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	<title>Comments on: Danger.  Danger.  Danger.</title>
	<atom:link href="http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/feed" rel="self" type="application/rss+xml" />
	<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html</link>
	<description>Dispatches from a Small Business</description>
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		<title>By: henny</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12366</link>
		<dc:creator>henny</dc:creator>
		<pubDate>Sat, 16 Aug 2008 10:58:42 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12366</guid>
		<description>&lt;p&gt;  Even when there is a single entity making these trade-offs, it is almost never the patient.  Most &quot;reformers&quot; on both the left and the right want to place this decision-making authority in government bureaucrats, in insurance companies, in Congress, in doctors - any place but in the individual patient herself.  &lt;br /&gt;
==================================================================================================&lt;br /&gt;
jack&lt;br /&gt;
&lt;a href=&quot;http://www.drugtreatments.com/florida&quot; rel=&quot;nofollow&quot;&gt;Florida Drug Treatment&lt;/a&gt;&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>  Even when there is a single entity making these trade-offs, it is almost never the patient.  Most &#8220;reformers&#8221; on both the left and the right want to place this decision-making authority in government bureaucrats, in insurance companies, in Congress, in doctors &#8211; any place but in the individual patient herself.  <br />
==================================================================================================<br />
jack<br />
<a href="http://www.drugtreatments.com/florida" rel="nofollow">Florida Drug Treatment</a></p>
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	<item>
		<title>By: mahtso</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12365</link>
		<dc:creator>mahtso</dc:creator>
		<pubDate>Wed, 09 Jul 2008 15:07:48 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12365</guid>
		<description>&lt;p&gt;&quot;This misses the mark.  Doctors should be ready to inform patients of their options, but at the end of the day we need a system where the patient is making these tradeoffs.  Note the absolute, nearly criminal arrogance of doctors who don&#039;t suggest the best treatment regime because the cost might stress out the patients.  How does the doctor know what financial resources the person might be able to bring to bear?&quot;&lt;/p&gt;

&lt;p&gt;I am surprised to see this in the Coyote blog. What about each Doc&#039;s right to do business as she sees fit?? For those that did not read the underlying article: the issue relates to drugs costing thousands of dollars per treatment and for which the Docs have to pay the drug companies upfront, which has led to doctors being millions of dollars in debt because patients and their insurance companies either don&#039;t pay or are very slow to pay. (But there was a time that oncologists were getting rich off these type of drugs.)   &lt;/p&gt;

&lt;p&gt;For those that think socialism is better: the article states that in other countries (e.g. England) the government doesn&#039;t allow these super expensive drugs to be added to the formulary. Also, read this story about socialized medicine in Oregon&lt;/p&gt;

&lt;p&gt;http://www.registerguard.com/csp/cms/sites/dt.cms.support.viewStory.cls?cid=106873&amp;sid=1&amp;fid=1 &lt;/p&gt;

&lt;p&gt;The upshot (in case the link does not work) Oregon would not pay for the drugs but would consider paying for euthanasia. In this instance, the drug company then supplied the drugs free and, in the WSJ article, it also states that the drug companies give away a lot of these drugs.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>&#8220;This misses the mark.  Doctors should be ready to inform patients of their options, but at the end of the day we need a system where the patient is making these tradeoffs.  Note the absolute, nearly criminal arrogance of doctors who don&#8217;t suggest the best treatment regime because the cost might stress out the patients.  How does the doctor know what financial resources the person might be able to bring to bear?&#8221;</p>
<p>I am surprised to see this in the Coyote blog. What about each Doc&#8217;s right to do business as she sees fit?? For those that did not read the underlying article: the issue relates to drugs costing thousands of dollars per treatment and for which the Docs have to pay the drug companies upfront, which has led to doctors being millions of dollars in debt because patients and their insurance companies either don&#8217;t pay or are very slow to pay. (But there was a time that oncologists were getting rich off these type of drugs.)   </p>
<p>For those that think socialism is better: the article states that in other countries (e.g. England) the government doesn&#8217;t allow these super expensive drugs to be added to the formulary. Also, read this story about socialized medicine in Oregon</p>
<p><a href="http://www.registerguard.com/csp/cms/sites/dt.cms.support.viewStory.cls?cid=106873&#038;sid=1&#038;fid=1" rel="nofollow">http://www.registerguard.com/csp/cms/sites/dt.cms.support.viewStory.cls?cid=106873&#038;sid=1&#038;fid=1</a> </p>
<p>The upshot (in case the link does not work) Oregon would not pay for the drugs but would consider paying for euthanasia. In this instance, the drug company then supplied the drugs free and, in the WSJ article, it also states that the drug companies give away a lot of these drugs.</p>
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	<item>
		<title>By: Josh</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12364</link>
		<dc:creator>Josh</dc:creator>
		<pubDate>Wed, 09 Jul 2008 14:53:56 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12364</guid>
		<description>&lt;p&gt;Oh, Doctors know more economics than they get credit for.&lt;/p&gt;

&lt;p&gt;No one ever talks about how the AMA is able to tightly limit supply.  A friend of mine decided to become a Urologist b/c he found out that they only certify 270 or so a year.  He figured with an aging population that was a slam dunk.  &lt;/p&gt;

&lt;p&gt;If Walmart was allowed to compete with the AMA we&#039;d see a lot lower costs much sooner.&lt;/p&gt;

&lt;p&gt;&lt;br /&gt;
&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Oh, Doctors know more economics than they get credit for.</p>
<p>No one ever talks about how the AMA is able to tightly limit supply.  A friend of mine decided to become a Urologist b/c he found out that they only certify 270 or so a year.  He figured with an aging population that was a slam dunk.  </p>
<p>If Walmart was allowed to compete with the AMA we&#8217;d see a lot lower costs much sooner.</p>
<p></p>
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		<title>By: Mark ALger</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12363</link>
		<dc:creator>Mark ALger</dc:creator>
		<pubDate>Wed, 09 Jul 2008 13:07:05 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12363</guid>
		<description>&lt;p&gt;Most doctors never talk price, and yet wonder why people are outraged when they get the bill.&lt;/p&gt;

&lt;p&gt;Hmmm.&lt;/p&gt;

&lt;p&gt;M&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Most doctors never talk price, and yet wonder why people are outraged when they get the bill.</p>
<p>Hmmm.</p>
<p>M</p>
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		<title>By: JLS</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12362</link>
		<dc:creator>JLS</dc:creator>
		<pubDate>Wed, 09 Jul 2008 07:39:04 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12362</guid>
		<description>&lt;p&gt;Even with this &quot;wacky way&quot; the French Health Care system costs much less than the American system,&lt;br /&gt;
which is the most costly in the world (in % of GDP or absolut value).&lt;br /&gt;
And people live longer in France. Even in in USA people have bad diet, the infant mortality rate is the highest in USA among OECD country except Latvia.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Even with this &#8220;wacky way&#8221; the French Health Care system costs much less than the American system,<br />
which is the most costly in the world (in % of GDP or absolut value).<br />
And people live longer in France. Even in in USA people have bad diet, the infant mortality rate is the highest in USA among OECD country except Latvia.</p>
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		<title>By: John Moore</title>
		<link>http://www.coyoteblog.com/coyote_blog/2008/07/danger-danger-d.html/comment-page-1#comment-12361</link>
		<dc:creator>John Moore</dc:creator>
		<pubDate>Wed, 09 Jul 2008 04:07:09 +0000</pubDate>
		<guid isPermaLink="false">http://coyote-blog.com/wordpress/2008/07/danger-danger-d.html#comment-12361</guid>
		<description>&lt;p&gt;This is the same French health care system implicated in the deaths of 15000 when it got warm in Paris one August (when everyone in France but the elderly are on vacation).&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>This is the same French health care system implicated in the deaths of 15000 when it got warm in Paris one August (when everyone in France but the elderly are on vacation).</p>
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