What drives up the cost on healthcare in speaking with the docs is the rediculous insurance they themselves have to pay just to practice medicine. The threat of getting sued for 300 million for screwing up. Most of the Doctors in this state stop delivering babies just for that reason. Tort reform is something very high most providers wishlist that I have talked to.
...over here doctors are allowed to group together to form a single body with which to purchase malpractice insurance. That keeps insurance costs extremely low for the doctors... but if it's good for doctors, it's equally valid for patients.
Medicare patients would be profitable if doctors didn't have to pay huge insurance overheads in order to practice (I believe malpractice insurance can be somewhere in the region of 40% to 60% of a doctors gross income depending on the state?).
But what you miss here is that the ONLY ones doing well under this system are the insurance companies.
They screw the patients, screw the doctors (malpractice), screw the taxpayer and profit from screwing the system.
Your post is actually making my point for me... you're just locked into the mindset of thinking INSIDE the system: we need reform; we need to tweak this; we need to fix that.
Fuck reform, fuck legislative provisions: eliminate the parasites feeding on the system (and I don't mean illegals).
What America needs to do is outlaw these insurance companies altogether.
They provide NO SERVICE.
All they do is step between patients and doctors and skim off the top on every transaction.
But they have you all so misinformed and terrified that you all react with predictable knee-jerk adversarial aggression. Everyone afraid to lose what little they have, each side attacking the other... nobody looking behind the curtain.
The Fench system WORKS... STEAL IT!
Most European systems WORK... STEAL ONE OF THOSE!
Even the Canadian system WORKS... STEAL THAT!
At the rate this situation is exacerbating, in another twenty years you'll all be paying half of your salaries to insurance companies (I use HMO as a catch-all term) just to be included in a yearly lottery wherein one lucky American wins a visit to a witch doctor.
The Luke