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  #1  
Old November 25th 03, 08:35 AM
Brian Burger
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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.
  #2  
Old November 25th 03, 01:56 PM
G.R. Patterson III
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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.
  #3  
Old November 25th 03, 02:55 PM
Wdtabor
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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
  #4  
Old November 25th 03, 02:34 PM
Wdtabor
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Posts: n/a
Default

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
  #5  
Old November 25th 03, 04:06 PM
Blanche
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Posts: n/a
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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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