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

nysenate.gov

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

#261

Post by [deleted] »

omegaworks wrote: post #231
collegeburner wrote: post #192

Earlier quoted context omitted.

We already have a shortage of doctors and it is very expensive to become a doctor. How will paying doctors less help this? We need to reduce requirements for becoming a doctor and have "tiers" so people who just do family doctor things only need to know family doctor things. Prescription drug spending is less than 20% of medicare. Negotiating prices might help but taking that 20% to 10% still leaves healthcare as a v…

We could forgive the school debt of existing doctors and pay the entire cost (with appropriate cost controls) of medical school for new doctors.

[deleted]

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

#262

Post by throw0101a »

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?

> You ever been to a Canadian hospital?

As a Canadian: yes.

And the bill was $0 at the end of my father's heart bypass and valve replacement surgery. My friend's sister cancer treatment also had a bill of $0.

Finished filing my taxes last month, and my average rate (provincial+federal) for last year was 21%. Happy to pay.

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

#263

Post by akimball »

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.

All property taxes are paid from rents unless the landlord is operating at a loss.

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

#264

Post by nanliu »

exabrial wrote: post #237

I really want the government deciding what it considers "covered". Didn't get your Vaccine? Too bad, Democrats voted they won't cover your health care costs of a hospital visit. Unprotected Sex? Too bad, Republicans decided they won't cover your Plan B the next day. Your health choices are your business. Both sides have an agenda they will leverage and hold you hostage with. Leave the government out of healthcare. Th…

The private sector also established they will value profit above all else like pre-existing conditions they won’t cover, what’s in vs. out of network, who I need approval before I go see a specialist, limits on overall coverage, an ambulance ride that costs more than a first class plane ticket.

I want a system that measures outcomes that doesn’t sap double digit GDP, but the incentives are not structured in a way for success in this country (private or public).

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

#265

Post by rabuse »

AnIdiotOnTheNet wrote: post #220
listless wrote: post #164

Earlier quoted context omitted.

I’m a landlord and yes it is. My taxes doubled last year because of the stupid housing bubble and so we had to raise rent as well. Gotta make a profit here for this investment to be worthwhile.

Maybe if people didn't buy property they don't live in as an investment then things like the stupid housing bubble might not happen in the first place. Personally I think owning a residence you don't actually live in should just straight up be illegal, but I'm admittedly pretty radical about parts of the system that seem to exist solely to make the rich richer.

If government reduced their hold on zoning restrictions and allowed for more properties to be built, we wouldn't be in this mess. Supply and demand.

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

#266

Post by kmonsen »

version_five wrote: post #74
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.…

Would healthcare overall in e.g New York be equivalent though? In Canada, we have "free" healthcare but literally have no other option so it's the Soviet style mess you'd expect a government monopoly to be. But would this bar paid healthcare? Couldn't people still have health insurance and get private care? Is there something preventing that?

I don't know why the medicare for all plans need to ban private healthcare. Norway and UK has free healthcare for all, but still private options available for people that want to pay extra. That is also reducing the load on the public system so I can't really see why it is negative.

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

#267

Post by buescher »

oneoff786 wrote: post #226
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.

Somehow they have private insurance in Europe too. Germany has universal health care and you are well advised to get private insurance if you make enough that the state will allow you to buy it. The threshold is a salary of about $68K/year in US dollars.

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

#268

Post by bdzr »

version_five wrote: post #137
criddell wrote: post #91

Earlier quoted context omitted.

I’m a Canadian living and working in the US and I’d take the Canadian system any day of the week. I think it’s crazy that your access to healthcare is dependent on your employment.

But it's also crazy that your access to healthcare is based on how the government prioritizes your need of it. I agree with the idea of public healthcare, but not as a legislated monopoly. And that's true for government services generally. Monopolies don't benefit anyone except the monopolist, and competition makes everyone stronger. If the government wants to use it's buying and borrowing power (and maybe even taxat…

> But it's also crazy that your access to healthcare is based on how the government prioritizes your need of it.

So does every private insurer under the sun. You've never had insurance deny access to care? No insurer can afford to give an MRI to everyone a doctor wants.

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

#269

Post by lettergram »

heavyset_go wrote: post #153
throwaway2214 wrote: post #120

Earlier quoted context omitted.

> "your salary will now be half and we're maxing our your workload" should be fine if they pay their student loans no? isnt that the main reason the salaries are so high? cost of living + debt

> isnt that the main reason the salaries are so high? It's because the NIH limits the amounts of medical residencies in the country, and to become a doctor with a license to practice, you must have completed residency somewhere. The amount of doctors in the US are kept at low numbers because of this.

I thought it was the AMA, but yeah I know about this and agree. This is the real problem

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

#270

Post by holden_nelson »

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?

Have you? Do tell.
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