Sunday, July 11, 2010

3 Comments:

Blogger Dr.D said...

Berwick assumes that it is wrong to pay people for the work that they do. He was critical of specialties that are paid for the number of surgeries performed, number of tests performed, number of office visits performed, etc. Actually, this all seems rather consistent with basic capitalism; that you are paid for the work that you do.

He comments that people go into high paying specialties to more quickly pay off the cost of medical school, rather than becoming general practitioners. This may indeed be true, but it means that those people are assuming the burden of doing that more demanding work. He fails to recognize that some MDs are smart enough to know that becoming brain surgeons (for example) is not what they want to do, even though it pays more. So they settle for earning less, taking longer to pay of student loans, and living the more humble live of an ordinary MD. (Just imagine!)

In short, I think the man is nuts! The problems he perceives are not problems, and if they were problems, there are better ways to fix them than what he proposes to do. He should be removed post haste.

6:38 PM, July 11, 2010  
Blogger Eric Blair said...

I think the thing that confuses me is a person praising the NHS in the UK. There are some genuine horror stories from that system.

I teach premeds each semester. I help them do "mock interviews" to help get them ready for medical school interviews (supposedly). Several of my colleagues push health care issues like this on the students something fierce. Why, I had one colleague browbeat a student about the Cuban health care system...that it was better than we have here. The mind boggles.

And I can't say a word about that.

So I shouldn't be surprised about Berwick's bizarreness.

But I would say this: Berwick himself would never use the "normal" health care system he proposes. That's just for the lumpenproletariate, I am pretty sure.

The new aristocrats. Personally, I think that all members of Congress should only be able to use the health care system that they propose for others. If they want to pay out of pocket, why, they can resign their seat.

But it will never happen. They want to tell everyone else what to do...while doing whatever they like.

8:45 PM, July 11, 2010  
Blogger TMink said...

Eric, bizarre is wearing two unmatching shoes.

This guy is nuts.

Trey

12:10 PM, July 12, 2010  

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