{"id":701,"date":"2008-12-15T11:34:00","date_gmt":"2008-12-15T15:34:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=701"},"modified":"2008-12-15T11:34:00","modified_gmt":"2008-12-15T15:34:00","slug":"my-comment-to-change-gov","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=701","title":{"rendered":"My comment to Change.gov"},"content":{"rendered":"<p>I am an intensive care physician. I am also involved in organized medicine at a high level.<\/p>\n<p>15 years ago, if you had asked a group oh physicians which healthcare reform they would chose and offered them the British national Heath Service model, a German Social Health Insurance style system, a French Single Payer system or keeping our current system and just tinker around the edges using our current private health insurance system, most would have chosen tinkering.<\/p>\n<p>Now I don&#8217;t believe that is the case. Now, the current system is dismissed out of hand by most physicians as a reasonable choice as is, frankly, the British system. But now, my colleagues ask me about those other systems, particularly the German style SHI system.<\/p>\n<p>Physicians are data driven. We see that our outcomes are poor compared to every modern Western Democracy and we pay exorbitantly for it and our system is unfair.<\/p>\n<p>The one thing that alarms me, personally, is that the German and French systems seem to be dismissed out of hand for political &#8220;reality&#8221;. We have to reach out to the health care professionals in this country and teach them about the alternatives available to us and they will join us in real healthcare reform.<\/p>\n<p>A little evidence to back me up:<a href=\"http:\/\/cmhmd.blogspot.com\/2008\/04\/amnews-april-21-2008-more-physicians.html\">http:\/\/cmhmd.blogspot.com\/2008\/04\/amnews-april-21-2008-more-physicians.html<\/a><\/p>\n<p><a href=\"http:\/\/cmhmd.blogspot.com\/2008\/10\/daily-kos-my-old-friend-karl.html\">http:\/\/cmhmd.blogspot.com\/2008\/10\/daily-kos-my-old-friend-karl.html<\/a><\/p>\n<p><a href=\"http:\/\/cmhmd.blogspot.com\/2008\/04\/jackson-and-coker-physician-survey-on.html\">http:\/\/cmhmd.blogspot.com\/2008\/04\/jackson-and-coker-physician-survey-on.html<\/a><\/p>\n<p><a href=\"http:\/\/cmhmd.blogspot.com\/2008\/02\/most-minnesota-doctors-like-single.html\">http:\/\/cmhmd.blogspot.com\/2008\/02\/most-minnesota-doctors-like-single.html<\/a><\/p>\n<p><a href=\"http:\/\/cmhmd.blogspot.com\/2008\/12\/excluded-voices-cjr.html\">http:\/\/cmhmd.blogspot.com\/2008\/12\/excluded-voices-cjr.html<\/a><\/p>\n<p>There&#8217;s more at <a href=\"http:\/\/cmhmd.blogspot.com\/\">http:\/\/cmhmd.blogspot.com<\/a><\/p>\n<p>Thanks.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am an intensive care physician. I am also involved in organized medicine at a high level. 15 years ago, if you had asked a group oh physicians which healthcare &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=701\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;My comment to Change.gov&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[108],"tags":[],"class_list":["post-701","post","type-post","status-publish","format-standard","hentry","category-health-care-reform-debate"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=701"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/701\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=701"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}