Yeah you clearly stated one hundred thousand million. That's what I was questioning. I guessed it was just a typo but wasn't sure.
Healthcare
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In the latest episode of the United Hour Podcast, Nik (@Rood) is joined by CEO Duncan Drasdo and Financial Director Andy Green from the Manchester United Supporters Trust for a special episode on all things behind the scenes at Old Trafford including a brief history of MUST and their aims today, views on INEOS and Sir Jim Ratcliffe so far, and the Old Trafford regeneration.
Yeah you clearly stated one hundred thousand million. That's what I was questioning. I guessed it was just a typo but wasn't sure.
Yes type, good spot.The biggest issue facing US healthcare is the uninsured. Fix that issue and the bankruptcies would be reduced significantly. Once that issue is fixed something needs doing about healthcare and drugs costs. The drugs might be an easy fix if they give all Americans a Medicaid pharmacy card mandate prices for drugs at the federal level.
Nice dramatic Tweet. Going presume the drug was Tamiflu because it is around that price with no discount. It can be bought for $51 as well.
Also a big stretch that not taking the drug had a direct bearing on her death.
"Two meta-analyses have concluded that benefits in those who are otherwise healthy do not outweigh its risks. They also found little evidence regarding whether treatment changes the risk of hospitalization or death in high risk populations"
youre right. literally nothing bad ever happens to anyone due to the cost of health care.
Oh it does for sure. The healthcare system is far from perfect.
She wouldn't have even been prescribed that drug in Germany unless she was in an at risk group.
she wouldn't have been asked to pay $116 dollars for flu medicine in Germany
One thing you have to adapt to in the US is the drug system. It can be dramatically different depending on the doctor you visit. My GP nearly always knows which pharmacies have special offers or where the drug is cheapest. I have had basic meds countless times where he has told me to go to a par.
I have also been to a specialist that wrote me up for a new drug that was $600. Turns out it was a combination of two common OTC drugs which would cost about $15 a month. Why did she write that prescription? Because she was getting kick backs from the drug rep is my guess.
Even when you do have a prescription check on an RX site where it is cheapest. The drug above is $51 in Walmart and a couple of other major chains.
I have also been to a specialist that wrote me up for a new drug that was $600. Turns out it was a combination of two common OTC drugs which would cost about $15 a month. Why did she write that prescription? Because she was getting kick backs from the drug rep is my guess.
Even when you do have a prescription check on an RX site where it is cheapest. The drug above is $51 in Walmart and a couple of other major chains.
she wouldn't have been asked to shop around and pay $51 for flu medicine in Germany
Actually she would have paid more, she is an American.
I believe Germans pay 8% of gross pay into healthcare, with the employer matching it. Presuming her husband had a similar paying job the cost of German healthcare would actually be a lot higher than their US healthcare.
germany spends less money, by every metric, gdp, per person, overall and has universal coverage
whether they'd personally pay more into it, which they wouldn't because americans already pay a lot of taxes that go to health, is moot now that she is dead
Its a huge stretch to say she died because she didn't take Tamiflu. Lots of people are dying from flu in the UK right now. It is very unfortunate but it happens.
You would be surprised just how little Americans actually pay in tax.
you constantly talk about how great the system is for people with insurance. its fecking not.
Not sure I ever said its great. I did say the majority of Americans are happy with the current system. Even posted an extensive gallop poll showing satisfaction rates at 65%, which is actually higher than satisfaction with the NHS.
That's a very misleading statement. Yeah people are dying as they do every year and this year is seeing a particularly nasty strain of flu. BUT it's mainly the elderly, very young or very sick. Basically the most at risk in society and flu is a known killer. Although most die from pneumonia they contract from being so Ill with the flu.
I do not know one single person who is unhappy with the NHS. Not one. Obvious there are but 35% seems bullshit to me.
Anecdotal evidence.
Personally I accept your statement. I was never unhappy with the NHS but its far from perfect. Healthcare is a very emotive subject. People will often express dissatisfaction because of the most stupid stuff. My wife actually took a manager position in an NHS hospital before she left the UK. She was the Complaints Manager investigating and answering complaints or referring them to the lawyers. I saw some pretty stupid letters like the guy that was furious they had cut his motorcycle leathers even though they saved is leg. Wanted a couple of thousand compensation, money does the strangest things to people. She did a year of that job and went back to nursing.
the most revealing thing about that NHS survey is how it people think it gets worse under a right wing government
Didn't say it was evidence. Just being honest and also saying that 35% to me seems to be excessively high.
A very fair point.
A very fair point.
I am constantly surprised at how little the actual average American citizen receives for how much they pay in taxes (considering sales tax is almost always a regressive taxation system). Otherwise almost the entirety of the US government (judicial system that heavily favors the wealthy and spends majority of resources settling corporate disputes, military that massively benefits the defensive contractor companies and the multi-national corporations but not the average citizen, health care that heavily favors services to the rich, etc) functions to benefit the richest 20%, special interests and largest conglomerates much more than the average citizen or small business.
Also I am not confident a Gallop poll (biased center-right organization) is actually getting representative sample to extrapolate from. Do you really think any of the homeless population is represented in that poll? I would bet their sample is skewed. The only polling I trust is the meta analysis from fivethirtyeight. Never trust a single polling organization.
Nothing up with personal experience. The problem with polls is actually finding what people want. A straight question never really gets to the truth.
That's why the real pros like Frank Luntz have used focus groups for decades rather than polling to produce better analysis.
US sales tax is 6-7% generally, the UK has VAT at 20%. We don't get much back for taxation because we don't really pay much in tax.
You're forgetting the local additions. For instance in Los Angeles County you are paying 9.25% in unincorporated areas and in cities that add a local city sales tax its even higher. And for all the regressive sales tax + income tax there is really not much services to show for it. Its a system designed to benefit the rich.
You generally get things back for sales taxes because it is local and State level. It is what pays for education for starters. Highest sales tax is Tennessee which is under 9%, a lot less than 20% VAT.
First public education is funded by a wide variety of taxes not the least of which are property taxes and income taxes.
https://ed100.org/lessons/whopays
And I just linked a source that shows some cities in California end up with 9.75% sales tax.
None of which negates my first point, that the median American citizen generally receives very poor benefits from the amount that is paid in taxes compared to others in Europe, Japan and Australia. No other modern first world system I have studied has so many mechanisms to benefit the rich and powerful than the US.
The US could definitely use more social and financial equality. The system doesn't just benefit the rich unless you are calling the working middle class rich.
Interesting you bring up Property tax because that really does penalize the rich.
First you would have to define what you mean by "working middle class". And then you have to show me for instance how the American legal system benefits the working poor compared to the rich. Its pretty clear from other threads here how much the criminal justice in the US benefits the wealthy and if by "working middle class" you mean "working WASP middle class" then sure. But as other threads have documented the criminal justice system certainly isn't benefiting the minority working class citizens in the same way. Compared to the French system for instance where there exist independent investigative judges that can pursue cases independently which is something that doesn't exist in the US legal system.
Anyway I apologize for going more general, don't want to throw the thread off topic so I'll just end with its pretty clear the HMO system of health care in the US benefits the rich and special interests (HMO industry) more than it benefits than the average citizen unlike in Universal Healthcare countries.
And this is a necessary read re: health care in the US.
https://www.theatlantic.com/magazin...american-health-care-killed-my-father/307617/
Not really. Landlords just pass on the cost of property taxes in rent. That concept is even older than capitalism. Trump of the 70s-80s or that former NBA owner Donald Sterling are great examples of how the landlord class passes on the costs of owning property to tenants to the tenants detriment.
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You can't pass it on for the house your living in. The more you pay for a home the higher the property tax. So a millionaire could be paying $100,000 a year in property tax on a $5 million home, which is fine by me.
One thing worth mentioning with the GOP tax bill they actually inadvertently gave the people that rent a good tax break. Now any married coup;es can claim $24,000 standard deductions. Under the old system renters didn't have mortgage interest or property tax to deduct.
Someone on $45,000 living in a $260,000 home in NJ:.
$9,064 - Federal/State/Local/FICA
$5,723 - Property tax
$14,787 direct tax burden
Someone on £45,000 in a £260,000 home in the UK:
£7,918.52 - Income tax/National insuance
£1,484 - Average council tax bill
£9,402.52 direct tax burden
Of course you factor in other things do like difference between sales tax and VAT rates but the underlying tax burden on an American worker, at least those living in NJ (other states are available) it seems to be the case.
$9,064 - Federal/State/Local/FICA
$5,723 - Property tax
$14,787 direct tax burden
Someone on £45,000 in a £260,000 home in the UK:
£7,918.52 - Income tax/National insuance
£1,484 - Average council tax bill
£9,402.52 direct tax burden
Of course you factor in other things do like difference between sales tax and VAT rates but the underlying tax burden on an American worker, at least those living in NJ (other states are available) it seems to be the case.
Don't forget you can deduct a lot off your taxes in the US. Mortgage interest ans property tax are the big ones but there are more.
I think NJ tax burden would be around $7,500 for that example above. Use this calculator and deduct the property tax off the salary for the box at the the top.
https://smartasset.com/taxes/new-jersey-tax-calculator
Not sure that article is a shocker. Non profits usually have investments. Making money off those investments is the sensible thing to do. There are rules around how much money a non profit can have in reserve before they lose the non profit status. If the reserves get too high they will build a new hospital or two.
If you want real shock and awe this should do it.
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Posted once already but here you go:
Overall Satisfaction with US Healthcare was 65% in 2016:
http://news.gallup.com/poll/195605/americans-satisfaction-healthcare-system-edges-down.aspx
Overall satisfaction in the NHS was 63% in 2016
https://www.kingsfund.org.uk/publications/public-satisfaction-nhs-2016
https://www.kingsfund.org.uk/publications/public-satisfaction-nhs-2016
But, people will still go bankrupt according to this statement. Why should anyone go bankrupt for getting healthcare? Why is this a standard practice in the US?
I don't mind paying for insurance as long as it goes back into healthcare. No one should go bankrupt and no one should be denied the services they need to get they healthcare they want.