Canada has an acute SHORTAGE of DOCTORS - staffing crisis expected to get much worse

[Bigdog]

https://time.com/6199666/physician-shortage-challenges-solutions/

https://www.ama-assn.org/practice-m...re-here-and-they-ll-get-worse-if-we-don-t-act


https://www.usatoday.com/story/news...ise-in-the-us-as-wait-times-grow/70352744007/

https://www.vox.com/policy/23753724...re-medicare-medicaid-rural-health-care-access

https://www.sgu.edu/blog/medical/us-doctor-shortage/

https://www.boozman.senate.gov/publ...can-help-by-expanding-our-physician-workforce



Of course the doctor shortage is compounded in the US by the nurse shortage
https://pubmed.ncbi.nlm.nih.gov/31479295/
https://www.ncbi.nlm.nih.gov/books/NBK493175/
https://www.aha.org/news/headline/2...crisis-will-continue-without-concerted-action

Why are you so afraid to read what is at the links?[/QUOTE]

Thank you. But as I already stated to YOU, I am not questioning the doctor shortage, only the rest of his screed.

 

[T. A. Gardner]

Explain to me how simply consolidating the price negotiation for pharmacy items, would decrease health care?

If, as does already happen in many socialized countries, the price of a medicine goes to at or below the cost of manufacturing it, it no longer is available as no one will make it. If costs are kept down by rationing, then the quality of care goes down with that.

Sure, we need to prevent price gouging, but by the same token, we can't force some pharmaceutical company to make and sell a drug or product at a loss.

 

[T. A. Gardner]

Bullshit. On a national scale, if the populace has access to care , the nation saves money. Americans who spend some time abroad quickly laud universal medicine and are happy that huge black clould we have in America was lifted off their heads.
I have lots of Canadian family and at every family gathering I ask if they want to trade their system with us. They laugh as they say "hell no".

Absolutely accurate. You obviously know nothing about the VA system which is a US example of socialized medicine in action. Their hospitals and provider network are very much hit and miss. Some are very good, others horrifically bad. What you get stuck with is whatever the local system provides.
Also, access is tiered based on your service, service related injuries or disabilities, and ability to pay. There are 8 priority groups based on that. Group one are veterans that have a 50% or greater disability or are unemployable due to service related conditions and Medal of Honor winners. Group 8, the one I fall into, are veterans with gross incomes above the national average, no disability or service related condition, and able to pay a co-pay. I also may fall into Group 6 for serving in the Middle East in a combat theater.

So, at the VA, I get back-of-the-line service.

 

[Poor Richard Saunders]

Absolutely accurate. You obviously know nothing about the VA system which is a US example of socialized medicine in action. Their hospitals and provider network are very much hit and miss. Some are very good, others horrifically bad. What you get stuck with is whatever the local system provides.

That sounds like health care for everyone in the US. They get stuck with whatever the local system provides. Why do you think health care is bad in small towns? Why do you think life expectancy is on average 3-5 years shorter in red states vs blue states?

 

[QP!]

If, as does already happen in many socialized countries, the price of a medicine goes to at or below the cost of manufacturing it, it no longer is available as no one will make it. If costs are kept down by rationing, then the quality of care goes down with that.

Sure, we need to prevent price gouging, but by the same token, we can't force some pharmaceutical company to make and sell a drug or product at a loss.

So i want everyone to see above ^^^ the lengths republi'can's will go to, to convince themselves of anything to protect massive corporate profits at the expense of average citizens.

No massive big pharma corp is EVER required to sell their product below cost. They have 100% agency and freedom, to simply not make it, if they are losing money.

What creating a large buying group DOES DO, is allow the big buyer to negotiate lower MARGINS (not no profit) from the manufacturer because one client buying 1000 cars at once, on smaller margins is still more valuable than a single person buying one car at higher margins.

But we will never win this argument against Republ'cans' as they WILL ALWAYS jump every hoop to defend massive corporate profits at the cost to normal citizens. The big corporations won the brain washing with them decades ago and they will never be convinced that keeping more money in citizens pockets is a good thing. See above how ExpressLane is making another vein of Terry's argument that Americans SHOULD PAY MORE AS WE MAKE MORE, and know how bad Republi'cans' have been brainwashed.

 

[T. A. Gardner]

So i want everyone to see above ^^^ the lengths republi'can's will go to, to convince themselves of anything to protect massive corporate profits at the expense of average citizens.

No massive big pharma corp is EVER required to sell their product below cost. They have 100% agency and freedom, to simply not make it, if they are losing money.

What creating a large buying group DOES DO, is allow the big buyer to negotiate lower MARGINS (not no profit) from the manufacturer because one client buying 1000 cars at once, on smaller margins is still more valuable than a single person buying one car at higher margins.

But we will never win this argument against Republ'cans' as they WILL ALWAYS jump every hoop to defend massive corporate profits at the cost to normal citizens. The big corporations won the brain washing with them decades ago and they will never be convinced that keeping more money in citizens pockets is a good thing. See above how ExpressLane is making another vein of Terry's argument that Americans SHOULD PAY MORE AS WE MAKE MORE, and know how bad Republi'cans' have been brainwashed.

So, try making anything at a loss in money and keeping that going. The only way that can happen is through massive taxes that are then used for subsidies to prop up what is otherwise an unprofitable business model. That's the problem with socialism. It relies on taxes to make up for inefficiency and losses in the system. An excellent example of this are government run public transit systems. Virtually none of these runs at a profit. They consume resources in excess of their value to the society they operate in.

 

[QP!]

So, try making anything at a loss in money and keeping that going. The only way that can happen is through massive taxes that are then used for subsidies to prop up what is otherwise an unprofitable business model. That's the problem with socialism. It relies on taxes to make up for inefficiency and losses in the system. An excellent example of this are government run public transit systems. Virtually none of these runs at a profit. They consume resources in excess of their value to the society they operate in.

YOu have convinced yourself that Glaxosmithkline and other multinational corporations are stupid and helpless as a way to justify American's paying more.

Here is what i say if anyone asks me to manufacture anything at a loss.

'NO'.

You seem to think they have zero agency and they are forced to make it, while going bankrupt and that is because they have spent decades telling you that. That you need to fight for them to maximize their profits to no end as the only equitation is them making massive profits or going broke.

Congratulations on being derped.

What happens in reality is they do not go broke. They negotiate and get smaller margins but still make significant profits.

But i know you will not buy that. Republi'cans' will never accept any thing other than 'they must maximize their profits to the fullest extent possible' as that is what they have been trained to think by those very corporations.