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Jensen: 'We've done our country a great disservice' by offshoring

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Re: Jensen: 'We've done our country a great disservice' by offshoring

#471

Earlier quoted context omitted.

That's why we import cheap illegals for those.

Curious that there are two parties involved in lawbreaking but only one of them gets called an "illegal".

That's because it's not synonymous with criminal. Murderers don't get called "illegals" either.

Re: Jensen: 'We've done our country a great disservice' by offshoring

#472

Earlier quoted context omitted.

Most countries had tariffs before trump, including USA. None have dumbass tariffs like trump though.

You should realize that the Trump tariffs are about opening negotiations from a position of strength and not a final position... Plenty of countries have negotiated more favorable tariff positions.

And what did you gain exactly?

Re: Jensen: 'We've done our country a great disservice' by offshoring

#473
post #464

Earlier quoted context omitted.

Sure, but the gap between your hourly wages has doubled.

Which is fine right? If both wages just keeps up with inflation, the gap will increase by the same amount as well. In fact in this particular case I wouldn't even expect the hairdresser's wage to increase the same amount proportionally, which is also fine. Not all wages should increase at the same rate.

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Re: Jensen: 'We've done our country a great disservice' by offshoring

#474

Earlier quoted context omitted.

I'm curious to compare this to other countries that have state owned/mandated insurance and are so far still mostly covering everything and which are always touted as "superior" to the US, who "have the most expensive health care system". Can't use Canada as OHIP et. al. don't cover much and the same employer tied insurance scheme as in the US exists and is necessary. An example of a country with "good healthcare" an…

It is actually more complicated than this implies. For example hospitals are often held afloat by Medicare/Medicaid spending (25%/19%). Private health insurance is about 37%, so larger than either, but smaller than both. But then you have to remember that some of the private health insurance is being subsidized by taxpayer dollars (e.g.: the ACA subsidies), and that private health insurance is largely coming from tax…

That's a fair point overall but not why I asked.

I asked from an employee and cost perspective. So whether or not to count the employer portion depends on whether we're comparing one or the other. If you buy on the marketplace in the US, compare with the full cost in the example I gave for Germany. If you get insurance through your work the US/CA, compare with the employee only portion (as the employer pays part of the insurance there as well).

Theoretically it's even more complicated as at least in Germany private insurance also exists and is cheaper if you're a healthy single youth and more expensive if you're an older family ;)

But again, like you say, it is totally valid to also compare outcomes / wait times per dollar spent of course.

Re: Jensen: 'We've done our country a great disservice' by offshoring

#475
post #323

Earlier quoted context omitted.

So, let's look at UnitedHealth Group; do they deliver health care? If there were single payer, what would their role be in the healthcare delivery process? Apparently they made 2.3 billion in profits on 113 billion in revenue in Q3 of 2025. How much of that friction would evaporate if they weren't in the healthcare delivery infrastructure. Someone once said "the best part is no part" ?

$2.3 billion is nothing in a $5 trillion system. Doctors make around $500 billion in the US. Their wages are much more significant than insurance profits.

Buddy.

That's 2.3 billion in ONE QUARTER of 2025, on a revenue of 115 billion. In a quarter. There are four quarters in a year.

$5 trillion is how much is spent in all of healthcare in the USA for the whole year.

UnitedHealth's revenue was $500 billion (and net profits is 10 billion) for the year. For one insurance company. There are 6 that each have more than $80 billion per year in revenue. This isn't to mention the billing departments for each hospital, the claims processing providers smaller doctors need to enlist, the endless hours interacting with insurance companies, etc.

And tell me, please, what specific healthcare outcomes are driven by insurance companies?

Re: Jensen: 'We've done our country a great disservice' by offshoring

#476

Earlier quoted context omitted.

All those computers in the data center are just as much products as anything else. If you don't like the apps, by all means don't buy them.

>All those computers in the data center are just as much products as anything else. Sure, and if they were cranked out of American factories, that'd be awesome. But since they're shipped across the Pacific on a boat, they're not really the kind of products that help. >If you don't like the apps, by all means don't buy them. If apps are all we get out of doubling power production, then I'll do one better and we'll jus…

Of course. It's ok to double power production for things you want, but not for things other people want.

Re: Jensen: 'We've done our country a great disservice' by offshoring

#477

Earlier quoted context omitted.

I'm curious to compare this to other countries that have state owned/mandated insurance and are so far still mostly covering everything and which are always touted as "superior" to the US, who "have the most expensive health care system". Can't use Canada as OHIP et. al. don't cover much and the same employer tied insurance scheme as in the US exists and is necessary. An example of a country with "good healthcare" an…

> Can't use Canada as OHIP et. al. don't cover much and the same employer tied insurance scheme as in the US exists and is necessary False. From what I know, only prescription drugs, dental, and vision are not covered. And since Americans frequently drive to Canada to buy prescription drugs, we can assume that's not as big a burden as in the US. But hospital stays, surgeries, lab testing, imaging, doctor visits, vacc…

Fair enough, I guess I got carried away given the private insurance has to cover drugs, which would otherwise be covered by the provincial insurance (like OHIP), if you have it.

Private insurance also can cover a higher percentage, i.e. provincial plans do not always cover 100% of everything. Also, Health Care Spending accounts are in many cases part of private insurances and can be used to cover things that provincial plans do not cover at all (unapproved drugs et. al.)

Re: Jensen: 'We've done our country a great disservice' by offshoring

#478
post #475

Earlier quoted context omitted.

$2.3 billion is nothing in a $5 trillion system. Doctors make around $500 billion in the US. Their wages are much more significant than insurance profits.

Buddy. That's 2.3 billion in ONE QUARTER of 2025, on a revenue of 115 billion. In a quarter. There are four quarters in a year. $5 trillion is how much is spent in all of healthcare in the USA for the whole year. UnitedHealth's revenue was $500 billion (and net profits is 10 billion) for the year. For one insurance company. There are 6 that each have more than $80 billion per year in revenue. This isn't to mention th…

Insurance companies are instrumental in ensuring that useless procedures arent performed. Over use of service is one of the biggest reasons for inflated costs in our healthcare system. Now to be clear I would prefer a medicare for all system implementing that, but under m4a doctor salaries are still a major issue that need to be addressed.

Basically all healthcare spending in the US goes through insurance companies, Im not sure why you have a problem with that. Under m4a medicare would spend trillions a year, would you be complaining about that too? Large profits would be a problem, but that doesnt exist. Our healthcare system is rotten top to bottom, insurance is part of that but imo it gets way too much blame for existing in the system the government has created.

Re: Jensen: 'We've done our country a great disservice' by offshoring

#479
post #475

Earlier quoted context omitted.

Buddy. That's 2.3 billion in ONE QUARTER of 2025, on a revenue of 115 billion. In a quarter. There are four quarters in a year. $5 trillion is how much is spent in all of healthcare in the USA for the whole year. UnitedHealth's revenue was $500 billion (and net profits is 10 billion) for the year. For one insurance company. There are 6 that each have more than $80 billion per year in revenue. This isn't to mention th…

Insurance companies are instrumental in ensuring that useless procedures arent performed. Over use of service is one of the biggest reasons for inflated costs in our healthcare system. Now to be clear I would prefer a medicare for all system implementing that, but under m4a doctor salaries are still a major issue that need to be addressed. Basically all healthcare spending in the US goes through insurance companies,…

Insurance companies basically mirror the reimbursement policies put in place by medicare. I'm sure most providers would gladly take lower reimbursement from a single provider over the chaos and pain driven by insurance companies right now.

Re: Jensen: 'We've done our country a great disservice' by offshoring

#480
post #479

Earlier quoted context omitted.

Insurance companies are instrumental in ensuring that useless procedures arent performed. Over use of service is one of the biggest reasons for inflated costs in our healthcare system. Now to be clear I would prefer a medicare for all system implementing that, but under m4a doctor salaries are still a major issue that need to be addressed. Basically all healthcare spending in the US goes through insurance companies,…

Insurance companies basically mirror the reimbursement policies put in place by medicare. I'm sure most providers would gladly take lower reimbursement from a single provider over the chaos and pain driven by insurance companies right now.

Basically every provider does not take medicaid so I suspect you are wrong about that. Again Im not happy with the insurance situation, I just think its barely top 10 in terms of problems with our healthcare system. The bureaucracy is required because of our horrible fee for service payout system. Without getting rid of that m4a would still requires an army of billers because republicans would constantly be screaming about the government being scammed(and they wouldnt really be wrong, healthcare providers do tons of wasteful procedures and the bureaucracy is the only thing slowing that down(recent example I came across, currently we wake up obgyn's to perform emergency medically required abortion services at the hospital even though abortions can be done with a pill and the nocturnist can safely oversee the whole thing, no need to wake anyone up. This is only done so providers can charge us more money. This shit is happening constantly over and over again every time providers can find ways to nickel and dime us and patients have no choice)). We dont actually need single payer to get rid of fee for service so really I think private insurance is an orthogonal problem to the billing army.
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