"Primary care is dying in this country, largely because the the government which sets both the amount that doctors are reimbursed for their time as well as pattern by which private insurance reimburses, has decided that cognitive skills are less valuable than throwing a lot of procedures at the patient."
"A person’s access to medical care should not turn on just how skilled he is as an economic creature. While some of us are smarter, taller, and quicker than others, as human beings we are equal."
"A few years ago I realized that my bonus, based on my "quality" management of diabetes, was compromised by the poor quality of my patients. I then dismissed many of the alcoholics and non-compliant (more correctly, I maneuvered them to dismiss me -- much less hassle); and my bonus scores have greatly improved. I thought I was clever, but I've come to believe that this is exactly what the the network, the insurance companies, and the gov't, wants me to do."
"Can rational people ever be comfortable with government control of healthcare through a “single payer” system, knowing that the legislative system of representation is characterized by – and we mean this in the kindest possible way – ignorance, manipulation, short-term thinking, political tribalism and the urge to act in the absence of the facts? Especially when we know that the laws passed will then be administered by unaccountable bureaucracies?"