Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Our growing ability to prolong life and our shrinking ability to pay for it

Eric Marcotte, MD
Policy
July 18, 2011
Share
Tweet
Share

There have been scores of recent articles about Congresswoman-elect Kathy Hochul’s upset win in New York’s 26th Congressional District special election.  They all seem to share a thread of incredulity, followed either by chortling or spin depending on the source.  These stories also share the sense that her victory was truly an underdog performance destined to become legend.

According to The New York Times, “Two months ago, the Democrat … was considered an all-but-certain loser against the Republican.”  Imagine that Republican’s surprise at having to give the congratulatory call on election night.

The pundits are laying blame at the feet of Republican candidate Jane Corwin for backing Wisconsin Congressman Ryan’s proposal to reduce the federal deficit in part by changing Medicare to a voucher system.  The Times, again: “Ms. Hochul seized on the Republican’s embrace of the proposal … to overhaul Medicare, and she never let up.”  Both candidates’relative energy and focus are also being credited or blamed for the result, but all sides agree that the singular focus on Medicare carried the day.

This election result is being touted as a modern-day example of the “Third Rail” of entitlements – touch it and get burned.  A quick Google search turns up at least a few of Indiana’s own Representatives who may be eligible to have the same sort of uncomfortable questions about “abolishing Medicare” asked by future contenders.  I will leave them unnamed in service of civility, but I don’t doubt some home office staff for each is working on a damage-control plan.  They are unlikely to feel too comfortable, since NY-26 is a real ‘red’ district, unused to electing Democrats to Congress.

In broader terms, I think this election result highlights two opposing and mutually-exclusive feelings held by much of our society today.  The first is “You’d better not raise my taxes or I’ll fire you!”  Of course, the second is “You’d better not take away any of my benefits or I’ll fire you!”

Unfortunately logic, cold and ugly as it usually is, says that only one of these demands can be met at any one time. This leaves the politicians scrambling to explain to an angry and often irrational populace that hard choices must be made.  As someone watching from the inside as our medical system crumbles, I can say with great assurance that what we are presently doing cannot continue.  It is crystal clear that something, or many things, must change.  What will change is truly up to us but the fact that change is coming and must come is undeniable.

Only a great fool would expect our Chinese bankers to continue to extend ever-more-tenuous lines of credit so that we can live as we please and ignore economic realities.  Thankfully, not a one of us is a great fool.  This leaves me in a quandary to explain the gridlock Congress seems to love regarding the topic of healthcare reconstruction – reform seems too limited a word.

Simply combine our growing ability to improve and prolong life with our shrinking ability to pay for it and you have a recipe for widespread disappointment or worse. The only solution is one that we had best come to as quickly as possible.  We must decide whether we are going to have our cake or eat it, because we certainly can’t and never will be able to do both.

Eric Marcotte is a family physician who blogs at doctorfoodtruth.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

KevinMD media mentions, July 2011

July 18, 2011 Kevin 0
…
Next

5 ways to succeed as a new provider, guaranteed

July 18, 2011 Kevin 10
…

Tagged as: Medicare, Public Health & Policy

Post navigation

< Previous Post
KevinMD media mentions, July 2011
Next Post >
5 ways to succeed as a new provider, guaranteed

ADVERTISEMENT

More by Eric Marcotte, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Be aware of your food choices, especially when pregnant

    Eric Marcotte, MD
  • a desk with keyboard and ipad with the kevinmd logo

    How diet and exercise beat high blood pressure

    Eric Marcotte, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Baby Boomers are driving the next wave of joint replacements in medicine

    Eric Marcotte, MD

More in Policy

  • Unused IV catheters cost U.S. hospitals billions

    Piyush Pillarisetti
  • Why your health care dashboard isn’t working and how to fix it

    Dave Cummings, RN
  • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

    Robert E. White, Jr. & The Doctors Company
  • How new loan caps could destroy diversity in medical education

    Caleb Andrus-Gazyeva
  • Why transplant equity requires more than access

    Zamra Amjid, DHSc, MHA
  • Ideology, not evidence, fuels the anti-trans agenda

    Andie Riffer, PhD and Shawn E. Parra, LCSW, MSW
  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Creating safe, authentic group experiences

      Diane W. Shannon, MD, MPH | Physician
    • The diseconomics of scale: How Indian pharma’s race to scale backfires on U.S. patients

      Adwait Chafale | Meds
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 16 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Creating safe, authentic group experiences

      Diane W. Shannon, MD, MPH | Physician
    • The diseconomics of scale: How Indian pharma’s race to scale backfires on U.S. patients

      Adwait Chafale | Meds
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Our growing ability to prolong life and our shrinking ability to pay for it
16 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...