Democratic and Liberal political analysis and commentary

I come to this country and decided to become a doctor to help the poor because my brother died because we do not have money. Four years of college, 4 years of medical school, and 3 years of residency I witness the deteriation of U.S. Health care system. As a doctor in the final training residency in primary care I am looking at a gloomy future as an internist. Dwindling medicare/medicaid payment force doctors to the edge. I interviewd at many places for job and many physicians has to see 40 patients a day in order to make a decent living. How many 5 minutes per patient can a physician see in a day. Many patients has over a dozen medical problems. There is one doctor I met seen a poor patient with the fee of a pie. Unfortunately, your secretary, nursing staff, and medical suppliers, and renter do not take pie for payments. In a procedure oriented medicine field, you don't got pay for thinking and talking to patients. With the insurmountable pressure from medical-legal aspect of medicine forces the cost of medicine to rise. Medicine also has become more patient empowered and I am totally believe in doctor-patient partnership. However, there are cases that medical intervention is futile and family/patient continue to demand medical intervention can cost hospital/medicaid/medicare hundred of thousands per patient. Insurance companies has many restrictions that sometimes doctors can not get the appropriate tests for the patients. Doctors' power is dwindling. The age of doctor-know-best was gone.
I also trained in a county system. The amount of uninsured is increasing everyday and the amount of non-payers is respectively rising. I do not know there is any other field that you provide the service first and you might or might not get paid later. Restaurants do not get criticized for kicking out an hungry homeless man on a freezing night; however hospital/doctor will be criticized for not seeing a homeless man with a cold. Many who know the system abuses the system. Many can pay but refuses to and there is little hospital can due to get the reimburesements after the service is rendered and obligated Hospital become a revolving door hotel drug abusers. The is no negative deterence system. Some reapeatedly returned to hospital for drug issues. People who finally pay is the American taxpayers. The system is overloaded and later or sooner it will crash. The reality is that a hospital/clinic cannot remain open without money. The cost incurred of non-payer has to come from somewhere. Hospital administrators/doctors/nurses/hospital staff cannot work for free. They have bills to pay and family to feed. I offer fix the system by return the power back to the doctors, concentrate on more preventive medicine by expanding primary care (increase reimbursements), cut the middle cost(i.e insurance companies), all americans will be taxed for health care coverage, all patients require to pay a flat small out-of-pocket fee of $100 (not covered by insurance) cash for hospital admission regardless reasons as a negative deterence for system abuse prevention. Centralized medicine is not a bad idea when nothing else work. Trying something is better than doing nothing.