Dear Obama - reflections on the obama infomercial

Dear Mr Obama,

I have some questions and comments that I didn't really see answered in your infomercial.

Can you please tell me how paying for student loans for primacy care doctors translates into patients using primary care rather than emergency medicine? It does not! It doesn't make sense to compensate doctors in order to influence patient behavior. You stated that you believe that primary care is where health care reform needs to occur, many people agree, but you aren't creating a reason for a change to primary care!

What does choosing or keeping a doctor or choosing or keeping a health care plan have to do with doctors and patients making choices in the patient care? Absolutely nothing. The reason you didn't answer this question was because you don't want to tell people what you're going to be cutting from patient care and the cost trimming measures you will be taking in order to provide "quality care" for all people. The way medical care works is itis a scarce commodity that costs money. There is only so much to go around. Quality care for all people will actually be minimal care for many people.

I understand that having pre-existing conditions provisions sucks, BUT it is a way for health insurance to actually make money and protect themselves from loss. Since the only purpose of the health insurance company is to make money, it makes sense for them to exclude pre-existing conditions. They should have the ability to protect themselves from loss.

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Medical care had become more expensive because people are increasingly less healthy. Many children are entering high school being obese, not exercising and eating crap food, and living with Type 2 diabetes and many other health conditions because of their poor health habits (see Wall-E for examples into the future or Michael Moore for a current example). The way to change this is through personal effort, how are you going to influence people to become more healthy on their own so we do not have to care for them in the medical system?

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