GOOD LUCK pulling off socialized medicine here in the Land O' plenty. You can't get someone to wait in line for a Big mac w/o some bitchin' and moanin', so try it sometime when one kid has a fever, some dude's wife has a horrible migraine, and someone else sprained their ankle yesterday and it still hurts. Mind you, none of these events would qualify as an EMERGENCY by my definition, but tell that to the patient.
Here, they all get what they want in minutes to hrs........in a socialized program, the kid w/the fevr will get the once over, then get sent to their doctor in a week, after they really don't need one. The headache will get treated, but only off a an algorithm of preferred meds, and if they don't work, or if the patient is a drug-seeker, tough shit (not all bad). The ankle can forget the X-Ray they believe they need, because they've been walking around on it for a day, which violates the clinical rules for when that's indicated, which were developed in Ottawa.
We can talk ad nauseum about the ideal, but the reality here is that a sense of entitlement will run roughshod over altruistic instinct 9 times out of 10. The solution will have to be multi-factorial and we will all have to give a little in negotiations. Tort reform, pharm pricing regulation (yeah, right), incentives for those who pay in w/o accessing the system (ie, if you're healthy and pay in for 30yrs, then have a catatrophic event, its discounted), raising the age when MediCare kicks in, handing end of life decisions over to the pros......to name a few whilst over-generalizing.
This won't happen, of course, w/o a fundamental shift in how we all look at the American way of life. I don't believe (right now) that I'll see it during my career. It is starting early on my end, as the gov't slowly works its way towards incentive-based compensation via certain (non-sensical) practice requirements. This is spitting in the ocean. Everyone with a stake needs to give a little.
Tax booze:scared , cigarettes, gas, and polluters. Legalize pot and tax that, too!! Get churches to give a little bit back to EVERYONE in the community. Shit, I dont know. Now I'm pissed off. I'm gonna go to gym and whale on a punchin' bag before I go in today. tough to be frustrated when you need help to lift the pen!
BTW, Edwards is a suck-ass. Period. Have a day.......Doc