Right now, doctors a lot of times are forced to make decisions based on the fee payment schedule that’s out there. So if they’re looking and you come in and you’ve got a bad sore throat or your child has a bad sore throat or has repeated sore throats, the doctor may look at the reimbursement system and say to himself, “You know what? I make a lot more money if I take this kid’s tonsils out.”
Now, that may be the right thing to do, but I’d rather have that doctor making those decisions just based on whether you really need your kid’s tonsils out or whether it might make more sense just to change — maybe they have allergies. Maybe they have something else that would make a difference.
So — so part of what we want do is to free doctors, patients, hospitals to make decisions based on what’s best for patient care. And that’s the whole idea behind Mayo. That’s the whole idea behind the Cleveland Clinic.
He really believes this.
In Obama’s world greed so distorts a man’s thinking that doctors would lie to patients and recommend unnecessary surgery just to make a few extra bucks. Therefore the state must relieve doctors of the need to pursue a profit so that they can think clearly like platonic philosopher-kings, free of any self-interest.
In reality, when doctors are controlled by the state, they surrender their judgment to the state. They become bureaucrats who must follow regulations dictated by the state.
Who do you think would make a better decision about a child’s tonsils, a doctor whose reputation depends on his integrity or a bureaucrat afraid to do anything but follow regulations?
And how does the state determine how to allocate resources when it does not have the pursuit of profit to guide its decisions? Who is more likely to be corrupted, a doctor whose reputation depends on his integrity or a bureaucrat who can use under the table payments to determine who gets scarce resources?
Once again, Obama’s radical ideology puts him at odds with reality. It’s uncanny how he gets everything exactly wrong. Barack Obama is Bizarro #1 from the Silver Age Superman comics. Bizarros live on Htrae instead of Earth and get everything backward. They do the opposite of what rational humans would do.
UPDATE: Slight revision.