The National Post reports on how some Canadian doctors have held lotteries to determine which patients to eliminate from their practices, while other doctors held lotteries to decide who they'll accept. By shedding some patients doctors hope to avoid imposing a 5-minute appointment assembly line on the rest of their patients. Similarly, restricting new patients through a lottery keeps patient loads manageable.
Both lotteries reflect the severe shortage of primary doctors in Canada -- yet another example of medical personnel shortages (and surpluses) that tend to crop up under nationalized single-payer health care systems. (Last year it was a nurse shortage and hospital consultant glut in the U.K.)
After being kicked out of her doctor's practice, one patient was forced to drive 18 kilometers to the next town to find a doctor.
I agree with the above poster. The US already has a severe shortage of primary care physicians under the current system, and it is forecast to worsen. Many current internists and family practice docs are getting out of the field. One of the biggest reasons that they cite is the near-impossible situation that current insurance rules and regs put them in.
DR. KATE ATKINSON: I spend more time doing paperwork and less time talking to patients. And every time there's a problem, the solution is to generate another form or another hurdle that the doctors need to go through.
If you come to me and you have stomach pains, what medicine I can put you on depends upon your insurance company. I wasn't trained to say, "What's your insurance company before making a treatment decision?" And now I have to.
Last edit by Circejane on Sep 6, '09
Sep 7, '09
Here is one way to reform the Health Care system.
1. Any employer can purchase care through Medicare.
2. All Employers could purchase Medical Care from a NONPROFIT BC/BS through the federal plan at the federal employer rate. Individuals pay the employee share of premiums with the rest picked up by employers and those who are below 300% of poverty and self employed or work for a true small business of receive a tax payer subsidy.
(Under option 2 Employer cost would be 600/month for FAMILY coverage. Individuals would pay about 200/month.) The self employed above 300% of poverty would pay about 8000/year vs the 12000 they pay today.)
Really that is all that needs to be discussed.
Last edit by HM2VikingRN on Sep 8, '09
Sep 8, '09
Quote from crna2007
how about everyone pay their fair share and the welfare recipients and numerous other free loaders in this country find a job and contribute something worthwhile to this country other than increased taxes on everyone else.
in your post you sound suspiciously like an economic royalist:
here and now i want to make myself clear about those who disparage their fellow citizens on the relief rolls. they say that those on relief are not merely jobless—that they are worthless. their solution for the relief problem is to end relief—to purge the rolls by starvation. to use the language of the stock broker, our needy unemployed would be cared for when, as, and if some fairy godmother should happen on the scene.
you and i will continue to refuse to accept that estimate of our unemployed fellow americans. your government is still on the same side of the street with the good samaritan and not with those who pass by on the other side.
in not one word of my post was there a mention of increasing taxes.....(although i can definitely make the argument that tax based systems are both cheaper and more efficient...)
when 40% of american workers are below 200% of poverty for income that is hardly freeloading. i would venture to guess that most of those workers have a much more dangerous and physically taxing work environment than most posters on this board.
taking the high ground as usual a review of core nursing values is in order:
core nursing values essential to baccalaureate education include human dignity, integrity, autonomy, altruism, and social justice.
as an apn you are held to a higher standard of thinking and behavior
(the full pdf is available....i am not going to do the homework on your behalf...)
Last edit by HM2VikingRN on Sep 8, '09