Quote:
Originally Posted by Ian Robinson
No reason why alll doctors in the hospital system can't be on contracts or salaries or tenured like academic professors in universities are.
The current system encourages and promotes overservicing , fraudulent behaviour , and governments are better placed to get the best deals on equipment which they could order in bulk , rather than a hodgepodge of small private owned (by the health funds or groups of doctors or people who are not the least bit interested in anything but return on their investments) who don't have the same buying power.
Socialised health care is the way to go - better medical outcomes result from socialised health care , and at least everyone can afford the health care they require. Check out life expectancies in countries who have socialised healthcare and hospital systems and compare with the USA , the USA is worse even though the USA spends more per capita .... good source is the CIA's country files.
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As one of those thathas worked both as salaried and fee for service I see both sides of the coin.
I know some very good quality specialists that work as salaried medicos. I would be very happy for them to look after me but I could not say they work terribly hard. It is great to look after a few patients to great depth. It is very interesting and an intellectual challenge. Unfortunately If I ask these same colleagues to review 10 extras people that are not as interesting meaning that they will work overtime and get no payment or even recognition from the system then they tend to say "try someone else". It is very hard to convince someone that they should do lots of extra work for no payment.
In the European countries commented on in other posts the staffing levels are much higher. Australia can choose to do this but the state govt(NSW) currently tells us it is broke and wont even fund the current staff. It's response is to reduce services and stuff the waiting lists.
We recently got told by our administrators that if someone is seen in an outpatient clinic and requires surgery that is a non emergency they will wait. If you are categorized as needing your surgery within 1 year then you will wait 1 year regardless of the fact that the salaried surgeon has space on his operating lists before then.
The complaining needs to be to the state health non on IIS.