Why don't you try to really learn something before you shoot off your mouth? I'm a physician, and I can promise you absolutely that NOT every headache gets an MRI
. The physicians who order the MRI
don't get reimbursed for that procedure. Only the facility performing the MRI
and the radiologist who reads it get paid. If the ordering physician got a kickback for ordering the test, that would be a legal conflict of interest with potentially serious consequences. Even physicians who order the procedures they perform (e.g., cardiologists and gastroenterologists) have to provide proper diagnostic indications for any procedure, or payment for that procedure will be denied by an insurance company. It's not perfect, but there is a system of checks and balances in place, and most people who blatantly abuse the system will eventually be caught.
The vast majority of physicians do not go ape-shit ordering every imaginable test. Yes, because of the legal climate here, more tests than are absolutely necessary get ordered to protect ourselves from malpractice claims, but we're not doing it for our own enrichment. I personally work for a salary ( a good one, but far less than most business executives or the plaintiff's attorneys who would love to sue me if I missed that rare cerebral aneurysm causing a headache), and not one test I order enriches my income. In managed care settings, the only way to increase your income is to see more patients, not to order more tests or procedures.
We do have a lot of problems with the availability of medical care for all citizens, but it is not as simple as our current system. The plurality of cultures and enormous variability in socioeconomic status of Americans present unique challenges for us. I work for a county health department which provides high quality primary care services for people who are disadvantaged. The care is not free, but patients pay on a sliding scale. Most of my patients are uninsured or are Medicaid, yet I can provide them with virtually any essential medications or referrals through the structure our county has in place. There is still an extremely high level of poor compliance, even among patients who qualify for free medications! There are elements of a person's socioeconomic status that are very difficult to overcome.
Ultimately, the US DOES need to go to a universal health system. Most people who have truly studied the situation agree on this. This belief is not limited to those who are uninsured. The insurance lobby is as bad as the NRA, however, and it will take federal legislators with a lot more balls than are currently in Washington to address the issue seriously.
In the meantime, why don't you non-Americans who think you know everything and tell us how selfish and stupid we Americans are just shut the f*** up? You aren't in any position to tell us what we need to do about this issue!
I'm not dumb. I just have a command of thoroughly useless information.