The Battle Bar, Our Wretched Hive of Scum and Villainy

Started by SJones911093,287 pages

I realize that the cost is distributed. Nowhere have I indicated otherwise. I've pointed out to you that our current system of having individual responsibility causes financial ruin and prices to continually rise, ObamaCare or not. I even provided charts to drive that point home.

But nowhere in our discussion did I indicate that our system wasn't broken, simply asking you how YOU would fix it. I'm familiar with your charts but I guess the intent was a miscommunication on my part.

As far as "health and wellness" goes, yea those countries have it. Everyone is a giant there, they're goddamn Viking descendants, and they're happy. I'm not too impressed with their hotels, their houses. It's not really about opulence, just what you and I would consider the bare essentials. I suppose we have been spoiled in this country but that goes towards my point of comparing different standards of living.

And that's difficult to do because our population is the equivalent of several EU nations. The only thing remotely close is Russia and let's face it, Russia has never recovered from being Communist and their infrastructure for medical is inferior in every way.

Which was essentially my point about how misleading your stats were. And I just don't know how we "emulate" the successful countries for 350 million plus Americans. I honestly have NO idea.

Me: Socialized medicine is the future. The current system is simply causing costs to skyrocket and is punishing those who can't afford it, in some cases ruining their financial futures.

Couldn't you argue that it's punishing those who CAN afford it but don't necessarily need to go to the doctor very often, yet pay out the ass for those that do?

You: Something vague about socialized medicine is bad. Possibly justifying the current US system, but this is unclear since you seem to be more apt to taking apart my post rather than presenting your own counter argument.

I've made no mention of socialized medicine until now, only saying Obamacare isn't going to work. If you want an argument on why, I can do that but you've seen to be doing quite well yourself. As for socialized medicine, I'm not sure if that's the future. I envision a future without 3rd parties, like insurance companies, where you can do business with just your doctor. You'll see the costs come back to what they're supposed to be, not inflated because the insurance company is going to fight at least 70% of the cost with the doctor's offices.

I like socialized medicine, but that's just because I'm English and know no different.

So, He-Man killed Superman in comics recently.

Wut

Took him down in one hit.

Damn. 😐

Yeah, the comic book ownage thread is pretty cool.

Originally posted by SJones91109
But nowhere in our discussion did I indicate that our system wasn't broken, simply asking you how YOU would fix it. I'm familiar with your charts but I guess the intent was a miscommunication on my part.

As far as "health and wellness" goes, yea those countries have it. Everyone is a giant there, they're goddamn Viking descendants, and they're happy. I'm not too impressed with their hotels, their houses. It's not really about opulence, just what you and I would consider the bare essentials. I suppose we have been spoiled in this country but that goes towards my point of comparing different standards of living.

Which was essentially my point about how misleading your stats were. And I just don't know how we "emulate" the successful countries for 350 million plus Americans. I honestly have NO idea.

Couldn't you argue that it's punishing those who CAN afford it but don't necessarily need to go to the doctor very often, yet pay out the ass for those that do?

I've made no mention of socialized medicine until now, only saying Obamacare isn't going to work. If you want an argument on why, I can do that but you've seen to be doing quite well yourself. As for socialized medicine, I'm not sure if that's the future. I envision a future without 3rd parties, like insurance companies, where you can do business with just your doctor. You'll see the costs come back to what they're supposed to be, not inflated because the insurance company is going to fight at least 70% of the cost with the doctor's offices.

To clarify, you mentioned universal medical, which is what made me suspect you didn't approve of the system.

Second, I'm just going to post a paper I did on this last year instead of rewording the same arguments and wasting my time trying to prove a point further. Sometimes, I don't do myself any favors by talking too much when I already said the right thing before.

[list]
As put forth by the World Health Organization and mirrored by numerous U.N. human rights treaties and regional treaties, human beings are entitled to a Right to Health. This definition means that the governments must "generate conditions in which everyone can be as healthy as possible" (1). Of all first-world countries, only the U.S. stands alone as being without government guided universal health care in place. With regards to how it approaches health care, the American government owes it to its people to put the Right to Health first instead of for-profit hospitals and private insurance companies.

Opinions against this movement in American society usually cite factors such as the cost of the sick being passed on to the healthy or exaggerate costs of health care as if it would cripple the government with increased spending. For the former, the concept of "healthy majority" suffering for the "sick minority" is misleading since at some point in our life, most Americans will develop a disease requiring treatment or require hospital care. Expensive ongoing treatment is required for heart disease, asthma, diabetes, and hypertension, each of which effects 8-11% of the U.S. population by itself; except for asthma, these same major conditions are related to obesity, which affects just over 30% of Americans, and those overweight but not yet obese account for 34.4% (2). This means that for every ten Americans, between three and six are at risk for multiple conditions at some point in their life by the virtue of weight alone. This ignores other conditions like stress or heredity. The CDC reported in 2010 that 36.8 for every 100 American citizens received outpatient hospital care that year, and 41.4 per 100 for emergency visits. Just under 8% of visits require stays lasting on average 4.9 days(2). In these cases here, it's more than a mere fraction of people benefitting from health care. Hospital costs alone can range in the thousands, bills that force an already struggling family to either give up and let it go to collections or fight for payment arrangements.

The second argument also falls short in the face of the evidence. "The U.S. spent 16 percent of its GDP on health care. This proportion was nearly double the OECD median (8.7%)and over 40 percent more than the country spending the second-largest share of GDP (France 11.2%)" (3). As it is, we lead the world in health care expenditure. Even more, the rate of growth is ahead as well. Against a democratic socialist country like Norway, which provides health care and other benefits for life to its citizens, our annual adjusted rate (of health care spending per capita) was 4.25 times theirs. This clearly shows that the money we're spending on current health care options are not saving us anything versus systems in place by all other first-world countries who typically enjoy lower costs across the board. The fact that removal of private insurance company fees, haggling, and out-of-pocket costs would only further save money often remains ignored.

The idea of universal health care benefits the U.S. greatly for two reasons: one, it follows the example of our comrades in post-industrial society in looking after the welfare of our citizens; and two, it works to eliminate a very real drain on the economy and promote happiness there as well. For the first, again the U.S. is the only first-world country without universal health care. Even Russia has adopted this method to deal with health costs. Evidence pointing to the current system being against the needs of the people is that it fails to put the U.S. above other nations in terms of overall health care. Despite being a post-industrial superpower, the WHO ranked the U.S. as " 37 out of 191 countries according to its performance" (4). The U.S. also has a life expectancy reflecting this, ranking 50th out of 212 in the CIA World Factbook (5). Secondly, in addition to evidence above that the current system is actually increasing costs to American citizens, there's the issue of productivity affected by illness and disease left untreated. While emergency rooms and clinics can offer on-the-spot care without turning away the uninsured, continuing medication and treatment can keep the sick in the workforce. Looking at the impact, "labor time lost due to health reasons represents lost economic output totaling $260 billion per year" (6). If even a fraction of that loss can be mitigated by improved health care and more options for the uninsured, the impact alone along with reduced costs for fees and out-of-pocket expenses would pay for itself!

In summation, Americans have a Right to Health and based on the evidence above, they have a right to expect their government to learn from the statistics, learn from the success of others and make the right choice. Privatized healthcare majority has only benefited those making the profit, not those receiving the care.
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Enjoy, etc.

With regards to how it approaches health care, the American government owes it to its people to put the Right to Health first instead of for-profit hospitals and private insurance companies.

This is what I was discussing earlier. You're saying we need universal healthcare, I'm saying we need to do away with insurance companies so the costs are no longer inflated.

these same major conditions are related to obesity, which affects just over 30% of Americans, and those overweight but not yet obese account for 34.4%

At no point would I agree to extend any of these medical provisions to the obese. For the most part, obese people became obese by choice, as opposed to the more rare case of some kind of debilitating disease. Furthermore, wouldn't you consider emergency centers as a sort of "universal healthcare"?

As it is, we lead the world in health care expenditure

This is the best support for my case of ridding ourselves of a 3rd party. A lot of that health care expenditure (if not the majority) comes from inflated hospital costs based on continuous fighting with insurance companies.

The fact that removal of private insurance company fees, haggling, and out-of-pocket costs would only further save money often remains ignored.

This is just support for a removal of 3rd party systems, why is it necessarily a support for universal healthcare? Also, as previously stated, comparing your country to one that has less than 10 million people isn't a good example.

If even a fraction of that loss can be mitigated by improved health care and more options for the uninsured, the impact alone along with reduced costs for fees and out-of-pocket expenses would pay for itself!

While I don't necessarily disagree with this, it IS a bold claim.

Privatized healthcare majority has only benefited those making the profit, not those receiving the care.

This is a bold and baseless. Everyone I know has benefited from receiving privatized care. Unless I'm misunderstanding what you're saying. Yes, privatized healthcare has benefited the insurance companies, but you'd be plenty biased to say that's all who benefited.

So... Just get universal healthcare. 😄 Then we Brits and 'Murica! Will have more in common. 🙂

All hail the socialist medicine!

Originally posted by UltimateAnomaly
I like socialized medicine, but that's just because I'm English and know no different.

Be glad you don't know non-socialized medicine.

In the US, the old system involves over twice as much tax money per capital going to health care, plus you get big bills on top.

It costs, like, 7 times as much in the US to get an artificial hip. And it's not a better artificial hip at that, it's just paying for how bad the system is.

SJones
This is what I was discussing earlier. You're saying we need universal healthcare, I'm saying we need to do away with insurance companies so the costs are no longer inflated.

They are only part of it. Sure, health insurance companies are a needless expense.

However, simply remove things and put things free-market, and you'd still have the health companies able to directly gouge the consumer. Health is so important that people will, after all, pay whatever, and the natural thing to do economically is to set prices at optimal profit, not optimal coverage.

What a proper UHC system does is give collective bargaining. It allows the people/country to say, as a whole, "Ok, you provide good prices to everyone on good parts and medicine, or we use a different supplier and you can only get the customers who are willing to pay far more for something outside the UHC system."

http://www.youtube.com/watch?v=s28dZS2ArKw&feature=youtu.be

Blax.

Originally posted by Q99
Be glad you don't know non-socialized medicine.

In the US, the old system involves over twice as much tax money per capital going to health care, plus you get big bills on top.

It costs, like, 7 times as much in the US to get an artificial hip. And it's not a better artificial hip at that, it's just paying for how bad the system is.

They are only part of it. Sure, health insurance companies are a needless expense.

However, simply remove things and put things free-market, and you'd still have the health companies able to directly gouge the consumer. Health is so important that people will, after all, pay whatever, and the natural thing to do economically is to set prices at optimal profit, not optimal coverage.

What a proper UHC system does is give collective bargaining. It allows the people/country to say, as a whole, "Ok, you provide good prices to everyone on good parts and medicine, or we use a different supplier and you can only get the customers who are willing to pay far more for something outside the UHC system."

^ This. Also, privatized medicine obviously impacts the sick with care rendered; to imply otherwise is strawmanning. No, I'm saying that health care as it is does not save Americans money, nor is it giving them a standard of health above and beyond anyone else.

Universal Healthcare/Socialized medicine is a complete failure...along with Obamacare. Hell, even in Britain their trying to privatize it. What we need is to get the government out of the healthcare business, and let the market work.

My god, this voice..... its hypnotic! :C

YouTube video

I do love me some Dominions though.

However, simply remove things and put things free-market, and you'd still have the health companies able to directly gouge the consumer. Health is so important that people will, after all, pay whatever, and the natural thing to do economically is to set prices at optimal profit, not optimal coverage.

We're going to disagree here because I'm a huge free market advocate. While I agree with you that the health companies WILL be able to directly gouge the consumer, in a true free market, the market itself (consumers) will eventually determine the price it is willing to pay and will then correct itself. At the same time, I don't think there would be much gouging at ALL without 3rd party companies interfering since the gouging exists PRECISELY because these 3rd party companies exist.

What a proper UHC system does is give collective bargaining. It allows the people/country to say, as a whole, "Ok, you provide good prices to everyone on good parts and medicine, or we use a different supplier and you can only get the customers who are willing to pay far more for something outside the UHC system."

You just described a free market system, with the difference being UHC vs. private insurance, as opposed to just having the health companies. I fail to see how the system you propose is any better.

Originally posted by Nephthys
My god, this voice..... its hypnotic! :C

YouTube video

I don't what he's talking about, but I'm so lost in his dulcet tones.

For the record its Dominions 3 AKA: The Greatest Game Ever.

Originally posted by psmith81992
We're going to disagree here because I'm a huge free market advocate. While I agree with you that the health companies WILL be able to directly gouge the consumer, in a true free market, the market itself (consumers) will eventually determine the price it is willing to pay and will then correct itself.

This is idealistic at best, but more accurately described as deliberately reckless. This is basically the textbook case of market failure; when a person's life is on the line there is not much room for rational comparison of alternatives nor time for competitive selection of services. There is always a time- or geographic- or panic- based distortion of a patient's decision.

More to the point, we already have had a largely free market in which the current problems developed. Unless you want to regulate some barrier to insurance companies, rational consumers will always seek to buy insurance based on asymmetric information (and impose their
unique risk profile on a larger pool of insurance consumers). So not only does a completely free market not fix our current problems, it ends up causing them in the first place.

I strongly believe that basic healthcare is a good which has to be provided by the government in order to achieve any kind of equitable treatment of different demographic groups.

At the same time, I don't think there would be much gouging at ALL without 3rd party companies interfering since the gouging exists PRECISELY because these 3rd party companies exist.

I think that you are mistaking systemic inefficiency with a specific market distortion. In the first case, price gouging is an artifact of bureaucratic shenanigans. For example, Hospitals which charge $50 for a saline drip do so on the assumption that an insurance company is covering the bill. However, the hospital can not really consult with the patient about every health-care decision; patients are by definition either unable or unfit to evaluate their own care. So the decision to push fluids (at whatever price) is not one that can be optimized by rational agents operating in a market! Even fully rational consumers will fail to judge reliably between transactions which are beneficial to them and those which are unnecessary.

So even if Hospitals were constrained to charge only prices that consumers are willing and able to pay, there is a clear and persistent market distortion in the sense that consumers of healthcare are axiomatically incapable of even approaching full information, let alone making rational decisions.

(This ignores the many unfair modern demographic quirks of healthcare in America by race or income level, which I don't think you'd find convincing.)