Comments by "whyamimrpink78" (@whyamimrpink78) on "Bernard Sanders Meets Joseph Rogan, They Have An Experience" video.
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@colm9419 , healthcare is a complex issue. I will admit that M4A might be the best solution. I don't think so, but I am open to the idea as long as the supporters of it are willing to have the difficult conversation. The problem is that the far left is not willing to have difficult conversations and simply feel that M4A will cover every with the same level of care we have now at a lower price. That is 100% not true.
We can cover everyone and if we have the same level of care the cost will be huge. Bernie's plan wants to cover everyone but lower costs by 40% with a 40% less payout. So at that point you have to sacrifice something and at that point it will be quality and access.
Here is the reality, nations with single payer systems have a system that works well for very basic care and does offer something to the poor where in the US the poor do go bankrupt and there is some evidence that people end up dying. But in those nations the cost is the fact that people are denied advanced treatment and end up worse off or even dying. People are dying in Canada being denied heart surgery, up to 7000 people are dying a year in Australia waiting for "elective surgery". People are going blind in the UK being denied cataract surgery.
In the US the poor do suffer with bankruptcies and in some cases death, but the very sick do get care and we have higher survival rates for severe illnesses. That is because when we seek care we get all the testings offered to us. Other nations don't do that. For example, when I hurt my knee every analysis showed it was a high chance it would be simply a dislocation. But they gave me an MRI where I waited three days and got it to look for farther damage, there was none. Now compare that to this story
https://www.dailymail.co.uk/news/article-2486789/Natasha-16-complained-headaches-She-died-13-doctors-failed-diagnose-brain-tumour.html
If you look at the statistics chance are that he case was simply a migraine. In the US they would have offered an MRI much sooner and she would not have waited a long time increasing her chance of living. .
Reality is something has to give. With single payer yes the poor will benefit, but the very sick will suffer and some will suffer being denied advanced care. In the US the very sick get treated and cured and advanced testing does catch those rare cases something is more severe than expected, but the poor suffer.
This is where the difficult conversations begin. Statistically, what is best for society? Also, what does society really want? Just look at the US. Yes, our poor go bankrupt and in some cases end up dying, but consider how many are poor due to not being responsible. And also consider how the poor are in bad health because of poor lifestyle choices where, as outlined in this article, even with access to care their health is still poor
https://www.nejm.org/doi/full/10.1056/NEJMsa1212321
But on the flip side people who are very sick are typically old and are close to death to begin with. As mentioned in the book "Being Mortal" people seek modern medicine to live another 5 or 10 years but really live another 5 or 10 months. And how much do the very sick really produce compare to the very poor? And with advanced testing, catching that instant where a situation is worse than expected is rare.
These are the difficult points the far left refuses to take on. If M4A, under Bernie's plan, is the route to go you have to convince millions of Americans that their taxes will go up and the access to many advance form of care will drop no matter how sick you are. And as for rationing, here is a good article on that
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3415127/
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