Comments by "whyamimrpink78" (@whyamimrpink78) on "Bernie: Medicare For All Isn't A Litmus Test" video.

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  8. "Of course, we are and always will be stuck receiving medical care from people who are willing to give it and able to be licensed in it. Doing it any other way would be slavery or just irresponsible." So can you pick your own doctor? Also, how do you make up for the shortages of doctors? You have to ration care at that point. So when you ration care, how do you do it? "The fact that they either accept what the single-payer is willing to pay them or have no business. " At that point it is slavery. If the federal government offers too little then no doctor will work unless you allow them to ration care. Rationing care means not everyone is covered. If you do not allow rationing and force them to take on more customers you are asking them to work more for less. "Though even without me explaining this very simple concept to you it should be evident that something is controlling price hikes since all single-payer nations spend significantly less on healthcare than the US per capita." Because they ration care. They have lower quality in many ways and have less innovation and progress. The US is the leader in research and innovation in healthcare. Those countries are taking advantage of us. Even at that, those countries are small, as in the size of states. Name me one country with 100+ million people with a successful economy and successful single payer healthcare system. You can't. Even at 90+ million. Japan comes close, but they are facing problems as well https://www.japantimes.co.jp/news/2017/02/19/national/japans-buckling-health-care-system-crossroads/#.WabnhNGQxPY Japan has a lot of success because of their culture of working very hard. But they also have a high suicide rate. "Right. We should control costs by adopting the European model of publicly funding higher education institutions directly, perhaps even making them tuition free." And in those countries they ration that as well. The government tracks students and if the government feels you do not have the ability to earn a degree then you do not go. I know a guy from Germany where he was tracked for a trade school. He came to the US to go to college as he was not allowed to go in Germany. He is now a PhD candidate. Also, the US by far the best university system in the world. There is a reason why we have the highest amount of international students. Our university system is very strong and we allow opportunity for a lot of people with our smaller colleges. I went to a small school and did not receive the best K-12 education. I went to a small, cheap college and now I am a PhD candidate in physical chemistry. I was given that opportunity. I did so by working hard and applying to a lot of schools. In other countries they do not give that opportunity. For example, in Denmark I believe you are only allowed to apply to one medical school a year. If you do not get accepted then you have to wait a year. Also, what is the value of something that is free? Nothing.
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  12. "Most single-payer systems allow that." Ok, now what is going to stop them from raising prices? "Primarily by urgency of need, " How do you determine that without testing first? Many cases you do not know until you are tested. "Healthcare is a scarce resource everywhere." I agree, but throughout history what produced the most was a capitalistic society, not a socialist one. "You say that, yet dozens of nations' healthcare systems are ranked overall higher than the US." That is simply not true. Every ranking is arbitrary where they do not even give out their methods as they are hiding things. The one that do are methods that are vague. Two professors ran through the numbers and showed that not country does better than the US. At that point any ranking is arbitrary, like university rankings. https://www.aei.org/wp-content/uploads/2014/03/-the-business-of-health_110115929760.pdf "Medical research in the US is funded primarily by public grants and charity." Yes, charities from rich people like the Koch brothers. Also, a lot of public funds goes to basic research as in minor projects. After information is published private companies take it and expand on it. For example, while the government invented the internet the private sector made it strong with Youtube, Amazon, Google, etc. Same with healthcare research. "As it happens there's only a dozen countries that even have over 100 million inhabitants, and only 3 of them (the US, Japan, and Russia) are industrialized. Japan of course is single-payer and ranked higher than the US, though you corporatists can feel free to pat yourselves on the back for beating Russia." Again, rankings are arbitrary. I just showed you how Japan is having problems as well. Also, Japan's success is from a culture of working hard. They, however, also have a high suicide rate. Also, yes, only three countries are industrialized. So again, name me one country with a population of over 100+ million people that has a strong economy and a strong healthcare system with single payer. You can't. If you want to compare the US to other countries compare it to one of equal size. " I do wonder why you might imagine single-payer works very well in Denmark and the UK (~11 times as populous as Denmark) but it won't work in the US (~5 times as populous as the UK). What mechanism do suppose puts a ceiling on it's scalability?" I told you with micromanaging. Also, less diversity. With a larger population you have more diversity. Meeting a guy from Denmark the other day he said Denmark has a very homogeneous population. That is due to the small size. In the US we are essentially 50 countries in one. Every state has their different cultures, different economies, different challenges, etc. Travel the US and you will see. You are making the false assumption that everyone is the same thus a one size fits all policy is all you need. That is not true. What makes you think that everyone is the same across the US? Even with all of those countries you point at, they all run their own systems that differ in many ways. "Oh, you knew about Japan? Of course they have problems, everyone has problems. It so happens that their healthcare system has fewer problems than the US, " Again, with the numbers nothing suggests that is true. "Education is a scarce resource everywhere." Yes, but again, capitalism is the system that produces the most. "Good for those who can afford it. Putting aside anecdotes about single individuals I wonder how upward mobility compares between the US and Germany " What? Besides you again stating a false claim, college is very affordable in the US. Even after the federal government subsidizing it which lead to higher tuition, it is affordable. People qualify for loans. There are cheap options. My college as an undergrad was $10,000 a year. JC's and CC's are cheaper. And when you earn the right degree the payoff is great. "Because being by far the most populous industrialized nation in the world gives us the largest capacity for higher education and our immigration authorities are rather generous with student visas?" It is based on percent. We have the highest percent of international students.
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  15. "I'll refer you to the previous times I've answered that question." You have not answered the question. You said that the government sets the price so doctors have to take it or leave it. So what will prevent doctors from saying no to new patients? Something has to give. Either doctors do not pick up more patients, or you pay them more, or you force them to work more for less? In the third case people will refuse to be doctors. So what gives? You feel that magically doctors will just be willing to take what the government gives them when they won't. "Thus the importance of preventative medicine, which is often disincentivized in non-single-payer systems particularly among the uninsured and underinsured." In "preventative medicine" you still have to get checked up which again, requires doctors. So in the three situations I gave you you either have 1. Doctors refusing to pick up new patients so they don't get care 2. Higher prices 3. Forcing doctors to work more for less You have to check up on these people with a doctor. Also, preventative medicine does not always work. Many times issues just come. "Concrete numbers then?  How about Health Expenditure per capita?  I think we can agree that generally lower is better, of OECD countries the US is ranked last (35th)." You clearly did not read the book I linked you. Yes, we spend a lot on healthcare, but that is why we have high quality. We lead the way in research and innovation in healthcare for a reason. We also so more tests compared to other countries. You get what you pay for in other countries and that is low quality. "Life expectancy at birth (both sexes)?  Higher is better right?  US is ranked 31st." Several factors influence life expectancy. As that book shows if you remove murders and car accidents, things not strongly connected to healthcare, the US is number 1 in life expectancy. Now that is not to say that the US has the best system. What it shows that the numbers are minute and you can't just make a determination off of raw data. Just because you look at UN stats does not make you an expert in healthcare. When you look at the average life expectancy of the entire world it is 71±7 years. The US is over 79 years, over one standard deviation above the average. Other countries you are comparing us to are around 2 or 3 years off. That is minute in the big picture and you cannot say that the difference is solely because of healthcare. Other factors play a role as well. ""But wait time on non-critical care!" you retort.  Yeah, you corporatists " How am I a corporatist? You are resorting to name calling now. I hate corporations thus I support a free market system. "I think you and I both know that the only reason you've chosen 100+ million people is because you know that the few countries that meet that criteria are overwhelming unindustrialized " But yet you choose only OCED countries. You also choose only overall life expectancy but no data that factors in other reasons for differences in life expectancy. You are being guilty of cherry picking data. Also, I used that size of a country to show you that there is not a successful example of single payer in a country that large. " I bet if you didn't have that article and had previously known Japan has more than 100 million inhabitants you'd have set your arbitrary threshold at 200+ million. " Nope, I knew about it. I am informed on this topic. "Honestly do you really think that for the purpose of a social policy the exact number of people really matters at all once you're over 1 million? " It does. "Nothing.  It's single payer not single provider .  Individual doctors and patients would continue to determine what individual treatments are necessary or advisable in their individual cases." Economies are different across the country. Healthcare costs, like housing costs, schooling cost, taxes, etc, are all different across the nation. Also, again, what will prevent doctors from raising prices? You are now leaving it to the doctors. "Did you know that working full-time all year at the federal minimum wage will earn you a grand total of $15,080?" And? Do you know that close to 90% of workers earning $9.50/hr or less are not poor? http://www.people.vcu.edu/~lrazzolini/GR2010.pdf
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