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[ccm-l] Employment and benefits manipulations

Ronald Gross Rgross at harthosp.org
Fri Apr 6 15:53:34 BST 2007


Tort reform, insurance company executive salaries, drug company "R&D"
costs, etc - all part of the solution. 
Not part of the solution - a free lunch and an excuse for all of the
"disenfranchised" whether their condition is self-imposed or "imposed by
others" whoever those "others" might be......

>>> "Offner, Patrick" <PatrickOffner at Centura.Org> 4/5/2007 6:46 PM >>>
Dr. Mattox,

While I agree with you almost 100%--don't you believe that insurance
costs are also out of control--to the point that a lot of people just
cannot afford them. Your "fix" is just the tip of the iceberg--we also
need insurance reform as well as tort reform--it is all intertwined. 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com

Sent: Thursday, April 05, 2007 3:01 PM
To: trauma-list at trauma.org 
Subject: Re: [ccm-l] Employment and benefits manipulations

 
In a message dated 4/5/2007 3:48:23 P.M. Central Daylight Time,
thoran at sarah.br writes:

Of the  30 -40 million US uninsured how many are the fast driving drug
addicts, or  lazy, obese cigarette smokers whom you abhor and how many
of them are 
ordinary  folks, the people who are apparently easy for you to dismiss
, the   
working poor, in jobs that need filling but just dońt get paid very
well , certainly not enough to part with 1,200 a month...  maybe the 
receptionist or the cleaner or the guy in the parking garage, people who
just  do NOT appear on your radar because they do NOT read a novel a
week, do NOT  know the right people, do NOT belong to the right
organizations, did NOT go to  the best schools. Never mind Dr. Crippens
friend but what about the disabled,  the folks in the other car, the
unemployed, the unemployable, good cannon  fodder but No FREE LUNCH.
Never mind that the free lunches are served up in  corporate board rooms
every where, provided by the moms and pops investing in  the great
enterprises that won't provide health  insurance.



In every society, and especially at the local level, provisions are
made  for 
the kind of persons you cite above.   Many local good examples  exist. 
 
These same individuals do not have state sponsored lawyer  aid, housing
aid, 
church aid, food aid, family counseling, cell phones,  etc.   Why must
or should 
health care be any different.    MANY MANY of the persons you cite
above CHOOSE 
to not have health dollars  available in order to pay for cell phones,
send money back to family in another  country, have a late model car,
drink alcohol every day, go to cock fights, and  have somewhat expensive
watches and designer 
glasses.   I see them  every day, and then they expect FREE medical
care.   
WRONG.  One  cannot have it both ways.    If they go to church, the
priest  
EXPECTS them to put something in the collection plate and even pay for
some of their absolution by giving to the church (up to and greater than
10% of their  
income).   If they need to go to court, they must pay for an  attorney.
   
 
I have NO problem for fairness with a prorated calculation of a
discounted bill based on disability, inability to work (real, and not
just a matter of a created social welfare state to pay someone NOT to
work), and a feeling of responsibility for ones own services, whatever
they might be.  It is not  the state or the employers responsibility to
assure that everyone is provided  all creature comforts from the cradle
to the grave.  That is a family and  an individual responsibility.  The
governmental responsibility is to  protect, NOT 
PROVIDE.    
 
We in every society MUST also address the HUGE profits from insurance
companies, HMOs, and hospitals whose overhead and payments to upper
level  
management and stockholders are obscene.    The persons who have  been
unfairly 
burdened with the financing of individual health care has become  the
employer, and 
that is the most unfair of all  systems.     
 
Kenneth 
L. Mattox, MD
Houston



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