KnightExemplar wrote:sardia wrote:Coyne, just because a lot of people are criminals doesn't means it's OK. In addition, independent doctors don't screw you as badly. So there's that. Lastly, it's not like they provide the same or better care, is worse care for more money.
Please don't be naive.
My sister worked for an independent optometrist. IIRC, her boss was good, but he pointed out many other doctors in the area who would convince his patients into unnecessary surgeries to collect extra insurance bills. He listed them off by name, as it it is a known fact that these various doctors do this... well... at least in medical circles. Obviously, his patients trust him and go into these unnecessary surgeries. And the doctor makes bank off of the insurance payments.
The core issue is the Principal Agent Problem. IE: You don't know what your doctor knows (by definition. You're hiring the doctor for his knowledge). So you don't know if you need particular health care, or if the doctor is screwing you in some way.
The Affordable Care Act attempts to solve the problem with consumer-driven high-deductible health care plans. But Obama's solution only works if we individuals start doing research on our doctors and take responsibility for what our doctors do. (And it encourages us to figure out a solution, by making us pay for the first thousand+ dollars of own health care)
IE: The Affordable Care Act's solution "punts" the problem to the individual. By the way laws are written now... it is now the consumer's responsibility to choose the correct doctors and figure out pricing information.Spoiler:Perhaps more accurately, the tax incentives towards Consumer Driven High-deductible health care plans encourages customers to do their own research. In any case, The Affordable Care Act says "its your problem now", and hopes that consumers will start to pay attention to their doctors / health care costs moree.
Don't insult the messenger,
http://www.nber.org/papers/w21497?utm_c ... source=ntw
I'm just posting about a study. If you have anecdotes about independent doctors screwing patients, what does that tell us about who gives better care? Does that imply the study is wrong? Or too limited? You only avoid the topic by calling out all doctors as potential criminals.