****Re: guess what....

[Lisa Kachold]

The pay for performance must be a pharmacutical missive?  But it
certainly doesn't consider the genetics and human lifestyle choices
(including the food additives, insecticides and housing/work health
hazards) of the last generation!

As long as humans are unable to advocate for their level of care,
research optimal alternatives and understand prognosis or prescribe
wellness for themselves (via the internet, for instance) or complain
easily to a regulatory board that actually makes for productive
change, we will need triangulated government control.

Really the whole social structure is smoke and mirrors; police don't
protect - they write up a good report.  Doctors aid along the way to
death - and provide a good certificate and research statistics.  We
each choose to know or not know and ask questions (or appoint family
or friends to do so for us) and give our consent.

The only freedom we have is through responsibility.

On 7/31/09, Joshua Zeidner <jjzeidner at gmail.com> wrote:
> On Fri, Jul 31, 2009 at 11:41 AM, Marco Savo<savomarco at gmail.com> wrote:
>> This is off topic, but interesting, I'd  like to add my view of
>> not-american
>> but (legal) immigrant.
>> I'm Italian, our health system doesn't work so well as European standards
>> because of Mafia, but, is much better than the private American one and
>> cost
>> the country half of the American one. For get rid of the corruption and
>> Mafia clientèle, we copied the American system.
>> We introduced a pay about how many cure a doctor and a hospital do,
>> they're
>> not paid on a monthly basis anymore. The experiment turned to be
>> catastrophic: doctors and hospital started to do expensive cure and
>> operations where weren't necessary.
>
>   They are starting to introduce even crazier measures such as Pay For
> Performance, which rewards doctors based on how well the patient
> scores on blood tests, etc.
>
>   -jmz
>
>> That's the American problem: doctors are not paid on a monthly basis, but
>> how many cures and medicine they prescribe. No one controls it, the health
>> insurance companies support it because they'll just ask more money, etc.
>> The
>> cure is an European style health system, public or private, and based on
>> prevention, not on the cure.
>> The additional cost attributed to illegal immigrants? well, in Europe we
>> have as many illegal immigrants as there is here, but the total cost of
>> health care it's half of the American (pro-capita) and performs much
>> better
>> (see statistics about stroke survivals or infant mortality). Sure there is
>> people from other countries who came here for special cure, there is the
>> best doctors here, but that best is maybe for the 2% richest population?
>>
>> On Thu, Jul 30, 2009 at 4:02 PM, Robert Holtzman <holtzm at cox.net> wrote:
>>>
>>> On Thu, 30 Jul 2009, keith smith wrote:
>>>
>>> >
>>> > So we just let in rapists and those with tuberculosis?
>>>
>>> Lok up the wimmen an chilun. The rapists is acomin.
>>>
>>> --
>>> Bob Holtzman
>>> AF9D 8760 0CFA F95A 6C77  E125 BF90 580F 8D54 9279
>>> "If you think you're getting free lunch,
>>>  check the price of the beer"
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>>
>>
>>
>> --
>> 'The Magic Is In the Movement'
>>
>> Marco Savo
>> SW Engineer
>>
>> 882 East Glenn St.
>> Tucson, AZ 85719
>> +1 (520) 248-5681
>>
>>
>>
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