0
   

Health Insurance versus Health Care

 
 
xris
 
  1  
Reply Mon 29 Mar, 2010 07:33 am
@cruise95,
cruise95;145544 wrote:
The US had full unemployment before the current depression. I guess that means that our healthcare is great! The point is that you can't claim a correlation between public health care and the unemployment.

Personal dignity applies in limited amounts to different people. Everyone is an individual and broad brushes are not applicable. However, there is a certain segment of the population that thrives on responsibility and is self-sustaining. Of course they rely on others for their resources (ie. the grocery store, their boss, etc...).

They are in their position because of their responsible actions. In other words, they are responsible for their well being and are not dependent on their parents or the government. Their responsible actions have placed them in the position that they are in. These are very dignified people and people that should be looked up to.

Contrarily, there are other people who are not so independent and their actions do not lead to much of anything. They are OK with that since that is all that they have known. To them dignity is something different.

Dignity to one culture may not be the same as dignity to another. While you may see no loss of dignity you cannot say that another culture will not loose their dignity.

Another example of this human adaptation:
Person A can make 100,000 a year while Person B makes 50,000 a year. The funny thing is that Person A can only live on their income and not on Person B's income. However Person B can live on either their income or Person A's income with no detrimental effects.

And such are many human attributes (ie. dignity, freedom, cruelty, etc...). As another example, lets assume that Person F has known a greater deal freedom their whole life. Also assume that Person S has known less freedom than Person F. Person F objects when their freedoms are taken from away (especially when by illigitimate means and by an irresponsible entity). Now Person F has the same amount of freedoms as Person S. However, Person S is perfectly contempt and dignified while Person F feels demoralized and undignified.

Since I am somewhat replying to Dave Allen's post, though this an important post for all to consider, I want to respond to one of his posts:



I never said 'vanity alone'...there is a need at times for vanity as that makes some a more productive member of society. And to dispute this while also upholding it is contradictory by any definition.




I was using that as filler and to make a point...and I did say that I wasn't totally serious. I am not sure if there was a communication problem, but most people would take this as a joke. If this was not a communication problem then either 1) reading between the lines is not your strong point or 2) it just got screwed up in the translation.
Dave was making the point that where you see a national health system, it does not imply those who use it are necessarily spongers.

In our system, if you work you are required to pay national insurance contributions. This is compulsory health insurance that has to be paid, just like tax. You could draw on the taxes direct but no accounting would be available and the self employed could avoid paying this tax. In your system you could have employed workers not contributing to a system that is paid for by others. Ours is a fairer system in my opinion.

The simple fact remains we all pay less, everyone of us, than you in America. If that wont convince you nothing will. It constantly needs fine tuning and public debate but we are all grateful for its benefits.
0 Replies
 
Dave Allen
 
  1  
Reply Mon 29 Mar, 2010 07:46 am
@cruise95,
cruise95;145544 wrote:
The US had full unemployment before the current depression. I guess that means that our healthcare is great! The point is that you can't claim a correlation between public health care and the unemployment.

I take it you mean full employment, not full unemployment.

Yes - it's irrelevant really. That's why I brought it up - it was Nero saying it would lead to dependence and indignity - I'm providing examples of countries with full healthcare and no apparent dependence or indignity.

Again - to use Denmark as an example, it's apparently the world's happiest nation, the best place to do business and the least corrupt government.

That doesn't sound undignified to me.

Quote:
Personal dignity applies in limited amounts to different people. Everyone is an individual and broad brushes are not applicable.
Good good, tell it to Nero - it wasn't actually me who claimed anything broadly about dignity really - apart from respose to his claims to the contrary.

I'd rather not talk about something as subjective as whether or not people feel dignified or not.

Quote:
They are in their position because of their responsible actions.
Some of them are, some were lucky, some are irresponsible. Not every thriving man is a good man (or a dignified one). Some people even get to be captains of industry because they are jerks.

Quote:
Dignity to one culture may not be the same as dignity to another. While you may see no loss of dignity you cannot say that another culture will not loose their dignity.
By all means, but the converse is equally true. If other cultures claim no loss of dignity it doesn't follow that you will. In fact, it's relevant precedent to think otherwise.

I don't drive - so if I moved to the states and paid taxes would I have my dignity stripped because I was being forced to contribute to a road system I don't get much use out of?

I don't think so - I'd be more likely to veiw it as a reasonable sacrifice made in order to grease the wheels of the home culture.

Quote:
...there is a need at times for vanity as that makes some a more productive member of society. And to dispute this while also upholding it is contradictory by any definition.
---------- Post added 03-29-2010 at 08:51 AM ----------

xris;145558 wrote:
The simple fact remains we all pay less, everyone of us, than you in America. If that wont convince you nothing will. It constantly needs fine tuning and public debate but we are all grateful for its benefits.

Whilst I see us as being very much on the same side of this issue - I don't think the issue here is one of cost so much as perceived freedom of choice.

What I like about the NHS in terms of liberty is the freedom of mind. This conflicts with freedom of choice because - as you say - we are all entitled to provide NI contributions.

You are right to say that the average Brit pays less in NI than the average American pays in insurance. However, the position advocated by those who oppose the public health option in the US seems to be freedom to choose, even if choosing "yes" means you pay more.

So it's a conflict of liberties in a sense - freedom of mind vs freedom of choice.
xris
 
  1  
Reply Mon 29 Mar, 2010 08:03 am
@Dave Allen,
I had, when in my twenties, what was thought a rare tropical disease. I was slowly dying and needed expert diagnosis, they discovered it to be simply Brucellosis, I survived. I have contributed to this same system for fifty years. It has saved my wife from breast cancer and has delivered my three children. Now I don't know if I owe them or they owe me but I'm eternally grateful for this excellent system.
Dave Allen
 
  1  
Reply Mon 29 Mar, 2010 08:08 am
@xris,
xris;145576 wrote:
I had, when in my twenties, what was thought a rare tropical disease. I was slowly dying and needed expert diagnosis, they discovered it to be simply Brucellosis, I survived. I have contributed to this same system for fifty years. It has saved my wife from breast cancer and has delivered my three children. Now I don't know if I owe them or they owe me but I'm eternally grateful for this excellent system.
Yes, it has saved my life too, so I happen to think it was worth it.

And another thing I like about it is that children aren't at a disadvantage because of the irresponsibility (or unfortunate situation or whatever) of their parents.
0 Replies
 
xris
 
  1  
Reply Mon 29 Mar, 2010 08:14 am
@xris,
Dave I appreciate choice is a problem for those who oppose this concept. It does not appear to bother them on other concepts that we see used by governments. Coast guards play the part of the saviour on the high seas for the boat owner. Do they refuse a tow or a rescue, those who oppose through freedom of choice? The fireman who comes willingly to their burning house or the policeman that protects their family.

---------- Post added 03-29-2010 at 09:17 AM ----------

Dave Allen;145578 wrote:
Yes, it has saved my life too, so I happen to think it was worth it.

And another thing I like about it is that children aren't at a disadvantage because of the irresponsibility (or unfortunate situation or whatever) of their parents.
I cant imagine not having it ,it must be a terrible burden for the struggling parent, my heart goes out to them. Its like we are debating a third world country.
Dave Allen
 
  1  
Reply Mon 29 Mar, 2010 08:23 am
@xris,
xris;145580 wrote:
Dave I appreciate choice is a problem for those who oppose this concept. It does not appear to bother them on other concepts that we see used by governments. Coast guards play the part of the saviour on the high seas for the boat owner. Do they refuse a tow or a rescue, those who oppose through freedom of choice? The fireman who comes willingly to their burning house or the policeman that protects their family.

Sure, but such established things don't make the same appeal to fear of big government as a new development.

Whereas in Europe people tend to be more comfortable with big governments or, at least, big civil services.

In fact, in the UK, replacing levels of bureaucracy with free-market style targeting has been something of a disaster, because a bureaucrat can respond to people as well as numbers. If the banks had been public concerns forced to avoid risky trading we wouldn't be bankrupt.

So I think paranoia over creeping big gov is largely unfounded myself. Goverments are like genitals - it's not how big they are, but how they do things that matters.

---------- Post added 03-29-2010 at 09:25 AM ----------

xris;145580 wrote:
I cant imagine not having it ,it must be a terrible burden for the struggling parent, my heart goes out to them. Its like we are debating a third world country.

Well, bear in mind that I don't know how uninsured children are treated in the US - they might have contingencies.

I just know that children are offered the same NHS treatments regardless of whether their parents are millionaires or tramps.
cruise95
 
  1  
Reply Mon 29 Mar, 2010 08:50 am
@Dave Allen,
Here is a list of some questions that I believe we can each give short answers to and clearify some issues. Note that I've specefied 'American' government when talking about this issue since all governments handle situations differently and so a qualifier was needed. I would like to hear opinions from Khethil, EmporerNero, xris, Rwa001, Dave Allen, and salima on this one. Thank you

1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?
2. Should those that deserve it get the care that they need (via private or public resources)?
3. Should the private industry, the American government, or both help out?
4. Is the American government efficient enouph to handle health care? Responsibly?
6. Are mandates seen as too much American government encroachment?
7. Do you want health care reform in America (not neccessarily the bill that was just signed)?

---------- Post added 03-29-2010 at 09:50 AM ----------

cruise95;145594 wrote:

1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?
2. Should those that deserve it get the care that they need (via private or public resources)?
3. Should the private industry, the American government, or both help out?
4. Is the American government efficient enouph to handle health care? Responsibly?
6. Are mandates seen as too much American government encroachment?
7. Do you want health care reform in America (not neccessarily the bill that was just signed)?



Here are my answers to the above post:

1. Yes
2. Yes
3. both - with an emphasis on private first followed by the American government
4. For the most part they have a bad track record...No
5. They can't even handle Social Security without bankrupting and imploding the system. I would say No (especially not responsibly)
6. I believe so. General taxes are one thing...but allowing the government too much power is criminal
7. Yes
Dave Allen
 
  1  
Reply Mon 29 Mar, 2010 09:12 am
@cruise95,
cruise95;145594 wrote:
1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?
2. Should those that deserve it get the care that they need (via private or public resources)?
3. Should the private industry, the American government, or both help out?
4. Is the American government efficient enouph to handle health care? Responsibly?
6. Are mandates seen as too much American government encroachment?
7. Do you want health care reform in America (not neccessarily the bill that was just signed)?


1) Yes. I don't see it as personally a relevant question though, I do pay financial contributions to national health and I think it's right that people get basic healthcare.
2) Yes.
3) Again, based on the models I think work, businesses funded and regulated by a department of the civil service - with fully private options for "frivolities".
4 and 5) Right now? I don't know. If not then that's something you'd have to implement in order to take the public option. In the UK the dept of health isn't seen as a problematic one in comparison to the dept of environment - it doesn't seem to be a difficult dept to create and run in comparison to others.
6) It's not relevant to me. I'd say it depends on the mandate if it was, assuming I know what it is you mean.
7) Yes, I think it will benefit people in that if well implemented it would be a success in comparison to your current system which would bolster our own decision to adopt and maintain the NHS, and I think it would demonstrate the benefits of a mixed market economy.
0 Replies
 
xris
 
  1  
Reply Mon 29 Mar, 2010 09:17 am
@cruise95,
I can understand your reservations. I think it must be done on state lines acting with charitable status with elected representatives. Friendly societies with everyone who can pay, paying basic contributions. Yes employers must contribute, not government they would make demands, but they could give tax relief on those who contributed.

If I was in government I would do a trial run in the smallest state, by population.
0 Replies
 
Khethil
 
  1  
Reply Mon 29 Mar, 2010 10:14 am
@cruise95,
cruise95;145594 wrote:
1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?
2. Should those that deserve it get the care that they need (via private or public resources)?
3. Should the private industry, the American government, or both help out?
4. Is the American government efficient enouph to handle health care? Responsibly?
6. Are mandates seen as too much American government encroachment?
7. Do you want health care reform in America (not neccessarily the bill that was just signed)?


1. Yes

2. Yes

3. Yes, Both/all. But this comes from a mindset that says: What your Government is responsible for is for you the people to decide. Regardless of what orientation or philosophy each function is derived. Yes some are smarter, some are dumber (as well as more or less unethical). Nonetheless, what government does, in my opinion, should be an expression of the desires of those being governed, combined with solid, ethics.

4. This is a good question. Having worked in Federal Government for quite some time I could fill your ears with stories of inefficiency and woospies-galore. Nonetheless, I'd have to say "Yes" - since we the people would dictate what they'd do and how they'd do it as well as the fact it's a Common Need to All.

(No 5?)

6. Most of the most-vocal people see it this way. They scream "This must be controlled!", then when that comes to pass, over time, they scream "Too much control!". I don't think folks have realized that to the extent we have a "monster", we've created that monster from our cries for oversight.
8. Yes, absolutely

Thanks for asking
0 Replies
 
salima
 
  1  
Reply Mon 29 Mar, 2010 12:13 pm
@cruise95,
cruise95;145594 wrote:
Here is a list of some questions that I believe we can each give short answers to and clearify some issues. Note that I've specefied 'American' government when talking about this issue since all governments handle situations differently and so a qualifier was needed. I would like to hear opinions from Khethil, EmporerNero, xris, Rwa001, Dave Allen, and salima on this one. Thank you

1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?
2. Should those that deserve it get the care that they need (via private or public resources)?
3. Should the private industry, the American government, or both help out?
4. Is the American government efficient enouph to handle health care? Responsibly?
6. Are mandates seen as too much American government encroachment?
7. Do you want health care reform in America (not neccessarily the bill that was just signed)?



1. yes, but i dont mind if it is at the expense of my livelihood either...
2. everyone should get the care they need, of course, and where it comes from i defer to the next question
3. not sure what you mean by private or public. if drug companies are an example of private, and were made to give free medication to the needy it could cause problems. if private means doctors have to treat a certain number of patients for free, that doesnt seem fair. if public means taxes or contributions taken from income according to a percentage that would fairly distribute the burden, i think that would be the better way to go.
4. efficiency of the american government, well...offhand i dont know of other organizations that do better, the post office runs nicely, doesnt it?
5. if responsibly is meant to be # 5...i dont see the government as being any more or less responsible than any other american outfit either. look at the banks, look at major corporations and how they handle their employees' pension funds (or did when there was such a thing as a pension fund).
6. mandates are seen as too much encroachment on freedom by some people, and the threat of loss of liberty can always be a means of influencing people's minds, or should i say confusing them. but taxes encroach on freedom too and they are accepted as a necessary evil.
7. health care reform is essential in america one way or another, it is a very critical issue
0 Replies
 
EmperorNero
 
  1  
Reply Mon 29 Mar, 2010 11:58 pm
@Dave Allen,
Dave Allen;145507 wrote:
Though a lot of the countries mentioned as having public health systems also have something like full employment


Some socialist nations function? Yeah, and some don't.
Your side is cherry-picking the nations that are being used as examples.

Your side is arguing as if the only influence that determines a nations success is whether it is socialist or not. Nothing else matters. Geography, climate, resources, population, neighbor relations, culture - all irrelevant! If the nicest tiny island nations on earth happen to be socialist, that clearly proves the superiority of socialism. - That's not even a very subtle instance of mistaking correlation and causation. That's like saying that being the governor of California makes you a better bodybuilder, Arnold Schwarzenegger is the proof!

Btw. by what definition is Denmark more socialist than the US? The share of government spending is not much lower in the US. And actually life is regulated a lot more. If you think the US if a failure, how about a socialist failure?
Krumple
 
  1  
Reply Tue 30 Mar, 2010 02:09 am
@cruise95,
cruise95;145594 wrote:
1. Assuming that health care did not come at the expense of your livelihood, do you wish that everyone had healthcare?


I wouldn't need to wish for everyone to have it if the problem were solved in the way that it should be solved. The US government is the cause for sky rocketing health care costs. They created the problem, the solution isn't forced health care insurance. The solution is to force the government out of causing the problem. But that will never happen because they want to control.

cruise95;145594 wrote:

2. Should those that deserve it get the care that they need (via private or public resources)?


It should be like anything else. If you need it, you should be able to afford it. It shouldn't be forced upon you and you shouldn't have to pay if you don't want to. It should be like any other service. If you need it, it should be available to anyone. But the government has caused the problems so it has become unaffordable and that was intentional.

cruise95;145594 wrote:

3. Should the private industry, the American government, or both help out?


The government should only handle laws and court cases upholding contracts. It should stay out of businesses and any services outside what I just stated..

cruise95;145594 wrote:

4. Is the American government efficient enouph to handle health care? Responsibly?


Clearly no. Look at social security. It is bankrupt this year. Medicare is also a failure because the government doesn't care about the people. These are just ponzi schemes to create tax revenue. This new health care system is just another ponzi scheme.

cruise95;145594 wrote:

6. Are mandates seen as too much American government encroachment?


This is inevitable because politicians always want more and more control. The founding fathers of the US knew this well and we are seeing their warnings coming about.

cruise95;145594 wrote:

7. Do you want health care reform in America (not neccessarily the bill that was just signed)?


The only reform I would accept is one that did not come from the government program. Instead it would come by means of the government stepping out of business dealings.
0 Replies
 
xris
 
  1  
Reply Tue 30 Mar, 2010 04:09 am
@EmperorNero,
EmperorNero;146009 wrote:
Some socialist nations function? Yeah, and some don't.
Your side is cherry-picking the nations that are being used as examples.

Your side is arguing as if the only influence that determines a nations success is whether it is socialist or not. Nothing else matters. Geography, climate, resources, population, neighbor relations, culture - all irrelevant! If the nicest tiny island nations on earth happen to be socialist, that clearly proves the superiority of socialism. - That's not even a very subtle instance of mistaking correlation and causation. That's like saying that being the governor of California makes you a better bodybuilder, Arnold Schwarzenegger is the proof!

Btw. by what definition is Denmark more socialist than the US? The share of government spending is not much lower in the US. And actually life is regulated a lot more. If you think the US if a failure, how about a socialist failure?
What has the economic down fall of Greece got to do with a national health system. What has Arnold got to do with a social programme? Your system is failing you, tell me why?

---------- Post added 03-30-2010 at 05:14 AM ----------

Krumple;146056 wrote:
I wouldn't need to wish for everyone to have it if the problem were solved in the way that it should be solved. The US government is the cause for sky rocketing health care costs. They created the problem, the solution isn't forced health care insurance. The solution is to force the government out of causing the problem. But that will never happen because they want to control.



It should be like anything else. If you need it, you should be able to afford it. It shouldn't be forced upon you and you shouldn't have to pay if you don't want to. It should be like any other service. If you need it, it should be available to anyone. But the government has caused the problems so it has become unaffordable and that was intentional.



The government should only handle laws and court cases upholding contracts. It should stay out of businesses and any services outside what I just stated..



Clearly no. Look at social security. It is bankrupt this year. Medicare is also a failure because the government doesn't care about the people. These are just ponzi schemes to create tax revenue. This new health care system is just another ponzi scheme.



This is inevitable because politicians always want more and more control. The founding fathers of the US knew this well and we are seeing their warnings coming about.



The only reform I would accept is one that did not come from the government program. Instead it would come by means of the government stepping out of business dealings.

What government? is it a common to all governments or is it just the opposition to change that gives you problems?
EmperorNero
 
  1  
Reply Tue 30 Mar, 2010 04:29 am
@xris,
xris;146077 wrote:
What has the economic down fall of Greece got to do with a national health system.


Greece is going broke because they ran out of money for all the social programs. Like health care.
Britain just had to slash it's defense budget by 20% because they have no money.

xris;146077 wrote:
What has Arnold got to do with a social programme?


It was an analogy on Dave Allen's logic.

xris;146077 wrote:
Your system is failing you, tell me why?


It's not a free market system. Too much government intervention. Wink
xris
 
  1  
Reply Tue 30 Mar, 2010 04:54 am
@EmperorNero,
EmperorNero;146080 wrote:
Greece is going broke because they ran out of money for all the social programs. Like health care.
Britain just had to slash it's defense budget by 20% because they have no money.



It was an analogy on Dave Allen's logic.



It's not a free market system. Too much government intervention. Wink
The world economy crashed because the market was not controlled enough,bankers corrupt greed. Its got nothing to do with a self funding health service. Your health service is becoming too expensive because of a free market economy. Its failing because of greed among the insurance companies and the medical fraternity. Even when you see Rome burning you cant accept responsibility.

Your analogy made no sense at all, it was crap.

Tell me why are you opposed to a national insurance scheme if it serves every one at a lower cost, is it just your principles?
EmperorNero
 
  1  
Reply Tue 30 Mar, 2010 05:38 am
@xris,
xris;146082 wrote:
Tell me why are you opposed to a national insurance scheme if it serves every one at a lower cost, is it just your principles?


I think there should be some help for actual poor people. We are a rich enough society to not let people die. But most people are worse off when we are supplied by the government.
I don't think socialized health care actually does save cost. Not that I deny the accuracy of your numbers. But I think it is more complicated than that. Partly socialized health care just amounts to price control. For example you mentioned that government can more aggressively bargain with drug companies, and doctors get paid less.
If government decided that bread may only cost half of what it costs today, we would initially have cheaper bread, but nobody would be willing to produce it at a loss. So we have less bread than if the government had not made that law. I think the same applies to doctors, drugs and medical equipment as well. The reasons it is supposed to be cheaper is merely government declaring it should be cheaper. It would lead to shortages. For example people don't want to be doctors, because they won't get paid enough. Or that medical equipment doesn't get invented, because there's no money to earn on that.
I think we have just not seen the negative effects of these price controls so much in Europe, because all the money on health care is earned in the US. It's like the bread factory earns most of their money in the US. That pays for running the factory, so they can afford to send off some bread to Europe at lower prices. But in a sense the high US bread price is paying for Europe to have cheap bread. One market is subsidizing the other market. If the US established the same price controls as Europe, the bread company could not afford to operate the ovens. So nobody would have bread. I don't mean to lecture you on economics, but does that make sense? Do you agree?
Krumple
 
  1  
Reply Tue 30 Mar, 2010 05:56 am
@xris,
xris;146077 wrote:
What government? is it a common to all governments or is it just the opposition to change that gives you problems?


Opposition to change? What are you talking about? I am saying that over time governments destroy themselves and we are witnessing in the US a breaking down of the US government. I say it is currently in it's death throws and the leaders know it. They just want to get as much money out of it while they can and jump ship leaving the poor to suffer.

All governments over time will ultimately collapse or be forced to reform in some manor. This reform is not in the silent over time type of reform it is usually unseen or unexpected. The leaders usually never see it coming before it happens. They might suspect it possible but are never ready when it happens.
Dave Allen
 
  1  
Reply Tue 30 Mar, 2010 06:30 am
@EmperorNero,
EmperorNero;146009 wrote:
Some socialist nations function?
Let's look for a moment at how you continually twist the debate. I cite countries with public healthcare - you strawman them as 'socialist nations'.

They aren't - they are all mixed market economies - if that.
Quote:
Yeah, and some don't.
Your side is cherry-picking the nations that are being used as examples.
Er - and citing Greece as a relevant example isn't cherry picking?

Actually, it's you who have continually cited the USSR as your prime example up to now. You've done it loads of times.

At any one time there are going to be systems failing and succeeding relative to one another - is socialist healthcare Greece's problem, or is it the result of the banking disaster?

I think the latter, and Greek people also cite the banks as causing their crisis rather than social services.

Same in Britain - if the banking industry had been run like the NHS, rather than allowed to nakedly profiteer - we might not be in so much debt.

Does this mean capitalism is wrong?

No, but it CAN be.

Just as socialism CAN be.

It's how these things are implemented that makes them succeed or fail - not what they are.

Quote:
Your side is arguing as if the only influence that determines a nations success is whether it is socialist or not.

Actually, it was you going on and on about about how any inculcation of socialist medicine was tantamount to communism that made me bring up examples of mixed market economies with public healthcare systems who have a lot less to do with Marx or Stalin than you seem to want to paint them as.

I haven't been advocating socialism per se, and even cited things like wealth as incentive - which is anti-communist in the strictest sense - as a general conviction. A Good Thing - though there are sensible exceptions.

Nor do I think the US is an "unsuccessful" nation. I just happen to think you'd save yourself some pain if you had public healthcare.

Quote:
Nothing else matters. Geography, climate, resources, population, neighbor relations, culture - all irrelevant!

Of course not - but compare Israel and Denmark. In all criteria you couldn't have more different countries, really.

Geography - a flat promontory and associated island to the north of Europe that is fertile and well watered, verses a craggy corner of the middle east requiring irrigation to prevent desertification in many areas.
Climate - cool/temperate verses comparitively arid.
Resources - just about the sole area that you could claim simularities in, though there are many differences.
Population - a lightly populated nation verses one of the world's densest.
Neighbour relations - need I mention them? Denmark doesn't do war - Israel's geared for it.
Culture - a lot to contrast them.

Yet they both manage a public healthcare system.

The UK and Spain - two very different countries. both able to manage this. Spain is world renowned for the innovations it's healthcare system has produced.

So I think the onus is on you to explain why the US couldn't implement something that works for countries as diverse as the UK (which has a number of similarities to the US compared to the other nations mentioned) or Canada (also quite like the US in many ways), or Israel (in a very different situation) or Finland.

So for you to say I think they're all irrelevant is nonsense really - but it seems to me that provided a country has a decent infrastructure it can do decent public health.

In fact the USSR didn't have a decent infrastructure, and it did public health better than it does with the new system based on the US model.
Quote:
If the nicest tiny island nations on earth happen to be socialist, that clearly proves the superiority of socialism.

Back to geography class for you.

Denmark's not an island, neither is Finland, neither is France, neither is Israel.

Spain has socialised medicine - it's not a tiny island.

Germany has a mix of social healthcare and insurance - it's not a tiny island.

Canada - not exactly my idea of a small island nation.

Alone of the list I gave you Britain and Australia are islands (well, collections of islands), but neither of them are small islands. Oz is the world's biggest Island, Britain's in the top ten in terms of area.

As for 'niceness' I'm not sure how you'd measure it or why it'd be relevant - but in terms of reputation France and Israel and Denmark and Britian are all regarded in very different ways.
Quote:
That's not even a very subtle instance of mistaking correlation and causation.

No - it's an instance of utter nonsense - none of those countries are 'nice' tiny socialist island nations. To make out that they all are is piffle.
Quote:
Btw. by what definition is Denmark more socialist than the US?

Not sure how this is relevant, but for the record, Denmark is an avowedly mixed market economy with a large welfare state and controls to ensure there doesn't develop a relative disparity of wealth. That's not model socialism (in fact I don't think there is such a thing), but it takes in plenty of socialist ideas and implements them with apparent success.

And - just to remind you - it isn't an island. Zealand might be an island, but Denmark is not. Most of Denmark is Jutland, which is part of the European continent.

It seems you are just too manichean to realise that a binary attitude to socialism isn't what proponents of public healthcare want as a gestalt. I certainly do not. I'm actually in favour of a nice shade of grey.

---------- Post added 03-30-2010 at 07:37 AM ----------

EmperorNero;146080 wrote:
Greece is going broke because they ran out of money for all the social programs. Like health care.
Britain just had to slash it's defense budget by 20% because they have no money.

Yeah, the banks lost all our money trading toxic assets and giving customers endless credit.

That really has nothing to do with social services.

Actually, it's a direct result of free marketeering - selling people what they want (more credit please!) to a greater degree than your competitors without consideration as to whether or not that's responsible or sustainable.

Brtiain is bankrupt, but things are not as bad as they were in 1976, and unemployment isn't as high as it was in the 80s. We have had the NHS for 60 years. By your logic was it to the NHS's credit that we had a booming economy in the 60s, or the 90s?

No?

Then why cite it as relevent to the current slump?
Quote:
It was an analogy on Dave Allen's logic.
A failed analogy that only works if you:

a) think Denmark, France, Spain, Israel, et al are tiny islands. Which they aren't.

b) think I'm advocating a broad implication of socialism. Which I don't.

c) think those nations are all socialist - which they are not. They are all rather different economies. Britain's pretty capitalist compared to the low countries. Israel's economy is aid-dependant. You couldn't get more different than Israel and Denmark in terms of dependance really (as far as developed nations go).

---------- Post added 03-30-2010 at 07:55 AM ----------

EmperorNero;146096 wrote:
I don't think socialized health care actually does save cost. Not that I deny the accuracy of your numbers. But I think it is more complicated than that. Partly socialized health care just amounts to price control. For example you mentioned that government can more aggressively bargain with drug companies, and doctors get paid less.

The first and greatest cost cutting is that you render financial competition irrelevent for basic supplies and drugs and treatments - the government knows how much these things cost to produce and can market them to the right people as part of the civil service.

Not only does this eliminate most quackery, it means that profits from medical supplies don't have to be spent on marketing and promotion (apart from stuff you can get in drug stores without prescription and so on).

It also holds these companies to a set of standards that the government are ultimately accountable for, rather than numerous different standards the companies would operate to if left as wholly private enterprises - which would still have to be monitored by the government to ensure health and safety regs and good practice (I mean, I assume the US government does this anyway).

The second cost cutting is that needless surgery and diagnosis is reduced. Because doctors are paid a set wage, and medical businesses funded according to need, rather than on performance or ability to drum up custom, they are less likely to drill a tooth that isn't rotten, or whip out someone's tonsils when they have a trifling infection. The UK percentage of misdiagnosis is about half that of the US as an average.

The third cost cutting is a more productive workforce. People in countries with social healthcare tend to take less days off than people without. Why? Because money isn't a barrier to getting a checkup, so problems can be spotted and solved before people get sick, and sick people don't have to worry about money to get cured.

Forthly would be Xris' point about wholesale purchases - though well done for painting it as necessarily "aggressive", good bit of bias there. It's "aggressive" competition driving prices up that is moderated in a public system. Note that in the UK a doctor is still considered a well paid job, and can work for a private concern if he or she isn't satisfied with NHS wages.

Lastly, in the US people with medical insurance still pay for other people's treatment - they just do so in the hope that money will be recouped through subsequent fees (which it often isn't). If the same employers were having to pay the equivalent of our National Insurance they would be left with more money to reinvest in their own businesses. This would also reduce reliance on litigation to recoup debts.

That's off the top of my head - I'm sure some more can be found with a bit of a Google.

So - of all the arguments - the money saving one is the most cut and dried really - at least it would be if you followed the NHS model (and the NHS model isn't as efficient as it could be).

In the end fear of BIG GOV is the only argument opponents of public health have that has any actual foundation - and even that's a failure of imagination. Have a federal department with open books that has no political allegiance - then it will be up to the government to ensure they are more responsible with it than the opposition (which they surely would do).
xris
 
  1  
Reply Tue 30 Mar, 2010 10:15 am
@Krumple,
Krumple;146106 wrote:
Opposition to change? What are you talking about? I am saying that over time governments destroy themselves and we are witnessing in the US a breaking down of the US government. I say it is currently in it's death throws and the leaders know it. They just want to get as much money out of it while they can and jump ship leaving the poor to suffer.

All governments over time will ultimately collapse or be forced to reform in some manor. This reform is not in the silent over time type of reform it is usually unseen or unexpected. The leaders usually never see it coming before it happens. They might suspect it possible but are never ready when it happens.
I will ask again what government? this one has hardly got its feet wet. The opposition to change is blatantly obvious why do you deny it?

---------- Post added 03-30-2010 at 11:36 AM ----------

EmperorNero;146096 wrote:
I think there should be some help for actual poor people. We are a rich enough society to not let people die. But most people are worse off when we are supplied by the government.
I don't think socialized health care actually does save cost. Not that I deny the accuracy of your numbers. But I think it is more complicated than that. Partly socialized health care just amounts to price control. For example you mentioned that government can more aggressively bargain with drug companies, and doctors get paid less.
If government decided that bread may only cost half of what it costs today, we would initially have cheaper bread, but nobody would be willing to produce it at a loss. So we have less bread than if the government had not made that law. I think the same applies to doctors, drugs and medical equipment as well. The reasons it is supposed to be cheaper is merely government declaring it should be cheaper. It would lead to shortages. For example people don't want to be doctors, because they won't get paid enough. Or that medical equipment doesn't get invented, because there's no money to earn on that.
I think we have just not seen the negative effects of these price controls so much in Europe, because all the money on health care is earned in the US. It's like the bread factory earns most of their money in the US. That pays for running the factory, so they can afford to send off some bread to Europe at lower prices. But in a sense the high US bread price is paying for Europe to have cheap bread. One market is subsidizing the other market. If the US established the same price controls as Europe, the bread company could not afford to operate the ovens. So nobody would have bread. I don't mean to lecture you on economics, but does that make sense? Do you agree?
Its not just helping the poor, social benefits are an insurance against illness for everyone. Today's gainfully employed, you, may be tomorrows poor. The poor are in the main victims of circumstance , circumstances out of their control. If you paid two thirds less and paid less for your medication why should you worry if a few benefited from this system? Thats bloody minded politics.

Your twisted analogies are becoming more and more weird. Profits in the pharmaceutical industries would not be in danger of collapsing because Americans had more power in negotiating contracts. Just look at their profits, they are constantly rising, they never face the vagaries of depression. Whats more, why should you oppose health reforms because it may make drug cost rise in Europe? its that free market your so keen on.
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