Comments by "whyamimrpink78" (@whyamimrpink78) on "MSNBC Concern Trolls About Medicare For All's Popularity" video.
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Ron Maimon , you bring up some good points. However, to start with the incentive. The issue we have in the US is that there is no free market in healthcare and thus no consumer power over insurance companies. If we had a free market system if an insurance company were to deny care they would not get any customers. Problem is that in the US we can't choose our insurance as we are dependent on our employer.
As for the government determining life or death, it isn't that simple. It is very difficult to determine if someone is close to death many times. That is why many people die waiting for "elective" heart surgery as it is hard to determine the severity. Government decides based on budget on that point. In order to keep spending low they cap how much care one receives. Thus many diseases are not detected and people end up worse off or dying.
As for advanced testing, one can argue if they are necessary or not. There are arguments to be made. But in the US we offer them and we end up detecting advanced cases. For example, in 2014 a 16 year old girl in the UK named Natasha was complaining about headaches. She saw over 10 doctors and they all said it was migraines. After seeing so many doctors she was finally given a chance for a CAT scan but had to wait 4 months. After the scan they found a tumor. Now chances are it was simply migraines, so they denied her care for such a long time. She ended up dying.
Here in the US I have a friend who was complaining about the same thing. They immediately gave her a CAT scan and found a tumor. They did surgery and she lived.
Here is the harsh reality. Universal healthcare is great for very basic care. It allows everyone to have a chance to receive some sort of very basic care. However, when it comes to advanced care it is terrible. Government simply won't fund it and thus providers won't offer it unless it gets to an extreme case. The US for profit system is great in that it gives more access to advanced care, but the very poor lacks access to any kind if care. So in the end either the very poor suffer or the very sick.
Looking at both groups the very poor typically have bad health due to poor lifestyle choices. Should we give them access to care? It would be great. But resources are limited. If we give them access the very sick will lose access to care. However, when you look at the very sick and you read the book "Being Mortal", it is written there that people seek out modern medicine to live another 5 or 10 years but will really live only 5 or 10 months. So if you give them access to care and they die in 5 months, is that a success? However, the same can be said about the very poor. They are in bad health due to poor lifestyle choices. Beyond genetic factors people just don't get sick. So with the very poor do we offer them care when they will continue to make poor lifestyle choices?
At that point it comes down to a difficult game of statistics and morals. Resources are limited, something has to give, period. There is no utopia where everyone has access to high quality of care. The person I was responding to, kosys, does not realize that certain forms of heart surgery are considered elective because of that reason. Maybe M4A will be the best system. I don't think so but I am willing to concede. But right now it is not being pushed with honesty. It is being pushed on deception and misinformation. If this nation were to pass Bernie's M4A bill millions of people will be blindsided with things they did not know and will be pissed.
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jerry flounders , that 45,000 stat comes from a Harvard study to be fair. However, there are flaws in that number. One, every nation faces amenable mortality. So is that 45,000 high, low, or average compared to other nations? We can't say as gathering data like that is difficult. Next, former Harvard Prof. Katherine Baicker mentioned that those 45,000 are poor and bad health is associated with being poor. So do they die due to lack of access or due to being in bad health to begin with? As pointed out in the book "Being Mortal", people seek modern medicine to live another 5 or 10 years but really live only 5 or 10 months. So if you give those 45,000 care and they die 5 months later, was that a success?
The problem with the far left is that on these complex issues they take one stat and then run with it on a completely appeal to emotion argument. They don't dig deeper. They will say "45,000 die according to a Harvard study, gotcha". Meanwhile, other experts have other points as well that challenges that numbers, or at the very least places doubt in it.
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