Well, you just never know do ya.


Well,  it has certainly spooked some colourful birds out of the bushes.

full text here.

I don’t know why exactly but I cannot help but think this is the sledgehammer to crack a nut.  The solving of this is so simple. Open the doors of the Medical Schools. If they won’t open, then give them the option that such a refusal will result in establishing full medical training through the military.  How darn well dare the medics act as a choke point to economic development of a whole section of the community, any community. This is a simple supply and demand problem, where the choke point caused by Government Statute. Idiots.

Oh, insurance is a function of the costs involved to provide health care, not the other way round.

But still 😀 :-D, I’m delighted.  Hopefully it will put some spine to our political Gobshites who have created a system more convoluted and exclusive than anything that the Yanks could conceive.

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11 Responses to Well, you just never know do ya.

  1. Michele says:

    Oh I don’t know…us Yanks are a pretty inventive and sadly greedy lot.

    • Vince says:

      Yeah but you’ve yet to get to the situation where the nurses and the junior Dr’s, together with the hospitals and the internal fabric is paid from general taxation. But only those with the health insurance of a well hung Saudi Prince can use it.

      • Vince says:

        P.s. It would be like Hollywood Medical paid from the tax of people living in state housing.

  2. Ed says:

    Although I like some of the provisions within Obamacare such as eliminating pre-existing conditions and allowing minors to stay on parents insurance longer, I also know that this will only hurt getting affordable healthcare. Now we will essentially have 30+ million more people on the dole which caused insurance companies to raise their rates, which drives more people onto the dole, etc., etc., etc. We are creating a whirlwind that ends with no one able to afford healthcare unless we change the reason it costs so much. The number one reason things cost so much here in the US is that the government touches them and anytime you have a body (i.e. government) with unlimited resources (i.e. taxpayer’s pockets), they are going to spend more than they need. The only way to drive prices down is to make things a free market but that leaves the poor and the people who make dumb financial decisions out in the street.

    My solution would be to get the government out of the healthcare business. Step one. My second step would be to tort reform. We need to end frivolous lawsuits because they only drive prices up. If my wife were to go into private practice, she would have to pony up almost a million dollars for liability insurance… a year! If she were able to avoid paying a million dollars in premiums a year, imagine how much she could drop her rates.

    • Vince says:

      Oh don’t get me wrong. When I say Medics I’m not being direct to the individual. They are as much a victim of an insane system as any. They are the ones being fleeced by rapacious university departments. But they are the ones at the Association level that are refusing and have refused to countenance less adversarial depute resolution.
      We have the same basic system you’ve got. All the colonies of the English had it. But here and with you have the only places that a medic from 1785 could move in seamlessly at a system level. In all the other places NZ Oz Canada even the UK, changed after WW2. They in effect did what the French and the Germans had done 100 years earlier and militarized it. And yes they have problems but they for the vast majority of the population are the only source of medical treatment. In fact they absorbed to the State full control, for the most part. And where they have issues today it’s in the area that were not completely folded in.

  3. Kimberly says:

    What do you mean by opening up the medical schools? Is Ireland’s health care government run or do you have health insurance as well? A combination of both?

    I’m not really sure how I feel about the ruling. There is definitely a need for health care reform in this country. I know we are a capitalist country, but I don’t think it’s right to make money on the health (or lack there of) of the people — poor, rich, or in between. The cost of health insurance is terribly prohibitive and to require everyone to have it, while great in theory, is completely unrealisitc. I can barely afford it and I have a job with a decent wage AND my employer contributes. Those in the health care field say it’s so expensive due to insurance companies and legal issues, while the insurance companies say they charge so much due to the cost of health care. Either way you look at it though, the hospitals, the pharmaceutical companies, and insurance companies are doing quite well financially.

    Even though I understand so little about how this all works, my need is pretty elementary I think – My health insurance, paid in part by my employer, costs approx $10,000 a year. I go to the doctor for the regular yearly visits and the odd illness that’s lasting too long. If I paid cash for the amount of care I receive it wouldn’t even come close to the premium. I know I’ve got health care if needed, but it seems so excessive. The amount deducted from my check each month (which has increased about 50% each year over the last 4 years) is hurting me financially. So this health care reform hasn’t done anything to help my situation. I think most of us in the middle don’t really care how it’s done, we just need health care to be more affordable. I hope the ruling opens the door to more discussion – some say it will. We’ve had a tough time accomplishing too much these days, so I won’t be holding my breath.

    • Vince says:

      If there was a need for more teachers then the universities would be asked to expand their schools. But since the Doctors have a lock provided by Law on who, from where and how many they allow in their union they can and do create a chokepoint. Or to call it properly, a statuary monopoly. This is the real issue.
      If the costs of medical training were fixed at say $10,000 and each medical school were to double or even quadruple their conferrals. Then there would be little of no issue.
      We have three contacts with the medical profession. One, trauma. Two, chronic. Three, the ouchy and the nip&tuck. The first tends to be covered by the license establishing the hospital, and free. The second, the slow killer, is the realm of the GP and the scientists in the medical labs. The last, well if Dotty is pointing south with Doody north might be an issue for the lass in her bikini top. Or the fellow needing a re-seeding of his patté might be an issue mind-wise. I don’t really see them being medical frankly.

      In Ireland we’ve exactly the same system you’ve got with some of our own tweaks. Yes, in theory we’ve all access to medicine. But lord help you if you’re not dieing right at this moment if you’ve no insurance.

      • Kimberly says:

        Really? I didn’t know that about limiting the number of doctors. How would having more doctors out there keep the costs down – because of more choice or availability?

        • Vince says:

          Sorry Kimberley this is reading horrendously.

          Yes, if the market was open, you should be kicking them walking down the street so plentiful they’d be.

          It would be cheaper as they charge what they do because they are a commodity that’s scarce. And that’s a scarcity they want to preserve. And that’s logical. But what is good for the doctors or any professional group doesn’t necessarily mean that it’s a good for the overall community.
          And would anyone leave Uni $100s K in debt if they were an a teachers pay. But the Uni’s charge with this in mind when they set fees.
          Look at it this way. Since the student is paying for education and the patient is paying either by subvention, fee or insurance at the teaching hospital. And since junior or baby doc’s aren’t over paid. Where’s the dosh going. This is totally dependent on human inputs. Nothing else approaches the percentages that they return on human capital. Yes, you’ve the buildings, but they aren’t a huge factor. Pennies in each hundred dollars of billable fee. So what else, scanners ?. Nope, that’s one big red herring you hear from that Charitable Religious Hospitals. A scanner has a start up cost. But if they were run efficiently, both they and their staff would reduce dramatically.
          One of the huge problems here and the UK is operating theater time. But again this is nothing more than a scheduling issue. Where you have strong Unions ( doctors and nurses ) refusing to work in them from 6am to 10pm, thereby utilizing them efficiently.

          • Kimberly says:

            That makes a lot of sense. I find it interesting that with all the anti union talk we’ve got going on here for the teachers, fire fighters, etc we’ve not heard a word about wanting to disban doctor unions. Like I said, I didn’t even know they had one.

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