But before you get OUTRAGED, slow your roll. Because the truth is, once health care became a “right,” forcing doctors to perform procedures against their will and at a price set by those who created the right was always the clear end game.
Yglesias is just brave enough to say so — just as he’s brave enough to tell you, like Obama has, not to listen to those who disagree with progressive dogma.
And by “brave,” I of course mean, “living in a 1.2 million dollar home, paid for by writing columns telling people that they make too much money and need to give back.”
— Which is largely the same thing, I’m pretty certain.
Doctors will quit, Matty. And operate from Belize.
Not only will doctors quit, it’s entirely likely that prospective medical students will decide upon a different career path altogether.
Consequently, expect to see some sort of conscription for an American Health Corps at some point…
The conscription program has been active for some time, eCurmudgeon. At least around here. Medical students can have most of their schooling reimbursed if they surrender their labor for 5 years of working on the Reservations.
I’ve known a number of pre-med students who have switched to veterinary medicine. Hint: those are our doctors of the future.
and of course we will have to “steal” talented medical people from poorer countries like the UK does.
I think that not only is Yglesias making too much money, but so are the people who are paying him.
All should be forced to sacrifice more of their earnings that are currently frivolously spent on generating horseshit, so that people can have their contraception.
We will also see the accelerated certification of nurse practitioners and other “para-providers” to do more things. Bottom line, once again we will see the economic truth that when someone tries to set a price for a good or service below that which the market will pay, the good or service will disappear from the legal market.
Yes, Sherm. This will be a fantastic boon for the black markets.
Not to mention automation:
Free market – how does that work?
And Matt’s already planning ahead for doctors quitting by proposing nurse practitioners step up to the plate and we bring in more foreign doctors. Say, did he compare the training/certification standards of foreign doctors as well?
earnings that are currently frivolously spent on generating horseshit
Usually you can get that with a bale of hay and a water trough.
Just sayin’
Foreigners don’t need their doctors. They have Earth friendly alternative medicine to take care of them.
Skimming through the comments, it was encouraging to see that the majority opinion felt Mr. Yglesias was full of shite.
Hey, this is the same guy who was brave enough to tell us that yes, Obama lied when he said you could keep your plan but that’s only because it was the only way to get you to accept his plan, which is better for you.
So, you know, at least he’s consistent.
And I cannot WAIT for the influx of 3rd-world medical talent. And the corresponding immigration reform that will be necessary to make them, and about 50 million other immigrants, legal.
Immigration “reform” FTW!!!
Well, the stuff Ygnoramus writes has to come from somewhere.
Talented should probably be in scare quotes as well.
You know, I’d just as soon that the person cutting on my vitals not be holding a serious grudge.
poor dears
Older hill aides shocked by Obamacare prices
Pittsburgh Diocese Wins Delay Against Affordable Care Act
Matty is right on one point (only): we need more medical schools. There are way more fully-qualified students who want to be doctors than there are places for them.
Some competition should lower the cost of schooling, too, and thus indirectly lower the cost of medical care. The student loans for med school aren’t cheap.
> The student loans for med school aren’t cheap.<
the whole "healthcare" industry is just information. it is primed to be changed by the computing power revolution if the fed gov't got out of the way. sadly the reactionaries have given us obamacare.
No, nr. Doctors are rigorously trained and long-distance learning isn’t the way to do it.
eCurmudgeon says November 21, 2013 at 2:33 pm
“… American Health Corpse at some point…”
FTFY
>No, nr. Doctors are rigorously trained and long-distance learning isn’t the way to do it.<
you should rebut me on what i said. the accounting of medical procedures is aided by the computing revolution. i want great doctors to make money. i don't want to pay michelle O!'s phony job at a hospital.
I misread your post, then.
>I misread your post, then.<
ok. surely it can be seen that specialization would occur in healthcare -O!care. doctors would treat in their specialty what they can while nurses would do lower level procedures that docs once did. these clowns are attacking the "detroit" of our era. think vega/pinto.
– This was all tried way back when in Canada. After a tumoultuous 15 years of dwindling nursing and doctor staffs, and literily having to beg people from the lower 48 to move to Ottawa, they just gave it up. Now no one takes the healthcare system up there seriously anymore, not if you give a damn about your survival.
– No doubt Obama-Rama patterened the ACA after the excellant destruction of healthcare in Cnada.
– Wheres Slappy on this. We need a whipping boy for theraputics.
Or dalek. He hasn’t been around in a while since he called us all bigoty bigots what are bigoted.
>. these clowns are
attackingthe “detroit” of our era.think vega/pinto<or cordoba with leather
Corinthian leather?
corinthian kind
Cultural revolution, West writes, ‘was a far more attractive idea for the middle-class radicals who comprised the bulk of the New Left. Economic radicalism is not just evidently unsuccessful, but involves financial sacrifice, and shunning wealth is often necessary for personal credibility. Political radicalism costs nothing; the benefits are to middle-class cultural revolutionaries, while the risks and costs are usually borne by people far away’.
link
– The interesting thing is that the radicals almost never realize their dreams of power, beyond garden variety orgs at a small lovcal level, where they imagine themselves to be important, when in fact they are small fish in a tiny pond. It speaks to their really poor self images and belief in their own abilities. But then thats true of every aspect of the “guarenteed outcomes” crowd.
– “lack of belief”
– Rules for radicals: In the coming decades try really hard not to get shot.
jeff g. and havel for the win.
Rules for radicals: Thugs get slugs.
Expect lots of “boutique” (and not so boutique) clinics and hospitals to pop up in whichever south-of-the-border or Caribbean country is interested in having lots of American medical tourists (i.e., just about all of them).
“long-distance learning isn’t the way to do it.”
Evidence?
Clinical rotations, maybe. The book learning part, not so much.
Note that virtual reality and telepresence systems are already being used not only to teach surgery, but to perform it.
so that’s why the blaze is shilling belize?
Are they? I’ve been reading about Belize myself. It’s pretty corrupt by our standards, not so much by the standards of Central America. Language is English, legal system is (at least notionally) based on British Common Law, like ours was back when our country still operated according to the rule of law.
yea the bureaucratic element of “healthcare” by technology. all the the bs is/was being flushed until O!care.
other options will be revealed no? this clowndisaster™ is fail?
The high point of traditional freedoms was probably reached at the end of the 20th century in the decade after the fall of the Berlin Wall. Since then it’s been all downhill. The trend has been all about consolidating power into permanent majorities. We will have the End of History, and failing that an End to Something at all events. Although the GUGIT scheme may presently seem farfetched, it articulates the goal to which “progressive” activists must eventually aspire. Single payer, single electoral majority, single state. ‘Ein Volk, Ein Reich, Ein Führer. Once you build a jail, the only problem left is how to fill it. If they build it you must come.
link
Clinical rotations, maybe. The book learning part, not so much.
That was my point. I don’t have it handy but there are sites where you can watch surgeries being performed, so you are correct about that, Spies.
If you haven’t read that Peter Hitchens column/book review that newrouter linked above, you should.
Thanks newrouter.
As for newrouter’s Richard Fernandez link, all I can think to say is to quote Admiral Painter:
This business will get out of control. It will get out of control and we’ll be lucky to live through it.
– Yeah, but as Captain Ramius says near the end,“On the other hand Mr. Ryan, sometimes a little revolution is a good thing, don’t you think?”
Because the truth is, once health care became a “right,” forcing doctors to perform procedures against their will and at a price set by those who created the right was always the clear end game.
That’s okay, because in ProgressiveLand, the docs will just chop off a few more feet to make up the income loss.
In my book, having “a little revolution” is like getting (or getting someone) “a little bit pregnant.”
– Well Ernst if you have an infestation of vermin you know it usually calls for extreme action, at least from a fumigation standpoint. Societies are sometimes no different. Ask the French.
And here I thought that “jobs Americans won’t do” was limited to stuff like groundskeeping and roofing. I’d never have guessed that thoracic surgery was on the list.
Can we get Matty’s opinion on bringing in low-cost columnists? Our battered publishers could surely use the reduction in expenses.
And quality.
Can we get Matty’s opinion on bringing in low-cost columnists? Our battered publishers could surely use the reduction in expenses.
And quality.
Those layers and layers of fact checkers
The most appalling premise is Young Matt Yglesias’ explicit desire to squeeze anyone (the doctors in this case) who don’t salute his flag and sacrifice themselves for whatever proletariat greater good he picks today. Don’t like today’s orders, don’t worry there will be new ones tomorrow.
I remain in absolute awe of just how clearly George Orwell understood these monsters are tried to warn us.
“And here I thought that “jobs Americans won’t do” was limited to stuff like groundskeeping and roofing. I’d never have guessed that thoracic surgery was on the list. ”
Researching candidates, voting, defending themselves from abusive prosecutions instead of taking the no lo contendre way out, telling police to not stop cars and test random people for inebriation without cause for suspicion and just to collect data for research purposes…
I’m not following, pala. Are we importing cheap brown people to fight for our civil liberties?
Some of the more-academic courses in Medical school can be taught in a distance-learning fashion.
Hands-on courses? Like Gross Anatomy and other courses that requires labs? No way. Not even possible.
And clinical rotations will ALWAYS be hands-on… if only so you can learn how to care for patients when you’ve been up for 30 hours straight, and are dead-tired.
Not being a doctor myself, is there always some more-rested backup doctor watching the dead-tired person and vetting the decisions?
Because if there isn’t, it’s merely hazing.
” to fight for our civil liberties?”
Where?
@RichardCranium: in theory, yes… there is somebody watching.
In reality, when your surgical or IM service is that busy and overwhelmed, you end up flying solo and doing the best you can. Your orders may get reviewed the next day… but at the time, there’s nobody looking over your shoulder.
Fortunately, the nurses know enough to no execute any truly bizarre orders.
Fair is fair, can the government take Matt’s wealth to help pay for all this health care?