A somewhat grim but entertainingly written article over at Sippican Cottage. The author had trouble getting treatment for Lyme Disease because he wanted to pay out-of-pocket for his medical care down in Wareham, MA.
I thought his relating the whole mess to the proto-socialism of Massachusetts a bit of a stretch at first. Incompetence and jerkness seemed to be a better explanation. Those played their part, but upon reflection, I think the attribution is correct. He was trying to pay out-of-pocket for his medical care, which made him seem such an untrustworthy person within the system that he found he had lost most leverage against incompetence. Later it occurred to him that almost no one has leverage against incompetence now.
That may be the most troubling argument against the increasing legislative control of health care: individuals lose leverage against incompetence. Most proposed systems (whether increasing free-market or increasing regulation) of delivering health care have the same arguments against them: money will be wasted, unnecessary care will be given, incompetent care will occur, necessary care will be shirked. The discussion about those various solutions revolves around which minimizes those problems, as none will eliminate them. But the inability to fight back against incompetence, except for the right to sue after the damage has been done, seems to me a very great problem.
As another friend, who comments here as "michael" also had problems with a too-slow diagnosis of Lyme Disease within the last month, this gets my attention.
(HT: Maggie's Farm)