Greg (
[email protected]) wrote:
Subject: Re: Global Warming - a Liberal Scam?, (was Huge study about
safety can be misinterpreted by SUV drivers)
>Lloyd Parker wrote:
>> >>>>>> Yeah, it'd be terrible if everybody were covered and we
spent less on >health
>> >>>>>> care, as Europe, Canada, and Japan do, wouldn't it?
Terrible for >insurance
>> >>>>>> companies, drug companies, HMOs, etc, that is.
> >>>>>How would we spend "less on health care" ? Instead of paying for health
> >>>>>insurance we would pay *AT LEAST* that much in additional taxes.
Americans are now spending over $5,000 per capita on healthcare, more
than double what is spent in Canada, or any other country, and that's
with like 40% of the people not belonging to any health plan. What
makes you think we would 'spend *AT LEAST* that much in additional
taxes'?
> >>>> Why is it, then, that every western European nation, plus Canada and Japan,
> >>>> spend less per capita on health care than the US yet still cover everybody?
> >>>Answer a question with a question. How does your state run health care
> >>>system cost less than the current private one?
Because there are no expenses for HMO marketing, competing redundant
HMO bureaucracies (if you think the government bureaucracy is bad
you're not familiar with HMOs), huge executive salaries, dividends and
profits for shareholders, money to cover investment losses (a big
factor in the current sudden rise in insurance costs, or didn't you
know that that's what insurance companies and HMOs do with your
money?); because providers don't have to spend significant chunks of
their highly expensive time filling out various and sundry varieties
of reimbursement forms; because there are no random deliberate or
accidental routine nonpayments of bills that should be paid, requiring
a repeat of the reimbursement process; because a huge health plan has
the market muscle to wrestle low charges from providers, who then
charge correspondingly more for smaller plans and charge the maximum
for individuals paying out of pocket. (Or did you have no idea the
discount your health plan, if you have one, gets from the amount you
see on your hospital bill?)
Of course, that explains why Medicare gets the lowest rates in the US,
and is one of the most successful plans in terms of patient
satisfaction, as well as being the only health plan in the US whose
members get care that's at or near the top rank of the industrialized
nations. Ironic, because of course it is, of course, state-run
healthcare.
> >> Because all the examples we have of state-run health care say it would.
> >> Economy of scale, negotiation for lower prices, preventative care instead of
> >> waiting until the person becomes sick -- all these and other factors.
> >
> >So your answer is we would save money through the reduced quality of care.
> >I suggest you gain some experience with how government price controls
> >have a negative impact on care, at least with regards to how it works
> >in the USA.
> >
> >
> Again, I refer you to all the data which shows people in Canada and western
> Europe are healthier and live longer.
>And naturally this has absolutely nothing to do with lifestyle, food
choices,
>relative scarcity of obesity, and regular excercise as part of the
daily
>routine. Nope, it must only because of state run health care.
Well, yeah, good to see it's dawning on you.
The famous JAMA 7/26/2000 paper points out that the US doesn't have
such bad habits as to put it at the bottom of the barrel for health
care outcomes; we're the 5th best and 3rd best for smoking for females
and males, 5th best for alcohol consumption, fifth best in consumption
of animal fats and third best for cholesterol level, for instance. And
deaths from unnatural causes, like getting shot or car accidents, are
not included. So, if we rank at the bottom of healthcare measures of
quality without ranking at the bottom for lifestyle causes, it's hard
to escape the implication that we are just not getting the best or
most appropriate care, regardless of price.
But enough about me and what I know; what evidence do you have that
you are getting the best care in the industrialized world, or even
average care for the industrialized world, other than your deep-seated
belief that anything else would be just too unthinkable to even
consider?