NATION

PASSWORD

Healthcare! A much needed reform in the US.

For discussion and debate about anything. (Not a roleplay related forum; out-of-character commentary only.)

Advertisement

Remove ads

Which form of Healthcare should the US have?

General Taxation (to the Federal, State, County or Municipality level)
55
27%
National Health Insurance
103
50%
Voluntary or Private Health Insurance
39
19%
Out-of-pocket Payments
7
3%
Donations to charities
3
1%
 
Total votes : 207

User avatar
The Alma Mater
Postmaster of the Fleet
 
Posts: 25619
Founded: May 23, 2004
Ex-Nation

Postby The Alma Mater » Tue Sep 15, 2020 10:57 am

Imperialisium wrote:The vast majority of problems stems from the Byzantine administration, legislation, and regulation of the US health care system. Streamline that and put some minimal pricing controls so pharma can’t mark up hundreds of percent, and you’d resolve much of the cost pushed onto middle/low income consumers.


But that's socialist and goes against the capitalist free market ideal.
Getting an education was a bit like a communicable sexual disease.
It made you unsuitable for a lot of jobs and then you had the urge to pass it on.
- Terry Pratchett, Hogfather

User avatar
Flarbinia
Negotiator
 
Posts: 5821
Founded: Apr 29, 2012
Iron Fist Consumerists

Postby Flarbinia » Tue Sep 15, 2020 12:47 pm

Rio Cana wrote:US should copy Taiwan's single payers heathcare system. Read - https://www.vox.com/health-care/2020/1/ ... -insurance

No. Taiwan is smaller than the US, so it's system won't work.
Kowani wrote:Out of curiosity, which of the following bullshit artists do you consume?
Fox News
OANN
Ben Shapiro
Steven Crowder
Tim Pool
Dave Rubin
PragerU
TPUSA

I think you got them confused with CNN, Vox, and the Young Turks. Then again, you view anyone whose politics are right of Karl Marx as a Nazi or a Redneck, so I really shouldn't be surprised.

User avatar
Duvniask
Negotiator
 
Posts: 6546
Founded: Aug 30, 2012
Left-wing Utopia

Postby Duvniask » Tue Sep 15, 2020 1:06 pm

Flarbinia wrote:
Rio Cana wrote:US should copy Taiwan's single payers heathcare system. Read - https://www.vox.com/health-care/2020/1/ ... -insurance

No. Taiwan is smaller than the US, so it's system won't work.
Kowani wrote:Out of curiosity, which of the following bullshit artists do you consume?
Fox News
OANN
Ben Shapiro
Steven Crowder
Tim Pool
Dave Rubin
PragerU
TPUSA

I think you got them confused with CNN, Vox, and the Young Turks. Then again, you view anyone whose politics are right of Karl Marx as a Nazi or a Redneck, so I really shouldn't be surprised.

What does size have to do with it? A greater pool of resources implies greater ability to transfer them to where they are needed at any given moment. It is the same logic that belies insurance in the first place: many individuals pay into a collective fund, yet at any given moment only few of them are going to be hit by disaster; this however means that there is more than enough money to recompense those who really do need it. From what I learned in microeconomics class, this advantage generally only increases with the number of individuals involved.

User avatar
Celestial Provinces
Spokesperson
 
Posts: 170
Founded: Jun 13, 2019
Ex-Nation

Postby Celestial Provinces » Tue Sep 15, 2020 1:09 pm

Flarbinia wrote:
Rio Cana wrote:US should copy Taiwan's single payers heathcare system. Read - https://www.vox.com/health-care/2020/1/ ... -insurance

No. Taiwan is smaller than the US, so it's system won't work.
Kowani wrote:Out of curiosity, which of the following bullshit artists do you consume?
Fox News
OANN
Ben Shapiro
Steven Crowder
Tim Pool
Dave Rubin
PragerU
TPUSA

I think you got them confused with CNN, Vox, and the Young Turks. Then again, you view anyone whose politics are right of Karl Marx as a Nazi or a Redneck, so I really shouldn't be surprised.

Nice
Happy 2900

Tier 9.5, Type 8.5 according to: viewtopic.php?f=23&t=363018

DOES NOT USE NS STATS

User avatar
Celritannia
Post Marshal
 
Posts: 18402
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Tue Sep 15, 2020 1:17 pm

Flarbinia wrote:
Rio Cana wrote:US should copy Taiwan's single payers heathcare system. Read - https://www.vox.com/health-care/2020/1/ ... -insurance

No. Taiwan is smaller than the US, so it's system won't work.
Kowani wrote:Out of curiosity, which of the following bullshit artists do you consume?
Fox News
OANN
Ben Shapiro
Steven Crowder
Tim Pool
Dave Rubin
PragerU
TPUSA

I think you got them confused with CNN, Vox, and the Young Turks. Then again, you view anyone whose politics are right of Karl Marx as a Nazi or a Redneck, so I really shouldn't be surprised.


And you think any country that uses a Universal Healthcare System is communist. Please tell me how the UK is communist.

My DeviantArt
Obey
When you annoy a Celritannian
U W0T M8?
Zirkagrad wrote:A person with a penchant for flying lions with long tongues, could possibly be a fan of Kiss. Maybe the classiest nation with a lion with its tongue hanging out. Enjoys only the finest tea.

Nakena wrote:NSG's Most Serene Salad
Citizen of Earth, Commonwealthian, European, British, Yorkshireman.
Atheist, Environmentalist

User avatar
Flarbinia
Negotiator
 
Posts: 5821
Founded: Apr 29, 2012
Iron Fist Consumerists

Postby Flarbinia » Tue Sep 15, 2020 1:17 pm

Duvniask wrote:What does size have to do with it? A greater pool of resources implies greater ability to transfer them to where they are needed at any given moment. It is the same logic that belies insurance in the first place: many individuals pay into a collective fund, yet at any given moment only few of them are going to be hit by disaster; this however means that there is more than enough money to recompense those who really do need it. From what I learned in microeconomics class, this advantage generally only increases with the number of individuals involved.

Logistics. The longer the distance you have to cover, the harder it is to supply people.

User avatar
Celritannia
Post Marshal
 
Posts: 18402
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Tue Sep 15, 2020 1:18 pm

Flarbinia wrote:
Duvniask wrote:What does size have to do with it? A greater pool of resources implies greater ability to transfer them to where they are needed at any given moment. It is the same logic that belies insurance in the first place: many individuals pay into a collective fund, yet at any given moment only few of them are going to be hit by disaster; this however means that there is more than enough money to recompense those who really do need it. From what I learned in microeconomics class, this advantage generally only increases with the number of individuals involved.

Logistics. The longer the distance you have to cover, the harder it is to supply people.


Does not stop a system or service from being universally accessible.

My DeviantArt
Obey
When you annoy a Celritannian
U W0T M8?
Zirkagrad wrote:A person with a penchant for flying lions with long tongues, could possibly be a fan of Kiss. Maybe the classiest nation with a lion with its tongue hanging out. Enjoys only the finest tea.

Nakena wrote:NSG's Most Serene Salad
Citizen of Earth, Commonwealthian, European, British, Yorkshireman.
Atheist, Environmentalist

User avatar
Alternamerica
Diplomat
 
Posts: 786
Founded: Apr 11, 2020
Ex-Nation

Postby Alternamerica » Tue Sep 15, 2020 1:41 pm

Flarbinia wrote:
Duvniask wrote:What does size have to do with it? A greater pool of resources implies greater ability to transfer them to where they are needed at any given moment. It is the same logic that belies insurance in the first place: many individuals pay into a collective fund, yet at any given moment only few of them are going to be hit by disaster; this however means that there is more than enough money to recompense those who really do need it. From what I learned in microeconomics class, this advantage generally only increases with the number of individuals involved.

Logistics. The longer the distance you have to cover, the harder it is to supply people.


Doesn't stop a country as large as Canada or as populated as Japan from providing the bare minimum
What if America, but hyper progressive? Universal healthcare, Walkable cities, outdoor culture, and $1 Trillion military budget because we're the best. CIA love Teddy Roosevelt and the environment enough to torture Oil executives. Our conservatives shoot Klansmen, our liberals punch Nazis
30% IRL views, 70% joke
Anthem | Basically USA | Factbook | Trump Tweets | GOP when there's liter | George W Bush trans ally!

NEWS: European Union member states and Norway have voted "No" for America & Canada's petition to turn NATO into a free trade alliance on top of its military obligations and also extend invitation to Cuba and Mexico, members of NAFTA which also has a military pact per Trump's reform. Only Britain and Turkey voted "Yes".

User avatar
Achidyemay
Ambassador
 
Posts: 1729
Founded: Oct 14, 2013
New York Times Democracy

Postby Achidyemay » Tue Sep 15, 2020 2:39 pm

Alternamerica wrote:
Flarbinia wrote:Logistics. The longer the distance you have to cover, the harder it is to supply people.


Doesn't stop a country as large as Canada or as populated as Japan from providing the bare minimum


Do they ever provide more than the bare minimum?

In many of these countries, their service is not as good as upper end American medicine. For the well-ensured and well-healed of America (and those elsewhere in the world), being able to shop around for doctors, hospitals, and cures gives them a huge advantage over people in countries where the quality of care is predetermined by the budget set by their politicians. A budget that is usually higher in these countries than it would be if they payed for their own defense or infrastructure, instead of having America or China or the IMF do it.

But these policies aren't put in place to benefit the wealthy, they're put in place to benefit the common man. In America, insurance is typically provided by the employer (a way for companies to skirt maximum wage laws back in war time), but there is a public option. The medical industry in America is the most heavily regulated marketplace out there, and the public option doesn't help things. The public option has a list of different ways that it can get out of reimbursing hospitals for their service, and private companies have gleefully signed on to these things. Private and Public Insurers also have agreements with hospitals that they will only pay so much for a surgery. All this red tape has led to a bloated administrative staff that drives costs up more and by the end of the day hospitals are at a loss for profits. To remain afloat they will engage in some kind of scummy practices: double charging, overcharging, etc. You can see this by requesting a line-by-line (which will usually by itself drop the price) or in the OP of this topic, where Celrit talks about the $4000 ambulance ride, it shouldn't cost that much and it doesn't, they charged that, but what the insurance company actually paid was much less (even if you had to put the full $1000 deposit down).

America could have high quality, affordable care. But instead of investing in better facilities or more doctors, hospitals are forced to invest in administrative staff and forced to deal with insurance companies. We can see this in elective surgeries untouched by the insurance industry: LASIK and plastic surgeries. Perfectly affordable with a payment plan (though I believe there is a space in any healthcare system for charity), high quality, constantly improving.
Last edited by Achidyemay on Tue Sep 15, 2020 2:42 pm, edited 1 time in total.
Dear Sir: Regarding your article 'What's Wrong with the World?' I am.
Yours truly,
G.K. Chesterton

User avatar
Celritannia
Post Marshal
 
Posts: 18402
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Tue Sep 15, 2020 2:49 pm

Achidyemay wrote:
Alternamerica wrote:
Doesn't stop a country as large as Canada or as populated as Japan from providing the bare minimum


Do they ever provide more than the bare minimum?

In many of these countries, their service is not as good as upper end American medicine. For the well-ensured and well-healed of America (and those elsewhere in the world), being able to shop around for doctors, hospitals, and cures gives them a huge advantage over people in countries where the quality of care is predetermined by the budget set by their politicians. A budget that is usually higher in these countries than it would be if they payed for their own defense of infrastructure, instead of having America or China or the IMF do it.

But these policies aren't put in place to benefit the wealthy, they're put in place to benefit the common man. In America, insurance is typically provided by the employer (a way for companies to skirt maximum wage laws back in war time), but there is a public option. The medical industry in America is the most heavily regulated marketplace out there, and the public option doesn't help things. The public option has a list of different ways that it can get out of reimbursing hospitals for their service, and private companies have gleefully signed on to these things. Private and Public Insurers also have agreements with hospitals that they will only pay so much for a surgery. All this red tape has led to a bloated administrative staff that drives costs up more and by the end of the day hospitals are at a loss for profits. To remain afloat they will engage in some kind of scummy practices: double charging, overcharging, etc. You can see this by requesting a line-by-line (which will usually by itself drop the price) or in the OP of this topic, where Celrit talks about the $4000 ambulance ride, it shouldn't cost that much and it doesn't, they charged that, but what the insurance company actually payed was much less (even if you had to put the full $1000 deposit down).

America could have high quality, affordable care. But instead of investing in better facilities or more doctors, hospitals are forced to invest in administrative staff and forced to deal with insurance companies. We can see this in elective surgeries untouched by the insurance industry: LASIK and plastic surgeries. Perfectly affordable with a payment plan (though I believe there is a space in any healthcare system for charity), high quality, constantly improving.


Firstly, your assumption is incorrect. I have provided evidence that shows countries with universal healthcare is far superior to the US healthcare system, booth in price and quality of care.

Secondly, your point about the military has nothing to do with why these countries have a UHS.

Thirdly, if these policies did benefit the common man, why are millions still uninsured and have to chose between food and medicine?

Fourthly, maybe I was a little overzealous in saying ambulance costs were $4,000, however this does not change the fact the majority of people cannot afford to use an ambulance, and prefer to drive themselves to the hospital.

Fifth and finally, this point contradicts your first point.
But cutting admin fees can only happen if the government regulates the costs of insurance, which would then become a Universal Healthcare System, probably the more expensive kind of UHS, but a UHS nonetheless. But charity based healthcare does not reach everyone, nor do people always put money into it.
A Japanese or German Model of UHS is the most logical for the US. IT keeps the idea of choosing ones insurance company or through a job, the Government regulates how much these companies can charge, and subsidise those who cannot afford insurance.
Last edited by Celritannia on Tue Sep 15, 2020 2:50 pm, edited 1 time in total.

My DeviantArt
Obey
When you annoy a Celritannian
U W0T M8?
Zirkagrad wrote:A person with a penchant for flying lions with long tongues, could possibly be a fan of Kiss. Maybe the classiest nation with a lion with its tongue hanging out. Enjoys only the finest tea.

Nakena wrote:NSG's Most Serene Salad
Citizen of Earth, Commonwealthian, European, British, Yorkshireman.
Atheist, Environmentalist

User avatar
Punished UMN
Negotiator
 
Posts: 6163
Founded: Jul 05, 2020
Psychotic Dictatorship

Postby Punished UMN » Tue Sep 15, 2020 2:52 pm

Germany's hybrid model seems to perform quite well.
Eastern Orthodox Christian. Purgatorial universalist.
Ascended beyond politics, now metapolitics is my best friend. Proud member of the Napoleon Bonaparte fandom.
I have borderline personality disorder, if I overreact to something, try to approach me after the fact and I'll apologize.
The political compass is like hell: if you find yourself on it, keep going.
Pro: The fundamental dignitas of the human spirit as expressed through its self-actualization in theosis. Anti: Faustian-Demonic Space Anarcho-Capitalism with Italo-Futurist Characteristics

User avatar
Kowani
Post Czar
 
Posts: 44956
Founded: Apr 01, 2018
Democratic Socialists

Postby Kowani » Tue Sep 15, 2020 2:54 pm

Flarbinia wrote:
Rio Cana wrote:US should copy Taiwan's single payers heathcare system. Read - https://www.vox.com/health-care/2020/1/ ... -insurance

No. Taiwan is smaller than the US, so it's system won't work.
Kowani wrote:Out of curiosity, which of the following bullshit artists do you consume?
Fox News
OANN
Ben Shapiro
Steven Crowder
Tim Pool
Dave Rubin
PragerU
TPUSA

I think you got them confused with CNN, Vox, and the Young Turks. Then again, you view anyone whose politics are right of Karl Marx as a Nazi or a Redneck, so I really shouldn't be surprised.

...The fuck? Nobody on the left likes CNN, because corporate media is trash. I don't watch TYT.
That said, the community with which I interact most was the old Right-Wing Discussion Thread, which is emphatically right wing and not full of Nazis. Sit the fuck down.
American History and Historiography; Political and Labour History, Urbanism, Political Parties, Congressional Procedure, Elections.

Servant of The Democracy since 1896.



Effortposts can be found here!

User avatar
Celritannia
Post Marshal
 
Posts: 18402
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Tue Sep 15, 2020 2:54 pm

Punished UMN wrote:Germany's hybrid model seems to perform quite well.


It's really the only system that would work in the US.
A single-payer system, especially a taxed based one, may not be easy to implement.

My DeviantArt
Obey
When you annoy a Celritannian
U W0T M8?
Zirkagrad wrote:A person with a penchant for flying lions with long tongues, could possibly be a fan of Kiss. Maybe the classiest nation with a lion with its tongue hanging out. Enjoys only the finest tea.

Nakena wrote:NSG's Most Serene Salad
Citizen of Earth, Commonwealthian, European, British, Yorkshireman.
Atheist, Environmentalist

User avatar
Chan Island
Negotiator
 
Posts: 6824
Founded: Nov 26, 2015
Ex-Nation

Postby Chan Island » Tue Sep 15, 2020 3:55 pm

Celritannia wrote:
Punished UMN wrote:Germany's hybrid model seems to perform quite well.


It's really the only system that would work in the US.
A single-payer system, especially a taxed based one, may not be easy to implement.


At the end of the day though, it's one of those cases where literally every version of universal healthcare on the table is better than the system the US currently uses. Literally just copy any country's system, and voila, no more millions of people forced to choose between food or medicine.
viewtopic.php?f=20&t=513597&p=39401766#p39401766
Conserative Morality wrote:"It's not time yet" is a tactic used by reactionaries in every era. "It's not time for democracy, it's not time for capitalism, it's not time for emancipation." Of course it's not time. It's never time, not on its own. You make it time. If you're under fire in the no-man's land of WW1, you start digging a foxhole even if the ideal time would be when you *aren't* being bombarded, because once you wait for it to be 'time', other situations will need your attention, assuming you survive that long. If the fields aren't furrowed, plow them. If the iron is not hot, make it so. If society is not ready, change it.

User avatar
The Reformed American Republic
Powerbroker
 
Posts: 7643
Founded: May 23, 2020
Ex-Nation

Postby The Reformed American Republic » Tue Sep 15, 2020 5:28 pm

Chan Island wrote:
Celritannia wrote:
It's really the only system that would work in the US.
A single-payer system, especially a taxed based one, may not be easy to implement.


At the end of the day though, it's one of those cases where literally every version of universal healthcare on the table is better than the system the US currently uses. Literally just copy any country's system, and voila, no more millions of people forced to choose between food or medicine.

Not wanting people to die because of lack of ability to pay? What are you? A communist?
"It's called 'the American Dream' 'cause you have to be asleep to believe it." - George Carlin
"My country, right or wrong; if right, to be kept right; and if wrong, to be set right." - Carl Schurz
Older posts do not reflect my positions.

Holocene Extinction

User avatar
Solvokina
Envoy
 
Posts: 283
Founded: May 02, 2019
Ex-Nation

Postby Solvokina » Tue Sep 15, 2020 5:35 pm

The problem with implementing Universal Healthcare to the USA is that they are screwed from the start due to privatisation everywhere
RIP Slavakino, the greatest socialist republic around
This nation does not represent
me or my actual political views
Federal Republic of Solvokina
A secure nation bound together by the horrors of war
Australian-Serb going to school for Chemical or Nuclear
Engineering. Fanatic about weapons, science and modern history. Huge fan of Yakuza

User avatar
Washington Resistance Army
Khan of Spam
 
Posts: 54796
Founded: Aug 08, 2011
Father Knows Best State

Postby Washington Resistance Army » Tue Sep 15, 2020 5:41 pm

Flarbinia wrote:
Cordel One wrote:As an avowed and open communist I can confirm Flarbinia does not know what communism or socialism is.

Communism and Socialism are one and the same: the seizure of wealth and power in the name of the people. Universal Healthcare is inherently Socialist because it will increase the taxes that the Middle Class will have to pay, which is basically punishing them for the sin of somebody else not being able to afford insurance. Look at Venezuela. They placed a Socialist in charge of their country and now people are lining up to acquire bottled water because their leader's policies caused its economy to tank. Nobody wants to live there. In fact, people from Latin American countries are fleeing to America because things have gone that bad under Socialism. If not wanting America to go down the road to becoming Venezuela 2.0 makes me a Corporate shill, then better dead than red.


It may come as a surprise to you but not it's not communism or socialism when the government does stuff. If you want to profess anti-communism as an ideological tenet you should actually learn what it is, you're just making things harder for the rest of us.
Hellenic Polytheist, Socialist

User avatar
New haven america
Post Czar
 
Posts: 44083
Founded: Oct 08, 2012
Left-Leaning College State

Postby New haven america » Tue Sep 15, 2020 5:58 pm

Achidyemay wrote:
Alternamerica wrote:
Doesn't stop a country as large as Canada or as populated as Japan from providing the bare minimum


Do they ever provide more than the bare minimum?

In many of these countries, their service is not as good as upper end American medicine. For the well-ensured and well-healed of America (and those elsewhere in the world), being able to shop around for doctors, hospitals, and cures gives them a huge advantage over people in countries where the quality of care is predetermined by the budget set by their politicians. A budget that is usually higher in these countries than it would be if they payed for their own defense or infrastructure, instead of having America or China or the IMF do it.

But these policies aren't put in place to benefit the wealthy, they're put in place to benefit the common man. In America, insurance is typically provided by the employer (a way for companies to skirt maximum wage laws back in war time), but there is a public option. The medical industry in America is the most heavily regulated marketplace out there, and the public option doesn't help things. The public option has a list of different ways that it can get out of reimbursing hospitals for their service, and private companies have gleefully signed on to these things. Private and Public Insurers also have agreements with hospitals that they will only pay so much for a surgery. All this red tape has led to a bloated administrative staff that drives costs up more and by the end of the day hospitals are at a loss for profits. To remain afloat they will engage in some kind of scummy practices: double charging, overcharging, etc. You can see this by requesting a line-by-line (which will usually by itself drop the price) or in the OP of this topic, where Celrit talks about the $4000 ambulance ride, it shouldn't cost that much and it doesn't, they charged that, but what the insurance company actually paid was much less (even if you had to put the full $1000 deposit down).

America could have high quality, affordable care. But instead of investing in better facilities or more doctors, hospitals are forced to invest in administrative staff and forced to deal with insurance companies. We can see this in elective surgeries untouched by the insurance industry: LASIK and plastic surgeries. Perfectly affordable with a payment plan (though I believe there is a space in any healthcare system for charity), high quality, constantly improving.

Yes.
Human of the male variety
Will accept TGs
Char/Axis 2024

That's all folks~

User avatar
The Reformed American Republic
Powerbroker
 
Posts: 7643
Founded: May 23, 2020
Ex-Nation

Postby The Reformed American Republic » Tue Sep 15, 2020 6:30 pm

Washington Resistance Army wrote:
Flarbinia wrote:Communism and Socialism are one and the same: the seizure of wealth and power in the name of the people. Universal Healthcare is inherently Socialist because it will increase the taxes that the Middle Class will have to pay, which is basically punishing them for the sin of somebody else not being able to afford insurance. Look at Venezuela. They placed a Socialist in charge of their country and now people are lining up to acquire bottled water because their leader's policies caused its economy to tank. Nobody wants to live there. In fact, people from Latin American countries are fleeing to America because things have gone that bad under Socialism. If not wanting America to go down the road to becoming Venezuela 2.0 makes me a Corporate shill, then better dead than red.


It may come as a surprise to you but not it's not communism or socialism when the government does stuff. If you want to profess anti-communism as an ideological tenet you should actually learn what it is, you're just making things harder for the rest of us.

He knows, he just don't care.
"It's called 'the American Dream' 'cause you have to be asleep to believe it." - George Carlin
"My country, right or wrong; if right, to be kept right; and if wrong, to be set right." - Carl Schurz
Older posts do not reflect my positions.

Holocene Extinction

User avatar
The Reformed American Republic
Powerbroker
 
Posts: 7643
Founded: May 23, 2020
Ex-Nation

Postby The Reformed American Republic » Tue Sep 15, 2020 6:36 pm

Picairn wrote:Why is a thread about reforming US healthcare turning into a thread about class consciousness and workers' rights?

Some people believe in the idiotic belief that government doing anything to help the people is socialism which is the same as communism.

Then people explain why that is wrong, leading to discussions about communism.
Last edited by The Reformed American Republic on Tue Sep 15, 2020 6:38 pm, edited 2 times in total.
"It's called 'the American Dream' 'cause you have to be asleep to believe it." - George Carlin
"My country, right or wrong; if right, to be kept right; and if wrong, to be set right." - Carl Schurz
Older posts do not reflect my positions.

Holocene Extinction

User avatar
Major-Tom
Post Marshal
 
Posts: 15697
Founded: Mar 09, 2016
Ex-Nation

Postby Major-Tom » Tue Sep 15, 2020 6:55 pm

Solvokina wrote:The problem with implementing Universal Healthcare to the USA is that they are screwed from the start due to privatisation everywhere


....So let's fix it?

User avatar
Alternamerica
Diplomat
 
Posts: 786
Founded: Apr 11, 2020
Ex-Nation

Postby Alternamerica » Tue Sep 15, 2020 7:09 pm

Achidyemay wrote:
Alternamerica wrote:
Doesn't stop a country as large as Canada or as populated as Japan from providing the bare minimum


Do they ever provide more than the bare minimum?

In many of these countries, their service is not as good as upper end American medicine. For the well-ensured and well-healed of America (and those elsewhere in the world), being able to shop around for doctors, hospitals, and cures gives them a huge advantage over people in countries where the quality of care is predetermined by the budget set by their politicians. A budget that is usually higher in these countries than it would be if they payed for their own defense or infrastructure, instead of having America or China or the IMF do it.

But these policies aren't put in place to benefit the wealthy, they're put in place to benefit the common man. In America, insurance is typically provided by the employer (a way for companies to skirt maximum wage laws back in war time), but there is a public option. The medical industry in America is the most heavily regulated marketplace out there, and the public option doesn't help things. The public option has a list of different ways that it can get out of reimbursing hospitals for their service, and private companies have gleefully signed on to these things. Private and Public Insurers also have agreements with hospitals that they will only pay so much for a surgery. All this red tape has led to a bloated administrative staff that drives costs up more and by the end of the day hospitals are at a loss for profits. To remain afloat they will engage in some kind of scummy practices: double charging, overcharging, etc. You can see this by requesting a line-by-line (which will usually by itself drop the price) or in the OP of this topic, where Celrit talks about the $4000 ambulance ride, it shouldn't cost that much and it doesn't, they charged that, but what the insurance company actually paid was much less (even if you had to put the full $1000 deposit down).

America could have high quality, affordable care. But instead of investing in better facilities or more doctors, hospitals are forced to invest in administrative staff and forced to deal with insurance companies. We can see this in elective surgeries untouched by the insurance industry: LASIK and plastic surgeries. Perfectly affordable with a payment plan (though I believe there is a space in any healthcare system for charity), high quality, constantly improving.


Yes. For Canada's case, it's a Single Payer system. For Japan's, it's basically the "Public Option" aka what Obamacare was supposed to be before 'Moderate' Democrats and Republicans destroyed that hope of a government funded insurance competing against private insurers. And, like Hong Kong, Japan, Germany, or Australia, private and public hospitals provide at least the minimum care for citizens to not die.

We're also one of the lowest life expectancy of any developed countries and the idea of people having to ration life saving medicine, and later dying for doing so, isn't a heart-warming story in other developed and some developing countries with public healthcare (Poland, China, Russia)
What if America, but hyper progressive? Universal healthcare, Walkable cities, outdoor culture, and $1 Trillion military budget because we're the best. CIA love Teddy Roosevelt and the environment enough to torture Oil executives. Our conservatives shoot Klansmen, our liberals punch Nazis
30% IRL views, 70% joke
Anthem | Basically USA | Factbook | Trump Tweets | GOP when there's liter | George W Bush trans ally!

NEWS: European Union member states and Norway have voted "No" for America & Canada's petition to turn NATO into a free trade alliance on top of its military obligations and also extend invitation to Cuba and Mexico, members of NAFTA which also has a military pact per Trump's reform. Only Britain and Turkey voted "Yes".

User avatar
Solvokina
Envoy
 
Posts: 283
Founded: May 02, 2019
Ex-Nation

Postby Solvokina » Tue Sep 15, 2020 7:32 pm

Major-Tom wrote:
Solvokina wrote:The problem with implementing Universal Healthcare to the USA is that they are screwed from the start due to privatisation everywhere


....So let's fix it?

Its gonna be a hard process, most politicians in the USA either ditch the idea, make it worse, privatise it more or ignore it
RIP Slavakino, the greatest socialist republic around
This nation does not represent
me or my actual political views
Federal Republic of Solvokina
A secure nation bound together by the horrors of war
Australian-Serb going to school for Chemical or Nuclear
Engineering. Fanatic about weapons, science and modern history. Huge fan of Yakuza

User avatar
The Alma Mater
Postmaster of the Fleet
 
Posts: 25619
Founded: May 23, 2004
Ex-Nation

Postby The Alma Mater » Tue Sep 15, 2020 9:52 pm

Major-Tom wrote:
Solvokina wrote:The problem with implementing Universal Healthcare to the USA is that they are screwed from the start due to privatisation everywhere


....So let's fix it?


That requires politicians to admit that the claim that the free market makes things better and cheaper is bullshit and always has been.

They won't.
Getting an education was a bit like a communicable sexual disease.
It made you unsuitable for a lot of jobs and then you had the urge to pass it on.
- Terry Pratchett, Hogfather

User avatar
Nobel Hobos 2
Postmaster-General
 
Posts: 14114
Founded: Dec 04, 2019
Ex-Nation

Postby Nobel Hobos 2 » Tue Sep 15, 2020 10:57 pm

Achidyemay wrote:For the well-ensured and well-healed of America


Nice pun! But it's "heeled".

When shoes were expensive people would wear them until the heel wore down. "Able to afford new shoes" = "well-heeled".
You could also get new heels and soles put on an old pair of shoes (at your local cobbler), reinforcing this idea that "well-heeled" people have money to spend now, but aren't necessarily rich.

And "ensured" is a word, but not the same word as "insured". Nothing wrong with your post, just a bit long for me now.
I report offenses if and only if they are crimes.
No footwear industry: citizens cannot afford new shoes.
High rate of Nobel prizes and other academic achievements.

PreviousNext

Advertisement

Remove ads

Return to General

Who is online

Users browsing this forum: Australian rePublic, Austria-Bohemia-Hungary, Cerespasia, Elejamie, ImSaLiA, Kostane, Omphalos, Republics of the Solar Union, Simonia, Tiami

Advertisement

Remove ads

cron