Sunday, August 30, 2009

Fact Not Fiction

I enjoy how Dean Baker tweaks the nose of the media. He points out that their "facts" don't add up. He shows how they are providing a propaganda service and not a news service. Here's his latest posting:
There Are Not Many Rich People Who Lack Access to Doctors

One often repeated comment in the health care debate is that doctors/hospitals can't get by on Medicare's compensation rates. They argue, as reported in the Post today, that if a large public plan offered Medicare-type reimbursement rates, they would be forced to just abandon public sector programs and work for rich people.

That should be a serious concern in the health care debate, if there were a lot of rich people who do not currently enjoy access to medical care. However, that does not seem likely. All the rich people I know are able to get all the health care they want.

What this means is that if doctors in large numbers were to abandon their current hospitals to serve the rich, most would find themselves unemployed. The rich are already being served. While some doctors may have the connections or skills to find employment providing boutique treatment to the rich, for the most part they would be displacing doctors who already serve the rich. These displaced doctors would then have no choice but to work for inadequate pay in hospitals serving the public health care plans.

(There is also the threat that doctors will leave medicine altogether for another profession, But since physicians are already the top paid profession, they can only go down from there. It is unlikely that many doctors want to become shoe salespeople.)

In short, the scare story pushed by the hospitals and doctors might be useful to advance their ends (high public compensation for their services) but they have no basis in reality. Responsible reporting should point this fact out to readers.
Not much to add to this. He nails it: a "scare story" pushed to advance the interest of doctors and hospitals to keep their income & profits high.

If you liked that Dean Baker "gotcha", then you will really enjoy this one where he points out that the Washington Post is misleading its readers about the real problems in the economy.

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