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Health Insurance versus Health Care

 
 
Khethil
 
  1  
Reply Fri 18 Sep, 2009 02:38 pm
@BrightNoon,
BrightNoon;91301 wrote:
... What specifically is silly about it? Are my statements silly because they do not correspond to what you believe?


Back and forth, mismatched bickering is silly. Who said your personal statements were silly?

BrightNoon;91301 wrote:
Again, who said anything about the people receiving subsidized health care?


I did, I brought it up because its something I think part of the issue - important to consider.

BrightNoon;91301 wrote:
When did I express any anger with them?


Who said you were angry? I see anger in this issue - are you under the impression that all things, including all of what I say about an issue, revolves around you personally?

BrightNoon;91301 wrote:
I believe that angst is otherwise known as disagreement.


No, angst is an emotion. Disagreement is a perceived or real opposing relationship between two subjects or objects. I sensed angst in your initial response; but whether or not that is what you're feeling, I can't say.

BrightNoon;91301 wrote:
Secondly, merely stating that health care for profit is a bad idea is not an argument. It is a statement. If that is the sort of discoure you desire, I would simply respond with, no it isn't. That's absurd. You've made your claim, now provide arguments to justify it.


Ah yes, and so we come full circle. For every claim, point of support, statistic, testimonial or study presented in the case against nationalized health care, there will be then such the same presented in the opposition. Let's resort to rationality and use logic; and we'll come down to another useless end for want of a term, or a conceptualization of validity, or some such - much like where we're heading now. It's worth the effort to discuss, share and disagree; but where that's the case let's just leave it at that.

BrightNoon;91301 wrote:
So what is your point? You cannot discount a principled argument against socialized health care on the ground that other people who oppose socialized health care do so for non-principled reasons.


Sure I could; but I didn't. Go back and read my previous posts.

BrightNoon;91301 wrote:
And I'm sure you do, you'd just rather make ad hominem attacks at the moment.


I've stated my opinion, its basis, why I feel such debates are pointless and my beliefs as to why nationalized health care is important. I'm not here to fit your paradigm of how this discussion should go and your concurrence isn't requisite; I'm here to discuss the philosophical aspects of the issue itself.

BrightNoon;91301 wrote:
I disagree. In breif my opinion is that, 1) the purpose of the state is to prevent the violation of individual rights, not to provide for the general welfare, 2) that besides being inappropriate by that principle, universal health care is dangerous, in that it grants government tremendous potential authority over the minutia of personal life (eating habits e.g.), and 3) regardless of any other, subective argument, universal health care is not feasable in the U.S. because of the cost.


Thank you - you've shared your opinion. Let's see where we line up on these, your points:

  • 1. No, the purpose of the state is to serve the people in whatever capacity they choose. Yes, preventing the violation of individual rights is a paramount concern. But I am of the opinion that if we choose that our government should play a part in providing for some aspect of the general welfare - then so be it. Government takes the forms we want it to - the forms we empower it.


  • 2. The idea that universal healthcare is dangerous because it grants tremendous potential authority: Yes, this is a valid concern. I'd say that while there is a potential danger, again, how much depends on how such a thing is implemented.


  • 3. We have a circular argument here; That universal health care isn't feasible because of the cost, whose amounts we get off the current for-profit/for-greed system that isn't universal, isn't supported (even in itself). Again, if we could remove the capitalistic, greedy profit taking that's taking place now, I can guarantee you it wouldn't cost near as much. How that might play out - and how it'd be implemented are variables that could effect its success.

BrightNoon;91301 wrote:
I never once called anyone lazy.


I didn't say you did - again, not everyone's talking about you personally.

BrightNoon;91301 wrote:
What you are doing is called the straw man argument. It is intellectually dishonest.


And this would be misapplied pseudo-intellectual term-dropping and insulting. While I think responding to much of what you've said might be good for the discussion overall, this last statement of yours smacks of arrogant presumption; the kind that says "You're intellectually dishonest". As such, I'll halt my contributions to this thread here.

Thanks for stating your opinions - that was enjoyable to see.
0 Replies
 
BrightNoon
 
  1  
Reply Fri 18 Sep, 2009 03:19 pm
@BrightNoon,
You said the following in your opening post:

Khethil wrote:
I'd like to thank you Aedes, for your attempt to enlighten on the complexity of this matter. Unfortunately, it appears that once someone gets it stuck in their head that folks just want handouts, they all want to be lazy...I find the same accusations and vitriol, from the same people, when talking about anything where someone can snag the "no free lunch!"-banner


You thanked Aedes for attempting to enlighten the opposing members in this thread, and then immediately explained how 'some people' get these ideas stuck in their head about lazy people and so on, and then that you hear accusations and vitriol from 'the same people' on other occasions. Sounds to me like you're saying that we have those misconceptions, and that you were glad Aedes was trying to enlighten us. In other words, you assigned these offensive motives to us, your opposition, on no basis whatsoever. Instead of attacking the arguments, or offering any of your own, you created this straw man and attacked it on a personal basis, thus impugning us.

Quote:
I did, I brought it up because its something I think part of the issue - important to consider.


You thought it important, for the purpose of discussing the issue of health care, to characterize the opposition as full of 'accusations and vitriol' and to discount their view as a dumb chant of 'no free lunch?' That's an interesting way of facilitating rational debate, don't you think?

Quote:
Who said you were angry? I see anger in this issue - are you under the impression that all things, including all of what I say about an issue, revolves around you personally?


You did not plainly say that I, or other members of the opposition, were angry. But you did, as I noted above, clearly put us in that group whose arguments you said consisted of 'accusations and vitriol.' In other words, you said that the opposition is necessarily angry, accusatory, bellicose, vitriolic, etc.: i.e. not rational and calm like yourself and those who agree with you.

Quote:
No, angst is an emotion. Disagreement is a perceived or real opposing relationship between two subjects or objects. I sensed angst in your initial response; but whether or not that is what you're feeling, I can't say.


I see nothing emotional in my original post. I see a rational presentation of a view. What you called angst for no apparent reason was in fact principled disagreement.

Quote:
Ah yes, and so we come full circle. For every claim, point of support, statistic, testimonial or study presented in the case against nationalized health care, there will be then such the same presented in the opposition. Let's resort to rationality and use logic; and we'll come down to another useless end for want of a term, or a conceptualization of validity, or some such - much like where we're heading now. It's worth the effort to discuss, share and disagree; but where that's the case let's just leave it at that.


Then why post here? Feel free to leave if any debate in this thread is necessarily futile. In fact, you know what, I think you convinced me. After all of these personal attacks and shameful tactics I'm no longer interested in considering your arguments.

Quote:
And this would be misapplied pseudo-intellectual term-dropping and insulting. While I think responding to much of what you've said might be good for the discussion overall, this last statement of yours smacks of arrogant presumption; the kind that says "You're intellectually dishonest". As such, I'll halt my contributions to this thread here.


The kettle calls the pot black. Good riddance I say.
0 Replies
 
Caroline
 
  1  
Reply Fri 18 Sep, 2009 03:29 pm
@BrightNoon,
BrighMoon, I cannot see who you are quoting so I cannot moderate, please check the video, for the second time I will not ask you again and please tone down the abusive behaviour towards other members and our staff, I do not want to see another argument, ok please. What do you mean the kettle calls the pot black, how can I tell what you mean if you do not post properly, how come you will not watch the video, pray tell?
BrightNoon
 
  1  
Reply Fri 18 Sep, 2009 03:40 pm
@Caroline,
1. 'The kettle calling the pot black' is an idiomatic expression referring to a person who accuses others of the very offense that they themselves have comitted.

2. What do you mean you can't see who I'm quoting? I quoted Khethil, as it plainly says in the post.

3. How am I abusing anyone? I am citing Khetil's own words and clearly demonstrating that he has been making ad hominem (personal) attacks against myself and others. Is it abusive to point out that someone else is abusing you? In any case, he has stated his intention of leaving the thread, and I have no intention of responding to him if he posts again. So, problem solved.

4. I'm not posting properly? What does that mean?
0 Replies
 
Krumple
 
  1  
Reply Fri 18 Sep, 2009 03:51 pm
@BrightNoon,
BN, shes wanting you to use the quote post button.
0 Replies
 
Caroline
 
  1  
Reply Fri 18 Sep, 2009 03:52 pm
@BrightNoon,
I know what the term means, I mean't what are you applying it to because as I've said before you need to watch the video a bit more closely, you are not quoting properly for the last time.
And you are taking an abusive tone I've warned xris and Im warning you if it kicks off again, im closing the thread. This is a debate forum open to discussion free of violence and aggression towards other members and our staff, please refrain from using abusive behaviour again or I will have to impose infractions. I have asked you politely to watch the video, how come you won't please, pray tell? Im dying to know.
Thanks.

---------- Post added 09-18-2009 at 04:53 PM ----------

Yes K. so I can follow your quotes..
Thanks
BrightNoon
 
  1  
Reply Fri 18 Sep, 2009 04:08 pm
@Caroline,
Alright, no problem with the quotes. I didn't know it made any difference whether I used the quote button or typed in the script myself. As for 'the kettle...' I was applying it to Khethil, who accused me of 'arrogant presumption,' which he in fact was guilty of. I would like to ask you a question. Why did you thank Khethil for his equally inflammatory comments but publicly threatened me with 'infractions'?
0 Replies
 
Caroline
 
  1  
Reply Fri 18 Sep, 2009 04:23 pm
@BrightNoon,
Because I could not see who you were quoting when you said that, (your fault I might add), so I had to trust my judgement and I believe that Khethil would not say anything out of turn unless it was write, if you had watched the video in the first place as I requested the you could've saved us all this trouble.
Thanks.

---------- Post added 09-18-2009 at 05:23 PM ----------

And I believe you were far more aggressive then Khetil why do you think the opposite, please, pray tell?
BrightNoon
 
  1  
Reply Fri 18 Sep, 2009 04:29 pm
@Caroline,
Caroline;91511 wrote:
I believe that Khethil would not say anything out of turn unless it was write


Shouldn't a moderator be objective? I guess not. Anyway, if you want to know how Khetil provoked and then inflamed the issue, I suggest you look at the posts in the thread. I already made my case, and you reprimanded me for doing so, so I'm not going to do it again.

Thanks
prothero
 
  1  
Reply Fri 18 Sep, 2009 04:37 pm
@BrightNoon,
The fact that one has health insurance does not mean that one will necessarily get the most appropriate or best health care.

Removing cost considerations from the patient, discourages patients from considering costs and encourages providers to utilize more expensive treatments.

The administrative costs and profits of health care companies do not directly provide any health care benefits.

Yes, doctors are more aggressive in testing and treating even when there is no clear evidence of benefit because of lawyers and because of economic considerations.
0 Replies
 
Caroline
 
  1  
Reply Fri 18 Sep, 2009 04:57 pm
@BrightNoon,
BrightNoon;91517 wrote:
Shouldn't a moderator be objective? I guess not. Anyway, if you want to know how Khetil provoked and then inflamed the issue, I suggest you look at the posts in the thread. I already made my case, and you reprimanded me for doing so, so I'm not going to do it again.

Thanks

How can I see what Khethil said when you don't use the multi-quote button at all? I asked you to to help me moderate, you're contradicting yourself, I can not go back and check because I asked you to use the quote button properly before and you chose not to. I dont have the time to follow badly quoted posts, girls gotta eat ya know. I should take it up with Khethil BM. I think it's hardly fair when all I asked you was to make my life easier by watching Justins video on how to use the multi-quote function button properly.
Thanks.

---------- Post added 09-18-2009 at 05:58 PM ----------

And please stop disrailing this thread or I will have to close it thanks. All I asked was for you to watch the vid I do beg your pardon but please you must watch it in the end or I wont let you post thanks.
BrightNoon
 
  1  
Reply Fri 18 Sep, 2009 05:13 pm
@Caroline,
This is absurd. Go ahead and close the thread, you've derailed it, along with Khethil. And yes, I have now watched the video. Didn't you notice the last quote I made, of you?
0 Replies
 
Caroline
 
  1  
Reply Fri 18 Sep, 2009 05:20 pm
@BrightNoon,
What last quote where on this forum? please, pray tell.
Thanks
0 Replies
 
EmperorNero
 
  1  
Reply Sat 20 Mar, 2010 07:28 pm
@BrightNoon,
BrightNoon;91103 wrote:
Or, we could burden the people with a multi-trillion dollar new entitlement program when we can't remotely afford the one's we have, while forcing everytone to join a federally operated system of dubious quality and motives.

Tough decision...:sarcastic:


Yes! Let's add a bunch of layers of bureaucracy to 'fix' a system that is not working because of government intervention.

I think it could be summed up in a very simple way: Problems arise whenever the one receiving the service is distanced from the one paying for the service.
prothero
 
  1  
Reply Sat 20 Mar, 2010 10:43 pm
@EmperorNero,
EmperorNero;141750 wrote:
Yes! Let's add a bunch of layers of bureaucracy to 'fix' a system that is not working because of government intervention.

I think it could be summed up in a very simple way: Problems arise whenever the one receiving the service is distanced from the one paying for the service.
Now to be fair, gentlemen, there are any number of countires which have national helath care systems.

In virtually all of these countries health care is delivered for 7-10% of the GNP as opposed to the US 16-18% of the GNP. By virtually any measure of overall health of the population: longevity, infant mortality, etc, health care in those countires with NHS systems is equal to or better than the U.S.

It is simply not true that the government is incapable of delivering health care of reasonable quality for reasonable costs. In fact about half the health care system in the US through medicare is devlivered through a government program and overhead for medicare is about 2-3% of the costs as opposed to 20-30% for private health insurance plans.

Facts and experience do not support the conclusion that NHS systems are a disaster for health care systems and quality of care.

We can cover everyone. We can not cover everything. Almost all countries with NHS systems also have a private system of insurance to cover care not covered under the public system.
0 Replies
 
TuringEquivalent
 
  1  
Reply Sat 20 Mar, 2010 10:57 pm
@EmperorNero,
EmperorNero;91247 wrote:
Phony statistics by socialists who wish to take power..


Who are the socialist? Do you think socialists want to kill old people?

---------- Post added 03-21-2010 at 12:00 AM ----------

EmperorNero;141750 wrote:
Yes! Let's add a bunch of layers of bureaucracy to 'fix' a system that is not working because of government intervention.


Yes, let ` s kill off the bureaucracy. In fact, let` s not have any government at all. Everyone is for him, or her self.
EmperorNero
 
  1  
Reply Sun 21 Mar, 2010 10:50 am
@TuringEquivalent,
prothero;141779 wrote:
Now to be fair, gentlemen, there are any number of countires which have national helath care systems.


The US system is not free market, it is half-socialized. Over 50% of health care is delivered by the government. The government regulations of the part that remains "free" effectively make it government controlled. The system is more socialized than not.

prothero;141779 wrote:
In virtually all of these countries health care is delivered for 7-10% of the GNP as opposed to the US 16-18% of the GNP.


Nope. In those countries health care is not delivered for 7-10% of their GNP. It is delivered for 7-10% of GNP plus a part of the US 16-18% of GNP. The US is subsidizing those nations health care systems by having a health care system in which the profit motive is still partly intact.

prothero;141779 wrote:
By virtually any measure of overall health of the population: longevity, infant mortality, etc, health care in those countires with NHS systems is equal to or better than the U.S.


Nope. Measures of the overall health of the population say little about the success of the health care system. Longevity has more to do with obesity than anything else. Americans are fat, what does that say about health care? Nothing. All measures that actually say something about the success of health care systems show the US ahead. Such as five year cancer survival rates.

Some of these indicators are simply based on statistical tricks. Infant mortality is defined as children that die 24 hours after birth, before that it doesn't enter the statistic. In socialized health care more children don't make it that long. The US medical system does a better job at saving more children for a longer time. This means that the US infant mortality rate is higher because the US system is saving more children.

prothero;141779 wrote:
It is simply not true that the government is incapable of delivering health care of reasonable quality for reasonable costs. In fact about half the health care system in the US through medicare is devlivered through a government program and overhead for medicare is about 2-3% of the costs as opposed to 20-30% for private health insurance plans.


Government is simply compensating medicare doctors at a lower rate. That's called price control. Price controls lead to shortness. Many doctors already don't take medicare patients.

If they are in very small nations, and there is a very large nation with a free market system, then you can run a socialized health care system for a while because the large free market system covertly subsidizes the socialized systems. As soon as that free market system tries to become socialized as well that dynamic won't work any more. The small nations systems break down because they aren't being subsidized any more, and the big nation has nobody to subsidize it.

prothero;141779 wrote:
Facts and experience do not support the conclusion that NHS systems are a disaster for health care systems and quality of care.


Experience shows, in Europe waiting times are long and doctors are underpaid. Patients die while waiting for care.

Facts are being twisted to make government run systems look good. You now know the statistical trick behind infant mortality. I hope you won't repeat it any more.

That WHO rating, where the US is far down, doesn't just rate health care. It rates how socialized a system is. That's right, even if a free market system provides better health care it will be rated down for being free market. To take that statistic and imply that socialized systems are better is like rating cars and rating them better for being blue, to then conclude that blue cars are the best. It's merely a tautology.

prothero;141779 wrote:
We can cover everyone. We can not cover everything. Almost all countries with NHS systems also have a private system of insurance to cover care not covered under the public system.


In a free market system you don't have the problem that you have to decide who gets what. You don't even have to expropriate people. Everyone can by the health care they want according to their priorities. In the modern age it has become so affordable that "the poor" can too. Plus the profit motive allows technology to advance, which will mean that care gets better and prices go down. Socialized systems "fairly" distribute a fixed pie, free market systems grow the pie. That's why a free market system will soon offer better care, including to the low income segment, than one that gives them free care from other peoples money.

TuringEquivalent;141784 wrote:
Who are the socialist? Do you think socialists want to kill old people?


Most are just naive ideologues who have never been taught economics. They kill people nonetheless.

TuringEquivalent;141784 wrote:
, let ` s kill off the bureaucracy. In fact, let` s not have any government at all. Everyone is for him, or her self.


That I don't want the government to add layers of bureaucracy to the health care system must mean that I want there to be no government at all; no police stations.
prothero
 
  1  
Reply Sun 21 Mar, 2010 12:56 pm
@EmperorNero,
I suppose I could just agree to disagree and let you have the last word; but the issue is just too important and too much of a human rights and human dignity issue. Ability to pay is not a good way to distribute fundamental basic life saving or preventative health care.

[QUOTE=EmperorNero;141914] The US system is not free market, it is half-socialized. Over 50% of health care is delivered by the government. The government regulations of the part that remains "free" effectively make it government controlled. The system is more socialized than not. [/QUOTE] Medical spending in the US is about 2.4 trillion dollars. Spending per individual is about 7,500$, or about 16-17% of the GNP. This is unquestionably higher than in other countries with NHS. The Medicare program in 2008 was about 400 Billion dollars. So Medicare does not constitute as large a percentage as some claim or think. Even Medicare is still delivered by private doctors and private hospitals so the system is not government run or government controlled in that sense. Patients still have a choice about providers and hospitals often more than they have under private insurance plans.

[QUOTE=EmperorNero;141914] Nope. In those countries health care is not delivered for 7-10% of their GNP. It is delivered for 7-10% of GNP plus a part of the US 16-18% of GNP. The US is subsidizing those nations health care systems by having a health care system in which the profit motive is still partly intact. [/QUOTE] There is of course no direct subsidy from the US to other nations health care systems. So what you are implying is an indirect subsidy through the development of new drugs, medications, technologies, procedures and devices. There is some truth in this claim. The US is in fact the leader in the development of such medical advances and this is partly because of the for profit nature of medical care in the US. I am concerned that total socialization of the medical care system, and the elimination of the profit motive would reduce the overall level of innovation and investment in medical advance. I think this should be taken into account in designing a national health care system that provides access to basic and life saving medical care for everyone.

[QUOTE=EmperorNero;141914] Nope. Measures of the overall health of the population say little about the success of the health care system. Longevity has more to do with obesity than anything else. Americans are fat, what does that say about health care? Nothing. All measures that actually say something about the success of health care systems show the US ahead. Such as five year cancer survival rates. [/QUOTE] Well five year cancer survival rates should be the poster child for statistical manipulation. The facts are about the same number per 10,000 are dying of breast cancer, lung cancer, prostate cancer, and melanoma as died 20 or 30 years ago. What happens is "early detection" and treatment are curing "low grade early stage "cancers" that never would have killed those patients in the first place. Look at recent studies about mammography, CT lung scans, prostate cancer screening which show little actual benefit. The fact is we spend billions of dollars on procedures, treatments and interventions of little to no proven benefit. That is what you get with a fee for service system where every intervention is rewarded regardless of outcome or benefit.
[QUOTE=EmperorNero;141914] Some of these indicators are simply based on statistical tricks. Infant mortality is defined as children that die 24 hours after birth, before that it doesn't enter the statistic. In socialized health care more children don't make it that long. The US medical system does a better job at saving more children for a longer time. This means that the US infant mortality rate is higher because the US system is saving more children. [/QUOTE] Where do you get this information? US infant mortality is higher largely because of teen pregnancies, lack of prenatal care, maternal drug, smoke and alcohol abuse, premature birth and other factors many of which relate to sex education, prenatal care and access to contraceptive technology and information. Your premature, malformed or otherwise impaired infant is more likely to survive in the US because of the high tech, high intensity care available here but everyone would be better off if the factors that lead to such peri-natal events could be minimized in the first place.
[QUOTE=EmperorNero;141914] Government is simply compensating medicare doctors at a lower rate. That's called price control. Price controls lead to shortness. Many doctors already don't take medicare patients. [/QUOTE] Some doctors do not take medicare because the private insurance companies pay them at higher rates and they have full schedules and practices. The majority of doctors do take medicare.


[QUOTE=EmperorNero;141914] If they are in very small nations, and there is a very large nation with a free market system, then you can run a socialized health care system for a while because the large free market system covertly subsidizes the socialized systems. As soon as that free market system tries to become socialized as well that dynamic won't work any more. The small nations systems break down because they aren't being subsidized any more, and the big nation has nobody to subsidize it. [/QUOTE]France, Britain, Germany, Japan, Taiwan, Switzerland, Canada, almost all advanced industrial societies have had national health care systems for decades which are both functional and valued by their citizens.
[QUOTE=EmperorNero;141914] Experience shows, in Europe waiting times are long and doctors are underpaid. Patients die while waiting for care. [/QUOTE]Experience shows the uninsured in the US do not seek medical care until a crisis and that earlier intervention and treatment would have been much less costly. Experience shows that medical bills are responsible for about half of personal bankruptcies in the US. Experience shows that the elderly can have their life savings wiped out by terminal care costs in the US. Doctors do make less in socialized medical systems but medical education is subsidized and medical school applications remain well above available training slots.
[QUOTE=EmperorNero;141914] That WHO rating, where the US is far down, doesn't just rate health care. It rates how socialized a system is. That's right, even if a free market system provides better health care it will be rated down for being free market. To take that statistic and imply that socialized systems are better is like rating cars and rating them better for being blue, to then conclude that blue cars are the best. It's merely a tautology. [/QUOTE] It rates access to care and preventative care as among the factors to be considered. No doubt those who can get care in the US can get among the world's most sophisticated, most expensive and highest quality care in the world. That is why the wealthy and powerful often come to the US for their care. In general when one ranks health care systems the best available care does not count more than access to care or preventive care. I happen to agree the overall health of nation is not measured by the level of care available to the privileged few.

[QUOTE=EmperorNero;141914] In a free market system you don't have the problem that you have to decide who gets what. You don't even have to expropriate people. Everyone can by the health care they want according to their priorities. In the modern age it has become so affordable that "the poor" can too. Plus the profit motive allows technology to advance, which will mean that care gets better and prices go down. Socialized systems "fairly" distribute a fixed pie, free market systems grow the pie. That's why a free market system will soon offer better care, including to the low income segment, than one that gives them free care from other peoples money. [/QUOTE] In a free market system access to care is rationed on the basis of ability to pay. All systems ration available resources. Many countries have decided "ability to pay" is not an effective or rational way to distribute basic fundamental and preventative health care. I happen to agree with them.

[QUOTE=EmperorNero;141914] Most are just naive ideologues who have never been taught economics. They kill people nonetheless. [/QUOTE] People die under any health care system. "For every man that walks upon the earth, Death cometh soon or late". National Health Care systems emphasize early treatment, preventive care and cover procedures and medications take have proven benefit. They cover everybody but not everything. There is almost invariably also a private health care system for those with private insurance or ability to pay.
TuringEquivalent
 
  1  
Reply Sun 21 Mar, 2010 04:36 pm
@EmperorNero,
EmperorNero;141914 wrote:


Most are just naive ideologues who have never been taught economics. They kill people nonetheless.



.

Mir Emperor Nero, what exactly do these "socialists" don ` t know about economics?


Quote:
That I don't want the government to add layers of bureaucracy to the health care system must mean that I want there to be no government at all; no police stations


You prefer there are not government regulations, or government? That cannot be right. It is the law in American that enforces that laws that protect you, and me. Without the law, there is nothing to prevent people from coming into your home, and taking your stuff. Do you want that?
0 Replies
 
EmperorNero
 
  1  
Reply Sun 21 Mar, 2010 06:30 pm
@prothero,
I appreciate your friendly response prothero.

prothero;141940 wrote:
I suppose I could just agree to disagree and let you have the last word; but the issue is just too important and too much of a human rights and human dignity issue. Ability to pay is not a good way to distribute fundamental basic life saving or preventative health care.


You don't get to 'agree to disagree' when I'm factually right. When your opinion is shown to be incorrect, you have to change it or it is merely faith. I'm not saying that this is the case, that's what we want to find out. But unless you can attack my arguments, you don't get to 'agree to disagree'.

The objective facts are clear: A individualist system (free market) is vastly better than a collectivist system (socialized) at delivering health care to low income individuals, or anything else for that matter. You may consider health care a human right, but economically the distribution of health care is no different than the distribution of any other product or service. Both economic theory and empiric evidence support the conclusion that the more individualist a system products and services are distributed by, the greater abundance of those products and services "the poor" enjoy.

We don't really have to complicate the argument with talking about health care specifically. We can talk about economic systems in general.
Your task would be to show that collectivist systems are superior to individualist systems in bringing abundance to the people. (Or you would have to show that health care is somehow economically different than any other product or service.)
Don't you agree that food is a pretty important necessities? Even more so than health care. If collectivist systems are supreior at delivering abundance to "the poor", why do you only want a collectivized system for the distribution of health care, but not for other goods and services? Why are you only a collectivist on the issue of health care? I think the reason is that in general economics you have to agree that the free market is superior, but the complications of the health care debate hide that.

prothero;141940 wrote:
Medical spending in the US is about 2.4 trillion dollars. Spending per individual is about 7,500$, or about 16-17% of the GNP. This is unquestionably higher than in other countries with NHS. The Medicare program in 2008 was about 400 Billion dollars. So Medicare does not constitute as large a percentage as some claim or think. Even Medicare is still delivered by private doctors and private hospitals so the system is not government run or government controlled in that sense. Patients still have a choice about providers and hospitals often more than they have under private insurance plans.


I beg to differ: Government to pay for more than half of U.S. health care costs - KOLD News 13 live, local and late breaking-
If you don't trust the source, then google one you trust. Government pays close to half of health care in the US. This not important to the overall argument. But this is simply a fact.

prothero;141940 wrote:
There is of course no direct subsidy from the US to other nations health care systems. So what you are implying is an indirect subsidy through the development of new drugs, medications, technologies, procedures and devices. There is some truth in this claim. The US is in fact the leader in the development of such medical advances and this is partly because of the for profit nature of medical care in the US. I am concerned that total socialization of the medical care system, and the elimination of the profit motive would reduce the overall level of innovation and investment in medical advance. I think this should be taken into account in designing a national health care system that provides access to basic and life saving medical care for everyone.


Yes.
But this also explains some of the high cost of the American health care system. Any new product - be it a TV or a drug - is at first expensive, and later it will be distributed at a lower price. Americans are the guy who goes out and buys the brand new TV when it's expensive. Europeans are the guy who get that TV some time later. Therefore Americans justify the R&D cost.

prothero;141940 wrote:
Where do you get this information? US infant mortality is higher largely because of teen pregnancies, lack of prenatal care, maternal drug, smoke and alcohol abuse, premature birth and other factors many of which relate to sex education, prenatal care and access to contraceptive technology and information. Your premature, malformed or otherwise impaired infant is more likely to survive in the US because of the high tech, high intensity care available here but everyone would be better off if the factors that lead to such peri-natal events could be minimized in the first place.


Depends on what your values are. The police forcing all citizens to do daily mandatory exercise would improve the health of a nation as well. Are you for that? I happen to believe that people are capable of making their own decisions, and that we shouldn't have some elite telling us how to best run our lives. Would that mean that we make objectively worse decisions, certainly. You are suggesting that we don't need advances in technology that limit infant mortality, all we need is for the enlightened elite to properly educate those dumb poor people.

prothero;141940 wrote:
It rates access to care and preventative care as among the factors to be considered. No doubt those who can get care in the US can get among the world's most sophisticated, most expensive and highest quality care in the world. That is why the wealthy and powerful often come to the US for their care. In general when one ranks health care systems the best available care does not count more than access to care or preventive care. I happen to agree the overall health of nation is not measured by the level of care available to the privileged few.


That old gospel about "the privileged few". It's simply not true. It is obviously nonsense that in a free market system only a few rich enjoy material prosperity. Do only a privileged few have cars in America? Do only a privileged few have TV's in America? The average "poor" American has a car and two color TV's. They enjoy vastly greater abundance of material wealth than most of the world. Free markets enhance the wealth of "the poor" more than that of "the rich". Why should it be any different with health care?

The health care topic is hard to judge intuitively, therefore collectivists get away with pretending that only a few rich people get good health care in a free market system while the vast majority are denied care. That's plain wrong. In the 21st century everybody who makes half way responsible decisions in life can afford better health care than most aristocrats could 100 years ago. We can completely leave those pesky "privileged" people out of it; in an individualist system low income people are vastly better off than in a collectivist system. It's no different for health care.

prothero;141940 wrote:
People die under any health care system. "For every man that walks upon the earth, Death cometh soon or late". National Health Care systems emphasize early treatment, preventive care and cover procedures and medications take have proven benefit. They cover everybody but not everything. There is almost invariably also a private health care system for those with private insurance or ability to pay.


You forget that it is based on expropriation. So it's inherently anti-liberal.
Even if health was better under collectivism, I'd chose liberty.
Where should coercion for the sake of nicer statistics end? I'm sure if the government outlawed ice cream and hamburgers health would improve.

prothero;141940 wrote:
In a free market system access to care is rationed on the basis of ability to pay. All systems ration available resources. Many countries have decided "ability to pay" is not an effective or rational way to distribute basic fundamental and preventative health care. I happen to agree with them.


The universe was not created to provide for our needs. Therefore we necessarily have less of the all the things that we want than we would like. Would I prefer that food re-appears in my refrigerator? Certainly I would. But in order for food to be in my refrigerator it has to be put there by human effort. I have to bring it home from the store. The store has to obtain it from a producer. The producer has to get up in the morning to work. Someone has to supply him with the resources that he needs.
The store would prefer that products simply appear in it's warehouse. The producer prefer that the resources he needs simply appear on his farm. But all these things have to be created by human effort. All the things we enjoy do not simply grow on trees or come from a mine, they are created by human effort.
What all failed economic systems attempted, is to distribute the value that others created in some way different than by how much value we are willing to provide for others in exchange. On this simplistic level it is hard to deny that the best way to maximize the wealth of society is by distributing services according to how much value someone provides for others. You call it "ability to pay".

Yes, it would be great if we could simply distribute things according to what's the most "fair". It would be great if low income individuals could just get free health care, like I would love food to appear in my refrigerator. Sadly we can't have that.
That's why there is no better way to get stuff to the lower class than via the free market. This is obvious to most with shoes, cars and TV's, it's the same with health care. It seems harsh, but the downtrodden are actually better off materially than if we did hand them stuff for free.
You seem to have your heart in the right place, you just think society has a responsibility to provide health care for those in need. And I agree. The free market is the best way to do so, even though it might seem counterintuitive that not handing out stuff to the downtrodden will make them have more. But compare that to many other necessities which are distributed via the free market. In a free market system, everybody who makes half way responsible decisions in life can have them. While in systems that attempt to provide these necessities through collectivism, such as in the Soviet union, people are far worse off.

It seems odd to me that the same old ideas, which have peen proven wrong so often, sort off keep resurfacing in new packaging.
"The study of history is a powerful antidote to contemporary arrogance. It is humbling to discover how many of our glib assumptions, which seem to us novel and plausible, have been tested before, not once but many times and in innumerable guises; and discovered to be, at great human cost, wholly false."
- Paul Johnson
 

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