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Universal health coverage could save $1T and 114k lives a year: study

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Re: Universal health coverage could save $1T and 114k lives a year: study

#171
post #18

There have been studies like this for decades, going back to at least the Clinton administration. And nothing will come of it. Too many entrenched interests, regulatory capture, and lobbying + political donations.

If spending drops by $1t, it will come out of someone's paycheck. Yes, some are greedy folks who will be just fine making 20% less a year. But many will be nurses or hospitals or some combination of providers.

Re: Universal health coverage could save $1T and 114k lives a year: study

#172
post #32

Earlier quoted context omitted.

Same here in the UK. If you need to see a specialist, you regularly have to wait months, assuming you can even get a referral in the first place.

This is frequently true in the USA as well. My provider's dermatology department is pretty backed up and couldn't make me an appointment for an excision until November. Fortunately it's not urgent.

Anecdotes aside, here's some data:

https://benchmarkcanada.org/Governing_Healthcare-Wait-Times....

The US does far better than the UK and Canada.

Re: Universal health coverage could save $1T and 114k lives a year: study

#173

Earlier quoted context omitted.

$1 trillion less profit.

Not really. Private health insurance would still exist alongside for the more wealthy (including nearly everyone on HN) that doesn’t want to wait a year for their public system MRI. Same thing that plays out in other countries. The U.S. already has a form of this in so-called concierge / premium providers too. Lots of profit to be made.

Having the machine capacity to get non-urgent MRIs in hours is part of why US healthcare is so expensive. Anyway, the average (again for non-urgent MRIs) where I live in canada is 9 weeks, which is i am sure skewed due to the rural population. In the city it’s like half that.

Re: Universal health coverage could save $1T and 114k lives a year: study

#174

Earlier quoted context omitted.

That would be a massive hit to our GDP.

In all seriousness, this would be a massive stimulus to the economy. Americans are consumers at heart. All the money saved on insurance and/or other healthcare related costs would then be spent elsewhere. Cars, clothes, TVs, Labubu dolls. People will use the savings to buy things. In massive quantities.

There is also some indirect bonus: if people's healthcare is not tied to their employer then it's easier to look for a new one. Also if the system is done well, then many companies would lose the incentives they currently have for not giving full-time employment.

Re: Universal health coverage could save $1T and 114k lives a year: study

#175

We've been down this road. ACA was predicated on studies like this, to no avail (it turns out that intense opposition chips away at it over time regardless of these studies). I'm of the opinion that, if your solution requires perpetual majority control of legislative, executive, and judicial branches, your solution is in fact a campaign slogan. I'm not saying that this is what is happening now , but I am saying that…

ACA has saved tons of lives. Due to the intense opposition, it was not structured in a way that could save money, but rather structured in the way that it could get through congress. Additionally, as somebody who was around pre-ACA, I can not tell you how much better, in every single way, the post-ACA healthcare world is. Pre-existing conditions? Access to healthcare as an individual? These are life-changing possibil…

>Additionally, as somebody who was around pre-ACA, I can not tell you how much better, in every single way, the post-ACA healthcare world is. Pre-existing conditions? Access to healthcare as an individual? These are life-changing possibilities, especially for entrepreneurs.

The failures and politicization of the ACA have caused us to be a little too dismissive of its successes and popularity.

Protections for pre-existing conditions and allowing children to stay on family plans until 26 in particular have made an incredible difference in a lot of people's lives and are wildly popular. So much so that it would be close to political suicide to try to remove them as evidence by Republicans controlling all three branches of government including both chambers of Congress and there is no serious talk of repealing them.

There is belief among a lot of its supporters that universal healthcare would have a similar wave of support if enacted and that the opposition is mostly irrational political arguments rather than people's true feelings about an actual policy. This is why the "ACA" polls higher than "Obamacare" despite those being two terms for the same legislation.

Re: Universal health coverage could save $1T and 114k lives a year: study

#176
post #14

Earlier quoted context omitted.

$1 trillion more efficient in allocation of resources, freeing up money for consumer spending on everything.

Are you saying the government is an efficient allocator of resources?

If that wasn't the case, DOGE would have found any waste worth looking at.

It was not for a lack of motivation or a lack of cut-throat pursuit, consequences be damned.

Re: Universal health coverage could save $1T and 114k lives a year: study

#177

Earlier quoted context omitted.

I don’t think “political suicide” exists anymore.

We still have Social Security for now. Entitlements are sticky for better or for worse.

Social Security in its current form will be gone within two years. Instead you will be required to pay a contribution (just as you are now) but the money will be managed by a private company who will charge fees and provide no guarantees. Current retirees will get to keep the current arrangement, everyone else will be moved to the privately managed Social Security option.

Re: Universal health coverage could save $1T and 114k lives a year: study

#178
post #95

We've been down this road. ACA was predicated on studies like this, to no avail (it turns out that intense opposition chips away at it over time regardless of these studies). I'm of the opinion that, if your solution requires perpetual majority control of legislative, executive, and judicial branches, your solution is in fact a campaign slogan. I'm not saying that this is what is happening now , but I am saying that…

ACA is not Universal Health Coverage. So this would be different enough. And you don't need perpetual majority control, only sensible politicians for about a generation (like FDR/Truman/Eisenhower/JFK) to lock in a popular entitlement.

FDR and "sensible" is always funny to me. The sensible politician that imprisoned Japanese Americans, destroying the lives of 120,000 of our fellow citizens.

Re: Universal health coverage could save $1T and 114k lives a year: study

#179

We've been down this road. ACA was predicated on studies like this, to no avail (it turns out that intense opposition chips away at it over time regardless of these studies). I'm of the opinion that, if your solution requires perpetual majority control of legislative, executive, and judicial branches, your solution is in fact a campaign slogan. I'm not saying that this is what is happening now , but I am saying that…

ACA has saved tons of lives. Due to the intense opposition, it was not structured in a way that could save money, but rather structured in the way that it could get through congress. Additionally, as somebody who was around pre-ACA, I can not tell you how much better, in every single way, the post-ACA healthcare world is. Pre-existing conditions? Access to healthcare as an individual? These are life-changing possibil…

I lost my individual healthcare plan, and I couldn’t afford the new ones. Remember when they said you could keep your plan? Yeah, that’s the one I lost.

Re: Universal health coverage could save $1T and 114k lives a year: study

#180
post #65

Earlier quoted context omitted.

> if your solution requires perpetual majority control I think once universal health coverage is established, it amounts to political suicide to try to take it away again.

I don’t think “political suicide” exists anymore.

We're talking about healthcare, so you're essentially claiming that the reason the GOP has failed to repeal the ACA despite numerous opportunities is because they actually like the policy, not because they're afraid of the political fallout. Can you elaborate more on when and why you think that happened?
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