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January 13, 2014


Richard Bergerson

The only constant is "change".

In the decade-plus between the end of my first marriage and the beginning of my now current marriage, I had an extended relationship with a medical assistant working at a Kaiser health care facility. It was rather interesting to observe Kaiser's cycling between "let's cut down on RNs and other nurses, use MAs in order to decrease expenses" and their "we better hire more nurses, because people want nurses, not assistants; and we don't want to become poorly rated." One can understand and even expect that from a competitive profit-motivated business entity.

You get the government involved? You are going to get "pie in the sky" promises ("you may keep your plan and doctor!"). And then: "We got to decrease benefits, increase co-pays, increase taxes to cover unpaid subsidized co-pays." Greedy government bureaucrats and their newly-minted minions will be no less expensive than our current greedy insurance bureaucrats. Only difference, we won't be able to choose between Tweedledum and Tweedledee" - but we will have our illusion of progress - and will be taxed dearly for it. Oh, I anticipate that we will still have the option of private health insurance companies offering more than the government program - if you can afford it (higher government approved rates) AND your higher taxes. What progress!

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