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Forums - General Discussion - Does National Health Care Really Work?

ManusJustus said:
highwaystar101 said:
tombi123 said:
TheRealMafoo said:

I looked up some numbers, and the UK in 2009 will spend 111 billion on healthcare. There GDP is 1,439 billion.

So the cost will be 7.7% of GDP. It also equates to around $1,800 per person, for every person.

Due to the UK being a small land mass, with most of its people living in close proximity, they can be far more efficient then we can. If we were even close to them at $2,500 a person in expenses (good luck with that), that would be 750 billion a year in costs.

http://www.ukpublicspending.co.uk/uk_health_care_budget_2009_1.html#ukgs302G0

To reduce land mass and increase efficiency, couldn't you do it state by state?

I think it's the density of the states that is the issue. In some densely populated states like New Jersey it would be easy because you can build hospitals in centers of high density easily, the same way you would in england. Where as in places like Alaska where the population is sparse a nationalised healthcare system, or any system for that, would be quite unaffective.

You mean countries with sparsed populations like Sweden, Finland, or Norway? Whom also happen to have national healthcare systems.

Density actually isnt an issue. Its an issue of health (in terms of proximity to care and time to get treatment), but the cost comparison is the same. I really dont see where people make up these stats. If a hospital covers 5,000 people in a 10 mile square area (urban) is compared to a hospital that covers 5,000 people in a 100 mile square (rural area), the cost is virtually the same.

If anything sparsely populated areas are less efficient in the free market. You can have competing hospitals in an urban area while hospitals in rural areas have natural monopolies due to the distances to competitors.

??????????

You do realise I am very much in favour of socialised healthcare, hell I've made 250+ reply threads about how great it is. Also, what stats did I make up? It was 100% opinion hence the precursor "I think"

*be nice highwaystar101, don't be mean again*

I agree that those countries are sparse with a national healthcare system. But they work more effectively because the population is often far denser in the south than the north so it is easy to offer healthcare to the masses. As opposed to Alaska where it is generally sparsely populated throughout.

Here is the population density map for scandinavia, it  works because the popualtion denisty in the scandinavian countries is pretty concentrated. Where as this not the case for the USA, where some states are dense and some are sparse. It would work better as a nationwide scheme rather than a state by state scheme... unless some sparse state were not included.

 

But I am in favour for national health wherever it can be implemented, I think the US would benefit.

 

Also, I made a point about private health being worse in these areas, not better.

 

 



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MrBubbles said:
ours would work better if we werent right next door to the US. they are able to offer a lot of money to our medical graduates, due to the higher cost of health care in the US. leaving us with some shortages of talented individuals.

 

Don't you live on a island with 46 other people?



I think MrBubbles has been found out.

BTW, highwaystar - would you agree that the US system needs to get it's problems fixed (overbloated system that's outrageously priced) before expanding federal healthcare to everyone?



Back from the dead, I'm afraid.

mrstickball said:
I think MrBubbles has been found out.

BTW, highwaystar - would you agree that the US system needs to get it's problems fixed (overbloated system that's outrageously priced) before expanding federal healthcare to everyone?

Oh yes, the USA have a lot of hurdles to jump before thye can expand a national healthcare service to the entire population. But I think your Medicaid system seems to work very well for those that it benefits already and has overcome many hurdles already, and that is a national health system you already have. It hink if someone (smarter than me lol) could work out a better system in the USA withr egards to national healthcare then it would be worth it.



Sardauk said:
ManusJustus said:
TheRealMafoo said: 

I would also like to see how well it's funded. For example, the UK has a good healthcare system, but can you sustain the same level for the long haul, or are you bankrupting your country providing it?

The UK pays more than two times less for healthcare than America does.  If they increased their funding to match Americas, every Brit would have a personal nurse to wipe their a$$ for them.

 

??? I heard the situation in the UK is quite bad when you need a medical intervention ??

 The UK's health care system has rapidly improved over the past few years. Mild operations can usually be done within the 12-48 hours of asking for it, and done to, well, an incredibly high standard. My nan was diagnosed with cancer and she had the tumour out in three days, to give you an idea.

We do, however, have an issue with A&E, I waited for about two hours with a broken arm. Man, that killed. We also have a months-long waiting lists for organs, but I don't see how privatisation can help with that.



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I'm in the UK, and yes it does. The standard of care is probably lower for the top 10% (but they go private anyway) but it does amazing things for the other 90%.

Wait times are not that long and are made shorter if you are an emergency. It's not perfect and the cost in taxation is high but having experienced the American system for 3 years too I'd definitely say ours is better.



while i may not answer a direct question about where i live right now, i have on a number of occasions said where i live. tbh, i always find it amusing when people ask me about it.



"I like my steaks how i like my women.  Bloody and all over my face"

"Its like sex, but with a winner!"

MrBubbles Review Threads: Bill Gates, Jak II, Kingdom Hearts II, The Strangers, Sly 2, Crackdown, Zohan, Quarantine, Klungo Sssavesss Teh World, MS@E3'08, WATCHMEN(movie), Shadow of the Colossus, The Saboteur

McClaren said:
Tyrannical said:
I don't think national healthcare is feasable in the long term unless immigration is curtailed.

 

 Immigration?

Well one issue NHS has is failed assylum people coming in for healthcare.

"A judicial review took place on 10/11 April 2008 regarding a failed asylum seeker receiving free hospital treatment. The resultant ruling in the High Court makes it possible for failed asylum seekers to be considered 'ordinarily resident' in the UK, and, consequently, entitled to free NHS hospital treatment."

Since we already have to treat illegal immigrants on the governments bill in the US.  Think what that would run.

Probably not the point he was making... but it is a good one.



tombi123 said:
TheRealMafoo said:

I looked up some numbers, and the UK in 2009 will spend 111 billion on healthcare. There GDP is 1,439 billion.

So the cost will be 7.7% of GDP. It also equates to around $1,800 per person, for every person.

Due to the UK being a small land mass, with most of its people living in close proximity, they can be far more efficient then we can. If we were even close to them at $2,500 a person in expenses (good luck with that), that would be 750 billion a year in costs.

http://www.ukpublicspending.co.uk/uk_health_care_budget_2009_1.html#ukgs302G0

 

 To reduce land mass and increase efficiency, couldn't you do it state by state?

Medicaid is a disaster.  Also if you made it state by state you run the risk of having a "postcode" lottery.  Better hospitals in Ohio then Michigan for example.  (though that is the case now it's problematic when state run.)

Then again that is another issue with NHS isn't it... scotlands care isn't as good as Englands.

 



highwaystar101 said:
tombi123 said:
TheRealMafoo said:

I looked up some numbers, and the UK in 2009 will spend 111 billion on healthcare. There GDP is 1,439 billion.

So the cost will be 7.7% of GDP. It also equates to around $1,800 per person, for every person.

Due to the UK being a small land mass, with most of its people living in close proximity, they can be far more efficient then we can. If we were even close to them at $2,500 a person in expenses (good luck with that), that would be 750 billion a year in costs.

http://www.ukpublicspending.co.uk/uk_health_care_budget_2009_1.html#ukgs302G0

 

To reduce land mass and increase efficiency, couldn't you do it state by state?

 

I think it's the density of the states that is the issue. In some densely populated states like New Jersey it would be easy because you can build hospitals in centers of high density easily, the same way you would in england. Where as in places like Alaska where the population is sparse a nationalised healthcare system, or any system for that, would be quite unaffective.

You would think this too... but New York has one of the worst Medicaid programs in the US.  Land density is a problem... but government competency is an even bigger problem.

With only two parties and not even an extra "half" party to rig things... there is no accountability.  Since most states are pure red or pure blue... if you get in... your set.  Unless you kill someone or have an affair or cheat on your taxes.

Our government can't accomplish anything as efficently as other countries because republicans and democrats by in large don't have to do anything to keep their jobs but cling to their blind ideologies.  Even if they're failed and faulted (as both are) they'll still keep getting reelected because that's all there is.

There is no motivation except for a few people that are self motivated... and they're mostly just self motivated because they like being in power.