tag:blogger.com,1999:blog-36634196.post9202079342142792220..comments2023-10-09T11:33:37.853-05:00Comments on The IN VIVO Blog: Saving Money on Volume: Obama Advisor Talks Cost Control With ASCOChris Morrisonhttp://www.blogger.com/profile/04075266444951558159noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-36634196.post-486081391040631152009-06-05T11:21:42.766-05:002009-06-05T11:21:42.766-05:00The critical issue in the debate is who pays what ...The critical issue in the debate is who pays what and who makes the decisions about medical care.<br /><br />Patients should have the right of self-determination and not the government. What we are witnessing with the comments by Dr. Emanuel and others in government is the push for more government involvement in medicine. Let government or insurance companies state what will be paid and then let the doctor and patient decide on therapy and determine if the patient is willing to pay more. Americans must avoid expansion of government in medicine and that means defeat of the "public plan". Otherwise we will have rationing and lack of access to critical medicines timely and loss of access to physicians in our hour of need.<br /><br />Remember: Self-determination and not government determination. Look at Great Britain. The past is prologue to the future.<br /><br />Donald J. Palmisano, MD, JD<br />www.onleadership.usdjp@intrepidresources.comnoreply@blogger.comtag:blogger.com,1999:blog-36634196.post-50649620819129817702009-06-05T07:24:25.138-05:002009-06-05T07:24:25.138-05:00For the previous anonymous post, I would ask how d...For the previous anonymous post, I would ask how do you intend to pay for a "all you can eat buffet" of healthcare, when we can't even pay for Medicare Part D, borrowed since day one to pay for it, SS will be insolvent in 2047 and Medicare even sooner. What people have to realize is the PARTY is over, we have to pay as we go and payback what we borrowed. That we can't always have everything, and everything has a cost. And that we do not live forever and there are points where it does not make sense to treat.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-36634196.post-60173526622218008982009-06-04T14:30:24.529-05:002009-06-04T14:30:24.529-05:00Sounds like rationing to me! I really don't wa...Sounds like rationing to me! I really don't want the government doing a cost benefit anaysis if I'm the one one with cancer and you can be sure he would want the best (and, yes, even experimental) treatment if it was him or his family member.<br /><br />Also, all this time demonizing pharma and now they admit it is only 10% of the problem and won't get us the savings we need. Way to go...destroy an innovative industry to get your politcal agenda passed.Anonymousnoreply@blogger.com