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On Mon, 24 Nov 2003, Wdtabor wrote:
In article , (Teacherjh) writes: Anyone so foolish as to go to an uninsured dentist to get a cheaper price (and they would have to be cheaper to compete with insured dentists) gets what they pay for. You overlook the importance of marketing, and the gullibility of the American Public. If you are expecting me to advocate structuring our government to accomodate the stupid, we are going to disagree. Does consumer/public protection always equal "accomodating the stupid", though? Actually, what I wonder is what's in it for the *insurance companies* in this regulation-by-insurance scheme. They don't seem to gain anything by it except additional trouble. Let's stick with dentists for a bit, seeing as we got their insurance involved earlier in the thread. Currently, AFAIK, if you apply for dental malpractice insurance, and can't produce a gov't approved Dr of Dentistry certificate, the company is going to say, "Talk to us after you graduate, kid." After all, the certificate shows at least basic competence in dentistry. I bet that most new dentists pay nearly the same insurance rates, and that those later go up/down depending on how much you use your insurance to protect yourself. Now, let's say a Libertarian Paradise breaks out. No more nasty govn't telling anyone they can't practice dentistry. Cool. BUT... how the heck does an insurance company know that someone is at least basically competent now? The company now has to somehow test the competence of everyone who applies to get their dental practice covered, or risk going broke paying out malpractice claims. This means additional expense & complication for the insurance company. Why would any sane, minding-the-bottom-line company WANT this libertarian ideal to take root? What if a dentist wants to change insurance companies? Sooner or later you'd wind up back at a universally accepted standard of training, and recognition of that with... wait for it... certificates/degrees etc in dentistry. Don't forget that most professional colleges, associations, etc started out as self-regulating bodies to maintain/improve the respectability of the profession. The AMA & co sought to reduce the number of quack doctors; more recently we've seen midwives, massage therapists & other para-medicals organize in their sectors. Ultimately, I think Libertarianism is based on economic & sociological theories that are just as flawed as those in Marxism... To drag this back on topic (sort of...) swap "pilot" or "aircraft designer" for "dentist" in my example above. Brian. |
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![]() Brian Burger wrote: Now, let's say a Libertarian Paradise breaks out. No more nasty govn't telling anyone they can't practice dentistry. Cool. BUT... how the heck does an insurance company know that someone is at least basically competent now? In fact, why bother to get insurance at all? Just pick up a fake insurance certificate at the nearest printer and hang it on your wall to reassure the s^Hu^Hc^Hk^He^Hr^Hs^h patients. There's no regulation that requires it to be *real*, is there? George Patterson A man who carries a cat by the tail learns something that can be learned no other way. |
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In article , "G.R. Patterson III"
writes: Brian Burger wrote: Now, let's say a Libertarian Paradise breaks out. No more nasty govn't telling anyone they can't practice dentistry. Cool. BUT... how the heck does an insurance company know that someone is at least basically competent now? In fact, why bother to get insurance at all? Just pick up a fake insurance certificate at the nearest printer and hang it on your wall to reassure the s^Hu^Hc^Hk^He^Hr^Hs^h patients. There's no regulation that requires it to be *real*, is there? Umm, I buy that insurance so that if I make a mistake I do not lose my home, business and savings. Also, most dental insurance companies require that you be insured to do business with them, and they DO check your claimed coverage with the insurer. The point being that I need the insurance to do business anyway. Another problem solved by the private sector without any need for the boot of government on our necks. -- Wm. Donald (Don) Tabor Jr., DDS PP-ASEL Chesapeake, VA - CPK, PVG |
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In article .ca, Brian Burger
writes: Actually, what I wonder is what's in it for the *insurance companies* in this regulation-by-insurance scheme. They don't seem to gain anything by it except additional trouble. THey don't have to gain anything, it is a byproduct of their existing business interests. Let's stick with dentists for a bit, seeing as we got their insurance involved earlier in the thread. Currently, AFAIK, if you apply for dental malpractice insurance, and can't produce a gov't approved Dr of Dentistry certificate, the company is going to say, "Talk to us after you graduate, kid." Diplomas are issued by dental schools, not licensing boards. The insurance companies are perfectly capable of determining which schools produce dentists who do not generateexcessive malpractice claims. After all, the certificate shows at least basic competence in dentistry. I bet that most new dentists pay nearly the same insurance rates, and that those later go up/down depending on how much you use your insurance to protect yourself. YOu can get lower rates by having a clean record, but you can also lower rates by getting advanced training. Now, let's say a Libertarian Paradise breaks out. No more nasty govn't telling anyone they can't practice dentistry. Cool. BUT... how the heck does an insurance company know that someone is at least basically competent now? Requiring they have a diploma from a reputable school. The company now has to somehow test the competence of everyone who applies to get their dental practice covered, or risk going broke paying out malpractice claims. This means additional expense & complication for the insurance company. Why would any sane, minding-the-bottom-line company WANT this libertarian ideal to take root? The State licensing boards only test a dentist once, when he applies for the license, and never again unless he moves to a state which does not practice reciprocity. What if a dentist wants to change insurance companies? Sooner or later you'd wind up back at a universally accepted standard of training, and recognition of that with... wait for it... certificates/degrees etc in dentistry. Don't forget that most professional colleges, associations, etc started out as self-regulating bodies to maintain/improve the respectability of the profession. The AMA & co sought to reduce the number of quack doctors; more recently we've seen midwives, massage therapists & other para-medicals organize in their sectors. Actually the AMA and ADA are more about protecting their members interests than the publics. Which is how it should be. Ultimately, I think Libertarianism is based on economic & sociological theories that are just as flawed as those in Marxism... To drag this back on topic (sort of...) swap "pilot" or "aircraft designer" for "dentist" in my example above. And again, the insurance companies' standards are higher than the governments anyway in aviation just as in health care. -- Wm. Donald (Don) Tabor Jr., DDS PP-ASEL Chesapeake, VA - CPK, PVG |
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Brian Burger wrote:
Don't forget that most professional colleges, associations, etc started out as self-regulating bodies to maintain/improve the respectability of the profession. The AMA & co sought to reduce the number of quack doctors; more recently we've seen midwives, massage therapists & other para-medicals organize in their sectors. Actually, most organizations have their roots in the Guild system of the Middle Ages. And the sole purpose of the Guilds were to protect their members from unemployment. Not a member of the Guild? Sorry, you can't [fill in the blank]. |
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