Having a Medical Re-Investment Fund seems like a great way to have funds for medical advancements and investments, especially so that the government has less of a burden to cover these expenses. I think the issue is how willing the physicians are to contribute their own profits and what kind of margin they are allowed before they are required to invest. So, if the doctors are allowed to keep a certain percentage (like 20%) and then invest anything over that, it seems more feasible than if they are required to give everything over a small base salary. I guess it all just depends on the stipulations that are imposed with this kind of policy. So, what is exactly considered profit, how much is required as investments, if the investments can be directly allocated to each region or practice, and how much the patients actually benefit from this.
This system, like many others we have discussed, would not be possible to implement in the United States. The economy, physicians, personal perspectives, and many other barriers would prevent this sort of policy from being implemented here. I could guess that physicians here already feel they give up a large portion of their pay (which they probably feel is too low, even though its higher than most other countries) for things like malpractice insurance and taxes. I find it hard to believe that they would be willing here to give an even larger portion for investments they feel the government and private funders need to pay for.
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