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Stop Calling Sick People 'Consumers'

Market-based health care is sickening, Paul Krugman argues

By Kevin Spak,  Newser Staff

Posted Apr 22, 2011 1:28 PM CDT

(Newser) – Congressional Republicans took aim at the advisory board designed to reduce Medicare costs this week, arguing that what we really need is to make government health care “more responsive to consumer choice.” Which left Paul Krugman with one question: “How did it become normal, or for that matter even acceptable, to refer to medical patients as ‘consumers’?” he asks in the New York Times. We’re talking about receiving care like it’s no different than buying a car. “What has gone wrong with us?”

This is a field in which life-or-death decisions need to be made every day—decisions that require expertise patients lack, and that sometimes must be made while they’re incapacitated or in the midst of an emergency, “with no time for discussion, let alone comparison shopping.” That “consumer-based” medicine has failed everywhere it’s been tried—including here—is almost beside the point. This is about ethics, Krugman says. “The idea that all this can be reduced to money is, well, sickening.”

Doctors don't examine 'customers'; they examine patients.
Doctors don't examine 'customers'; they examine patients.   (Shutterstock)
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COMMENTS
Showing 3 of 30 comments
HappyHabenero
Apr 23, 2011 10:32 AM CDT
For such a learned man.... He sure got it bass ackwards on this one.
toeser
Apr 23, 2011 9:05 AM CDT
Vastly more consumerism is exactly what is needed to help bring down the cost of healthcare. Of course you cannot shop when you need an emergency room, but that’s what, like 2% of your healthcare needs over time? Just look at Lasik. It’s not covered by any insurance. Doctors advertise all over the place. Consumers have many choices. The result? The cost of Lasik has been dropping for years, just as other common health care procedures would drop in cost if there was real competition.
yoeydude
Apr 23, 2011 2:22 AM CDT
hey ! ...... you guys ever read john steinbeck's Grapes Of Wrath ? I think everyone has , right ? , well we need to read it again ,... or a least , watch Henry Fonda Bring It ,..... Tom Joad is Everyman ,....... and in black an white ,... man , I love this Movie ,... pls , pls , watch it again , it will revive you , it will touch you , it will make you feel Human and proud to be Human ,.. and it makes me wanna stand up and be counted ,...... We really need a National Dose of Empathy ,... our Mirror Neurons could use a boost , we will need all the patience , tolerance , love and understanding we can muster to tackle the rocky road ahead ......

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