Comments by "whyamimrpink78" (@whyamimrpink78) on "WATCH: JFK Argued For Medicare For All" video.
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Classical Scholar "Zero people die for that reason in every other developed nation!"
100% not true. Amenable mortality is an issue every nation faces. For example, up to 7000 people die a year in Australia waiting for "elective surgery" which can include certain forms of heart and neurosurgery according to the Australian Institute of Health and Welfare.
Also, that 40,000 number has been challenged. For example, Prof. Richard Kronick wrote a paper entitled
"Health Insurance Coverage and Mortality Revisited"
Saying
"The Institute of Medicine's estimate that lack of insurance leads to 18,000 excess deaths each year is almost certainly incorrect. It is not possible to draw firm causal inferences from the results of observational analyses, but there is little evidence to suggest that extending insurance coverage to all adults would have a large effect on the number of deaths in the United States."
Prof. Katherine Baicker mentioned that those 40,000 are poor and bad health is associated with poverty. So the question becomes do they die due to lack of access or simply because they are in bad health to begin with? As written in the book "Being Mortal", people seek out modern medicine to live another 5 or 10 years but will really live another 5 or 10 months. So if you give those 40,000 healthcare and they die 5 months later, was that a success?
"Look at the empirical data."
I have looked at the data. You clearly haven't when you don't even know what amendable mortality is.
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Classical Scholar , you apparently don't know what amenable mortality is. it is deaths due to lack of access to healthcare. In every system people die due to lack of access. As I said, up to 7000 people in Australia die waiting for "elective surgery" according to the Australian Institute of Health and Welfare.
As for being unethical, read the paper entitled
"The Ethics and Reality of Rationing in Medicine"
The reality is this, these are the difficult discussions and choices that are made daily in healthcare. The far left completely ignores them. If you go to a M4A system the very sick are going to suffer as they will be denied access to advanced care or will have to wait a long time. That has shown to harm people. Read the paper entitled
"Policy strategies to reduce waits for elective care: a synthesis of international evidence"
They say
"However, long wait times are a source of distress to patients, and in some cases have adverse health consequences."
And also say
"Although not all publicly funded healthcare systems have wait-time problems, wait lists are more likely to be found in public systems. This is because universal access to care, when combined with the government's desire to control health spending, can mean that the supply of treatment does not meet demand"
Also read
"A messy reality: an analysis of New Zealand's elective surgery scoring system via media sources, 2000–2006"
Where they write
"Research has also considered the impact of waiting on patients, with findings that those awaiting necessary treatments often face considerable costs. These may be financial if the ability to work is affected and if there is a need to pay for additional care and therapeutics while awaiting treatment. Costs for the health system may arise if patients are not treated in a timely manner and develop more serious conditions or co-morbidities as a consequence of waiting. There may also be quality-of-life impacts, as well as impacts on family or caregivers"
There are many ethical questions that come up in healthcare. Resources are limited. You say I am unethical when you are the one that is unethical by refusing to dig deeper on this complex issue and learning about it more.
Reality is that something has to give, and no matter the system people die. The challenge is deciding want system is the best both objectively, with the numbers, and subjectively, in what society wants.
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