ACA Repeal/Replace: Progressives Face Moral Dilemma

[Kinser79]

Bob Wrote:I disagree.  I'm not in favor of the feel of the modern assembly line specialist system, but I can see the efficiency of it

Efficient how?  You go to this doctor he does tests, sends you to a specialist, who does the same tests again, but whatever he does causes a new problem for yet an other specialist.  And on and on it goes until you're 70 and going to the doctor every other day and always to a different specialist.  I can't think of a system less efficient then the current system that doesn't involve witch doctors.

No what most people need is a GP who can spot problems as they arise, and then send the patient to a specialist if one is actually needed.  For example you need a heart bypass you don't want a GP doing that, but a cardiac surgeon you do want.

bob Wrote: In this era of the bottom line, I understand why things moved in that direction.

I'd say that the direction was determined on a two fold issue.  Malpractice insurance (IE Lawyers mucking up health care) and Insurance companies doing CYA.  They lose money if you use their service after all, so if there's something wrong they want it fixed quickly.  And they don't want to have four or five procedures because a GP isn't quite familiar with X, Y, or Z.

Bob Wrote:I did get some early skin cancers frozen off, some intestine tumors removed, my blood pressure medications adjusted.  I'm on a C-PAP machine, and can definitely feel it helps.  I'd just as soon that each of these problems is being handled by people who are good at what they are doing. Expecting every general practitioner to be good at every specialty isn't right.

Good.  You want skin cancers removed early.  My BF was concerned he had a skin cancer on his face (thankfully it was just an ingrown hair)  The other things removed are good too.  However the point of a GP is not to specialize in everything, rather to generalize, and refer one to a specialist should a specialist be needed.  Often specialists are not needed at all.

Bob Wrote:But then, you're still young enough to feel yourself immortal. You'd have a different attitude.

Over all my health is generally good except for severe arthritis, and my anxiety problems (which are being treated herbally ).  That being said I have an extremely high risk for diabetes as type II runs in both sides of my family.  I'm hoping to avoid it through a rather strict diet.  Dead Prez even wrote a song about my particular diet.

https://www.youtube.com/watch?v=YTAhSJt_8x8

Of course I've been following this diet for years.  Only thing I fudge on is fish...I'll tear me up some fish.

As to growing the governmental bureaucracy I think that is the worst possible thing that can be done.  If anything the government will have to shrink--preferably before it is forced to by the demise of the petro-dollar.