The second cost is simply a function of regulation. Under a universal health care system, the government would have more control over what types of technologies are used, what fees to charge, and implicitly what the pay is for a medical professional. The average income in the medical profession would fall.
The Wall Street Journal ran a report entitled Medical Specialties Hit by a Growing Pay Gap on May 5, arguing that some fields of specialization are becoming extinct due to loss of income in that field. The fields being affected are those dealing with patients and performing fewer surgeries (e.g., Neurology, Geriatrics). As incomes in these fields have decreased, the supply of labor (i.e., specialists) shrank, and patients suffer.
Source: Wall Street Journal
The Wall Street Journal cites that 140 of the 400 remaining neuro-opthamologists in the
Under a universal health care system, incomes will almost certainly fall, bringing with them, the number and quality of medical professionals. Basic economics says that if the wage offered by a business (hospital) falls, the pool of workers from which it hires will contain a larger share of lower-skilled workers (doctors). The best and the brightest opt out for other fields of interest, leaving the lower-tier professionals. So, not only will medical professionals leave the industry, but the pool of medical professional changes. In short, the
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