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	<title>Comments on: Obama&#8217;s impossible healthcare reform promises</title>
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	<link>http://www.blagnet.net/2009/06/20/obamas-impossible-healthcare-reform-promises/</link>
	<description>Discussing libertarian philosophy</description>
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		<title>By: kerrjac</title>
		<link>http://www.blagnet.net/2009/06/20/obamas-impossible-healthcare-reform-promises/comment-page-1/#comment-1506</link>
		<dc:creator>kerrjac</dc:creator>
		<pubDate>Sat, 20 Jun 2009 16:01:59 +0000</pubDate>
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		<description>What upsets me the most about the debate on universal healthcare is that there are small easy modifications we can make that would improve the cost of healthcare pretty much overnight.

An obvious one is the FDA. If you are going to charge them with the impossible task of over-regulating the whole drug industry - the merits of which are highly debatable in itself - then you might as well give them the resources the do their job. They literally add decades to the process, &amp; much of it is in delayed admin work. But the problem is that as they get bigger they somewhat get slower. There&#039;s always a chance that any approved drug will prove dangerous. But in the meanwhile, it shouldn&#039;t be that complex: Does a drug meet the designated endpoint? Does it have negative side-effects or contraindications? There&#039;s no reason to linger around for years answering these questions, particularly *after* the data is in.

Second is medical training. It shouldn&#039;t be harder to get an MD than a PhD, b/c there&#039;s a huge demand for MD&#039;s. The AMA is practically solely to blame for this. By keeping medical schools overly selective &amp; expensive, they&#039;ve made medicine a diseconomy of scale. It wouldn&#039;t be that hard redo medical education standards, or at least pump more gov&#039;t funding into training more dr&#039;s, rather than pumping those funds into paying the few old ones that still exist.

Third are laws that make worker&#039;s comp tax-exempt, which further separate payers from buyers.

Anyway, sorry to go off, but debate is too focused on who should pay healthcare&#039;s high price rather than on how we can lower the price. &amp; the point is that you can easily lower the latter w/o overhauling everything.</description>
		<content:encoded><![CDATA[<p>What upsets me the most about the debate on universal healthcare is that there are small easy modifications we can make that would improve the cost of healthcare pretty much overnight.</p>
<p>An obvious one is the FDA. If you are going to charge them with the impossible task of over-regulating the whole drug industry &#8211; the merits of which are highly debatable in itself &#8211; then you might as well give them the resources the do their job. They literally add decades to the process, &amp; much of it is in delayed admin work. But the problem is that as they get bigger they somewhat get slower. There&#8217;s always a chance that any approved drug will prove dangerous. But in the meanwhile, it shouldn&#8217;t be that complex: Does a drug meet the designated endpoint? Does it have negative side-effects or contraindications? There&#8217;s no reason to linger around for years answering these questions, particularly *after* the data is in.</p>
<p>Second is medical training. It shouldn&#8217;t be harder to get an MD than a PhD, b/c there&#8217;s a huge demand for MD&#8217;s. The AMA is practically solely to blame for this. By keeping medical schools overly selective &amp; expensive, they&#8217;ve made medicine a diseconomy of scale. It wouldn&#8217;t be that hard redo medical education standards, or at least pump more gov&#8217;t funding into training more dr&#8217;s, rather than pumping those funds into paying the few old ones that still exist.</p>
<p>Third are laws that make worker&#8217;s comp tax-exempt, which further separate payers from buyers.</p>
<p>Anyway, sorry to go off, but debate is too focused on who should pay healthcare&#8217;s high price rather than on how we can lower the price. &amp; the point is that you can easily lower the latter w/o overhauling everything.</p>
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