Ramblings of an Emergency Physician in Texas
Pick any two.
No related posts.
Pick any two when looking for a job.
One of our favorite eateries lists:
We LOVE this statement, and yours is also applicable to the situation. No, I DON’T know which two I’d pick –in either situation!
The infamous “Iron Triangle” of healthcare delivery…
The long answer, of course, is to eliminate 90% of the regulation and bureacracy…and then do away with employer-purchased health insurance…and do away with MOST health insurance except for LTC and catastrophic…sort of like we do for auto insurance.
I’ll reduce it to two because value is often characterized in terms of quality/price (dV = dQ/dP).
Make a real market for health care; we will then know the true costs and will be forced to allocate choices/resources wisely and accordingly. Government’s role should be quite limited and mainly serve as a safety net for those few truly in need — and this group is not, for example, 20-year-old college students (“children,” according to Congress) who have chosen to forgo insurance (like I did…).
I work in a government run monopoly, and my experience there says that those hoping for single-payer, government-run healthcare do so at their (and our) peril.
Government-regulated healthcare is a sure recipe for ever increasing regulation, scrutiny, and political-risk aversion, concomitant with ever decreasing effectiveness and ever increasing costs.
Aw hell, this is EASY. I pick “quality” and “access”. Let our fine government pick up the tab on prices. This will be simplified if we just get rid of our bloated capitalist economy.
Laundress, you almost got me–the part that helped me realize you were joking was where you said “fine government.” I like how you so casually lampooned all the people who think government somehow has any money except ours, or any authority except what we give it.
Steve, I used to work in a government monopoly, and was witness to several rounds of ridiculous red tape, dwindling budgets, untenable work environments, and unreasonable expectations. I got out and have never looked back. Not once.
I would rank them as Quality being the most important followed by access. As quality is the most important, I don’t want health care to be in the hands of the government at all. I’ll pay for the piece of mind that if I get sick I will get a high level of care in a timely manner.
[...] idiom, the word “wit” meant “sagacity,” and that quality is plentiful in GruntDoc’s six-word post on health care reform: Price, Quality, Access ……………….. Pick [...]
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