Small wonder that 25, 000 new physician are entering practice each year while 35,000 are leaving the profession.
Small wonder that a political access crisis to physicians looms in three to 5 years, as 30 millon more Medicaid patients enter the government rolls in 2014, and 10,000 baby boomers became Medicare eligible each day for the next 18 years.
He gives these reasons. The comments are mine.
ONE, their systems are much simpler, i.e., they don’t have a thousand points of payment. Comment: In America, we call this freedom and choice.
TWO, they already have universal coverage and can focus on improving care, efficiency, and cost containment. Comment: In other words, government rules and trumps private sector.
THREE, they have parliamentary systems, where a simple majority rules. Comment: “Simple majorities” can lead to social tyranny.
FOUR, lobbies, i.e. special interests, are more influential in the U.S. Comment: The biggest “special interest” of them all is a dominant unchecked politic party.
FIVE, the power of money: in other countries elected officials do not have to raise vast amounts of money to be elected. Comment: I agree. A prime example is Barack Obama, who raised unprecedented amounts of money from Wall Street and Internet followers.
SIX, they only need a bare majority of votes in their legislature and have no such thing as a filibuster. Comment: Good point. Our founding fathers set up a system to frustrate sweeping changes by a “bare” majority.
SEVEN, the U.S. has partisan news networks, especially Fox News, and talk radio that spread emotional, often misleading arguments that fuel populist feelings, and dumb down the debate. Comment: This is typical elitist rhetoric, that somehow those in D.C. and liberal media have a stranglehold on intellect, wisdom, and objectivity.