Rare Good Column on Health Care

Liam — Mon, 19 Apr 2010 17:38:10 +0000

From the Chicago Tribune: Nursing our way out of a doctor shortage, discussing the doctor shortage that will become much, much worse in a few years when Uncle Sam starts subsidizing the insurance industry and expanding medicare, and suggesting that regulations be relaxed to allow more people to seek treatment from nurse practitioners. I’d love to see that, along with some tort reforms to reduce unnecessary CYA medical practices, of course. In my ideal system, I’d be able to buy some kind of health insurance that only covers catastrophic, unexpected illness or injuries and I pay out of the pocket for routine maintenance.

For me, it’d work great: I rarely get sick, and when I do, I know what it is and how to cure it. The majority of working-age people are like that, too, and if we could pop in to see a nurse, explain our medical history and how long we’d put up with the symptoms to confirm a bacterial and not a viral infection, pay out of pocket, then walk out with a prescription for a Z-pack, the medical system would be humming along smooth as silk. When I busted my face up last year, I paid out of pocket and got over $600 worth of discounts for paying cash. The cost of the repair ended up being about the same it’d take to fix my car if I’d hit a side panel that hard, so a reasonable price.

The big problem with the healthcare discussion today look to me that everyone wants “someone else” to pay their costs (when there is nobody else, there’s just you and people like you) or we think that we can pay insurance companies substantially less money than insurance companies pay for our healthcare. We’d be better off with less insurance and more doctors and nurses, but we’re committed to head in another direction.

Another thing from that story: it mentions the health-clinics run by the CVS and Wal-Greens drugstore chains. That’s a brilliant idea that I only recently heard of from a friend in St. Louis. There aren’t any in my area yet, but once they show up, I’ve pretty much got what I need, except for the whole health insurance for unexpected problems part, which I wouldn’t be able to buy because of state mandated minimum coverage.

In other medical news, this is exciting.

Bread and Circuses

Liam — Wed, 10 Mar 2010 14:56:21 +0000

Unwanted men, we need you to curb the welfare Amazons The editor who wrote the headline did a poor job comprehending the essay, which is worth reading.

On a related note, I’m not sure whether I was unable to read the sequels to Beggars in Spain because they simply aren’t as good as the first one, whether the imagined underclass dialect of English was too linguistically improbable and distracting, or because the vision of a future with a massive unproductive and aristocratic underclass dependent on bread and circuses was simply too depressing. The first book in the series is required reading for hard SF fans, though.

The Hot Sign » government policy

Rare Good Column on Health Care

Bread and Circuses