Comments by "" (@jmitterii2) on "Fads"
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Our medical system is a complete farce.
The other thing UK, Germany, France, Norway, Sweden, Denmark, Finland, Switzerland, Austria, Lichtenstein, Italy, Greece, the many countries that once upon a time were Yugoslavia, Poland, Russia, Japan, S. Korea, Australia, Canada, Mexico, and many other countries do is to treat all medical companies as monopolies in pricing. All providers of equipment to medicine and including services rendered have a fixed operating max profit margin of usually about 6 percent. And usually a capex (capital expenditure) additional 6 percent or so max profit margin.
And thus most of these same countries have a multiple or single payer quasi or fully government insurance or just a governmental program like UK and Canada. And the costs of medical is a fraction that of what it is in the US even without so called medical insurance.
Hence medical tourism is very big, as well as getting Rx medicines from Canada or Mexico or Europe or Japan or Australia or from many other nations already mentioned. Because in the USA we have unlimited profit margin allowed.
Problem with this, is the medical services and products either have an economy of scale requirement in that few people at any time will need the services like a hospital or particular life saving emergency medicine like an EpiPen injector for anaphylaxis (severe allergic reaction that can randomly inflict anyone at anytime), and/or all medical services and products have an inelastic demand curve, meaning no matter the number of providers supply as much quantity as possible, the demand curve is so steep not to die or live in misery that people will pay any price. Hence price mechanism doesn't follow something with elastic demand curve with substitutes like a hotdog which can be substituted by many different foods if the price for wieners or the bread becomes too high, the price will go down because all the suppliers can't keep charging high prices to get bloated profit margins.
Our medicare and medicaid system could save 50 percent immediately, probably closer to 80 percent if we implemented the 6 percent max operating profit margin, with a 6 percent capex additional margin as most states do already on utilities like water, sewer, trash, electricity, natural gas, etc. natural monopolies.
Medicare and Medicaid costs combined for 2023 were 1.455 trillion dollars for the year. Cut that in have it would be 700 billion dollars.
The 1.49 percent payroll tax on all gross wage/salary/tips earned income brought in 358 billion in 2023. So we would still have a deficit. But it would be cut down to half. And really, we could just do away with the scam of all these bloated insurance companies and go single payer like many other nations. My current employment contribution medical insurance is $240 a month premium. Rather high for a so called high deductible plan that literally covers shit on a shingle and allows for a "healthcare" savings plan; between my employer and myself can contribute up to 3,600 a year to it, and I keep it forever. But it's a scam as it will quickly vanish if I ever needed serious medical help.
We could just increase that 1.49 percent to something similar to Germany 4 to 5 percent to cover literally EVERYTHING; dental, vision, body, you name it. And it covers everything. Including under context of reconstructive surgery due to injury or illness etc. Would be cheaper than the farce that we have with the bogus insurance scam; my employer pays over 6K a year to my crappy plan. While I pay roughly 3K a year. I can expect to pay highest out of pocket 7K. Deductible max is 3K, but then it still only covers up to 80 percent of the bill until it reaches $7K in that year in which it's to cover everything after until the year ends; then it starts over, having to reach that first $3K and then it pays 80 percent until I have paid $7K max out of pocket.
And we wonder why people go bust even under insurance. And that's if it is "covered". And that you're able to maintain insurance, long term disability means FMLA max 6 months and they can fire you. And then you have to pay COBRA their full contribution 600 a month plus. They try to push you into medicaid at that point so the insurance company gets reimbursed on whatever they paid out if it's retroactively approved, so medical insurance at that point is generally just fronting the cost and getting it all back once they push you onto Medicaid disability.
Other countries have figured out how to simplify and do what is right for their people.
Most states in this country have long figured out how to ensure natural monopolies like electricity, water, sewer, trash, natural gas are setup to ensure quality service and very reasonable affordable prices; save Texas because that state has its finger up its ass in oligarch love; recently they've had cold spells that rendered their power distribution frozen with blackouts, and their "market driven" power for whatever they were able to use for that month, some people got bills for over $1,700.00 plus. Leave it to bozo the clown Texas to fuck their people hardcore.
All other nations with a brain, essentially the rest of the 49 states, have either publicly owned utilities or if private owned have those max margins operating and a capex max margin to encourage and compensate for updates and growth of services; Idaho it's 6 percent for both. And we get reasonable utility bills regardless if it's public or privately owned. Better prices public owned like the city of Idaho Falls owns all water, sewer, trash, and electricity. While oddity like Boise has two private water companies with their own districts. Most of rest of Idaho uses Idaho Power private company; but as all private utilities, the Public Utility Commission regulates rates and ensures any profits above the operating and capex gets returned to customers, recently my natural gas bill a few months ago was chopped into nothingness as they tabbed out on both for the last fiscal year.
I know this is very wordy.
My point is, regulations like this aren't new. They're already being used in the states themselves and abroad.
These medical sectors in the states are screwing everyone hardcore. It's a fucking crime against humanity. Just as medical patent protection is too. Most medical research is done at universities across many of them even across different countries. And research trials can just be refunded and a reward for the organization that comes up with it should be dispensed, but let's not make the monopoly problem worse by granting them an artificial monopoly! Talk about pouring salt in an open wound!
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