By design, a monopoly produces a different kind of worker. Unwilling to have their wages capped and freedoms restricted, the best inevitably leave. Mediocrity, unfortunately, gives rise to fewer malcontents and thus is a prerequisite for stability in the system. Put it this way: if a socialized system wants to survive, it must expunge the most driven and gifted from its midst. When wages, moreover, are tied to a negotiated deal with labour, rather than, in the case of a competitive market, to the individual physician's performance, the position of the mediocre practitioner is further reinforced.
You are correct, there are mediocre doctors and nurses in the US, too, but the point of the article is that these kinds of providers are championed in the socialized system. Providers with higher expectations of themselves can excel in a free market system instead of being rewarded to the same lower incentive as the mediocre providers.
One of my greatest concerns with UHC is that fewer talented people would choose medicine as a career if they knew that they would be working for and heavily regulated by the federal government. 12+ years of education is a high price to pay to become a government bureaucrat controlled by the political climate of the day....
Katie82, RN
642 Posts
One of my greatest concerns with UHC is that fewer talented people would choose medicine as a career if they knew that they would be working for and heavily regulated by the federal government. 12+ years of education is a high price to pay to become a government bureaucrat controlled by the political climate of the day....