@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