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

nysenate.gov

471–480 of 569 posts

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

#471
post #466

Earlier quoted context omitted.

Costs $20k for a family.

Just interestingly - the average per capita cost of Canada’s system is $4,000. Of course in the US, there are costs beyond just insurance, but if you had to pay for coverage out of pocket it would be $16,000/yr for a family of 4.

Well the point is that you don’t have to worry about coming up with 20k if you leave your job in Canada.

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

#472

Crazy healthcare costs are the result of government intervention back in the 30s, and I’m doubtful they will actually be able to lower overall costs. Single payer has the advantage of being able to negotiate the costs for a much larger volume, but my guess it won’t be enough to cover the cost of bureaucrats to administer it. Still I’m all for them trying it, if it fails miserably and the “free” healthcare leads to ne…

The US pays vastly more to administer it's health care than any other OECD country. Your assertion that the cost of government bureaucracy should exceed the cost of private markets at this task is emphatically not backed by data. A good place to check your assumptions on these kind of basic things is the OECD data. Healthcare is here: USA 1.4% of GDP on governance of healthcare Germany 0.5% (competing public insuranc…

Well maybe our bureaucrats are simply better at getting paid.

Still the healthcare issues being fixed with more government intervention is like someone breaking your leg then giving you crutches and saying “where would you be without me”.

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

#473

Earlier quoted context omitted.

The common refrain is very Yogi-Berra-like, "nobody lives there anymore, it's too crowded." Few people on the right want to connect things like rising homelessness -> rising rents and property values in the same period -> an influx of high paying jobs. There aren't concrete policy proposals given to fix those things given the circumstances of the last decade, just finger-pointing at whatever particularly policy someo…

Why would you even mention "the right" in any conversation involving the governance of San Francisco? What level of control does a party need before accepting responsibility for their governing instead of looking for an exiled boogeyman to blame?

Well, even CA still operates under the basic assumptions of contemporary US capitalism. There's a notable limit to what you can accomplish in terms of social change when you still cannot (or refuse to) directly control housing costs (for example), or control capital flows, or the labor share of (in this case, state) GDP.

While there are some great analyses that point out the flaws and hypocrisy in Democratic governance within CA, I think it's also equally true to say that the state's "left" leaning situation ends up pointing out the inherent contradictions of contemporary US capitalism as well as anything could.

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

#474
post #458

Earlier quoted context omitted.

> 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.

https://www.cbc.ca/amp/1.4495123 “ "Then I found out that this other country — which I thought had a healthcare system that was so superior to the U.S. — doesn't test for the tumour marker that saved my life, and doesn't cover this drug that is responsible for pushing my cancer into remission after traditional chemotherapy failed to do that."”

"... and then I found out that this other country - which I thought had the best healthcare system in the world - allowed for-profit insurance companies to dictate what treatment would be paid for, and allowed millions of people without insurance to likely go without any sort of test for cancer at all."

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

#475
post #418

Earlier quoted context omitted.

You realize the only reason rich Americans don’t wait for healthcare is because poor Americans aren’t getting much if any care.

This shows a serious misunderstanding of pretty much everything (I mean that). It's not a zero sum game.

Where will the additional doctors and MRI machines come from if more folks had access to healthcare? If all the uninsured in my state suddenly had the same access to health care as I did, there would be 700,000 additional people who need primary care physicians, OBGYNs, psychiatrists, and so on. I think it would be a net good, but I would absolutely expect that the wait time for treatment would go up. You can't just snap doctors into existence. (I mean that)

Healthcare in the US isn't fair for anyone.

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

#476
post #457

Earlier quoted context omitted.

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

Prices are determined by supply and demand. Both are rather inelastic, especially in a highly desirable city like NYC, so very of the property taxes gets passed to the renters. If this weren't true, then renters in California would see savings from prop 13, but clearly that isn't happening.

Bobby gave Lisa $10. Lisa then gave $3 to Uncle Sam. What percentage of Bobby's money went to Uncle Sam? 30%. It's that simple. Bobby gave Uncle Sam 30% of his money.

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

#477
post #96
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.

In NYC?

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

#478
post #449

Earlier quoted context omitted.

60% of the US has access to "good" healthcare. Why is it ok to throw the under 40% under the bus?

Why is it ok to force the 60% to pay higher taxes and accept WORSE healthcare so that the 40% get better healtcare for nothing? We already pay to cover our own family members on our plans. Why are we being forced to now cover everyone else's family? I'm more likely to move to the adjacent state than pay 15% higher tax rate and literally get LOWER quality care.

1) It's not clear it will be worse, many countries with single insurer/single payer have just as high quality care (Canada)

2) Leaving these people uninsured is not cheaper, you're paying for it already with significant healthcare costs. The same people complaining about the cost of healthcare turn around and deny preventative coverage to people who end up in the ER and you pay for it regardless.

3) It's the right thing to do, ethically, morally and financially (long term)

What an incredibly ignorant take, no wonder we don't have any healthcare solutions.

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

#479
post #73
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…

NY should pay for single payer in part by raising real estate taxes, it's the only clear way the state has to avoid capital flight in the way you're describing here. This said, a big thing NY benefits from is that a lot of people work in NY state temporarily as consultants in addition to the bridge and tunnel crowd that come in from NJ and CT, this gives them a much larger tax base than the population living there br…

Land value tax. Don't tax the buildings, just the land.

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

#480

Earlier quoted context omitted.

If we're talking wages here, what are the options exactly? Is there anything bigger than 401(k)? This is ignoring charity, which I believe is available to anyone anyway.

401k, HSA, 529s for state taxes. You can give children gifts up to $28k, which is taxed at the kids rate. There are games you can play with home equity loans. If you own a business there is a thousand ways to do it. One thing I’ve seen is people’s businesses “donate” to private schools and then get “merit” scholarships for their kids. You can accelerate depreciation of up to $500k of assets, etc. If you’re smart, you…

Re: 529s, do remember that tax treatment varies widely state to state. I was bummed to learn that California doesn't offer any deductions for 529 contributions.

(Of course the tax treatment for qualified withdrawals is the same regardless of where you live.)

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