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The Sentimental Nature of the Liberal Socialist

I was referring to a recent case of a woman who died because of clear negligence.

Ah, so socialized medicine eliminates negligence...got it.



People should not be sentenced to death because of poor choices.

Depends on what the choice is about. Choosing to commit genocide warrants a bit more than a few months probation, imo.

And people are very, very different than cars. True enough

At what point do we say "that person is no longer worthy of medical care". MM seems to think it is at age 90 or those equivalent to a '65 Rambler in poor condition. (yanking er chain, MM). Why limit the "acceptable risk" philosophy to medicine? Should a fireman rescue a 90 year old man from a house engulfed in flames? Who judges such matters?
 
It is a balancing act, but I don't think the US does it well. We have the highest expenditure on healthcare per capita in the world and the 37th best healthcare system. Somewhere along the line, we are fucking up.

What's driving medical costs?

-- Medical technology: New medical devices and the latest pharmaceuticals are pushing prices up fast.

-- Litigation: The rising cost of malpractice insurance is also increasing the practice of defensive medicine.

-- Uninsured: The growing number of uninsured is an increasing burden on the medical establishment.

-- Administrative costs: Health bureaucracy consumes money that does not go directly to patient care.

IN CRITICAL CONDITION: HEALTH CARE IN AMERICA
How the health care system is failing -- and why it's hard to fix
http://sfgate.com/cgi-bin/article.cgi?file=/c/a/2004/10/11/MNGII96CVP1.DTL
 
Government is inefficient because its government, not because its the American government. Do you have any reason for thinking that government is more incompetent in America than in other nations?

I think the real point would be that u just admited government is inefficient

Yes, demand will go up in the short term. But once we correct for the last minute surgeries that we need massive amount of doctors for, overall demand will stay the same or go down. Again it is vastly more efficient to remove a small tumor than it is to remove a large one last minute.

This is pure speculation and that coupled with admitted government inefficiency it is highly unlikely we will see any improvement over the current system.

Again...any reason to think that we can't?

Past performance is the best indicator of future performance

Nope, it wouldn't require a tax increase. If we managed to make our system as efficient as Britains, we would lop off half of the overall price of healthcare today. Know how much the feds pay today for healthcare in the US? Around 50%. Hey guess what...it about evens out.

Again pure speculatin. There is no reason to what so ever to believe that our govenment is magically going to become efficient in running itself.

Addressing quality, two points. First of all quality is useless if 1/3 of Americans can't afford to get it.

And the exact opposite can be said as well. healthcare for all is useless if said quality sucks. Which is what would happen. Part of a govern,ent solution will invariably entail most doctors taking a pay cut which will make the profession less attractive, which will lead to lower standards.
 
You remember that from a British propaganda rag that never backs up its sources. Funny how that was the only place that reported it.

By the way, if the US one is so great why are people dying in ER rooms?

Why not? You can't save everyone. My uncle was an ER doc. Your statement is ridiculous.
 
Ah, so socialized medicine eliminates negligence...got it.

It was negligence that stemmed from the hospital staff being continually overworked.

Depends on what the choice is about. Choosing to commit genocide warrants a bit more than a few months probation, imo.

*sigh* congrats on taking it out of context.

I think the real point would be that u just admited government is inefficient

Yes it is. That does not mean it is more inefficient than the private sector in all things.

This is pure speculation and that coupled with admitted government inefficiency it is highly unlikely we will see any improvement over the current system.

Not really. I explained to you how I came to that conclusion. If you have a different one feel free to make an assertion and explain it.

It is irrelevant that government is inefficient. What matters here is which is MORE efficient...government or private healthcare? And if you look at how much each country spends on healthcare and how good their healthcare is, the anwser is clearly, obviously, government is more efficient.

Past performance is the best indicator of future performance

The US government failed at its past NHS plan?

Again pure speculatin. There is no reason to what so ever to believe that our govenment is magically going to become efficient in running itself.

Which isnt what I claimed. I said AS efficient as Britain. Or do you think the American government is somehow vastly more incompetent than the governments of most European nations?

And the exact opposite can be said as well. healthcare for all is useless if said quality sucks. Which is what would happen.

Now who is speculating? Oh and the facts disagree with you.

Part of a govern,ent solution will invariably entail most doctors taking a pay cut which will make the profession less attractive, which will lead to lower standards.

invariably entail? Bullshit.

Why not? You can't save everyone. My uncle was an ER doc. Your statement is ridiculous.

As I said before...

I was referring to a recent case of a woman who died because of clear negligence.
 
One request before I tackle your actual arguments. Could you please quote as below so it doesn't look like the same person said all that?

It was negligence that stemmed from the hospital staff being continually overworked.

and that would end with government control of healthcare how, exacltey?


Yes it is. That does not mean it is more inefficient than the private sector in all things.

Again the only inefficiency that our system has, which really isn't an inefficency at all, is the price of healthcare. Our government has shown that it is more inefficient than the private sector in almost everything. Hell, when the government wants to build a road, who do they hire? private contractors.

Not really. I explained to you how I came to that conclusion. If you have a different one feel free to make an assertion and explain it.

It is irrelevant that government is inefficient. What matters here is which is MORE efficient...government or private healthcare? And if you look at how much each country spends on healthcare and how good their healthcare is, the anwser is clearly, obviously, government is more efficient.

One, you have cited nothing to back any of this up. However i have spent considerable time in Canada which does have socialized medicine and no one that I have talked to from there has anything good to say about it.

And I will explain to you why your conclusion is extrememly flawed. As i understand you believe our healthcare system and health of our nation will improve if we move to a more preventetive style of medicine. Well first off most of the major ailments that kill Americans can be prevented without haveing to ever see a doctor. So again a large chunk of this prevention battle is getting people to make the right choices in terms of their health. that aspect of it has absolutely nothing to do with the healthcare system. You can change the hospitals the doctors and the prices all you like, but it will not change the choices people make. the only way to do that is to legislate teh choices you allow people to make and to do that is wrong.

You mentioned one aspect of prevention though that if healthcare was free more people would have regular doctor visits and more illnesses would be caught earlier. that will be true for some, however it also brings up my economic argument. By making healthcare free you have increased demand for it, when price goes down, demand goes up. We have all been to the doctor before and know what the wait is like. Now consider that instead of 50 people trying to see the doctor each week (because only 50 people can afford it) 75 people are trying to see the doctor each week (that would be the 1/3 that currently can't pay for it according to you). You can see the math, with more people there are going to be longer waits. This is the main complaint of the Canadien population and it makes perfect sense. It's easy in Canada to have the rare illnesses treated quickly by a specialist because the rarity of the condition means means there is less demand for the specialist. Price doesn't figure that heavily into demand because of the rarity of teh condition. In that instance it is on par with the U.S. But when you get to things like the everday cold or in the specific case my friend had, a knee replacement, You will have to wait a very long time, 2 yrs in his case. that is the flaw of socialized medicine. And is also the reason why your prevention scenario is unlikely. The increase in demand for medical services will in effect prevent your prevention aapproach, because the increased demand will put us at teh least right back where we are now, where people end up haveing to wait to long and their conditions not be caught in time

Which isnt what I claimed. I said AS efficient as Britain. Or do you think the American government is somehow vastly more incompetent than the governments of most European nations?

Admittedly it would pure speculation on my part because I have no experience with British beauracracy, but I would guess, yes they are.



Now who is speculating? Oh and the facts disagree with you.

It's speculation based on economic models that have proven to be accurate almost every time.



invariably entail? Bullshit.

Then you will have to explain to me specifically how see it that the government will be able to:

pay doctors what they currently make,

AND

maintain the quality we have today and/or improve it

AND

not raise taxes to do it
 
and that would end with government control of healthcare how, exacltey?

The government does not need to make a profit.

Again the only inefficiency that our system has, which really isn't an inefficency at all, is the price of healthcare. Our government has shown that it is more inefficient than the private sector in almost everything. Hell, when the government wants to build a road, who do they hire? private contractors.

No, it is inefficient to have a system where it is so expensive that many people cannot afford routine doctor checkups...but yet they can afford to go to the ER room at the last minute.


One, you have cited nothing to back any of this up. However i have spent considerable time in Canada which does have socialized medicine and no one that I have talked to from there has anything good to say about it.

Yes I have. WHO reports and per capita healthcare spending. They point to a severely flawed system in the US whereas these socialist systems do much, much better.

And I have spent considerable time in Australia and everyone liked the healthcare system there.


And I will explain to you why your conclusion is extrememly flawed. As i understand you believe our healthcare system and health of our nation will improve if we move to a more preventetive style of medicine. Well first off most of the major ailments that kill Americans can be prevented without haveing to ever see a doctor. So again a large chunk of this prevention battle is getting people to make the right choices in terms of their health. that aspect of it has absolutely nothing to do with the healthcare system. You can change the hospitals the doctors and the prices all you like, but it will not change the choices people make. the only way to do that is to legislate teh choices you allow people to make and to do that is wrong.

A large part of it is ALSO getting people to go and see doctors, which they won't do unless they can't afford it. Do you honestly think its not a problem that people can't afford to go to the doctor? Do you honestly think its more efficient for us to try and operate on people when they come into the ER room, as opposed to doing it years earlier?

You mentioned one aspect of prevention though that if healthcare was free more people would have regular doctor visits and more illnesses would be caught earlier. that will be true for some, however it also brings up my economic argument. By making healthcare free you have increased demand for it, when price goes down, demand goes up. We have all been to the doctor before and know what the wait is like. Now consider that instead of 50 people trying to see the doctor each week (because only 50 people can afford it) 75 people are trying to see the doctor each week (that would be the 1/3 that currently can't pay for it according to you). You can see the math, with more people there are going to be longer waits.

You may have to wait for non-emergency surgery, but it is much much better than having to wait when you are bleeding to death in an ER room.

This is the main complaint of the Canadien population and it makes perfect sense. It's easy in Canada to have the rare illnesses treated quickly by a specialist because the rarity of the condition means means there is less demand for the specialist. Price doesn't figure that heavily into demand because of the rarity of teh condition. In that instance it is on par with the U.S. But when you get to things like the everday cold or in the specific case my friend had, a knee replacement, You will have to wait a very long time, 2 yrs in his case. that is the flaw of socialized medicine. And is also the reason why your prevention scenario is unlikely. The increase in demand for medical services will in effect prevent your prevention aapproach, because the increased demand will put us at teh least right back where we are now, where people end up haveing to wait to long and their conditions not be caught in time

Just because you have a socialized system does not mean it will be perfect. If there is a 2 year wait for him, thats a problem. I'm unaware of any procedure in Britain that has a 2 year waiting period at this point.

It's speculation based on economic models that have proven to be accurate almost every time.

NOT in healthcare. Look at the facts Bern. We spent more per capita than any other country and we fall far below most of the socialized countries in our healthcare standards.


Then you will have to explain to me specifically how see it that the government will be able to:

pay doctors what they currently make,

AND

maintain the quality we have today and/or improve it

AND

not raise taxes to do it

Britain (which is a government, if you didn't know) has managed to do all of those things. If they can, why can't we?
 
The government does not need to make a profit.

so profit motive caused negligence? That's a little counter intuitive. Company's make profits based on performance. So a hospital that has negligent workers is going to have a hard time makeing a profit.

No, it is inefficient to have a system where it is so expensive that many people cannot afford routine doctor checkups...but yet they can afford to go to the ER room at the last minute.

A checkup every two years because that's how long it takes to see the doctor is hardly routine. You can't deny the basic economics of what you are proposing.


Yes I have. WHO reports and per capita healthcare spending. They point to a severely flawed system in the US whereas these socialist systems do much, much better.

Then we simply have a difference of opinion. You seem to believe the price of healthcare is more important than teh quality of it. I don't. The maount of time one has to wait to see a physician is an aspect of quality and in most countries with socialized medicine that aspect of quality suffers greatly in comparison to the U.S.

Yes I have. WHO reports and per capita healthcare spending. They point to a severely flawed system in the US whereas these socialist systems do much, much better.

where? I never saw any links or anything. What does WHO reports have to do with it? As for per capita spending again we simply disagree on the notion that the cost of healthcare is more important then the quality. per capita spending isn't a very good indicator that a countries health care system is a poor one because it doesn't take into account tech advantages that a country has over another nor does it take into account quality. It simply says it costs more here than there. You're telling me your primary decison makeing factor is price in being treated? You do that you'll get what you pay for.


And I have spent considerable time in Australia and everyone liked the healthcare system there.

Are they happty about how much they are taxed for it? Diuretic, if your around I would love to hear your take on this.


A large part of it is ALSO getting people to go and see doctors, which they won't do unless they can't afford it.

You may like to think that is a significant factor but it really isn't. People's over all health is far, far more influenced by teh health decisions they make, not by a doctor who happens to detect a tumor early in 1 out fo 100 patients.

Do you honestly think its not a problem that people can't afford to go to the doctor? Do you honestly think its more efficient for us to try and operate on people when they come into the ER room, as opposed to doing it years earlier?

Of course not being able to afford it is a problem. I also believe a government solution is far from the best solution to that problem.

To think that the condition in your second question will magically go away if health care is free simply isn't likely.

You may have to wait for non-emergency surgery, but it is much much better than having to wait when you are bleeding to death in an ER room.

This assumes that the reason people are waiting in ERs is because the majority of the people there may not be there if they had a preventable condition. Can you prove that?

Just because you have a socialized system does not mean it will be perfect. If there is a 2 year wait for him, thats a problem. I'm unaware of any procedure in Britain that has a 2 year waiting period at this point.

And i belive it is more imperfect to sacrafice quality for cost.


NOT in healthcare. Look at the facts Bern. We spent more per capita than any other country and we fall far below most of the socialized countries in our healthcare standards.

Taht doesn't mean we have flawed healthcare. It doesn't mean we have bad doctors or poor facilities. It simply means it's expensive and as with most things your going to pay more for better quality. I hear you can get a kidney translpant cheap in the Indonesian black market. That'll be your first choice when you need one right?


Britain (which is a government, if you didn't know) has managed to do all of those things. If they can, why can't we?

I'm going throw out a guess and say they pay more in taxes than we do.
 
so profit motive caused negligence? That's a little counter intuitive. Company's make profits based on performance. So a hospital that has negligent workers is going to have a hard time makeing a profit.

When will it become clear to you that hospitals aren't like other companies?

Ever been in an ambulance? They don't exactly ask you which ER you'd like to go too.

A checkup every two years because that's how long it takes to see the doctor is hardly routine. You can't deny the basic economics of what you are proposing.

It does NOT take 2 years to get a checkup in countries with NHS systems.

Then we simply have a difference of opinion. You seem to believe the price of healthcare is more important than teh quality of it. I don't. The maount of time one has to wait to see a physician is an aspect of quality and in most countries with socialized medicine that aspect of quality suffers greatly in comparison to the U.S.

gar...The US healthcare system is ranked 37th in the world...BEHIND Canada. Yes, you have to wait longer to see a doctor in Canada, or Britain, or countries with NHS, but the overall level of care is better because everyone gets to see a doctor. I don't consider it high level quality care if we increase the quality by shutting out half of the population.

where? I never saw any links or anything. What does WHO reports have to do with it?

You didn't ask for any. But since you seem to want one http://www.photius.com/rankings/healthranks.html

The WHO ranks the worlds healthcare systems. Other organizations also do it, but the WHO generally is recognized to have the legitimacy to do it. But don't worry, other organizations don't put the US near the top either.

per capita spending isn't a very good indicator that a countries health care system is a poor one because it doesn't take into account tech advantages that a country has over another nor does it take into account quality.

The price per capita is a response to people who claim that socialized medicine is so much more expensive than our current system.

You're telling me your primary decison makeing factor is price in being treated? You do that you'll get what you pay for.

For a lot of people it is. Many people simple don't have the money to go to a doctor without health insurance. I will have health insurance this fall, but Ih aven't for the past two years. Accordingly, I have not been to a doctor for two years.

Are they happy about how much they are taxed for it? Diuretic, if your around I would love to hear your take on this.

They spend less on their healthcare than we do, so I don't think they should have any complaints.

You may like to think that is a significant factor but it really isn't. People's over all health is far, far more influenced by teh health decisions they make, not by a doctor who happens to detect a tumor early in 1 out fo 100 patients.

Ahh, I guess all the public service announcements to get checked for breast cancer, prostate cancer, etc, etc are just kidding then?

No, sorry, but the survival rate and the cost is vastly different whether you catch these diseases early or later on.

Of course not being able to afford it is a problem. I also believe a government solution is far from the best solution to that problem.

Please tell me a non-government solution to people not being able to afford healthcare.

To think that the condition in your second question will magically go away if health care is free simply isn't likely.

Not go away, but be reduced.

And i belive it is more imperfect to sacrafice quality for cost.

Which won't neccessarily happen.

Taht doesn't mean we have flawed healthcare

What? We spend DOUBLE the amount that Britain spends on healthcare, but yet their system works much better than ours. You don't think thats flawed? You don't think its flawed that 1/3 of Americans don't have health insurance?

It simply means it's expensive and as with most things your going to pay more for better quality

Except that, but almost all standards, these other countries have BETTER systems than we do.

I'm going throw out a guess and say they pay more in taxes than we do.

Not for their NHS. Their government pays roughly the same per capita that our government pays.
 
Why must you constantly lie? The UK's healthcare is in damned good shape. They have better numbers on most indicators than America does.

Hard-up hospital orders staff: Don't wash sheets - turn them over
by DANIEL MARTIN - More by this author »

Last updated at 23:22pm on 13th April 2007


Cleaners at an NHS hospital with a poor record on superbugs have been told to turn over dirty sheets instead of using fresh ones between patients to save money.

Housekeeping staff at Good Hope Hospital in Sutton Coldfield, have been asked to re-use sheets and pillowcases wherever possible to cut a £500,000 laundry bill.

Posters in the hospital's linen cupboards and on doors into the A&E department remind workers that each item costs 0.275 pence to wash.

Good Hope reported a deficit of £6million last year and was subject to a report by the Audit Commission because of its poor financial standing.

http://www.dailymail.co.uk/pages/li...ain.html?in_article_id=448395&in_page_id=1774
 
When will it become clear to you that hospitals aren't like other companies?

Ever been in an ambulance? They don't exactly ask you which ER you'd like to go too.

Do ER visits account for all, or even half of, hospital visits?



It does NOT take 2 years to get a checkup in countries with NHS systems.

Perhaps not but it takes longer than it would here under our current system.

gar...The US healthcare system is ranked 37th in the world...BEHIND Canada. Yes, you have to wait longer to see a doctor in Canada, or Britain, or countries with NHS, but the overall level of care is better because everyone gets to see a doctor. I don't consider it high level quality care if we increase the quality by shutting out half of the population.

Fine let's work with the premise that everyone gets to see a doctor. One, they aren't going to get to see a doctor as soon as they would under our system. Economic principles assure that. Two, how does everyone getting to see a doctor correlate to quality of care? it doesn't. the mere fact that everyone gets to see a doctor doesn't in of itself mean the quality of care will be better. Thirdly you miss understand then what quality care means. Quality of care has nothing to do with who or who doesn't have access to it. You can only measure quality of care if someone is actually cared for, If someone didn't go see the doctor because they couldnt' afford you can't measure their qulity of care because they weren't cared for, so you can't make a quality judgement of the people who don't. You can for example measure quality by taking two people with similar conditions and comparing their care between two physicians/facilities/etc.



You didn't ask for any. But since you seem to want one http://www.photius.com/rankings/healthranks.html

The WHO ranks the worlds healthcare systems. Other organizations also do it, but the WHO generally is recognized to have the legitimacy to do it. But don't worry, other organizations don't put the US near the top either.

I really, really hope you read that report and aren't just using that rank number as your argument. Because based on the report you are citing, most of your arguments fall pretty flat.

A few things of note from what I read:

the rank is based on a total of 5 factors one of which is responsiveness

Responsiveness: (which in my humble opinion is measure of quality) the U.S. is listed first.

Of particular interest is the detailed table. As you note the U.S. is also first in per capita helath care expenditure. Which is also something to work on, but I think one should explore many other options before resorting to government. Smaller numbers indicate 'worse' scores I imagine assuming this is a bad thing. Based on the countries you cited however in previous posts and in light of the fact that this is out of 191 countries Australia at 17 and the UK at 26 and France at 4 are not exacltey shining beacons of affordable health care.

http://en.wikipedia.org/wiki/Image:Health.png

the above is link to map of countries with universal healthcare (in blue) again the higher the nubmer the better as far as per capita spending on health care:

As a point of fact then the of the 10 cheapest countries per capita, none of them use a universal health care system. To be perfectly honest that's a little mis leadng as well because they are almost all 3rd world african countries. i did some looking at the more undustrialized nations and China looks to be about the least expensive and only country worthy of note in terms of truly inexepensive universal healthcare ranked at 139. many of the countries with socialized medicine, Canada, France are still in the top ten for most expensive per capita out of 191 countries even thought they have universal coverage. Puts a little perspective on your cost analysis doesn't it.

Our second worst score is in overall level of health, 72 out of 191 countires. This is most likely again a direct result of our level of freedom. If your going to be for freedom you need to allow people to make bad choices as well.

The report also does not endorse state run health care. the most it says is that it is in a countries best interest to provide insurance to as many people as poossible, nor does it suggest that government is the best way to accomplish taht goal.

Also of note is that the rank is partially based on effective use of resources. how well are the resources the country has utilized. This obviously will move the U.S. down the ranks as well. It is fair to say that the U.S. probably has the most resources available to it of any country in terms of technology and quality of physicians. So we are going to have a more difficult time than other countries effectively using all of those resources. The other misleading thing is that even though are resources are relatively under utilized which reduced our score, the lvl at which they are utilized is still greater than that of almost any country.

The price per capita is a response to people who claim that socialized medicine is so much more expensive than our current system.

see above


They spend less on their healthcare than we do, so I don't think they should have any complaints.

realatively speeking comapared to 191 other countries they are ranked 6th in per capita. so realitvely speeking no they don't pay that much less then us.



Ahh, I guess all the public service announcements to get checked for breast cancer, prostate cancer, etc, etc are just kidding then?

A public service announcement is a little different than a doctor visit.


Please tell me a non-government solution to people not being able to afford healthcare.

I have a better idea, challenge yourself a little and see if you can figure one out instead running to the government.


What? We spend DOUBLE the amount that Britain spends on healthcare, but yet their system works much better than ours.

according to the the table from your link that is false. they rank behind us in repsonsiveness as wlll as attainment of goals.

You don't think thats flawed? You don't think its flawed that 1/3 of Americans don't have health insurance?

As I hope your beginning to see your link has a lot more factors then just cost. Many of which the U.S. surpasses almost everyone else in.



Except that, but almost all standards, these other countries have BETTER systems than we do.

In terms of cost per capita, yes. In terms of respivness in our system, according to your link no one is better than the U.S. And the U.S. is right near top in almost every category. ACCORDING TO YOUR OWN LINK THIS ASSERTION IS PATENTLY FALSE.
 
Do ER visits account for all, or even half of, hospital visits?

No idea, but one would suspect that ER visits are the ones that you really don't want a wait for, yes?

Perhaps not but it takes longer than it would here under our current system.

It does...because more people can do it.

Fine let's work with the premise that everyone gets to see a doctor. One, they aren't going to get to see a doctor as soon as they would under our system. Economic principles assure that

They may if pay is increased, or other incentives for people to become Doctors are introduced.

Two, how does everyone getting to see a doctor correlate to quality of care? it doesn't.

It correlates to average quality of care.

Say 10 people need to see a doctor otherwise they will die. 5 can't afford it, so they die. Now say 10 people need to see a doctor but there is a wait. So 3 of them die. I would claim that the second scenario has a higher quality of care, because the system kills less people.

Thirdly you miss understand then what quality care means. Quality of care has nothing to do with who or who doesn't have access to it. You can only measure quality of care if someone is actually cared for

I disagree.

Responsiveness: (which in my humble opinion is measure of quality) the U.S. is listed first.

It is. The US isn't the worst at every single indicator, but overall it falls rather short of the mark.

Of particular interest is the detailed table. As you note the U.S. is also first in per capita helath care expenditure. Which is also something to work on, but I think one should explore many other options before resorting to government.

The US does not just spend the most per capita...it far,far, far exceeds the country that spends the 2nd most per capita. I believe its Switzerland now and they pay about 70% of what Americans pay, per capita.

the above is link to map of countries with universal healthcare (in blue) again the higher the nubmer the better as far as per capita spending on health care:

I think for the purpose of this discussion we should limit it to first world countries. The US/Canada, Europe, and Australia. Once you start getting into other countries such as Brazil or Africa suddenly you have to start dealing with issues like what infrastructure they have, how much of that money is actually doing anything, and other very complicated political facts about the regions that I doubt either of us is competent enough to get into.

Based on the countries you cited however in previous posts and in light of the fact that this is out of 191 countries Australia at 17 and the UK at 26 and France at 4 are not exacltey shining beacons of affordable health care.

Not compared to the rest of the world, which is very poor, but compared to other first world nations, they are doing alright. Especially compared to America which pays vastly more than any of those countries do.

As a point of fact then the of the 10 cheapest countries per capita, none of them use a universal health care system. To be perfectly honest that's a little mis leadng as well because they are almost all 3rd world african countries.

Yes, its cheap because its really substandard.

Our second worst score is in overall level of health, 72 out of 191 countires. This is most likely again a direct result of our level of freedom. If your going to be for freedom you need to allow people to make bad choices as well.

I highly doubt it. Do you think people in Australia or NZ or Canada don't have the freedom to not exercise, smoke, drunk, eat terribly? I mean what freedoms do we have that they don't, which would contribute to our poor health? I would almost claim the opposite considering they have significantly (depending on the US state) less harsh rules for many drugs.

The report also does not endorse state run health care. the most it says is that it is in a countries best interest to provide insurance to as many people as poossible, nor does it suggest that government is the best way to accomplish taht goal.

Correct, it does not claim that. That claim is mine.

Also of note is that the rank is partially based on effective use of resources. how well are the resources the country has utilized. This obviously will move the U.S. down the ranks as well. It is fair to say that the U.S. probably has the most resources available to it of any country in terms of technology and quality of physicians. So we are going to have a more difficult time than other countries effectively using all of those resources. The other misleading thing is that even though are resources are relatively under utilized which reduced our score, the lvl at which they are utilized is still greater than that of almost any country

Despite our greater technology, I don't think we use what we have very well considering a lot of people can't pay for the great technology that we have.

realatively speeking comapared to 191 other countries they are ranked 6th in per capita. so realitvely speeking no they don't pay that much less then us.

They pay approximately half of what we do per capita. So yes, they pay a LOT less than us.

A public service announcement is a little different than a doctor visit.

The point is that it is much more efficient to get people in to see the doctor sooner rather than later. Hence the psa's about going to see your doctor sooner rather than later.

I have a better idea, challenge yourself a little and see if you can figure one out instead running to the government.

I have and it don't work. And I'm not "running to the government", I am saying that the government will run the most efficient and least costly form of healthcare in this country. Hell, they already do.

according to the the table from your link that is false. they rank behind us in repsonsiveness as wlll as attainment of goals.

They aren't better in every single indicator, just much better overall.

As I hope your beginning to see your link has a lot more factors then just cost. Many of which the U.S. surpasses almost everyone else in.

No. One of which the US surpasses almost everyone else in. Unless you want to include the African countries, which yes, compared to them we are doing wonderfully.

Responsiveness is the only one that the US got in the top ten for. Overall, which is a combination of all 5 marks, we scored 37th.

In terms of cost per capita, yes. In terms of respivness in our system, according to your link no one is better than the U.S. And the U.S. is right near top in almost every category. ACCORDING TO YOUR OWN LINK THIS ASSERTION IS PATENTLY FALSE.

Near the top in almost every category? It is at the top at one, and only one, category. That is responsiveness, and that is the only one that it is in the top 10 for.
 
More interesting readin on how great Canad's socilaized medicine program is

http://www.theadvocates.org/freeman/8903lemi.html

The monopoly of basic health insurance has led to a single, homogeneous public system of health care delivery. In such a public monopoly, bureaucratic uniformity and lack of entrepreneurship add to the costs. The system is slow to adjust to changing demands and new technologies. For instance, day clinics and home care are underdeveloped as there exist basically only two types of general hospitals: the non-profit local hospital and the university hospital.

No idea, but one would suspect that ER visits are the ones that you really don't want a wait for, yes?

Can you proved they are waiting longer i the U.s. then in countries with universal coverage?



It does...because more people can do it.

so how does that aid in a prevention approach if it takes longer to see the doctor?

They may if pay is increased, or other incentives for people to become Doctors are introduced.

Otherwise known as a subsidy, the second of which you mentioned. Where again to subsidies come from?

It correlates to average quality of care.

so you would rather everybody have just okay care as in Canada instead of most haveing excellent care?

Say 10 people need to see a doctor otherwise they will die. 5 can't afford it, so they die. Now say 10 people need to see a doctor but there is a wait. So 3 of them die. I would claim that the second scenario has a higher quality of care, because the system kills less people.

Not a very good example as it's based on, let's see, absolutely nothing.


It is. The US isn't the worst at every single indicator, but overall it falls rather short of the mark.

37 out of 191 countries is far from short of the mark, that's the top 20%

The US does not just spend the most per capita...it far,far, far exceeds the country that spends the 2nd most per capita. I believe its Switzerland now and they pay about 70% of what Americans pay, per capita.

I dont' have a problem with that. You're going to pay more for better quality which the table says we have over almost every country.


Despite our greater technology, I don't think we use what we have very well considering a lot of people can't pay for the great technology that we have.

Your simply confusing terms. Who can use the technology has nothing to do with how effectively it is used.



They pay approximately half of what we do per capita. So yes, they pay a LOT less than us.

yes and according to the table their helth care is of lesser quality.

The point is that it is much more efficient to get people in to see the doctor sooner rather than later. Hence the psa's about going to see your doctor sooner rather than later.

and how is it you belibe govt would improve this?

I have and it don't work. And I'm not "running to the government", I am saying that the government will run the most efficient and least costly form of healthcare in this country. Hell, they already do.

The table shows this is not accurate. the only government will do is reduce the cost. I took the top 10 countries on that list and compared them to the U.S. in 4 categories: responsiveness, attainment of goals, per capita expenditiure and overall health. responsiveness is defined as below according to the report

Responsiveness: Responsiveness includes two major components. These are (a) respect for persons (including dignity, confidentiality and autonomy of individuals and families to decide about their own health); and (b) client orientation (including prompt attention, access to social support networks during care, quality of basic amenities and choice of provider).

I would argue this is the closest measure of quality of care the report provides. This is just once facet of the rank of the overall medical system quality and rank of the overall system are not teh same thing.

Further none of the top 10 countries are better at this than the U.S. because we're ranked #1 in this category.

Only 4 of the top 10 countries are better than us in attainment of goals.

I will take this every day of the week over cost because people have a level of control over whether they can pay or not. they can improve their standing in life for example. But once you switch over to socialized medicine you take that control away and the quality for all goes down.

They aren't better in every single indicator, just much better overall.

again based on the individual ranks of quality this is patently false.


Responsiveness is the only one that the US got in the top ten for. Overall, which is a combination of all 5 marks, we scored 37th.

Again that is the simple disagreement for us. you believe cost is more important than qulaity and the table clearly shows that quality suffers under socialized medicine as well as the article above.

Near the top in almost every category? It is at the top at one, and only one, category. That is responsiveness, and that is the only one that it is in the top 10 for.

yes even in it's worst scoring category the U.S. is still in the top third.
1st in repsonsiveness is the top and 15th in goal attainment in the top 8%.
 
Larkinn's referred report says that the U.S. is 37th in health care. It also says that Mexico ranks 61st. I think it is pertinent to reevaluate our standing in light of the fact that we are subsidizing about 10% of Mexico's health care since we have at least 12 mil. illegals in our country. (Mexico population = about 100million)
 
Is that what Jesus would have done?

Hey... if the U.S. could feed the world by turning only a couple loaves of bread into enough to feed 5,000 we would FEED THE WORLD and then we could spend all that saved money on food for providing FREE HEALTH CARE FOR THE WORLD!!

What else would you like to have....in your sentimental liberal socialist dreams? :D
 
Are you not your brothers keeper?


Jesus was a capitolist xenophobe, eh? Indeed, didn't you start this thread out talking about the plight of christianity? 'fore you accuse me, take a look at yourself.
 
Are you not your brothers keeper?

Jesus was a capitolist xenophobe, eh? Indeed, didn't you start this thread out talking about the plight of christianity? 'fore you accuse me, take a look at yourself.

Sorry, but our first responsibility is to our own children and family. Then we do as much as we can for others in addition. You forget that so much of the help others receive is through private charities....and that's ALOT. Call one. http://www.charitywatch.org/toprated.html

After we have taken care of the problems in our own backyard, so to speak, we can then turn more attention to the rest of the world. There is no point in taking on another country's problems (such as Mexico) if we just destroy ourselves in the process.

ps: i didn't originally bring up the Jesus aspect...MM did.
 

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