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Re:Health Plan Rankings: the numbers speak for themselves
Date: 2008/01/03 00:36	By: jrwbsbl	Status: User
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What a great salesman I am! No wonder no one is buying my book.

As Homer Simpson would say--"Doh!"

Try this link. It should work--although it's hardly as sexy. And thanks for straightening me out.
Jeff Waggoner

http://stores.lulu.com/store.php?fAcctID=1290952

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Re:Health Plan Rankings: the numbers speak for themselves
Date: 2008/01/03 14:34	By: utcom	Status: User
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What about health care in other countries? Would socialized medicine be a good solution for the United States?

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Re:Health Plan Rankings: the numbers speak for themselves
Date: 2008/01/03 14:52	By: jrwbsbl	Status: User
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If America falls at one end of the spectrum--a wild and wooly frontier of an unfettered free market, what you're asking about is the other end--a national closed HMO. I prefer that description to "socialized medicine" because the latter term has become virtually meaningless.

Whatever we wish to call this, it would appear to have as many problems as the wild west of capitalism because it is terribly inefficient. That's why Tony Blair dumped billions into Great Britain's NHS in an attempt to inject some competition.

Any delivery system that does not reward outstanduing effort is doomed to be inefficient because if five people work at a job and two of them spend all day with their feet propped up on the table sipping tea, eventually the other three will do the same. That is a reality of human nature that good old Karl Marx ignored.

Unfortunately for Mister Blair, the NHS has six decades of history operating in an environment without much competition. Trying to engender the desire to compete was met with a cultural yawn and concerted efforts to take a bite of the pie withoput paying for it.

Further, I personally believe that health care must be kept out of the hands of government. A priori, one of the goals of government is to remain in power. this is not particularly compatible with efficient, high quality medical care.

In my book, that's why I suggest what I call Demand Directed Health Care and the formation of a Requisite Insurance Source (DDHC and a RIS). It's a bit of a riff on a single party payer system, but with a caveat of allowing the power of supply and demand to do its thing while relying upon what would be the ultimate informed consumer on the demand side--a two trillion dollar monopoly.

Jeff Waggoner

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