Comments by "whyamimrpink78" (@whyamimrpink78) on "Bernie Responds To Trump's State Of The Union With Policy Substance" video.
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" meanwhile you have not shown any sort of proof for this so called waiting list"
I gave title of papers talking about waiting lists. Here they are again
"True versus reported waiting times for valvular aortic
stenosis surgery" Can J Cardiol. “
"Analysis of deaths while waiting for cardiac surgery among
29,293 consecutive patients in Ontario, Canada" Heart
Just put those titles in Google and they will pop up.
"plus, even in the U.S. we have waiting lists, for example, for heart
transplants, the difference is that in the U.S. we often prioritize
money, in those countries they prioritize health needs. "
Again, I just gave you titles of papers of people dying waiting for heart surgery in Canada. It happens in other countries. Rationing is a thing based limited resources. We do it based on need in the US as well.
“The Ethics and Reality of Rationing in Medicine” Chest
Read that paper on it.
" Data from the U.S. Census, used to determine the amount of medical bankruptcies "
Ok, and? Poor people have a higher risk of going bankrupt. What's your point?
"The American Journal of Public Health - Deaths linked to lack of health coverage"
I have read that, and here is a counter argument to that from a Harvard professor
"
Katherine Baicker, a Harvard University health economics professor,
echoed that it’s hard to get good evidence for a connection between
lacking insurance and dying. The uninsured often earn less money than
those who have insurance, she said, and poverty is associated with worse
health.
"So when you see that the uninsured have higher mortality, you don't
know whether it is because they are uninsured or because they are lower
income," Baicker said."
What does that mean? Well, there are higher rates of obesity, type II diabetes and smoking with those in poverty. So the question becomes are they dying due to lack of insurance or due to being in bad health to begin with? 45,000 is 0.01% of the overall population. When you deal with numbers that small a lot can factor in for the reasoning. 30,000 die a year in traffic accidents and the accidents occur for many reasons.
"Plus, you never showed any proof that they didn't switched? "
Neither did you. I never said they switched. We are talking about something over 50 years ago. That is irrelevant to today's politicians.
" but you haven't given any reason(s) disproving the use of the Southern Strategy by Republicans. Here is a link "
That occurred around the same time as the Southern Manifesto. There are also some debates on the Southern Strategy as it can be tied to economic reasons or religion.
But hey, if you want to go with racism by a group of people in the 50s and 60s, then you have to accept that the Democrats, in the same time period, did the Southern Manifesto.
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" The debate isn't about single payer being perfect, it's about whether
or not it's better than our current system. Based on the evidence at
hand it is in most cases, flaws aside. "
Objectively it isn't. I gave numerous sources showing that. When you run through the numbers the reality is that single payer is not any better than what the US has. Is it worse? No, and I criticize people who make that claim. Single payer does many things well, but it has many shortcomings. This is why you resort to polls which are subjective. People in those countries do not experience any other system and they have a different mentality compare to people in the US. That poll is similar to a poll of what is their favorite sport or favorite past time. It is meaningless.
The issue is that healthcare is a very complex issue with many moving parts. The debate cannot be settled off of subjective polls and raw stats. There is a lot to it.
"especially considering that people support the ACA more than Obama care based on name alone "
I question that as I have not seen strong evidence showing that is true. Most people have no idea what is in the ACA or how it will effect the economy. That is why Prof. Gruber made the response he did about the ACA when creating it. In short, people are idiots. Well, that may be too harsh. My textbook states it like that. But in reality people just don't know.
" Also, wasn't the most recent debate about the Medicaid expansion repeal
all the talk? People hated the individual mandate, not the program as a
whole. People love the Medicaid expansion the ACA(Obama care) provided."
Sure, but would they support higher taxes? In Colorado they said no. An issue we have in the US is that people will support expanding social programs like Medicaid but not paying more themselves. Supporting medicaid expansion on the surface means nothing as many will oppose raising taxes while doing it.
"People don't want a government run system? Have you seen the numbers on
support for Medicare and Medicaid? Has either of them failed?"
Medicare and medicaid are losing money, and many doctors do not take medicare. And I have seen the numbers on support, they are questionable. Remember, 80% of voters said no in Colorado when asked to pass universal healthcare.
"can share excerpts from your sources that illustrate why our system is better?"
I never said our system was better. I said it was on par with the rest of the world. There are many parts to this. You cannot just limit it down to a few excerpts. That is why I encourage you to read these sources and find others.
To give you one example from the paper
“Comparisons of Health Care Systems in the United States,
Germany and Canada” Mater Sociomed
"Part of the gap between US and Canadian health care costs may be
explained by a failure to account for Canadian hospital’ capital costs,
larger proportion of elderly in the United States and higher level of
spending on research and development in the US"
When you talk about costs that is one of many things to consider. Another is from this report from the CDC
“International Comparisons of Infant Mortality and Related
Factors: United States and Europe, 2010”
"About 39% of the United States' higher infant mortality rate when compared with that of Sweden was due to the higher U.S. percentage of preterm births."
If you read the article they showed that if the US had the same percentage of preterm births as Sweden and used the same standard of infant mortality rate of Sweden after 37 weeks of gestation the US infant mortality rate will be at 2.4 which is comparable to Sweden's 2.1.
Point being, there is a lot to healthcare. You are looking for a simple answer to a complex question. This isn't an issue where you can just "Google it" or find a conclusion in a report. This is an issue that requires teams of researcher looking at every possible case and coming up with a report rich with asterisks that may give a conclusion. I am not someone that says the US system does it better as I see nothing that makes that so. But I also see nothing that shows that single payer is better. So with that I push to improve the system we have now as opposed to completely destroying it, which will bring us into a major recession, and replacing it with something that is not better.
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Black Dream, point by point
1. Again, subjective. I feel the US healthcare system is great as I pay $0 and never had any problems. Does that make it true? Does that mean it has not problems?
People experience what they live with and most never experience another system. Polling people who never experienced another system is not an accurate way to come up with a conclusion. Anyway, Gallup is not a reliable polling cite. They did not do a presidential election poll. Gallup said that over 60% of the nation wants universal healthcare but 80% in Colorado said no. Gallup said that over 80% wanted expanded universal background check on guns but in Maine that law was voted down by the people and in NV it passed by only 0.45%.
You point to these polls is not an argument because one, Gallup has been wrong lately. And two, it is 100% subjective. You are looking at polls where people most likely never experienced another system or had to deal with healthcare that much to begin with.
2. You just agreed that people do not know, so why are you trusting the polls? You just contradicted yourself. I told you why I do not trust the polls, people have little experience in healthcare. You trust those polls but then turn around and say that people do not know better?
3. This is our culture. People like to control their own money because in all reality people do it better than the government. Even if that wasn't the case it comes down to freedom and liberty. We work for that money and we should be able to spend it as we please.
Even at that little suggests single payer would save people money. I would personally be paying more as I already pay $0 in healthcare. Same with almost everyone I know. Most people do not pay a dime in healthcare as their employers pay for it.
4. Medicare, at least, is losing money. Even Bernie admitted that. Adding more people to it is not a solution. Saying it "works" everywhere in the world is a very low bar to set and is vague. How does it "work"? By what standard? I can remove someone's head lice problem by shaving their head, is that a solution? I can get rid of a rat infestation problem in a building by blowing it up, is that a solution?
"All data is questionable btw, even yours. "
It isn't so much questionable but more of it can be interpreted in many ways. There are numerous statistical analysis you can do that can create any ranking where many can have the US as number 1.
"Combine this with the fact that healthcare costs are projected to
increase and you have another win for a single payer system, as it's
been shown that it would save money. "
That is false. To begin with that makes zero sense economically that increasing demand would save money. It will lead to higher costs. This is why no economist and politician (besides radical Bernie) points to this analysis.
Next, on these numbers. The cost of single payer varies as healthcare costs vary. That source you gave me that gives the $49 trillion talks about a 5.6% growth when you cannot predict that far ahead. There are too many variables. I could have looked over it by the Urban Institute does not mention the 5.6% growth rate. They only mention that they assumed a 0.5% lower than expected growth rate (page 9 of the report). If you read page 8 of the Urban Institute's report at the paragraph starting at "By buidling...." they make the assumption that all demand is met.
So that $32 trillion is a gross underestimation. Comparing it to the $49 trillion is comparing apples and oranges. That is why I do not buy into the $17 trillion talking point. I go off of history on how the federal government is always underestimating how much these programs cost and how Medicare is losing money.
I have to ask, you are actually reading these reports or are you just blindly following the headlines?
"The examples you list are questionable, the first is mere speculation."
How so?
" In regards to infant mortality, I would ask how or if abortions factor into the statistic.
"
That is a good point. What that shows is that comparing numbers between countries is difficult due to the many differences.
"All that said, I do agree that it is a complex issue, but the free market ain't cutting it here in the US. "
Except we do not have a free market system. We have in over 50 years.
"More money for similar results? No thanks."
We have more R&D which is vital in improving our system.
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Black Dream,
1. No it can't. They are subjective. Polling people who have never experienced multiple systems and know very little about healthcare in general is not an argument. This is why we do not run our country on polls. This is why we never have anything at the federal level determined by a majority. And as voting results show, people do not want government run healthcare. Colorado voters turned it down, and republicans won because of Obamacare in 2010.
2. People hated Obamacare. Republicans ran on repealing it and they won. But now you are back pedaling. Are people smart or not? If they confuse Obamacare with the ACA then are they smart? What is it.
3. "Can you show me that private insurance companies work better for people
than government funded programs? To say you and most people you know pay
$0 for health insurance is misleading. As far as I know most companies
provide health insurance, but at a cost to the employee. I currently pay
about $160 per pay period for a silver level HRA from United. Look at
your next pay stub for healthcare deductions."
It is free for me and my co-workers. We pay zero. Nothing is taken out of our paychecks. As for insurance companies working better than government funded programs. Medicare is losing money. And the private sector has always done it better than the public on the large scale. The issue is that we DO NOT have a free market system.
" This is a perfect segway into another benefit for single payer; businesses wouldn't have to fund employee healthcare."
Why do they fund healthcare? Because of the payroll tax. It is a tax free way to pay employees and healthcare is not payroll. Same with other benefits. If employers do not have to pay healthcare insurance than they just won't pay employees. Employee are now earning less.
"How many more full-time jobs could be created under a single payer system?"
Not many as you are still having to clear the hurdle of the payroll tax. Payroll will go up expanding people to full time. Bernie wants to pay for universal healthcare by expanding the payroll tax.
4. Every country runs their own system. Which one do you want to cover? And those countries have their own, unique economies. Norway does well because they are top 5 in oil productivity. How many leftists where want to drill for our own oil? Demark has mandatory military. Saying it "works" in other countries is very vague and a low standard to set. Why does it work? How do they manage it? What is their overall economy like? How are their politicians? How is the general public? Read the book "Debunking Utopia". There the author makes the claim that in other countries they live healthier lifestyle so the system is not dragged down. In the US we are unique in that over 40% of our food dollar is used eating out. Other countries are around half of that. Eating out is usually less healthy.
"Because what Bernie suggests is ultimately removing the profit motive of
the greedy middle man. United healthcare alone generated almost $11
billion in profit last year. No profit motive beyond operating costs
with Medicare or Medicaid. "
Not true as profit motive leads to more productivity and innovation. You need resources to invest and grow. Without profit you do not get that. That is why the government hardly innovates.
"Why not? If you average the percentages of healthcare costs increases
over 10 years from 2005-2015 you get a 5.38% increase. Seems they just
followed the trends over the last decade. Based on those numbers the
figures seem reasonable to me."
Because several factors contribute to that growth. The overall economy, taxes, regulations, etc.
"It's seems as if they are just throwing out possible causes, and it
still doesn't necessarily account for the 13 or 14 other countries that
are ahead of the US."
Ahead of us how? Again, we lead the world in R&D. You are looking at just providing healthcare but fail to realize how dynamic healthcare is as an industry. Due to evolution diseases become resistant to drugs requiring new ones. New illnesses and problems come up that require research to battle. Healthcare is not an issue of just having the government write the check. It is a complex industry with highly skilled workers and teams of researchers trying to progress in and ever evolving system.
You are oversimplifying the issue.
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Black Dream,
1. Companies do it their own polls where they are polling people who experienced that system. Is it 100% reliable? No as it involves people who may only experience their system. But in a free market with competing companies consumers can experience different systems and compare.
Many in Canada never experienced the US system, so they can't compare. And many Canada, as in the US, never had a bad experience as they do not face major problems.
Coloradocare is a mark against universal healthcare. You said it was complex. Well, healthcare is complex. It is a nearly four trillion dollar industry with highly educated workers and advanced equipment and involves people's emotions. That is not an easy issue to tackle. My number one beef with people pushing for single payer is they feel if we allow the federal government, or any government to fund healthcare then things will be all better, as if it were that simple. It isn't. And you mentioned lobbying, again, this is a nearly four trillion dollar industry. The lobbying and corruption in healthcare will be huge if more government had a hand in it.
2. The individual mandate was essentially a higher tax. Paying for healthcare out of pocket or paying a higher tax are the same. The reason why people oppose universal healthcare in Colorado was because of the tax attached to it.
3. What is the quality of their healthcare? $15,000 a year is not much in the big picture. In Denmark around 50% of all revenue is taxed. If I earn $60,000 and have $15,000 taken out for healthcare insurance, I would take that over $30,000.
But besides that, I feel the main problem with healthcare is that insurance has become care. I agree insurance is too much, but the reason why is because employers pay employees with healthcare insurance. Consumers cannot force companies to compete and they cannot pay for a plan they want.
As for the private sector. A lot of R&D comes from there. With government you have bureaucracy and a collection of government employees who cannot get a job elsewhere. You get public unions that care more about their pay as opposed to the quality of work. See teacher unions for example.
With the private sector consumers can force companies to compete. Insurance companies will have to compete in order to retain customers. They have to cater to customers with individual plans and insurance can be insurance that covers only expensive, unplanned events.
" Also, consider the burden on small businesses. Elimination of these expenses would promote small business growth. "
Eliminate the payroll tax will do that. The main reason why employers offer insurance is because it is a tax free way to pay employees.
4. Insurance companies are a company, they need a profit as well. Medical providers need money for research. They all have to profit. Also, insurance companies do research such as disease awareness for customers and fraud prevention.
"Again, what does this have to do with the profit motive of health insurance companies?"
One company makes profits, so does another one. Insurance companies push to reduce healthcare costs with negotiation because they have to profit. The government with no profit motive will just raise the debt ceiling. Healthcare providers need to profit for many reasons, including R&D. It is two groups fighting to expand their bottom line.
The problem is that the consumer, the person actually receiving healthcare, has no say in the negotiation process. They cannot pick their plan as they are restricted to what their employer offers. Thus insurance companies can charge higher prices leading to healthcare providers charging higher prices.
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Jonathan, I bet you once again when I reply to you you will run away
"None of the evidence points to school systems that are public being
poor, especially when looking at the vast majority of European nations
when comparing education. I can literally break down his argument and
preemptively respond to his talking points"
Oh goody, this will be fun coming form a guy who cannot find peer reviewed papers related to healthcare when we debate that topic.
"The US funds schools locally k-12 which means many students have a
variety of different educations due to lack of funding or high amounts
of funding. That is if you live in a poor area, you tend to have a
terrible education. If you live in a rich area, you tend to have a
drastically high education. "
I work in the education system as a substitute and I studied it for 2 years at one point when I considered being a teacher. Here is the reality. Yes, schools are funded locally. However, the federal government funds Title I schools that are in poorer neighborhoods to make up for the gap. In many cases they have access to better resources such as Ipads and smart boards. In major cities there is a problem of lack of funding for many schools, but major cities like New York and LA have limited resources in almost everything. We see that especially in healthcare.
Also, in "rich areas" you have two factors. One is more donors, and two are better parents all around. A big factor in education is parenting. You can have the best teachers in the world with the most resources. If the parents do not take action it does not matter. You have to factor that in as well. Private schools do very well but a very fair argument is that people to send their kids to private schools are rich to begin with and are better parents. I bet you will agree to that argument on private schools. But now all of a sudden you turn around an look at funding when it comes to public schools? It shows inconsistency of the arguments from the left.
"However lets compare it to a global scale, when looking at nations that
have only federally funded systems, in comparison to ours, where do we
stand? "
How many of those nations have 100+ million people? That is the issue. The main argument for state funded education is that you have to keep government localized in order to control it. Also, it leads to competition as you have 50 states competing to be number 1. Having a centralized system is telling many successful states to regress to the norm.
But again, you are comparing nations of 5 million people or so to the US. Even Sir Ken Robinson said that is an unfair comparison when he was looking at Finland's education (who does many things very well). So your comparison is flawed. You cannot compare the US to nations of small size. Now you may say I did in my earlier comments, and I will agree. But others insisted on doing so thus I went along to show that the US has arguably the best education system in the world. As one of my professors in education said, he can easily make that argument based on our size and diversity of the US alone.
Also, you are comparing funding of different countries where funding occurs in various ways. That is hard to compare.
If you were really a doctor these are the points you will be making but you fail to do. This is why I question your credentials.
"Basically when you demonstrate that our country pales in comparison
overall to other nations, he tends to bring up productivity as if our
education(or lack of) causes our nation to be a high productive nation.
Even though productivity has nothing to do with education since "
Based on this statement
"Even though productivity has nothing to do with education"
You are literally arguing against government funded education especially government funded college education. The main argument for government funded college education is to have a more educated, and thus productive society. But now you are saying there is zero correlation with education and productivity. So what gives? Also, read the report on "Skilled Biased Technological Change". There they bring up the fact that more skilled workers are earning more.
You also have to consider there is a correlation between educational attainment and income. And there is a correlation between income and productivity. Fact is there is a strong correlation between education and productivity. Is it exactly 1 to 1? No as there is a lot to it. But one exists. You saying productivity has nothing to do with education makes it very hard to take your comments seriously. I can accept mistakes here and there, but that remark is very telling of your knowledge. Consider this. Someone educated in computational skills can program a computer to be far more efficient. That alone shows how a higher education correlates with higher productivity.
"Again he has no evidence to actually demonstrate that our system is
doing better, in fact there is loads of evidence demonstrating that our
system is doing far worse."
Such as?
"btw the california system is a power house in the public sector
UCLA
UCSD
UC Berkley
UC Davis
Cal State SD
Cal State San Luis Obispo"
Those schools do very well, I agreed to that. But there are many schools in CA that are poor. Also, CA has so many schools due its size. TX has many schools that do well with the A&M school, Texas Tech, Rice, Baylor, etc. That is because is so large. Compare that Arizona which is small but has one of the best astronomy programs in the nation. MIT is strong, but Massachusetts is a small state.
CA has many schools that are average with Bakersfield, Northridge, Fullerton, etc. You have to consider that as well. But again you fail to look at other variables.
"If you mean locally funded high schools or some CC's, congratulations,
that actually demonstrates why our system should be completely federal."
The CA school system is local. What's your point?
" Thank you for pointing out the reason why we should go federal and supporting our argument. "
Why fund for schooling at all? It has nothing to do with productivity according to you. Also, again, schools like UCLA and UC Berkeley are funded locally. You are contradicting yourself.
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