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> Single payer enables the capitation model of service, where people are rewarded for staying healthy. Please explain how capitation will get people to cut way
by Daniel_Newby 15y ago
> Single payer enables the capitation model of service, where people are rewarded for staying healthy.
Please explain how capitation will get people to cut way back on carbohydrate consumption and exercise every day. Those two factor cause the majority of morbidity and mortality in the US.
- specialist 15y agoFructose (et al) consumption is the result of distorted farm policy. Removes the subsidies, nutritional value of food supply will (hopefully) return to "normal", public health will improve. Stil, it's a pretty good question. Doctors generally don't push nutrition. I think that's changing as the best available science continues to improve and be more broadly accepted. I personally evangelize the "cave man diet", probably to the point of annoyance. But the real driver is coming from public awareness and social change. There are now serious efforts to limit, tax, regulate, remove sugars from a public policy standpoint. Examples are taxes on candy, removing vending machines from public schools, etc. Capitation, by focusing a wellness and efficiency, would accelerate that trend.
- Daniel_Newby 15y agoToo much simple carbohydrates of any type cause Type 2 diabetes, with devastating health damage. Sugars may be somewhat worse than starches, but you can eat yourself to death with grain and potatoes just as easily. Sugar policies are not a silver bullet. Capitation gives the same payment whether diabetics are cured or ignored. What we need are ways to preemptively deploy extra money to diabetics. They need to go to fat farms and have visiting nurses nag them at home.