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Patients Are Not Consumers
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04-23-2011, 04:55 AM
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Patients Are Not Consumers
By Paul Krugman
April 21, 2011 http://www.nytimes.com/2011/04/22/opinio...ugman.html -snip- But something else struck me as I looked at Republican arguments against the [Independent Payment Advisory B]oard, which hinge on the notion that what we really need to do, as the House budget proposal put it, is to “make government health care programs more responsive to consumer choice.” -snip- What has gone wrong with us? -snip- Now, what House Republicans propose is that the government simply push the problem of rising health care costs on to seniors; that is, that we replace Medicare with vouchers that can be applied to private insurance, and that we count on seniors and insurance companies to work it out somehow. This, they claim, would be superior to expert review because it would open health care to the wonders of “consumer choice.” -snip- The idea that all this can be reduced to money — that doctors are just “providers” selling services to health care “consumers” — is, well, sickening. And the prevalence of this kind of language is a sign that something has gone very wrong not just with this discussion, but with our society’s values. ### |
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