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

301–310 of 569 posts

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

#301

Post by colatkinson »

jrodthree24 wrote: post #228
beebmam wrote: post #96

Earlier quoted context omitted.

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…

Median household income in NYC for 2020 was $67k [0]. $100k (especially for a single earner, as is often the case in tech) is considered quite high, but not outrageously so if that makes sense? That's "1BR apartment in a nice but not too trendy neighborhood outside of Manhattan" money, so well on the upper side of middle class. I think people tend to overestimate how much money those outside of the tech bubble actually make.

[0] https://www.census.gov/quickfacts/fact/table/newyorkcitynewy...

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

#302

Post by jonahbenton »

revnode wrote: post #149
beebmam wrote: post #96

Earlier quoted context omitted.

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

You paid much more than that. A substantial part of your rent is property taxes. I also doubt you included sales taxes in that number. Then there's more esoteric stuff like tariffs, etc

No. Property tax rates are extremely- some would say criminally- low in NYC. I would think it unusual for more than 20% of rent to go to property tax.

Mortgage much much more likely to be the dominant expense for a residential landlord, but varies significantly with age.

There are many longtime landlords for whom their tenants are now nearly all profit. Which is INSANE.

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

#303

Post by com2kid »

ipaddr wrote: post #140
mupuff1234 wrote: post #119

Earlier quoted context omitted.

They won't have much of an option. I don't see them closing up shop and leaving NY if the talent is there.

I do, the talent exists elsewhere cheaper

It isn't just talent, it is local ecosystem.

Large metro areas have a large # of services available. From office furniture delivered in hours to a wide range of service industries available on demand.

From food delivery to sign printing to courier services, large, dense, cities have economics of scale.

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

#304

Post by holden_nelson »

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 didn’t know that. Why does the NIH limit the number of residencies?

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

#305

Post by yazaddaruvala »

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…

At least in Vancouver there are private clinics[0] where you can get MRIs, CT scans, endoscopies, etc within the week if you are willing to pay.

[0] e.g. https://www.timelymedical.ca/

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

#306

Post by RHSeeger »

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.

So, if I am going to live in an area for a year... I should be required to purchase a house, including all the money, time, and effort that involves? I would hate to live in a world where that was the case.

I have both owned and rented at different points in my life. There have been times where renting was a better choice for me, for a variety of reasons. I am glad that renting is an option.

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

#307

Post by chrisseaton »

rootusrootus wrote: post #299
chrisseaton wrote: post #271

Earlier quoted context omitted.

I'm from the UK, which is basically fully free-at-point-of-use healthcare (you pay a nominal fee for prescriptions, dentistry, optician) and is often championed as a great option. Reality is it's pretty grim. Don't know if I'd recommend it to other countries to be honest. Be careful what you wish for!

> Reality is it's pretty grim. Don't know if I'd recommend it to other countries to be honest. As someone who's never experienced the UK health care system, and only know one person who has (as a foreigner, so they paid out of pocket and said the experience was positive, but otherwise not a good data point) ... I'd like to hear a bit more detail about how it's pretty grim, if you're willing to elaborate.

I'd love to get you to listen in to a phone call where I try to get an appointment with my doctor. You'd have to be up at 0800 on the dot, while I desperately try to get into the phone queue. Then you'll hear me beg with the world's rudest receptionist for an appointment, which I won't get.

There's no incentive for these people to be helpful or polite, because they get paid anyway and there's no market, so they aren't.

My American colleagues see a doctor every year for a checkup to catch things like cancer before they're fatal. The NHS would laugh in my face if I said I wanted to see a doctor for a checkup, unless I literally had an arm falling off.

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

#308

Post by endisneigh »

ceejayoz wrote: post #80
endisneigh wrote: post #70

Earlier quoted context omitted.

The downside is that you could be paying more taxes for something that you already had.

Then perhaps it's time to unlink employment and health care coverage entirely.

No disagreement here.

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

#309

Post by ryan93 »

marricks wrote: post #217
codefreeordie wrote: post #131

Earlier quoted context omitted.

Actually, the median American has access to exceptional care. What is actually the case is that care available to the bottom quartile of Americans is below the care received on average in a top-tier universal care nation, and the US spends an absolute fortune delivering this quartile with substandard care. We also spend a bit more than average providing exceptional care to everyone else, except that we also spend a t…

Why do Americans always have to play a zero sum game with human lives. If a quarter of our country has the worst healthcare in the developed world that is unacceptable. Answers like this are just begging us to give up our humanity.

What fraction of your income goes to the third world?

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

#310

Post by docstryder »

et2o wrote: post #285

I’m an MD who trained in NYC. I have also had emergency surgery in the NHS at one of their most prestigious hospitals in London and so I feel like I’ve seen the system a little bit from the inside. It was far cheaper for me than it would have been as a Brit in the USA, but the standard of care was lower. They didn’t have some technical and staffing resources late in the afternoon that would be a baseline in any of th…

If we go by data, the US healthcare system is the most expensive (not arguable) and is not even in the top 5 among developed countries in the most important measures. Also a doc, though that is not really relevant for this discussion.

one of these references is from an US insurance company who you would think would be biased for US healthcare

https://www.cignaglobal.com/blog/healthcare/top-10-countries...

https://www.washingtonpost.com/world/2021/08/05/global-healt...

https://www.internationalinsurance.com/health/systems/

Post reply on HN