalpha.com/article/146992-comparing-u-s-healthcare-spending-with-other-oecd-countries" rel="nofollow">shit-load on their healthcare</a> (with no significant improvement in actual health) compared to the rest of the world, I&#8217;m all for improving the system so we get more for our dollars, but it&#8217;s not going to be easy and it will take time.</p>
<p>As for the number of doctors, the CNN article commented on this as well&#8230;</p>
<blockquote><p>Question: What will happen when there are not enough doctors to oblige all the patients?<br />
Last year, the American Academy of Family Physicians predicted a shortfall of 40,000 primary care doctors, and that was before the signing of the health care bill. That will put another 32 million people into the system &#8212; with a promise of free preventive care &#8212; and insurance to pay for regular doctor visits. Some physicians have expressed concern about this. Patients could see increased wait times, as in Massachusetts, where since &#8220;RomneyCare&#8221; went into effect, residents wait an 10 extra days to see the doctor. But others say the bill will help create more community health centers, so primary care can happen at these centers instead of expensive emergency rooms.</p></blockquote>
<p>It&#8217;s definitely a challenge but one that we have a few years to prepare for as those provisions don&#8217;t happen overnight, they get rolled out in 2014 I believe. Also part of the idea is that a lot of these people ARE already being seen but just not until they have to go to the ER when things get nasty and then our tax dollars pay even more for it anyway. A bit of smart preventative care up front could do a lot to reduce that.</p>
<p>And just for the record, don&#8217;t get me wrong&#8230; I&#8217;m sure it&#8217;s no where near a &#8216;perfect&#8217; bill and I really can&#8217;t imagine what a &#8216;perfect&#8217; solution would look like anyway for something as complex as healthcare. I am glad that after 15 months of intense debate, something is moving forward to make a start on it rather than continuing to drag heals and put it off for another couple of decades.</p>
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		<title>By: Amy</title>
		<link>http://davidjduran.com/2010/03/24/answers-to-real-questions-about-healthcare-reform/#comment-660</link>
		<dc:creator><![CDATA[Amy]]></dc:creator>
		<pubDate>Wed, 24 Mar 2010 21:58:56 +0000</pubDate>
		<guid isPermaLink="false">http://davidjduran.com/?p=1192#comment-660</guid>
		<description><![CDATA[Ok, just because the word doesn&#039;t appear in the bill doesn&#039;t mean it won&#039;t end up that way. I read a comment somewhere, that now that there are millions more people put into the healthcare system overnight.... where are the extra doctors and hospitals to accomodate that? When was the last time you actually made it into your doctors appt on time? How adding millions of people to the system isn&#039;t going to lead to rationing, I&#039;m not seeing it.... enlighten me if I&#039;m missing something.]]></description>
		<content:encoded><![CDATA[<p>Ok, just because the word doesn&#8217;t appear in the bill doesn&#8217;t mean it won&#8217;t end up that way. I read a comment somewhere, that now that there are millions more people put into the healthcare system overnight&#8230;. where are the extra doctors and hospitals to accomodate that? When was the last time you actually made it into your doctors appt on time? How adding millions of people to the system isn&#8217;t going to lead to rationing, I&#8217;m not seeing it&#8230;. enlighten me if I&#8217;m missing something.</p>
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