I oppose the “umbrella” solution in the form it pronounced right now, so called "managed care" concept. I believe, that the solid lasting solution is not in a bunch of regulations and “shelter” provided by the government. There is no urge to “guide” people everywhere, this approach to a problem will only create the attitude “why do I need to do anything? the big brother will do everything for me, he always does!” It is a welfare state of mind, which promotes poverty and immorality. There is a tail in Russia that has a thesis, that if somebody always taking care of a person, sooner or later the simple conclusion can be made: “if I give him the food, why not I chew it for him too?”
Salaried doctors are good for minor problems, because they will not care about patients (why? they will be paid anyway, have the nice dinner and things, they do not need to think about better service). I believe that, by nature, people can manage to sort out good and bad, they often only need information, not tight guidance. Healthy competition can support people in finding the right path in improving their services. Free people much more often are generous to vulnerable, than those who are relying too much on government.
References
http://www.cato.org/pub_display.php?pub_id=6698http://www.telegraph.co.uk/news/uknews/1498511/Welfare-promotes-child-poverty.htmlhttp://media.barometer.orst.edu/media/storage/paper854/news/2002/10/28/Forum/Baro-Columnist.Paints.A.Poor.Picture.Of.Welfare-2294519.shtmlhttp://patterico.com/2008/10/13/obamas-95-tax-cut-illusion/
Salaried doctors are good for minor problems, because they will not care about patients (why? they will be paid anyway, have the nice dinner and things, they do not need to think about better service). I believe that, by nature, people can manage to sort out good and bad, they often only need information, not tight guidance. Healthy competition can support people in finding the right path in improving their services. Free people much more often are generous to vulnerable, than those who are relying too much on government.
If the some rural area is the context for schema of delivery healthcare services, traditionally, there is no competition; I believe, that the fact, that everybody knows everybody and poor reputation will stick to the doctor, can stop or at least slow down unacceptable behaviour.
As many of you probably know Alaska is very independent-minded state, probably because it is still an America, but, at the same time, the territory geographically separated from America. I learned here that people can and will be accountable for their life, up here it was a matter of survival.
References
http://www.cato.org/pub_display.php?pub_id=6698http://www.telegraph.co.uk/news/uknews/1498511/Welfare-promotes-child-poverty.htmlhttp://media.barometer.orst.edu/media/storage/paper854/news/2002/10/28/Forum/Baro-Columnist.Paints.A.Poor.Picture.Of.Welfare-2294519.shtmlhttp://patterico.com/2008/10/13/obamas-95-tax-cut-illusion/
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