Sorry to be late getting back to you.
publiusvarus wrote:
Aripya,
Quote:
As far as I know, the standard expectation of a board of directors of a private corporation is to achieve 15% profit a year.
A government organisation has no obligation to make any such profit from (ill) people. It merely has to live within it's planned budget. That's a 15% savings in costs right there.
Please tell me you're not that stupid. And do you know where that 15% profit goes? There's a reason the US has the best doctors in the world. And it doesn't involve a desire to work for free.
Erm.
Profit. Profit comes
after paying expenses such as salaries of all staff, including surgeons and specialists. Please tell me you're not that stupid. All profit goes to the shareholders, and only the shareholders. (Yes, including senior administrative management staff with share bonuses.) Of course that 15% I quoted might be a bit out of date, because we've had a couple of burst bubbles since then, but you get my drift. Public institutions automatically cost less than the amount of profit the shareholders demand the board of directors make every year. It makes up for the inefficiencies that
can creep in with some behemouth organisations, both public and private.
publiusvarus wrote:
Aripyanfar wrote:
In healthcare, the statistic is that one dollar of early prevention saves $20 of cure down the line.
Did you see a picture of the new surgeon general? Obama does seem to have a thing for fat black women.
Not that I should hare off after your complete Straw Man, but I gather you have no idea what menopause does to the physical metabolism of the average woman, no matter how stringently she eats and exercises. And I doubt with her responsibilities and her desk job she gets to work out much.
She looks like a great 53 year old woman with a natural menopausal excess of estrogens to me. publiusvarus wrote:
Aripyanfar wrote:
In private systems, doctors on behalf of insurers have to consider how much tests or treatments cost against the income they bring in
And in a govn systemt, doctors will be acting on behalf of a govn that tells them who qualifies and who doesn't.
In Australia, doctors decide what is medically needed, and best for the patient, period. Any and all patients who make a booking with them, or who come into ER. Hospital administrators get more headaches, but they don't get to impinge on doctor's medical calls. They get to tinker around with cleaning and secretarial services, building maintenance, catering contracts etc and wrangle with the government. The government gets much more of a headache, balancing the budget, not the doctors. The one thing that you'll notice in a government run facility is that everything is triaged by need. Unimportant things really get bumped to the back. So I've had a test in a hospital, and was called back for a new appointment time the very next day, to be told it was positive, and how to manage the condition. And I've had a different test in a hospital, for something that I had a 2% chance of having, but they wanted to eliminate that chance just in case, and they made a new appointment with me 2 months later, which I assumed meant, as was indeed the case, the result came back negative.
My condition means I'm monitored for a lot of things. I've learned to pre-gauge exactly whether a test came back negative, or positive, and how serious the positive results are, by just how fast they book me in for a new appointment.
At 20 had to get my wisdom teeth out because they were growing horizontally forward underneath my gums into the roots of the teeth before them. They hadn't yet, but in the end they'd grow forward enough to damage, hurt and kill the existing teeth next to them. I wasn't in any pain at all from them, (the way my wisdoms were growing in had been discovered from an x-ray for a different condition) but the dentist predicted they'd be trouble in the future. So he booked me into a free extraction of my wisdoms, and I was told might be up to 2 years before I'd get my surgical slot because it wasn't urgent. So I was surprised when I actually got called in for the surgery 9 months later.
It is true that the Government here takes steps intervening in medical decisions in favour of cost. They intervene in which medicines they'll subsidise. Most medicines DO get listed on the Pharmaceutical Benefits List. The most expensive medicines, those that cost perhaps upwards of $100,000 a year per patient, WON'T get approved, unless they've passed a rigourous proof of effectiveness study. In Oz, if you earn under $20k a year, a medical script will cost you $4 max and the government pays the rest. Everyone else pay about 10% of the cost of the medicine, up to a maximum of $30 per prescription.
Edited, Jul 25th 2009 8:28am by Aripyanfar