Comments by "Xyz Same" (@xyzsame4081) on "The Majority Report w/ Sam Seder"
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@rage2904 Single payer is ALWAYS MUCH more cost efficient - money is spent on the MASSIVE inefficiencies and the profits, that could either go towards wages or the company has less costs. - which makes it easier to argue for a payrise.
The companies CAN pay it.
Not every company is large and highly profitable. It helps when the insurers do not extort them.
Yes unions get dues, they provide a service for that and must have budgets, if they get a small share from higher wages, that is well deserved.
GM did leverage healthcare, 2 days strike and they stopped coverage (that also means family members did not have coverage).
other companies might not leverage it, but people stay in jobs they would rather leave - and the only reason is because they of the healthcare insurance.
In that way it TIES them to the job, especially if they or a family member need treatments or have risks.
What if they want to start something new, get an education, start a biz, move and search for a job there. ...
I saw a mother with a child needing expensive medication (and attention), she would like to be a stay at home mum, and they could forgo her income - but she needs the insurance (looks like it is better than that of her husband).
Or a woman that would like to retire, but a family member needs the insurance.
It is also a recruiting disadvantage for start ups - in single payer nations a small company may not be able to pay the same wages, but their staff has the some (comprehensive) coverage as staff from large companies.
AND: companies and staff know EXACTELY what it will cost them.
Payroll tax. Done.
For the patients: Services free at the point of delivery. Except for smaller co-pays (noting remarkable) no unplanned costs.
a non-profit public healthinsurance agency always beats the for profits. (it is a terrible fit for the free market and surprisingly well suited to be delivered by public non-profits). the insurers are MIDDLE MEN. Public non-proits are well behaved middle men with little admin overhead (streamlined) that have a lot of negotiating power (more than any insurance of even multinationals, they are set up by government to have that dominant role.
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@rage2904 The U.S. insurers have a toxic culture * , but even in Switzerland with elements of a strong direct refendum democracy they pay a surcharge. They are the only other rich nation (I know of) that rely on private insurance for healthcare.
* US insurers can spend 2 more dollars (or 3, or 5) to make ONE dollar more profit. That wouldn't fly with a normal consumer product.
But with healthcare - What are you gona do ? The plans all are overpriced (GM and Apple or Microsoft also pay too much) and you do have not the superpower of consumers with healthcare:
The power to NOT BUY at all.
As for "only other country" with only (mainly) private insurance coverage -
To be fair I did not check out the rich oil theocracies.
Switzerland:
USD 8,000 per person, regulation works insofar that the Swiss get good services and no one plays games with the Swiss insured / patients, but private insurance makes it more expensive.
for comparsion (globally):
Same budget per person, same pool, so not cherrpicked,
you get always, always more bang for your buck even IF the private insurers are well regulated. you will not find any example to the contrary on the globe.
typical rich single payer country: spending USD 5,400 per person, take or leave 500 USD.
(data 2017 Kaiser, also see World Bank).
Now that is some range (some of it can be explained from age, lifestyle - Japan - or a little influence from costs of living.
BUT: most wealthy nations are more in the range of USD 5,000 - 5,500 USD.
So they all did their own thing after WW2 but adhered to some basic singley payer principles - and they end up in a narrow range.
the surcharge for the U.S. system ? approx. USD 5,000 - per person MORE
IN 2017: USD 10,260 spending per person.
That includes in the U.S. un- or underinsured, bankrupt because of medical bills, getting too little services too late.
It is the average, all spending divided by all people).
Now the U.S. employers (if they pay for healthcare) do not pay quite as much - 10k.
That average includes the spending for the old. In the U.S. you have the crazy situation, that the private insurers have a cherrypicked pool already, because the most costly group of plus 65 years is covered by Medicare.
With the help of a lot of government subsidies. Other countries ALSO subsidize healthcare generously, so that the mandatory payroll tax that grants FULL coverage can be MODEST.
That means everyone is in, and that adds to cost-efficiency (no hassle for doctors and hospitals: they hardly encounter uninsured patients. What coverage ? The same as everybody else.
One of the reasons even well behaved insurance companies add red tape: it get's more complicated with the many different plans, for them AND the providers. .
Payroll tax of approx 4 % with a yearly cap would not be uncommon. Where I currently live in Austria it is 3,8 %, with a yearly cap of approx. 2,400 USD per YEAR.
Other governments spend not quite as much per person as in the U.S., and the companies and citizens pay much, much less.
Well, if it costs only half of what it costs in the U.S.- all actors can pay less.
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Rand is one of those that won the LOTTERY OF BIRTH. He is the son of a doctor that happened to get a federal salary as politicians and good healthcare (for the family) on top of it (as representative). To be sure Ron Paul could have made the same money as doctor, he had his own practice. For his PRIVILEGED son it does not matter, he lived a sheltered life, his parents were affluent (if not rich) and financially stable.
Rand Paul grew up in a safe, nice environment and no doubt with good schools. In case he needed help with homework or if he or siblings had a learning disorder or just were not very organized in their learning - there was time, money, attention to help them.
If he tested weed as older teeanger / young adult, it was not likley the police would make the young males in HIS neighbourhood targets.
And then he went to medical school (I wonder if he ended up with huge student loans, it is ridiculously expensive in the U.S.). Or if the parents paid at least a part of it.
I do not know if he ever worked as doctor of medicine (with his own practice).
Later he went on to inherit the Congress seat of his father. He would not have made it in politics without riding the coattails of his father. Sure he is blessed with intelligence (not the same as being insightful), health - that is nothing he earned either. Beyond the financial stability and having caring parents (more blessings and UNEARNED GIFTS) he had to do the work of course, but he was GIFTED an excellent base to build upon and steady support while doing so.
When his parents will die (father is in his 80s, was in good shape so far, but had a minor stroke recently) Rand and siblings are going to inherit some wealth.
That's the crowd that is REALLY nervous if the masses for once getting something for free.
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@gordthor5351 healthcare is not "only" to save your life - first how do you know for sure how critical it is going to be. And professional transportation is part of the procedures. - normally if a person can sit in a car and is not too badly off, family will bring them or they can drive themselves.. If they need to be transported while lying, if they need special care - maybe even a doctor - that is part of healthcare.
A person lying at the side of the streets - like another commenter mentioned - could lie there for all sorts of reasons - including a diabetes coma, an injury, a seizure, a heart attack, stroke, drug overdose ... - or they are simply drunk and sleeping it off - which still can get dangerous when they vomit, or if they freeze to death.
One could give such a person a ride (if they are only drunk of sleep deprived). people may fear however that they might vomit into the car, or that they are not coherent and get mad during transport. Or die during transport. That situation can be handled better in an ambulance - more expertise, space and 2 adults.
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@jjw6961 Krystal did not see the Storming of the Capitopl coming ? She got that wrong ? So what ? As a commenter she is supposed to comment on what happened and change her assessments (of past and future) as events unfold. She never downplayed it after the fact. - I must say I was also suprised by it - Trump, the Republicans and his followers plus right wing media always over deliver. Just when you thouhgt now you have seen it all ....
Trump did not pull off a coup per se. He would have liked one for sure. He could not set up a coup to save his life !
To be sure Michaal Flynn tried to push the idea of using martial law in a meeting in December, that was a group that met with Trump. But Flynn was shot down furcefully by one participant that seems not have some reason left. And no one else came out openly for the idea. So there was no support.
Trump surrounded himself by a certain kind of grifters, like him they take no personal risks and a coup pushed though with determination means taking risks. Someone would have to lead. No leadership to be found anywhere.
But then IF Trump had an ability to lead he would have been a little smarter in 2020 and won the election.
It came down to 43,200 votes in 3 states (WI, GA, AZ 20,700 / 12,000 / 10,500). 4 states were too close to call for days, if we assume that Biden would have pulled off PA (he lead with 81,000 votes = 1.2 % margin and in THIS state Jo Jorgensen did not have a multiple of his lead over Trump) - ha absolutely needed ONE of the 3 other states to win the EC. PA was not obligatory. But of the 4 nailbiter states Biden needed to win 2 in any combination. Even the smallest 2 (AZ and WI) would have pulled him at 270, so just the bare minimum.
Trump could have easily won that, and Biden could have framed his poster: I won the popular voted with 7 million more ballots cast for me (60 % in NY and 65 % in CA help with that).
No coup, no drama needed. What kept Trump from wiining this easily and legally - most definitely kept him from organizing a functioning ! coup. .
Trump is not a leader he is a boss.
Luckily. Beau of the Fifth column did an insightful segment on it. His ego was soothed that someone was putting up a fight for him, the idiot likely was very pleased as he saw the riots unfold. He was incapable of grasping that it would lead to nowhere and would harm is personal and financial interests. Dems determined to sue him. Now they were really motivated.
He also had put his cronies in place (new Secretary of Defense) to make it harder for police to control the situation IF it got out of hand. he could only hope the protesters would get out of hand, he certainly did his best without outright telling him to storm it. But it is not like he could control WHAT they (or police) would do.
On the other hand smarter police leadership could have easily undone his effots. They get highyl unusual order in advance (needing the permission of Secretary of Army for everything ?
Contact Pelosi, Schumer and McConnoll. Leak it to media.
Call them out one or two days earlier, make the highly unusal orders that hamstrung police to even react when they realized they were in trouble.
Or disregard the orders of the SoD. The incoming Biden admin was not going to prosecute them. Sund (former Capitol Police Chief) is now pissed that he lost his job, respectively that Pelosi made him step down the next day. - Still not acting like a leader - he had ONE job. He likely did not want it to happen. He was just a feckless leader.
Trump could not fire the Metropolitan police chief and also not the Sergeant at arms or the Chief of the Capitol police or the Capitol architect. They could have derailed the efforts to make the helpless. Trump and his cronies were like: Just in case the crowd goes out of control on our behalf let's see how far they get .... is not a smart coup strategy.
Again: Luckily.
Trump is not able to pull off a coup - Krystal got that right. He riled up people, because of feckless police leadership they got much farther than they should have, they got carried away (many).
If - IF - the police leadership of the Capitol had been smarter and doing their job the masses would have been stopped at the perimeter. Most - not all of them, but most - would have been stopped by the police shooting a few of them, but they were emboldened.
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Medicare and Medicaid are already being defunded to come up for the missing revenue because of the tax cuts for the rich (the donors of the Democratic party love those as well, never mind Trump). Then there will be the costs of jobs programs, energy transition, ... so the broad coalition of MfA insured would be open to return to tax policies of the post WW2 era (until the 1980s). The donors of both parties are not going to like that - on the other hand what are they going to do if 250 million people would use their vote ? (In 2016 139 of 250 million used it = 55 %)
Small biz and startups are going to like single payer: it is a recruiting advantage, their staff has no disadvantage compared to established companies and it does not cost them much (4 % from employee and 4 % from the company). If they are not (yet) highly profitable there are no or not much contributions via the general tax revenue.
In single payer nations the public insurance is mandatory - wage related (percentage of wage with a cap usually) contributions of workers and employers, which must of course be very affordable.
In Austria they are for instance 3,8 % for company and for the employee (with a cap of appox. 200 USD for each per month - the public insurance agency at the maximum gets USD 4,800 per year for an employee, with a good wage.
So that is of course not nearly enough to fund the system, when currently on average !! USD 5,4000 are spent on every adult or child in the country. Participation is not only madated - it is also a right in all countries that are wealthy single payer nations - and they have typically approx. HALF the expenditures per person compared to the U.S.. The U.S. has 10,240 USD in 2017 - so Austria and Germany have a little more than half, Germany 5,600 - nations like France or Belgium or Japan do it for USD 4,700 - 4,900 per person per year)
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Fox News and the right howl about Warren. In other news: Trump cheated on every of his wifes, need I say Stormy Daniels, Trump university, using the office to enrich himself, bankrupting upwards while NOT paying subcontractors, workers ..... - she should answer each of his tweets with "in other news .."
What one can learn from Trump, to not give a damn, the people who howl would never vote for her.
She should have unapologetically told her point of view, I trust my mother, she may have been wrong on the facts, but my father's family did have a prejudice, which made the story so plausible that I checked the boxes. BTW: I never profited - I am not a trust fund baby - but I did get help my my dear aunt, who took over my household so I could take care of my career when I was completely overwhelmed with taking care of my children and my job.
(The Cherokee do have a point with so little in the gene pool - less than the average U.S. citizen she should have talked to them - and kept quiet. What I find much worse, she did not show up at North Dakota Access Pipeline, she does not slam ND now for trying to suppress the vote to make sure Heidi Heitkamp does not win the Senate seat)
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@markromine5103 The bourgoisee will always help the facists if they see their financial privileges only a little bit threatened (think higher taxes). See the Biden win and the behavior of Corporate media and normie Democrats in the last 14 years and now after Biden "won". Biden puts a friendlier face on ugly affairs (like Obama). - they hate Trump because he is uncough and because he openly shows he does not mind getting people killed IN the country. Obama and presidents before him did not mind either, but they had more sophistication or at least better manners (GWB).
Obama et al did not mind that the current big-donor friendly healthcare system that he helped prop up for the profiteers gets 30 - 60,000 people killed per year.
They STILL do not mind and gaslight the voters over "improving" ACA. But they are NOT following the most successful, cost efficient ! path that every developed nation has taken, and most of them 70 years ago.
30,000 preventable deaths was the number of a study (I think by Harvard) when ACA had been rolled out for a few years and Obama still in office, so that is with ACA fully implemented and funded to the liking of the corporate Democrats (the U.S. still pays double per person on healthcare compared to other rich nations. So of course it is easy to defund the bureaucraZy, because there are legitimate criticism of how overpriced it is.
Healthcare - even when arranged for in a streamlined cost-efficient system - costs a lot of money
Think 5,500 USD for every person in the country per year - take or leave 500 USD in the rich nations with single payer style systems. It seems that is what you need to have good healthcare for all. It is very unhelpful if the health "care" system is set up in a way that it needs double that spending.
a) because the big donors take a big cut that way (and D + R shills help them) and
b the complicated rules to "ensure" fairness and ethical behavior (from providers but also insurers which are only paper shufflers) and the inevitable bureaucraZy to evade those laws require a LOT of useless administrative work. providers have to chase the payment of medical bills (also costs that do nothing to make the service better for patients or the people / staff that provide the services).
The profiteers can arrange themselves with the waste of adminstrative and other resources - they can easily spend 1 dollar to make 10 cents more profit. With a service like healthcare they just can pass on the excessive costs because with healthcare and admin around it = insurance there is not "free market" possible.
Because the consumers do not have the most important of all choices: To NOT BUY.
people need healthcare and if they are not multi millionaires (who could take a gamble and pay even a few hundredthousand out of pocket), having "insurance" will make or break their real "access" to good and timely and comprehensive care that does not bankrupt them.
- almost all first world countries are in the range of 49 - 54 % of the U.S. spending per person (that was pre corona, data 2017). so the U.s.for profit healthcare system (now under ACA) needs a LOT of subsidies to even stay afloat while still being bad for a lot of people.
I think that is a Havard study (effects of too late or too little care because of being underinsured or not insured). people have deductibles of 5,000 - 10,000 USD per year. Try that with an ongoing condition.
That is a lot of things but NOT "insurance". But technically they do have "insurance" and the numbers of the insured have gone up. So Yay.
Corporate media and Democratic establishment have recently rehabilitated George Bush. Not to downplay how bad a president Trump was. But Obama (by selling out in 2008 already) paved the way for a fascist, and they are lucky that THIS time it was an idiot like Trump.
Biden would have lost if Ted Cruz, Marco Rubio, Jeb Bush would have run. And he would have lost if there had been no pandemic or if Trump had been only slightly better in his pandemic response.
Do not let the 6 million more votes fool you. The EC "looks" good. Well - no. There were 4 nailbiter states, and I would say 2 of them are not in play if a more skillful wannabe fascist or a standard Republican runs. (Georgia and Arizona).
Biden won the 4 states with a TOTAL of 125,000 votes more (Jo Jorgenson the libertarian got double that number in votes) and he NEEDED at least 2 of the 4 states to win. And realistically in other years it would be only those 2 states (PA and WI). HRC and now Biden lost Ohio (which Obama won twice, so voters gave him the benefit of the doubt in 2012, but then it was over with the vote for Dems). And both lost Florida.
The more important red states were all won with a solid margin by Trump (Texas, Ohio, Florida, Tennessee that used to be blue). And Biden only eeked out a narrow margin in some he needed to win
THAT after 4 years of Trump idiocy in action.
Only 1 state out of the 4 would NOT have been enough, also not PA with 20 electors. that would have been 269 electors - so the more numerous Republican states would determine the president). On the other hand even the two states with the lowest number of electors (AZ and WI with 11 and 10) would have been enough to just put Biden over the finish line to 270.
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Sanders has a sophisticated operation going on to recruit volunteers, and how they are used for the campaign. ** The polls likely do not capture what is going on with Sanders *. Warren had LOTS of nice media coverage - except from Fox. They obviously noted her signalling to rich donors and superdelegates and the flip flopping.
People vote for (and name in polls) what they are familar with and the IMAGE of the politician matters. Corporate media can shape that image, especially if the consumers of "news" do not use the internet to gather information.
People who do not pay a lot of attention and get the "news" from TV are likely to think of Biden as friendly uncle Joe, friend of the working class and elder statesman. And EW got lots of free airtime.
Fox is blissfully unaware of all of that - they dislike Sanders even more but at the moment they do not know that Sanders can catch up with Warren and that Biden will eliminate himself.
Bloomberg is going to cost Biden, Buttigieg, Harris, Booker votes - and also Warren (her support comes from white, affluent Democrats, the academic / managerial class). Good !
* The Sanders campaign works to turn out unlikely voters (they built on the 2015 / 2016 experience and refined it). That is hard to poll - pollster go after "likely" voters (those groups and age brackets who turned out the last times).
That is why they did got some primary results of Sanders wrong in 2016 and that's why they did not realize what a danger AOC was to Joe Crowley. In the last poll one week before the primary she was 16 points behind, she won with a comfortable margin.
AOC: "We do not rely on polls - we change WHO turns out." The Corbyn surge also was not manifest in the 2017 snap election (he made good more than 15 points in 8 weeks). I think AOC was lucky that the polls concealed her strength - else Crowley would have activated the machine and likely some dirty tricks.
** See how the Sanders campaign does it during the rallies (all get your phone out and download the Bern app, I will wait. Anyone already voluntering, show of hands please. Anyone considering volunteering - great ! Keep your hands up, volunteers with clipboards will come right to you.
Or the recent video titled Workshop My Bernie Story: peer to peer video messages submitted to the campaign via the app. The campaign will review them. Likely to make sure nothing unseemly is said. Instructions are also: "Language should be family friendly, keep it short and do not bash other candidates", and also to avoid undermining from Republicans, special interests and what not. the media would concentrate on ONE video with racist content for instance, and not talk about the thousands of others or the orginality of the action.
there will be an action day on Nov. 25th when they will publish these peer to peer videos on social media - likely to get media attention and to have a trending hashtag.
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@Alan-wj5zc It is called statistics, they ask enough primary voters and then get a reliable picture - and no way that varies by 6 % - Also: Sanders did NOT destroy Hillary's chances - how was that the inevitable candidate would have needed HIM to win (never mind he held approx. 35 rallies for her after the convention - and unlike HRC in 2008 he did not mop for a day, did not get promised the post as Secretary of State, and the DNC leadership did not have to implore her to graciously endorse Obama at the convention.
She was such a clueless candidate and so detached from the electorate that she managed to lose against the orange clown. - I recommend the interviews of the authors that were allowed to accompagny the campaign, provided they would keep confidentiality until after the election. the book is titled Shattered. (HRC: I do not understand the country anymore. - No kidding, she did not process how 2 populists stole her thunder. Trump as fake populists to the right, and Sanders in the tradition of FDR as left populist.
Truth is: she hadn't understood the country for a very long time, but until then it did not matter. But with the internet, independent media, after the lies that lead to the Iraq war, 9/11, the Great Financial Crisis. NAFTA and then the China deal both had triggered massive waves of outsourcing. all of that undermined the trust into the institutions. And then SHE and Obama - and the rest of the Corporate Democrats were all for the NEXT "free" "trade" deal to have even more jobs outsourced).
btw: are YOU going to vote for Sanders once he has become the nominee ??
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