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AMERICAN CONSERVATISM IN 2008 AND BEYOND

 
 
Cycloptichorn
 
  1  
Reply Mon 17 Aug, 2009 11:35 am
@Foxfyre,
Quote:

2) Government interference. Instead of leaving insurance companies alone to work out the most competitive system and offer a variety of packages to pick and choose from, government has over regulated and dictated to insurance what they must cover and who they must cover. A lot of the increased cost points directly to that. (A lot--not all--of this is at the state level as well as the federal level.) In my opinion THAT is what makes insurance rise in cost more than the rate of inflation.

3) Government mandates that healthcare must be provided to the uninsured. That gives millions of Americans license to spend their money in other ways rather than buy insurance that they could afford. Just going back to the old system (before Medicare) in which there was no such thing as mandated healthcare would help enormously there. Yes, it throws the uninsured on the mercy of the system, but we always worked that out and people were not dying in the street for lack of emergency care any more than they are now. But those who could afford insurance bought it.

4) A society that has become more and more litigious which is a huge portion of the rising costs of healthcare both in unrealistic use of 'defensive medicine' and high costs of malpractice insurance. In none of the five healthcare outlines currently being debated is there any suggeston of tort reform which could help us out enormously.

And nobody has yet pointed me to a large government program that has not proved to be far more costly than its initial advertising, or that has provided better results than the private sector for the same money.


Do you have any actual evidence that #2 and #4 add to the cost of insurance? At all? I see these myths thrown around by the right-wing often, but challenges to link to evidence of these things being the prime driver of rising costs are always met with silence.

Cycloptichorn
0 Replies
 
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 11:40 am
@Foxfyre,
Foxfyre wrote:

3) Government mandates that healthcare must be provided to the uninsured. That gives millions of Americans license to spend their money in other ways rather than buy insurance that they could afford. Just going back to the old system (before Medicare) in which there was no such thing as mandated healthcare would help enormously there. Yes, it throws the uninsured on the mercy of the system, but we always worked that out and people were not dying in the street for lack of emergency care any more than they are now. But those who could afford insurance bought it.


Health insurance isn't thought to be "emergency care" only here (that's paid by these insurance companies as well, actually one of the most expensive costs, jus think of the costs of emergency physicians, cars, helicopters etc plus the special care afterwards).
[I know, you define that differently in the USA - but that's just the normal business in any doctors practise here.]

What I think which makes it so difficult is .... that your complete medical system is so different, focused on those who afford the money to get best help as well on those who want to make just money.

Living in country which has since more than 125 years a different kind of healthcare and health care system (and still a lot more different health insurance companies than the USA, though only ΒΌ of the population) makes it easy to wonder. And criticise.
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 11:44 am
@Foxfyre,
Foxfyre wrote:

Why are so many of your doctors leaving there and coming here? In the clinic where my primary physician works, I was told that three of the twelve physicians are former Canadians.


I don't know about the Canadian doctors - but German doctors leave the country due to getting ... more money. (Some only to the UK and over the weekend, but many to the USA.)

On the other hand: we get doctors from the Near and Middle East, from East Europe ... because they get better conditions here than at home.
0 Replies
 
ehBeth
 
  1  
Reply Mon 17 Aug, 2009 11:51 am
@Foxfyre,
Foxfyre wrote:
Why is the survival rate for those diagnosed with cancer, heart disease, and other costly illnesses so much higher in the USA than it is in Canada?


(I love that you're working from that 2001 article - it definitely made Canada improve their reporting mechanism)

you'd rather be in Cuba, where the survival rates for breast cancer are better than anywhere else?

Quote:
In a report on worldwide cancer survival rates, Canada ranked near the top of the 31 countries studied with an estimate five-year survival rate of 82.5 per cent.

For breast cancer, Cuba had the highest survival rates -- another country with free health care. The United States was second, and Canada was third, with 82 per cent of women surviving at least five years.

http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20080716/cancer_statistics_080716/20080716/

the more recent studies have been reported on at A2K in the past. My interest has usually been in this piece

Quote:
In Canada, the five Canadian provinces included in the study had almost identical results.

"For those five provinces, the survival rate does not differ very greatly from one to the other," said British cancer researcher Prof. Michel Coleman. "That probably indicates the overall effectiveness of universal health care for setting a high standard."

The range of survival rates across the five provinces was quite narrow, from a low of 79.3 per cent in Nova Scotia to a high of 85.4 per cent in British Columbia.

The other provinces studied were Manitoba, Ontario and Saskatchewan.

However, the survival rate for the seventeen regions in the United States that were included in the study ranged from 78 per cent to 90 per cent.

The disparity in survival rates crossed racial lines in the U.S., as well, with white patients having a five-year survival rate of 84.7 per cent and black patients having a survival rate of 70.9 per cent.



why such a discrepancy?
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 11:51 am
@Foxfyre,
Foxfyre wrote:
Why is the survival rate for those diagnosed with cancer, heart disease, and other costly illnesses so much higher in the USA than it is in Canada?


Really? The latest data I could find online where from a survey, conducted a couple of years ago, July 2008 published in Lancet Oncology.

According to this study, the US, Australia, Canada, France and Japan had the highest five-year survival rates among the 31 countries involved in that study.

Could you please give your source?

Foxfyre
 
  1  
Reply Mon 17 Aug, 2009 11:53 am
@Walter Hinteler,
I'm happy that you like your system Walter. You've made it abundantly clear how superior you think it is than ours. I will remind you, however, that Europeans generally happily accept more intrusive government control than the average freedom-loving American and your total German population is less than a quarter of ours. What works for small town America doesn't always translate to a big city. The same I think is true of small countries versus very large ones.
Cycloptichorn
 
  2  
Reply Mon 17 Aug, 2009 11:56 am
@ehBeth,
Quote:

why such a discrepancy?


Easy: money. Our system is set up to favor money, and Conservatives like it that way. They could care less that the survival rates for the poor in America are terrible, compared to countries with socialized medicine, because they don't care at all how OTHERS fare, just themselves.

Cycloptichorn
ehBeth
 
  1  
Reply Mon 17 Aug, 2009 11:56 am
@Foxfyre,
Foxfyre wrote:
So why are your doctors suggesting that Canadians are not receiving optimum healthcare?


really? my doctors? our doctors?

I think you'll always find a range of opinions by health professionals and others, but you're not going to find one voice for Canadian doctors (they don't seem to agree on much within their own associations - other than the big National group which seems to be heading toward a more northern European model)
0 Replies
 
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 11:59 am
@Walter Hinteler,
Walter Hinteler wrote:

According to this study, the US, Australia, Canada, France and Japan had the highest five-year survival rates among the 31 countries involved in that study.



Quote:
Findings
Global variation in cancer survival was very wide. 5-year relative survival for breast, colorectal, and prostate cancer was generally higher in North America, Australia, Japan, and northern, western, and southern Europe, and lower in Algeria, Brazil, and eastern Europe. CONCORD has provided the first opportunity to estimate cancer survival in 11 states in USA covered by the National Program of Cancer Registries (NPCR), and the study covers 42% of the US population, four-fold more than previously available. Cancer survival in black men and women was systematically and substantially lower than in white men and women in all 16 states and six metropolitan areas included. Relative survival for all ethnicities combined was 2"4% lower in states covered by NPCR than in areas covered by the Surveillance Epidemiology and End Results (SEER) Program. Age-standardised relative survival by use of the appropriate race-specific and state-specific life tables was up to 2% lower for breast cancer and up to 5% lower for prostate cancer than with the census-derived national life tables used by the SEER Program. These differences in population coverage and analytical method have both contributed to the survival deficit noted between Europe and the USA, from which only SEER data have been available until now.


Spource: Cancer survival in five continents - a worldwide population based study
0 Replies
 
ehBeth
 
  1  
Reply Mon 17 Aug, 2009 12:00 pm
@Foxfyre,
Foxfyre wrote:
but how many would vote to have it in the first place if they knew then what they know now?


well, that's an interesting question - and there is sort of an answer

http://www.cbc.ca/greatest/

Quote:
Thomas Clement "Tommy" Douglas, PC, CC, SOM (20 October 1904 " 24 February 1986) was a Scottish-born Baptist minister who became a prominent Canadian social democratic politician. As leader of the Saskatchewan Co-operative Commonwealth Federation (CCF) from 1942 and the seventh Premier of Saskatchewan from 1944 to 1961, he led the first socialist government in North America and introduced universal public healthcare to Canada.

http://en.wikipedia.org/wiki/Tommy_Douglas


We kinda love the father of universal public healthcare.
0 Replies
 
georgeob1
 
  1  
Reply Mon 17 Aug, 2009 12:03 pm
@Cycloptichorn,
Cycloptichorn wrote:

Quote:

why such a discrepancy?


Easy: money. Our system is set up to favor money, and Conservatives like it that way. They could care less that the survival rates for the poor in America are terrible, compared to countries with socialized medicine, because they don't care at all how OTHERS fare, just themselves.

Cycloptichorn

You are, of course much more generous then they. You are quite willing to tax other people to provide the benefits you seek.

Cycloptichorn
 
  1  
Reply Mon 17 Aug, 2009 12:04 pm
@georgeob1,
georgeob1 wrote:

Cycloptichorn wrote:

Quote:

why such a discrepancy?


Easy: money. Our system is set up to favor money, and Conservatives like it that way. They could care less that the survival rates for the poor in America are terrible, compared to countries with socialized medicine, because they don't care at all how OTHERS fare, just themselves.

Cycloptichorn

You are, of course much more generous then they. You are quite willing to tax other people to provide the benefits you seek.



Yes, others and myself. The same way that you are willing to tax yourself and others to fund priorities you consider important.

It is erroneous to say benefits that 'I seek,' however; my health insurance is fine. I'm not looking to get anything at all out of this, personally, other than maybe the ability to quit my job without losing all my healthcare, at some future point.

Cycloptichorn
0 Replies
 
ehBeth
 
  1  
Reply Mon 17 Aug, 2009 12:05 pm
@georgeob1,
georgeob1 wrote:
you are<snip blah blah blah>


Have you got a better explanation for discrepancies in cancer survival rates within the U.S. ?
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 12:06 pm
@Foxfyre,
Well, I've the freedom to choose between 196 mandatory health insurers (with various though only slightly different offers) AND 46 private different private health insurers with some couple of dozens different 'insurance packages' each.

Additionally, I can choose between "mini insurances" (like for dental crowns, private rooms, only chief physicians in hospitals) offered by dozen other companies.

That's freedom enough for me - since I can go to any doctor and hospital EU-wide even with my basic mandatory health insurance. And the long term care insurance is included, too. (Not in private insurances.)
0 Replies
 
Walter Hinteler
 
  1  
Reply Mon 17 Aug, 2009 12:08 pm
@ehBeth,
ehBeth wrote:

georgeob1 wrote:
you are<snip blah blah blah>


Have you got a better explanation for discrepancies in cancer survival rates within the U.S. ?


I gave the link to the Lancet study - they explain it.
0 Replies
 
McTag
 
  1  
Reply Mon 17 Aug, 2009 12:53 pm

I have seen the American medical system operating, in clinics in Las Vegas and in California, and what I saw horrified me. I'm not exaggerating, it moved me to tears (on behalf of other people; I was not myself needing treatment).

I refer to the accident and emergency provisions. Truly horrific, and in very wealthy locations too.
cicerone imposter
 
  1  
Reply Mon 17 Aug, 2009 01:02 pm
@McTag,
I've had Medicare for 9 years now, and I have absolutely no complaints even with my co-pays. I also think, I seek out my doctor more than others who watch how much they spend on their co-pays, but I believe my health is more important than the $25 to see my doctor or the medication she prescribes that my cost over $100 for a three months supply. I don't believe everybody in retirement has that luxury, so I feel very fortunate and lucky.
0 Replies
 
Debra Law
 
  1  
Reply Mon 17 Aug, 2009 02:02 pm
@Foxfyre,
Foxfyre wrote:
The free market generally does work quite effectively, and a free market also translates to more freedom for the people to structure their lives in the way that is most beneficial and satisfying for them.


We don't have a "free market" in the United States. The federal government was explicitly granted the power to regulate the market (commerce) in order to protect the public welfare. Here's the problem we face:

Quote:
Comprehensive health care reform can no longer wait. Rapidly escalating health care costs are crushing family, business, and government budgets. Employer-sponsored health insurance premiums have doubled in the last 9 years, a rate 3 times faster than cumulative wage increases. This forces families to sit around the kitchen table to make impossible choices between paying rent or paying health premiums.


According to Foxfyre, however, the "freedom" to structure our lives by making impossible choices between housing or health is beneficial and satisfying. She fails to understand that our modern day families are not choosing between a cruise on a luxury liner or a membership at the posh country club. They're struggling to survive.
cicerone imposter
 
  1  
Reply Mon 17 Aug, 2009 02:10 pm
@Debra Law,
That's been one of several reasons why we can't just let the current health care system implode; cost is becoming prohibitive not only for companies and individuals with health insurance, but the cost to Medicare has grown out of control with no end in site. If we add to that mix the simple fact that more people are losing their health insurance, how can conservatives continue to talk about "competitiveness" with a straight face? It's making our country bankrupt, and our products and services are less competitive in the world marketplace when companies must include the health care costs in their overhead cost with countries who do not have that handicap.

They talk about lassize fair as if all these added costs has no impact on free trade. They are creating that handicap by their ignorance; they refuse to see their own contradictions.


0 Replies
 
Thomas
 
  2  
Reply Mon 17 Aug, 2009 02:25 pm
@Debra Law,
Debra Law wrote:
Foxfyre wrote:
The free market generally does work quite effectively, and a free market also translates to more freedom for the people to structure their lives in the way that is most beneficial and satisfying for them.

We don't have a "free market" in the United States. The federal government was explicitly granted the power to regulate the market (commerce) in order to protect the public welfare

Plus, health care is not a competitive market right now. It's an oligopoly of very few insurance companies. The American Medical Association has compiled data on how much market power the top two insurance providers have in each state. (It's Table 3 of this PDF document.) In your state New Mexico, for example, the top two insurers control 70% of the insurance market. (See page 28.) That easily puts you into territory where your economics 101 textbook's will tell you that the competitive market analysis fails, and that you have to consult later chapters, particularly the ones titled "Monopoly" and "Oligopoly".

This is apart from all the other problems of market failure in the health care industry, which I'm not going to reiterate for the umpteenth time.
 

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