Iread Dr. Edwin Leap's piece with great interest. (‘Just Go to the ER,’ EMN 2011;33:8.) For much of the article, I thought he hit the nail on the head. However, the few paragraphs bashing government-mandated, regulated, and funded health care without any mention of the destructive force of the insurance industry on the delivery of health care was remiss.
These companies divert tens of billions, perhaps hundreds of billions, to bureaucracy, and they profit from the actual delivery of health care. They have spawned a bureaucratic nightmare for hospitals and an excuse for hospitals to justify their bloated administrations.
I hear repeatedly from those who want to keep government out of health care that the United States has the best health care system in the world. This flies in the face of the truth. We spend more than any health care system, but our outcomes are no better and in many areas are worse than several of those countries that practice socialized medicine.
Thank you, Dr. Leap, for your work and reasoned thinking.
Ted LaRochelle, PhD, MD