Comments by "Xyz Same" (@xyzsame4081) on "Tulsi Gabbard Abandons Medicare-For-All" video.

  1. "choice" makes sense for products and services where consumers have preferences and DIFFERENT NEEDS. Cars with leather interior, clothes, mobil phones (or no mobil phone and no car at all), vanilla or strawberry yoghurt, .... some of these products / services are inconsequential and/or we accept that there are luxury and basic versions of them (housing) and even that not everyone can afford them. These choices/desires/needs/preferences are NOT life and death decisions. Other services like the firefighters, sewage or waste managment, the military are ONE SIZE FITS ALL. The nature of these services is that IF you need them you need and want them in the same version / quality than everybody else. Which kind of chemotherapy or firefighing would you want ?? the luxury version ?? the basic plain version ?? None ?? - No one wants_a chemo but if you _need one, the kind which you get will / should depend on medical decisions and needs and NOT on your consumer preferences or what you can afford.. In a single payer system the patients do not have that many options - one reasonable system that is sufficient is set up for ALL. D octors have options for their patients. Preferences regarding the middleman = insurance companies (or non-profit public insurance agency if the country has a reasonable system) are even more ludicrious. If the middlemen were offering a honest service_ (not overpriced, not sucking out money, not taking it out on the costs of labor of medical staff and doctors or burden them with too much work) - they would all have pretty much the same costs. The reward for entrepreneurial action and innovation is profit - but to establish a healthcare system in a country one does not need entrepreneurial skills, or creativity - it is logistics and systems. That is why the public non-profit agencies all over the world do a good job to run their healthcare system - we would not want them to design our clothes or furniture or cars but regarding a product like healthcare (or education, the military, the justic system, utilities like sewage systems, or public transportation *) they do a good job and blow the for-profit players outof the water. * and they would do a good job regarding public housing (as they did in the past) if they were not underfunded. Meaning the state left housing to the profiteers and the landlord class.
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