Nationalizing Healthcare

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1EZduzit

Lifer
Feb 4, 2002
11,833
1
0
Originally posted by: luigi1
We are currently paying for everybodys health care in ER. If any of it could avoid ER we would all save money. Thats the reality. If anyone would like to dispute that please do. That being said could we save money by treating these conditions before they require an ER visit? If you think so then national health care puts dollars in your pocket and reduces the suffering in america. Whats the down side here. Well besides opening your eyes and seeing. OMG you might see the truth. Dont look. Dont look.

I see it, I was just trying to point out why so many people don't. Most people's health insurance is paid for and they never see the money, so they don't really realize how much it costs. They do know exactly how much comes out of their check every week for taxes and SS though and they just think of a national health care plan as another tax.
 

episodic

Lifer
Feb 7, 2004
11,088
2
81
Half the problem is that health insurance is tied to a job. Get sick, can't work? No health insurance. Don't even say 'COBRA' 90% of Americans can't afford that crap.

Then you are out of work, no health insurance - might as well go ahead and die - especially with the bankruptcy reforms. All they need to do is legalize euthanasia, and they can get rid of those pesky people who have lost health insurance and are critically ill.
 

JacobJ

Banned
Mar 20, 2003
1,140
0
0
Healthy Americans are cheaper than sick Americans.

While people continue to believe nationalized healthcare would skyrocket costs...healthcare costs are skyrocketing anyways.

The current system is broke, and that is undeniable.
 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: zendari
Originally posted by: EatSpam
Personally, I look forward to higher taxes and no health insurance premium. I'd rather my money go into government waste and employ workers on pork projects than into some anti-American exec's salary.

What's so anti-American about an exec or his salary?

Socialism is quite the anti-freedom attitude. Perhaps the government can give me a ticker, I can click it every time I run a mile for a tax refund under communist Hillarycare.

I too would like to know whats unamerican about a CEO's or Exec's Salary. The thing that is truly UNamerican is this BS business about nationalized health care...


Now I'm not exactly sure where I stand on the issue I can make a plausible argument either way, but its definately not the american way to have socialized medicine.

Now once again why shouldn't an exec or CEO get a salary? Furthurmore why shouldn't it be a large one?
 

alent1234

Diamond Member
Dec 15, 2002
3,915
0
0
Originally posted by: Zebo
Originally posted by: totalcommand
Originally posted by: Zebo
Originally posted by: alent1234
nationalizing health insurance will do nothing but raise costs

the reason it's so expensive is that people think it's free and don't take costs into account when going to the doctor. a lot of people don't take care of themselves and then expect the insurance company to pay for the problems. nationalizing the system isn't going to make the costs go away, it'll just transfer them them to higher taxes.

So how is it someplace like Costa Rica which has less taxes, pay less per capita to insure people, and they insure everyone are able to do it? The math don't add. Half the cost per capita and everyone is covered. What is sucking us dry?

I've really been wanting to get to the bottom of this curundum since these HC debates started but have found nothing informative. Some people say we have better care for those who have it but those are annecdotal tales and orgs such as WHO say otherwise. Some people say Doctors are paid too much. Pfft MBA's make more with less loans and less demanding shedule and less demanding curriculum. That's not it either.


Because the quality of care is sh*t compared to here.


Prove it. No annecdotals. And it better be 3x as good since I'm sacrificing 3x as much for it.

I'm all about price/performance consumer models.



My wife and I can go to any doctor in the system, get care and pay very little out of pocket. I've seen Blue Cross statements where they paid out close to $2000 for 30 minutes of work with very little cost to me. My wife and I can take any drug that is out there with a small co-pay and there are so many diagnostic centers where I can go it's almost unbelievable. In NYC it seems there is an office with an MRI or some other diagnostic machine on almost every street corner. In my first two years of marriage I paid out a little less than $2000 in health care costs and my wife ran up a lot more in charges going to see various specialitsts. A lot of times for second opinions.

my wife has worked in social services at many levels and has kicked more poor and old people out of ER's than she can count. She currently works for a non-proft HMO that is a medicaid manager in the state. In NY state medicaid is set up like an HMO and my wife says there is a deluge of calls right before holidays. And even with the new system designed to save money there is still a lot of people who go to the ER and try to use it like it's their family doctor. There was even and article in the NY Times last year about how medicare is going broke because seniors in Florida go to the doctor's office to socialize and this is costing a lot of money.

I've been treated at VA hospitals including the one featured in the movie Born on the Fourth of July and it's better than what I've seen in Italy 6 years ago. They were still using glass IV bottles in Italy.

I never have to wait more than 2 weeks to see a doctor in the US. How long is the average wait in Canada or the UK for a routine visit? what about all the stories that the newest drugs aren't available for a few years because they are too expensive?

The reason things cost a lot is because some people take a lot of care and other's have to pay for it. Before my wife started to take care of herself she used to see a lot of specialits for different things. There are people who take a ton of drugs for cholesterol and whatever. They are called lifestyle drugs. How is their cost going to drop in a nationalized system? People will still go to the doctor and take all those drugs.
 
Oct 30, 2004
11,442
32
91
Originally posted by: Zebo
I've really been wanting to get to the bottom of this curundum since these HC debates started but have found nothing informative. Some people say we have better care for those who have it but those are annecdotal tales and orgs such as WHO say otherwise. Some people say Doctors are paid too much. Pfft MBA's make more with less loans and less demanding shedule and less demanding curriculum. That's not it either.

Wrong. Some MBA's make more but many earn far, far less. MBAs are a dime-a-dozen today and many don't earn much at all. In fact, there are thousands of experienced MBAs in their fifties who lost their jobs and can't even find $15/hour jobs to replace them. Overall, doctors, who are protected by a huge barrier to entry in the market, earn far more and have far more job security than the median MBA. (In a free market where any very smart person who wanted to could become a doctor and where a shortage of medical schools wouldn't put an artificial limit on the number produced, we'd have twice as many doctors and thus they would earn smaller incomes. As with any employment market--doctors incomes would fall until people no longer rushed to become doctors.)

If MBAs really earned more than doctors then the business schools would explode with people (myself included) rushing to get MBAs. The only reason doctors earn so much money and have such excellent job security is that they are protected from free market competition.
 

Taggart

Diamond Member
Apr 23, 2001
4,384
0
0
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Advocating higher taxes is career suicide for politicians. Remember Walter Mondale? This is why there will never be universal healthcare in the USA. Maybe in 100 years when the political landscape is different, but not in this generation.

There really is 0% chance of socialized medicine while Congress is Republican.
 

alent1234

Diamond Member
Dec 15, 2002
3,915
0
0
i heard french medical schools have like a 90% drop out rate after the first year

maybe we should just let anyone become doctors since all they do is scribble a few notes on a chart
 
Oct 30, 2004
11,442
32
91
Originally posted by: zendari

What's so anti-American about an exec or his salary?

Socialism is quite the anti-freedom attitude. Perhaps the government can give me a ticker, I can click it every time I run a mile for a tax refund under communist Hillarycare.

The question is whether or not America is really still America or an amalgamation of what was the American free market combined with socialist markets elsewhere. When we merge our labor market with third world labor markets (foreign outsourcing, H-1B and L-1 visas, mass immigration) we are essentially merging our economic system with those economic systems, diluting the amount of capitalism in the market.

So, if a socialist nation like India ends up impoverishing its people, and if we then go and merge our labor market with it, it's like allowing the negative effects of the socialism to spill over the borders into the U.S.

In other words--question the CEO's high salaries and the profits the corporations are earning at the expense of looting the Ameican middle class, transferring the middle class's wealth to the rich. It isn't really capitalism because the negative effects of socialism are being imported, though sadly, many people who hold capitalism as a religious ideology will be too thick-headed and dogmatic to see it (as much as some Catholics still support the church in spite of its participation in the child abuse scandals).

 
Oct 30, 2004
11,442
32
91
Originally posted by: episodic
Half the problem is that health insurance is tied to a job. Get sick, can't work? No health insurance. Don't even say 'COBRA' 90% of Americans can't afford that crap.

Then you are out of work, no health insurance - might as well go ahead and die - especially with the bankruptcy reforms. All they need to do is legalize euthanasia, and they can get rid of those pesky people who have lost health insurance and are critically ill.

This is also a huge economic problem because it reduces employment mobility, reducing the amount of freedom in the market, hindering people from taking their productive resources to where they would do the most good. How often do you hear someone say they'd like to find another job but they're staying because of the bennies?

 
Oct 30, 2004
11,442
32
91
Originally posted by: 5LiterMustang

I too would like to know whats unamerican about a CEO's or Exec's Salary. The thing that is truly UNamerican is this BS business about nationalized health care...

Now I'm not exactly sure where I stand on the issue I can make a plausible argument either way, but its definately not the american way to have socialized medicine.

Now once again why shouldn't an exec or CEO get a salary? Furthurmore why shouldn't it be a large one?

One of the big issues is whether or not they merit such high salaries. What if a CEO rides a company into the ground? Are the high salaries really in the rational economic interests of the shareholders?

What pisses people off is that the salaries often don't seem to have a basis in reality. People would find it much more acceptable if they only received performance-based payment. Also, to some extent the job of CEO is an aristocracy--you have to know the right people--as opposed to its necessarily being based on merit. Presumably there are tens of thousands of MBAs out there who don't have amazing people skills but who would do exceptional jobs as CEOs and who would gladly do it for 1/20 the income. In other words, you can question whether obtaining a job like that is really an example of "meritocracy".

 
Oct 30, 2004
11,442
32
91
Originally posted by: Taggart
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Would you say that socialized roads and sewer systems are also a bad idea?

 
Oct 30, 2004
11,442
32
91
Originally posted by: alent1234
i heard french medical schools have like a 90% drop out rate after the first year

maybe we should just let anyone become doctors since all they do is scribble a few notes on a chart

Well, no. But I don't see any reason why we couldn't and shouldn't produce double the number of doctors that we do today. We'd probably be better off having more doctors to actually treat patients and less administrative BS.
 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: WhipperSnapper

The question is whether or not America is really still America or an amalgamation of what was the American free market combined with socialist markets elsewhere. When we merge our labor market with third world labor markets (foreign outsourcing, H-1B and L-1 visas, mass immigration) we are essentially merging our economic system with those economic systems, diluting the amount of capitalism in the market.

So, if a socialist nation like India ends up impoverishing its people, and if we then go and merge our labor market with it, it's like allowing the negative effects of the socialism to spill over the borders into the U.S.

In other words--question the CEO's high salaries and the profits the corporations are earning at the expense of looting the Ameican middle class, transferring the middle class's wealth to the rich. It isn't really capitalism because the negative effects of socialism are being imported, though sadly, many people who hold capitalism as a religious ideology will be too thick-headed and dogmatic to see it (as much as some Catholics still support the church in spite of its participation in the child abuse scandals).

How is the American middle class being looted? Facts? Figures? ANYTHING at all to backup your ludicrous claims?
Fact - free trade does not diminish capitalism
Fact - manufacturing goods in multiple countries including socialist countries does NOT decrease capitalism
Fact - unemployment is at 5% and the middle class is making up the vast majority of jobs currently being hired for.
Fact - Median hrly wage just over 16/hr
Fact - Median Salary position just over 38k
Fact - Median household income 44k
Fact - The top 1% have 18% of the countries wealth
Fact - the top 1% had more than 30% of the countries wealth 30 years ago

404 looting not found
 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: WhipperSnapper
Originally posted by: Taggart
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Would you say that socialized roads and sewer systems are also a bad idea?

Socialized roads? Roads are a necessity for a strong robust economy. Sewer systems? I dont know about interstate sewer systems. Last I checked thats funded via local/state governments...I honestly could be wrong on the sewer part though, I've never really researched sewers.
 

Taggart

Diamond Member
Apr 23, 2001
4,384
0
0
Originally posted by: WhipperSnapper
Originally posted by: Taggart
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Would you say that socialized roads and sewer systems are also a bad idea?

You know what, it doesn't matter because it won't happen in this generation. You are wasting your time talking about it, especially on an internet message board. Step back and reflect on the reality of the situation. The GOP is in control and will never pass social legislation like universal healthcare

In a vaccuum Communism is great. In reality it is obviously a lousy system. On the surface universal healthcare looks great, but in reality it is inherently inefficient and will just be ruined by politicians.
 
Oct 30, 2004
11,442
32
91
Here's are two great quotes from the article, assuming that they are true:

"Americans spend $5,267 per capita on health care every year, almost two and half times the industrialized world?s median of $2,193; the extra spending comes to hundreds of billions of dollars a year. What does that extra spending buy us? Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries.

The United States spends more than a thousand dollars per capita per year?or close to four hundred billion dollars?on health-care-related paperwork and administration, whereas Canada, for example, spends only about three hundred dollars per capita.
 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: Taggart

You know what, it doesn't matter because it won't happen in this generation. You are wasting your time talking about it, especially on an internet message board. Step back and reflect on the reality of the situation. The GOP is in control and will never pass social legislation like universal healthcare

In a vaccuum Communism is great. In reality it is obviously a lousy system. On the surface universal healthcare looks great, but in reality it is inherently inefficient and will just be ruined by politicians.

Yes well I didn't think we'd have prescrips for the elderly either...but we do
 

IronWing

No Lifer
Jul 20, 2001
70,217
28,917
136
Originally posted by: Taggart
Originally posted by: WhipperSnapper
Originally posted by: Taggart
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Would you say that socialized roads and sewer systems are also a bad idea?

You know what, it doesn't matter because it won't happen in this generation. You are wasting your time talking about it, especially on an internet message board. Step back and reflect on the reality of the situation. The GOP is in control and will never pass social legislation like universal healthcare

In a vaccuum Communism is great. In reality it is obviously a lousy system. On the surface universal healthcare looks great, but in reality it is inherently inefficient and will just be ruined by politicians.

IMHO corporations in industries other than healthcare will understand that it is in their interests to seek universal healthcare coverage. Companies with aging workforces would love to socialize the cost of providing healthcare.

As far as socialized healthcare being inefficient, the Medicare/Medicaid systems don't reflect that opinion. The overhead costs for private insurers are much higher than for the socialized programs.
 
Oct 30, 2004
11,442
32
91
Originally posted by: 5LiterMustang

How is the American middle class being looted? Facts? Figures? ANYTHING at all to backup your ludicrous claims?

I'm not a scholar, so I can't really point you to hard facts other than to say "read the newspapers, read between the lines, and pay attention". Also, try to find out what kinds of "new jobs" are being created in the monthy job statistics. As I understand it, few of the jobs are in import-export related fields and few of them are high-value-added college-education-requiring jobs.

Fact - free trade does not diminish capitalism

Fact - manufacturing goods in multiple countries including socialist countries does NOT decrease capitalism

Much of that depends on what you mean when you say "capitalism". I'll actually agree with you--you can still have a relatively capitalist economy (real capitalism would be pure laissez-faire, btw, which we definitely do not have).

Where I disagree with you is your implicit assumption that capitalism necessarily means that most individuals' rational economic selfish interests are protected and that it is necessarily good for moral, hard-working people.

I agree that mass immigration, foreign outsourcing, H-1B and L-1 visas, and the trade deficit can co-exist with capitalism--and also that as a result of that kind of global labor arbitrage the result is that market forces will destroy the nation's middle class. (Remember economics 101? What happens when the supply of labor increases relative to the demand? The price point--wages--must decrease.)


Fact - unemployment is at 5% and the middle class is making up the vast majority of jobs currently being hired for.

That depends on how you define "unemployment". Does it also take into account severe underemployment? Does it account for people who reitred early but who wanted to work and couldn't find decent jobs? Does it account for people who dropped out of the job market from frustration?

If you want to be a dogmatist and defend your position that the current state of affairs is good, then you'd just say that unemployment is whatever the government defines it to be. But if you question those numbers you'll find that the real rate of unemployment and significant underemployment is much, much higher.

Have you actually tried looking for a job since 2000? If the economy is so wonderful, how do you account for the testimony of millions of people who live responsibly and who have good work ethics and even college educations who claim to be unemployed or severely underemployed?


Fact - Median hrly wage just over 16/hr
Fact - Median Salary position just over 38k
Fact - Median household income 44k[/quote]

Mean or median? Mean is the average. Median is where the person exactly in the middle is (50% are above, 50% are below).

If those numbers, of which I am skeptical, are accurate, I expect that they'll decrease in the near future. Why pay Americans to do things when foreigners will gladly do the same work for far less?


Fact - The top 1% have 18% of the countries wealth
Fact - the top 1% had more than 30% of the countries wealth 30 years ago

404 looting not found

Keep your eyes open. The "looting" occurs when shareholders or at least CEOs and the wealthy shareholdes end up earning higher profits and higher percentages of the wealth created in the act of production as profit while middle class Americans find themselves laid off with their jobs going to foreigners. In the meantime, while labor costs have decreased, goods sell at nearly the same prices and profits rise. The middle class then pays those prices as it sees smaller and smaller incomes, taking on mortages and going into debt. It's a wealth transfer from the middle class to the wealthy--and why wouldn't it be? The logical result of a huge influx of relatively impoverished labor into the labor market is a decrease in wages.

I'm with you buddy--I know where you're coming from. I used to be a vocal advocate of laissez-faire capitalism and absolute individual rights. But then I graduated and experienced the reality of the employment market first hand, acquiring new data, and changed much of my political philsophy as a result. I tend to think that capitalism, locally, is a good thing but that it doesn't work well for international trade and some goods that are not really market items such as health care. (If you need an operation to save your life, you need it at any cost; you can't just walk away or find an alternative, thus it isn't really a market item.)

Of course, you know how evil and destructive socialism and communism are and you hate the idea of wealth being stolen from some people (who actually earned it) and given to lazy people who scream that they need it (the poor who didn't take care of themselves and had more babies than they could afford). And thus you tend to support capitalism dogmatically and emotionally.

I hear you buddy. I share much of that sentiment. "I swear by my life and love of it that I will never live for the sake of another man, nor ask another man to live for mine." (That's a quote from...believe it or not...one of my two favorite novels, the other one being about an individualist architect.) But do try to keep from accepting capitalism as a religious dogma. Don't be afraid to ask tough questions, such as whether merging a capitalist nation's economy with a socialist nation's economy is detrimental to the well being of the capitalist nation. (Heck, there are advocates of laissez-faire out there who would call for a complete boycott of China since China doesn't protect individual rights.)

Another large issue is the issue of whether or not economic well being is based entirely on a nation's economic system. After all, it's possible to have capitalism but to also have the populace act in a self destructive manner, damaging the economy. So, social issues and culture also play a role in well being. (What if everyone had more children than they could afford? What if everyone did drugs? What if we opened our borders wide open and 1 billion poor people flooded into the country within one year? What if population growth exploded and the costs of land and resources increased dramatically?)

My message--don't take capitalism as a dogma. Question when and where it is good and open yourself to the possibility that in some situations it would be bad. Keep in mind that the best conditions for freedom and capitalism are when the economy and the nation, overall, are healthy and good. Thus, as paradoxical as it might seem, certain types of regulation might actually be pro-capitalism, or at least pro-freedom (in a very broad sense). (Ie--What good is your freedom if you're poor and/or if the nation is so heavily populated that you can't move without getting into another person's space?)

 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: WhipperSnapper

I'm not a scholar, so I can't really point you to hard facts other than to say "read the newspapers, read between the lines, and pay attention". Also, try to find out what kinds of "new jobs" are being created in the monthy job statistics. As I understand it, few of the jobs are in import-export related fields and few of them are high-value-added college-education-requiring jobs.

Much of that depends on what you mean when you say "capitalism". I'll actually agree with you--you can still have a relatively capitalist economy (real capitalism would be pure laissez-faire, btw, which we definitely do not have).

Where I disagree with you is your implicit assumption that capitalism necessarily means that most individuals' rational economic selfish interests are protected and that it is necessarily good for moral, hard-working people.

I agree that mass immigration, foreign outsourcing, H-1B and L-1 visas, and the trade deficit can co-exist with capitalism--and also that as a result of that kind of global labor arbitrage the result is that market forces will destroy the nation's middle class. (Remember economics 101? What happens when the supply of labor increases relative to the demand? The price point--wages--must decrease.)


That depends on how you define "unemployment". Does it also take into account severe underemployment? Does it account for people who reitred early but who wanted to work and couldn't find decent jobs? Does it account for people who dropped out of the job market from frustration?

If you want to be a dogmatist and defend your position that the current state of affairs is good, then you'd just say that unemployment is whatever the government defines it to be. But if you question those numbers you'll find that the real rate of unemployment and significant underemployment is much, much higher.

Have you actually tried looking for a job since 2000? If the economy is so wonderful, how do you account for the testimony of millions of people who live responsibly and who have good work ethics and even college educations who claim to be unemployed or severely underemployed?


Mean or median? Mean is the average. Median is where the person exactly in the middle is (50% are above, 50% are below).

If those numbers, of which I am skeptical, are accurate, I expect that they'll decrease in the near future. Why pay Americans to do things when foreigners will gladly do the same work for far less?



Keep your eyes open. The "looting" occurs when shareholders or at least CEOs and the wealthy shareholdes end up earning higher profits and higher percentages of the wealth created in the act of production as profit while middle class Americans find themselves laid off with their jobs going to foreigners. In the meantime, while labor costs have decreased, goods sell at nearly the same prices and profits rise. The middle class then pays those prices as it sees smaller and smaller incomes, taking on mortages and going into debt. It's a wealth transfer from the middle class to the wealthy--and why wouldn't it be? The logical result of a huge influx of relatively impoverished labor into the labor market is a decrease in wages.

I'm with you buddy--I know where you're coming from. I used to be a vocal advocate of laissez-faire capitalism and absolute individual rights. But then I graduated and experienced the reality of the employment market first hand, acquiring new data, and changed much of my political philsophy as a result. I tend to think that capitalism, locally, is a good thing but that it doesn't work well for international trade and some goods that are not really market items such as health care. (If you need an operation to save your life, you need it at any cost; you can't just walk away or find an alternative, thus it isn't really a market item.)

Of course, you know how evil and destructive socialism and communism are and you hate the idea of wealth being stolen from some people (who actually earned it) and given to lazy people who scream that they need it (the poor who didn't take care of themselves and had more babies than they could afford). And thus you tend to support capitalism dogmatically and emotionally.

I hear you buddy. I share much of that sentiment. "I swear by my life and love of it that I will never live for the sake of another man, nor ask another man to live for mine." (That's a quote from...believe it or not...one of my two favorite novels, the other one being about an individualist architect.) But do try to keep from accepting capitalism as a religious dogma. Don't be afraid to ask tough questions, such as whether merging a capitalist nation's economy with a socialist nation's economy is detrimental to the well being of the capitalist nation. (Heck, there are advocates of laissez-faire out there who would call for a complete boycott of China since China doesn't protect individual rights.)

Another large issue is the issue of whether or not economic well being is based entirely on a nation's economic system. After all, it's possible to have capitalism but to also have the populace act in a self destructive manner, damaging the economy. So, social issues and culture also play a role in well being. (What if everyone had more children than they could afford? What if everyone did drugs? What if we opened our borders wide open and 1 billion poor people flooded into the country within one year? What if population growth exploded and the costs of land and resources increased dramatically?)

My message--don't take capitalism as a dogma. Question when and where it is good and open yourself to the possibility that in some situations it would be bad. Keep in mind that the best conditions for freedom and capitalism are when the economy and the nation, overall, are healthy and good. Thus, as paradoxical as it might seem, certain types of regulation might actually be pro-capitalism, or at least pro-freedom (in a very broad sense). (Ie--What good is your freedom if you're poor and/or if the nation is so heavily populated that you can't move without getting into another person's space?)


Great post, its good to see someone else that thinks even if we're not in 100% agreement. A few points I wanna address...the economy is doing fine, even in the best economies there's horror stories of folks that can't get jobs. I am fresh outta school I had no less than a dozen job offers upon my graduation. Low salaries were in the mid 30s all the way up to the mid 60s (to move to california) I wound up taking a job making about 50 here in oklahoma.

"Where I disagree with you is your implicit assumption that capitalism necessarily means that most individuals' rational economic selfish interests are protected and that it is necessarily good for moral, hard-working people."

I dont believe selfish interest are protected and good. Capitalism is based on mutual trust that I give you something and I get something in return. It is seen everywhere in our society, I work in return for a paycheck, I invest expect a return and a business to be run honestly to get that return. I am not for 100% capitalism, it wont work...but neither does socialism.

Our economy is doing well in the US, it is growing and unemployment is down...sorry I'm at work its hard to put together a really top notch post at the moment.
 

1EZduzit

Lifer
Feb 4, 2002
11,833
1
0
Originally posted by: ironwing
Originally posted by: Taggart
Originally posted by: WhipperSnapper
Originally posted by: Taggart
Socialism is never the answer. Reform yes, socialism no. IMHO universal healthcare would be a huge mistake.

Would you say that socialized roads and sewer systems are also a bad idea?

You know what, it doesn't matter because it won't happen in this generation. You are wasting your time talking about it, especially on an internet message board. Step back and reflect on the reality of the situation. The GOP is in control and will never pass social legislation like universal healthcare

In a vaccuum Communism is great. In reality it is obviously a lousy system. On the surface universal healthcare looks great, but in reality it is inherently inefficient and will just be ruined by politicians.

IMHO corporations in industries other than healthcare will understand that it is in their interests to seek universal healthcare coverage. Companies with aging workforces would love to socialize the cost of providing healthcare.

As far as socialized healthcare being inefficient, the Medicare/Medicaid systems don't reflect that opinion. The overhead costs for private insurers are much higher than for the socialized programs.

Universal health care is an idea whose time has come. As a matter of fact, it's overdue.
 

alent1234

Diamond Member
Dec 15, 2002
3,915
0
0
Originally posted by: WhipperSnapper
Here's are two great quotes from the article, assuming that they are true:

"Americans spend $5,267 per capita on health care every year, almost two and half times the industrialized world?s median of $2,193; the extra spending comes to hundreds of billions of dollars a year. What does that extra spending buy us? Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries.

The United States spends more than a thousand dollars per capita per year?or close to four hundred billion dollars?on health-care-related paperwork and administration, whereas Canada, for example, spends only about three hundred dollars per capita.



private industry is already fixing the paperwork problem

there are also proposals for a central database of medical records, but a lot of people are fighting it on privacy grounds
 

5LiterMustang

Senior member
Dec 8, 2002
531
0
0
Originally posted by: alent1234
Originally posted by: WhipperSnapper
Here's are two great quotes from the article, assuming that they are true:

"Americans spend $5,267 per capita on health care every year, almost two and half times the industrialized world?s median of $2,193; the extra spending comes to hundreds of billions of dollars a year. What does that extra spending buy us? Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries.

The United States spends more than a thousand dollars per capita per year?or close to four hundred billion dollars?on health-care-related paperwork and administration, whereas Canada, for example, spends only about three hundred dollars per capita.



private industry is already fixing the paperwork problem

there are also proposals for a central database of medical records, but a lot of people are fighting it on privacy grounds

Hillary and Newt Gingrich are proposing a bill requiring them to dump their outdated system. If hillary and newt both agree they must be on to something.

 

BaliBabyDoc

Lifer
Jan 20, 2001
10,737
0
0
Originally posted by: alent1234
Originally posted by: WhipperSnapper
Here's are two great quotes from the article, assuming that they are true:

"Americans spend $5,267 per capita on health care every year, almost two and half times the industrialized world?s median of $2,193; the extra spending comes to hundreds of billions of dollars a year. What does that extra spending buy us? Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries.

The United States spends more than a thousand dollars per capita per year?or close to four hundred billion dollars?on health-care-related paperwork and administration, whereas Canada, for example, spends only about three hundred dollars per capita.

[bprivate industry is already fixing the paperwork problem[/b]

there are also proposals for a central database of medical records, but a lot of people are fighting it on privacy grounds
Private industry is the SOURCE of the paperwork problem. Privacy is certainly an issue with regards to centralized, networked medical records. But there's also an issue of cost . . .

model IT healthcare network
President Bush?s proposal to create a ?model? national health IT network would cost more than US$156 billion in initial capital investment and $48 billion in annual operating costs over the next five years, according to a study published in the Aug. 2 issue of the Annals of Internal Medicine.

The study was conducted by researchers at Brigham and Women?s Hospital (www.brighamandwomens.org) and Massachusetts General Hospital (www.mgh.harvard.edu) and funded jointly by the Harvard Interfaculty Program for Health Systems Improvement and the Commonwealth Fund
I still support the idea but considering direct benefits to major players remains suspect, it's highly unlikely they would foot the bill.

Lead author Rainu Kaushal, of Brigham and Women?s Hospital said, ?I don?t see [the government] as having to foot the bill,? adding, ?They can create incentives. Then the private sector can run with it.?
The primary incentive the government has is tax subsidies, which is essentially "footing the bill." Again, most companies do NOT want to dump their legacy systems and they definitely don't want to pay for a new one.

Best practical case scenario is that a centralized system is developed that allows interoperability. It is highly unlikely that a private company (outside of the industry) would be able to develop/maintain such a system and expect a return on investment. Unless of course it's a COST PLUS endeavor underwritten by the government . . . which NEVER saves money or guarantees a good product.

National Health IT Coordinator Dr. David Brailer ? a panelist and one of the developers of the financial model used for the study ? said using government funds as the principal source of financing for the NHIN would be ?incredibly inefficient,? adding that using public funds ?comes with all kinds of strings attached and all kinds of rules and regulations that would stop us from achieving the goal? of interoperable electronic health records.
The current system evolved from private interests and that's the primary reason it's inefficient. The primary beneficiaries of this system are patients and direct healthcare providers. Unfortunately, they make few, if any decisions about healthcare infrastructure. The people making those decisions will NOT see a return on investment . . . that's the primary reason they haven't done it to date.
 
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