Comments by "whyamimrpink78" (@whyamimrpink78) on "Fact Checking Jake Tapper’s Grossly Inaccurate ‘Fact Check’ On Medicare For All" video.

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  20. Billsama, saying we are the only nation to not implement single payer healthcare is a weak argument. You are ignoring several factors. Just because we spend more does not mean our healthcare system is terrible. We offer more advanced care which is one reason why prices are high. As for the first study you linked they looked at only public spending, not private. They also made assumptions that kept the cost down such as increase demand will not increase prices. You second study (which has been referenced only once) has flaws. First, some of their measures of quality listed in Table 2 are flawed in that many factors influence those numbers. For example, they point to life expectancy when factors outside of healthcare influence life expectancy. In the book "The Business of Health" they removed car accidents and murders and showed that the US is number 1 in life expectancy when you do that. On administrative cost government systems pass the cost onto other agencies. So the costs are there, they are just paid for by other agencies. Next, they say that "free market" and "privatization" can be interchanged. They can't. We don't have a free market system in healthcare, so that report is wrong there. Also, they point to education where in the US that is ran and funded locally. I can go on but I don't want to make this comment too long. Your next reference mentioned how the ACA increased bureaucracy. It criticizes the ACA and then comes to the conclusion that we need more government but does not go into details why. On the last report, I will have to look closer but did they account for cost of living? It doesn't seem to. Also, they are looking as physicians. What about surgeons? I applaud you for giving me these sources, I am interested in this topic. However, and not to be rude, but just because other countries do it does not mean we should nor does it mean that our system is terrible.
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  22. Billsama, it is basic economics that it would cost more. You are increasing demand without increasing supply. Look at what the student loan program did with college tuition, it caused it to go up a lot. Under Bernie's plan he is making the assumption that healthcare providers will take a 40% pay cut. Do you think that will actually happen? Do other countries have better health outcomes? Is our system objectively worse? There are several arguments against those points. The "risk pool" is a poor argument as you are including very unhealthy people in the pool, people who refuse to live a healthy lifestyle. Another problem is what is called "moral hazard". Where is the incentive to stay healthy or solve health problems yourself when you can just have the government pay for it? It is the same problem that came up with banks and the FDIC which caused the S&L crisis. The 45,000 deaths a year is deceptive. I call it an "empty stat" because there is no study done in a similar way from other nations. However, there are many reports of people who do die due to lack of access to healthcare. For example, up to 7000 people die a year in Australia on waiting lists waiting for "elective surgery". Also, that 45,000 are poor and bad health is associated with the poor. There are higher rates of obesity and smoking, all self inflicted issues with the poor. So the question becomes did they die because of lack of access or due to being in bad health to begin with? The raw data you point to is flawed in that many factors influence those numbers. For example, if you remove car accidents and murders the US is number 1 in life expectancy. In the book "Debunking Utopia" the author mentions how other nations have lower obesity rates and simply live healthier lifestyles leading to higher life expectancy and lower infant mortality rates. The US has a high obesity rate where obesity increases the chance of premature births which increases the chance of infant mortality. Healthcare is very complex and thus it is hard to compare two countries. Read the book entitled "The Business of Health" They do an in depth comparison of healthcare systems but they don't do a ranking. Why? Because, as prof. Robert Oshfeldt said (one of the authors of the book) rankings are arbitrary due to several factors outside of healthcare that influence the stats. I also did not do a one sentence reply. I wrote two paragraphs criticizing one article alone. I can go deeper if you want but I do have other responsibilities.
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  25. Billsama, what 40% figure? Are you talking about healthcare providers taking a 40% pay cut? That was from the Koch brothers study where they cited Bernie's numbers. Unhealthy people usually pay higher rates or don't have insurance to begin with since most are poor. It isn't so much about single payer dis-incentivizing people to stay healthcare but the fact that the US has a lifestyle of poor health. That is a lifestyle choice. The US has higher obesity rate because of our culture. That is not because of our healthcare system. It is because of our poor diet. I know where that 45,000 comes from. It has been criticized by Harvard professor and as I said, what do you have to compare it to? People die in other nations as well. So is that 45,000, which is 0.01% of the population, high, low, or the norm? As for the 7000 you are correct, why did they die? Was it because of them not receive care or was it for other reasons? The same is with that 45,000. Again, there are higher rates of obesity and smoking with those who are poor. Being obese adds complications to any health problem thus making a minor situation more severe leading to death. Uh, saying "peer reviewed" does not mean it is without flaws. Do you know how the peer review process works? You submit a paper to a journal and you can request reviewers. Typically reviewers are people you know and unless there is egregious error it gets published. That book was written by two professors who cite all of their sources and gave their methods for anyone to criticize. Not saying it is without flaws, but it does have valid points. Any published work, whether peer reviewed or not, has flaws and can be criticized. I have 4 peer reviewed papers published and I can criticize all of them myself.
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  27. Billsama, if they make less money there is less of an incentive to work in those professions and you end up with less resources. Thus you end up with lower quality. In other nations they lack specialists because of that. It is also why the US is number 1 in R&D. Having access to healthcare can make people unhealthy as they do not learn how to care for themselves. The US has a major problem of people living unhealthy lifestyles. Also, you are adding more people to the system meaning they will, arguably, receive less care due to the system be clogged with too many patients for frivolous situations. The Harvard professor was Katherine Baicker. You also have UCSD professor Richard Kronick that wrote a rebuttal in his paper entitled "Health Insurance Coverage and Mortality Revisited" There he talks about how obtaining numbers like that 45,000 are hard and usually not accurate. The problem is that it is very challenging to account for those cases. Again, someone being obese adds complications to any health issue. You can't compare person A to person B completely as there are many variables you cannot account for. I like how you say that 7000 is causation but support the 45,000 so quickly. Fact is people die in other nations due to lack of access in healthcare. You see this in Canada and in New Zealand you have a major problem of wait times leading to major problem financially and physically. I told you the shortcomings in infant mortality as well. I pointed you to a study on amendable mortality where you have no criticism of. You are simply dismissing it because you refuse to accept the other side of the argument. Most studies do not make hard conclusions. In fact, some of the best studies do not make hard conclusions as this issue is complex and requires a lot of analysis. Thus experts don't make hard conclusions as doing so creates a situation where they can be ridiculed. 1. There are flaws in peer review. All peer review does is prevent egregious errors, that's it. Again, I have four peer reviewed papers published. Every paper can be criticized. 2. The book is an easy read. I am pushing you to learn more about healthcare. I can tell you a lot and also point you to sources. 3. That book is peer reviewed as well. Was it peer reviewed like what goes on in academic journals? No. But other experts in the field have read the book and so far there has not been much criticism of it. There has been some and I will lead it to you to find it. But for now it has been peer reviewed, just not in a way you would like. Yes, I have 4 published papers and I am working on a 5th.
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  28. On our link going through each talking point 1. Administrative costs are deceptive. To start, medicare passes a lot of costs to other government agencies. For example, the IRS pays to collect the revenue where insurance has to hire people to do that. Also, if you did a cost per patient analysis economists Robert Book showed that medicare administrative cost is higher per patient compared to insurance. 2. Yes, bankruptcy is a problem. The reality is that single payer healthcare systems are great for very basic things and does help out poor people who would not have received care or end up going bankrupt. However, single payer systems are terrible for advanced care. The US is number 1 in cancer survival rates and they offer the most CT scans along with other advanced care. The US system is great for cases of being very sick or very hurt. So, single payer does well in covering the very poor, one extreme, but suffers in helping the very sick and hurt, the other extreme. The US system is great at helping the very sick and very hurt, but the poor suffer. In both cases someone suffers. So who do you want to help? Considering how in the US the poor also live unhealthy lifestyle one can argue help the very sick. Also, helping the very sick leads to more R&D and progress. That is the reality of single payer systems. Just complaining about bankruptcy does not tell the whole situation. If the US were to switch to a single payer system bankruptcies will go down but at what cost? Something has to give. 3. Yes, the US government pays a lot in healthcare already. That is arguably one major reason why we spend so much. 4. Healthcare rankings are arbitrary as many factors outside of healthcare influence the states. One source there is a survey. Surveying people who are not experts on the topic and only experience on system is not strong evidence. And as I pointed out in point 2 the extreme cases suffer. Most people don't have terrible healthcare experiences. That is why close to 80% of voters in Colorado said no to universal healthcare and why democrats were removed after passing the ACA, people in the US do like their healthcare. 5. Same as point 3. However, it does beg the question why employers pay with healthcare insurance as opposed to a higher wage? A reason why is because of the payroll tax. Healthcare insurance is a tax free way to pay employees. No one asks that question. 6. The issue of nursing homes is complex. Read the book "Being Mortal" for that. Beyond that I cannot comment here as I have not read up on this issue very much. 7. I would agree 8. Again, bad health is correlated with being poor. Obesity is a self inflicted situation (usually) and adds complications to any illness or injury. How many of those people with chronic illness and don't have access could be better off if they simply lived a healthier lifestyle? 9. Same as point 1 I can go on but it is getting late. Point being is that all of those points can easily be argued against. The reality is this, when you break it down the US system in on par with other nations. Yes, we have problems, but so do other nations. The best route is to fix the system we have, not completely replace it.
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  29. Billsama, Many people have access to healthcare and are still unhealthy. Reality is that in the US people are unhealthy due to their lifestyles. Giving them access to healthcare will not change that. It is hard to account for a situation like obesity. I gave you a counter study showing how numbers like that 45,000 are arguably not accurate. I like how you did not give a rebuttal on that. That 45,000 is also a correlation, not causation. Again, many factors you cannot account for. Their are genetic factors, lifestyle factors, etc. You did not dismiss my claim on amenable mortality. The study supports my case that the data relate to healthcare is complex and challenging to analyze and there is not consensus in how to do so. Read that actual study as well. Why are you not reading the studies I give you? 1. Books are acceptable as well. In one of my papers I cited a book. Many books have been cited as well. I work in academics for a living, I know the standard. Books can be used. When a book is published it is open for criticism by the peers. In a peer reviewed process a paper gets reviewed by 2 to 3 people, that's it. And they are looking for egregious errors. I have been through the process and I have reviewed papers myself. I know how it goes. Just because something is "peer reviewed" does not mean it is gospel nor free from criticism. And just because a book is not "peer reviewed" does not mean is irrelevant. That book I pointed you to has many peer reviewed sources and lists their methods for you to criticize. I won't cite you my 4 papers. I choose to remain anonymous here. 1. Saying that single payer is cheaper is flawed. You are looking at only one part of the puzzle. The US does pay more, but we also offer more advanced care. For example we offer more CT scans compared to other countries. That drives up the cost when you pay for more expensive services. 2. You bring up the law in cancer survival rates. That is an issue of government. Also, there is the psychological issue as well. Read the book entitled "Being Mortal" By Atul Gawande But you probably won't as it is not "peer reviewed" even though it is required reading for nursing students in the university I work at. However, in the book he describes the challenges we face of people who are dying and how we push to keep them alive longer. 45,000 people is 0.01% of the population, that's it. Also, again, how many die due to poor lifestyle choices? 3. What the government pays does matter. It is inflating the cost of healthcare. Government usually cares about short term, not long term. That is why the Federal Reserve is independent within government. It is so it can care about long term and not worry about votes. 4. If half of the country wants single payer than why did close to 80% of voters said no in Colorado? Blaming lobbying is not an argument. If there is such strong support for single payer than it should pass easily and not have close to 80% vote against it. Also, you are pointing to polls to justify support in single payer. Those polls are vague questions on a complex issue and the people being polled are not that informed on the issue. They are not reliable. 5. Point being that the payroll tax has created problems. 8. You cannot account for all factors. Again, I pointed you to a paper that gave a rebuttal. How do you account for genetic factors? How do you truly account for lifestyle choices? You can't. That is what makes this issue difficult.
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  52. Adam, I never said that American was number 1. I have said the issue is complex so I will never say America is number 1. You are only pointing at cost where there is a lot more to healthcare than just how much we pay. You say it costs more in the US when that is not necessarily true. What is true is that we pay more, but we also offer more advanced care. It isn't that it cost more but instead that we pay more. Don't bring up climate change. I am a scientist and understand the complexity of that. You talk about the 3% who don't believe in climate change. Reality is that every scientist supports the idea of climate change as it has been happening for over 4 billion years. The issues are how much does man play a role and is it even a threat. Also, ti isn't 3%. That 97% consensus is highly inaccurate and does not say what you think it says. In reality scientists disagree on the issue of climate change and there is no real consensus. It is a challenging topic. You say that more than 60% of Americans want universal healthcare. However, close to 80% in Colorado voted against it. Fact is that the polls you are pointing to are unreliable. They are vague questions on complex issues asked towards people who do not understand them. When you break it down the US healthcare system is on par with other nations. That is the reality. If you want to talk about insulting people you actually insulted me first by criticizing the idea that I cannot use Google and then suggested that I go dust off a book at the library.
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