The View From 1776

Methods of Rationing Healthcare

Confessions of a Health Care Rationer


Currently, within the private sector of health care, we have a large number of private insurance companies vying for the business of their customers. They ration health care on the basis of evidence-based medical necessity. The Obama health plan, the details of which are still being worked out, will also ration health care. The alternative to that is an accelerated escalation of aggregate healthcare costs. But the single-payer system to which Obama

Posted by .(JavaScript must be enabled to view this email address) on 08/28 at 07:13 PM
  1. Each individual human being possesses a unique, highly
    developed, and sensitive perception of variety. Thus
    aware, man is endowed with a natural capability for enact-
    ing internal mental and external physical selectivity.
    Quantitative and qualitative choice-making thus lends
    itself as the superior basis of an active intelligence.

    Human is earth's Choicemaker. His title describes
    his definitive and typifying characteristic. Recall
    that his other features are but vehicles of experi-
    ence intent on the development of perceptive
    awareness and the following acts of decision and
    choice. Note that the products of man cannot define
    him for they are the fruit of the discerning choice-
    making process and include the cognition of self,
    the utility of experience, the development of value-
    measuring systems and language, and the accultur-
    ation of civilization.

    The arts and the sciences of man, as with his habits,
    customs, and traditions, are the creative harvest of
    his perceptive and selective powers. Creativity, the
    creative process, is a choice-making process. His
    articles, constructs, and commodities, however
    marvelous to behold, deserve neither awe nor idol-
    atry, for man, not his contrivance, is earth's own
    highest expression of the creative process.

    Human is earth's Choicemaker. The sublime and
    significant act of choosing is, itself, the Archimedean
    fulcrum upon which man levers and redirects the
    forces of cause and effect to an elected level of qual-
    ity and diversity. Further, it orients him toward a
    natural environmental opportunity, freedom, and
    bestows earth's title, The Choicemaker, on his
    singular and plural brow.

    Deterministic systems, ideological symbols of abdication
    by man from his natural role as earth's Choicemaker,
    inevitably degenerate into collectivism; the negation of
    singularity, they become a conglomerate plural-based
    system of measuring human value. Blunting an awareness
    of diversity, blurring alternatives, and limiting the
    selective creative process, they are self-relegated to
    a passive and circular regression.

    Tampering with man's selective nature endangers his
    survival for it would render him impotent and obsolete
    by denying the tools of variety, individuality,
    perception, criteria, selectivity, and progress.
    Coercive attempts produce revulsion, for such acts
    are contrary to an indeterminate nature and nature's
    indeterminate off-spring, man the Choicemaker.
    Posted by Jim Baxter  on  08/30  at  09:00 AM
  2. Using the writer's argument that there is nothing inalienable about health care unlike freedom of speech or freedom of religion, one can easily make a case for police and fire protection being provided by private insurance interests!

    (I would not put it past the ultra conservatives to say that we SHOULD privatize the cops and the fire department to aviod Socialism!)

    The strongest argument for why there needs to be a serious reform of the health care system is the fact that the U.S spends roughly double (per capita) what other western industrial democracies spend and still has poorer outcomes on many scales.

    This is not surprising, since about a third of the health care dollars go for insurance company profits and operating expenses, including "rationing."

    Quoting from the article posted by Brewton and written by an insurance company gatekeeper,

    "If a service is medically necessary, it is covered. Otherwise, it is not."

    This is rationing pure and simple - for the purpose of higher profits of the insurance company, of course.
    Posted by .(JavaScript must be enabled to view this email address)  on  08/30  at  06:08 PM
  3. The obvious difference is a medical doctor decies what care is necessary for his patient's health.

    The politically chosen bureaucrat is a flagrant medical ignoramaus with alien priorities of money and kissie-loyalties. Check Britain and Canada for stupid modeling...
    Posted by Jim Baxter  on  08/30  at  06:49 PM
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