If you act in your own self-interest, you are considered greedy and ignoring the collective interests of the nation.
If you do not accept Medicare, Medicaid, or ObamaCare exchange patients because you cannot afford their reimbursements levels and stay in practice, you are said to be inhumane and self-serving.
Whyte believed physicians were losing their souls to business matters, and he sought to help corporations help physicians regain their souls. In his heart and soul, Whyte believed government health care, as practiced in Britain and Canada, was the answer in physician-soul saving.
“The National Health Service gives you the sense of being part of a greater society, that you are not just part of an anthill with people climbing over one another. There is a social contract that admits to a greater bond with one another than our ability to pay up. If things go wrong, there is a safety net. “
“Society has made a contract whereby you will be taken care of no matter what your financial background or particular circumstances; that is an immensely powerful idea. I'm not sure the conditions would ever be right in the United States for that to come to pass, because the mindset, the vested powers and the individual expectations are so different. “
Doctors, he added, were trained in a hierarchical way. Because people's lives were at stake, there were always people who know better how to deal with those vulnerable thresholds of health. Doctors were therefore constantly deferring to someone else or to the great hierarchy of knowledge throughout the system.
Whyte noted we had almost 45 million uninsured people. No society could afford to disenfranchise so many of its members. We were surely approaching a bridge that we would have to cross, where everyone sould have to give up something, somewhere, and that bridge was probably not too far ahead of us.
Or there may be a cross-over between systems. Pete Sessions (R) and Dr. Bill Cassidy (R) have just introduced a House bill that allows patients to stay in or leave ObamaCare health exchanges. As premiums and deductibles rise, they can go to a market based system with $2500 in tax credits (plus $1500 for each child) to purchase private insurance or to put their money into health savings accounts.