The 2% solution

Dearest America,

Most of us aren't even in the second percent because the top 1% dropped us overboard some time ago, admittedly, we're still pretty much all in the top 5%. We have no illusions about the top 1% being on our side, we're just also so independantly minded and difficult to organize that we can't get a consistent block together to argue in our own economic or moral self interest.

I feel like I should know what this means.

Yes, yes you should.

Dear America,

What are you talking about?

Sincerely,
The Rest of the World

Ouch.

I can see how it'll play out if Medicare is still viable as cost control -- MDs have already moved to an 'employee' model (hospitals vs private practice) & taken shorter hours; CMS will keep pressure on their salaries and other costs until they're nowhere near the 2% they're used to.

So ... just that a voucher system mediated by insurance companies will be significantly more evil, with significantly more downward pressure on costs to sustain their profits? I see d(income)/dt being much larger magnitude, but not a different sign. MDs are screwed either way.

Well doctors are much like teaches. We're fat cats who get paid too much. Not like executives, who need to get paid the big bucks to take risks and make profits.
After all, we only take care of peoples health, not something important like their portfolios /sarcasm