Uh-oh
This is not a good metaphor to make the point against Obama's health care reform plan.
I have made my position clear that i am AGAINST Obama's plan and why in previous posts.
Anyway, getting back to the restaurant video. 37 years ago when I was a freshman in medical school we had a few medical ethics and medical economics classes that also used the restaurant metaphor. Now, follow my thinking here; How many of you came to TV for the first time on the "lifestyle tour package" and were given meal coupons to Katie Belle's and ordered (or were encouraged to order by your waitress) pounds of steak, lobster, veal chops--- you know, the ones on the menu that are priced in the 70 dollar range? This is what happens when you have an open menu and SOMEONE ELSE is picking up the tab. One of the main factors for most middle class Americans when the choose where to go eat and what to order is COST. If everyone had their dining out experiences picked up 100% by a 3rd party (insurance or the gov't) with no oversight human nature is such that the "Katie Belle experience" would abound and costs would explode out of control. This is true on both sides of the examining table. When Doctors are given a blank check to do as many procedures as they can and are compensated per procedure the "Katie Belle experience" again repeats itself.
Thus... "managed care" has entered the picture to tell you that the menu is limited and if you want the 70 dollar veal chop you will have to pay for it. The ethical challenge arises when this question is asked: 'who decides what is going to be on the menu and what is paid for by the 3rd party?"
SO, the video in this example only holds water if/when we pay for our health care the same way we pay for our Ney York strip steak or our Big Mac's... by reaching directly into our wallets and paying for it with our own cash.
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