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Both in rich and poor countries, universal health care brings huge benefits

economist.com

431–440 of 556 posts

Re: Both in rich and poor countries, universal health care brings huge benefits

#431

Earlier quoted context omitted.

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Fair enough. What is that minimum? The proposed minimum is always to grant the needed power to cover unlimited property rights, but not universal healthcare.

It would be difficult to impossible for me to try to think of every feasible scenario in a HN post, but here's some off the top of my head: national defense, stopping people from physically harming others, enforce voting rights, establish trade agreements with other nations, etc.

Re: Both in rich and poor countries, universal health care brings huge benefits

#432

Earlier quoted context omitted.

Actually it is a perfectly visible item in budget. We pay less for whole of medical care than total US budget for just VA. Someone is paying for this in tax.

I think you misunderstand the statement. I wasn't referencing the comparison of the tax costs of different public healthcare systems. But while we're on that subject, I'm willing to bet that your VA comparison isn't per capita, or placed against GDP, rendering it useless. What I was referencing was the per capita or per household total cost of healthcare . The comparisons that say western countries with universal hea…

The higher taxes aren't there to cover healthcare costs though. The amount you pay in taxes for universal healthcare are lower than what you pay in the US for non universal public healthcare that you don't even use.

Re: Both in rich and poor countries, universal health care brings huge benefits

#433

Earlier quoted context omitted.

By that measure any salary a doctor demands, whether it's paid for by the patient or the state, is coercive. Or for that matter, any salary any person demands in exchange for work is coercive. I feel like it ceases to have a useful meaning when used in this way.

It's only coercive when we're talking about the means to survive. If you offer someone a choice between death or some action, you are coercing them to act. And I don't think that "ceases to have a useful meaning". I think it just doesn't let you argue that your system is better based on absence of "coercion".

I don't believe for a second that you understand the word "coerce" to be limited only to situations of life and death.

Do you or do you not believe that doctors in the UK are coercing the government by demanding a fair salary in exchange for the lifesaving services they provide?

Re: Both in rich and poor countries, universal health care brings huge benefits

#434
post #82

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Europe these days, at least I'd be treated like a human being and not a cash cow. Survival rates in the USA were better in the 1960s but most of the OECD now has much lower mortality rates from a diagnosis of cancer than the USA. One exception is the UK but the margin is very narrow. What the USA is good at is over-treatment which can extend life expectancy of a cancer patient a little bit (days, weeks on average) bu…

I can understand that perspective. But are you really treated more humanely in Europe? Instead of a cash cow, you're a statistical number that determines where you will get placed in the queue and how long you'll wait. In the US, you at least have the potential for autonomy to pay the best doctor you can find you to treat you as soon as possible. That autonomy (or illusion thereof if you're a cynic) is a core compone…

> In the US, you at least have the potential for autonomy to pay the best doctor you can find you to treat you as soon as possible.

You can do that in countries with universal healthcare too.

Re: Both in rich and poor countries, universal health care brings huge benefits

#435
post #93

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It is a well known fact that all medical care systems ration care. A person in America who gets cancer, say, often times faces bankrupt and financial ruin. The same can not be said of people in other wealthy nations. I fail to see your point. All healthcare systems ration care. Not all of them lead to financial ruin at the rate the American healthcare system does. My statement stands. A person ought not face financia…

> A person ought not face financial ruin. The logical consequence of this is that any cost must be paid. And if the person cant pay it someone else does. So if someone gets a rare cancer whose treatment has 1% effectiveness and costs millions, it should be paid by someone else. The principle is wishful thinking, not economics. We as people every day make trades of our life for money. We pick a means of transportation…

I think you have half a point. A lot of people favoring universal care say things like "health care is a right". I would much prefer the statement that "basic health care is a right". We don't want to talk ourselves into a system where we feel obliged to try to cover absolutely everything.

Re: Both in rich and poor countries, universal health care brings huge benefits

#436

Isn't it better to design health care system based on some form of score, very much like credit score in financial systems? The healthier you live, the less you pay. Obviously someone who drinks alcohol regularly, smokes regularly, is overweight, ... would be a burden on health care system (in long run) compared to someone who lives with a healthy life style. Why would they both pay the same amount? In a credit-based…

How do you know how often someone smokes or drinks? How do you determine what level of smoking/drinking is harmful enough to merit higher premiums? How do you dispute the insurance provider's claim that your cancer is really your fault because you chose to live in a city with bad air?

Enforcement requires a beneficient panopticon.

Re: Both in rich and poor countries, universal health care brings huge benefits

#437
post #401
post #80

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>> every qualified, trained medical professional agreed Except there were offers from international hospitals and doctors who disagreed and wanted to treat him. It's in the article I linked to. And, as you point out, the UK legal system shut that down.

No. Those hospitals were not offering anything other than palliative care. He had no brain! There's no possible treatment.

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Re: Both in rich and poor countries, universal health care brings huge benefits

#438
post #175

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Excellent. We are in agreement that the American government can and does provide a health insurance program that covers lots of people and has the property that people don’t seek to leave it. Perhaps the idea that everyone be covered in such a system is not so far fetched.

Why would anyone refuse free money? Are you sure you understand the parent's point? They are taking the money but using private networks, which indicates they prefer private providers.

In the absence of Medicare/Medicaid there would not be universal coverage for the elderly. The elderly do not advocate dismantling this coverage. The coverage is a government program. We are in agreement that a U.S. government program can cover lots of people and maintain the property that those people don’t want to the program to be dismantled. It’s not, then, hard to imagine everyone being covered by such a program.

Re: Both in rich and poor countries, universal health care brings huge benefits

#439
post #354

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That, even if true, does not support your argument. You need to show that the inefficiency in a universal care system in a country as large as the U.S is greater than the current system that we have. The evidence is that this is not true.

I don't need to show that, as I am not the one advocating a fundamental restructuring of the status quo. You need to show that the policies implemented in other countries will continue to work efficiently at the scale of the US, as you are the one advocating that course of action. "This policy worked well in [some place that is not the US]" just isn't good enough.

You asserted an explanation for something. I showed that your assertion was not logically supported by your statements.

Re: Both in rich and poor countries, universal health care brings huge benefits

#440

Earlier quoted context omitted.

No, I don't think these alternate examples are relevant. I suspect, and this is not my field of expertise, the largest differentiator is history. The US has been developing its health care system, uninterrupted, longer than other nations. It is much easier, politically, to build a great system if you start from scratch and have excellent examples at hand of what not to do as compared to modifying a deeply entrenched…

>The US has been developing its health care system, uninterrupted, longer than other nations. Can you describe this vis-a-vis England or France? I am confused as to how you think the US has been at healthcare longer or how an interruption occurs.

France was conquered roughly 70 years ago. England was not conquered, but I suspect WW2 had a near significant impact upon domestic government operation. According to Wikipedia the US health system has roots that go back much further without noticeable disruption: https://en.wikipedia.org/wiki/Health_insurance_in_the_United...
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