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Tue Jul 28 12:42:47 BST 2009

Well said, Norm!

RIG

________________________________
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E Jr.
Sent: Monday, July 27, 2009 6:46 PM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: Centrist vs Local Social Systems

I know that that are plenty of workable systems elsewhere. I am lucky enough to see some of them at work. The reality however is now we are faced at making the US system work without bankrupting the entire country. Our president has suggested a system that does not improve the healthcare provided but only shifts the cost to the government from the privates. Like it or not, we cannot suddenly make ours like others. Unfortunately that is what he is trying to do but without looking at the whole picture. We have several unworkable government systems Making the healthcare system unworkable like the others will be very BAD for our patients. He is changing the good without changing the bad and making a system that will be much more expensive than our current one.
Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu<mailto:norman.mcswain at tulane.edu>

________________________________
From: trauma-list-bounces at trauma.org on behalf of Fiona Wallace
Sent: Mon 7/27/2009 5:25 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Centrist vs Local Social Systems

Capitalists seem to struggle with the concept that there are many of
us in the health service for whom a fat paycheck is not the driving
force. The vast majority of people I have worked with both in medicine
and nursing consider it primarily vocational.

There are doctors and nurses in many first world countries who work
for a salary that most in the States would consider risible, yet do an
excellent job within a variety of systems. The nursing staff I
currently work with are all on permanent contracts as government
employees, yet there is no dead wood and everyone, without exception,
works well and extremely hard.

Sorry, Norman - you need to step outside your own system and see what
is really possible elsewhere.

[because after all, Goldman-Sachs is such a shining example of how
private banking has done so much for the ordinary American. http://www.smirkingchimp.com/author/matt_taibbi
  ]

Fiona

On 27/07/2009, at 7:35 AM, McSwain, Norman E Jr. wrote:

> Sorry to disagree but I think it is the system that has failed or
> has allowed the entity to fail. There are many other well known
> similar systems that failed when they have become 'federalized' .
> One of these is well known medical system and the other one is a
> travel agency. Both of these systems started off with very good
> intentions until the members lost the incentive to be productive and
> were just looking for a place to remain protected and get their
> paycheck. More interested in the paycheck than the service that they
> were supposed to provide to the public. But of course that is a
> person opinion from one who is capitalist who believes in being
> required to be productive in order to get paid.
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>
>
> ________________________________
>
> From: trauma-list-bounces at trauma.org on behalf of Doc Holiday
> Sent: Sun 7/26/2009 2:24 PM
> To: .Trauma List
> Subject: RE: Centrist vs Local Social Systems
>
>
>
>
> From: nmcswai at tulane.edu
>
>
>> left out the other 'wonderful' social system...US postal service...
>
> ==> When it comes to nationally sponsored bodies he may have also
> left out the US Military and the judicial system, not only the
> USPS... There are success stories and failures, be they among
> capitalist entities or "socialised" ones or "federalised" ones;
> likely therefore that it is the entities which are at fault, not the
> sysem within which they live. The UK postal office is not held up as
> an example of success either.
> _________________________________________________________________
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