One of the arguments I hear about health reform proposals is that it will inevitably lead to socialized medicine and eventually the only people who will get "good" doctors will be those who can afford to pay cash for access to them.  Well I hate to tell you but we've had a "have vs. have not" health system in place here in the US of A for quite a while and I'm pretty sure it's only going to get worse with or without reform.  Check out this piece from a Greensboro blogger (h/t to Ed Cone for the lead):

I recently received a form letter saying that Dr. James Kindl, my physician for the past two decades, is joining MDVIP, "a national network of physicians who focus on personalized preventative healthcare." His letter goes on to say "In order to provide enhanced proactive care, I will be reducing the size of my practice to no more than 600 patients who may join on a first-come, first-served basis."

What his letter doesn't say, and what doesn't become apparent until one goes to his new website and actually tries to sign up for his new practice, is that this members-only service has an annual fee of $1,500, and that this fee only pays for membership; all the usual charges will still apply, billed to your insurance company.

Right now if you don't have health insurance your "safety net" is the emergency room and they must treat you if you show up.  Unfortunately if you have any assets at all the provider will take them in return for services rendered and you'll end up without much to enjoy with your (hopefully) good health.  Of course there are the free clinics but those offer inconsistent care at best.  That's what I mean when I say that we are a nation of haves and have nots with regards to health care. I'm flummoxed by the arguments against reform that say we need to resist "socialized medicine" so we can keep seeing our doctors without interminable waits for service and we can continue to have access to cutting edge medical equipment.

As for the anti-reformers' warning that my taxes will go up with any kind of public option, well I have a hard time believing that the tax burden can be any worse that what my health insurer does to me each year.  Right now my health care burden is about 15% of my gross income and it is only that low because my family has been extraordinarily healthy the last couple of years (knock on wood) and since our premiums tend to rise at a higher annual rate than inflation or my wages then I'm fairly certain that my health care burden will be approaching 20% of my income within a couple of years.

I'm not necessarily arguing for the reforms currently being proposed by Congress, but I'm pleading for the powers that be to do something because we're drowning out here in the real world.  And don't get me started about the impact on small business because we could be here all day.