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Re: Feb 2 AHIMA meeting on S. 1360
On Mon, 5 Feb 1996, Lewis Lorton sent a post, an excerpt of which
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I have attended three of the meetings and have been increasingly
that the motives of the health care providers are constantly
seemingly purposefully, in order to wave some flag.
I have just finished a long private exchange with Jamie which
that this is ideology versus reality - not amenable to reason. Why
so difficult to understand that any resources put into other issues
deducted from that available for providing care. Some issues, some
activities are worth it - some are not.
The challenge is to understand the impact of everything that is
and to make the choices of which to accept - not the current tactic
pressing for the most stringent measures - to defeat the demon
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I missed the announcement of the gentleman's elevation to Arbiter of
Reality. This is at least the 2nd time he's tried to equate what
"the demon industry" wants to reality, with the implication that any
disagreement must be unreal. Gellman works that one, too. Perhaps
there's a manual somewhere.
In the quote above, substitute "principle" for the loaded
The idea of a zero-sum situation, where "resources put into other
issues are deducted from that available for providing care" is only
true if savings are not realized anywhere else. (Industry profits?
Lobbyist salaries? Congressional campaign contributions?
Naaahhh...) Even then, it is only true in the sense LL promotes if
we only count costs his way. His reasoning is based on the hidden
premise that wherever money now goes, it must and will continue to
go, world without end.
As concerns the proposition that "the motives of the health care
providers are constantly misconstrued...," one assumes that (as
corporate entities) their motives consist of profit and the
assurance of continued profit. If not, someone tell the
stockholders. Corporations can be benevolent & beneficial to the
community at large -- or not. Profit is very damn good -- depending
upon how much, how it is obtained, and who suffers. At the very
least, it pays to be cautious about the motives and utterances of
anyone, in any situation, who stands to profit financially or
Even the phrase "health care providers" is tricky. It brings to
mind the image of a nurse with a bandage. But
the "providers" mentioned above appear to be simply those who stand
to make the money, not those who directly provide the care.