Wednesday, April 21, 2010

Is this the kind of change we really want for our country?



One amazing detail about this video is that Dr. Friedman was speaking at The Mayo Clinic in 1978. He discusses Dr. Max Gammon’s Theory of Bureaucratic Displacement which simply states that when you have an organization taken over by a government bureaucracy input goes up while output goes down, useless work tends to displace useful work (think DMV, Dept. of Education, Dept. of Human services, CDC and the H1N1 immunization fiasco). He gave the example of Britain 1965-1973, in those 8 years hospital staff increased 28% and administrative and clerical help increased by 41% (input went up) Dr. Gammon measured output by the average number of beds occupied daily, that amount decreased 11% (output went down) BUT this was NOT for want of patients, at any one time there was a waiting list of 600,000 people (not a typo, he said six hundred thousand). Things have not improved over time and now we are heading in that direction.

He also quoted from Dr. Gunner Biorek of Sweden (his resume includes, Professor of Medicine at Karolinska Institute, Head of Dept. of Medicine at a major hospital in Stockholm and the personal physician to the King of Sweden). Dr. Biorek gave a speech at the University of Chicago in 1976 titled “How to be a clinician in a socialist country”.
“It is obvious that the existence of a competing free market constitutes a continuous threat to the operation of a socialist public service however heavily subsidized by taxpayer money. The element of quality that derives from patient’s personal preference for and confidence in certain doctors cannot easily be done away with so long as people are willing to pay for a free choice of physicians. To do away with such opportunities therefore has become a new goal of Swedish health care politicians. The introduction of these various regulatory processes has resulted in a cancerous growth in the number of medical administrators at all levels of incomes.”
“The setting in which medicine has been practiced during thousands of years has been one in which the patient has been the client and employer of the physician. Today, the state, in one manifestation or the other, claims to be the employer thus the one to prescribe the conditions under which the physician has to carry out his work. These conditions may not and will eventually not be restricted to working hours, salaries and certified drugs. They may invade the whole territory of the patient/physician relationship.”



If we value freedom we have no other choice but to fight to repeal this bill!
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3 comments:

  1. This is a very good speech. In his book "Freedom to Choose", Friedman argues that the government should not even license doctors and nurses. Do you agree? Why or why not?

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  3. In chapter 2 The Tyranny of Controls in the book “Free to Choose”, Milton Freidman writes:
    “Today you are not free to offer your services as a lawyer, a physician, a dentist, a plumber, a barber, a mortician, or engage in a host of other occupations, without first getting a permit or license from a government official. You are not free to work over-time at terms mutually agreeable to you and your employer, unless the terms conform to rules and regulations laid down by a government official.”
    Bearded Spock asks, Do you agree? Why or why not?
    Ah, you noticed that I hold one of those state issued licenses in order to practice my trade, well even so, I still agree with Freidman. I went to the Oregon State Board of Nursing website http://www.osbn.state.or.us/OSBN/RN-LPNlicensure to see what is required to obtain a license, here are the main points:
    Must be a graduate from an approved nursing program and take the National Council Licensing Examination (NCLEX), and of course pay a fee of either $160 (licensure by examination) or $195 (licensure by endorsement). There is also a $52 fee for a national fingerprint-based criminal background check. In order to renew my license every 2 years on my birthday I must make sure that I have worked at least 960hrs as an RN in the previous 5 years (less than 4hrs per week) and send the board a check for $145. If I have graduated from an “approved” nursing program shouldn’t that be enough? Why should the government even enter into this? This kind of bureaucracy is part of the reason health care and many other kinds of goods and services are so expensive, OVER regulation by the state.
    Thanks for the question.

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