You avoided both of my questions, probably because you think you know where I'm going and are trying to get ahead of me.
I thought I'd covered these questions, but ok:
So do you help absolutely everyone that asks you, regardless of your own wishes? <= not rhetorical, btw.
If you are a doctor, yes. Same as a policeman. Or a fireman. If you don't like that, you get a different profession.
Why should someone who tries harder or accomplishes more responsible to those who didn't necessarily try as hard or accomplish as much?
Because it's their chosen profession and they get remunerated sufficiently more than everyone else.
you of course realize that allowing people not to be treated doesn't require people not to be treated, don't you?
yes. but it depends whose making that decision, doesn't it?
If I spoke to any NHS doctor in Britain, or any in Spain, Germany or any with a universal health service, would they confess that if given the freedom to refuse service to someone who really needed it that they just wouldn't be able to resist slamming the door in the poor sot's face?
How about if I asked them if they would like to be able to refuse service to people who, in their professional medical opinion, don't need the service? Would they hate to be allowed to not treat these people, reserving the time, money, and supplies for those that need it?
They get paid to treat everyone. And I really don't think they mind. They can get rid of time-wasters, they can transfer patients they don't like.
ALL doctors can treat people irrelevant of their income or whether they can afford it, and most do, even if not required by law... even if they are allowed not to treat them.
But in a non-universal system, they have to answer to the hospital, which is profit driven. So they actually cannot make that choice, unless they own their own surgery and all the equipment and medication etc.
You always look at arrangements in beautifully simplistic terms Accountable. Your defense of capitalism, for example, always involves 1 employer and 1 employee in a little store on main street. I always imagine they are carpenters, for some reason. In this case, 1 doctor, 1 patient, a cute little surgery and lollipops for the kids. Unfortunately, there's always so much more to it. The doctors choice is removed by the hospital and the insurance company.
If only life was like that, I'd be happy with Capitalism and private healthcare.
By any chance, do you live in a small town?
I'm willing to bet that the vast majority of people who start the education & training to be doctors motivated only by money are shaken loose and dropped within the first couple of years. The ones that stay with the program stay with it because they truly believe in it. They see it as a calling. I can't believe that med school, internship and all the rest is so easy that monetary greed alone can motivate anyone to make it all the way through.
If we can agree on that, then let's also agree that the current health system is not the doctors' fault. Doctors charge rich people exorbitant amounts of money (yup, that's making eeeeevil profits) so that they can afford to do charitable work. It happens all the time.
If ya'll want a scapegoat (in the US), blame the insurance companies that just got an even stronger stranglehold in Washington. That means *gasp* blame Obama just as much as Bush, and realize the same congressmen were in those chairs through both administrations.
Most definitely. The current system you guys have is Nixon's fault. You are correct, the evil lies in the insurance industry.