Regarding the letter National health insurance would cost more:
We are wasting our time treating symptoms instead of the root cause of the disease. The government has already made more promises than it can fund and yet says the cure is more promiseswider coverage at lower premiumsyeah, sure. U.S. medical care is expensive because of our societys unrealistic expectations:
- The insistence on the broadest coverage of any healthcare system in the world. We are now capable of delivering more and more sophisticated care than even the wealthy can afford.
- The insistence on an impossible zero defect standard.
- The reliance on rules and regulation to cure endemic ills: Most of the Medicare budget is spent on patients in their last six months of life and Medicare patients have high readmission rates because we have an incoherent end of life policy. Fix the policy and you fix the problems where the reverse will never work. Society has broken the professional compact with primary-care doctors by taking away their authority and forcing them to see 50 a day to keep the doors open. You cant regulate doctors back into primary care and more money without more authority and power will fail.
The freedom to sue for any reason without the barrier to frivolous suit of the loser paying the winners defense costs.
Ronald A. Hellstern, M.D.Dallas
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