Comments by "whyamimrpink78" (@whyamimrpink78) on "2,000 Doctors Say Bernie Sanders Is Right About Universal Healthcare" video.
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+Javed Alam
Ok, now for my rebuttal
"It's funny that you have ignored all of the literature out there that contradicts your argument, "
Actually I haven't because that book cites literature from numerous sources including peer review journals that you would claim "contradicts my argument".
The simple fact is this. I have never claimed that the US has the best healthcare system in the world, neither did Prof. Oshfeldt and Prof. Schneider. At the same time no one can claim that the US system is the worse or "primitive". No such literature exists to show that. Anyone such literature that tries to make that claim is making a ranking that is arbitrary as Prof. Oshfeldt said.
Let me give you another example. If you go to Wikipedia (I know, not a reliable source, but it is still pretty good in this case) and look up life expectancy, you will see that the average in the world is around 71 years ± 7 years with the WHO numbers it cites. That is by me doing a quick analysis, but still pretty good. The US is at 79 years, so already one standard deviation away from the means. The US is 5 years (less than on SD away) from Japan who was number one. Does that mean that Japan has a better healthcare system? No. There are several variables involved in the outcome of a society's health beyond healthcare. That five year difference is noise at that point due to several other societal differences. The same goes for every other method in determining healthcare quality.
Overall that is what that book was doing, showing how frivolous those rankings are. You saying that the US healthcare is the worst in the industrialized world is not different than saying "'murica numba 1". You are not in the same category as those individual. You can say that the US healthcare system has problems and I would agree. You can say we need to improve and I would also agree. But the second you say that it is primitive, or worse than country X, or the worst in the world, then I immediately know you are bias and have no desire to actually improve the healthcare system. You denial of facts and refusal to have an actual intelligent discussion on the topic shows that.
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+Ae Norist
"And 250% the cost for 102% the result is a shitty return on investment."
I would agree, but is universal healthcare the option? And if so, which country do you want to copy? Each one does something different. I don't agree with scrapping the entire system we have and replacing, but instead building on the current one we have now. Scrapping the system we have now will have devastating effects on the economy. To me the main problem is cost that stems from the federal government.
" that the government drives that cost is unfounded."
Anything the federal government touches outside of its constitutional authority breaks. Look at the federal student loan program and college tuition.
Government got involved when it created the payroll tax. In the 60s it expanded the payroll tax. With an increase in the payroll tax that means that businesses paid a higher tax if they paid a higher wage. A loophole is that businesses instead offer benefits such as stock options and healthcare insurance. Those were way to pay employees that were 100% tax free. Ultra liberals love to point out that wages have been stagnated since the 70s which is true in a way, but it ignores benefits that have been offered due to the payroll tax, so it is deceptive.
As is over 60% (and I think 70%, but I am not 100% sure, one can look it up) of employees get their healthcare through their employer. They get a generic plan. This is where you get problems such as women getting coverage for Viagra when they don't want it, or people leaving a job and having to go to another one but end up being denied insurance due to pre-existing conditions. People refuse to leave their job because doing so means losing their healthcare coverage. What has happened is that healthcare insurance has become healthcare coverage.
Insurance should be for emergencies, like car insurance is. Car insurance does not pay for oil changes, but pays if a tree falls on your car. Healthcare insurance should pay if you fall off of roof cleaning the gutters, not for the routine checkup you are doing. But that isn't the case due to people getting coverage from what their employer offers.
If the payroll tax was removed then businesses will instead pay with a higher wage. That will allow people to buy the insurance they want that caters to them. Due to competition they will get coverage that is affordable and covers what they want. LASIK surgery is not tied to insurance and has dropped in price while getting better. The common myth is that we have a capitalist system in our healthcare when in reality we don't. That is how the federal government has hurt the price of healthcare, it removed competition which is not capitalist.
"You cherrypicked the issue of quality, because you can hide in the margin of error and disputable details there,"
That is not true. Others have said that the quality in the US is poor. I am exposing that we, at the very least, get similar results. One can argue better, but at the very least we get similar results.
"You chose to ignore the issues of price,"
I actually don't ignore the issue of price. I have said repeatedly that cost is an issue. I just outlined for you how the federal government hurt competition in the healthcare industry which increased the price.
"you convieniently forgot that government does not work for profit, and can even work at a loss in that department"
Which is not good for the economy. Building on our current debt does not grow the economy. Plus, lack of a profit motive hinders growth. Almost all of the progress we have in this country is due to profit motive. Profit is what drives progress.
"whereas private insurance is a industry with massive profits"
And it becomes a problem when there is no competition or it has to cater to the employer instead of the consumer. An insurance company is going to offer care that an employer wants, not individual consumers. Thus the consumer who is actually using the insurance is screwed due to lack of competition.
"This alone clearly shows how inaedequate private buisness is to provide healthcare for the benefit of the people.
Its not evil, its just flawed by design."
The design is flaw because there lacks competition. People feel that it is simply the fact that this is for profit that is causing the problem. The reality is that it is for profit without competition. I hate my insurance plan. I stick with it because my employer gives it to me as part of my payment. I could buy my own but then I will be essentially be paying for double. The middle class get screwed in that case. I, along with others, am at the mercy of my employer when it comes to healthcare. I can't go around from company to company bargaining prices and picking a coverage that fits me. I have to take what my employer offers along with others. Now how is that a capitalist system? And your solution is to limit my options even more? Just take what the federal government offers? The same federal government where only 1/50 of the senators represent my state and runs an $18 trillion debt? I don't see that as a legit solution.
"And now try to actually reply to that, without citing from your little
book (which again is obviously flawed and in contrast to the vast
majority of literature. "
Ok, what literature? I keep hearing you saying that it contrast a "vast majority of literature". Which ones? Please show me the peer reviewed literature it contrasts.
The pure fact is that the main issue of our system is cost. That derives from our lack of options as consumers and lack of competition in the market. Elective care is expensive, but LASIK surgery has become cheaper and better despite being elective as well. That is because insurance does not cover it. It comes out of the consumers' pockets forcing companies to compete. People way we have a free market system which is 100% false. Again, we need to get past these facts before we get into opinions.
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