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I agree with you it's another thread coming off the proper real -- -- that Charles is talking about because obamacare -- on the primary care doctor.
To figure out what care you need and you know what they're going to be gone.
That is nothing but by the association and the association of American medical cause just as we're going to be 90000 position short by 20/20.
We're getting an increase in medical schools 30% increase in number of medical -- but not an increase in the number of residency so.
There's no ability to train more doctors to take their place we'll have a big shortage.
And doctors we do have are not gonna choose primary care Stewart.
-- they're not gonna choose primary count and I found that an incredible statistic less than a quarter of the people emerging from medical school fully qualified doctors.
Less than a quarter Rome are actually gonna -- treat me and you and other people like us now.
The Obama administration some states -- saying don't worry.
Now what will let notices.
Chris fraud will let other people who -- medical professors and assistant but let us all does -- gonna step in.
Now what do you make of that.
Well I think that the level of care changes than I think it I'm not against nurse practitioners or pharmacist to physician assistant.
They have incredible training but they have different training than me -- you're not gonna get.
The kind of -- -- expecting to get you might get more prevention you might get more nutrition.
But you might not get the procedure -- in exactly the same -- I have my years of experience it's apples and oranges we need nurse practitioners but we also -- primary care physicians.
-- to speak to that point you get to keep -- not.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- I've been knee deep in missile medical thing for like the last couple years and -- you see the difference between teaching hospital and and nurses even young doctors and people who know there's stop it's night and day and someone that patient.
Once the total experience.
I'm very comfortable about act.
But there's one other topic I got to move on to the -- you know very good point that.
Remember the case obviously of the young go ten years old.
She was refused that you couldn't get on the line from long transplants couldn't be on the list.
Secretary Sebelius said no you can't get on my list to judge intervenes and says yes you can -- -- -- she has a successful long transplant.
At bat but the Sebelius level.
Would I be exaggerating would -- be provocative if I said that secretary Sebelius was at society a death panel -- judgment.
I would agree -- that I have a piece -- national review about that exact point today because when you have scarce resource distort you need to ration.
Rationing is something that's -- an inevitable if you have a scarce resource like an organ.
Or like chemotherapy or like heart drugs somebody's gonna have to get it and so -- won't get it.
The person that gets it should be -- circus and you know who should decide a position just as Charles says who has the kind of training.
You can rely on to make a nuanced decision -- all the doctors I spoke to.
Six you should be at the top of the list Sarah.
Because she was young because she was in good condition because she was at death's door because she would do well probably -- -- and they said.
Children should get adult lungs but not Kathleen Sebelius I won't sign on to that she says.
Because I'm not a position we -- hope possession but you're heading HHS was gonna make all these bureaucratic decisions on obamacare and someone get.
And some won't and the ones who won't may die and that's -- that's a that's a death -- -- criteria should the need.
As opposed to money all politics medical need -- is going to determine that has to be positions okay.
Doctor I could spend all day ailments on -- -- -- thank you so much for doing -- as usual appreciate it a democracy.
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