Didn't think you were attacking but since your join date is Sep 2012, it was easy to assume that you have not truly been around on this particular forum long enough to get a feel for the personalities here and made a judgement call on the vitriol that is not entirely accurate.
I am not feeling dissed or attacked and my vitriolic nature is not based on emotional reaction so no worries and no need to boycott the thread ( although I am pleased you like my reviews). My tone here is more rhetoric than bite.
As for your questions, yes I did read the outline and I will agree with you that this thing was crammed through hastily. My feeling about that are this was a result of obstructionism by Republicans. Remember, Mitch McConnell did in fact hold that January 20, 2009 meeting where all of the House Republicans met and pledged to do every thing disruptive possible to "defeat Obama on everything" That is hardly bipartisan or even playing fair on the interest of serving the American people. I think the President rammed this through just to get "a foot in the door", something to tweak and improve later because he knew time was running short to get anything done. I blame the Republicans as much for this as I do him.
I do not really doubt the facts that you present here but doctors are like everyone else and they are also divided on the issues. I have friends in the medical profession and my back country splitboarding client is an ER doctor and he feels strongly that Obamacare is a step in the right direction.
Like I said, I really am a strong supporter of full single payer health care and thought that the logical path to this better system was to use the existing Medicare system and expand it to include all Americans....
At any rate, I am and was not offended or feeling attacked. I just wanted to address your points and assure you that my passion and vitriol are not even remotely the result of blind allegiance to any political party. On this we pretty much all agree on; they are both severely fucked up!! Until we end lobbying and get the obscene amounts of money out of politics, nothing good is ever going to come out of Washington.
You do realize that the reason Republicans became extremely childish and therefore obstructionists, was because the triple majority in charge became elitist and locked them out of the healthcare design meetings. They essentially would not let them participate, and then yes, the Republicans got very pissy about it. However I blame both sides for this not just one.
I assume that since you are for a single payer system, then you therefore must be for malpractice reform. One cannot exist without the other. You can't have a system where a payor dictates how medicine is practiced, and then when it doesn't go we'll, allow the provider who was just following the rules to get sued. Because that is happening now, and that's going to get worse as the government issues more mandates that directly affect medical practice.
A good case in point is the new "pay for satisfaction" initiative by the government. They will be restricting certain percentages of pay to hospitals and providers if they don't reach a certain high level of patient satisfaction. While this sounds good when you first hear of it, it isn't turning out so well. There was a large study that came out recently that looked at this very issue. What they found was that patients with extremely high levels of satisfaction with their healthcare, had a great number of unnecessary procedures and the complications that go with them, higher radiation exposure causing more cancer, and many more medication interactions/reactions. In other words, less satisfied patients had more appropriate treatment and did better. Why, because people are happier when you do what they want you to do, regardless of whether they need it or not. I believe it's called letting the tail wag the dog.
Yes and like your your doctor client, I am an ER doctor too, and initially thought this was a step in the right direction. Lately as more things are coming to light, it doesn't appear to be the case.
Nevertheless, I will be stepping out of this thread though no, I'm not boycotting it. It just personally would be pointless for me to get involved in discussing politics and health care issues in the very place that I come to get away from these things. So I will let you guys hack it out here, and I will step over to snowboard reviews and topics.