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Forums - General Discussion - US Universal Healthcare: How are we going to pay for it?

@Kasz216:

Health care in the U.S. is ALREADY RATIONED.   That's how those vampiric bastards make (not earn) their money.

Here's just one example

The horrible truth behind HMOs:

Hell is too good for those bastards.



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Kasz216 said:
famousringo said:

This hit a bit of a nerve with me, since my grandfather spent a couple decades fighting off cancer that started in his prostate before succumbing to it at the respectable age of 86, all in Saskatchewan. Prostate cancer is used often in these examples, because it is a slow-growing cancer and can often be left to wait with little consqeunce, so jurisdictions looking to save a little money do exactly that. It seems that US cancer survival rates might not be all they're cracked up to be:

http://blog.washingtonpost.com/fact-checker/2007/10/rudy_miscalculates_cancer_surv.html

The latest official figures for five-year "survivability" rates for men diagnosed with prostate cancer are around 98 per cent in the United States and 74 per cent in England.

More importantly, the survivability figures tell us little about the differences in the quality of treatment received by prostate cancer patients in the United States and Britain. Doctors in the two countries have different philosophies about how to treat prostate cancer, and these differences have greatly influenced the "survivability" statistics.

In the United States, there has been a big emphasis since the early 1990s on early screening through PSA (prostate-specific antigen) testing. Five-year survivability rates have increased simply because men are being diagnosed with prostate cancer at a very preliminary stage of a slow-developing disease. If you are diagnosed early on, your chances of surviving for another five years are close to 100 percent. Britain is several years behind the United States in the widespread use of PSA testing.

"When you introduce screening and early detection into the equation, the survival statistics become meaningless," said Howard Parnes, chief of the Prostate Cancer Research Group at the National Cancer Institute. "You are identifying many people who would not otherwise be diagnosed."

Another way of comparing treatment of prostate cancer in the U.S. and Britain is to look at the mortality rates from the disease. Here the two countries are much closer. The graph below shows deaths per 100,000 males in each country. About 25 men out of 100,000 are dying from prostate cancer every year in both the U.K. and the U.S.

Brantley Thrasher, chairman of the Department of Urology at the University of Kansas, said it was "impossible to say" on the basis of the statistics whether a prostate cancer patient had a better chance of surviving under a "capitalistic" or "socialistic" medical system. American doctors tend to be more "interventionist" and more likely to advocate surgery than their counterparts in Britain or Canada, where greater emphasis is put on "active surveillance." In the United States, a patient with a good health care plan is "more empowered to make decisions" for himself.

"You can't say that it's better to have prostate cancer here or in some other country," with a developed health care system, said Dr Thrasher, who also serves as a spokesman for the American Urological Association.

While doing this research, I also turned up this surprising study which shows that the US health system actually offers fewer services in many categories than other OECD countries (fewer doctors, nurses, bed), despite paying so much more:

http://www.medicalnewstoday.com/articles/27348.php

My answer to the thread topic itself is a combination of rationing, price controls, and improved efficiency. Increased tax revenues shouldn't even be necessary, though it's always an option. The United States already spends more public money on health as a share of GDP than Canada, and it obviously isn't getting enough value for that money if so much more private money gets spent along side. If the governments of Canada can provide universal coverage for 6.84% of GDP, I see no reason why the US shouldn't be able to for 6.88% of GDP, except perhaps a lack of political will.

You missed a vital part of information in there.

According to Patrick Walsh, professor of urology at Johns Hopkins, the British data probably understate the number of people who have died from prostate cancer in Britain. Some prostate cancer-related deaths in the U.K. were classified as deaths from pneumonia before 1984 and after 1992.

 

Additionally what is being ignored is that the United States accounts for over 70% of the worlds medical research.  How does anyone plan replace all that private spending that will dry up from the lack of profits?

To use cancer as an example... how many more years would we have to wait for gold nanorods to replace other more dangerous treatments?

 

I don't see how that information is relevant, actually. Three key facts remain:

1. The mortality rates remain very comparable, including during an eight- year period when there were no prostate cancer-related deaths reported as pneumonia in the UK.

2. The appearance of high survival rates in the US is an illusion caused by early detection more than a result of treatment outcomes. Not that anybody would argue that early detection isn't a good thing.

3. A spokesman for the American Urological Association states that you cannot draw the conclusion that the United States has better prostate cancer outcomes than other developed countries.

As to medical research, even America's substantial spending amounts to less than 1% of GDP, and almost half of that is public money. If the United States coud bring its health spending in line with the second biggest health spender in the world, it could quadruple research spending and still save money.

In the specific matter of cancer research, just today I stumbled across a promising, publicly funded research project using "nanobees" to target cancerous tumors. If you look at their paper published in The Journal of Clinical Investigation, they cite the NIH as a source of funding:

http://www.theregister.co.uk/2009/08/11/cancer_nanotech_bees/



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Kasz216 said:
highwaystar101 said:
Kasz216 said:

Anything it does that's biased to force people to choose something. Not just anything.

For example taxes only on some things.

Having signle item taxes is the government saying "This is bad. So we're going to charge you more." This is immoral. Also it's costing your government money.

It's the WORST of both worlds.

You keep ignoring the fact that you are charging smokers more for DECREASING the cost to NHS.

It's like charing people who DON'T use the roads.

 

I haven't side stepped it at all. You took a study from Holland reported on an obscure British website to try and prove your point, I acknowledged that and shown you how the figures were not applicable at all because Britain works in a very different way to Holland. Then I went on to demonstrate how even if they are cheaper concerning medical bills they are still far more expensive than healthy people when you take in all considerations. Smokers pay for themselves, you pretty much have to accept this because the evidence exists, they cost £5bn to treat per year and provide £10bn in taxes, and the tax done not immoral IMO because it is like half the other taxes out there.

And also it is only "immoral" for those who are socialist... Are you a socialist Kasz? Because a capitalist wouldn't say it is immoral to charge people more for a more expensive service.

-edit-

My girlfriend (who is a doctor for the NHS) wants me to make the arguement that any small tax that goes to creating a better quality of life for the people that pay it cannot in any way be immoral, and is no more immoral than any other tax the government collects.

A) So it's not immoral to tax someone for being muslim if it goes to healthcare?

B) Those other costs are completly irrelvent to the government.

C) the differences between the UK and holland wouldn't effect the prices of this stuff.

A) You enjoy taking things I've said out of context don't you? It's not this first time you've done it by far. I mean what direct costs do muslims incur for the government? Shall I start making tenuous arguements based on taking things you've said out of context? Hey everyone, Kasz says that if you don't smoke you should die at an earlier age anyway because it is cheaper for the government.

B) No they are not. Not by any means

C) You don't seem to understand that Holland and UK are different places. You can't deny that the government make a net gain of smokers at any rate. Whether they cost more or less than old people. And old people are supported by numerous other taxes, mostly national insurance though like rest f the NHS. And besides you don't seem acknowledge the fact that NHS is a humanitarian organisation and even though they get taxes of smokers and old people costs money it's part of their ethics to try to get people to live longer and more comfortably, which this tax on cigarettes allows them to do.



@Ninjaguy, Thank you to America for michael moore.



“When we make some new announcement and if there is no positive initial reaction from the market, I try to think of it as a good sign because that can be interpreted as people reacting to something groundbreaking. ...if the employees were always minding themselves to do whatever the market is requiring at any moment, and if they were always focusing on something we can sell right now for the short term, it would be very limiting. We are trying to think outside the box.” - Satoru Iwata - This is why corporate multinationals will never truly understand, or risk doing, what Nintendo does.

highwaystar101 said:
Kasz216 said:
highwaystar101 said:
Kasz216 said:

Anything it does that's biased to force people to choose something. Not just anything.

For example taxes only on some things.

Having signle item taxes is the government saying "This is bad. So we're going to charge you more." This is immoral. Also it's costing your government money.

It's the WORST of both worlds.

You keep ignoring the fact that you are charging smokers more for DECREASING the cost to NHS.

It's like charing people who DON'T use the roads.

 

I haven't side stepped it at all. You took a study from Holland reported on an obscure British website to try and prove your point, I acknowledged that and shown you how the figures were not applicable at all because Britain works in a very different way to Holland. Then I went on to demonstrate how even if they are cheaper concerning medical bills they are still far more expensive than healthy people when you take in all considerations. Smokers pay for themselves, you pretty much have to accept this because the evidence exists, they cost £5bn to treat per year and provide £10bn in taxes, and the tax done not immoral IMO because it is like half the other taxes out there.

And also it is only "immoral" for those who are socialist... Are you a socialist Kasz? Because a capitalist wouldn't say it is immoral to charge people more for a more expensive service.

-edit-

My girlfriend (who is a doctor for the NHS) wants me to make the arguement that any small tax that goes to creating a better quality of life for the people that pay it cannot in any way be immoral, and is no more immoral than any other tax the government collects.

A) So it's not immoral to tax someone for being muslim if it goes to healthcare?

B) Those other costs are completly irrelvent to the government.

C) the differences between the UK and holland wouldn't effect the prices of this stuff.

A) You enjoy taking things I've said out of context don't you? It's not this first time you've done it by far. I mean what direct costs do muslims incur for the government? Shall I start making tenuous arguements based on taking things you've said out of context? Hey everyone, Kasz says that if you don't smoke you should die at an earlier age anyway because it is cheaper for the government.

B) No they are not. Not by any means

C) You don't seem to understand that Holland and UK are different places. You can't deny that the government make a net gain of smokers at any rate. Whether they cost more or less than old people. And old people are supported by numerous other taxes, mostly national insurance though like rest f the NHS. And besides you don't seem acknowledge the fact that NHS is a humanitarian organisation and even though they get taxes of smokers and old people costs money it's part of their ethics to try to get people to live longer and more comfortably, which this tax on cigarettes allows them to do.

A) I took exactly what you said in the context you said it.

B) Yes they are.  Those costs are personal costs only.  Sick days and the like.

C)  You are suggseting here that the government makes money off those who smoke to give others healthcare.   So.  In this situatation... your healthcare is being paid by someone who makes the same money as you but smokes.  Is this fair?  Or even someone who makes less money then you!

Because you know.  Smoking taxes are actutually some of the most regressive taxes out there since the poor smoke in much greater numbers then the rich.  People aren't being forced to pay for their treatment.  They're being forced to pay for EVERYBODYs treatment.

These people would be better off with no cigarrette tax and be excluded from NHS from smoking related situations.



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A) Muslims != smokers. Sorry but they really are not the same thing.

B) Sick days are not personal costs. They are huge costs to the economy of the country.

C) I think that taxing cigarettes decreases the number of users (especially the number of people starting the habit) and has the happy side effect of putting a lot of money into the health system. Plus, smoking and alcohol both have negative effects outside of the person consuming them - smoking through second hand smoke and alcohol through drunkeness along with the monetary cost to society at large of both. Hence I believe taxation of both (despite the fact that I enjoy alcohol) to be fair.



Rath said:
A) Muslims != smokers. Sorry but they really are not the same thing.

B) Sick days are not personal costs. They are huge costs to the economy of the country.

C) I think that taxing cigarettes decreases the number of users (especially the number of people starting the habit) and has the happy side effect of putting a lot of money into the health system. Plus, smoking and alcohol both have negative effects outside of the person consuming them - smoking through second hand smoke and alcohol through drunkeness along with the monetary cost to society at large of both. Hence I believe taxation of both (despite the fact that I enjoy alcohol) to be fair.

A) Both are choices people make and something that should be up to them.

B) That in my opinion is facist thinking.  Someone losing sick time due to the effects of smoking is no different then someone "losing" time because they decide to not go into work in a day.  The government has no "right" to any time I don't go to work, no matter the reason.  Penalizing me for not working is at best light facism.  I mean why not tax people more who go on vacation?

C) Yeah that's... social engineering.  Which is wrong.  Your telling people "You arent responsible enough to stop smoking and drinking.  So we the government are going to stop you... or make you damn well feel it anyway! 

This is immoral.  If someone wants to do something unhealthy they should have every right to do it.

We should treat adults... like adults.



Also i'm simply not responding to Michael Moore since he's basically the Democrats Rush Limbaugh.

If two things he's ever said in a row were true it was likely an accident.



If you took all of the money currently paid in health insurance, and cut out duplication of services [having ambulances compete], commercial functions [marketing department, a lot of admin work], profit margins, use of a lot of non-generic drugs, cosmetic operations [e.g. braces aren't medically necessary in the vast majority of cases], and the money lost through treating people who have no insurance, you would have more than enough money to cover state-run health care provision for everyone in the US, without paying a penny more if you were rich or poor.

Obama's not being radical enough. He's keeping the existing, money-consuming commercial infrastructure. He should nationalise health insurers and providers too. Then he could achieve universal healthcare at no cost to the taxpayer.

If you need to save any more money you could ditch drug patents altogether. That would save hundreds of billions, and the argument that drug companies wouldn't innovate [Personally I doubt that would happen] could be resolved by using public money to research unprofitable drugs that are nevertheless in the public interest. The drug market gives incentive for drug companies to put you on expensive treatments for life, rather than one-shot cures, but I think we all know which is more popular.



Kasz216 said:
Rath said:
A) Muslims != smokers. Sorry but they really are not the same thing.

B) Sick days are not personal costs. They are huge costs to the economy of the country.

C) I think that taxing cigarettes decreases the number of users (especially the number of people starting the habit) and has the happy side effect of putting a lot of money into the health system. Plus, smoking and alcohol both have negative effects outside of the person consuming them - smoking through second hand smoke and alcohol through drunkeness along with the monetary cost to society at large of both. Hence I believe taxation of both (despite the fact that I enjoy alcohol) to be fair.

A) Both are choices people make and something that should be up to them.

B) That in my opinion is facist thinking.  Someone losing sick time due to the effects of smoking is no different then someone "losing" time because they decide to not go into work in a day.  The government has no "right" to any time I don't go to work, no matter the reason.  Penalizing me for not working is at best light facism.  I mean why not tax people more who go on vacation?

C) Yeah that's... social engineering.  Which is wrong.  Your telling people "You arent responsible enough to stop smoking and drinking.  So we the government are going to stop you... or make you damn well feel it anyway! 

This is immoral.  If someone wants to do something unhealthy they should have every right to do it.

We should treat adults... like adults.

A) What really is the point you're trying to make?

B) Seriously? I think you'll find that his opinion is simply capitalist.

C) Social engineering is everywhere, get over it.

Overall, I think you need to understand that if you treat adults like adults, then any country would go to complete shit because large proportions of any adult population are complete and utter idiots. Hell, America managed to vote Bush in for 2 terms. Goverments and leaders manipulate the masses, its simply the way of the world.