Quote:As it is they have to do something about cost control, if we're going to have socialized medicine we can't expect to subsidize these ridiculous premiums forever thats financial suicide.


If the republicans where smart they should start proposing cost control measures and look to slowly dwindle down the need for the subsidies. I think most will agree the biggest problem with obamacare is the premiums are going through the roof.



Also they have to figure out something with the supply side, more insured means demand on doctors and medical staff is going to increase rapidly have to stay ahead of that demand curve. That was a big problem in Canada the demand curve got ahead of the supply and the wait times became unreasonable, your talking months for appointments.

 

We don't have socialized medicine, we have crony capitalism where the government requires the private purchase of a selected product. Escalating premiums are a leading indicator of CC, no or extremely low premiums would indicate socialization. And if you think premiums are the issue then you have no concept of the increase in administrative costs to the providers of the services that, coupled with the current and coming penalty structures in the government health plans, are driving the older physicians to early retirement, that's what's going to drive your scarcity in services. The cost of doing business that the government is putting on providers will continue to stagnate the number of new physicians entering the field at a time when we should be increasing them. And now that they want to make systemic changes to the reimbursement models physicians will be on the hook for clinical outcomes to patients who live in their communities that aren't even their patients. If you need help getting to sleep read up on the Medicare Value Based Payment Modifier or the coming system of Community-based Population Health Management. Just remember that the geeks are in charge so every problem needs an Excel spreadsheet and a cross-functional health information management tool to find a solution.

---