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Name:
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MartiniMan
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Subject:
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Obama's recess appointment of Dr. Berwick....SCARY
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Date:
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7/15/2010 1:56:46 PM
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Read these quotes below and you will see why Obama had no desire to have him go through a confirmation hearing with the Senate. Even Dem members are outraged. This guy is a radical and it is very scary having him in a position of authority in any administration. More hopeless change...... "I cannot believe that the individual health care consumer can
enforce through choice the proper configurations of a system as massive
and complex as health care. That is for leaders to do." "You cap
your health care budget, and you make the political and economic choices
you need to make to keep affordability within reach." "Please
don't put your faith in market forces. It's a popular idea: that Adam
Smith's invisible hand would do a better job of designing care than
leaders with plans can." "Indeed, the Holy Grail of universal
coverage in the United States may remain out of reach unless, through
rational collective action overriding some individual self-interest, we
can reduce per capita costs." "It may therefore be necessary to
set a legislative target for the growth of spending at 1.5 percentage
points below currently projected increases and to grant the federal
government the authority to reduce updates in Medicare fees if the
target is exceeded." "About 8% of GDP is plenty for 'best known'
care." "A progressive policy regime will control and rationalize
financing—control supply." "The
unaided human mind, and the acts of the individual, cannot assure
excellence. Health care is a system, and its performance is a systemic
property." "Health care is a common good—single payer, speaking
and buying for the common good." "And
it's important also to make health a human right because the main
health determinants are not health care but sanitation, nutrition,
housing, social justice, employment, and the like." "Hence, those working in health care
delivery may be faced with situations in which it seems that the best
course is to manipulate the flawed system for the benefit of a specific
patient or segment of the population, rather than to work to improve the
delivery of care for all. Such manipulation produces more flaws, and
the downward spiral continues." "For-profit, entrepreneurial
providers of medical imaging, renal dialysis, and outpatient surgery,
for example, may find their business opportunities constrained." "One
over-demanded service is prevention: annual physicals, screening tests,
and other measures that supposedly help catch diseases early." "I
would place a commitment to excellence—standardization to the
best-known method—above clinician autonomy as a rule for care." "Health
care has taken a century to learn how badly we need the best of
Frederick Taylor [the father of scientific management]. If we can't
standardize appropriate parts of our processes to absolute reliability,
we cannot approach perfection." "Young doctors and nurses should
emerge from training understanding the values of standardization and the
risks of too great an emphasis on individual autonomy." "Political leaders in the Labour
Government have become more enamored of the use of market forces and
choice as an engine for change, rather than planned, centrally
coordinated technical support." "The U.K has people in charge of
its health care—people with the clear duty and much of the authority to
take on the challenge of changing the system as a whole. The U.S. does
not."
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