Healthcare

Well we'll all just have to wait till you have so we can get the true story on it.

:lol:

They’re dying at home because they can’t afford the hospital and/or medicine anymore, yes.

My wife regularly comes home pissed at the system because of this.

You should tell her Mike and his mates are fine and healthcare in the US is actually great.
 
You should tell her Mike and his mates are fine and healthcare in the US is actually great.

;)

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
I am actually 100% in favor of changing healthcare in the US. However most people are pretty happy with the current system, which was my original statement as to why change is unlikely.
 
That's like the fifth time you've posted that meaningless shit, and you've even acknowledged yourself that it's inherently flawed.
 
That's like the fifth time you've posted that meaningless shit, and you've even acknowledged yourself that it's inherently flawed.

That and well ... just because I am satisfied with system x doesn't mean I would object to making it better?! Odd logic imo.
 
That's like the fifth time you've posted that meaningless shit, and you've even acknowledged yourself that it's inherently flawed.


Nice of you to acknowledge it ;) Kind of corroborates my original statement though. The majority of Americans are happy with the healthcare they receive. That is a real stumbling block to getting healthcare change. I am more than happy with the care I receive, and the price I pay BUT I would pay two or three times more in tax to support a single payer system for all.
 
Nice of you to acknowledge it ;) Kind of corroborates my original statement though. The majority of Americans are happy with the healthcare they receive. That is a real stumbling block to getting healthcare change. I am more than happy with the care I receive, and the price I pay BUT I would pay two or three times more in tax to support a single payer system for all.

And how do you know that the majority of Americans don't share that feeling you expressed in your last sentence, which would be the real evidence you'd need for the statement that it can't change because of satisfaction levels?
 
Nice of you to acknowledge it ;) Kind of corroborates my original statement though. The majority of Americans are happy with the healthcare they receive. That is a real stumbling block to getting healthcare change. I am more than happy with the care I receive, and the price I pay BUT I would pay two or three times more in tax to support a single payer system for all.

That is indeed the major stumbling block to a complete revamp of the system. If half the population are content with their current method of coverage then it will be very difficult to create the political capital to justify a completely new system. In that case, the Dems would be better off working off a platform to fix the ACA by tightening up its flaws and bringing premiums down.
 
And how do you know that the majority of Americans don't share that feeling you expressed in your last sentence, which would be the real evidence you'd need for the statement that it can't change because of satisfaction levels?

Most peoples dissatisfaction in healthcare centers around cost. I am guessing a lot of people would not be prepared to pay more for UHC.

Healthcare costs are a real problem the world over.

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Most peoples dissatisfaction in healthcare centers around cost. I am guessing a lot of people would not be prepared to pay more for UHC.

I'm guessing that there are a lot of countries in your graph that have UHC so it begs the question why it would cost more. Maybe change would even make it cheaper. The whole argument is guesswork after all?
 
IT WONT COST MORE
IT WONT COST MORE
IT WONT COST MORE


for fecks sake

It will for some people. Even assuming we can reduce costs by 20-25% it will still be $7,500 per person per year. A family of four with an household income of $50k will not burden that cost unsubsidized, nor should they. It will probably take 6% of everyone earnings with employers paying a similar amount. There will be a point on the earnings scale where UHC costs more than the current system.
 
I'm guessing that there are a lot of countries in your graph that have UHC so it begs the question why it would cost more. Maybe change would even make it cheaper. The whole argument is guesswork after all?


I the full cost of healthcare as a nation can be reduced by 20-25% by reducing admin and profits from the system. The contributions people pay maybe more if they are on above average earnings, which is perfectly acceptable.
 
It will for some people. Even assuming we can reduce costs by 20-25% it will still be $7,500 per person per year. A family of four with an household income of $50k will not burden that cost subsidized, nor should they. It will probably take 6% of everyone earnings with employers paying a similar amount. There will be a point on the earnings scale where UHC costs more than the current system.

you clearly dont understand what single payer actually is. embarrassing for you to have so many posts in this thread.
 
you clearly dont understand what single payer actually is. embarrassing for you to have so many posts in this thread.


:lol: I more than understand what it means and more importantly the full implications and likely costs implementing it.

I would love your explanation of single payer, UHC and how it will be funded.
 
I the full cost of healthcare as a nation can be reduced by 20-25% by reducing admin and profits from the system. The contributions people pay maybe more if they are on above average earnings, which is perfectly acceptable.

So you are reducing cost but people still pay more...for what exactly? Or are you thinking of distributing cost more progressively? If so how can the satisfactory rating be of any insight if some of them could spare money and that is what you think people are reacting to irrespective of their satisfacton with the current system?
 
I'm guessing that there are a lot of countries in your graph that have UHC so it begs the question why it would cost more. Maybe change would even make it cheaper. The whole argument is guesswork after all?

I don't think the cost is the issue as Sanders has laid out a plan to pay for it. The problem is the Democratic party doesn't believe it is currently feasible to implement and is viewing it as more of a pie in the sky fantasy that may happen sometime down the road, and are therefore more interested in fixing what is ailing the ACA. Tom Perez has repeatedly said talked about fixing the ACA in his interviews which shows exactly what direction the Dem party are going in this election cycle.
 
So you are reducing cost but people still pay more...for what exactly? Or are you thinking of distributing cost more progressively? If so how can the satisfactory rating be of any insight if some of them could spare money and that is what you think people are reacting to irrespective of their satisfacton with the current system?

It would have to be progressively. Most likely scenario is a new tax or increase of medicaid contributions.
 
no you dont. for starters it means no more fecking means testing and sliding scales and tax credits. which is a big part of reducing the administrative costs.

So lets assume we wake up tomorrow and US healthcare is universal and for all under a single payer system. Where is the $7,500+ per head it costs for healthcare coming from.
 
It would have to be progressively. Most likely scenario is a new tax or increase of medicaid contributions.

we just tried that with aca. and it failed and republicans blew it up within months of taking office. because people didnt like obamacare and didnt go to the polls to support obamacare. incrementalism has failed. the center cannot hold.
 
So as always seems to be the case with the NHS we've been given the choice for my 83 year old grandfather to have a catheter for 6 months or pay £7k and get a TURP procedure privately within 5 working days. As seems to always be the case in this country; you pay through the nose in taxation for a mediocre government run service and if you want decent service you have to pay again. Whether it's education, health, transport or social care.

Funny that people wax lyrical about how great the NHS is, but anyone who can afford private healthcare does so quicker than you can say "unacceptable waiting time".
 
So lets assume we wake up tomorrow and US healthcare is universal and for all under a single payer system. Where is the $7,500+ per head it costs for healthcare coming from.

americans spend $9200 "per head" on healthcare currently so i suppose the better question would be what are americans going to do with their extra $1700 per year you absolute dullard
 
So as always seems to be the case with the NHS we've been given the choice for my 83 year old grandfather to have a catheter for 6 months or pay £7k and get a TURP procedure privately within 5 working days. As seems to always be the case in this country; you pay through the nose in taxation for a mediocre government run service and if you want decent service you have to pay again. Whether it's education, health, transport or social care.

Funny that people wax lyrical about how great the NHS is, but anyone who can afford private healthcare does so quicker than you can say "unacceptable waiting time".

I say this with the greatest respect, as I am sure its not easy for you and your grandfather, I get the frustration.
However, whilst true, for the person who doesn't have the £7k to pay, waiting 6 months is better than not being able to get treatment at all.
The NHS is actually a great service, which does need some improvements, but its better to have a waiting time, than to have nothing.
 
if you know that single payer would cost less then why are you asking where the money would come from? it will come from the money already spent on healthcare. how are you not grasping this

It will come from a progressive tax. Some people that didn't get insurance will be insured, many people of the lower end of the income scale will pay less than they do today, and a lot of people will also end up paying more. Using a low estimate of a 6% tax for the individual matched by a 9% by the employer people of somewhere between $70-90K will end up paying more than they do today. I am fine with that TBH.
 
The question isn't whether it would cost less - let's assume it does. The real issue is whether there is sufficient political capital to completely revamp the system. The current power structure of the Democratic party clearly don't believe so, and as such, single is more so a fantasy than a viable platform that has any chance of being implemented during this or the 2020 cycles.
 
I don't think the cost is the issue as Sanders has laid out a plan to pay for it. The problem is the Democratic party doesn't believe it is currently feasible to implement and is viewing it as more of a pie in the sky fantasy that may happen sometime down the road, and are therefore more interested in fixing what is ailing the ACA. Tom Perez has repeatedly said talked about fixing the ACA in his interviews which shows exactly what direction the Dem party are going in this election cycle.

Why couldn‘t you come to UHC by fixing ACA? Strenghten the indicidual mandate (no opting out, govt pays for those who can‘t afford it) and oblige insurers by law to provide all necessary treatments in those mandated plans and you‘re basically there or what is missing? Cost would obvs. still be an issue that needs to be dealt with seperately with other measures.
 
The question isn't whether it would cost less - let's assume it does. The real issue is whether there is sufficient political capital to completely revamp the system. The current power structure of the Democratic party clearly don't believe so, and as such, single is more so a fantasy than a viable platform that has any chance of being implemented during this or the 2020 cycles.

Correct, the democrats do not believe in this. It's not a coincidence that Republicans hold all three branches of government, 34 governerships and 32 state legislatures.
 
Why couldn‘t you come to UHC by fixing ACA? Strenghten the indicidual mandate (no opting out, govt pays for those who can‘t afford it) and oblige insurers by law to provide all necessary treatments in those mandated plans and you‘re basically there or what is missing? Cost would obvs. still be an issue that needs to be dealt with seperately with other measures.

I agree that ACA should be fixed. the individual mandate is too lax and that is one of the main drivers of inflating premiums. Tighten that up, bring premiums down to where they were originally conceptualized to be, and the system would be significantly better. That is where it seems Tom Perez and the Dems are going. Single Payer can still be done down the road, but i don't get the impression the Dems believe it is feasible in the present, otherwise they would've already made it a central part of their platform.
 
OK here is a personal experience that highlights one of the very best things about the NHS.


Back in late 2007 I had a phone call from my Dad in the UK. My ten-year-old nephew had come off his mountain bike and his head hit a tree stump. He was taken to the local ER in Cornwall totally unconscious, coded a couple of times, it was bleak. Obviously, he had a serious brain injury and the local hospital was not equipped to help him. A helicopter transfer was arranged to Bristol which is one of the main brain trauma centers in the UK.

Once there he had emergency surgery. My dad told me there was four or five surgeons/doctors plus two anesthetists. My dad called me late that night to say the doctor had spoken with my sister and he had a 10-20% chance of making it through the night and if he did survive he would likely never be the same again. You can imagine what that feels like to a parent. My dad promised to keep me informed and we waited.

At about 5:00am US time the phone rang, and it was my dad in tears. Apparently, my nephew had been rushed down for a second surgery. After that he was in a coma for about a week and the prognosis was not good. The ward he was on was just serious head and brain injuries and it was all kids. It was intensive care on steroids, and very depressing.

After a few days the doctors said they were going to attempt to bring him out of the coma, which they did but he was not responsive. He needed help breathing/eating so technically he was on life support. A few days went by and the doctors encouraged them to speak to him, play music he likes etc and get as many of his friends as possible to send recorded messages.

At that point I booked a flight home. Partly in the hope I could support my family and at the back of my mind I knew I could be going to a funeral. Literally two hours before I got on my flight in Tampa my Mum called and said he had come out of the coma and he was speaking. He was still very sick and needed lots of treatment. By the time I got to the hospital he was already sat up in a wheelchair and greeted me with his normal cheeky smile.

He spent another three or four weeks in the brain center, so in total it was probably close to six weeks there. He also needed lots of follow up and therapy. Even to this day he still has memory issues and will be permanently disabled but the is living a very normal life.

What is amazing about the entire traumatic experience for my sister is throughout all of this…….. ………..the first ER, the helicopter transfer, the surgeries with multiple world renowned surgeons, the six weeks in a highly specialized ward, the after care and therapy….….through it all she was never asked to pay a penny, and never received a bill.

Now the chances are he would have received similar treatment in the US. However you would have been filling in paperwork, paying copays and dealing with bills for months....NO YEARS.
 
http://www.pewresearch.org/fact-tan...overnment-should-ensure-health-care-coverage/

This is a year old by now but it shows that ever since Bernie Sanders became a known advocate for a Universal Health Care system in U.S.A starting around 2015-2016 since then Americans have been growing in favour of this type of health care system. The progress is being made amongst both Republican and Democrat leaning voters. This has a good chance of happening in the future as more and more people learn about the system and the benefits for ordinary people compared to the excessively expensive private insurance based system.

It is not only the system that needs changed as you also need to give the UHC system the mandate to negotiate drug prices to lower the prescription drug prices in U.S.A that have grown rampantly out of control due to no price regulation to bring it more in line with the prices in Canada and Europe.
 
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