65
   

IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Irishk
 
  1  
Reply Wed 31 Mar, 2010 08:59 am
@spendius,
spendius wrote:
They get told what to do like the rest of us.


Is that because they think they know what's better for you?

sstainba
 
  1  
Reply Wed 31 Mar, 2010 09:09 am
@parados,
parados wrote:

If you already knew that then your argument makes no sense.

Health care is rationed now. Arguing that it will still be rationed isn't much of an argument, is it?


It makes perfect sense. The fact that my PRIVATE insurance plan doesn't cover certain things isn't "rationing". I get what I pay for.

As I said before, I'm speaking about Medicaid and Medicare and the "free government healthcare" types.
Cycloptichorn
 
  4  
Reply Wed 31 Mar, 2010 09:29 am
@sstainba,
sstainba wrote:

parados wrote:

If you already knew that then your argument makes no sense.

Health care is rationed now. Arguing that it will still be rationed isn't much of an argument, is it?


It makes perfect sense. The fact that my PRIVATE insurance plan doesn't cover certain things isn't "rationing". I get what I pay for.

As I said before, I'm speaking about Medicaid and Medicare and the "free government healthcare" types.


It IS rationing. The rationing is simply done by money, instead of by proportion of population.

Medicare and 'aid are not 'free government healthcare.' You pay taxes to support the system your whole life.

Look, you don't think we can measure the quality of a HC system by life expectancy, and you don't think we can do it by cost either - even though these are the two easiest and most universal ways to measure. Exactly how would YOU propose measuring success of HC systems?

The other countries I listed earlier have longer lifespans, lower costs, and universal coverage regardless of ability to pay. This makes their systems superior to ours, period. You haven't shown any way that our system is superior; can you?

As for the insurance industry, they are parasitic. Their purpose is not to help people but to provide an ever-growing return for their investors. I don't give a **** about them losing their jobs at all.

Like most right-wingers you seem primarily concerned with people getting HC who didn't pay for it. It all seems to come down to money in the end for some folks.

Cycloptichorn
spendius
 
  1  
Reply Wed 31 Mar, 2010 09:50 am
@Irishk,
Quote:
Is that because they think they know what's better for you?


I imagine so. But we vote for who tells them, and us, what to do. They are unelected.

If we vote correctly we are voting for who think they know what's best for us. And there's no alternative.
sstainba
 
  1  
Reply Wed 31 Mar, 2010 10:13 am
@Cycloptichorn,
Cycloptichorn wrote:

sstainba wrote:

parados wrote:

If you already knew that then your argument makes no sense.

Health care is rationed now. Arguing that it will still be rationed isn't much of an argument, is it?


It makes perfect sense. The fact that my PRIVATE insurance plan doesn't cover certain things isn't "rationing". I get what I pay for.

As I said before, I'm speaking about Medicaid and Medicare and the "free government healthcare" types.


It IS rationing. The rationing is simply done by money, instead of by proportion of population.

Medicare and 'aid are not 'free government healthcare.' You pay taxes to support the system your whole life.

Look, you don't think we can measure the quality of a HC system by life expectancy, and you don't think we can do it by cost either - even though these are the two easiest and most universal ways to measure. Exactly how would YOU propose measuring success of HC systems?

The other countries I listed earlier have longer lifespans, lower costs, and universal coverage regardless of ability to pay. This makes their systems superior to ours, period. You haven't shown any way that our system is superior; can you?

As for the insurance industry, they are parasitic. Their purpose is not to help people but to provide an ever-growing return for their investors. I don't give a **** about them losing their jobs at all.

Like most right-wingers you seem primarily concerned with people getting HC who didn't pay for it. It all seems to come down to money in the end for some folks.

Cycloptichorn


That's right - I pay for it. A lot of people don't but they still get the benefits. Therefore, it's free. There's also EMTALA, which provides free care.

You haven't shown that either life expectancy or cost, despite how easy they are to measure, actually have anything to do with the quality or superiority of the healthcare system in the given country. You just assume that long life = better healthcare while completely discounting even the possibility of genetic factors. I mean, given that, why not just measure it in rainbows and unicorns? You know, there is a graduate student thesis that shows a correlation between global warming and the decline of pirates.

I don't know a good way to "measure" healthcare. That's my entire point. It's way more complicated than the stupid one-dimensional measurements you're making.

Again, lower cost doesn't mean anything. That can easily be attributed to lower obesity rates, simply providing less to each person or any number of other things that you conveniently ignore. And it's only "superior" to ours in YOUR opinion. You haven't actually provided SUBJECTIVE measurements - for which you account for controls - which shows any system is better than any other.

The insurance industry is no more parasitic than the people it serves. You want them to provide you with a good or service that is worth more than what you pay them. That makes you a parasite, too.

Firstly, I'm not a "right-winger" at all. I tend to disagree with a lot of "right" ideals. But when did the idea of taking responsibility for oneself become a bad thing? What it comes down to, for me, is that people in this country are greedy. That goes for left and right. The right want their money, but the left wants the right's money too. There need to be concessions on BOTH sides, not just one.
spendius
 
  1  
Reply Wed 31 Mar, 2010 10:36 am
@Cycloptichorn,
Come on Cyclo--get into this occupation thing I've set you up to do. Are you a bit leery about giving credit to others sufficiently for you to not argue for what you claim to believe in.

If you are it might suggest that making a noise is your game rather than the health of the poor.

Start with Veblen's dictum--"Waste equals status, use equals odium".

It's incredible that there are no official statistics relating to health by occupation. Is it a giant cover-up which causes the most useful members of society, the lowest paid, the poor bloody workers, to pay higher HI premiums because of the danger of their jobs and the drones, in safe jobs, mostly useless, to pay the lowest because of the lack of danger in their's?

Give your President a helping hand.
0 Replies
 
Cycloptichorn
 
  2  
Reply Wed 31 Mar, 2010 10:40 am
@sstainba,
Quote:

I don't know a good way to "measure" healthcare. That's my entire point. It's way more complicated than the stupid one-dimensional measurements you're making.


One-dimensional?

Lower cost
Longer lifespan
Universal coverage

That's three dimensions of measurement right there. You haven't even shown a SINGLE dimension in which the US is supposedly superior.

Quote:

Again, lower cost doesn't mean anything. That can easily be attributed to lower obesity rates, simply providing less to each person or any number of other things that you conveniently ignore.


How does 'providing less' lead to longer lifespans and Universal coverage? How exactly are other countries providing less then ours does? I think you are basically making this up.

What are the 'other things' I'm ignoring? I find your 'genetically healthier' argument to be specious.

Quote:
I mean, given that, why not just measure it in rainbows and unicorns? You know, there is a graduate student thesis that shows a correlation between global warming and the decline of pirates.


This is not exactly correct. The 'Pirates vs. Global Warming' meme was created by the prophet of the Flying Spaghetti Monster.

http://www.venganza.org/

He created the famous graph:

http://www.venganza.org/images/PiratesVsTemp.png

If you're going to use cultural memes, take the time to get them right.

One way or another you are Appealing to Extremes and making a poor argument simultaneously: that we can't measure relative success of different health care systems. I do not accept this conclusion, because I think it is one that did not arise out of a study of the data, but instead your unwillingness to see the current system change.

Cycloptichorn
plainoldme
 
  1  
Reply Wed 31 Mar, 2010 11:17 am
@Cycloptichorn,
Infant mortality is always a way to measure health care and you boys are ignoring it
parados
 
  1  
Reply Wed 31 Mar, 2010 11:18 am
@sstainba,
sstainba wrote:



It makes perfect sense. The fact that my PRIVATE insurance plan doesn't cover certain things isn't "rationing". I get what I pay for.

As I said before, I'm speaking about Medicaid and Medicare and the "free government healthcare" types.

Ah, the perfect sense of claiming no one has to pay for Medicaid or Medicare.

You should ask a person on Medicare if they have never paid a dime for the coverage. You seem to not know the answer.
sstainba
 
  0  
Reply Wed 31 Mar, 2010 11:37 am
@Cycloptichorn,
Cycloptichorn wrote:

That's three dimensions of measurement right there. You haven't even shown a SINGLE dimension in which the US is supposedly superior.


I also haven't claimed that this system is superior. I don't feel the need to provide evidence for something I haven't even argued.

Cycloptichorn wrote:

How does 'providing less' lead to longer lifespans and Universal coverage? How exactly are other countries providing less then ours does? I think you are basically making this up.


Actually, I'd say it's you that is making it up. You are assuming correlation without evidence of existence. I'm arguing that your assumptions are unsupported. You are making the assumption that longer lifespans requires more medical care which isn't necessarily true. And I'm not sure that I said that "providing less" has anything to do with universal coverage. I simply said that "providing less" would decrease the dollar-per-person cost, which is what you kept talking about.

I'm not saying other countries *are* providing less, I'm simply saying that it's very possible and you don't know.

Cycloptichorn wrote:

What are the 'other things' I'm ignoring? I find your 'genetically healthier' argument to be specious.


Your belief isn't required for it to be true. Clarify: I'm not saying that it is, but it's also possible regardless of your resistance to accept that possibility. Do you not agree with my example that white people are "genetically healthier" than black people with respect to their inability to contract sickle cell?

Cycloptichorn wrote:

This is not exactly correct. The 'Pirates vs. Global Warming' meme was created by the prophet of the Flying Spaghetti Monster.

http://www.venganza.org/

If you're going to use cultural memes, take the time to get them right.


Yes, I know exactly where it came from. I actually own his book. He first developed that idea as part of a graduate project.

Cycloptichorn wrote:

One way or another you are Appealing to Extremes and making a poor argument simultaneously: that we can't measure relative success of different health care systems. I do not accept this conclusion, because I think it is one that did not arise out of a study of the data, but instead your unwillingness to see the current system change.


Unfortunately this isn't math class, so "extreme" is subjective at best. You think my analogies are extreme, but I do not. They are made to point out that they are just as valid as your measurements. You obviously disagree, so of course you'll consider them extreme.

And actually, I think I've made a good argument that you are making a poor argument. You cannot provide a single piece of empirical evidence of these measurements.

Find two patients with the same disease, undergoing the same treatments who have the same outcome in our country and one of the NHS countries. If you can do that and show that the care cost less (to both the individual and the government) for the person in the NHS country, you will have proven me wrong.

What you think of my motivation is irrelevant to my point that you cannot provide actual evidence of your claims. I NEVER ONCE said I do not want the system to change. And I'm certain that I said it absolutely SHOULD change - just NOT in the way you want it to. I believe that the changes you would have made would end up scuttling the entire system and leave it in worse shape than it is now. Your suggestions only result in the consumption of the system, not the replenishment.
Cycloptichorn
 
  1  
Reply Wed 31 Mar, 2010 11:47 am
@sstainba,
Arguing over the quality of our arguments is boring and I'm not responding to any of that. Suffice it to say that you have dropped several of my points, and if this were a debate, your failure to respond to them would be putting you in the losing column at the moment.

I have claimed that our system is not the best and shown that there are several factors in which other countries beat us. Your claim that there is no possible correlation between these factors and 'quality of care' or 'best system' is farcical; of course there is. It's just highly inconvenient for your argument to use these metrics, so you claim they are invalid.

Quote:

What you think of my motivation is irrelevant to my point that you cannot provide actual evidence of your claims. I NEVER ONCE said I do not want the system to change. And I'm certain that I said it absolutely SHOULD change - just NOT in the way you want it to. I believe that the changes you would have made would end up scuttling the entire system and leave it in worse shape than it is now. Your suggestions only result in the consumption of the system, not the replenishment.


Exactly what changes do you think should be made? And please, don't be trite and say Tort reform or selling insurance across state lines. Please.

Quote:

And actually, I think I've made a good argument that you are making a poor argument. You cannot provide a single piece of empirical evidence of these measurements.


Want to bet? I can provide you reams of data showing that the outcomes in other countries are comparable to ours and cost less money per person, per year. The 'genetically superior' argument you throw around doesn't explain this.

What more, we don't only pay a LITTLE more, we pay DOUBLE what most industrialized countries do for health care. How do you account for this fact in your theory for why our care costs more?

cycloptichorn
parados
 
  2  
Reply Wed 31 Mar, 2010 11:49 am
@sstainba,
Quote:

Find two patients with the same disease, undergoing the same treatments who have the same outcome in our country and one of the NHS countries. If you can do that and show that the care cost less (to both the individual and the government) for the person in the NHS country, you will have proven me wrong.

Do you not agree that a person taking a drug for high blood pressure in Canada would pay less than one taking it in the US?
http://www.house.gov/cummings/pdf/intl.pdf
Do you not agree that a person in Canada would respond the same way as a person the US do that drug? Or are you arguing that Canadians are genetically different from US citizens?

sstainba
 
  1  
Reply Wed 31 Mar, 2010 11:50 am
@parados,
parados wrote:

sstainba wrote:



It makes perfect sense. The fact that my PRIVATE insurance plan doesn't cover certain things isn't "rationing". I get what I pay for.

As I said before, I'm speaking about Medicaid and Medicare and the "free government healthcare" types.

Ah, the perfect sense of claiming no one has to pay for Medicaid or Medicare.

You should ask a person on Medicare if they have never paid a dime for the coverage. You seem to not know the answer.



That's not what I said. I suspect you know that. Someone does pay for Medicaid/Medicare, but it isn't necessarily the person consuming it.
JTT
 
  1  
Reply Wed 31 Mar, 2010 11:52 am
@spendius,
Quote:
But we vote for who tells them, and us, what to do


I could be wrong but didn't I hear you mention that you don't vote, Spendi.
0 Replies
 
sstainba
 
  0  
Reply Wed 31 Mar, 2010 11:52 am
@plainoldme,
plainoldme wrote:

Infant mortality is always a way to measure health care and you boys are ignoring it


No, it is absolutely not. It should be ignored because the medical protocols for dealing with infants and even the definition of "infant" is different between countries. Further, that statistic has zero meaning if it is separated from the statistics for premature birth rates.
parados
 
  1  
Reply Wed 31 Mar, 2010 11:55 am
@sstainba,
Quote:

That's not what I said. I suspect you know that. Someone does pay for Medicaid/Medicare, but it isn't necessarily the person consuming it.

oh.. so you are arguing that rationing is OK if someone is paying for the coverage

That leads me to conclude those that are paying for Medicare can be rationed.

That means Medicare can be rationed doesn't it?
0 Replies
 
sstainba
 
  1  
Reply Wed 31 Mar, 2010 12:17 pm
@Cycloptichorn,
Cycloptichorn wrote:

Arguing over the quality of our arguments is boring and I'm not responding to any of that. Suffice it to say that you have dropped several of my points, and if this were a debate, your failure to respond to them would be putting you in the losing column at the moment.


So... you say I failed because I don't respond to some of your points *right after* saying that you're not going to respond to mine? Yes... clearly I'm losing the logic battle.

Cycloptichorn wrote:

I have claimed that our system is not the best and shown that there are several factors in which other countries beat us. Your claim that there is no possible correlation between these factors and 'quality of care' or 'best system' is farcical; of course there is. It's just highly inconvenient for your argument to use these metrics, so you claim they are invalid.


Where, exactly, did I claim that there is no possible correlation? You are applying double standards to every single thing you type here. You are using subjective, uncontrolled measurements simply because they are convenient for your argument.

Since we're comparing "quality of care" and all...
Quote:

Patients who have major operations on the National Health Service (U.K.) are four times more likely to die than Americans undergoing such surgery, according to a new study.

The difference in mortality rates was blamed on long NHS waiting lists, a shortage of specialists and competition for intensive care beds.

The joint study, carried out by University College London and a team from Columbia University in New York, found that patients in Britain who were most at risk of complications after major surgery were not being seen by specialists and were not reaching intensive care units in time to save them.

The study followed 1,100 patients at the Queen Alexandra Hospital in Portsmouth and compared them with 1,000 patients who had undergone similar major surgery at the Mount Sinai Hospital in Manhattan.

The results showed that just under 10 per cent of the British patients died in hospital after major surgery, compared with 2.5 per cent of the American patients.


Cycloptichorn wrote:

Exactly what changes do you think should be made? And please, don't be trite and say Tort reform or selling insurance across state lines. Please.


They are several pages back. You can go read them if you actually want to know what I think. I suspect you do not.

Cycloptichorn wrote:

Want to bet? I can provide you reams of data showing that the outcomes in other countries are comparable to ours and cost less money per person, per year. The 'genetically superior' argument you throw around doesn't explain this.


Ok. Let's see it. I don't think I "threw around" the argument, I only pointed out that it is a factor that you are willfully ignoring.

Cycloptichorn wrote:

What more, we don't only pay a LITTLE more, we pay DOUBLE what most industrialized countries do for health care. How do you account for this fact in your theory for why our care costs more?


I'm still waiting on the reams on data that actually show we pay double for the same services rendered...
Cycloptichorn
 
  1  
Reply Wed 31 Mar, 2010 12:30 pm
@sstainba,
Start here....

http://economix.blogs.nytimes.com/2008/11/14/why-does-us-health-care-cost-so-much-part-i/

Quote:
Ok. Let's see it. I don't think I "threw around" the argument, I only pointed out that it is a factor that you are willfully ignoring.


There's no evidence to support your theory of genetic superiority. It's a factor you have included with the sole intention of derailing all other factors of consideration. No matter what other points are brought up, you just circle back to this one as if it explains everything.

Quote:

So... you say I failed because I don't respond to some of your points *right after* saying that you're not going to respond to mine? Yes... clearly I'm losing the logic battle.


Arguing over the quality of our argumentation is not the same as arguing over the merits of our data points. That should have been obvious, but apparently you don't understand the distinction.

Quote:

They are several pages back. You can go read them if you actually want to know what I think. I suspect you do not.


I don't have time to search through pages and pages of posts. Link to your ideas or summarize them.

Cycloptichorn
Walter Hinteler
 
  2  
Reply Wed 31 Mar, 2010 12:48 pm
@sstainba,
sstainba wrote:

No, it is absolutely not. It should be ignored because the medical protocols for dealing with infants and even the definition of "infant" is different between countries. Further, that statistic has zero meaning if it is separated from the statistics for premature birth rates.


You are wrong here:

- only very few countries don't follow the WHO definition of 'infant'
- premature births are included in that number.
(Only France, the Czech Republic, Ireland, the Netherlands, and Poland do not report all live births of babies under 500 g and/or 22 weeks of gestation.)
sstainba
 
  1  
Reply Wed 31 Mar, 2010 01:19 pm
@parados,
parados wrote:

Quote:

Find two patients with the same disease, undergoing the same treatments who have the same outcome in our country and one of the NHS countries. If you can do that and show that the care cost less (to both the individual and the government) for the person in the NHS country, you will have proven me wrong.

Do you not agree that a person taking a drug for high blood pressure in Canada would pay less than one taking it in the US?
http://www.house.gov/cummings/pdf/intl.pdf
Do you not agree that a person in Canada would respond the same way as a person the US do that drug? Or are you arguing that Canadians are genetically different from US citizens?


I was more referring to procedural types of treatments and not so much drugs because they are a retail type of thing. But fair question I suppose. The reason I wasn't really considering regular prescription types of drugs is that they can be bought in bulk for discounts and the pricing largely has to do with the quantity purchased. I imagine they are less in Canada at least party due to a contractual agreement to buy a set number of doses, regardless of their use. That obviously wouldn't be the case in here in the US where it would be on a per-dose basis.

And while I may not like it, I can understand that those without insurance are changed more for similar reasons to what I said above. It's all about wholesale pricing and contracts. And of course, they are still a business and I'm sure they try to recoup some of the money from these people that they lose on others.

I'm curious though, why this price difference is only important with respect to healthcare goods and services. The same food also costs different prices and the same car has a different price between Canada and the US. I'm not sure what makes healthcare some special product that isn't allowed to follow those same rules.
 

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