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Group Offers Doctors Bonuses for Better Care

Wall Street Journal Original article ›

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The health care system is designed to encourage procedure based specialist practices and discourages the patient understanding education and monitoring that occurs with a well designed preventive family physician practice. As a result a patient only spends 30 minutes ayear on average with family physician compared to one hour in other developed nations. In the USA there has been a steady decline in the level and quality and extent of family care and the close one on one rapport with well trained family physicians who enjoyed their work and understood their patients and kept up with their health conditions and provided good and regular advice on these conditions. There is no money in this care as a result first you provide an environment where a whole range of medical conditions can flourish and expand, and then you hit them with a whole series of tests to rule out specific medical conditions. It is a perfect way to expand the testing and let testing flourish, so it would appear that if someone had wanted to start with a goal of letting testing proliferate unhindered then this would be the perfect way to design it.

Paying for universal health coverage in the U.S.

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The Obama administration estimates it will cost about $120 billion to cover roughly 50 million uninsured. Everything from taxing high calorie sodas, limiting tax dedcuctions for charitable giving, or decuctions for employer provided health insurance, are all being looked at Some like limiting deductions on chartable giving lack support in Congress.

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The French health care system and its costs, comparison with the American system of health care.

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The rising costs of the French system and its concept and performance. Efforts to meet rising costs and rise of the "mutuals." Healthcare in France is at about 11% of GNP compared to 16% in the USA, with 50 million uninsured in the US and 99% of 64 million people of France covered. Pricing of pharmaceutical products and healthcare services remains a major unsolved problem in the U.S.

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The sweeping restructuring of U.S. health care that is needed and the way patients, doctors, and hospitals would rather live with the status quo.

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The risks of "cosmetic" reform in the Obama administration's efforts, and the unsustainability of the current system in the costs and results it provides.

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U.S. healthcare insurance costs 2010-2013

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Bowles-Simpson Deficit Commisssion proposals, critics say, did not adequately tackle the health care part of the US Deficit. Rivlin-Domenici Deficit Commission phases out the tax exclusion on employer-subsidized health care insurance. Both fall short in addressing the health care portion of the deficit.

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Pricing of healthcare services and pharmaceuticals as the biggest problem in funding healthcare in the U.S.

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The cost of most healthcare services are double or higher in the U.S. than in Canada, Germany, France and Japan. By not bringing prices in line with the price in other major developed countries, the U.S. is effectively defunding infrastructure, R&D, education and other important means of improving competitiveness say experts. The methods of setting price present in these countries are notably absent in the U.S. The Obama healthcare bill and before that the Bush Medicare Prescription Drug Benefit simply leave this problem unaddressed.

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