Regarding U.S. needs a single-payer system:
Insurance companies do indeed provide significant valuethey act as a check on what would otherwise be runaway utilization of every gimmick and quack therapy known to man.
The average layperson just isnt equipped to be able to figure out cost-benefit and so is at the mercy of every medical charlatan. A single-payer system might make sense, but it will have to be accompanied by strict utilization rulesa la the insurance companiesto keep us from becoming more broke than we are already.
Ronald A. Hellstern, M.D.Medical practice management consultantDallas
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