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Gangreen (8/31/02):
  

New Zealand's Ted Matthews, 75, shows his hand and fingers after he chopped off his gangrenous finger with kitchen scissors as he could no longer put up with the pain in Timaru, New Zealand, Thursday, Aug. 15, 2002.  Christchurch Hospital, in the south island of New Zealand,  told him he'd have to wait six months for an operation so he decided to perform the surgery on himself. (AP Photo/Ron Lindsay, Fotopress)
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New Zealand's Ted Matthews, 75, shows his hand and fingers after he chopped off his gangrenous finger with kitchen scissors as he could no longer put up with the pain in Timaru, New Zealand, Thursday, Aug. 15, 2002. Christchurch Hospital, in the south island of New Zealand, told him he'd have to wait six months for an operation so he decided to perform the surgery on himself. (AP Photo/Ron Lindsay, Fotopress)

The reality: Many nations proclaim to have “managed healthcare” or government sponsored / paid healthcare (paid for by higher taxes.)  The reality is that it is more like “managed costs,” which stifles innovation and causes shortages of doctors and leads to poor patient healthcare.  In England their system has historically been plagued by waiting lists.  In Canada I can attest to my grandmother’s problems with cataracts and her waiting lists / 4-5 hour drives to meet a specialist.

Key Point:  Be careful what you ask for.  We need greater cost containment in the U.S. and it will likely be the result of Medicare getting pushed into HMOs in the 2010 - 2020 time span.  The need to reduce costs is going to increase exponentially as healthcare costs surge due to baby boomers causing costs to rise as the number of workers per retiree will be declining.  Tax rates can only go up so much before the younger generation will call for massive overhaul.

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