Longtime Houston attorney Tom Kirkendall's observations on developments in law, business, medicine, culture, sports, and other matters of general interest to the Houston business, professional, and academic communities.
tom,
love your blog and look forward to the time your schedule allows you to return to weighing in on various topics—ted talks by clinton-era, whiney academics who believe in central-planning solutions are no substitute for your original thinking.
this guy, heal medicine? of course not. till we restore the consumer bearing more out of pocket cost for care we will continue our move toward a centrally dictated system that has all the articulated shortcomings in quality and cost.
my 10,000$ deductible, affluent patients are first-rate consumers of health care—-they question and fore-go many expensive ideas i might have for them, beat me to death for less expensive options and enjoy good outcomes. they could write a check for the higher cost stuff but, shocker, THEY DON’T WANT TO!!!
this restores market forces, results in less, but more appropriate, healthcare because they are self-interestedly ignoring my defensive-medicine, doesn’t-cost-me-anything, practices and using their own instincts to act in their own best interests——-i honestly don’t recall a case of a bad outcome because these guys-who-could-afford-to-say-yes just said, “no”.
tom,
love your blog and look forward to the time your schedule allows you to return to weighing in on various topics—ted talks by clinton-era, whiney academics who believe in central-planning solutions are no substitute for your original thinking.
this guy, heal medicine? of course not. till we restore the consumer bearing more out of pocket cost for care we will continue our move toward a centrally dictated system that has all the articulated shortcomings in quality and cost.
my 10,000$ deductible, affluent patients are first-rate consumers of health care—-they question and fore-go many expensive ideas i might have for them, beat me to death for less expensive options and enjoy good outcomes. they could write a check for the higher cost stuff but, shocker, THEY DON’T WANT TO!!!
this restores market forces, results in less, but more appropriate, healthcare because they are self-interestedly ignoring my defensive-medicine, doesn’t-cost-me-anything, practices and using their own instincts to act in their own best interests——-i honestly don’t recall a case of a bad outcome because these guys-who-could-afford-to-say-yes just said, “no”.