While some conservatives claim that Obama wants to kill your granny I hesitate to accept that as Obamas sole reason for pushing the health care reform.
From the private insurers point of view it makes perfect sense to oppose the reform ... if they didn't, they'd face an immense decline in profits if either the government option provides better care or if regulations bar insurers from avoiding costs by their current methods.
But it's a bit too simplicistic to merely claim that one party acts out of altruism (or a loathing of old ladies) and the other out of greed.
So, what do you think are the driving motives in this dispute ?
(Note that I don't ask you what you think is the better solution.)
Pro (Motives of the health care reform advocates):
Con (Motives of the health care reform opponents):
Two key issues that make the health care reform necessary in the eyes of the proponents are quailty and cost.
Quality has been discussed to death and information (and misinformation) is freely available.
Cost is harder to estimate - one simply can't understand what estimated costs of trillions of dollars over decades means for your paycheck. So I started a different thread where I want to compare the personal average cost of health care in different countries.
For example: German average gross income is about €2,500. After deductions (including health insurance) a single person without kids gets to keep about €1,500.
And what can germans do with that money in germany? Why, buy beer, of course. €1,500 get you 1,200 litre of high quality Pilsener beer - twice as much if you don't care about quality and go for the cheap labels.
Health care costs: €185 per month (currently $264)
Cheers!
I won't.
Because you're blind, deaf, and dumb if you believe this.
If not... Then I accept the sarcasm as it was meant.
HG, could you possibly be saying something less relevant? Old people don't have kids. If someone on medicare is having children, someone needs to shoot them. The risk of severe retardation at that age is obscene.
To paraphrase a programmers idiom:
Person 1: "We have a problem!".
Person 2: "I know! We'll get government to fix it!".
Well, now you have two problems.
You may infer from my idiom that I am opposed to government controlled health care (or government controlled prety much anything).
You would be right. All you get when you ask government to fix a problem is the original problem, with the government superglued to it. The problem still exists, but, by God, it now has a government stuck to it, so it must be better.
Here's the big question:
What do you get when you ask government to do something for you? You get an agency (bureaucracy) to oversee it.
What is the primary goal of a bureaucracy?
The primary goal of a bureaucracy is the perpetuation of the bureacuracy. The original 'purpose' of the bureaucracy comes in at a distant second.
If actually solving the problem would result in the cessation of the bureaucracy, then the bureaucracy will *never* solve the problem.
Now, we get to health care controlled by the government.
It *will* be a bureaucracy. If you think otherwise, you're naive.
Here's another bit of info to digest:
The 'goverment must control health care' group quotes the 'statistic' that some 46 million people are without insurance.
The truth is that of those 46 million, the majority are either eligible for insurance from their employer (but choose to not take it), or make more than $75,000 a year, and could afford it if they choose.
Once you get down to it, there might be as many as 6 million who don't have insurance, and don't have easy access to it.
Given that, why don't we spend our time and effort so that we can provide those outliers with insurance, rather than trying to force everyone into a one size fits all program?
Now, we come to the point where the nanny state advocates rail against the 'profits' gained by the 'evil' insurance companies.
Well, here's an interesting issue for you. The power that the insurance companies currently have? Yeah, that comes as a direct result of government intervention.
The laws that mandate specific coverages. The laws that state that insurance companies cannot compete across state lines.
And many more. These are the direct results of lobbying by various interests, with the result that they limit the options available to individuals.
There's room for reform of the current health care landscape. Those reforms are best accomplished by enabling the free market and competition, not by giving even more power to a central authority of any sort (especially government)
Contrary to the beliefs of some, there is nothing wrong with making a profit. That's how real work gets done.
There *is* a problem, caused entirely by the existence of a large and powerful government, with industries that lobby that government for special favors, because those favors give them a government supplied advantage to potential competitors.
We don't need government to provide health care. Done right, we can cover the outliers with sensible changes to the base rules, and letting the free market do its job.
The relevancy is that not always is ones impact on society apparent during their lifetime, and In my hypothetical scenario the impact would have out weighed the cost. surely I figured you would have been able to gleen a bit of the meaning without having to pick it appart.
Also your saying they spent over 1.2 million to beat it? on average the typical highschool graduate earns 1.2 mil over their life time.. so either many of your family never graduated atleast highschool muchless college, or the treatments were in excess of 1.2 mil on up depending on how many children he had.
over an adult's working life, high school graduates can expect, on average, to earn $1.2 million; those with a bachelor's degree, $2.1 million; and people with a master's degree, $2.5 million.
Persons with doctoral degrees earn an average of $3.4 million during their working life, while those with professional degrees do best at $4.4 million
Aleatoric, well said.
HG_Eliminator, 4.4 million over a lifetime of ~74 years amounts to around 60,000 per year.
If taken from the 18th birthday, it would be closer to 78.5k per year.
And that is with a 'professional degree' (as you put it - something past a Doctoral degree) from the 18th birthday.
And the number of people that make such a great impact that is only apparent after their death is very small indeed.
If, as you say, the average highschool student earns 1.2 million over their lifetime - then they would make an average of 21.5k per year from age 18. Just enough to get by on, but not enough to pay for a projected cost of their entire lifetimes of earnings to go to health care - especially in their later years.
And since most people fall into this group, what makes Obamacare so affordable?
Even if most fell into 'Group #2' with twice the income, the outcome would be the same. There is not enough money in taxes to cover the expenses unless you increase taxes to such a degree that no one will have any incentive to make more money.
Particularly pages 425-430. Mandatory end of life canceling and limited care for older people is in the bill. This is one way that socialized medicine in other countries cuts costs, because older people typically have higher health care costs.
Control = reelection. If lobbyists supply you the money you need to run expensive reelection campaigns and the voters depend on you for their retirement and health care, it makes it more likely that you can get reelected.
We need health care reform. They should start with the programs that they already control, Medicare, Medicaid and the VA health services. We need tort reform. About 25% of all testing is CYA by the doctor to limit lawsuits and medical malpractices insurance adds a lot to their overhead.
The bottom line is that we can’t afford the plan before congress now. And it isn’t a good plan for those that would be on it. This is how you can tell-an amendment was introduced into a house committee that would have made it mandatory for all congressmen to be covered by this plan and it was voted down within an hour. If the people creating the plan don’t want it for themselves or their families—then you don’t either
The Doublegood Think police think this is a wonderful Idea. They can also install monitors in your home and when you use the word nagger you can be arrested as a racist...
Because its too close to another word that has such 'terrible' conotations....
That word is bad let's strike it from our language.
OKAY make its so. The office of the ThinkSpeech is born. See 1984 for more WONDEROUS examples of what government is trying to get done here...
Meech Lake (Failed by some Alberta's natives & by Newfoundland (not yet tied with a silly Labrador ampersand) prime minister intervention & indirectly by the Night of the Long Knives backstabbing of other Provinces against Québec) or Charlottetown constitutional "agreements" about First-Nations rights & distinct society amendments (Which only New-Brunswick, Newfoundland, Ontario, PEI & NT (soon be split into TWO Nunavuts territories) voted for, btw)?
Or the Québec's sovereignty **Local** Referendum on 30/10/95? That resulted in a 50.6 to 49.4 democratically & extremely slim margin, IIRC... with a 96%+ participation ratio (some of which freshly received as Canadian and International immigrants into mostly Montréal urban area.) Need i remind you of the "Sponsorships Scandal" commission which proved that a result could be bought or influenced enough to tilt in favor of a country suddenly aware that unilateral secession was quite legal & probable?
None of which were about French/English "relations" but more about specific political controls over de-centralization of some economic sectors & focused development decisions that concern provincial populations at best.
PS; sorry for straying a bit off-topic but i HAD to ask which "Referendums" you meant, the_Monk.
You think that American doctors make millions of dollars every year?
Are you taking crazy pills?
Just a little acticle that was written in "LA RESSE" on August 19th 2009 in Québec.
In english Via bable fish translastions sinc ei am short on time. But I did a few translation corrections so it make sense and proper sense.
Basicaly the Canadian healtcare systemt hat teh oposition is bad mouthing to try and prevent this reform will find it's self improved by the U.S. reform. For the simple fact that the salaries of doctors in the U.S. (highest in the world by a long shot) will go down some bit. So this should help stem the bleeding tide of the doctors we have going south.
Canada shouldn't blame the United States for losing its best doctors. Its not our fault they pay their doctors less than we do. If Canada wants to attract and keep good doctors it should consider increasing salaries for them.
I never stated obama care was affordable nor was I promoting it.. infact if you read all of my post, I believe if they get involved they will fubar it, Goverment has a way of messing things all up..
What I said tho is the people are getting tired of working their whole lives and not being able to afford health care, because of the rampant prices to be treated.. and if the Medical profession wont listen then the people will turn to the government to step in.. as is what is happening now.. The Top heavy Medical administration really need to decide if they must have 2 summer homes, a villa in Tuscany, a $80,000 a year membership to a country club.etc or which Roll's to buy for the Mrs...while the majority of the work force dies off before ever getting a chance to retire.
And I was Making the point to psychoak that having the scrooge like attitude that the poor should die off quicker to ease the burden on the wealthy, could have catastrophic ends. Not all great contributors to society came from wealth, so to lessen the value of their contributions to the world is absurd. As well as not all contributions to society can be measured by ones dollar worth.. Rousseau Died broke and alone, but his contributions to society and the awareness of our contract to each other is imeasureable..
Lets say the Water companies decide to act like the Healthcare profession and raise their prices 500% Why not ? they give life sustaining water to the masses. Without it people would die so why not milk them for all they can too? If they tried it there would be over night rioting, the Healthcare profession has done it slowly over years..but it is coming to a head.
As i said earlier If the Healthcare Corporation wont start trying to reform/regulate them selves, the people ( for the good or bad) will get the Gov involved.
Nobody forces any of these doctors to stay or leave. It's THEIR personal decisions... if they're in this sector for the money (Be it US or Canadian), they weren't carefully listening in some ethics class when the subject of vocationals "Oath to Life" came into focus.
Or perhaps they think that their training and abilities are more valuable than what public healthcare offers? I suppose it's unethical to ask for a raise when you need to finance the education of your children, right? Why do teachers' unions lobby for higher salaries? Shouldn't teachers accept their role and put "ethics" ahead of salary?
Money is not evil.
For example, several years ago we held a referendum here in Canada in relation to the French/English issue (a fairly hot button topic here in Canada). The ensuing vote ended in a 49%/51% split. In the US, that may have been grounds for a civil war. In Canada it was more like "Ok, the vote is done, the people have spoken, it is what it is, let's go home". I do not see this as weakness of conviction but rather respect for the democratic process whether it supports your convictions or not.
(Brad here posting under my Draginol account)
Every country likes to talk about cultural diversity but Canada is basically 90%+ European descent. It's like Britains debating the differences between Wales, Scotland, and England.
In the United States, when I speak of diversity, I don't mean it in the nice, tolerant sense but rather very very deep suspicions and groups with vastly different outlooks on what individuals should be responsible for and what society should be responsible for that are simply irreconsolible (however you spell that <g>).
And no, the US has had 51/49 issues on very key things for years and we don't have civil wars about them.
There is something else I read (but forgot about) and just heard again from an investigative reporter whose work I trust: Greg Palast.
Before the conservative right starts dissing anything he says on behalf of him being a partisan liberal (which he isn't), please read this first:
Greg Palast is against the health care reform if the drug company bargain deal cuts in.
What concerns him specifically are behind-closed-doors negotiations with drug companies. The article I read had something to do with drug companies suddenly supporting the health care reform efforts in exchange for some shady deal.
In essence Obama allegedly agreed to stop trying to legalize importing drugs from countries and the government will be barred from bargaining prices.
Link to the interview: http://www.gregpalast.com/Podcasting/09_08_20_palast.mp3
(The interview is rather long, but the relevant stuff is mentioned in the first five minutes.)
Quite disturbing and another motive to oppose the reform as long as that deal stands.
Was this topic highlighted prominently anywhere in the media?
I have felt (since young adulthood) that ANY deal that can't stand the light of day:
1. Is probably corrupt.
2. Has some shameful and/or criminal element/activity involved with it.
3. Should be exposed by any/every legal OR illegal means possible.
4. The conspirators/knowing parties to the activity be prosecuted without a shred of mercy.
5. The Constitutional Amendment (The Eighth Amendment) forbidding "cruel or unusual punishments" not hold true for politicians and others conspiring against humanity of any nationality.
Okay I didn't get to finsih that post since I had to go to class. But what it means for americains is simple. It means the wait times you see in Canada in the opposiion's scare tactics is simply just that scare tactics for the problem they are pointing is not a problem of the Canadian healthcare system but one cause by their neighboor.
Also you shoud point out how much more money your wasting on doctor salaries: http://www.worldsalaries.org/generalphysician.shtml Lower more reasonable salaries woudl have mean't cheaper healtcare and thus more people would have been able to get covered by the private insurance compagnies, MAYBE.
As for being unetical to ask for a raise, your only taking nto account a US system once more as in other contries that is also mostly free. I would also mention that even here in Canada should a Doctor want to pay a private school for children they can easyly. A boat is also a very commond thing. Basicly their isn't a Canadian doctor should envie to a US doctor in terms of qualaty of life except for the bigger pay check. US doctors become millionaires. Canada theya re the wealtiest people that recive a paycheck.
Those of us opposed to UHC and those of us who favor it should be very skeptical of the PhRMA deal. It doesn't pass the smell test.
Well pharmaceudicals have always been over pricing their medication. The biggest fraud in the whole of the healtcare system in every contry is the Pharmacedical Compagnies. Now there is something that will requirer a world effort to look into, investigate and regulate the pricing. Also I would point out that the majoraty of medication pharmacedicals research and produce are medicationt hat will not cure you, but rather keep your healty as long as you keep taking the medication. Why because they can make more money on you if you need to take a pill for the rest of your life instead on takign 20 and being cured.
To find real cures that will truely cure you it's gorvenement funded labs that find and develop them. Even those those gouv labs are much fewer in number to private labs they find more REAL cures then private labs. Hell I wouldn't be surprised at all if we would one day discovered that a rpivite lab found a cure to a deasseas but instead created a treathment you need to take forever. I dunno but to me the more I look into how the healtcare works on a private for profit system the more I see that we are gettign ass fucked by it.
And yet, all and every Doctors' public Education (as in College, University, etc) isn't free either in Canada.
We simply ship 'hem out to the US after investing costly knowledge into their upcoming carreers all trained & qualified ready for highest paid jobs.
Now, that's ethics. Gift-wrapped.
You're welcome.
There are so many things wrong with this post I simply don't know where to begin.
In most of the world, drugs are artificially cheap. You simply are not paying the full cost of R&D, and are stiffing the US for it. You sure don't seem to mind benefitting from our research, but you don't pay for any of it. Drug companies do not make excessive profits considering the risks they take on in going about their business. I earlier mentioned that researching a new drug may cost half a billion dollars; that was in no way an exaggeration.
Not only that, for every drug that makes its way to market, there are dozens of other blind alleys the researchers explored. Those are slightly less expensive, but still tack on untold millions in R&D costs. Failures generally cost less becaause they can stop researching them if they find an obvious problem. They still aren't free.
I don't know about how the Canadian system of public research funding works (poorly, I assume) but in the US public grant funding is probably the most wasteful way of funding research known to man. I work at a university, and see the logistics behind grant funding first hand. You would not believe how much money gets spent on computers, office furniture, unnecessary equipment, etc simply because the money goes away if they don't spend it before an arbitrary deadline. I kid you not, I've seen a professor buy an iPod with federal grant money. It was billed as an "80gb mobile media presentation device". (In his defense, he *did* use it as a mobile hard drive to carry around powerpoint presentations and stuff.) One got so much money from No Child Left Behind (and other similar programs in earier administrations) that he handed out laptop bags, T shirts, coffee mugs, etc instead of buisiness cards at events. Ironically, looser controls on how money is spent from federal grants would result in more of the money getting spent on what it was intended for.
The only possible legitimate point you have is the possibility of suppressing cures in favor of treatments. Good luck proving something like that, though.
A couple points from the article I posted, which either no one read or no one felt worth commenting on:
For fun, let’s imagine confiscating all the profits of all the famously greedy health-insurance companies. That would pay for four days of health care for all Americans. Let’s add in the profits of the 10 biggest rapacious U.S. drug companies. Another 7 days. Indeed, confiscating all the profits of all American companies, in every industry, wouldn’t cover even five months of our health-care expenses.
That's from page three. This is from page 4:
Consider the oft-quoted “statistic” that emergency-room care is the most expensive form of treatment. Has anyone who believes this ever actually been to an emergency room? My sister is an emergency-medicine physician; unlike most other specialists, ER docs usually work on scheduled shifts and are paid fixed salaries that place them in the lower ranks of physician compensation. The doctors and other workers are hardly underemployed: typically, ERs are unbelievably crowded. They have access to the facilities and equipment of the entire hospital, but require very few dedicated resources of their own. They benefit from the group buying power of the entire institution. No expensive art decorates the walls, and the waiting rooms resemble train-station waiting areas. So what exactly makes an ER more expensive than other forms of treatment?
Perhaps it’s the accounting. Since charity care, which is often performed in the ER, is one justification for hospitals’ protected place in law and regulation, it’s in hospitals’ interest to shift costs from overhead and other parts of the hospital to the ER, so that the costs of charity care—the public service that hospitals are providing—will appear to be high. Hospitals certainly lose money on their ERs; after all, many of their customers pay nothing. But to argue that ERs are costly compared with other treatment options, hospitals need to claim expenses well beyond the marginal (or incremental) cost of serving ER patients.
In a recent IRS survey of almost 500 nonprofit hospitals, nearly 60 percent reported providing charity care equal to less than 5 percent of their total revenue, and about 20 percent reported providing less than 2 percent. Analyzing data from the American Hospital Directory, The Wall Street Journal found that the 50 largest nonprofit hospitals or hospital systems made a combined “net income” (that is, profit) of $4.27 billion in 2006, nearly eight times their profits five years earlier.
Just some food for thought.
The full article is here. http://www.theatlantic.com/doc/200909/health-care
Please note I don't support his conclusions at the end, but at least he has some idea of how we got here, and what the issues we need to address are.
So you're saying that american pharma corporations are too inefficient to face the challenges of a free market?
Well, I'm glad that we reap the benefit of a Canadian taxpayer-funded education. Perhaps your system is flawed then, hm?
No, all he's saying is that developing life-saving drugs is expensive and time-consuming. Currently the free market does exist for pharmaceuticals; several companies compete in the market for drugs.
There are many great features available to you once you register, including:
Sign in or Create Account