Presently, doctors are paid well for each patient they see, and they can see as many patients as they desire. Some doctors are motivated to make more money, so they see more patients, others are more motivated to play golf, so they see fewer patients. Under a "universal" plan, doctors will not be able to set their prices, because the government won't pay them, so it means, less golf and more seeing patients and making less money.
So, it's not the same as widgets in a factory, unless the government takes over the widget factory and tells all the workers they must now produce twice as many widgets for the same pay.
"Universal" plans are run differently. Some places require doctors to work under the plan or the government won't issue them a license to practice. Other places allow the doctor to opt out so he can work part time under the plan and part time on his own.
For example, the doctor agrees to see "X" amount of patients at a set rate and the government pays them that rate. The patient has a choice to wait until a doctor is available or they can pay to see the doctor who isn't under the plan. What happens is if a person requires an operation and hospital stay costing tens of thousands of dollars they can decide to wait or they can pay the doctor and hospital themselves.
All emergency cases are taken right away. For example, if a person has appendicitis they will be operated on immediately at no cost. If they are diagnosed with gall stones due to discomfort and their family doctor recommends an operation they can pay a doctor and hospital and have the operation done immediately or they can stop eating fatty foods and wait a few weeks for an available doctor at no charge.
Most doctors don't want to opt out completely from the plan because most people are not going to pay a large sum of money if it's matter of waiting a few weeks.
It's the same principal with drugs. The government decides how much money they will pay for a drug. If the drug company does not agree that drug is not prescribed by doctors or the doctor will tell the patient it's not covered. Unless the drug is a one-of-a-kind, miracle drug patients will opt for the drug covered by the government plan.
For example, maybe an anti-inflammatory drug is coated to prevent stomach upset but the price is high so the government does not cover it. The patient opts for the drug that is covered by the plan and takes the medicine with food to prevent stomach upset.
In many cases the company that makes the coated drug will reduce their price considering they will gain thousands of patients as the drug will then be covered by the plan.
Well, that IS the case in America, and the reason people buy health insurance is the same reason people buy anything else, benefits. Insurance doesn't magically give you the ability to receive medical care!
As much as it's talked about, I only know of one person who has ever declared bankruptcy due to medical bills. If this were such a rampant problem, it seems I would know more than one.
Most people think that most of those who file bankruptcy did so because they got way over their heads in credit card debt; however, research shows the truth is much more surprising. For the years 2003 and 2004, just over 50 percent of all personal bankruptcies were the result of medical debt by those with health insurance. http://www.bcsalliance.com/y_debt_medical.html
Half of all U.S. bankruptcies are caused by soaring medical bills and most people sent into debt by illness are middle-class workers with health insurance, researchers said on Wednesday. http://www.commondreams.org/headlines05/0202-08.htm
About 2 million Americans a year are in families that experience a bankruptcy following illness or injury, representing about half of all bankruptcies in the United States. Most of those filings were middle-class workers who had health insurance at the onset of their medical difficulties, according to Health Affairs medical journal.http://www.mynippon.com/lifestyle/avoid-medical-bankruptcy.htm
Half of all bankruptcies. Don't you find that appalling? Imagine being sick and having to worry about losing everything you had. Imagine being a parent and knowing in order to get better you are going to subject your children to years of poverty. IMO, it's nothing short of vile in a country as rich as the US.
People getting well depends on a lot of things, the least of which is whether or not they have government funded insurance. Again, insurance doesn't give you a magic "get well" ticket!
The least? So, this whole idea of keeping up ones spirit and having a good outlook has nothing to do with getting well? Knowing that once you get better, if you do, you will have lost your home and ability to get credit but that's not of any concern? Is that what you're implying?
How can you possibly state how long the waits will be? You don't KNOW a damn thing! You've just got this bird-brained idea in your head, and whatever you have to spew out to support it, you will. The Utopian Liberal Fantasyland is a wonderful place to visit, but I'd hate to live there.
Ahhh, now we're entering the "understanding things outside ones little world" zone that TuTu Monroe commented on. You see, Dixie, I do know. Just as the millions of people who live in countries that have universal medicare know. Do a google and check it out sometime.
Here's the reality... fewer doctors... fewer well-qualified and competent doctors.... more demand (because Uncle Sam is paying.) You can do the math, but health care services are already stretched to the limits because of illegal immigration, adding to the demand side is not going to HELP anything!
Universal medicare does not mean anyone can walk in off the street and demand free medical services so illegal immigration has nothing to do with it. People have a medical card similar to a credit card. It is swiped through a machine similar to when you pay for a dinner or an article of clothing. No card, no medical service.
As for the "demand side" we're not talking Vegas vacations or gifts from Victoria's Secret.
The only demand will be from people who are ill and ill people need to be treated. Individuals are not going to start jumping in front of cars so they can get free medical care.
As for the shortage of doctors, well, that goes to the root of a problem Obama is trying to address. Post secondary education has to be affordable. From nurses to pharmacists it's not unusual for one to study for a profession and then continue on to be a doctor. Of course, if one can not afford to attend school to become a pharmacist they certainly won't be thinking about becoming a doctor.
It's not a claim, it's a fact. Every hospital in America is obligated to care for the indigent. Go look it up if you don't believe me! People aren't dying in the streets due to lack of medical attention, that hasn't happened in America in about 100 years.
A single mom, the bread-winning family man....drive them to the point of indigence and then treat them for free. Well, I'll be damned! The solution has been staring us in the face all along.