Posted on 08/08/2018 12:47:50 PM PDT by MarchonDC09122009
https://khn.org/news/once-its-greatest-foes-doctors-are-embracing-single-payer/
By Shefali Luthra 08/07/2018
When the American Medical Association — one of the nation’s most powerful health care groups — met in Chicago this June, its medical student caucus seized an opportunity for change.
Though they had tried for years to advance a resolution calling on the organization to drop its decades-long opposition to single-payer health care, this was the first time it got a full hearing. The debate grew heated — older physicians warned their pay would decrease, calling younger advocates naïve to single-payer’s consequences. But this time, by the meeting’s end, the AMA’s older members had agreed to at least study the possibility of changing its stance.
“We believe health care is a human right, maybe more so than past generations,” said Dr. Brad Zehr, a 29-year-old pathology resident at Ohio State University, who was part of the debate. “There’s a generational shift happening, where we see universal health care as a requirement.”
The ins and outs of the AMA’s policymaking may sound like inside baseball. But this year’s youth uprising at the nexus of the medical establishment speaks to a cultural shift in the medical profession, and one with big political implications.
Amid Republican attacks on the Affordable Care Act, an increasing number of Democrats — ranging from candidates to established Congress members — are putting forth proposals that would vastly increase the government’s role in running the health system. These include single-payer, Medicare-for-all or an option for anyone to buy in to the Medicare program. At least 70 House Democrats have signed on to the new “Medicare-for-all” caucus.
Organized medicine, and previous generations of doctors, had for the most part staunchly opposed to any such plan. The AMA has thwarted public health insurance proposals since the 1930s and long been considered one of the policy’s most powerful opponents.
But the battle lines are shifting as younger doctors flip their views, a change that will likely assume greater significance as the next generation of physicians takes on leadership roles. The AMA did not make anyone available for comment.
Many younger physicians are “accepting of single-payer,” said Dr. Christian Pean, 30, a third-year orthopedic surgery resident at New York University.
In prior generations, “intelligent, motivated, quantitative” students pursued medicine, both for the income and because of the workplace independence — running practices with minimal government interference, said Dr. Steven Schroeder, 79, a longtime medical professor at the University of California-San Francisco.
In his 50 years of teaching, students’ attitudes have changed: “The ‘Oh, keep government out of my work’ feeling is not as strong as it was with maybe older cohorts,” said Schroeder. “Students come in saying, ‘We want to make a difference through social justice. That’s why we’re here.’”
Though “single-payer” health care was long dismissed as a left-wing pipe dream, polling suggests a slim majority of Americans now support the idea — though it is not clear people know what the term means.
A full single-payer system means everyone gets coverage from the same insurance plan, usually sponsored by the government. Medicare-for-all, a phrase that gained currency with the presidential campaign of Sen. Bernie Sanders (I-Vt.), means everyone gets Medicare, but, depending on the proposal, it may or may not allow private insurers to offer Medicare as well. (Sanders’ plan, which eliminates deductibles and expands benefits, would get rid of private insurers.)
Meanwhile, lots of countries achieve universal health care — everyone is covered somehow — but the method can vary. For example, France requires all citizens purchase coverage, which is sold through nonprofits. In Germany, most people get insurance from a government-run “public option,” while others purchase private plans. In England, health care is provided through the tax-funded National Health System.
THat’s because there are no more doctors. They are corporate employees forced to be that way due to burdensome lawsuits that they have no exposure too.
____________
They are the Engineering department of a corporate enterprise’s production line.
Paid ok, managed, and all replaceable with foreign labor. They work to keep the line running smoothly and with good product outcomes.
LOL. Wait till the Snowflake MD’s coming out try to pay their massive school loans with the crumbs they get from single payer.
SO glad my career is almost done.
I could retire tomorrow if I wanted to.....
So who do I blame when the promises never come to fruition? Names please.
BTW, this is personal. It is a personal attack on me and may family’s financial well being. It is much like a robber robbing me at gun point.
They think they will be able to go home from the clinic when they want, take a vacation when they want, quit when they want, and leave the country to practice elsewhere when they want.
Surprise.
These stupid children believe they will still be able to earn the big money of prestigious doctors once the only source of pay is the government. Once they are forced to accept the money offered, incur an increased number of patients and work the hours necessary to fulfill their fantasies, the kids won’t be so happy after all.
Unaffordable. Death panels. Substandard, terrible “care.”
All the left-wing quacks who support “Medicare for all” can pay a top tax rate of 95%. “Educated” idiots.
Rationing, lack of competition, government inefficiencies, potential for fraud and abuse (see IRS, FBI, DOJ, CIA)
Medical students today are comprised mostly of foreign nationals or children of foreign nationals so that is not unexpected.
I have a family of physicians and not one of them support a single payer system.......
It might be worthwhile doing so before they throw their careers in with them.
Don't talk to their colleagues in the NHS, do they....
Single payer has always been the plan even though single payer has never been proven to solve any problems but create new ones. The VA system and Canada are a prime examples. Destroying our healthcare system is part of the leftist plan along with conflating the issues of healthcare and health insurance. Adding the “social justice” BS and health care human “right” garbage is fodder for stupid American sheeple.
They think they will be able to go home from the clinic when they want, take a vacation when they want, quit when they want, and leave the country to practice elsewhere when they want.
_________________
I understand that in the production facilities docs , PAs and NPs are being penalized for not meeting production goals. And know a doc who had to pay 10K to take an extra week off from work.
British healthcare mediocrity bump for later.....
Why pay someone for something that is yours by right?
And ancillary effect would, more than likely, be shoddy or politically driven medicinal research, with intent to rush to market to save cost.
Example: costs estimated $88,000 to treat patient on dialysis.
Research study shows kidneys infected with hepatitis safe for transplants. One study, not repeated testing. If the study gives the “desired” results one can see it implemented without future tests or research.
Plus how many nephrologists will be churning out of medical school?
Greatly appreciate everyone here voicing opposition to being pushed into socialized healthcare.
Jim, Jeff Head, myself and many other FREEPERS marched in DC against Obamacare being forced on us.
We were right, leftists and eGOP RINOs were and are wrong to support the ACA.
Outrageously high healthcare costs and insurance unaffordability will never be remedied until there is cost transparency for cost containment.
Bassturd hospital executives and their accountanting departments obfuscate true medical treatment costs via a “Charge master” scheme.
Hospitals for profit and non profit have been caught marking up medical treatment bills 1000%
We will never have *affordable healthcare delivery until we have true price discovery for treatment.
*And eliminate irresponsible lifestyle related healthcare costs as well as providing healthcare to illegal aliens as well.
Hospital Care: A 1,000 Percent Markup! - Investigation - Yearlook ...
https://www.jhsph.edu/yearlook/2015/investiga...Proxy Highlight
Hospital Charges: A 1,000 Percent Markup! Back. If
you’re going to get sick and need hospitalization, you might want to avoid Crestview, Florida. Why? Because ...
50 hospitals with markups of around 1,000 percent - CBS News
https://www.cbsnews.com/news/50-hospitals-wit...Proxy Highlight
Jun 8, 2015 ... A new study finds that compared to
costs that Medicare allows, some hospitals have markups of up to 1260 percent.
Many U.S. hospitals mark up prices 1,000 percent: study | Reuters
www.reuters.com/article/2015/06/08/us-usa-hos...Proxy Highlight
Jun 8, 2015 ... Even the astronomical price markups
that consumers regularly pay for, say, wine in restaurants pale beside those in some U.S. hospitals: The ...
Some Hospitals Marking Up Treatments By as Much as 1,000 ...
https://www.nbcnews.com/health/health-care/ho...Proxy Highlight
Jun 8, 2015 ... Some hospitals are marking up
treatments by as much as 1000 ... “These hospitals have markups (ratios of charges over Medicare-allowable ...
Here’s how hospitals mark up saline solution by 1,000% - Boston ...
https://www.bizjournals.com/boston/blog/mass_...Proxy Highlight
Aug 26, 2013 ... Few things are more common in a
hospital setting than a bag of saline solution, used to administer medicines via intravenous (IV) delivery.
Your Hospital Could Be Marking Up Costs 1,000 Percent - Forbes
https://www.forbes.com/sites/kateashford/2015...Proxy Highlight
Jun 29, 2015 ... Some markup on costs is probably
expected. Nationally, the average hospital charges about 3.4 times the cost of a procedure. But researchers ...
The Hospitals That Overcharge Patients by 1000 Percent - The Atlantic
https://www.theatlantic.com/health/archive/20...Proxy Highlight
Jun 8, 2015 ... North Okaloosa, along with New
if anyone still remembered Obamatard’s retarded stage production about Obamacare on TV and he rolled out these doctors, they were all AMA members...
Then the HMOs came along.....
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