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Sen. Bernie Sanders, I-Vt Is Worred About The Decline In Primary Care Doctors

14 February 2008

Bernie should talk to my doctor. His confusion why native born Americans are not becoming Primary Care doctors would be answered. We don’t think of primary care doctors as entrepreneurs but they are. They work for themselves, they invest in themselves and their practices and they work long hours to maximize their return on investment. That last sentence is worth repeating, work long hours to maximize their return on investment.

Of course Bernie’s solution is to double the spending to the National Health Service Corps, totally ignoring the market realities. Realities that will get worse.

If it was not for the influx of international medical school graduates we would be in serious trouble. So next time you are at your doctors, just take a gander at just where in the world they did go to med school?

Britain that paragon of socialized health care has imported tens of thousands of doctors from the middle east. Political correctness and diversity aside I’d rather my doctor be from a stateside med school than Jordan or Iran. And I’m sure my daughters would prefer it.

You have to wonder if members of congress are making the market forces worse in order to make the ultimate final solution, universal health more palatable to the public.

Bright, motivated native born Americans are not becoming primary care doctors because the investment (human and financial) does not compare favorably with the return. So they don’t.

Conversations with my primary care doctor indicate it is the mass of paperwork, the increased regulations, the constant worry and fear of lawsuits that could ruin them financially and professionally. With Universal Health care they know the government would control the market and eventually would ration and reduce their compensation through regulation.  The government would have to, it’s in their nature and eventually the government would realize their resources are finite (the taxpayer ability to pay).

Right now they (congress and senate) are falling over themselves to give us a rebate to save the economy, essentially with Universal Healthcare they would be taking an additional $300B out of the wallets of the taxpayer, reverse rebate.

To increase supply, either increase the compensation or lower the costs. Included in costs would be lawsuits, insurance and regulation.

In Britain that paragon of socialized health care, a group of doctors have proposed denying treatment to people who have self inflicted conditions, such as overeating, smoking and drinking. Their rational is, funds are limited, space is limited why spend scarce resources on self inflicted aliments? Why indeed? If I was paying for it as a taxpayer I’d question it myself. But as a consumer of health insurance I shop on price and coverage or at least my company does.

I have choice.  Get the government in it and choice is reduced.  It’s in their nature.

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