Dr. Lobosky, who probably dictated this book to an intern, a red faced old school doc from the 70’s, raging mad about all the problems with health care, talking about the good ol’ days when doctors actually saw their patients... Anyway, he was hopeful when President Obama talked about a single-payer system, a public option, universal access, and letting Medicare negotiate for lower drug prices. But alas money and politics! The special interests (insurance, drug companies, trial lawyers) gobbled up Obamacare and spit it out. It’s mutilated, complains Lobosky, to the point that it may not solve the larger problems it began to solve in the first place. Like affordable access and care for all.
Now I must admit I really liked listening to this doctor rant and rave about everything, but eventually he does offer some solutions:
- Everyone has insurance and pays through the same system (single-payer system)
- Everyone gets the same coverage (universal access)
- Force insurance companies and hospitals to be not-for-profit: if a company must choose between profit and patient care, they will choose profit. After all, they have stock-holders to make happy. He sees this as a glaring conflict of interest.
- Protect doctors from getting sued so much
- Force drug companies to make new drugs, not just “copy-cats”: and increase their patents so it will be worth their while.
- Use evidence-based medicine: don’t waste resources by doing procedures that are unnecessary or don’t work
- Death Panels! This is called “rationing” in the health care debate. It boils down to the fact that we have a finite number of resources in our health care system. So if a person insists on getting a procedure that probably won’t work and probably won’t help their quality of life, then, the argument goes, they should have to pay for it instead of the government. Or perhaps a charity would.
This book will propel you into the health care debate. It’s written by a politically moderate doctor who has a unique view in the trenches. At times he sounds arrogant, and he knows it. I found myself laughing. But this issue is no laughing matter. I highly recommend.
We have many other books on health care reform.
It's Enough to Make You Sick