Universal health care and other things that look good on paper

Today was a decent day. I was kinda bummed that my back hurt all day and today was lab (and therefore STANDING) intensive but I got through it anyway. I wasn't sure when exactly that Kate was going to end up beginning her first round of chemo, but we exchanged emails this afternoon. Apparently, it began a week later than originally scheduled..so that was yesterday and she said that she has 15 hours left. She indicated it was going well so I am glad.

I can't express how thrilled I am with my friend who turned out to be my Chem lab partner! It is so much fun to go to that class. It could be such a drag, but we laugh so much. Not to mention, she is intelligent so I am not having to question whether or not her analysis is accurate because she doesn't care. I hate that. I guess I WAS that person the first time around, but things have been very different this time.

I finally got the notes over to Disability Services for my student. I have been a volunteer notetaker for a couple of semesters for 2 different students with learning disabilities. I may have mentioned that. Anyway, it is nothing earth-shattering, I just take clearer notes and have to go make copies of them at least once a week. I was feeling so bad on Friday (when I usually take care of that) that I ended up abandoning the effort altogether. Yesterday wasn't much better, but today I am thrilled to say that the notes are waiting for my classmate. Part of the whole thing is that it is confidential, so while it would be a lot easier to just hand the notes to the guy in class (yes, I know who he is), I have to trek over to the official office and deposit them there.

Universal healthcare...hum. A lot of people have been discussing this with me lately. What do I think? Does it matter? Here's my ineloquent, if not ignorant, take on the matter... Do I think that we some form of health coverage for everyone..ABSOLUTELY. Do I think that the government should resort to a socialist form of care...ABSOLUTELY NOT. Here's the deal, I see the crap that my docs have to go through to get paid by my health insurance company and I have excellent coverage. I see on my EOBs that are sent to me what kind of pitiful sum they are paid to see me. I know that I have taken well more of their time than what they are paid for. There is a huge misconception that doctors make too much money and that the problem lies with the medical community. I strongly disagree. Why is it that we can handle athletes and CEOs of companies making manifold what docs make and yet fail to consider the fact that physicians must pay exhorbiant malpractice fees, very high education costs (which many are still paying off >10 years later), staff salaries (God forbid someone have to wait longer than they want), equipment costs (because we all want the latest technology...or at least something from the 20th century), they work WAY more than people give them credit for (call the doc because you have a question..they don't get paid for that...no insurance billing code...how many of those questions even if not directly from your mouth do they have to field in a day in between 30-50 patients to be seen in 15 minute increments) and all done for (in my experience) 25-75% of what they actually charge. Are their fees excessive? We will take my pulmonologist as an example, he went through 4 years of college, 4 years of medical school, and 5-6 years of internship/residency. By that time many new doctors are >$200K in debt compounding interest constantly. After all of that time, how much would you say that YOUR time would be worth? Then add on all the things mentioned above which just make it possible for a physician to provide adequate care for patients.

I don't expect to make a lot as a doctor. I will be 43 when I complete residency and then have the joy of paying back all the loans. I will likely never own my own practice. Perhaps group or hospital based practice will be for me. I have nothing to gain by saying that government run universal health care is a bad idea, except the opportunity to care for my patients in the best way possible. If the government wants to get involved then it should pay private insurance companies to cover every citizen of the U.S. and then it needs to make sure that the insurance companies are making good on their obligations to the patient and the doctor.

The last 2 questions...Do I think we will have universal health care in the U.S. in the next 10 years? Yes. Do I believe that it will be a good system? No.

TTFN.