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Healthcare! A much needed reform in the US.

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

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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

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Ifreann
Post Overlord
 
Posts: 163891
Founded: Aug 07, 2005
Iron Fist Socialists

Postby Ifreann » Sun Sep 13, 2020 10:03 am

Sundiata wrote:
Heloin wrote:Private insurance at the end of the day is saying that rich people deserve better health care. Why does someone deserve better healthcare for having money?

I support public and private forms of insurance. The reason why private insurance should exist is because everyone should own private property, including stock in private health insurance companies.

Every person in the world should be rich unless they choose not to be.

This is simply impossible.
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Austria-Bohemia-Hungary
Postmaster of the Fleet
 
Posts: 27926
Founded: Jun 28, 2011
Civil Rights Lovefest

Postby Austria-Bohemia-Hungary » Sun Sep 13, 2020 10:04 am

Sundiata wrote:
Heloin wrote:Private insurance at the end of the day is saying that rich people deserve better health care. Why does someone deserve better healthcare for having money?

I support public and private forms of insurance. The reason why private insurance should exist is because everyone should own private property, including stock in private health insurance companies.

Every person in the world should be rich unless they choose not to be.

You know what this is? This is housing profiteers in Solomon's temple. Why should they be run out of business while people profiteering on others' misery aren't?
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Celritannia
Post Marshal
 
Posts: 18417
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Sun Sep 13, 2020 10:06 am

Freiheit Reich wrote:
The Greater Ohio Valley wrote:That’s why I said forcefully cut the profit motive out of healthcare.


I agree but it seems politicians will keep listening to the lobbyists ahead of what the people want.

Actually, it is OK to have a public option for necessary procedures with average doctors and a private option for unnecessary procedures. The private hospitals likely would have higher paying doctors and be better quality and this is OK. I am fine with wealthier people having better quality care but lower class people should have adequate care at least.


I have to point out that it's not accurate to assume private hospitals offer better care.
Last edited by Celritannia on Sun Sep 13, 2020 10:08 am, edited 1 time in total.

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Ifreann
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Posts: 163891
Founded: Aug 07, 2005
Iron Fist Socialists

Postby Ifreann » Sun Sep 13, 2020 10:07 am

Freiheit Reich wrote:
The Greater Ohio Valley wrote:That’s why I said forcefully cut the profit motive out of healthcare.


I agree but it seems politicians will keep listening to the lobbyists ahead of what the people want.

Actually, it is OK to have a public option for necessary procedures with average doctors and a private option for unnecessary procedures. The private hospitals likely would have higher paying doctors and be better quality and this is OK. I am fine with wealthier people having better quality care but lower class people should have adequate care at least.

Fucking why should the rich have better quality care?
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Kowani
Post Czar
 
Posts: 44956
Founded: Apr 01, 2018
Democratic Socialists

Postby Kowani » Sun Sep 13, 2020 10:07 am

Freiheit Reich wrote:
The Greater Ohio Valley wrote:That’s why I said forcefully cut the profit motive out of healthcare.


I agree but it seems politicians will keep listening to the lobbyists ahead of what the people want.

Actually, it is OK to have a public option for necessary procedures with average doctors and a private option for unnecessary procedures. The private hospitals likely would have higher paying doctors and be better quality and this is OK. I am fine with wealthier people having better quality care but lower class people should have adequate care at least.

I realize it’s libertarian orthodoxy to assume that private>government, but this doesn’t really work in the healthcare sector.
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Nobel Hobos 2
Postmaster-General
 
Posts: 14114
Founded: Dec 04, 2019
Ex-Nation

Postby Nobel Hobos 2 » Sun Sep 13, 2020 10:07 am

Sundiata wrote:
Heloin wrote:Private insurance at the end of the day is saying that rich people deserve better health care. Why does someone deserve better healthcare for having money?

I support public and private forms of insurance. The reason why private insurance should exist is because everyone should own private property, including stock in private health insurance companies.

Every person in the world should be rich unless they choose not to be.


That's nice. There is nothing in the known history of free markets to think the "right to be rich" will ever be guaranteed by private enterprise. Sounds like a job for government to me (and I wouldn't make promises about when)
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Austria-Bohemia-Hungary
Postmaster of the Fleet
 
Posts: 27926
Founded: Jun 28, 2011
Civil Rights Lovefest

Postby Austria-Bohemia-Hungary » Sun Sep 13, 2020 10:08 am

Ifreann wrote:
Freiheit Reich wrote:
I agree but it seems politicians will keep listening to the lobbyists ahead of what the people want.

Actually, it is OK to have a public option for necessary procedures with average doctors and a private option for unnecessary procedures. The private hospitals likely would have higher paying doctors and be better quality and this is OK. I am fine with wealthier people having better quality care but lower class people should have adequate care at least.

Fucking why should the rich have better quality care?

Aristocratic privilege says hi. Or: "I deserve it because I'm a billionaire."
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Sundiata
Powerbroker
 
Posts: 9755
Founded: Sep 27, 2019
Ex-Nation

Postby Sundiata » Sun Sep 13, 2020 10:08 am

Celritannia wrote:
Sundiata wrote:I support public and private forms of insurance. The reason why private insurance should exist is because everyone should own private property, including stock in private health insurance companies.

Every person in the world should be rich unless they choose not to be.


Again, the UK has a nationalised health service, while private health companies are alongside.

So does Singapore, but the issue with the UK is that private health insurers don't have enough autonomy as they do in Singapore. This stifles competition.
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Austria-Bohemia-Hungary
Postmaster of the Fleet
 
Posts: 27926
Founded: Jun 28, 2011
Civil Rights Lovefest

Postby Austria-Bohemia-Hungary » Sun Sep 13, 2020 10:09 am

Sundiata wrote:
Celritannia wrote:
Again, the UK has a nationalised health service, while private health companies are alongside.

So does Singapore, but the issue with the UK is that private health insurers don't have enough autonomy as they do in Singapore. This stifles competition.

Explain why we should allow people to profit off others' misery and ill health.
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Celritannia
Post Marshal
 
Posts: 18417
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Sun Sep 13, 2020 10:09 am

Sundiata wrote:
Celritannia wrote:
Again, the UK has a nationalised health service, while private health companies are alongside.

So does Singapore, but the issue with the UK is that private health insurers don't have enough autonomy as they do in Singapore. This stifles competition.


And Singapore disenfranchises against the poor.

Why should someone's health be a profit margin?

Jesus healed the sick for free.

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Nobel Hobos 2
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Posts: 14114
Founded: Dec 04, 2019
Ex-Nation

Postby Nobel Hobos 2 » Sun Sep 13, 2020 10:10 am

Ifreann wrote:
Freiheit Reich wrote:
I agree but it seems politicians will keep listening to the lobbyists ahead of what the people want.

Actually, it is OK to have a public option for necessary procedures with average doctors and a private option for unnecessary procedures. The private hospitals likely would have higher paying doctors and be better quality and this is OK. I am fine with wealthier people having better quality care but lower class people should have adequate care at least.

Fucking why should the rich have better quality care?


If they didn't, nobody would. Then there would be no highly funded 'bleeding edge' to advance medicine overall.

Someone should have better quality care, maybe not the rich. Maybe the youngest? Or we could hold a lottery.
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.

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

Postby Nobel Hobos 2 » Sun Sep 13, 2020 10:13 am

Celritannia wrote:Jesus healed the sick for free.


If you believe what it says in his biography.
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.

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

Postby Kowani » Sun Sep 13, 2020 10:13 am

Nobel Hobos 2 wrote:
Ifreann wrote:Fucking why should the rich have better quality care?


If they didn't, nobody would. Then there would be no highly funded 'bleeding edge' to advance medicine overall.

Sure there would! It’d be the government’s literally limitless pockets, because this is America, which has enough fiscal space to build a space hotel.
Last edited by Kowani on Sun Sep 13, 2020 10:14 am, edited 1 time in total.
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Celritannia
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Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Sun Sep 13, 2020 10:14 am

Nobel Hobos 2 wrote:
Celritannia wrote:Jesus healed the sick for free.


If you believe what it says in his biography.


This is true, I do not believe he could heal people.

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Estanglia
Senator
 
Posts: 3858
Founded: Dec 31, 2017
Ex-Nation

Postby Estanglia » Sun Sep 13, 2020 10:15 am

I think the US needs universal healthcare. I'm leaning to a single-payer system, but I think a National Health Insurance system is both more feasible and more likely.
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Sundiata
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Founded: Sep 27, 2019
Ex-Nation

Postby Sundiata » Sun Sep 13, 2020 10:15 am

Austria-Bohemia-Hungary wrote:
Sundiata wrote:I support public and private forms of insurance. The reason why private insurance should exist is because everyone should own private property, including stock in private health insurance companies.

Every person in the world should be rich unless they choose not to be.

You know what this is? This is housing profiteers in Solomon's temple. Why should they be run out of business while people profiteering on others' misery aren't?

Don't you dare compare me to the Pharisees.

My position on this matter is completely consistent with the ethos of the Catholic Church as practiced by the prelature of Opus Dei. Private property is a right and private ownership should be spread as widely as possible without the state overstepping it's boundaries. There's nothing wrong with a person being rich or a country being rich, just as long as they give to others as much as, if not more than they receive. A public option is a solid bulwark against the externalities of the marketplace.
Last edited by Sundiata on Sun Sep 13, 2020 10:16 am, edited 1 time in total.
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Nobel Hobos 2
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Founded: Dec 04, 2019
Ex-Nation

Postby Nobel Hobos 2 » Sun Sep 13, 2020 10:15 am

Kowani wrote:
Nobel Hobos 2 wrote:
If they didn't, nobody would. Then there would be no highly funded 'bleeding edge' to advance medicine overall.

Sure there would! It’d be the government’s literally limitless pockets, because this is America, which has enough fiscal space to build a space hotel.


Government 'research hospitals' and equipment manufacturers perhaps. I'm trying not to be too idealistic though.
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.

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Vistulange
Negotiator
 
Posts: 5472
Founded: May 13, 2012
Democratic Socialists

Postby Vistulange » Sun Sep 13, 2020 10:15 am

A large-scale campaign to tell people that EpiPens don't actually cost $600 might be a good starting point.

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Celritannia
Post Marshal
 
Posts: 18417
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Sun Sep 13, 2020 10:17 am

Kowani wrote:
Nobel Hobos 2 wrote:
If they didn't, nobody would. Then there would be no highly funded 'bleeding edge' to advance medicine overall.

Sure there would! It’d be the government’s literally limitless pockets, because this is America, which has enough fiscal space to build a space hotel.


A national health system is good for everyone, but private healthcare is good to an extent.
One good thing private healthcare does, is those that can afford it, decreases the number of people who use the public system.

If I had the money, I would go onto BUPA, not because I agree with private healthcare, but because I have the resources to, and thus allow those who cannot afford private health care to use the public system in place.

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Austria-Bohemia-Hungary
Postmaster of the Fleet
 
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Founded: Jun 28, 2011
Civil Rights Lovefest

Postby Austria-Bohemia-Hungary » Sun Sep 13, 2020 10:18 am

Sundiata wrote:
Austria-Bohemia-Hungary wrote:You know what this is? This is housing profiteers in Solomon's temple. Why should they be run out of business while people profiteering on others' misery aren't?

Don't you dare compare me to the Pharisees.

My position on this matter is completely consistent with the ethos of the Catholic Church as practiced by the prelature of Opus Dei. Private property is a right and private ownership should be spread as widely as possible without the state overstepping it's boundaries. There's nothing wrong with a person being rich or a country being rich, just as long as they give to others as much as, if not more than they receive. A public option is a solid bulwark against the externalities of the marketplace.

You do understand that what props up the healthcare insurance sector is ordinary people betting against them becoming sick right? And that betting essentially is people betting against their own inevitable ill-health and misery.
So... why should the healthcare insurers profit off the inevitable masses of sick and miserable human beings?
Last edited by Austria-Bohemia-Hungary on Sun Sep 13, 2020 10:19 am, edited 1 time in total.
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Sundiata
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Founded: Sep 27, 2019
Ex-Nation

Postby Sundiata » Sun Sep 13, 2020 10:19 am

Celritannia wrote:
Sundiata wrote:So does Singapore, but the issue with the UK is that private health insurers don't have enough autonomy as they do in Singapore. This stifles competition.


And Singapore disenfranchises against the poor.

Why should someone's health be a profit margin?

Jesus healed the sick for free.

Singapore does not disenfranchise the poor. The government of Singapore provides healthcare options to the poorest of the poor that are free at the point of service.
"Don't say, 'That person bothers me.' Think: 'That person sanctifies me.'"
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Celritannia
Post Marshal
 
Posts: 18417
Founded: Nov 10, 2010
Left-wing Utopia

Postby Celritannia » Sun Sep 13, 2020 10:19 am

Sundiata wrote:
Celritannia wrote:
And Singapore disenfranchises against the poor.

Why should someone's health be a profit margin?

Jesus healed the sick for free.

Singapore does not disenfranchise the poor. The government of Singapore provides healthcare options to the poorest of the poor that are free at the point of service.


Again, I shall link this:
https://www.bbc.co.uk/news/world-asia-26349689

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Ifreann
Post Overlord
 
Posts: 163891
Founded: Aug 07, 2005
Iron Fist Socialists

Postby Ifreann » Sun Sep 13, 2020 10:20 am

Sundiata wrote:
Austria-Bohemia-Hungary wrote:You know what this is? This is housing profiteers in Solomon's temple. Why should they be run out of business while people profiteering on others' misery aren't?

Don't you dare compare me to the Pharisees.

My position on this matter is completely consistent with the ethos of the Catholic Church as practiced by the prelature of Opus Dei. Private property is a right and private ownership should be spread as widely as possible without the state overstepping it's boundaries. There's nothing wrong with a person being rich or a country being rich, just as long as they give to others as much as, if not more than they receive. A public option is a solid bulwark against the externalities of the marketplace.

You simply cannot have rich people without poor people. Do you think anyone would work in a sweatshop if they were rich? Do you think that Nike could make anyone rich without using sweatshop labour?
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Nuroblav
Minister
 
Posts: 2352
Founded: Nov 13, 2019
Ex-Nation

Postby Nuroblav » Sun Sep 13, 2020 10:21 am

Sundiata wrote:I'm in favor of amending the affordable care act and adding a public option, this way people who need healthcare get healthcare and Americans get to retain their freedom of choice via different private options for insurance.

^^This would be a good idea. I come from a country with universal healthcare so the fact that the US still hasn't really got round to it does baffle me. That would - as you say - allow people who need healthcare to be able to have access to it, while those who wish to continue with it can do so. Private healthcare, I'm not a big fan to be honest and ideally - from my perspective - we'd be looking at more worker-managed healthcare rather than simply placing it in the hands of the government. But that's not gonna happen any time soon in the US, so given that your solution sounds good to me, there we go.
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The Black Forrest
Khan of Spam
 
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Inoffensive Centrist Democracy

Postby The Black Forrest » Sun Sep 13, 2020 10:22 am

Ifreann wrote:
Sundiata wrote:Don't you dare compare me to the Pharisees.

My position on this matter is completely consistent with the ethos of the Catholic Church as practiced by the prelature of Opus Dei. Private property is a right and private ownership should be spread as widely as possible without the state overstepping it's boundaries. There's nothing wrong with a person being rich or a country being rich, just as long as they give to others as much as, if not more than they receive. A public option is a solid bulwark against the externalities of the marketplace.

You simply cannot have rich people without poor people. Do you think anyone would work in a sweatshop if they were rich? Do you think that Nike could make anyone rich without using sweatshop labour?


I was once at a security conference and met a computer manager from Nike. Even he commented if people knew what we pay to make a shoe; people would stop buying them.
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