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Forums - Politics Discussion - Koch Brothers own study says that Universal Healthcare is cheaper than current US system

Hiku said:

 

-CraZed- said: 
I'm not great at the quoting system so I'll have to copy and paste...Here is my original quote verbatim: "Every single country on that list is either subsidized directly through foreign aid or a beneficiary of the unbalanced NATO, NAFTA and UN protections provided by the one country that doesn't have a wholly socialized medical system." I've highlighted the operative words in that statement. I really detest arguing over semantics but in this case it seems necessary, There are multiple attributions in that statement and I am unsure how one would arrive at the conclusion that I said every single country on that list of check boxed countries receives US foreign aid specifically. Again the words either and or qualifies that statement which is why when you brought up Sweden, I mentioned that Sweden's security and well-being as a nation are largely the by-product of a relatively stable geo-politcal climate ensured by NATO and it's largest benefactor, the US and not that Sweden receives any federal foreign aid dollars from the US nor that we were directly funding your healthcare. That was simply not stated nor intended to be inferred. 

My assertion is that if many of the countries on that list either (again I'm saying either) didn't receive direct foreign funding from the US, had to shoulder more of the burden of protecting themselves and actually participated in the free exchange of goods instead of hobbling US trade through tariffs and VATs then the socialist policies such as UHC would be untenable. 

I'm aware that you said "either" which is why I edited that into my post on certain sections (seemingly after you clicked "Reply") in case you would suggest I wasn't aware of that. I specifically said: You said "every country on that list" (either pays for healthcare directly through foreign aid, or something something something NATO, etc)
When I'm talking about "all the countries on the list" reliant on foreign aid, I'm referring to all the ones you were referencing. Because you were (originally) ambiguous about who they were, to say the least. 

-CraZed- said: 
I'm also unsure how you missed all of the citations I hyperlinked in my posting. It's almost as if you are intentionally attempting to
misrepresent my position.  Also your graph shows the top 25 countries not all of them that the US gives aid to. And I gave 6 examples of nations on this list 
https://www.foreignassistance.gov/explore

Actually I supplied 5 and you supplied 1:

Lemme know when you spot it....

You're unsure how I missed something you seemingly edited into your post c.a. 30 minutes later (according to the edit timestamp)?
It was because I had already clicked on Quote and begun typing up my response before that, and that link was definitely not part of the post I replied to.

Yes, my list shows the top 25 countries. It stands to reason that if they're not on that list then whatever foreign aid they may have received is probably not going to be enough to cover their their medical expenses. Especially if those countries themselves are top donors in foreign aid. Although Israel is indeed on that list, which is worth noting. I'll correct my previous statement to reflect that.

Regarding the list of countries you mentioned, Israel, Chile, Poland, Hungary, Slovenia, Turkey, the planned foreign aid for those countries is as follows:

Israel: 3,1 Billion
Chile: 500k
Poland: 1,5m
Hungary: 800k
Slovenia: 550k
Turkey: 3,8m

Aside from maybe Israel, none of those figures seemingly come even close to being able to fund their healthcare in a fiscal year. For comparison, Poland's GDP is 469 Billion USD. While they're supposed to receive 1,5m in foreign aid.
And Israel isn't exactly a region of stability and peace. Luckily the site you provided allows us to break down what this foreign aid is for. When clicking on "Peace and Security" Israel is of course still highlighted. So is Poland, Slovenia, Chile, Hungary and Turkey.

But what happens when we click on "Health"?
None of those countries are highlighted any more.
What about "Education and Social Services"?
None of those countries are highlighted any more.
What about "
Democracy, Human Rights, and Governance"?
None of those countries are highlighted any more. Etc.



Basically, all those planned funds seem to be going towards Peace and Security for those particular nations. (Not social security, but counter-terrorism, stabilization operations, etc.)
None of them seem dependent on foreign aid for their healthcare programs. Especially not based on the sums they are getting.

Since the vast majority of countries with UHC were also among the worlds top donors, the amount of them who could even potentially be relying on foreign aid in the first place (let alone to to fund their healthcare programs) were so small that referring to them only as "everyone on the list" in the same breath as the rest of what you said, came off as a grave exaggeration, or misunderstanding from your part. 

-CraZed- said: 
So is it your assertion that government charity is somehow better or more noble than private charity? How so? Never mind that private charity aid (especially in the US) dwarfs government aid in raw dollar amounts and I would argue in positive results as well. Private charities typically have lower overhead, are directly targeted towards certain goals and don't breed the types of corruption (Clinton Global Initiative notwithstanding) that we see when money is funneled to the host countries through their sometimes corrupt or tyrannical governments. Not to mention that private charities often involve more than just money but also time and personal interaction and volunteerism. I think private charitable giving is rather 
germane to the subject at hand. As for being offset by greed, is it also your assertion there is no greed in government? And that this greed only offsets private charity? Now that I'd like to see that quantified for sure.

I don't know how you got "government donations are better and more noble" from my post when I even said that "they shouldn't have to offset corporate greed or failings of the government (to act in the best interest of the people)." In other words, it's more noble of individuals to willingly donate their own money for such causes, even if they have no comparable incentive of doing so such as listening to the will of the majority so that they can keep their governing positions in the next election.
As for "better" that's very subjective. Like I said, I don't think individuals should need to donate obscene amounts of money just to ensure that we have access to our basic human rights. If the government listens to what most people want to do with out tax money, they can achieve that.
Relying on private donations is also extremely inconsistent, because what one person wants to donate to varies from someone else.

And you thought I was suggesting that "there is no greed in government"? No, in fact I think there's too much greed in government. Especially when they act on behalf of their donors rather than their constituents, as I mentioned.
We were however, this whole time talking about government spending, because that's what this topic was about. And for a good reason. There's no plausible scenario where no one is too poor to be alive, by relying on private donations. The only consistent way to accomplish that is to channel our collective tax money.

For other charity causes, private donations are very important though. But that just wasn't the subject at hand. You're the one who even brought up foreign aid in the first place, but in regards to supposedly funding universal healthcare. Which is a government funded program.

-CraZed- said: 
No, the difference in their profit margins. And as I said yes that difference is made up by them hiking up prices in the US. That much we seem to agree on. And part of the reason they do it is because other countries have essential begun price fixing at the expense of the US market. And while I do think that we should be able to purchase pharmaceuticals from other countries I wonder how long said countries would allow that to happen when there is essentially a run the supply of medications in those countries? I'm suspicious that they'd shut it down sooner rather than later.

The rest of the world's prices seem to be in line with the norm. Their own EU/Asia developed drugs and equipment cost about the same. And large pharmaceutical companies are still highly profitable in those regions. The ones in the US are just taking it too far.
Remember the CEO of that one drug company, Martin Shkreli, who raised the cost of HIV treatment pills from $13.50 to $750 per pill? (They cost a few cents to manufacture.) 
He didn't need to set the price even remotely close to that. He raised it by 5000%. But he did because he could. In the end, he went to jail. But not because of that. Sadly that was legal. He went to jail because he scammed rich people in the process.
That's the kind of thing that's going on in the US with other pharmaceutical companies, just at a less extreme rate. They're not raising prices because they have to, but because they can. Costs for healthcare were not always this high in the US, but they've been steadily climbing over the years.

As for buying pharmaceuticals from other countries, in some cases you'd be buying back drugs that you manufactured yourself and exported to that country. Pretty ridiculous, don't you think?

I was neither unclear or ambiguous. My original statement has not changed. You either misread, ignored or willfully tried to twist my statement. And again you seem to be stuck on this notion that I attributed any of our foreign aid directly to any of those countries' healthcare systems. I never made that claim but you continue to roll with that. Bottom line is nothing I stated was false or misleading and my opinion was fully supported by the resources I posted in my original reply. Even the edit which I posted as a reply to your subsequent post on how I couldn't name one country from that list that receives aid from the US. Thanks for the mostly civil debate I'll allow my original postings stand on their own.



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Hiku said:

Ideology (that humans living in a society have a right to live...) does not help my argument, but your ideology of sacrificing 45 000+ people a year who didn't need to die, because that may approve a hypothetical useful drug sooner, helps your argument?

You're favoring sacrificing 45 000+ people in a real scenario, in favor of a very hypothetical scenario where this speeds up the approving of future drugs that would somehow end up saving more lives than this system unnecessarily killed?


First of all, keep in mind that most of these newly discovered drugs are not designed to save lives. Usually they are improvements of more common non life threatening drug treatments. In more rare cases they are improvements to drugs designed to save lives. And in even rarer cases, it's a new drug designed to treat a previously un-treatable condition. And in even rarer cases, those conditions are life threatening. Etc.

Just keep that in mind as we go on when you chose your priorities that lead to 45 000+ people a year actually dying.
The most common conditions that lead to premature death today globally will likely remain at the top of the charts for many decades to come. If not centuries.

Now there are three major key factors that the article you linked to doesn't bring up.

1.) The study they cited about the average cost of new drug approvals was heavily criticized by a nummber of industry peers, including Doctors Without Borders, which said it was "unreliable because the industry's research and development spending is not made public". (This is a very important fact that I'll get back to below.) Another publication said it "contains a lot of assumptions that tend to favor the pharmaceutical industry."
Coincidentally (?) the source of that 2014 study in your article can no longer be found: https://csdd.tufts.edu/news/complete_story/pr_tufts_csdd_2014_cost_study
At least every reference link I found lead to that broken link page.
I don't know if they retracted the study due to criticism of lack of evidence, but in either case it leads me into my next point:

2.) At no point in the article you linked does it mention that the primary reason for why US drug prices are so high is because USA, unlike any other modern country on the planet, is unable to negotiate drug prices with the pharmaceutical companies. It briefly mentions higher costs being a factor, alongside the cases where its newer drugs, but makes no effort trying to explain why the drugs cost so much more in the US when in the cases where it's not a newer drug.
You can find the same US manufactured drug in Canada for up to 5 times cheaper. Manufactured by a US company....
It's literally cheaper in some cases to drive to Canada to buy drugs that were exported from USA, rather than buying domestically.

And the most important part...

3.) Even assuming that the numbers in your article are correct, a key factor they did not divulge is that industry's research and development spending is not made public. In other words, there's no proven correlation between the pharmaceutical industry jacking up prices in the US to them investing the gains into more research and development, rather than pocketing the gains and buying their CEO's their 10th yacht.
The only example this article uses to establish such a concept is a study in regards to the Orphan Drug Act. And here, they did not mention that the Orphan Drug Act established tax incentives for rare disease drug development.

The bottom line is, these kind of tax incentives for rare drug development can be given without jacking up drug prices to multiple times that of what they cost in other countries. And we don't know how much of those extra gains the pharmaceutical industry puts back into R&D because R&D spending is not made public.

The reason that this article seems to conveniently not disclose any of this info may very well be that it was funded by the pharmaceutical industry.

But even if that's not the case, and even if jacked up US drug prices meant a substantial increase in R&D, it does not mean we need to sacrifice 45 000+ people a year for something that very well may not save more lives than it took. Especially not when the majority of people, even in the USA where brainwashing about this subject is high ("we will turn into Soviet Russia or Venezuela if we allow this one more socialistic program, on top of roads, bridges, fire department, parks, libraries, elementary school, elected officials", etc) the majority of people want a single payer system according to polls.

@Bold Are you serious ?! First you start off with an appeal to emotion fallacy, second, in no way did I establish an ideology considering how dangerously easy it is to fall into one when this thread is a very good example of just about almost everyone in here is using confirmation bias to enforce "price controls" as the only sole solution but what I stated is nothing more than a part of a possible concession with respect to the american paradigm and third, you just made a straw man by implicating that I somehow "support" sacrificing 45000+ lives ... 

I want to make it undeniably clear to you that I do not explicitly support "sacrificing" lives or even prefer the high pricing of health care! When making a possible devil's advocate, I've come to "accept" these concepts rather than to outright "deny" or much less "support" them when making my arguments ... 

Furthermore, arguing on an ethical basis by stating phrases such as "didn't need to die", "favoring sacrificing 45 000+ people" and "unnecessarily killed" (nobody killed them, that's just hyperbole on your part) is just another method to hide behind cognitive bias which is even more evident when you purposely understate the achievements of American medical science innovation by calling FDA approvals "hypothetical" even though America has kept their leadership for nearly DECADES in that area but it could not be anymore true since last year! Why the hell do you even have the audacity to even remotely disrespect what American medical innovation has achieved every year including likely for another decade or even two to come ?! How would you like if I kept constantly shitting on your institution by undercutting the fact that you guys constantly short change Americans because of the inability of your system to contribute to the fair share of innovation ? (pharmaceutical companies receive 70% of their profit solely from American despite the fact their GDP represents less than half of that figure) Trump is right, maybe they and the rest of the Americans need to start a god damned reevaluation of drug prices abroad and instead focus on protecting their domestic medical innovation more by charging the supposed exorbitant prices for the same patented drugs in European or other commonwealth countries than worrying about technology transfer to China ... (I don't care at this point if Americans are playing into the so called "Russian hands" when there's no credit to be had from it's ungrateful allies whenever it's obviously due) 

FFS, at this point I should start acting more reciprocal towards you because an open dialogue or revisionism in you or the other's cases here isn't getting anywhere when Aeolus and I are being painted as pariah's instead of an alternate valid voice reason. I have especially lost a lot of faith that there is any sincerity to be had from you when going further into discussion ... 

1. The general consensus seems to be is that R&D is pegged at OVER $2.8 billion dollars so why even doubt the industry experts themselves that produces the products ? Even if the figure in question is inflated just where the hell do expect to raise the funds of an upwards of $1+ billion dollars to fund drug development ? What productive solution do you suggest for drug development despite the fact that no big American pharmaceutical has a virtual monopoly on the drug market ? Has domestic American competition somehow failed to curb inefficiencies such as overly generous compensation ? (if it even is a thing when just about everyone of it's top employees and not just the directors or executives are given stock options as well) 

2. So I assume it's also modern to keep freeloading off of American innovation as well like how China keeps constantly forcing technology transfer from foreign firms, am I right ? It's ironic how American allies keep asking America for compassion towards it's people yet those same allies turn an absolute blind eye for compassion to American innovation as well ... ("70% of the profits paid to pharmaceutical companies and we get nearly nothing in return" is what Trump would say) 

It's allies can not get more perversely hypocritical and condescending than they already are, just more disrespect to come until they come to the realization of what is truly lost ... 

3. There's other papers as well that demonstrate my point regardless and here's a neat example too on a smaller scale ...

Price controls are straight up HARMFUL to medical innovation in almost any of the cases and it also hurts drug availability too unless you want your nation to be truly as shameless as those Asian countries skirting the patent laws by creating generics ... (it's mostly thanks to the Americans that your delusional system isn't in total shambles right now with shortages and that your firms get to develop new drugs on American soil too to also be able to reap further benefits as well) 

Just because not all of the cut does not go solely to drug R&D does not mean that these pharmaceutical companies are not producing value and it's laughable that you accuse Americans of "brainwashing" when they have to deal the reality of it's allies freeloading from them year after year ... (an ultimatum should be in order where America demands that the rest of the world pays the SAME PRICE for the drugs it develops and foreign firms shall have the option to re-headquarter/relocate in America or not by staying in a delusional market) 

Have you EVER considered that it's you and the others here that are mistaken ? If "drug access" is so vital then just where hell are the the pharmaceutical state owned enterprises to compete in the market to prove private enterprises wrong about the expenses drug development ? I can already tell you and the other promoters of this system won't answer to that question cause it doesn't exist. I'm waiting for your so called perverted system to "nationalize" a private entity to prove your point and see how that goes ... 

Last edited by fatslob-:O - on 03 August 2018

fatslob-:O said:

Have you EVER considered that it's you and the others here that are mistaken ? If "drug access" is so vital then just where hell are the the pharmaceutical state owned enterprises to compete in the market to prove private enterprises wrong about the expenses drug development ? I can already tell you and the other promoters of this system won't answer to that question cause it doesn't exist. I'm waiting for your so called perverted system to "nationalize" a private entity to prove your point and see how that goes ... 

I thing many on your "side" of this matter seem to think that we who are in favor of universal healthcare see private entities as being harmful to the industry. They can exist as much as they want, but will then compete with stateowned entities. I am not a bif fan of price control but having a stateowned entity will bring competition that forces others to lower their prices in order to compete. For example, we have a government run pharmacy that competes with private entities on the pharmaceutical market. When Swden privatized large parts of the pharmaceutical market, prices generally increased though wich means that I as a customer paid quite a lot more for medicine than before when the government had monopoly on the market. I am still in favor of privatizing the market, but it is important to have public options aswell.

And this will not hinder medical research. As someone else pointed out, 11 out of the 20 largest pharmaceutical companies are not american so obviously innovation continues in a country where the government runs the healthcare industry. America is a great contributor, but they have a tendency to over-inflate their own importance in this field. If they weren´t as big, other countries would likely fill the void, simply because medical research is ne of the most fundamental parts of our society.



Puppyroach said:

I thing many on your "side" of this matter seem to think that we who are in favor of universal healthcare see private entities as being harmful to the industry. They can exist as much as they want, but will then compete with stateowned entities. I am not a bif fan of price control but having a stateowned entity will bring competition that forces others to lower their prices in order to compete. For example, we have a government run pharmacy that competes with private entities on the pharmaceutical market. When Swden privatized large parts of the pharmaceutical market, prices generally increased though wich means that I as a customer paid quite a lot more for medicine than before when the government had monopoly on the market. I am still in favor of privatizing the market, but it is important to have public options aswell.

And this will not hinder medical research. As someone else pointed out, 11 out of the 20 largest pharmaceutical companies are not american so obviously innovation continues in a country where the government runs the healthcare industry. America is a great contributor, but they have a tendency to over-inflate their own importance in this field. If they weren´t as big, other countries would likely fill the void, simply because medical research is ne of the most fundamental parts of our society.

Finally! Some real dialogue here! Thank the lord even though I'm an agnostic atheist ... (should tell anybody how desperate I am to look for open ended discussion) 

Sorry if I did generalize about "your side" viewing private health entities as generally being harmful and yes the price of medicine (particularly some of the new and lead edge patented ones) are not ideal and I guess America could work to improve that by introducing a 2 tiered system to medicaid (medicare for all is nothing more than a distant dream) to improve coverage such as providing visits to only to general practitioners, only being able to use unpatented generics along with deciding whether to apply deductibles to other health services or not depending on the cost which means that Americans would now have a 3 tiered health system and I too realize the value in providing more cover or higher access but we have to stop spooking the truly hardline experts in medicine so much to be able to keep their talent so that they can afford to teach prospective medical students to pass the talent around to make highly specialized or personalized care more accessible in the future ... 

We also need to learn to respect all sorts of intellectual properties. If the majority of us here respect the concept of copyright then it should not be so foreign to accept the of having a mini monopoly on drugs through patents ... (pharmaceutical companies often only have around 10 years to potentially profit off of it's development sometimes maybe even less once a patent expires and generics come into pricture) 

Most of the pharmaceutical state owned enterprises don't sound at all like their competitors to global giants such as Johnson & Johnson, Roche, Pfizer or Novartis so I get the impression most of the time that national health care providers with a single payer system in these countries just use collective bargaining (price control in it's purest form) against these giants to pay for medicine in bulk at reduced rates but America is swept under the rug in the process bearing the brunt (70% profit = America) of producing these leading edge treatments ... 

Price controls hinders medical research and drug supply in practically any case and just because 11 of the top 20 pharmaceutical companies are located outside the US does not mean that most of the drugs are not initially and majorly developed inside the US either. There's a reason why lot's of foreign firms out there make acquisitions or partner with American firms to either gain access to the market or the facilities. FDA is noticeably quicker than the EMA to approve drugs too so leading edge drugs like Kymriah are still the bread and butter of the US market despite having some of it's development from the outside ... (many smaller companies like Spark Therapeutics being an extremely promising American startup that's only five years old benefit too by already getting FDA approval for it's cure to a progressive blindness disease)

I genuinely believe if everybody could just invest more (and not just leave it to America) that we could soon have a hard cure to many life afflicting and chronic conditions such as from common cancers, to HIV or diabetes ... 

A potential way we could get more direct funding to the R&D operation itself is if we just have the government shopping around for whichever entities (whether private or state owned) to secure the licensing and production rights instead but it does beg the question if any governments are willing to pay to pioneer access to treating rare diseases or conditions ? 



fatslob-:O said:
Puppyroach said:

I thing many on your "side" of this matter seem to think that we who are in favor of universal healthcare see private entities as being harmful to the industry. They can exist as much as they want, but will then compete with stateowned entities. I am not a bif fan of price control but having a stateowned entity will bring competition that forces others to lower their prices in order to compete. For example, we have a government run pharmacy that competes with private entities on the pharmaceutical market. When Swden privatized large parts of the pharmaceutical market, prices generally increased though wich means that I as a customer paid quite a lot more for medicine than before when the government had monopoly on the market. I am still in favor of privatizing the market, but it is important to have public options aswell.

And this will not hinder medical research. As someone else pointed out, 11 out of the 20 largest pharmaceutical companies are not american so obviously innovation continues in a country where the government runs the healthcare industry. America is a great contributor, but they have a tendency to over-inflate their own importance in this field. If they weren´t as big, other countries would likely fill the void, simply because medical research is ne of the most fundamental parts of our society.

Finally! Some real dialogue here! Thank the lord even though I'm an agnostic atheist ... (should tell anybody how desperate I am to look for open ended discussion) 

Sorry if I did generalize about "your side" viewing private health entities as generally being harmful and yes the price of medicine (particularly some of the new and lead edge patented ones) are not ideal and I guess America could work to improve that by introducing a 2 tiered system to medicaid (medicare for all is nothing more than a distant dream) to improve coverage such as providing visits to only to general practitioners, only being able to use unpatented generics along with deciding whether to apply deductibles to other health services or not depending on the cost which means that Americans would now have a 3 tiered health system and I too realize the value in providing more cover or higher access but we have to stop spooking the truly hardline experts in medicine so much to be able to keep their talent so that they can afford to teach prospective medical students to pass the talent around to make highly specialized or personalized care more accessible in the future ... 

We also need to learn to respect all sorts of intellectual properties. If the majority of us here respect the concept of copyright then it should not be so foreign to accept the of having a mini monopoly on drugs through patents ... (pharmaceutical companies often only have around 10 years to potentially profit off of it's development sometimes maybe even less once a patent expires and generics come into pricture) 

Most of the pharmaceutical state owned enterprises don't sound at all like their competitors to global giants such as Johnson & Johnson, Roche, Pfizer or Novartis so I get the impression most of the time that national health care providers with a single payer system in these countries just use collective bargaining (price control in it's purest form) against these giants to pay for medicine in bulk at reduced rates but America is swept under the rug in the process bearing the brunt (70% profit = America) of producing these leading edge treatments ... 

Price controls hinders medical research and drug supply in practically any case and just because 11 of the top 20 pharmaceutical companies are located outside the US does not mean that most of the drugs are not initially and majorly developed inside the US either. There's a reason why lot's of foreign firms out there make acquisitions or partner with American firms to either gain access to the market or the facilities. FDA is noticeably quicker than the EMA to approve drugs too so leading edge drugs like Kymriah are still the bread and butter of the US market despite having some of it's development from the outside ... (many smaller companies like Spark Therapeutics being an extremely promising American startup that's only five years old benefit too by already getting FDA approval for it's cure to a progressive blindness disease)

I genuinely believe if everybody could just invest more (and not just leave it to America) that we could soon have a hard cure to many life afflicting and chronic conditions such as from common cancers, to HIV or diabetes ... 

A potential way we could get more direct funding to the R&D operation itself is if we just have the government shopping around for whichever entities (whether private or state owned) to secure the licensing and production rights instead but it does beg the question if any governments are willing to pay to pioneer access to treating rare diseases or conditions ? 

Absolutely, I think it is naive to think that the US simply could adopt a European-style system of healthcare since that wouldn´t take into account that the US has a different structure altogether compared to my country of Sweden. Also, here in Sweden we actually have both public and private options in the healthcare sector, although the private entities receive their funding from the government. So they are more like the Charter School version of healthcare I guess =).

When it comes to these matters it often becomes very onesided where the different sides seem way to absolute in their stances. The end result might be a solution in between, where american citizens from one state can buy into the medicare system for a period of time and then the government evaluates the results. Because there is no reason to forbid any private entities, just let Medicare compete along side them and I believe the system would equalize after a period of time.

The idea you raise in the end is an interesting one and I think it´s very, VERY important that the political discussion doesn´t focus on demonizing private entities. The blame for the problems that are right now in the american healthcare system are mostly a result of the political body of the country.



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Jumpin said:
The fact that there are Americans in here attacking the idea of universal healthcare shows exactly how brainwashed the country is. Is it a coincidence that pretty much every American is on some form of medication? It's a big scam, of my entire office, virtually no one is on any kind of medication except birth control; but when an American comes in, it's always some kind of cocktail of anti-anxiety, adhd, depression, some kind of endocrine correcting meds, and painkillers -- do you guys as a country realize this isn't normal?

Have you ever streamed US TV before? There are TONS of commercials for medications that I am pretty sure would be illegal in most of the developed world. You really can't mix this kind of neoliberal economy with the medical industry and expect it to work.

Totally agree with everything you said.  There is  only one other country besides the US where it is legal to show prescription medication ads on TV.  Unless you absolutely need them to survive you shouldn't take any prescription medications.  Also there are a ton of prescription medications where the side effects end up being worse then the aliment they supposedly treat.      



Hiku said:
outlawauron said:

Europe and Asia would have a big problem with that though. Without the US to defend them, they'd have to spend some of their own money on military.

That said, I don't think people are really down for it. Even with the report above being about equivalent for Medicare/Medicaid + Insurance money, you'll be paying the same for worse care. I think I'm good.

They do spend some money on their own military, if they're allowed to have one. USA's protection is not the only factor though. NATO is obligated to defend any of it's members from attack. That's why we haven't had a war break out in Europe (Among EU & NATO countries) since NATO was established after World War 2.
USA is the biggest deterrent for Russia though. But USA can certainly cut some of it's insane defense spending, and still have a higher annual defense budget than the closest 4 countries combined, and still be able to protect a NATO nation.

Also, that $610 Billion is apparently going to be $717 Billion this year. Fantastic...
As for "paying the same for worse care", can you elaborate on that? Why would you get worse care? The idea is that the funds would be more efficiently spent on the hospitals and patients, rather than focusing on corporate profit. Which is an issue when USA is the only country on the list where the government isn't allowed to negotiate for drug prices with the pharmaceutical companies. Which is why your prices have skyrocketed, and you can buy the same US manufactured drug for up to 3-5 times cheaper, in Canada.

And just for clarification, the World Health Organization doesn't even rank USA's healthcare among the top 25 in the world: http://thepatientfactor.com/canadian-health-care-information/world-health-organizations-ranking-of-the-worlds-health-systems/
Although that was in the year 2000, but I heard they're ranked 36'th today. Which is one rank higher than their 2000 placing.

NATO defense spending is measured as a percentage of GDP. It's supposed to be 2% and nearly all of the NATO countries fall incredibly short of that. The US will never not be far out ahead in pure numbers unless the US economy collapses. Shutting down defense spending is synonymous with closing down bases and retracting the size of the military by recalling the hundreds of thousands of soldiers stationed abroad.

As far as paying the same for worse care, there isn't really any service that has been taken over by the government and had a positive impact in final product. The quality of service or product always gets worse. I have no reason to believe that the service would improve or even stay the same. The price of drugs or cost of the service doesn't impact the quality of the service. Hence the, pay the same for worse service.

As far as the WHO, they rank (appropriately) the overall mean of healthcare available in the US. The quality of care varies so much from city to city, not even to mention the jumps that can take place from state to state. The very best hospitals in the world are in the US, but that is a byproduct of the higher costs. The level of care that a very poor person receives (although free or nearly through Medicaid) is not near the level of care that someone who can afford the best receives.



"We'll toss the dice however they fall,
And snuggle the girls be they short or tall,
Then follow young Mat whenever he calls,
To dance with Jak o' the Shadows."

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-CraZed- said:
Biggerboat1 said:

I think you're mixing up Sweden with Switzerland in regards to the your neutrality reference... 

 

Also, the idea that selling drugs to counties outside the US not being profitable doesn't make any sense, otherwise why would they be selling them there?

No I don't think I am, Swedish neutrality.

And no one said there wasn't any profit it is that it affects profit margins and thus the US with it's relatively open markets drug companies can charge more here to bolster those margins. Quote form SA article: :..."In Europe, meanwhile, the impact of austerity on health budgets since the financial crisis has led industry executives to complain of single-digit percentage annual price declines."

Industry executives complaining that their prices, meaning what they are allowed to charge due to pricing controls, dropped by a mere single digit percentage. You don't think they are jumping at the chance to gouge US customers if they are complaining about that? 

My bad re. Sweden, didn't know that - stand corrected!

To your second point though, I understand that the European market is more challenging than the US but I'm certain there is still plenty profit to be made outside the US otherwise they wouldn't be selling to those markets. Also, even if they were making more money from Europe and others - do you really think they would treat the US any differently?

They'll maximise the profit they can make in each region, full stop. They're corporations, that's what they do...

What makes you think that a more profitable EU business would bring out their charitable side in the US?



outlawauron said:

NATO defense spending is measured as a percentage of GDP. It's supposed to be 2% and nearly all of the NATO countries fall incredibly short of that. The US will never not be far out ahead in pure numbers unless the US economy collapses. Shutting down defense spending is synonymous with closing down bases and retracting the size of the military by recalling the hundreds of thousands of soldiers stationed abroad.

As far as paying the same for worse care, there isn't really any service that has been taken over by the government and had a positive impact in final product. The quality of service or product always gets worse. I have no reason to believe that the service would improve or even stay the same. The price of drugs or cost of the service doesn't impact the quality of the service. Hence the, pay the same for worse service.

As far as the WHO, they rank (appropriately) the overall mean of healthcare available in the US. The quality of care varies so much from city to city, not even to mention the jumps that can take place from state to state. The very best hospitals in the world are in the US, but that is a byproduct of the higher costs. The level of care that a very poor person receives (although free or nearly through Medicaid) is not near the level of care that someone who can afford the best receives.

At least in my country there are numerous examples of services and products that have dropped in quality after they have been privatised. If a company wants to make profit from health care, it might not have much motives to cure people in the long run, while a goverment might/should have the motive to take as good care as they can to minimize expenses (if its free/almost free for the citizens). If the motive is to make people healthy (to save money) instead of making money from the sickness, then the service can also be better. Of course anything can be done well or like shit. Personally I view health care, education, police, fire department and such, as things that should be at least mostly handled by the goverment/state etc



PSintend0 said:
outlawauron said:

NATO defense spending is measured as a percentage of GDP. It's supposed to be 2% and nearly all of the NATO countries fall incredibly short of that. The US will never not be far out ahead in pure numbers unless the US economy collapses. Shutting down defense spending is synonymous with closing down bases and retracting the size of the military by recalling the hundreds of thousands of soldiers stationed abroad.

As far as paying the same for worse care, there isn't really any service that has been taken over by the government and had a positive impact in final product. The quality of service or product always gets worse. I have no reason to believe that the service would improve or even stay the same. The price of drugs or cost of the service doesn't impact the quality of the service. Hence the, pay the same for worse service.

As far as the WHO, they rank (appropriately) the overall mean of healthcare available in the US. The quality of care varies so much from city to city, not even to mention the jumps that can take place from state to state. The very best hospitals in the world are in the US, but that is a byproduct of the higher costs. The level of care that a very poor person receives (although free or nearly through Medicaid) is not near the level of care that someone who can afford the best receives.

At least in my country there are numerous examples of services and products that have dropped in quality after they have been privatised. If a company wants to make profit from health care, it might not have much motives to cure people in the long run, while a goverment might/should have the motive to take as good care as they can to minimize expenses (if its free/almost free for the citizens). If the motive is to make people healthy (to save money) instead of making money from the sickness, then the service can also be better. Of course anything can be done well or like shit. Personally I view health care, education, police, fire department and such, as things that should be at least mostly handled by the goverment/state etc

Well, privatization generally means more competition, which leads to a host of outcomes. In other industries where private vs public compete, there is a very observable gap in quality of service to the point where the government service is a bit of joke. Nice to know that some people believe that the government is more altruistic than I. I'm not that optimistic.



"We'll toss the dice however they fall,
And snuggle the girls be they short or tall,
Then follow young Mat whenever he calls,
To dance with Jak o' the Shadows."

Check out MyAnimeList and my Game Collection. Owner of the 5 millionth post.