Rick’s Facts and Reputable Facts

So Rick cites the Investor Business Daily’s about a survey they did claiming that 45% of Doctors would consider quitting if “Obamacare” passes.

Ya, the same Investor Business Daily that said if Stephen Hawking lived in England their socialized medicine system would kill him.  Of course the only problem with that “fact” is that Hawking does live in England and commended the English system for saving his life.

Which brings me to this survey from IBD, which came out the same week that the New England Journal of Medicine released their own survey of 2130 doctors which showed pretty much the opposite results–with 62% of physicians supporting a public health insurance option along side private options.

So there you have it.  Two surveys with opposite results and you can decide which one is more reputable.  One is the oldest continuously published medical journal in the world, peer-reviewed and is the most widely read, cited, and influential general medical periodical in the world (wikipedia opening) and the other can’t get it’s facts straight about a simple thing like where Stephen Hawking lives.  

About Festus Garvey

  • The JAMA survey does a better job listing it’s methodology, and I would tend to judge their position on the views of doctors with a bit more weight than another source.

    I’m no polling expert, but I’ve heard enough polling experts debate to know that two polls that apparently try to gauge the exact (or very similar) set of views can very widely based on methodology and questions asked…and of course few question which is more credible.  Obviously this illustrates there are substantial differences…which one relies on is probably related to one’s own perspective.  

    Of course one would post the study that best supports their position…or dismiss one that doesn’t (I see Rassmussen and Zogby dismissed on a regular basis in favor of a USA-Today or ABC news poll..especially in matters political)

    I guess I’m less concerned with people “think” or support (doctors or otherwise) and more concerned with a workable solution.  And there are two questions I cannot get answered are these

    1)  How does providing “insurance” to everyone actually lower the cost?  It addresses how it is paid for and by who, but not how much it costs.  Every proposal I’ve seen seems to be an attempt at artificial “price controls” (ala FDR…which worked poorly) while providing coverage for all

    2) How is the increased load upon the existing “infrastructure” addressed?  We already have a shortage of GP’s in this country, and all things be held equal, how does one add 30 million (or whatever the number) to the rolls of the insured not blow the system out of water?  MA has almost universal coverage, but we have some of the highest costs in the country and longest wait times.  Are our costs rising less than other parts of the country that do not have such coverage?

    As a side-note…not really a condemnation, but last year (before Health Care was being debated) my GP quit practicing medicine citing poor reimbursements from Medicare/MedicAid plans and rising overhead due to a mandate  to implement a full EHR system complete with E-prescribing.  He had to employ 2 fulltime employees for billing and support for his one man practice.

  • Vote3rdpartynow

    Not because he is on my side and you are on the other side, but based on the fact that I can personally name a half a dozen Doctor’s that think the system would crash if Obamacare was implemented.  They say there will be too many people, trying to get too much care from too few Doctor’s and suing them with too many Lawyers.  The Doctor’s will get reimbursed too few dollars for those too many patients while they work too many hours.

    When two polls show opposing results I chose the one that seems consistent with what I see in practice.  

  • Rob “EaBo Clipper” Eno

    From the NEJM study you link to above:

    In April 2009, we obtained data on a random sample of 6000 physicians from the American Medical Association (AMA) Physician Masterfile, which includes current data on all U.S. physicians. We excluded physicians from U.S. territories because health care reform may not be as relevant to them, and we excluded physicians in training because of their limited experience with insurance; a sample of 5157 physicians remained.

    But from IBD we learn that:

    The AMA, in fact, represents approximately 18% of physicians and has been hit with a number of defections by members opposed to the AMA’s support of Democrats’ proposed health care overhaul.

    So the correct headline of the NEJM poll is 2/3 of 18% of Doctors want public option.

  • Republican Ram Rod Radio

    Festus is calling Rick out, calling his article from yesterday BS!  

    So far no comment from Rick.  But his henchmen Eabo and V3PN are saying ‘Totally No Way – Man’ and ‘You’re going down Festus’

    It’s On Everyone! Oh it is so on!    

  • RULE 5: "Ridicule is man's most potent weapon." There is no defense. It's irrational. It's infuriating. It also works as a key pressure point to force the enemy into concessions.  

    NEJM did not ask an opinion of the entire package of health care reforms being proposed by Congress and the White House, as IBD did in their survey.  NEJM asked only how would you like to see insurance coverage expanded to cover everyone.  

    Survey respondents were asked to indicate which of three options for expanding health insurance coverage they would most strongly support: public and private options, providing people younger than 65 years of age the choice of enrolling in a new public health insurance plan (like Medicare) or in private plans; private options only, providing people with tax credits or subsidies, if they have low income, to buy private insurance coverage, without creating a new public plan; or a public option only, eliminating private insurance and covering everyone through a single public plan like Medicare.

      To think that NEJM also made this claim is laughable,  

    A majority of physicians also support the expansion of Medicare.

    Virtually every discussion on Medicare has concluded that more physicians are refusing to take on Medicare covered patients because of the inadequate reimbrsement rates they receive.   In today's installment, IBD referenced these concern from doctors.  

    “Health care in the VA (Veterans’ Administration) shows how well government can render care,” said one. “It is disgraceful.”

    Others pointed to the troubles with government-run Medicare, Medicaid and Social Security, which are all verging on insolvency and now account for an estimated $51 trillion in unfunded liabilities over the next half-century…    

    …"Government control? Give me a break," said another. "Look what they've done to Social Security, the Post Office, the bailouts, etc. Medicare and Medicaid are not paying doctors enough, and the paperwork to participate is huge."    

    Other irate docs agreed: "Government has proven unable to manage many other programs, including Social Security, Medicare, and the postal service.  

    Why do they think they can (run) a health care program?"  "Government health care will wipe out the private insurance companies," said another. "Most of the doctors in private practice will give up … because of a low reimbursement from the government. The Medicare, Medicaid program is a good example of government-run health care."

       BTW, IBD did correct itself on their Hawking statement.  

    Much has been made of this statement in one of our Aug. 3 editorials: "People such as scientist Stephen Hawking wouldn't have a chance in the U.K. where the National Health Service would say the quality of life of this brilliant man, because of his physical handicaps, is essentially worthless."  

    It was a bad example, and we have acknowledged that. To repeat the correction we ran shortly after the editorial ran: Hawking, who suffers from amyotrophic lateral sclerosis (ALS), the progressive neurodegenerative disease often referred to as Lou Gehrig's Disease, is indeed a British subject.

    Now, go brush up on the rest of Alinsky’s rules.