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GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

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Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#141
post #58

I like to write short stories in my free time. One that I’ve been working on over the last year is one where the concept of “crowdfunded healthcare” evolves into a dystopian game show where people go on TV and share their sob story on why they need money. Then the viewers at home get to choose who gets the show’s prize money each season through a bracket style voting system that crowns a champion at the end. I had to…

> On that note, I find it supremely fucked up that people have to turn to crowdfunding to get their unexpected healthcare costs covered by benevolent internet citizens. So who should pay for it? All taxpayers instead? All countries that have tried that are now in the red. The only good solution, I think, it to work to make healthcare a lot cheaper in the long run.

>So who should pay for it? All taxpayers instead?

Let's compare/contrast your own countrymen. The Department of Veterans Affairs (colloquially known as "the VA") is entirely funded by the US budget[0]. Guess where the US budget comes from.

The VA, among many other services, provides "free" healthcare to veterans who are 50% or more disabled[1]. Sure, it's not entirely universal healtcare but...

Then we look at the Children's Health Insurance Program (colloquially known as "CHIP"). Again, not entirely universal healthcare. However, the federal government matches states governments fundings[2] and the program is designed to reach the poorest (children) in the nation.

Then, of course, you have Medicaid[3].

Essentially, for the disadvantaged, there is some level of concern and you have an approximation (if not out-right full) universal healthcare for some of them; otherwise, enter the "pull yourself up by your own bootstraps" mentality comes into play.

Apologies for the seemingly long diatribe of a soapbox but it seems hypocritical to say that taxpayers paying for healthcare is a bad thing when you - quite literally - do it for a sub-group of your populace.

>The only good solution, I think, is to work to make healthcare a lot cheaper in the long run.

As a comparator, surgery to remove a lipoma in the Emerald Isle costs about 800 quid[4] but this cost is about 1,725 quid[5] in the states.

So, there's an argument to made that Universal Healthcare can make the overall costs of healthcare far cheaper.

...and this is not to mention the gratuitous amount of money you'd be saving on the budget by condensing all of those government departments down into a much smaller government, yeah?

[0] - https://www.va.gov/budget/products.asp

[1] - https://en.wikipedia.org/wiki/United_States_Department_of_Ve...

[2] - https://en.wikipedia.org/wiki/Children's_Health_Insurance_Pr...

[3] - https://en.wikipedia.org/wiki/Medicaid

[4] - https://www.citizensinformation.ie/en/health/health_services...

[5] - https://www.realself.com/lipoma-removal/cost

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#142
post #45

Earlier quoted context omitted.

The show Undercover Boss is kind of like that. Every episode some CEO realizes that all of their employees are underpaid, picks one with an especially sad story, and gives them some money to pay for their kid's surgery or college tuition.

There's an interesting book on this topic of individualized philanthropy by the powerful and its effect of masking the deeper systemic problems. It's called "Winners Take All" by Anand Giridharadas. I'm only about halfway through, but the central thesis appears to be that the powerful, even if they truly want to make a good-faith effort to improve the world, will naturally gravitate towards forms of social change tha…

Google is a good example. They start with search. Become king of the search hill and then search goes into the background. Are the people running Search in charge of Google? Nope. The empire defense people get put in charge. Who then spend more time and resources on Chrome and Android. They don't create knowledge. Humanity does. But the empire defense folk, get it into their head they need to own the knowledge graph and rent it out to humanity. No questions or debate. Now imagine if StackOverflow or Wikipedia decided to pull the same bullshit.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#143
post #32

Earlier quoted context omitted.

Universal healthcare. It works well in the majority of civilized world.

In universal care you dont get access to 'clinical trials and research and things like that, where people need access to leading-edge potential treatments' You are also not eliminated the need to get funds, you are changing who you are asking them from. And let me tell you that government officials are seldom generous.

Absolutely wrong. There's nothing that says people living under a socialized medical system don't have access to clinical trials. Government is an extension of the people. If you want generosity you vote for generosity. In Canada, where I grew up, it works wonderfully. In the rest of the civilized world, it works wonderfully. There's no reason it won't work in America. Moving to America the scariest thing in the world was giving up my OHIP card (my Ontario government socialized medicine card). Still is, honestly.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#144
post #46

Earlier quoted context omitted.

> government officials are seldom generous If government officials are using the same healthcare system as everybody else, they have incentive to make it good.

They have the incentive to make the ones they use good. This idea has shown to not happen in real life. Public schools, for example, do not deliver a "uniform" service.

No, Government officials in the US are afforded socialized medicine. "The Federal Employees Health Benefits (FEHB) Program is a system of 'managed competition' through which employee health benefits are provided to civilian government employees and annuitants of the United States government."

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#145

I like to write short stories in my free time. One that I’ve been working on over the last year is one where the concept of “crowdfunded healthcare” evolves into a dystopian game show where people go on TV and share their sob story on why they need money. Then the viewers at home get to choose who gets the show’s prize money each season through a bracket style voting system that crowns a champion at the end. I had to…

> On that note, I find it supremely fucked up that people have to turn to crowdfunding to get their unexpected healthcare costs covered by benevolent internet citizens.

Keep in mind the percentage of folks who abuse this method of fundraising, instead of being truly needy.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#146
post #49

Earlier quoted context omitted.

> In universal care you dont get access to 'clinical trials and research and things like that... [citation needed]

The US has substantial incoming medical tourism. If it really were strictly worse to european alternatives (more expensive or lower quality) europeans would not go to the US.

And I assume that the existence of US to Thailand and India medical tourism means that the medical systems there aren't strictly worse than the US?

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#147
post #123

Earlier quoted context omitted.

How, exactly, has regulation driven the price of a drug we've had for decades up hundreds, even thousands, of percent, most of which increase happened after it was out of patent protection?

Who stops you from buying insulin outside the US and re-selling it in the domestic market?

Fascinating that drugs in Canada are perceived as so much cheaper than in the US, and yet, you know that Canada doesn't have a socialized prescription drug program? Instead, provincial health programs negotiate drug prices. You know who can't do that? Individuals. Also, Medicare.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#148
post #95

Earlier quoted context omitted.

> Because governments dont spend nearly as much as private investment into the medical field... Are you not aware of how much fundamental drug and medical research is actually conducted on the taxpayer's dime at the university level, and then exclusively licensed to private enterprise for commercial exploitation? I've seen a number of sources make a compelling case that "big pharma"'s number one line item is marketin…

At great cost to society. There should be no federal funding on this. This is one of the gravest reasons why healthcare is so expensive in the U.S. It subsidizes big corpo, big hospitals, then subsidizes richest employees, eliminating the most basic price mechanisms for competition. Not only does it do all the subsidizing, but it also makes it expensive by putting extremely costly regulation. But thats a whole topic…

You have a fascinating perspective on medicine and research. Research should be paid for by the people and made available in the public interest. If a private entity does pay for the research they are entitled to protect their inventions for 20 years via the patent program. That doesn't mean buyers or buying organizations shouldn't be allowed to negotiate.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#149

Earlier quoted context omitted.

So you believe the US healthcare system is better than, say, the United Kingdom?

I dont know the UK health intimately to compare confidently. I can tell you what it looks like with Argentina. that has universal care. Normally anyone with a dime goes private. Public is a lower-quality, cheaper service. That system is great for the poor, most expensive to middle class. I can also tell you what I think are reasons why US healthcare is so expensive, and they are not fixed by universal care programs.

No, they absolutely are fixed by universal healthcare, as they are everywhere else on earth.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#150
post #37

Earlier quoted context omitted.

From my perspective, it shouldn't. Yes, its cold and heartless to say so, but wanting children isn't a health issue.

I'm not sure I agree. I don't want kids myself, so it would be easy for me to say it isn't important to a meaningful life, but it is a significant biological drive and, in a way, denying someone the ability to bear children is condemning them to a form of death.

Should an infertile couple have a right to a surrogate mother
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