smallpoxgirl wrote:I'd be perfectly happy making $60,000 a year, but you try to make me into a postal employee, and I'm very likely to start learning Spanish and tell you and Sallie Mae to kiss my white butt.
First of all, 60k is about what a lot of nurses make (locally, they start out at around 45k, some make more). If specialists could just be happy with around 200k, then all our problems would be solved. I say specialists, because as you know, every doctor and his uncle has become a specialist these days so they can bill more.
Secondly, single payer (which isn't even remotely on the table, the whole controversy is just over public option) doesn't equate to being a government employee. Medicare is a single payer system.. are you "working for the government" when you treat a Medicare patient, SPG? What difference does it really make, whether the check comes from Aunt Aetna or Uncle Sam? For the American people, one difference would be that $600 billion of insurance company profits would be removed from the healthcare system. What's more important to you, insurance company executive bonuses or using that money to heal the sick?
Now if we really did have single payer, think of the simplified paperwork. Quite a bit of healthcare expense is all bureaucracy to handle the billing for the multiple labyrinthine insurance policies (companies whose raison d'etre is to NOT pay out on claims and/or delay payment).
Anyway, I don't mean to pick an argument with you SPG. You're one of the good guys.
P.S. I do agree with the Republicans that there can be no real reform without a big hammer coming down on malpractice lawsuits. This will never happen, of course, since the Dems are in the pocket of the trial lawyers. And physicians are in the pocket of Repubs, so here we are in Mexican standoff for all eternity -- the end result being healthcare inflation that will one day utterly bankrupt our republic.
Now, we do need to keep malpractice suits in place (crap does happen.. a local hospital has done some wacky things, like amputating wrong leg etc.).. but the payouts need to be drastically capped. The caps need to be just enough to be punitive without pushing malpractice insurance to astronomical levels.