tag:blogger.com,1999:blog-9263167.post6925450106642022650..comments2024-03-28T15:17:43.056-04:00Comments on Stayin' Alive: Special bonus multi-postCervanteshttp://www.blogger.com/profile/11302076828795198187noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-9263167.post-47448145988139080652009-09-28T12:12:40.329-04:002009-09-28T12:12:40.329-04:00Provider Induced Demand is beginning to be felt he...Provider Induced Demand is beginning to be felt here in Sweden also. We still have the local Medical Care Center "Vårdcentralen" for primary care. Now with a conservative government we have private primary care centers which seem to be producing Provider Induced Demand. Here the doctors get paid per patient and like about 10 patients an hour. At my gov. run primary care unit I get all the time I need and if anything the dr dosen't refer me to tests if it is not clearely necessary. Both care optione cost the same about 20$ a visit up to about 120$ a year after which it is free. Hope that Obama gets it right!Greenwayarkhttps://www.blogger.com/profile/09832214073481750777noreply@blogger.comtag:blogger.com,1999:blog-9263167.post-6330959045523588502009-09-25T11:43:53.529-04:002009-09-25T11:43:53.529-04:00C, sure it is good that Sarko is attempting to kno...C, sure it is good that Sarko is attempting to knock GDP away, it is great. <br /><br />At the same time he is doing other things...<br /><br />AnaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9263167.post-3846911623907717222009-09-25T11:41:50.396-04:002009-09-25T11:41:50.396-04:00From mainstream media in 09: hard to translate fre...From mainstream media in 09: hard to translate french: absolutely typical, standard, repeated in different venues over and over:<br /><br />quote: <br /><br />Dans une analyse publiée dans Le Monde du 9 juillet, Cécile Prieur pose directement la question « Le système de santé en voie de privatisation ? ». Elle cite d’abord le discours du président expliquant que les « ressources de la solidarité nationale ne sont pas infinies » et que « les régimes de base ne pourront pas tout financer ». « La solidarité nationale, financée par des prélèvements obligatoires, continuera de remplir sa mission, a annoncé M. Sarkozy. Mais à ses côtés, d’autres formes de protection sont appelées à se développer (...). Je souhaite que soient confiées de nouvelles responsabilités aux organismes complémentaires. »<br /><br />end quote.<br /><br />http://www.solidariteetprogres.org/article5603.html<br /><br />>> Trans of the last part: <br /><br />National solidarity can no longer finance health care, other forms of ‘protection’ will have to be developed, I hope that new responsibilities will be conferred on other/complementary/different organisms/entities. <br /><br />Read private insurance.<br /><br />AnaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9263167.post-76497302911029599272009-09-25T11:31:39.886-04:002009-09-25T11:31:39.886-04:00I make no particular endorsement of Sarkozy. As I...I make no particular endorsement of Sarkozy. As I say, Sen has been saying this for my entire adult life. However, for whatever reason, by commissioning this "study," Sarkozy has succeeded in getting publicity for this important truth.Cervanteshttps://www.blogger.com/profile/11302076828795198187noreply@blogger.comtag:blogger.com,1999:blog-9263167.post-13844696151861651902009-09-25T11:24:31.787-04:002009-09-25T11:24:31.787-04:00GDP is, was, built on the idea of the supremacy of...GDP is, was, built on the idea of the supremacy of the free market and exchanges as being representative. (of what exactly? no matter!) <br /><br />It was (afaik?) pushed and pushed by the US, as those numbers would make it seem superior. GDP is not a measure of standard of living, as all economists will admit. Or of anything else fathomable or reasonable. <br /><br />Sarkozy is given to fashionable enthusiams, picking up ideas from advisors. They are usually straight out populist, posturing for the gallery (that is the TV watcher, probably better / differently educated in France than in the US), making a lot of noise to no avail, pushing nationalist ideas... I wouldn’t pay much attention to that. <br /><br />He has skewered and practically disembowelled the judicial system, with great effect, he can’t bear the independent judiciary, and is working hard to take over the media, he is halfway there. He is a French Berlusconi, if one can grapple with such a concept. Vociferating about how France, its productivity, standard of living, happiness, etc. shouldn’t be measured by an idiotic GDP is just electoral, nationalist grist. Though he is right, of course. <br /><br />He has also worked hard to begin 'privatizing' the French 'national' health system. So far, he has not been terribly successful, some minor stuff, rising co-payments, a lot of discourse about 'responsibility', the usual....<br /><br />AnaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9263167.post-19903254794127554212009-09-25T07:57:28.953-04:002009-09-25T07:57:28.953-04:00Thanks, I was going to ask you about the HIV thing...Thanks, I was going to ask you about the HIV thingy.<br />Ewhiskerhttps://www.blogger.com/profile/14638090538267043076noreply@blogger.comtag:blogger.com,1999:blog-9263167.post-32142149053348250022009-09-25T07:33:08.945-04:002009-09-25T07:33:08.945-04:00Just read Relman. And Marcia Angell's article...Just read Relman. And Marcia Angell's article in Huffington:<br /><br />http://www.huffingtonpost.com/marcia-angell-md/baucus-bill-health-reform_b_293093.html<br /><br />And Hacker.<br /><br />It's depressing. Things like "these industries will make more money in the reformed system than they do now," re: insurance and drug companies. I see that in everything I read.<br /><br />Relman lays out a group-practice alternative similar to what you described in your Utopia Now post. (I suspect Angell's next post will do the same.) It sounds reasonable, but I can't imagine docs taking a salary. Not yet. I think the system will have to hard press clients/patients more for that kind of overhaul. I thought now was the time.<br /><br />I'm disillusioned by Public Health these days. It's increasingly wound up in what Angell refers to as the medical-industrial complex ... because it relies on things like screenings that just draw people into a web of medical services that they can't afford, and that seem never-ending. You almost want to tell people not to engage the medical system at all.Bixhttps://www.blogger.com/profile/06263963508785739508noreply@blogger.com