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Healthy California Act: proposal to make findings about single-payer healthcare

leginfo.legislature.ca.gov

301–310 of 468 posts

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#301
post #289
post #209

Earlier quoted context omitted.

As a Canadian as well, I appreciate you being up front about the drawbacks of our system as well. I've heard so many American's say "oh, the Canadian system is so much better". Is it better in coverage? Obviously! However, when I ask if they'd be ok waiting over a year for joint replacement surgery, they get a weird look on their face. Or, if they have cancer, they aren't going to get to go to the best cancer center…

How many Americans do you think get to go and get their cancer treated at Memorial Sloan Kettering? The US private health care system doesn't mean everyone who gets cancer goes to MD Anderson. And, you'd still be very hard pressed to have many private insurance plans cover truly experimental treatments. If I had to choose who gets advanced treatments between those who can pay the most vs those who need it the most I'…

I'm not arguing that people in the US don't get care, I'm arguing that if you want to cut healthcare spending in the US (to match other countries) people will have to get used to a lower level of healthcare.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#302

Earlier quoted context omitted.

> Would love a counter opinion. Every other first world country? https://en.wikipedia.org/wiki/List_of_countries_with_univers...

Several of those countries implement universal coverage using a private insurance model.

Parent comment still addresses the point. Majority of first-world countries have single-payer model. Exceptions prove the rule.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#303
post #269

Earlier quoted context omitted.

>Because the amount of loan debt physicians have to take on is already massive, and very few would want to increase that by an additional $112,000 (which is the amount Medicare provides). Sure, you think it's expensive, but the demand is still there, people are willing to work for (net of costs) less than they currently are. That supports the claim that the service is priced above the market clearing level. (Edit: an…

> Sure, you think it's expensive, but the demand is still there, people are willing to work for (net of costs) less than they currently are. That supports the claim that the service is priced above the market clearing level. * There are more people who apply for publicly-funded GME every year than there are positions available, yes. * However, almost nobody (roughly speaking) applies for self-funded residency positio…

I added an edit that there is plenty of room between full current subsidy and 0% subsidy.

You're doubling down on the strawman of adding new slots at 0% subsidy, and you're not considering the possibility that the requirements are too stringent to begin with. (Full bachelor's plus MD plus full residency.)

Edit: Also, it wouldn't be "seeing the effects" of it until the number of med school applications = number of med school slots.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#304

Earlier quoted context omitted.

Uhh, no thanks. I'd rather be able to decide for myself what healthcare I buy, instead of being forced into a substandard single payer system. Ok, fine, create a public option. But don't force me to buy it. Let me buy my own healthcare.

This is what Australia does, I think. Single payer public option, but you can choose to buy private health care as well (though you still pay taxes for the public option regardless). I'm curious to hear from any Australians about how this system works for them.

Yes, this is how things work Down Under.

There is a universal public health care system that everyone is part of and funded via Federal Govt taxes. This allows anyone to be treated for free in a public hospital. Given your condition and severity of the problem, you may have to wait for treatment.

This system works quiet well overall.

There is also a parallel private insurance system and privately owned hospitals. Which you may choose to be treated in if you have/can afford the insurance. Top private insurance cover for a family can run to about AUD$5,000 per year.

If you earn over a certain amount of money a year ($90,000+ for singles and $180,000+ for families) you will pay more tax if you do not have private insurance. This is to try and push those that can afford private insurance and treatment into the private system, to free up resources in the public system.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#305

Earlier quoted context omitted.

> as a Californian...I'd rather that people like me... There is crux of the issue: not everyone shares the same opinion and belief, so should the government force those people to spend their earned income on healthcare for others? Personally I think it won't end up how you anticipate but that's just me. Right now the working people of America are already subsidizing healthcare for the masses and all I ever hear is pe…

>not everyone shares the same opinion and belief, so should the government force those people to spend their earned income on healthcare for others? Yes. Ideally, that's what governments should do: require citizens to act in our collective and long-term best interests, not only their own. In the case of healthcare: a healthy population is a productive, happy, and peaceful population. All of those things are good for…

> Yes. Ideally, that's what governments should do: require citizens to act in our collective and long-term best interests, not only their own.

That's starting to sound a lot like Marxism where the value of the individual is less so than that of the collective (Government / State).

I'm sorry but no thanks. Who determines what our best interest is? The only person on this planet that can determine my best interest is me. If I'm incapable of doing so for myself then that is too bad.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#306

Earlier quoted context omitted.

They will either have to increase contributions or cut payments to future retirees.

As if those are the only two options... what happens when the unions plans their strikes for the week before a major event, like transit workers before the DNC here in Philly? Also, when tax-free pension contributions go up and taxable payments to future retirees go down... then taxes collected also goes down...

They strike they strike. It's happened before, it will happen again.

As for a change in tax revenue, the same is true if you contribute more to your 401k and/or get back less because your investments didn't do good. Also, if you lay state employees off, your state income tax revenues go down.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#307
post #32

Vermont tried this a few years ago, they had to cancel it since in the end it wasn't financially feasible [1]. CA is already dealing with severe budget issues [2][3], so while it sounds nice in theory I'm hesitant to believe the finances actually work out. [1] http://www.politico.com/story/2014/12/single-payer-vermont-1... [2] http://www.latimes.com/projects/la-me-pension-crisis-davis-d... [3] http://www.cnbc.com/201…

I wouldn't mind paying more taxes in order to provide others with something I consider a human right. Under single-payer, CA employers will no longer need to provide insurance for their employees. That money could in some way pay for this. It also makes the idea of a 'gig economy' much more palatable, since people working in short-term / part-time situations will no longer have to go without employer-provided insuran…

California is already running a budget deficit, in part because of the health subsidies it already provides. Also, it allows voluntary contributions, so you can already pay more taxes: https://www.ftb.ca.gov/individuals/vcfsr/vcf_faqs.shtml

Thus far I have been able to resist the tempation to do so.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#308

Earlier quoted context omitted.

Uhh, no thanks. I'd rather be able to decide for myself what healthcare I buy, instead of being forced into a substandard single payer system. Ok, fine, create a public option. But don't force me to buy it. Let me buy my own healthcare.

This is what Australia does, I think. Single payer public option, but you can choose to buy private health care as well (though you still pay taxes for the public option regardless). I'm curious to hear from any Australians about how this system works for them.

Deleted because the sibling comment posted at the same time is more thorough.

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#309

Earlier quoted context omitted.

[2] is about CalPERS, which is separate from the budget of the State. There may be a current budget shortfall, but CalPERS is fine (it is the largest non-country pension fund in the world; and comes in the top 10 when listed among countries). [3] mentions that tax revenues will fall because of the end of temporary tax increases; those increases are likely to be renewed. Categorizing these as 'severe budget issues' is…

California has had a bumper crop in terms of tax revenue ... but is outspending even that! There was a "surprise" extra $1.9 billion deficit hit from Medi-Cal last fiscal year[0] (which should tell you something about the government's inability to track or control spending), and an overall budget deficit is projected for the current year. And this doesn't even count the huge infrastructure deficiencies and deferred m…

Another thing I'm finding out is that states have been playing accounting gimmicks and moving funds about accounts that should not have been mixed up as they were...

tens of thousands of local government entities issue bonds, and some employ dubious accounting techniques “that obscure their true financial position,” according to a 2015 report of the Volcker Alliance https://www.city-journal.org/html/zeroing-government-fraud-1...

Re: Healthy California Act: proposal to make findings about single-payer healthcare

#310

Earlier quoted context omitted.

Why?

Because for hundreds of years collectivism has been accelerating and it's become nearly, if not entirely, out of control at this point.

Ah yes, "collectivism." What you call that, the masses of humanity call civilization.
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