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    Where will the healthcare debate lead us?

    Editor's Note: Welcome to Medical Economics' blog section which features contributions from members of the medical community. These blogs are an opportunity for bloggers to engage with readers about a topic that is top of mind, whether it is practice management, experiences with patients, the industry, medicine in general, or healthcare reform. The series continues with this blog by Ken Fisher, MD, who is an internist/nephrologist in Kalamazoo, Michigan, a teacher, author ("Understanding Healthcare: A Historical Perspective") and co-founder of Michigan Chapter Free Market Medicine Association. The views expressed in these blogs are those of their respective contributors and do not represent the views of Medical Economics or UBM Medica.

     

    There has been much discord as to the proper role of government in healthcare.  Should the government purchase compulsory care for its population?  Alternatively, should the government provide means-tested funds for individuals to purchase care and catastrophic insurance on the open market, making sure all have access?  This would promote individuality along with the patient-physician relationship.  It would be in society’s interest for ALL Americans to be as healthy and productive as possible thereby increasing gross domestic product and thus everyone’s standard of living.

     

    RELATED: Top 10 challenges facing physicians in 2018

     

    For those wounded in our many wars there has been broad acceptance that the government should provide access to care.  This has been provided in government facilities. Due to recent VA scandals, some veterans have been given funds to obtain care in private facilities.

    The tax-exempt employer health benefit was introduced during World War II to attract workers into factories to augment their price-controlled salaries. The tax-exempt status was codified by Congress in 1954 and became a widespread benefit.  It quickly morphed into pre-paid healthcare along with its huge bureaucracy and attendant inefficiencies.Dr. Fisher

    In Congress, from 1943 till the passage of Medicare/Medicaid in 1965, various plans were submitted to provide healthcare to those in need that reflected different political philosophies. Some wanted all Americans covered by a mandatory government benefit through Social Security. Most nations after World War II adopted government-directed healthcare as a tax-supported benefit.             

    Others proposed a means-tested benefit to fund that care. The best chance of passage for this idea was in 1948; a coalition of Republicans and Southern Democrats championed the Hill-Aiken bill that planned to provide subsidies to the states for means-tested support for those in need to purchase private insurance. It stalled in committee because of President Harry Truman’s objections. In the early 1950’s a bill was signed providing federal funds for states to provide means-tested care for the poor, which in most states was poorly administered and ineffective. The problem festered due to the conflict between those who wanted an individual versus those who wanted a government directed solution.    

    Next: Give all Americans a choice

    Ken Fisher, MD
    Kenneth A. Fisher, M.D. Nephrologist, and author, latest book, Understanding Healthcare: A Historical Perspective", available ...

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    • [email protected]
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    • [email protected]
      All these post about HERBAL MEDICINE,are scarms and fake trying to collect money all in the name of HERPES cure and when you contact them they will be asking for your name, pictures, country, phone number, occupation and when you have given them all the information, they will be asking for money. my name is jame mary,from Palm coast Florida U.S.A, a woman of 56years I was once suffering from herpes for good 3years and i spent a lot of money going from one herbal doctor to another but they all scam and take my money away until i told my friend the problems am facing in life he quickly introduce me to this powerful herbal man called Dr.ESEZOBOR who cured me from Herpes with his herbal medication , after Doctor ESEZOBOR has finished preparing the herbal medicine, he asked me to send him my residential address, so that he will send the herbal medicine to me via D.H.L so i did. 2days later, i received the herbal medicine and i had to follow the instructions he gave to me on how i will apply it. After using if for a week and few days and I noticed that all the symptoms, pain, itch and blisters are gone. 2weeks later i went to hospital for test and according to the test done by the Medical doctor called Marly it stated that i was herpes negative. So viewers be wise and beware of fake people and fake herbal doctors, they are all over the internet trying to steal from poor people. I will drop the email of this powerful herbal doctor just in case you want to contact him for help,EMAIL HIM ON :[email protected] Dr ESEZOBOR CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HERPES 2. PENIS ENLARGEMENT 3. GONORRHEA 4. HIV/AIDS 5. LOW SPERM COUNT 6. MENOPAUSE DISEASE 7. EPILEPSY 8. ASEPSIS 9. CANCER 10. ANXIETY DEPRESSION 11. PREGNANCY PROBLEM 12. SHORT SIGHTEDNESS PROBLEM 13.YOU NEED YOUR WIFE OR HUSBAND BACRK 14. PTSD 15 ADHD.....
    • [email protected]
      I want to choose what health care i get to have and get cheap insurance if i want. I want to drive a cheaper car that I get to choose the extras, and get a cheaper car without brakes! or seatbelts! i want to ride my motorcycle without a helmet! I dont want to pay for children to have a good education. I dont want to live in a society that keeps people healthy. let them die on the street. pay for body collectors instead.

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