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<DIV><FONT size=2 face=Arial>It's difficult not because it's hard to figure out
a solution.</FONT></DIV>
<DIV><FONT size=2 face=Arial></FONT> </DIV>
<DIV><FONT size=2 face=Arial>It's difficult because there is a small population
that profits greatly from the system as it is,</FONT></DIV>
<DIV><FONT size=2 face=Arial>and there is a great mass of relatively stupid
people who accept the system as it is and can be</FONT></DIV>
<DIV><FONT size=2 face=Arial>counted upon to passively resist major
change.</FONT></DIV>
<BLOCKQUOTE
style="BORDER-LEFT: #000000 2px solid; PADDING-LEFT: 5px; PADDING-RIGHT: 0px; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px">
<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="FONT: 10pt arial; BACKGROUND: #e4e4e4; font-color: black"><B>From:</B>
<A title=brussel@illinois.edu href="mailto:brussel@illinois.edu">Morton K.
Brussel</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A title=davegreen84@yahoo.com
href="mailto:davegreen84@yahoo.com">David Green</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Cc:</B> <A title=ewj@pigs.ag
href="mailto:ewj@pigs.ag">E.Wayne Johnson</A> ; <A
title=peace-discuss@lists.chambana.net
href="mailto:peace-discuss@lists.chambana.net">Peace Discuss</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, April 19, 2010 8:07
AM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> Re: [Peace-discuss] a critique
of american medicine and the flexnerreport</DIV>
<DIV><BR></DIV>Sticking points: What are "basic qualifications"? What are
"artificially difficult tests" or "unreasonably difficult tests" as opposed to
just difficult or easy tests (of one's preparatory knowledge or aptitudes)?
Does the ability to communicate enter, the ability to solve problems, the
ability to remember what one has read? Etc., etc..
<DIV>Is everybody able? </DIV>
<DIV><BR></DIV>
<DIV>The point is that, yes, there should be more entering the medical (and
other professional) fields, and there should be no financial barriers if the
aptitude barriers are met, but the problem is less easy than is implied
here. </DIV>
<DIV><BR></DIV>
<DIV>Even Cuba must have aptitude barriers, despite the low remuneration of
its medical corps… It would be useful to look to see what China, India,
France, Germany, Sweden,…, do to fulfill their health care needs. We could
learn a lot. </DIV>
<DIV><BR></DIV>
<DIV>--mkb<BR>
<DIV><BR></DIV>
<DIV><BR>
<DIV>
<DIV>On Apr 18, 2010, at 5:48 PM, David Green wrote:</DIV><BR
class=Apple-interchange-newline>
<BLOCKQUOTE type="cite"><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium Helvetica; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span>
<DIV>
<DIV
style="MARGIN: 0px; FONT-FAMILY: 'times new roman', 'new york', times, serif; FONT-SIZE: 12pt">
<DIV style="MARGIN: 0px">Of course the professional credential marketplace
has kept the number of practitioners artificially low in every major
profession--law, medicine, accounting, and I assume vets as well.</DIV>
<DIV style="MARGIN: 0px"> </DIV>
<DIV style="MARGIN: 0px">Every professional school should be competely
government funded, free, and open to everyone meeting basic qualifications,
by education, test, or both, whether after high school or college (which
should also be free and open to everyone). There shouldn't be artificial
"intelligence" tests, or artificially difficult tests, but just tests of
basic knowledge. Schools wouldn't have to be unreasonably competitive or
difficult in order to "weed people out"--just as difficult as the knowledge
and skill requires; and institutions like internships, clerkships, etc.
would be solely for preparation rather than one way of socializing
professionals into a culture in which they feel that due to the gauntlet
they have run they deserve exponentially higher rewards than those who care
for their children or prepare their food.</DIV>
<DIV style="MARGIN: 0px"> </DIV>
<DIV style="MARGIN: 0px">Credentials would be for certifying people, not
rejecting people. State bar exams are probably the most blatant example of
any of this that I've heard of.</DIV>
<DIV style="MARGIN: 0px"> </DIV>
<DIV style="MARGIN: 0px">We would quickly find that plenty of people would
be motivated to pursue various professions because they interest them. We
would find the availability of services goes up while the price goes down.
In medicine, the government would of course pay for that as well, and less
what we're all paying now, even with twice as many doctors.</DIV>
<DIV style="MARGIN: 0px"> </DIV>
<DIV style="MARGIN: 0px">Of course, all this would require libertarian
socialism; or perhaps all of us just moving to Cuba.</DIV>
<DIV style="MARGIN: 0px"> </DIV>
<DIV style="MARGIN: 0px">DG<BR></DIV>
<DIV
style="MARGIN: 0px; FONT-FAMILY: 'times new roman', 'new york', times, serif; FONT-SIZE: 12pt"><BR>
<DIV
style="MARGIN: 0px; FONT-FAMILY: 'times new roman', 'new york', times, serif; FONT-SIZE: 12pt"><FONT
size=2 face=Tahoma>
<HR SIZE=1>
<B><SPAN style="FONT-WEIGHT: bold">From:</SPAN></B><SPAN
class=Apple-converted-space> </SPAN>E.Wayne Johnson <<A
href="mailto:ewj@pigs.ag">ewj@pigs.ag</A>><BR><B><SPAN
style="FONT-WEIGHT: bold">To:</SPAN></B><SPAN
class=Apple-converted-space> </SPAN>peace discuss <<A
href="mailto:peace-discuss@lists.chambana.net">peace-discuss@lists.chambana.net</A>><BR><B><SPAN
style="FONT-WEIGHT: bold">Sent:</SPAN></B><SPAN
class=Apple-converted-space> </SPAN>Sun, April 18, 2010 2:51:38
PM<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B><SPAN
class=Apple-converted-space> </SPAN>[Peace-discuss] a critique of
american medicine and the flexner report<BR></FONT><BR>
<DIV style="MARGIN: 0px"><FONT size=2 face=Arial>My contention has long been
that one of the primary problems with medical care in the USA is that there
are too few providers and that the number of health care providers is held
low artificially by the deceit of the AMA. I have suggested a drastic
loosening of the standards to promote more providers. There havent
been many takers for my notions, but here someone examines the history of
medicine and the Flexner report and the fake reform of Obama and
Co.</FONT></DIV>
<DIV style="MARGIN: 0px"><FONT size=2 face=Arial></FONT> </DIV>
<DIV style="MARGIN: 0px"><FONT size=2 face=Arial><A
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