g***y 发帖数: 1268 | 1 http://www.washingtonpost.com/opinions/how-medicares-low-prices
摘要如下:
medicare限制了每项procedure的价格,但是不限制procedure的量。原因是
1. medicare没有budget
2. 老年人多看病多吃药多治疗被认为是好事,虽然过度医疗可能有害
3. medicare变成政治问题, 面对选票和政治捐献,政府没有意愿控制医疗使用量,减
少滥用。
所以medicare的秘密是
1. 医院薄利多销,以量取胜,尤其是大量增加昂贵的procedure。政府渲染medicare是
bad customer, 剥削医院,但是事实上医院接受的medicare逐年上升。说明医院并不吃
亏。
2. 政府的low administrative cost来自于从不说no. 不花资源去阻止滥用.
结论是medicare的低单价,导致了过度医疗,反而拉高了医疗费用,最后全民买单。 | t**x 发帖数: 20965 | | l****z 发帖数: 29846 | 3 这个不错,要顶一下.
下面的一个comment也不错:
grebklein
4:08 PM MST
Lib: "Taxes are what we all pay to live in society. It's the price we all
pay for civilization. We are all in this together!"
Taxpayer: "But there are 44 million adults, aged 22 to 65, who pay no
federal income taxes at all."
Lib: "Of course they don't pay! They're poor! You have to support them!!"
Taxpayer: "But you just said, "Taxes are what we all pay..."
Lib: "RACIST!!" | g***y 发帖数: 1268 | 4 这不是记者。这是opinion section. 文章一开始就有作者简介。
David Goldhill is chief executive of GSN, a media company, and the author of
“Catastrophic Care: How American Health Care Killed My Father – and How
We Can Fix It.”
【在 t**x 的大作中提到】 : 打算让这记者多吃药,吃死这个亡八蛋。
| j*****v 发帖数: 7717 | 5 this country is going to end miserably, because of those endless
entitlements and military spending | l****z 发帖数: 29846 | 6 那位从来不仔细读贴的,看个标题就乱喷.
of
【在 g***y 的大作中提到】 : 这不是记者。这是opinion section. 文章一开始就有作者简介。 : David Goldhill is chief executive of GSN, a media company, and the author of : “Catastrophic Care: How American Health Care Killed My Father – and How : We Can Fix It.”
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