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This is the Government that You Want to Run Health-care?

But universal healthcare need be neither prohibitively expensive, nor inadequate.

That is the point that Rolfe has been making several times. (He mentions "Abigail", IIRC).
ETA:

I know of nobody in the UK who worries about being bankrupted by medical expenses; by lack of income due to illness maybe, but not by the cost of treatment. Even if they do get bankrupted, their medical treatment is still adequate.
 
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But universal healthcare need be neither prohibitively expensive, nor inadequate.

That is the point that Rolfe has been making several times. (He mentions "Abigail", IIRC).
ETA:

I know of nobody in the UK who worries about being bankrupted by medical expenses; by lack of income due to illness maybe, but not by the cost of treatment. Even if they do get bankrupted, their medical treatment is still adequate.


You are trying to argue that the people here should drastically change the current system.

I maintain that too many people here are either:

1. Satisfied with their current health care, regardless of the cost,
2. Covered by government-run Medicare and
a. Happy with it, so reluctant to venture any big changes
b. Unhappy with it as government-run health care, so want less government interference in the market place
3. Covered by the government-run MedicAid (see items 2a/b)
4. Covered by the government-run VA system (see 2a/b)
5. Covered by the government-run NAHCS (see 2a/b)
6. Covered by the government-run military health care system (see 2a/b)
7. Covered by local government-run health system (see 2a/b)
8. Covered by any other government run or supported system (see 2a/b)
9. Happy to go without health insurance (e.g., young and healthy with the option to go naked)
10. Illegal immigrants who have no vote and who can get adequate health care simply by returning home.

Who does that leave? Pandering politicans, liberal activists, those who lack health insurance (for whatever reason) and now need it and want someone else to pay their bills.

Who did I leave out? Where do you see some big impetus coming from to divert the inertia of the current system?
 
Are you being silly?

Why would anyone currently receiving MedicAid think that more of the same is going to be better?


Do you really have so little confidence in your countrymen's abilities that you think they are, in effect, incapable of organising a piss-up in a brewery?

Admittedly, present form is not promising, but your inflexible pessimism seems rather over the top.

I agree, from what I've heard about Medicaid I wouldn't want any of it. But why do you assume that your country, of all the developed world, is incapable of better?

I've got the NHS. I pay less for that as a proportion of my salary than you pay to fund Medicaid/Medicare, which you personally cannot access. But not only can I access the NHS if I choose, I know the care delivered is of sufficiently high quality that I'm quite content to forego taking out private health insurance cover, which I could afford to do.

Now I'm not saying your country should do anything. What confuses me is the apparent lack of much serious will to do so, to the point where posters will unjustifiably badmouth the NHS and other universal heathcare systems, or insist once more (as per the OP) that US administrators are such a bunch of incompetents that it's not even worth thinking about. Anything rather than consider that the US might not be the pinnacle of achievement in this area, it seems.

Rolfe.
 
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We reserve that for things worth doing. :rolleyes:


So you don't think that improving the present system is worth doing? You don't think a universal healthcare system that works is worth having?

I note that list of reasons for not being up in arms. Two comments.

1. My observation of Americans, and not just on this forum, is that they have a completely unjustified low opinion of healthcare in other countries, where there are universal systems. (For example, a friend of mine in Tennessee has a chronic illness, systemic lupus. I'm constantly horrified by what she has to put up with to get healthcare - how much of her own money she shells out, the lying she did to get a job with health coverage, the fact that she never gets any holidays because she uses that time to be ill in, and the fact that she's terrified of losing the job - although she can barely hold it down - because she'll lose the health benefits. But she's constantly saying how thankful she is to live in the USA, because she's convinced she's getting "cutting-edge" treatment she wouldn't get elsewhere. I've never had the heart to tell her that if she lived here she'd get exactly what she's getting, free, and no strings attached. Anyway, I'm not sure she'd believe me!) Of course, if there is widespread misunderstanding of the quality of care available to those with systems such as the NHS, of course people will be less likely to desire such a system.

2. The oft-repeated point above about being "Unhappy with .... government-run health care, so want less government interference in the market place". Back to this strangely poor opinion US citizens seem to have of their government. Yes, everybody bitches about government, it's SOP. However, when you really get down to it, the government is who you elect, and it responds to public pressure. If the public is really convinced that no pressure it can bring to bear can improve the situation - well. It's not what I would have expected of the can-do, pinnacle of western civilisation, example to be emulated by all sort of place that the USA likes to advertise itself as.

Mind you, the more I think about it, the more important point 1 seems to be. The lack of appreciation by US posters of what we actually have here, and how well we really are served by it. Even to the point where a couple have come out and told us that, although we don't know it, our system "sucks".

I've had not one single US poster comment on the Abigail story, except for the Gnome who merely criticised her mother's dental work (on the basis of a low-resolution picture on a computer screen - it didn't look like that in the actual newspaper).

That is the standard of care we get. Does nobody even want to comment?

Rolfe.
 
I know of nobody in the UK who worries about being bankrupted by medical expenses; by lack of income due to illness maybe, but not by the cost of treatment. Even if they do get bankrupted, their medical treatment is still adequate.

You'd better not tell our US friends about statutory sick pay. It'll just upset them.
 
You'd better not tell our US friends about statutory sick pay. It'll just upset them.


Oh Lord! That was part of what horrified me about my Tennessee friend's predicament. Apparently she only gets two weeks holiday in the year. (Oh ye Gods and little fishes!) And it is not expected that all two weeks will be taken at once.

She managed to arrange to get her two weeks in one block, so that she could come to England and meet friends and see the sights and so on.

She had a relapse of her lupus, and was told she had to spend two weeks just resting. That was her holiday!!! She started talking about "PTA", which apparently isn't "parent teacher association" but "paid time away". She only gets two weeks to be absent for any reason at all, holiday or sick leave. So she had to cancel the holiday and use the two weeks as sick leave.

This appears to be normal.

She loves that job. But it's absolutely killing her to show up every day, and also keep her medical appointments, and store up those precious ten working days for use when she simply can't make it in. But also, the job is her healthcare ticket. All these cutting-edge treatments, that she'd have had to pay for out of her own pocket if she lost the job - and she'd having nothing but a small family trust fund to use both to live on and pay the medical bills.

Friends who understand the system have been urging her to give in and "go on welfare", but I kind of lost the plot about there because the system described was so unfamiliar, so cruelly unsympathetic and so damn wasteful that I couldn't quite believe what I was hearing.

And yet she is quite convinced she lives in the best, most advanced country in the world, and that if she'd had the misfortune to have been born in Britain she'd be dead because she wouldn't have got the necessary treatment from the NHS - simply not true, but she believes it.

Rolfe.
 
I remember reading a novel in which one of the characters had breast cancer. She had a high-powered legal job. The bits of the story where she was struggling in to work while very very sick from chemotherapy and radiotherapy confused the hell out of me. Anyone in Britain in that condition would get the time off to be sick in.

Then I had first-hand experience of my friend and her lupus, and it began to make some sort of twisted sense.

Americans seem to regard this inhuman treatment as normal.

Rolfe.
 
9. Happy to go without health insurance (e.g., young and healthy with the option to go naked)


And terminally lacking in imagination I suppose.

I was 34 and hadn't a care in the world when I contracted pneumonia out of the blue. I wasn't even registered with a doctor, as I'd moved house five months earlier.

I had a week of house calls, then a week in an isolation unit in hospital, with a battery of tests and x-rays and treatment.

Awfully glad I wasn't in the above category at that point.

Rolfe.
 
Do you really have so little confidence in your countrymen's abilities that you think they are, in effect, incapable of organising a piss-up in a brewery?


Certainly they can but why should they? What are they missing out on?

Admittedly, present form is not promising, but your inflexible pessimism seems rather over the top.

I agree, from what I've heard about Medicaid I wouldn't want any of it. But why do you assume that your country, of all the developed world, is incapable of better?


Of course we are capable of much better, such as the health care service I pay for and receive. And it ain't cheap [not that that bothers me].

The point here is that MedicAid, Medicare, the VA, etc. - these are the prime examples of the quality of US government provided heath care. Any person who has depended on these services naturally wants something better. But who can they get it from? The US government? The same people who **** on them now?

As I keep implying (I guess much too subtly), why would anyone who depends on US government supplied medical care wish that on anyone else (that they like, anyway)? Especially to the extent that they would riot for it?

Government supplied health care here is the ****** end of the stick. No one wants it until they are too sick or too broke that they can't do any better.


I've got the NHS. I pay less for that as a proportion of my salary than you pay to fund Medicaid/Medicare, which you personally cannot access. But not only can I access the NHS if I choose, I know the care delivered is of sufficiently high quality that I'm quite content to forego taking out private health insurance cover, which I could afford to do.


True, but here, at least tax-wise, health insurance tends to be tied to employment (or wealth) and essentially decoupled from any significant personal expense. [And until that is solved first ...]

Now I'm not saying your country should do anything. What confuses me is the apparent lack of much serious will to do so, to the point where posters will unjustifiably badmouth the NHS and other universal heathcare systems, or insist once more (as per the OP) that US administrators are such a bunch of incompetents that it's not even worth thinking about. Anything rather than consider that the US might not be the pinnacle of achievement in this area, it seems.

Rolfe.


Serious will by whom, to achieve what, and at what cost? From the end-user's viewpoint, all other options look worse, cost more, and hurt other people.
 
And terminally lacking in imagination I suppose.

I was 34 and hadn't a care in the world when I contracted pneumonia out of the blue. I wasn't even registered with a doctor, as I'd moved house five months earlier.

I had a week of house calls, then a week in an isolation unit in hospital, with a battery of tests and x-rays and treatment.

Awfully glad I wasn't in the above category at that point.

Rolfe.


Some people regard insurance as something you buy when you need a handout.

OTOH, if you are young and healthy and have no assets to protect or family to support, who needs insurance?
 
I am wondering how much longer a system which takes in 551 billion a year and spends 589 billion a year can last.


UK Budget

See, these are consistent expenditures. This is not the government borrowing money for a few years to prosecute a war or help the population during a natural disaster. This is an every year deficit which will come due and the people will have zero ability to care for themselves because they have been cared for by government for so long that they will have forgotten.
 
I am wondering how much longer a system which takes in 551 billion a year and spends 589 billion a year can last.


UK Budget

See, these are consistent expenditures. This is not the government borrowing money for a few years to prosecute a war or help the population during a natural disaster. This is an every year deficit which will come due and the people will have zero ability to care for themselves because they have been cared for by government for so long that they will have forgotten.

The NHS is run on a not-for-profit basis, so obviously it won't, by definition, "take in" more than it spends. It has, over the years, generally been run such that the input and output balance, though there has been some concern over recent budgets.

Nevertheless:this system has lasted SIXTY YEARS. What are you blathering about? We've already established that your system costs more and gives you less...

Why aren't you annoyed that you pay more than I do for state-funded healthcare, but get less in terms of access and quality? Why doesn't this piss you off? Aren't you jealous?
 
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A huge problem I see with the US system is its lack of universality. There is an unfortunately large number of situations where a person can be stranded without health insurance. And as has been pointed out in this thread, and which people like Balrog666 seem to ignore, illness can strike anyone with different levels of severity.

Just what does a mother do when her boyfriend walks out and leaves her with two young children? She's not likely the type of person to go out the next day and land a job that not only covers her health insurance but also covers her daycare costs.

Just what does a 45 year old factory worker do when the major employer in town shuts the factory down and throws him and his 300 fellow workers on to the street? Jobs for people over 40 with limited skills aren't that easy to come by, and if they can be found, do they have health insurance benefits?

Just what does a self-employed person do when his 11 year son comes down with acute appendicitis, and then discovers his bare-bones health insurance plan doesn't even begin to cover the costs?

Jerome and Balrog666, I'm looking at you for answers to these questions. Put yourself into the shoes of the three people I've mentioned here, and come up with an action plan of each of them.

In Canada, they don't have to worry. They're already covered.
 
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A huge problem I see with the US system is its lack of universality. There is an unfortunately large number of situations where a person can be stranded without health insurance. And as has been pointed out in this thread, and which people like Balrog666 seem to ignore, illness can strike anyone with different levels of severity.


You mean someone elected not to buy any health insurance and later regretted it? Where's the problem?

Just what does a mother do when her boyfriend walks out and leaves her with two young children? She's not likely the type of person to go out the next day and land a job that not only covers her health insurance but also covers her daycare costs.


Well, in the USA, she collects welfare, Food Stamps, rent subsidies, and gets free medical care from MedicAid, in addition to other government supplied benefits, food banks, and charities. If she chooses to go to work, she also collects EITC, which can add 25% to her (tax-free) income; in addition, PIC's can pay half her salary to a prospective employer during any training period. Where's the problem?

Just what does a 45 year old factory worker do when the major employer in town shuts the factory down and throws him and his 300 fellow workers on to the street? Jobs for people over 40 with limited skills aren't that easy to come by, and if they can be found, do they have health insurance benefits?


He gets a job or he starves. Or, if he leaves home (officially, anyway), his wife and children collect welfare, Food Stamps, rent subsidies, and get free medical care from MedicAid, etc., etc. If not, in addition, he qualifies for both Unemployment Insurance (income) and medical benefits, as well as federally financed retraining to a new career. Where's the problem?

Just what does a self-employed person do when his 11 year son comes down with acute appendicitis, and then discovers his bare-bones health insurance plan doesn't even begin to cover the costs?


No emergency room in the USA is allowed to refuse such treatment. If they did, he would have the makings of a hundred million dollar lawsuit and he and his (remaining) children would be set for life. Where's the problem?

Jerome and Balrog666, I'm looking at you for answers to these questions. Put yourself into the shoes of the three people I've mentioned here, and come up with an action plan of each of them.

In Canada, they don't have to worry. They're already covered.



Didn't I just provide the most obvious of solutions? Every time I look there are even more benefits for people are who thrown out of work or needing emergency medical care - I don't see a problem here. Where do you?
 
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Jerome and Balrog666, I'm looking at you for answers to these questions. Put yourself into the shoes of the three people I've mentioned here, and come up with an action plan of each of them.

When you answer what health-care the United Kingdom provides for all the people of its former vassals from which it raped and pillaged so as to provide the wealth to pay for the health-care for its citizens I will answer your question.


Do you fell guilty when you receive your "free" health-care which was purchased through the poverty of the India and Africa?

You don't what to talk about the opium trade, do you?

Your "free" health-care is purchased from the blood of the raped.
 
When you answer what health-care the United Kingdom provides for all the people of its former vassals from which it raped and pillaged so as to provide the wealth to pay for the health-care for its citizens I will answer your question.


Do you fell guilty when you receive your "free" health-care which was purchased through the poverty of the India and Africa?

You don't what to talk about the opium trade, do you?

Your "free" health-care is purchased from the blood of the raped.
Blue Mountain goes looking for the goalposts.

He finds them in the parking lot of the stadium
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the next town over.
 
You mean someone elected not to buy any health insurance and later regretted it? Where's the problem?
No problem from me, actually. I, too, am a believer in being careful and making sure you're covered. Were I living in the States, I'd ensure I had medical coverage, especially since I'm living with a chronic medical condition.

Well, in the USA, she collects welfare, Food Stamps, rent subsidies, and gets free medical care from MedicAid, in addition to other government supplied benefits, food banks, and charities. If she chooses to go to work, she also collects EITC, which can add 25% to her (tax-free) income; in addition, PIC's can pay half her salary to a prospective employer during any training period. Where's the problem?
The problem as I see it is that welfare is designed to let one survive, not thrive. In most cases it barely covers the necessities of life.

Another problem is, if she chooses to work, her wages may be sufficient to move her above the cutoff limits for Medicaid, but be insufficient for her to purchase health insurance for herself and her children--especially after she feeds, clothes, and houses them. And finds someone to take care of them while she's at work. So if she can't find a job with medical benefits, she's screwed.

How is this better than the systems in Canada and Europe where she and her children are covered no matter what?

He gets a job or he starves.
Frankly, I don't disagree with you. Able bodied people who are able to work should be working. Sometimes, though, reality gets in the way: finding employment isn't always easy, especially if a major employer has shut down and you and all your co-workers are chasing scarce jobs.

And, again, what if the only job you can find lifts you up to the point where you no longer qualify for Medicaid, but can't afford $300 to $1200 per month for medical insurance? Or are all employers required to ensure their employees have medical coverage?

Personal anecdote: after being laid off in 2001, I had trouble finding work. Three years later I was working for $10.00/hour. Above minimum wage and way above welfare, but still not that much. Even with affordable housing (the bank added ten years to my mortgage and cut my payments in half) and frugal living, I was still running up my credit card to help cover costs. There was no way I could have afforded $300 a month for healthcare insurance. Even if the government wasn't adding a few dollars on to my tax bill to cover my Medicare.

Or, if he leaves home (officially, anyway), his wife and children collect welfare, Food stamps, rent subsidies, and get free medical care from MedicAid, etc., etc. If not, in addition, he qualifies for both Unemployment Insurance (income) and medical benefits, as well as federally financed retraining to a new career. Where's the problem?
Well, if your plan when things get tough is to walk out on your wife and kids, I'd see that as a problem.

If he's "officially" not at home but still maintaining a relationship with his on-welfare wife on the side, when truth comes out I suspect you'd be first in line to nail them both to the wall.

Other problems: welfare is available only after you've lost most of your assets. Medicaid likewise. Unemployment insurance lasts for a limited length of time. I'm unsure of how accessible the federal retaining funds are. In addition, people over forty seem to have a disproportionate hard time fining decent jobs.

No emergency room in the USA is allowed to refuse such treatment. If they did, he would have the makings of a hundred million dollar lawsuit and he and his (remaining) children would be set for life. Where's the problem?
What about paying for it afterwards? If your plan when you can't pay a bill is to walk away from it, I'd see that as a problem.

The family in the news article I linked to had run up a previous bill of over $25,000, and that was before their son was hospitalised twice for a ruptured appendix, and before having an appendectomy that was still in the future at the time the article was written.

In reading the article, I see the family were partly to blame: they had bought a bad policy and were alarmingly ignorant of how much medical care actually costs. That wouldn't be a problem in Canada and Europe; they'd just be covered and they'd still have their savings intact.

Didn't I just provide the most obvious of solutions? Every time I look there are even more benefits for people are who thrown out of work or needing emergency medical care - I don't see a problem here. Where do you?
"For every problem, there is a neat, simple solution--and it is wrong." The problem with the "obvious solutions" you offer (welfare, in particular, and Medicaid) is that they kick in only after you've lost most of your assets. You had $5,000 in the bank you were planning to use for a rainy day? Well, it just poured and now you're broke. You had $120,000 in RRSPs or 401(k)s? Sorry, that medical crisis you had a couple of years after you were laid off just took the lot of them. Have fun working until you're 75 instead of retiring at 65.

How is this better than the Canadian and European systems?

(Please correct me if I'm wrong; for all I know, 401(k) and similar plans may be untouchable if you're applying for welfare and Medicaid.)

I issue you a challenge. Look up the welfare rates for your area. Assume you're eligible for food stamps, and that you can make a trip to your local food bank once a month, or as often as the food bank allows. If your house is paid for, factor in the cost of a low-rent bachelor suite, since the majority of welfare recipients don't own their own homes. Then live on only that amount of money for the next month. No credit cards. No bank balance. Begging in the street for spare change is allowed.

If you don't do that, I will remind you of this challenge every time I see you mention the word welfare in a post. I won't assiduously monitor your posts, just the ones you make in the topics we both participate in.
 
From Blue mountain's link:

They're among about 42,000 people in Washington who have health coverage through MEGA Life and Health Insurance, an Oklahoma-based company that is being investigated by insurance officials in Washington and 34 other states. Regulators found that MEGA and two sister companies have misled consumers, denied legitimate claims and mishandled complaints.

A settlement with the states is expected later this year.

With monthly premiums often less than half those of comprehensive health plans, MEGA and its affiliates have enrolled 700,000 self-employed workers, business owners, students and others in 44 states who want coverage that's inexpensive, if not expansive.

But many customers say they either weren't warned — or failed to understand — that some policies cover only a small fraction of actual health costs, leaving them with crippling bills

I thought that according to some of the arguments presented, that the following wouldn't happen with prvate provision...

They're among about 42,000 people in Washington who have health coverage through MEGA Life and Health Insurance, an Oklahoma-based company that is being investigated by insurance officials in Washington and 34 other states. Regulators found that MEGA and two sister companies have misled consumers, denied legitimate claims and mishandled complaints

Note that the state is interfering in the market as a deterrent to rogue market servicers. I would argue that the state should also proveide ome more direct protection to the consumers too.

(I did mention this as an inherent weaknes in a system that relies on insurance companies profits)

JdG,

I know that you have been asked this before, but is there any reason why you think that large private bureaucracies are likely to be less bureaucratic than public ones? Especially if an insurer is feeling the pinch and any policy to hinder access to treatment will reduce costs? (Especially with your proposed and undefined curbs on legal interventions into the medical system).


Anyway, welcome back Jerome,

Maybe you could now explain to me why my rough calcuations as to the inherent cost of a 5-hour bypass surgery and associated treatment is anything other than grossly optimistic? And what your calculations for the cost should be?
 
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When you answer what health-care the United Kingdom provides for all the people of its former vassals from which it raped and pillaged so as to provide the wealth to pay for the health-care for its citizens I will answer your question.


Do you fell guilty when you receive your "free" health-care which was purchased through the poverty of the India and Africa?

You don't what to talk about the opium trade, do you?

Your "free" health-care is purchased from the blood of the raped.

Don't make me laugh. Do you know just how long ago the Opium Wars were? Are you aware that most of our colonies were essentially wholly devolved financial administrations prior to WW2, and that we gave them all independence from 1945 onwards, barring a few minor corners who wanted to stay British? Are you seriously suggesting that we've been sitting on some massive cash coffer for 63+ years?

You're just trying to avoid answering the question.
 

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