Bullshit - we had equal access to unaffordable care, that bankrupts the sick, and makes insurance companies and Wall Street quite wealthy. Barack Obama had the perfect opportunity to push through a Single Payer system - since the Democrats controlled both houses of Congress... But they represent Wall Street and Goldman Sachs - not their …
Bullshit - we had equal access to unaffordable care, that bankrupts the sick, and makes insurance companies and Wall Street quite wealthy. Barack Obama had the perfect opportunity to push through a Single Payer system - since the Democrats controlled both houses of Congress... But they represent Wall Street and Goldman Sachs - not their voters... And you had the Kochs warning everyone to avoid a system that a decade later, they admitted works better, for less cost (and less rapacious Wall Street profits, too). That's why we started the Occupy Movement - which was remarkably diverse in its makeup and political spread.
I haven't been to Japan since I was an exchange student under Reagan, in 1984. So I can't speak to their system of healthcare.
Single payer systems around the world bankrupt the entire nation that has them. The system, such as it can be called a system with at least 50 different subsystems was certainly not performing any where near optimal, yet offered far better than elsewhere. In the UK, Canada and Japan, everyone pays for healthcare but many do not receive it. We did not have waiting lists for anything other than transplants as do Canada and the UK. In Japan, they just turn you away, which they call “Taraimawashi”. Perhaps you can explain this for me. No one else has even tried. Why is a system that denies you what you paid for superior to one that you have difficulty paying for what you received?
If you're a US citizen - you (and your labor) are collateral on the Federal Debt. You are property, Chattel - enslaved by the Federal Reserve, which creates an account with a given amount of fiat money in it, when you're born.
As such - maintaining their property, is not just in their (and your) best interest, it should be a fiduciary duty. It seems like the system that they've built accepts that the poors will just die untreated, while the prosperous, productive, or lucky - will have no expenses spared, to prolong their lives and bolster their health.
If you're a Koch or a Walton, even one of the trust fund-syphoning 'black sheep' - you can just pay cash. If you have Cadillac healthcare - like most executives, and the President, and people in Congress - your insurance will pay whatever it costs. But if you're lower down on the social pyramid - your insurance will just look for ways to get rid of you, as soon as your benefits start exceeding your premiums significantly.
Michael Moore and others have laid out this disparity. One former Insurance Executive (Wendell Potter) talks about all of the tricks that they use to cancel and drop people, after taking in their premiums for decades. And for most people, the insurance comes from a job that you can never afford to lose... But if you get sick enough, they may have to let you go, since you can't come in anymore. And there goes your coverage.
Rationing is a Choice. You see how we write checks for Ukrainian NAZIS? The sky is the limit. It could be that way for paying for the Doctors and Hospitals of your choices, too. It's all Monopoly money. MMT posits that there are limits - but that we never have to hit them, if we don't spend it all on weapons and cash for Israelis - who ALSO have State-sponsored healthcare.
Cuba does remarkably well on the healthcare front. In a world where we weren't in a neverending state of warfare against them - they'd be a model for the world. As it is, they provide healthcare all over the place, and they train great doctors, who get by with limited resources, admirably. They have their own biomedical tech industry, too. Interferon alpha worked against Covid, quite well, according to reports. I have no idea how their traditional-type Covid Vaccine works, or the safety profile - but I suspect that it works far better than the rest, and doesn't kill and injure people needlessly. The Empire was desperately trying to prevent the WHO from recognizing it - which can only mean good things.
People who complain about British or Canadian healthcare - have never been without insurance, here in the US. And I'm positive that a free people + human socialism system, could put their bureaucratic and miserly systems to shame. Like with their system we could have the State pay the bills - but we could just leave it up to the ethical judgement of Doctors (of the patients' choice) what care is appropriate and worthwhile. If patients want a second or third opinion - we let the Doctors compete for those State $s. And having a single payer for all - means that drug companies and hospitals can't gouge. And we could change our patent laws, to recoup the intellectual property value, that we routinely give away for free, or to line the pockets of people like Fauci.
“And for most people, the insurance comes from a job that you can never afford to lose... But if you get sick enough, they may have to let you go, since you can't come in anymore. And there goes your coverage”. Unbeknownst to mostly Japanese, this is true in Japan as. Receiving benefits from the national health care scheme is dependent upon paying premiums, which stop once one is let go. Such people can still receive benefits if they go to the city office and make payments out of pocket. Extremely few know of this. In my experience, only those who have gone through it, and I would hope, those close enough to them to learn of their plight. Without income, this quickly becomes a drain on the family finances.
I know people here in Japan denied acceptance into hospitals despite being covered. I know people who have lost babies because of this. Meanwhile, in the US, my niece was severally injured in an auto accident that took her mother’s life. She survived because a helicopter landed on the highway to pick her up and transport her to a trauma center in another State. I have no idea where the money for treatment came from as her father, my brother, was and remains of extremely modest means. If my son suffered similar injuries here in Japan, his chances of survival, despite 20 years after my nieces crash, would be next to zero as the ambulance crew would have to find a hospital in our prefecture that had a pediatrician on duty that was not with another patient. Pediatricians are paid less than doctors in most other fields and are overworked, thus few in number. Those I know about have had to wait for over an hour before admission to a hospital. I have read stories of similar in Canada and the UK. For reasons that I will never understand, the systems that offer next to zero reliable care for accident victims are praised to high heaven by those who live under them and those who do not. No one needs to pay huge sums of money out of every paycheck just so they can get a physical check up for “free” and long waiting lists for routine procedures. What is needed form medicine is not care for lifestyle choices, but urgent care for those who are injured or suddenly fall ill. Single payer systems of Canada, the UK and Japan and I’d bet many others fail miserably in this regard, negating any perceived benefit from them and at a cost of bankrupting the entire nation. No thanks.
As a US Citizen living abroad and under FATCA/FBAR and CBT, I know, perhaps more than you, that your opening statement is true. However, none of this answers my question. They argue net in the US before ACA was, “How do I pay for the emergency treatment I received?” Whereas in Japan, Canada, and the UK and probably other places, the question is, “How do I get treatment that I already paid for?” Those are the two options. The number of uninsured persons in the US was small compared against the whole population. The number most usually cited for uninsured in the US includes those in the country illegally. The solution to that problem does need to be a single payer system, nor the monstrosity of ACA.
Uninsured and underinsured together are why the costs are so high when you go to an Emergency room. That $100 aspirin is compensating for those who can't or don't pay. And I have it good authority, that the undocumented from the South pay at a much higher rate than the native born - even when it's from their own pockets. I know, this, because my father ran the ER in Boyle Heights for several decades.
People forced to stay in bad jobs, because they can't afford to risk the loss of insurance, while hunting for a better one, reduces net productivity for our society. Those without jobs rarely have insurance, and as Trump pointed out at one point while running in 2016 - that's a fake statistic, "unemployed" - you have to look at the total jobless numbers, because people fall off of the rolls, at a certain point.
I can't speak to all the possible flaws of systems that don't exist, or problems that exist in other systems. But I can tell you that our open system would work better than it does now, in every possible case, with the Pentagon Budget system, acting as a single payer for everyone. And the benefits to societal productivity would be great. Healthy people are more productive, for longer.
I stopped reading after the first sentence. You are not responding to the reality I shared with you. Despite being paid up in full, one is routinely denied the emergency room in Japan and can be in Canada and the UK. This is especially true for children, pregnant women. More so if one does not look Japanese. They have paid, yet are denied emergency treatment in a timely manner.
Bullshit - we had equal access to unaffordable care, that bankrupts the sick, and makes insurance companies and Wall Street quite wealthy. Barack Obama had the perfect opportunity to push through a Single Payer system - since the Democrats controlled both houses of Congress... But they represent Wall Street and Goldman Sachs - not their voters... And you had the Kochs warning everyone to avoid a system that a decade later, they admitted works better, for less cost (and less rapacious Wall Street profits, too). That's why we started the Occupy Movement - which was remarkably diverse in its makeup and political spread.
I haven't been to Japan since I was an exchange student under Reagan, in 1984. So I can't speak to their system of healthcare.
Single payer systems around the world bankrupt the entire nation that has them. The system, such as it can be called a system with at least 50 different subsystems was certainly not performing any where near optimal, yet offered far better than elsewhere. In the UK, Canada and Japan, everyone pays for healthcare but many do not receive it. We did not have waiting lists for anything other than transplants as do Canada and the UK. In Japan, they just turn you away, which they call “Taraimawashi”. Perhaps you can explain this for me. No one else has even tried. Why is a system that denies you what you paid for superior to one that you have difficulty paying for what you received?
If you're a US citizen - you (and your labor) are collateral on the Federal Debt. You are property, Chattel - enslaved by the Federal Reserve, which creates an account with a given amount of fiat money in it, when you're born.
As such - maintaining their property, is not just in their (and your) best interest, it should be a fiduciary duty. It seems like the system that they've built accepts that the poors will just die untreated, while the prosperous, productive, or lucky - will have no expenses spared, to prolong their lives and bolster their health.
If you're a Koch or a Walton, even one of the trust fund-syphoning 'black sheep' - you can just pay cash. If you have Cadillac healthcare - like most executives, and the President, and people in Congress - your insurance will pay whatever it costs. But if you're lower down on the social pyramid - your insurance will just look for ways to get rid of you, as soon as your benefits start exceeding your premiums significantly.
Michael Moore and others have laid out this disparity. One former Insurance Executive (Wendell Potter) talks about all of the tricks that they use to cancel and drop people, after taking in their premiums for decades. And for most people, the insurance comes from a job that you can never afford to lose... But if you get sick enough, they may have to let you go, since you can't come in anymore. And there goes your coverage.
Rationing is a Choice. You see how we write checks for Ukrainian NAZIS? The sky is the limit. It could be that way for paying for the Doctors and Hospitals of your choices, too. It's all Monopoly money. MMT posits that there are limits - but that we never have to hit them, if we don't spend it all on weapons and cash for Israelis - who ALSO have State-sponsored healthcare.
Cuba does remarkably well on the healthcare front. In a world where we weren't in a neverending state of warfare against them - they'd be a model for the world. As it is, they provide healthcare all over the place, and they train great doctors, who get by with limited resources, admirably. They have their own biomedical tech industry, too. Interferon alpha worked against Covid, quite well, according to reports. I have no idea how their traditional-type Covid Vaccine works, or the safety profile - but I suspect that it works far better than the rest, and doesn't kill and injure people needlessly. The Empire was desperately trying to prevent the WHO from recognizing it - which can only mean good things.
People who complain about British or Canadian healthcare - have never been without insurance, here in the US. And I'm positive that a free people + human socialism system, could put their bureaucratic and miserly systems to shame. Like with their system we could have the State pay the bills - but we could just leave it up to the ethical judgement of Doctors (of the patients' choice) what care is appropriate and worthwhile. If patients want a second or third opinion - we let the Doctors compete for those State $s. And having a single payer for all - means that drug companies and hospitals can't gouge. And we could change our patent laws, to recoup the intellectual property value, that we routinely give away for free, or to line the pockets of people like Fauci.
“And for most people, the insurance comes from a job that you can never afford to lose... But if you get sick enough, they may have to let you go, since you can't come in anymore. And there goes your coverage”. Unbeknownst to mostly Japanese, this is true in Japan as. Receiving benefits from the national health care scheme is dependent upon paying premiums, which stop once one is let go. Such people can still receive benefits if they go to the city office and make payments out of pocket. Extremely few know of this. In my experience, only those who have gone through it, and I would hope, those close enough to them to learn of their plight. Without income, this quickly becomes a drain on the family finances.
I know people here in Japan denied acceptance into hospitals despite being covered. I know people who have lost babies because of this. Meanwhile, in the US, my niece was severally injured in an auto accident that took her mother’s life. She survived because a helicopter landed on the highway to pick her up and transport her to a trauma center in another State. I have no idea where the money for treatment came from as her father, my brother, was and remains of extremely modest means. If my son suffered similar injuries here in Japan, his chances of survival, despite 20 years after my nieces crash, would be next to zero as the ambulance crew would have to find a hospital in our prefecture that had a pediatrician on duty that was not with another patient. Pediatricians are paid less than doctors in most other fields and are overworked, thus few in number. Those I know about have had to wait for over an hour before admission to a hospital. I have read stories of similar in Canada and the UK. For reasons that I will never understand, the systems that offer next to zero reliable care for accident victims are praised to high heaven by those who live under them and those who do not. No one needs to pay huge sums of money out of every paycheck just so they can get a physical check up for “free” and long waiting lists for routine procedures. What is needed form medicine is not care for lifestyle choices, but urgent care for those who are injured or suddenly fall ill. Single payer systems of Canada, the UK and Japan and I’d bet many others fail miserably in this regard, negating any perceived benefit from them and at a cost of bankrupting the entire nation. No thanks.
As a US Citizen living abroad and under FATCA/FBAR and CBT, I know, perhaps more than you, that your opening statement is true. However, none of this answers my question. They argue net in the US before ACA was, “How do I pay for the emergency treatment I received?” Whereas in Japan, Canada, and the UK and probably other places, the question is, “How do I get treatment that I already paid for?” Those are the two options. The number of uninsured persons in the US was small compared against the whole population. The number most usually cited for uninsured in the US includes those in the country illegally. The solution to that problem does need to be a single payer system, nor the monstrosity of ACA.
Uninsured and underinsured together are why the costs are so high when you go to an Emergency room. That $100 aspirin is compensating for those who can't or don't pay. And I have it good authority, that the undocumented from the South pay at a much higher rate than the native born - even when it's from their own pockets. I know, this, because my father ran the ER in Boyle Heights for several decades.
People forced to stay in bad jobs, because they can't afford to risk the loss of insurance, while hunting for a better one, reduces net productivity for our society. Those without jobs rarely have insurance, and as Trump pointed out at one point while running in 2016 - that's a fake statistic, "unemployed" - you have to look at the total jobless numbers, because people fall off of the rolls, at a certain point.
I can't speak to all the possible flaws of systems that don't exist, or problems that exist in other systems. But I can tell you that our open system would work better than it does now, in every possible case, with the Pentagon Budget system, acting as a single payer for everyone. And the benefits to societal productivity would be great. Healthy people are more productive, for longer.
I stopped reading after the first sentence. You are not responding to the reality I shared with you. Despite being paid up in full, one is routinely denied the emergency room in Japan and can be in Canada and the UK. This is especially true for children, pregnant women. More so if one does not look Japanese. They have paid, yet are denied emergency treatment in a timely manner.