Alaskan Viking, on 22 September 2012 - 02:37 PM, said:
First off, there is no proof that socialized healthcare works better. The fact that America has had the best doctors and hospitals IN THE WORLD for the last 50+ years should be enough to convince any sane person that free market healthcare works.
And second, "our system" as it stand now, is NOT free market. The government already spends over 600 BILLION dollars a year on socialized healthcare services, and loses about 60 billion a year in fraud.
60 billion is ~ the same amount of money the military spent to make the F-22.
60 billion dollars is more money than the entire health insurance industry makes in profits each year.
And our existing government healthcare programs lose that much in fraud each year.
The healthcare industry in the United States is, already, one of, if not the most, heavily regulated and subsidized industries in the nation, and the notion that MORE regulation and subsides will make it better is, quite frankly, absurd.
Oh really? Our health care system is so amazing is it? We pay more money towards US health care than any other nation on Earth, and not by a little bit. We pay half again in GDP what even the "expensive" health care systems in France and Switzerland cost, and about double what Australia's costs (again, relative to GDP).
I would expect us to have amazing care for what we pay, except that 1 in 6 Americans don't get access to any of that. Lest I imply that they're the only ones without significant health care access, many of the insured are no better off. According to a survey done in 2007 by Consumer Reports, over 40% of
insured Americans said they wouldn't financially survive a medical emergency. In total, somewhere between 40% and 50% of Americans either have no health care insurance, or such inadequate insurance, that they might as well be uninsured.
I guess considering they have access to more spending than any other nation's population on Earth, those privileged few who aren't completely left out in the cold, and get to hog that to themselves, probably do have access to decent care, but it certainly doesn't reflect well in our averages. We have terrible life expectancy (partly explained by our bad habits? Possibly, but other nations with higher smoking and alcohol consumption rates beat us by a mile, so that stale excuse only goes so far), our infant mortality rates are so bad that we're basically tied with Lithuania (we're #50 overall; almost no industrialized nation does worse), and let's not forget post-infant deaths. In 2010 an estimated twenty six thousand people died from lack of insurance,
TWENTY six thousand (
http://www.reuters.c...E85J15720120620). That's about three people an hour. Since you posted, about fifteen people died from our great health care system; I'm sure they were very comforted by the fact that you think our hospitals are great.
Ironically, part of the costs of our healthcare system are
because of the costs. Not all that money goes towards giving the lucky 50% with good coverage great service; a lot of it is due to the lack of emphasis on preventative care. Health care is poorly afforded by many, so it's avoided, put off as much as possible, until problems balloon into big expensive catastrophes that would have cost much less to fix had they been addressed much earlier as you'd see in, say, Australia or France, where people universally have coverage, where many have supplemental insurance, and where if one is sick, they overwhelmingly
see a doctor rather than putting it off because it costs too much (because for them it doesn't).
The other reason our health care system often costs so much money is because we're a victim of our own success. Hospitals such up a tremendous amount of the money from our system (30%ish? don't recall the exact figure) and yet are financially struggling. Why? Because they have to spend inefficiently to satisfy demand. Come out with an MRI machine that's 3% better than the model from two years ago, and every hospital has to get one, because if they don't constantly sell how cutting edge they are, they risk losing business. Constant expenditures on the latest and greatest are just one of many symptoms of the lack of cost control in our system (which you amusingly imply is too regulated), in the wake of the fall of the managed care system of the 1990s.
That problem of ballooning costs then self-exacerbates by coming back to the uninsured. Many of the people who are uninsured or abandoning the system in droves are people my age, your 20-30 year olds, who basically subsidize the system by being healthy, and statistically putting in more than we take out (essentially in exchange for catastrophe insurance), but who also typically have little money and large amounts of debt, and are just getting established financially, and so don't have mountains of disposable income, and when we leave, the risk pool suffers as there becomes less money coming in on average than going out, which causes health care to get more expensive, which causes more low-risk and low-income people to leave, which repeats the cycle, endlessly (this is a huge part of what ACA sought to solve; whether it'll be successful or not... well we'll see).
The number of different problems in our system, from worsening finances from all sides (higher costs
and less money coming in to pay them as the risk pool collapses), to the sheer number of people who are simply shafted by the system, often people who
are insured, but aren't really covered, is so staggering, it's hard to believe
anyone thinks our system works in its present form, and let's not even get into insurance death panels, denial of insurance to people who
do want to take part in the system, insurance companies who will drop needed coverage the moment a patient gets sick by nitpicking over their applications (which they intentionally write to be as confusing as possible so that people
will make a mistake somewhere, which they can later use as an excuse to deny you coverage, after you've paid for years, the moment you actually need it, hiring people specifically for that job, and paying them based on how many people they deny coverage to), etc etc.
So please, tell me again about how our system is so awesome? We spend tons, and get abysmal average outcomes, while suffering behavior by insurance companies (again, who you imply are TOO regulated) that borders on criminal.
Now, I'm not so dichotomous on this issue as you seem to be. I have
no interest in a purely single-payer health care system. The more effective systems on Earth seem to be hybrid systems, with combinations of universal public coverage supplemented by a healthy private industry. You might hate any and all government, but far from being your counterpart on the other side of the political spectrum, I
do not hate private industry; I very much like the private sector, even if I think there is a place for government.
Oh, and that $60 billion figure you cited? It was misreported by the news agencies. That figure was an estimate for
all of health care fraud, public and private, not just medicare fraud. No one really knows how much medicare fraud costs. Yes, that scares me too, and yes, it's a definite problem to address that's a source of frustration with the system; I freely admit that. Again, I'm not the dichotomous sort here, and I don't think that every human system has to be either made of pure gold, or abysmally bad. Most sit somewhere between. To point to a flaw in a system and suggest that therefore, it must be unequivocally bad, while the alternative must automatically be unequivocally good, is absurd, hence why, despite flaws, I want to keep the private system around (as much as you seem to want to abolish the public system for what seem like much smaller flaws).
Quote
"our system" as it stand now, is NOT free market
You don't say...
Of course it isn't a purist, unregulated market like that of Gilded Age America, or a market economy that accounts for
all economics; we have a hybrid system, just like what every other successful industrialized nation uses. A market economy with numerous and often large private businesses is still a major component of that.
Edit: had to change the number of people who died from lack of insurance, because our health care system killed three more from the time I began the post to the time I finished.
Edited by Catamount, 22 September 2012 - 07:54 PM.