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Ken, the health care industry is in the midst of a most contentious struggle. Hospitals, Insurance companies and doctors all fight for their share of profits. That is good when it comes to competition within each industry, but it becomes a far different story when they start competing with each other for a piece of the pie. The real scapegoat in these struggles are the chronically ill. Unfortunately some people involved with making the decisions re:managed care focus only on the bottom line with not any thought given to the consequences it presents to the patient. This is a fundemental problem in our society. Big business uses the term Managed Care far too loosly. It is more like Ravaged Care. Instead of focusing in on wellness and preventative care all they want to talk about is getting premature babies out of the hospital asap. It is simple common sense to try and educate expectant mothers and provide proper pre-natal care would eliminate a significant amount on what is spent. Right now it is all reaction instead of proaction. Greg Leeman 37/6 [log in to unmask] -----Original Message----- From: KEn Becker <[log in to unmask]> To: Multiple recipients of list PARKINSN <[log in to unmask]> Date: Sunday, February 08, 1998 10:05 PM Subject: Re: costs of pallidotomy >Greg, you make some good points about the HMO system. It is making the >practice of medicine almost barbaric. If you had a car you liked and had it >repaired under the same restrictions, it would probably be destroyed in the >first few years of ownership. Imagine if you could only have the oil changed >after the engine started making loud noises, or the brakes could only be >checked after they caused you to have an accident? Sound silly? I agree, so >why treat human beings like that? [log in to unmask] >