"Any eventual reform to health care, regardless of who wins, is going to become the usual mess based first on ideological inclination and then processed through the machine of money, industry influence, political pandering and either "compromise" or "cooperation," depending on how one views unwillingness to demand absolutes."
"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."