Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

NY Senate Bill S5474 proposing a universal single payer health plan for NYers

nysenate.gov

Post reply on HN
Print view View original

221–230 of 569 posts

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#221

Post by [deleted] »

mtalantikite wrote: post #77
goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

> If NY does this, the near zero chance of my moving there ever would go to absolute 0. Are they proposing kicking you off your insurance? From the bill: > SUMMARY OF SPECIFIC PROVISIONS: Every New York resident will be eligible to enroll, regardless of age, income, wealth, employment, or other status. There would be no network restrictions, deductibles, or co-pays. Coverage would be publicly funded. The benefits wil…

[deleted]

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#222

Post by Ar-Curunir »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

Given that you were already unlikely to move to NYC, I’m not sure your opinion has much weight compared to that of existing New Yorkers…

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#223

Post by marricks »

nceqs3 wrote: post #102
marricks wrote: post #65

Earlier quoted context omitted.

Who gets "good" care here? Senators and millionaires definitely do. But, most people don't get good care, many people are missing essential care (dental), and everyone has to wait. Often months. We in the US pay more per capita for worse care than most other developed nations (Canada/UK/Nordic countries). Name your country where the care is worse than the US please and let us know how much they pay for it per capita…

You ever been to a Canadian hospital?

I have Canadian friends and it sounds better than when my older brother had to call their insurance company every months to get their anxiety meds covered because, for some reason, the insurance company lost the paper work for approving them every month. For a year.

Funny because it’s just the sort of thing to cause more anxiety in an anxious person.

I’d also love hear how many Canadian cancer survivors have to put up gofundmes or go bankrupt for care.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#224

Post by sedatk »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

Coming from Turkey that has this, I can 100% vouch for it. Prescriptions are partially covered. Private insurance and private hospitals is an option but that doesn't mean state hospitals are bad. Healthcare quality is very good in state hospitals. It's actually one of the only two categories in which Turkey's in a good standing among OECD countries.

It has its own wrinkles of course. For example, doctors make less money and their working conditions are worse than private hospitals. Because of that, it's common to get asked to pay a "knife fee" in secret for operations. Some doctors ask for an expensive bottle of whiskey etc. I haven't experienced this myself but heard about those incidents many times.

However, wait times aren't long. Appointments are organized electronically through E-State portal. Although wait times in ER can be long based on your triage, that's the case with United States anyway.

The benefits of single payer healthcare outweigh the drawbacks by a wide margin. You never worry about unemployment. You don't have homeless people due to their mental problems as they're treated in mental clinics. You don't worry about "getting bankrupt" suddenly from an unforeseen health issue. Healthcare costs are low even if you're not insured. That means drugs are cheap even though state won't cover 100% of the cost. Even private insurance is cheap (~$1000 a year).

Yes, taxes are high in Turkey, but healthcare system costs make up a very small portion of it (~5%).

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#225

Post by revnode »

dwallin wrote: post #213
revnode wrote: post #184

Earlier quoted context omitted.

Where did I assume that?

- A substantial part of your rent is property taxes. Without detailed analysis there's no way to know if this is true, or how true it is. It is entirely possible for an increase in taxes to lead to no increase in end prices or even a drop in rent prices. It's a complex system.

I didn't say anything about increases in taxes. You added that. I also didn't say anything about increases or drops in rent. You added that again.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#226

Post by oneoff786 »

aserdf wrote: post #30

it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…

Isn’t this sort of guaranteed to fail? High earners already have great insurance from employers. There’s not likely to be a mechanism to get those benefits back as dollars like you would expect in a national scale steady state system.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#227

Post by Krasnol »

notch656a wrote: post #211
Krasnol wrote: post #197

Earlier quoted context omitted.

I don't understand your argument. You are helping others & others help you. What's the problem? > If I made this story a bit more personal and wrote ("I am too ill to work anymore, so I drove to my son's house and took $200 off his counter to buy my medication) HN would be reacting with outrage. How about making the story more fitting the reality here: You drive to your sons house and ask him to help you with your he…

>You drive to your sons house and ask him to help you with your health bill and he helps you because...why wouldn't he? Asking is fine. Telling them they must is not. If the mechanism for payment from the youth to the elderly is voluntary I have no problem with it.

It kinda is voluntary. If you don't like it, you can leave the country which wants you to pay.

I don't get why you have a problem with that. It sounds to me like some anti-social behaviour pattern. Don't you pay for taxes or Government services too? This is how a civilized society works. The attitude you display here has become a bad joke when people talk about the US health system. You must be aware of that.

What do you expect people to do which can't afford to pay their health bills because they've been unlucky or something like that? Are they supposed to just die?

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#228

Post by jrodthree24 »

beebmam wrote: post #96
aserdf wrote: post #30

it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…

That's 60% marginal rates. Last year I paid 17% of my total income in taxes.

Probably depends what you mean by high income. I think someone making 100k will not pay that much and that is considered high in a lot of places. But I am not sure that is considered high in NYC. High is probably more like 150k - 200k+ and that still wont be anywhere near 60%.

I do get to ~40% when you add up federal, state and city. I don't think anyone is really looking at an actual 60%. Maybe 50% if you're making like over a million.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#229

Post by HEmanZ »

beebmam wrote: post #96
aserdf wrote: post #30

it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…

That's 60% marginal rates. Last year I paid 17% of my total income in taxes.

I don't think the op is talking about you. Many professionals in NYC already pay over 40% in effective income tax.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#230

Post by DaveExeter »

endisneigh wrote: post #25
ceejayoz wrote: post #20

Earlier quoted context omitted.

Then a focus on tax rates instead of total cost is entirely disingenuous.

Not really, there are people who get great health care for free from their employer, and others who get a greatly discounted rate. Their employers will not necessarily savings with their employees. The result for these employees could be more taxes for the same or worse care they’re already receiving. In aggregate I believe it’s the right move but let’s not act like everyone wins here.

> Not really, there are people who get great health care for free from their employer

It is not 'for free' it is part of your compensation! It's like saying your employer pays 6.2% + 1.45% in SS/Medicaid taxes 'for free'. That is part of your compensation.

Post reply on HN