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Computer Model Reveals Escape Plan From Poverty's Vicious Circle

KentuckyFC writes "Infectious disease condemns poor countries to an endless cycle of ill health and poverty. Now a powerful new model of the link between disease and economic growth has revealed why some escape plans work while others just make matters worse. The problem is that when workers suffer from poor health, economic output goes down. And if economic output goes down, there is less to spend on healthcare. And if spending on healthcare drops, workers become less healthy. And so on. So an obvious solution is for a country to spend more on healthcare. But the new model says governments must take care since the cost to a poor country can send the economy spiraling into long term decline. By contrast, an injection of capital from outside the country allows spending on healthcare to increase without any drop in economic output. 'We find that a large influx of capital is successful in escaping the poverty trap, but increasing health spending alone is not,' say the authors. And the amount required is relatively little. The model suggests that long-term investment needs only to be more than 15 per cent of the cost of healthcare. But anything less than this cannot prevent the vicious circle of decline."

356 comments

  1. Healthcare by ledow · · Score: 5, Insightful

    Keep your people healthy and they'll live longer, work longer and pay more tax.

    What kind of idiot hasn't realised this yet? (obviously, America)

    1. Re:Healthcare by ganjadude · · Score: 4, Interesting

      'We find that a large influx of capital is successful in escaping the poverty trap, but increasing health spending alone is not,

      Pretty much, we spend more money on HC in america than any other country yet our care is no where near good by any stretch of the imagination. Throwing more money at it like the current admin wants to do, according to this study anyway seems to be a waste of money

      --
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    2. Re:Healthcare by ColdWetDog · · Score: 5, Interesting

      Oh we're quite 'healthy' - not at the highest level but more than healthy enough to be able to weather serious disease as best as possible. TFA is talking about real malnutrition / lack of clean water / lack of vaccines level healthy.

      Now, how we go about spending money on 'health' is another topic that we've attacked numerous times and is much more complex. But, barring small pockets of severe poverty, we're pretty healthy.

      Going back to TFA

      How much cash does a country need to escape a poverty trap? Goerg and co say their model suggests that the money should be equivalent to halving the cost of disease treatment and prevention.

      But this level of investment is not needed in the long term. Goerg and co say the same outcome can be guaranteed if the long term investment is equivalent to only 15 per cent of this cost.

      I wonder if they're talking about nutrition / basic sanitation in theses costs. While not terribly high dollar, it's often hard to get levels of basic nutrition and clean water to really poverty stricken places and create the infrastructure to keep the resources up over time. That might be more expensive. Still and all it gives groups like the IMF a spread sheet number that they can plug in to force countries to do something other than create a mega dam for the Chinese.

      --
      Faster! Faster! Faster would be better!
    3. Re:Healthcare by g0bshiTe · · Score: 2, Insightful

      Mod Insightful.

      --
      I am Bennett Haselton! I am Bennett Haselton!
    4. Re:Healthcare by Anonymous Coward · · Score: 5, Insightful

      Throwing more money at it like the current admin wants to do, according to this study anyway seems to be a waste of money

      It's not the money you spend, it's how you spend it.

      The US healthcare system is mired in being a for-profit operation controlled by large multi-nationals and insurance companies.

      They have no interest whatsoever in providing good health care, they care about maximizing corporate profits.

      Basically, America's system can't ever work, and never really will except for the rich. Everybody else is expendable and 'surplus population'.

    5. Re:Healthcare by ledow · · Score: 5, Insightful

      Spending money on cosmetic surgery, and the amount of money you literally PISS AWAY into insurers and intermediaries is the cause of your problem.

      You're not spending money on making people better. You're spending money on keeping huge pharmaceutical companies in their monopoly on ineffective treatments.

      How much do you think it *really* costs to diagnose and treat a broken leg? Now find out how much your insurers pay (who aren't "insuring", because they only charge you for your own personal expense, at great "middle-man" profit).

      Stop pissing about, through out this "private" medical practice with insurers and so many middle-men, and put in place a national health service who offer any treatment that is effective and extends life / quality of life, which everyone contributes to from taxation, and everything else you pay for out of your own pocket.

      You'll pay less tax. You'll never pay health insurance again unless you want to for something cosmetic. And you'll be healthier.

      Come join the rest of the fucking first- and third-world.

    6. Re:Healthcare by Grishnakh · · Score: 5, Informative

      Spending money on cosmetic surgery

      Huh? That's not part of the US's problem at all. Cosmetic surgery isn't covered by insurance, it's at-will and paid directly by those who want it. It's totally irrelevant to the problems in the healthcare industry in America. In fact, if anything, it's probably more cost-effective and efficient because it cuts the insurance companies out of the equation.

      and everything else you pay for out of your own pocket.

      Yes, that's already how we do it for cosmetic surgery. It's everything else that's a disaster.

    7. Re:Healthcare by epyT-R · · Score: 1, Informative

      Which apparently requires many intrusions on freedom and liberty, rapidly driving down the quality of life to the point of not worth living status. For what? To pay of the crazy debt the government has accrued over the last 5 decades? Fuck them. I didn't ask for this nor did I vote for it.

      The last thing I want is the state telling me what I may eat, how much, when and where I must exercise, how much I must work, and when and where I may travel. Of course, all of this is required in order to 'live longer, work longer, and pay more tax.' Fuck that.

    8. Re:Healthcare by epyT-R · · Score: 2, Insightful

      Private evil this private evil that.. look, insurance companies are manipulative and profit seeking, but having the state manage it is no better. They have the power to dictate your behavior the moment you receive care. You can bet they will, once obamacare takes off. Fuck that.

      Pay less? I doubt it, especially over the long term. It doesn't matter if we overpay the insurance companies or the state..both are experts at wasting other people's money.

    9. Re:Healthcare by kelemvor4 · · Score: 1

      Keep your people healthy and they'll live longer, work longer and pay more tax.

      What kind of idiot hasn't realized this yet? (obviously, America)

      I'm pretty sure we now have a national healthcare system of some sort these days. Maybe you missed all the pissing and moaning in the papers. Understandable if you aren't from the US.

    10. Re:Healthcare by Anonymous Coward · · Score: 5, Insightful

      In a for profit health care system like the US has profit is maximized by having sick people paying for care. Profit is mimimized by having a healthy population that does not need the care.
      Guess where the economic factors are going to push the health of the population?

    11. Re:Healthcare by torkus · · Score: 5, Interesting

      Very true. Talk to people in the healthcare field and they'll be able to list tons of examples of wasted money. Any patient on medicaid/medicare gets more treatments, pills, devices, etc. because the hospital, dr, or specialist can bill for it.

      Example: 80-something comatose man in the final stages of lung cancer being given a colonoscopy ... just in case he might have ass cancer too. Seriously.

      Healthcare is for-profit and must-CYA. Those are the two primary factors 90+% of the time. That's not to say there aren't doctors who care. Many do. But they're stuck working in a system that leaves them little choice but to go along if they want to continue practicing medicine (and paying off their insane student loans).

       

      --
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    12. Re:Healthcare by Anonymous Coward · · Score: 0

      Spending money on cosmetic surgery, and the amount of money you literally PISS AWAY into insurers and intermediaries is the cause of your problem.

      ...Literally??

    13. Re:Healthcare by mcrbids · · Score: 5, Informative

      Pay less? I doubt it, especially over the long term. It doesn't matter if we overpay the insurance companies or the state..both are experts at wasting other people's money.

      The USA Spends more per capita (by far) than any other nation on earth. Yet our actual life expectancy is just 33rd.

      Doubt all you want. I prefer to get some facts and base my opinions on them rather than "gut feelings".

      --
      I have no problem with your religion until you decide it's reason to deprive others of the truth.
    14. Re:Healthcare by Anonymous Coward · · Score: 5, Insightful

      The US healthcare system is mired in being a for-profit operation controlled by large multi-nationals and insurance companies.

      I want to add "not-profit hospitals turning huge profits" and "chargemasters" to this list of reasons why healthcare is so screwed up. Time magazine again exposed this problem very well earlier this year. Total BS...

    15. Re:Healthcare by GrahamCox · · Score: 2

      the amount of money you literally PISS AWAY

      While passing those coins can be rather painful, surely the solution is to put some sort of filters in urinals? Or they could be plumbed directly into the treasury. I dunno why anyone hasn't thought of it before.

    16. Re:Healthcare by Anonymous Coward · · Score: 1, Interesting

      The last thing I want is the state telling me what I may eat, how much, when and where I must exercise, how much I must work, and when and where I may travel. Of course, all of this is required in order to 'live longer, work longer, and pay more tax.'

      They do? It is? Shit, here I am and I've been doing it all wrong my entire life! Do you think if I ask my local government official he can still issue travel documents and papers retrospectively? Of course I'll need to find out who my local government official is first I guess. I never even knew...damn, this socialised medicine is tricky stuff!

    17. Re:Healthcare by fahrbot-bot · · Score: 1, Troll

      America's system can't ever work, and never really will except for the rich. Everybody else is expendable and 'surplus population'.

      Well... 47% of us anyway, if recent memory serves...

      --
      It must have been something you assimilated. . . .
    18. Re:Healthcare by znrt · · Score: 4, Insightful

      It's not the money you spend, it's how you spend it.

      this, and it's not just medical resources. it's education too, to a great extent.

      and regarding the article, I would like to point out that injection of money from the outside would in most (or possibly all) cases not be even necessary: just get the rich in the country to pay their fair share of taxes, that would be more than enough.

    19. Re:Healthcare by Solandri · · Score: 4, Interesting

      Actually, the U.S. already spends more public money per capita on health care (via Medicare/Medicaid) than Canada does. So the problem cannot be attributed entirely to private health insurance.

      I'm fairly certain the problem is the combination of private + public money used to pay for health care. If you go with completely public health care, there is just one payer. When you go with completely private health care, there is also just one payer (the person/insurer paying for a procedure). When you combine private + public, there are two payers. And just like government subsidized school loans end up driving up the cost of tuition, having two payers drives up the cost of health care. (I'm only "fairly certain" because the two conflate through a complicated mix of different patients paying different amounts for the same procedure, and doctors/hospitals cost-shifting in the accounting books to even everything out).

    20. Re:Healthcare by jellomizer · · Score: 1

      America has a good health care system. The only thing is it is financed by private companies, and less by government.

      We have a strong health care infrastructure, Hospitals, Dr. Offices, Clinics. Access to advanced medical equipment.

      However our system take a capitalistic approach to health care, the more money you got the better your care.
      Now this has its advantages.
      1. Being that the rich are willing to pay for better services, it allows institutions to have better equipment.
      2. Being that health care is on the persons dime (either directly or threw insurance) they are more likely to make decision if a particular care is worth it or not to take care of. Vs. a single payer system, where some procedures will be deemed by a higher authority as not worthy.

      And it has its disadvantages.
      1. Unequal quality of care
      2. Basic services are more expensive.

      But this study is about countries with out a proper health care network. And your obvious statement is only obvious after the evidence is shown, before that it was just a theory. Health Care may have a less impact, as the money saved in not spending on health care can go toward other things, to improve life. Or the amount of investment may be lower at 5% or higher say 25%

      --
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    21. Re:Healthcare by denzacar · · Score: 3, Interesting

      Basically, America's system can't ever work, and never really will except for the rich.

      Doesn't that actually imply that simply throwing money at the problem actually works?

      US health system is built to accommodate most those who can afford it - clearly it works splendidly for that purpose.
      Keep your rich healthy and they'll live longer, work longer and grow richer.

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    22. Re:Healthcare by funwithBSD · · Score: 1
      --
      Never answer an anonymous letter. - Yogi Berra
    23. Re:Healthcare by Anonymous Coward · · Score: 0, Insightful

      But the facts that you state say little about the quality of the health care. USA is for example the most obese industrialised country. And if you believe that is free in terms of life expectancy you better review your facts. In Japan (where people have the longest life expectancy) there are only 5% obese adults (BMI >= 30) while the USA have 33% obese adults. If you don't factor in such important determinants for life expectancy you cannot evaluate the quality of the health system. For all that we know your health system can be excellent since you manage to be 33rd even though one in three americans are fat.

      https://www.cia.gov/library/publications/the-world-factbook/rankorder/2228rank.html

    24. Re:Healthcare by Grishnakh · · Score: 2

      Things like this are not the norm in America, and certainly not for private-sector employees. There's all kinds of weird crap going on in the government sector, but a few things like this are significant to the national economy as a whole.

    25. Re:Healthcare by Anonymous Coward · · Score: 0

      What kind of idiot doesn't understand actuarial data, basic economics and wealth creation?

      When people live longer past retirement age, they consume more tax revenue, both for healthcare, public pensions, and Social Security.

      When you tax working people and employers so heavily that they can't save for retirement, and choose to work less or not at all, they become dependent on the state, and the economy contracts, providing less tax revenue.

    26. Re:Healthcare by khallow · · Score: 1

      That's a Buffalo, New York problem not a US problem. There aren't enough teachers in New York wanting plastic surgery to throw the US market.

    27. Re:Healthcare by compro01 · · Score: 4, Insightful

      put the right controls in place to insure that corporate interests align with the patients interests.

      At which point is is no longer the American system.

      --
      upon the advice of my lawyer, i have no sig at this time
    28. Re:Healthcare by Anonymous Coward · · Score: 0

      The research as written in the article seems a bit specious to me. It seems to be they built their conclusion into their assumption:

      Having created this model, Goerg and co introduce a disease which spreads through the population preventing sufferers from fully participate in the work force until they are cured.

      I question that assumption, do diseases really typically behave that way in 3rd word countries in that they prevent sufferers from participating in the workforce and that negatively ipacts the economy? In a developing economy I would tend to think you generally either survive or don't. And that assuming input vs output is effectively zero (ie you likely only produce enought to keep your self alive) that losing people wouldn't tend to have an overall impact to the economy.

      Also their use of oil rich countries as examples of a reversal of this is also specious. "We find that a large influx of capital is successful in escaping the poverty trap" Duh, but just because they were wealthier and healthier, doesn't mean the two are tied together or that the increased health also increased the already increasing wealth.

      Obviously people not dying is a nice thing, however, I didn't really read anything that would lead me to believe that it is really having a significant impact on developing GDPs

    29. Re:Healthcare by Sarius64 · · Score: 1, Troll

      Yeah, how's that intuitive choice of a savior working out there? Truth hurts, eh?

    30. Re:Healthcare by Anonymous Coward · · Score: 0

      Sorry bud, but literally is an autoantonym now. It has been for years, whether or not your dictionary has caught up.

    31. Re:Healthcare by artor3 · · Score: 1

      You're just screaming at the voices in your head. No one in the real world is saying that the US government should tell you "what I may eat, how much, when and where I must exercise" etc.

      Of course, this brings up another big flaw in American healthcare: the disgraceful state of mental healthcare.

    32. Re:Healthcare by Belial6 · · Score: 2

      Most misquoted line of the election. The whole thing makes the Democrats look worse than the Republicans.

    33. Re:Healthcare by epyT-R · · Score: 1, Flamebait

      I'm sure it is.. It's a well known fact that living 'correctly' results in longer lifespans but at sharply reduced enjoyment, so the only way to get there is to restrict liberties. No thanks. If you're interested in facts surrounding controversial topics, you'll probably have to go collect them yourself as media outlets like the guardian are notorious for not giving the full picture. All you're really doing is picking your favorite bandwagon to side with.

      I don't buy into any of the given excuses for crazy wealth redistribution. In fact, I'd probably want to die sooner, having more than half my life's work siphoned off, while only eating what the state tells me to eat so that it can save money on my health to spend on other stupid shit. I do not want to be one of its cogs. Freedom is as important to health and wellbeing as diet and exercise.

      I suppose it's not difficult to provide 'ok', cue-based care when the population's income is taxed over 50%, but I wouldn't call that a success story. Unfortunately, here in the states we tax almost as much (income+sales) and manage to have the money siphoned off into other bullshit, making it obvious that the last people we want spending our money are the current crop of politicians.

    34. Re:Healthcare by sg_oneill · · Score: 5, Interesting

      I live in Australia which has a hybrid UHC/Private system. Basically everyone pays for "medicare" (Which I guess would be called "medicaid" in the US) as a small addition to tax. Totally transparent, its just part of income tax and the contribution is income dependent. On top of that we have a private health system where you can get private health cover AS WELL which gives access to private hospitals (although in my experience the private hospitals are inferior to the excellent government ones, especially in emergency care). You have a choice here, but the govt system is largely excellent, however there might be waiting times to see specialists , sometimes in the months range for non essential stuff, and thats where private health cover is advisable. Fortunately private health insurance is well regulated and the doctor, not the health insurance companies , have final say in approving treatments.

      Anyway, as you can imagine, when we have progressive governments, funding for the public system increases, and when you get conservative governments, that funding decreases.

      But it backfires horribly to defund it, and ironically the actual costs increase.

      I can giive an example. Under state labor, my local hospital had the 4 hour rule. In emergency, you would be seen within 15 minutes of ariving (or less if its urgent) , and within 4 hours either be seen by a doctor and sent home (maybe with medication or bandages or whatever) or admitted to hospital. In the case of borderline cases like Influensa, a patient would be sent to an Accute observation ward for overnight assessment. Its a great system that works brilliantly.

      However in the last few years our state has had a conservative government that has systematically tried to defund the hospital. The end result is that waiting times have blown out to be multiple hours for non trauma cases in the emergency ward, and doctors are increasingly overworked and stressed out.

      Last time I was admitted to emergency ward I was in with internal bleeding. Because I didn't *look* unhealthy it took 3 hours to see and diagnose me. This happened when I finally vomited blood and collapsed in the waiting room unconscious. I required surgery and a few weeks recovery. The doctor told me that if I had been diagnosed within half an hour of being admitted, it would have been a simple procedure and I would have been home within a day. As a result of underfunding, I cost the government *vastly more* in treatment costs then had I not. This is not a case of malpractice, the reality was the hospital was overworked and it took 3 hours to see me because thats how long it took to free up a doctor from all the other emergency cases.

      It might seem paradoxical that properly funding universal healthcare is cheaper than not properly funding it, but it actually makes sense when you remember that prompt adequate treatment is almost always cheaper than trying to patch up some poor sod who's condition has been made worse by not treating it.

      --
      Excuse the Unicode crap in my posts. That's an apostrophe, and slashdot is busted.
    35. Re:Healthcare by __aarzwb9394 · · Score: 1

      your health system can be excellent since you manage to be 33rd even though one in three americans are fat.

      Reducing obesity rates is part of preventive medicine, so by definition such high rates are evidence of an at least partly failing healthcare system. In that you are unable to stop such grotesque obesity that the fat scooter is actually a thing.

    36. Re:Healthcare by TheRealMindChild · · Score: 5, Informative

      Any patient on medicaid/medicare gets more treatments, pills, devices, etc. because the hospital, dr, or specialist can bill for it.

      You grossly overestimate how much medicare (and medicaid) provide, and ignore the cost of what you receive. Being on medicare, a chunk of your Social Security income is taken for part A. For me, that amount is almost $200 a month. I only get an allowance of ~$630 dollars a month to spend on the hospital/PCP/specialist. A trip to the hospital, and I owe out of pocket. If I visit my PCP (primary care physician) AND have a psychiatrist appointment, or a physical therapy appointment in the same month, I owe out of pocket. Essentially, I get a "free" ~$430 to throw at my medical care and the rest is up to me to cover.

      Medicare Part B (drugs) is optional. It can cost anywhere from $120 to $300+ dollars a month, depending on what and how much you want. It is only beneficial to have if you are on a regimen of costly drugs that would normally go above what you would pay without it. Even if you opt to purchase part B, not everything is covered, and you have a varying copay.

      --

      "When life gives you lemons, don't make lemonade. Make life take the lemons back!" -- Cave Johnson
    37. Re:Healthcare by fahrbot-bot · · Score: 3, Insightful

      Most misquoted line of the election. The whole thing makes the Democrats look worse than the Republicans.

      Misquoted as in quoted directly from the video?

      --
      It must have been something you assimilated. . . .
    38. Re:Healthcare by Anonymous Coward · · Score: 5, Insightful

      Actually, the U.S. already spends more public money per capita on health care (via Medicare/Medicaid) than Canada does. So the problem cannot be attributed entirely to private health insurance.

      Sure it can.

      Because likely around half (or more) of every dollar being spent is simply lining the pockets of the insurance companies and the middle-men. There's simply no room to get savings from economies of scale, and the vendors can just gouge for every piece as they go. Because if those vendors don't show a steady (and unrealistic) profit, they will be punished by the speculative investors running the stock markets.

      As it exists, your system is hugely wasteful because every asshole in the middle is taking his cut and contributing absolutely NOTHING to patient care.

      Everything in the middle is just mark-up and waste -- which is why your system as it stands can never actually work for everyone.

      The US health-care system is the economic equivalent of trying to build a car by purchasing all of the parts directly from car dealers, and then paying a bunch of mechanics to do the assembly. All you're doing is throwing money into the gaping maws of the middle-men.

      The cost of your procedures and case is so high because you need to offset the sheer quantity of money you've been bilked out of in the process. And then all of those other absurd line-items in the bill amount to "because we fucking can".

      Essentially, your system is designed to be ineffective and wasteful, because that's how the private companies want it. When insurance companies decide on the 'appropriate' level of medical care, it's a sucker's game from there.

      The fact that you spend more money per capita mostly means you are wasting more on the structural problems in your health care system.

    39. Re:Healthcare by epyT-R · · Score: 1

      That's ok. Keep your head in the ground, ostrich. If it's not happening to you RIGHT NOW, it must never happen, or ever will happen. Also, since I don't know anything about your life, I have no idea if, indeed, you have been living that way or not.

      It depends doesn't it? In the case of places paying over 50% tax, maybe they haven't needed to yet, as they have the money. It's when funds get tight that they'll push for behavior modification. Even before obamacare passed, here in NYC, bloomberg already pushed for that stupid soda ban. Down the road, the left WILL demand it in order to save obamacare money when that shitpile inevitably goes into the red.

    40. Re:Healthcare by Sarius64 · · Score: 1

      I can appreciate your comments. However, the expectation that health care will ever be equal among everyone is fairly unrealistic. Somehow I think the Jay-Zs and Bill Gates of the world will always have better of everything.

    41. Re:Healthcare by Anonymous Coward · · Score: 1

      In a for profit health care system like the US has profit is maximized by having sick people paying for care because our lawyers put in loopholes which allow us to avoid paying out claims. Profit is mimimized by having a healthy population that does not need the care and has not bought our product.

      You weren't wrong, so this isn't a FTFY. But I felt it could be expanded upon some.

    42. Re:Healthcare by epyT-R · · Score: 1

      I'm supposedly the mental patient, yet all you have is ad hominem? I didn't say it was that way, now. I'm saying it is very likely it will be that way in the future. The money will have to come from somewhere, and if it doesn't, which is likely, costs must be cut.. This will result in legislation. It is NOT an unreasonable assumption.

    43. Re:Healthcare by ewieling · · Score: 1

      The total dollar amount of debt is not important. What is important is the radio of debt to GDP which started skyrocketing in the USA only since 2001. Current tax rates also concern me. Maybe moving marginal tax rates back to the rates in the 1950s or 1960s would be a good thing?

      --
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    44. Re:Healthcare by hazah · · Score: 1

      It also implies that it's not sustainable. Evolution provides the evidence.

    45. Re: Healthcare by Anonymous Coward · · Score: 0

      Computer program solves poverty. Answer, get more money.

    46. Re:Healthcare by EddieBurkett · · Score: 1

      So literally no longer literally means literally?

      --
      The only thing I hate more than hypocrites are people who hate hypocrites.
    47. Re:Healthcare by __aarzwb9394 · · Score: 1

      In serious discussions about medicine and its funding, I really wish newspapers would know the difference between plastic (treating those with disfigurements from accident or birth etc) and cosmetic (my hairline and or tits have changed since I was 19, poor me!) surgery

    48. Re:Healthcare by __aarzwb9394 · · Score: 1

      According to the linked article the problem arises from blurring of the line between plastic and cosmetic interventions.

    49. Re:Healthcare by operagost · · Score: 1

      I didn't know that doctors, nurses, administrators, etc. all worked for free in the rest of the world.

      I didn't know pharmaceutical companies were all non-profit, and researchers worked for room and board.

      Everyone makes money off of health care; the only question is whether the profit goes to the hard working people or if the government bureaucrat gets the biggest slice.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    50. Re:Healthcare by denzacar · · Score: 1

      I fail to see any evidence of the evolution of the rich.

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    51. Re:Healthcare by Maudib · · Score: 1

      Simply not true. For many people, health care in the US is far by better then the rest of the world. If you have good private insurance or can pay cash, its quite simply the best.

    52. Re:Healthcare by Anonymous Coward · · Score: 0

      Figuratively speaking, it doesn't.

    53. Re:Healthcare by Anonymous Coward · · Score: 0

      Part A is hospitalization, Part B is outpatient/doctor, and Part D is prescriptions.

    54. Re:Healthcare by Maudib · · Score: 2

      I wasn't about to vote for religious nut, so I vote O. However believe me when I say that many of us have a serious issue with the portion of this country that consumes far more from the fed then it pays in taxes.

      As soon as the GOP gets its act together and push a fiscal conservative who stays away from guns/god/women, the days of big government will be over.

    55. Re:Healthcare by Maudib · · Score: 1

      Your facts assume some sort of link.

      We also have one of the largest immigrant populations as a percentage.
      We have a host of other things unrelated to HC, like our agriculture policy, which have massive effects.

      So, do your facts tell you that US HC system is bad, or that having immigrants is of mixed benefits? Or that subsidizing corn is really awful?

      Your facts prove nothing.

    56. Re:Healthcare by Wookact · · Score: 1

      Cooperate interests = Milk all the money out of every entity involved.
      Personal interests = Affordable health care.


      They will never meet.

    57. Re:Healthcare by Pope · · Score: 4, Insightful

      However in the last few years our state has had a conservative government that has systematically tried to defund the hospital. The end result is that waiting times have blown out to be multiple hours for non trauma cases in the emergency ward, and doctors are increasingly overworked and stressed out.

      That's a typical Tory/neo-conservative power play: defund the public option, then in a few years gripe how terrible the public option is, and how great the private is!

      --
      It doesn't mean much now, it's built for the future.
    58. Re:Healthcare by BronsCon · · Score: 1

      And out of context?

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    59. Re:Healthcare by DerekLyons · · Score: 1

      The US healthcare system is mired in being a for-profit operation controlled by large multi-nationals and insurance companies.

      They have no interest whatsoever in providing good health care, they care about maximizing corporate profits.

      Except... there's not a shred of evidence this is true. Doubly so since in every other for-profit business, the path to maximum profits seems to universally be to ower costs to the consumer in order to attract a larger market share - while the medical sector's model seems to be to increase costs and drive away customers. The problems with your claim are further highlighted by what's been happening in the fields of cosmetic and elective surgeries and eye care surgery, which show the expected competition, reduced costs, and rapid innovation cycles. (Heck, they're even offering financing now.)

    60. Re:Healthcare by Anonymous Coward · · Score: 0

      Let's just create money out of thin air forever and everyone will be prosperous.

    61. Re:Healthcare by jellomizer · · Score: 1

      Yes the corporate interest is to not leave any money on the table, however if by lowering the cost you can get more people, there is a happy medium where you can maximize profit.

      As the consumer you will want to get the most for less, or enough for less. However they are willing to pay a little more to get what they feel is in value.
      It meets in the middle.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    62. Re:Healthcare by nbauman · · Score: 4, Informative

      many of us have a serious issue with the portion of this country that consumes far more from the fed then it pays in taxes.

      You mean the southern red states + Alaska?
      http://www.slate.com/blogs/the_reckoning/2012/10/25/blue_state_red_face_guess_who_benefits_more_from_your_taxes.html

    63. Re:Healthcare by Anonymous Coward · · Score: 0

      Why the hell would you solve a customer's problem when there is good money to be made prolonging the problem?

    64. Re:Healthcare by thrich81 · · Score: 1

      I will end up strengthing your argument against single payer but with an opposite factoid -- you said, "2. Being that health care is on the persons dime (either directly or threw insurance) they are more likely to make decision if a particular care is worth it or not to take care of. Vs. a single payer system, where some procedures will be deemed by a higher authority as not worthy."
      However a major problem with health care spending in the USA is the enormous proportion of a person's total healthcare spending which occurs in the last year of life, futilely keeping them around another couple of months. This is only possible because the person or their family are not paying those bills directly but usually through single payer Medicare. So the flaw now in single payer is not that the higher authority is too stingy, but instead is too free with other people's money, and the people directly involved are not in a position to make rational cost-benefit decisions.
      "One out of every four Medicare dollars, more than $125 billion, is spent on services for the 5% of beneficiaries in their last year of life." -- http://money.cnn.com/2012/12/11/pf/end-of-life-care-duplicate-2.moneymag/

    65. Re:Healthcare by Anonymous Coward · · Score: 0

      I prefer to get some facts and base my opinions on them rather than "gut feelings".

      You must have missed the memo. Facts are out, gut feelings are in. Join the fashionable!

    66. Re:Healthcare by Anonymous Coward · · Score: 0

      Just because a mistake is common, doesn't make it any less a mistake.

      This is a bad thing, because "pissing away" is a figurative expression, and when you use "literally" with a figurative expression, you don't intensify it - you negate it.

      We have lots of words and idioms that can intensify terms like "pissing away," but only "literally" can be used to point to the literal meaning. For example, if I say that people are spending money on vitamin supplements that don't get absorbed but just pass out of the body through urination, then they are "literally pissing away money." I don't have any other words available to express that thought.

      But if the expression is just used figuratively and has nothing to do with urination, then I can say people are effectively pissing away money. Or "practically", "virtually", "for all intents and purposes," etc. Don't take "literally" away from us.

    67. Re:Healthcare by g0bshiTe · · Score: 1

      Some mod is still drunk with turkey.

      --
      I am Bennett Haselton! I am Bennett Haselton!
    68. Re:Healthcare by fahrbot-bot · · Score: 4, Informative

      many of us have a serious issue with the portion of this country that consumes far more from the fed then it pays in taxes.

      To be clear, that's only federal income taxes. They still pay state/local taxes, SSI/Medicare and sales taxes. In addition, that 47% includes SSI/Medicare disabled, retirees. From The 47%: Who They Are, Where They Live... (with graphs and charts):

      Who They Are:
      In 2011, 47% of Americans paid no federal income taxes. Within that group, two-thirds still pay payroll taxes. The rest are almost all either (a) old and retired folks collecting Social Security or (b) households earning less than $20,000. Overall, four out of five households not owing federal income tax earn less than $30,000, according to the Tax Policy Center.

      There are some not-so-poor outliers, like the 7,000 millionaires who paid no federal income taxes in 2011. But for the most part, when you hear "The 47%" you should think "old retired folks and poor working families."

      Where They Live
      The ten states with the highest share of "non-payers" are in the states colored red. Most are in southern (and Republican) states. Meanwhile, the 13 states with the smallest share of "non-payers" are in blue. Most are northeastern (and Democratic) states.

      Why the Meme Matters
      The 47% aren't lucky ducks cheating the system. They're mostly poor working families getting pilloried by the political party that wrote the rules they're following. If the 47% are the monster here, then Republicans helped play the role of Dr. Frankenstein. "Non-payers" have grown in the last 30 years because of marginal tax rate cuts and credits like the EITC passed under Republican presidents and continued by both parties in Congress.

      --
      It must have been something you assimilated. . . .
    69. Re:Healthcare by Anonymous Coward · · Score: 0

      We have to fight back, the same way Gandhi did. The Government wants you to eat healthier food? You eat a cheese and hotdog stuffed crust pizza. They tell you that smoking's bad for you? You start going through three packs a day. They say to drink less? You swallow a fifth of whiskey every day for the rest of your life. That'll show them they can't mess with our Constitutionally-mandated rights to life, liberty and the pursuit of happiness!

    70. Re:Healthcare by nbauman · · Score: 3, Interesting

      Private evil this private evil that.. look, insurance companies are manipulative and profit seeking, but having the state manage it is no better.

      It should be obvious that a well-managed state will run a well-managed health care system, and a poorly-managed state will run a poorly-managed health care system. In fact, a poorly-managed state will have a poorly-managed private health care system.

      Our government, run by the Republicans and their Democratic neocon equivalents, will manage it badly.

      The problem is that in our political system, whoever has the most money for TV attack ads wins (most of the time), and corporate billionaires are the ones who can donate the most money to the two parties as a quid pro quo for advancing their interests. (In other countries that would be considered illegal bribery.) That's the main problem with the health care system. The health care industry poured hundreds of millions of dollars into the political campaigns.

      Other countries -- every other country in the world -- pay far less per capita for their health care system. Some of them, like Canada, are pretty much like ours except they cost half as much and don't have a health insurance industry. The Australian and British health care systems are about as good as ours except that they cost roughly half as much as ours.

      The Supreme Court case of Citizens United vs. FEC was designed to make it impossible to have electoral reform, and to insure that the 1% of billionaires will keep running this country for the indefinite future. I don't see any way out.

      Unless you're making at least $100,000 a year, or have a million dollars invested cautiously, you'd probably be better off moving to another country.

      Or you could stay here and fight.

    71. Re:Healthcare by hazah · · Score: 1

      Selfishness along with tendencies to have an alpha doesn't shed any light on that for you? Pay attention.

    72. Re:Healthcare by Anonymous Coward · · Score: 0

      Your not a mental patient, just a troll.

    73. Re:Healthcare by Wookact · · Score: 1

      The problem with inequality here isn't May clinic vs Podunk General. It is May Clinic vs No health-care for you.

    74. Re:Healthcare by TheNastyInThePasty · · Score: 4, Informative

      What? How? Explain the context to me then. I've watched the entire video and the line means exactly what you'd expect.

      There are 47 percent of the people who will vote for the president no matter what...who are dependent upon government, who believe that they are victims. ...These are people who pay no income tax. ...and so my job is not to worry about those people. I'll never convince them that they should take personal responsibility and care for their lives.

      Also, did you forget about the "You didn't build that" misquote? The line in context CLEARLY meant "You didn't build that infrastructure." Yet, the Republicans used the misquote as the theme of their damn national convention!

      --
      The best thing about UDP jokes is I don't care if you get them or not
    75. Re:Healthcare by Anonymous Coward · · Score: 0

      What is the missing context?

      I'm not even from the US but I don't feel like I'm lacking context for that quote.

    76. Re:Healthcare by Maudib · · Score: 1

      Thats on a state by state basis, and yes I would be all for slashing subsidies for the south/midwest.

      Thats a big part of it actually. As a resident of a blue state, I am tired of being forced to subsidize religious fundamentalists and anti-sicence zealots in the south. I would also like to see fiscal restraint (a la Bloomberg) be the norm, not the exception. Military, Health Care, Social Security, all needs to be cut. Extensively.

      I see no reason why I should be forced to pay for the retirement of Boomers. Boomers who have raided Social Security at every turn, stuck us with generations of war debt, fucked the economy through a combination of stupid regulations and private greed, and generally been dicks. Cat food, cool aid and nothing more then preventative care is more then fair.

    77. Re:Healthcare by Beyond_GoodandEvil · · Score: 1

      the 7,000 millionaires who paid no federal income taxes in 2011.
      Could that be b/c they are idle rich sitting on trust funds that instead pay capital gains tax in lieu of the income tax? Perhaps they are people like Steve Jobs who pay themselves one dollar salaries such that they don't earn enough income to pay federal income taxes?

      --
      I laughed at the weak who considered themselves good because they lacked claws.
    78. Re:Healthcare by Anonymous Coward · · Score: 0

      Bloomberg was a Republican, he only ran as an independent to trick New Yorkers into voting for him. WAKE UP SHEEPLE!

    79. Re:Healthcare by Beyond_GoodandEvil · · Score: 1

      Yet our actual life expectancy is just 33rd.
      To put that meme into perspective that's 79(multi way tie) vs 83(#1) if we got 1 more year we'd jump to 27th and 2 more years gets us to 17th. So b/c I'll miss one Olympiad, I'm not going to give up my freedom to the coercive paternalists who just can't wait to tell me how to live.

      --
      I laughed at the weak who considered themselves good because they lacked claws.
    80. Re:Healthcare by Anonymous Coward · · Score: 0

      Yeah, our problem isn't that we don't have any good health care... the problem is the large percentage of people in the US who don't have access to good health care.

      Our system is so good, we were ranked 46th worldwide for efficiency!

    81. Re:Healthcare by Anonymous Coward · · Score: 0, Troll

      You Republicans are all alike. You're disgusting and have nothing to be proud of so you lie to try to make yourselves feel better. We all know what Obama said. Why not give him credit for telling the truth? He clearly stated that the rich lazy people in this country do not build anything. He said, "You didn't build that." He said that. Why can't CONservatives admit that? Instead Republicans like TheNastyInThePasty's kind, water it down and claim he was talking about infrastructure. No, he was talking about every business. He was showing great leadership by admitting that it is the poor that do all of the work in this country.

      Will you Republicans please just shut-up and let the adults in the room talk?

    82. Re:Healthcare by Livius · · Score: 1

      It's a health care system.

      Not a health system.

    83. Re:Healthcare by solune · · Score: 0

      I have to comment here: obesity is not nearly as large a medical problems as the lack of self-control, responsibility and common-sense self-maintenance. That is, a physical problem (abnormally slow metabolism, for example) is different than an apathetic self-control problem, or even ignorance of proper nutrition.

      In America there is a slow normalization of bad behavior taking place with the mindset that no person should be responsible for their bad behavior. This manifested itself quite clearly with Obama's reference to the abortion and birth control debate when he said "I've got two daughters. 9 years old and 6 years old. I am going to teach them first of all about values and morals. But if they make a mistake, I don't want them punished with a baby."

      In essence he is saying, "if my guidance as a parent fails then I want the state to bear the price of my child's mistake. It is up to the state relieve the citizen of the burden of the consequences of their decisions." He not only says this, he and his party forged laws and regulations to this effect.

      Banker bailouts and free condoms will encourage risky behavior no matter how you frame the issue.

      The real problem in our healthcare system is cronyism, pure and simple. Laws like MacCarran-Ferguson that exempt insurance companies from monopoly and anti-trust(!) aren't made to benefit corporations or citizens, they're favors to friends. You must go through a middle man like insurance companies because laws and regulations force you to through the path of least resistance for doctors and patients.

      No refutation of socialism is complete without mentioning the direct interests of the doctor/provider and patient/consumer. When a patient must pay directly out of pocket for their services they will be more sensitive to the consequence of their lifestyle choices, thus taking precautions (for those that would) to mitigate risks to their financial interests. The previous "system" and the ACA only put more complexity between the doctor/patient, driving up costs.

      On a technical front, a computer model is as flawed as the people who programmed it, and cannot account for the human condition, among other things. Like life, everything touches everything, and a computer can't calculate that.

    84. Re:Healthcare by BronsCon · · Score: 2

      The context was that 47% of Americans are taking out of a system they are not putting anything in to. That is not to say that they are expendable, as farhbot-bot implied (and in doing so, used the quote well out of context), just that they are a burden on the system in general, which is true. Romney further stated that it is his job to care about these people and, while I'm not a Romney supporter, I can't say that he is not doing his job, nor would I begrudge him his right to speak openly about exactly what he feels his job entails. In fact, we should expect this of all our politicians and openly encourage it, as it gives us some insight into their true intentions; insight which is vital to ensuring that we don't vote the Romneys of the world into power.

      I'm not saying his sentiment was right, but the man was not wrong.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    85. Re:Healthcare by Anonymous Coward · · Score: 1

      No, literally still means literally. It also means figuratively. Just as "left" can mean both "gone" and "stayed", or "shelled" can mean "with a shell" or "with the shell removed".

    86. Re:Healthcare by Belial6 · · Score: 1

      Good job of showing his point. Are you a Democrat that really is what he described, or are you a Republican than is pretending to be a Democrat that proves his point?

    87. Re:Healthcare by Anonymous Coward · · Score: 0

      I love the "out of context" excuse for flubs by politicians. Mitt Romney could say "I Mitt Romney solemnly testify that I consider Jews and Blacks to be subhuman creatures unworthy of life and should be exterminated in the slowest painful way possible." and when called on it his supporters will say, Oh, but that quote is taken out of context.

    88. Re:Healthcare by horigath · · Score: 1

      Elective or cosmetic surgery isn't necessarily a natural monopoly: unlike, say, emergency care where you tend to go wherever the ambulance takes you, or GP care where quality is difficult to judge without spending years with a particular service, or even insurance where you suddenly find out that the service sucks when your life, or at least your quality of life and your employability, is on the line and they drop you or screw up your coverage. People getting cosmetic and elective procedures have plenty of leisure time to shop around, and because they aren't things that you need to have to live, they do marketing and directly compete on price. It's part of why lots of countries with nationalized care (single-payer or otherwise) make exceptions for those services and they are covered by out-of-pocket, private insurance, or maybe only a partial subsidy.

      Eye care (and sometimes dental) are often caught in the middle ground between true electives and the core system. I wish they were better covered here in Canada, because they seem necessary enough to me, but I recognize that not everyone agrees with that—and that in both cases there are lots of tricky aspects that shade between necessary and elective, like when your orthodontist is trying to upsell you to “improve” your jawline when really you just want your gums to the healthy.

    89. Re:Healthcare by istartedi · · Score: 1

      we spend more money on HC in america than any other country

      We spend more money on bullshit that calls itself "health care" in America than any other country. FTFY.

      Insurance administration. Byzantine pricing and "network relationships". Malpractice insurance. Fake cures. Over-the-counter tomfoolery: herbs -- may or may not have medicinal value, and may or may not be used properly. Homeopathy -- placebo value only. Vitamins -- not needed unless you have a specific deficiency, which you probably don't.

      --
      For all intensive purposes, "whom" is no longer a word. That begs the question, "who cares"?
    90. Re:Healthcare by Anonymous Coward · · Score: 0

      If America throws its military spending (including NSA & other TLA) into medical care, it would be a lot better than "fighting terrorism".
      Less American intervention into other regions would actually be less pissed off Middle Eastern region.
      Less CIA activities means that there will be less future well trained and armed terrorists.

    91. Re:Healthcare by stenvar · · Score: 1

      Whatever it is you can nearly "free" get per month, it's more than you're paying in. So, if your doctor tells you you "need" something, you are not going to make a big fuss about it as long as it stays under the limit.

    92. Re:Healthcare by __aarzwb9394 · · Score: 2
      You had me for a few words. Then I heard you say that permitting abortion is handing responsibility to the state. Rather, permitting abortion is removing the state from where it is not wanted. Something that your type surely approves of? (By your type, I mean a person who does not know what Socialism means, but rather uses it as a curse word when he sees something he dislikes.)

      free condoms will encourage risky behavior no matter how you frame the issue.

      Got any evidence for that? I am fairly sure that access to contraception reduces unwanted pregnancy and the spread of sexually transmitted disease, rather than making everyone drop the knickers. You are a deluded religious maniac if you think that chanting "Take us back to the clean protestant 50s, Oh Lord" is a sensible course of action.
      Pregnancy out of wedlock was not less common before, it was just covered up in shame and woman-hating.

      patient must pay directly out of pocket for their services they will be more sensitive to the consequence of their lifestyle choices

      Given your position on abortion, I am going to presume you are a "Christian". Please justify denying healthcare to someone who suffers an unforseeable accident or major illness because they were not rich.
      Perhaps you can explain how society benefits (by increasing social mobility?) when children born into poor families are have reduced chances of a better life due to lack of good healthcare, and abysmal education. Where is the Love for your neighbour? Believe it or not, some children turn out to be cleverer or harder working than their parents. So how about trying to move towards equality of opportunity whilst still acknowledging that there will never be equality of outcome.

    93. Re:Healthcare by stenvar · · Score: 1

      "Caring" doesn't fix the economy, it doesn't put food on the table. And Obama may "care", but he still engages in targeted killings, he still keeps people locked up in Guantanamo, he still persecutes Snowden, and his NSA still violates our privacy.

      I'd rather have a competent "rich, old, self-entitled, uncaring Republican white guy" than an incompetent "poor, young, progressive Democratic guy of your preferred race".

    94. Re:Healthcare by Anonymous Coward · · Score: 1

      The general gist of the above is correct, but the details are wrong. Part A (hospitilization/major stuff) is free if you qualify (worked & paid SS taxes for 10 years). Part B is around $100 per month and covers doctor visits/tests/etc.. Drugs is Part D and that is around $20 per month. The best supplimental insurance, part F, is around $120. So for $250/month, you get a high end cadillac plan with no deductable or copay (or in some cases a very minimal copay).

      You are either getting badly ripped off with a medicare advantage plan (private insurance/ not medicare), or you have been on welfare (or paid "under the table") most of your life and are stuck on medicaid, and I don't know the numbers there.

    95. Re:Healthcare by stenvar · · Score: 1

      Red states don't want this money: they don't want their citizens to be taxed for it, and they don't want it to be redistributed back to them. The fact that they don't want it even though many of them supposedly make a profit on it according to this analysis tells you one of two things: either the analysis is wrong, or it causes harm that the analysis doesn't account for.

      Next you're going to tell us that the prisoners in Guantanamo should be grateful that fully 100% of their living expenses are paid for by the US federal government.

    96. Re:Healthcare by stenvar · · Score: 1

      Single payer only works if the government is willing to make tough choices: cut doctors' salaries, cut services, etc. until expenses are under control.

      Medicare is the US single payer system, and it pays around $10000 per person per year; not much cost control there.

    97. Re:Healthcare by stenvar · · Score: 1

      US health system is built to accommodate most those who can afford it - clearly it works splendidly for that purpose.
      Keep your rich healthy and they'll live longer, work longer and grow richer.

      That's a nice fiction, but the US has had Medicare/Medicaid for decades.

    98. Re:Healthcare by Anonymous Coward · · Score: 0

      Except the cost of the services you are using are artifically inflated to the max those care facilities can bill for. Thus reducing the travel of your spending dollars. Instead of a cost + profit margin model, and a competitive market, all players bill for the highest amounts they can and lobby for more. You as a consumer have no incentive to shop around because there is no competition lowering prices.

    99. Re:Healthcare by Anonymous Coward · · Score: 0

      It'll be instructive to watch what their "solution" to these growing fundamental dysfunctional problems are.

      Golden Rule for the New Dark Age:

      What you do to your neighbour, will be done to you soon.

    100. Re:Healthcare by stenvar · · Score: 1

      Stop pissing about, through out this "private" medical practice with insurers and so many middle-men, and put in place a national health service who offer any treatment that is effective and extends life / quality of life, which everyone contributes to from taxation, and everything else you pay for out of your own pocket.

      The US actually has a huge single payer system, Medicare/Medicaid, and its costs are out of control. Single payer only controls costs when government makes tough cost control choices and limits coverage, but the political will for that is obviously missing.

      Come join the rest of the fucking first- and third-world.

      You really need to do your research before making such ludicrous statements. Almost no nation has the kind of system you propose, a tax-financed health care system that pays for "any treatment that is effective and extends life / quality of life". Most have mixed public/private systems or regulated private systems. The problem with ACA isn't that it's a mixed system, it's that it does nothing for cost control and represents a huge handout to insurance companies, drug companies, and medical providers.

    101. Re:Healthcare by Anonymous Coward · · Score: 0

      Huh? That's not part of the US's problem at all. Cosmetic surgery isn't covered by insurance

      Bullshit. My mother had extensive elective, cosmetic surgery in the '80s off a machinist union health plan. You're just flat out wrong here.

    102. Re:Healthcare by Grishnakh · · Score: 2

      Again, this isn't the norm. It's just like the other responder with his case of the Buffalo teachers' union and their wacky health plan. Find me some examples of health plans in the private sector that include this stuff today (not in the 80s).

    103. Re:Healthcare by Anonymous Coward · · Score: 0

      The other method is to push up the costs for the public option, then wait for the public to start complaining about the cost increases and blame inefficiencies in non-private organisations. (ACC in New Zealand.)

    104. Re:Healthcare by nbauman · · Score: 1

      I see no reason why I should be forced to pay for the retirement of Boomers. Boomers who have raided Social Security at every turn, stuck us with generations of war debt, fucked the economy through a combination of stupid regulations and private greed, and generally been dicks. Cat food, cool aid and nothing more then preventative care is more then fair.

      The original deal was that you would get a free college education, and you would start paying for Social Security and Medicare after you started working, when you could more easily afford it. Disability and unemployment insurance was included.

      It was a good deal -- better than you could ever get in the free market. Too bad it didn't work out for you.

    105. Re:Healthcare by khallow · · Score: 1

      Cosmetic surgery is a subclass of plastic surgery. And why don't you consider aging another disfiguring medical condition?

    106. Re:Healthcare by BronsCon · · Score: 1

      Me? A Romney supporter?

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    107. Re:Healthcare by Anonymous Coward · · Score: 0

      But it's obvious the tape recorder conveniently turned off right before he said "and that's what I, Mitt Romney, would say if I wanted to completely blow this election!"

    108. Re:Healthcare by __aarzwb9394 · · Score: 1

      Because it occurs in 100% of the population that survives to old age.
      Being disfigured in a fire is not the same as crows' feet or receding hair.
      Neither is needing a hip replacement the same as skin losing its elasticity.

    109. Re:Healthcare by Anonymous Coward · · Score: 0

      How competent could he have been if he couldn't even beat Barry?

    110. Re:Healthcare by Anonymous Coward · · Score: 0

      Some city councils do that with bus and garbage collection services. Then they discovered that having a 50/50 mix of private/public service provided the best value for money. The council run public service allowed the managers to see how much providing the service cost and negotiate private contracts. The private run service kept the council run service in check by showing how efficiently the service could be run.

    111. Re:Healthcare by dgatwood · · Score: 1

      Doubly so since in every other for-profit business, the path to maximum profits seems to universally be to ower costs to the consumer in order to attract a larger market share - while the medical sector's model seems to be to increase costs and drive away customers.

      You're missing something pretty critical with that analysis. In every for-profit business with viable competition, the path to maximum profits tends to be lowering costs. Unfortunately, outside of major cities, you will rarely find more than one hospital within a short enough distance to handle emergencies. In every for-profit business with few (if any) competitors, the path to maximum profits tends to be buying the competition and raising costs, lowering them only enough to bankrupt any new competitors that dare to enter the market.

      The latter rule is particularly prevalent when a business has a relatively high barrier to entry. For example, cable companies tend towards extortionate natural monopolies at the local level because of the high cost of laying cable. Hospitals tend towards monopolies at the local level because of the high cost of insurance, diagnostic equipment, lawsuits, supplies, staff whose sole purpose is to squeeze money out of the **** insurance companies, etc. Also, there's no obvious benefit to having more than one hospital within about a five-minute drive of your house, so once one hospital is established, there's little motivation to add another one.

      Finally, there's the very nature of insurance, which causes people to pay for medical services indirectly. If you had to pay the $20,000 bill, there would be incentive to charge less. Because your insurance company pays it, and you pay only indirectly in the form of what amounts to an average health care bill, the incentive to reduce costs does not exist, or at least not below the maximum cost that the insurance companies will allow them to charge for a particular service. In effect, insurance results in a price-fixed market for health services.

      This is compounded by broken rules that prevent insurance companies from competing—different standards in different states, the requirement for permission from each state to offer insurance there, hospitals and doctors who accept only certain insurance providers, etc.

      In short, if you want to reduce the cost of healthcare, I can think of only three real options:

      • Make it possible for insurance companies to compete on cost. This requires making it mandatory for all healthcare companies to accept all insurance providers (including Medicaid and equivalent), tear down the states' ability to regulate insurance providers, and set up national health insurance standards that, if an insurer complies with those standards, qualify them to offer insurance anywhere in the U.S.
      • Remove the profit motive at every level by providing government funds to start a nonprofit corporation (independently run) that creates a nationwide network of nonprofit hospitals to force competition on the care itself. Create a public option for insurance that provides service only through those hospitals (except for emergencies when there isn't one nearby).
      • Create a single payer system that limits how much money will be paid for any particular procedure, and pass laws that require a hospital to give a single rate for those services regardless of insurance (or, ostensibly, lack thereof).

      Or some combination of the above.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    112. Re:Healthcare by Anonymous Coward · · Score: 0

      I guess it's official.

      Oh well, it's still stupid-- another symptom of the epidemic of people speaking without thinking about what they're saying.

    113. Re:Healthcare by Gavagai80 · · Score: 3

      It is of course completely false both in implication and fact. The implication is that the poorest 47% don't pay income tax, which is blatantly false as even people below the federal poverty line pay federal income tax (I know, I was one last year, there was still a few hundred in federal tax and no I'm not confusing it with the separate social security tax). If 47% don't pay, it must be mostly wealthy people. But in fact, everyone pays sales tax and wealthy people pay property tax so there's nobody not paying any kind of tax into the system, from the homeless to Bill Gates.

      --
      This space intentionally left blank
    114. Re:Healthcare by shutdown+-p+now · · Score: 2

      These are the averaged figures. In practice, the difference is even more stark, because in US healthcare outcomes are more spread out - i.e. the rich minority gets healthcare at least on par with, and typically better than, most countries with socialized healthcare, but the rest of the population has it significantly worse, which is what drags the average down. So chances are very good that you're missing on far more than one Olympiad.

    115. Re:Healthcare by __aarzwb9394 · · Score: 1
      More importantly, if you let Plastic Surgery become undifferentiated from Cosmetic then you end up with insurance co.s denying coverage to those disfigured in accidents and so on.
      Or you end up with stories like the linked one in Buffalo - make lots of noise about cosmetic procedures being covered so you can remove coverage for disfigurement.

      I do not understand Cosmetic Surgery - you just look at the people who have had it - they look absurd.
      They must all surround themselves with sycophants who look into their bizarre undead faces and say they look wonderful.

      To borrow a phrase from Mitchell and Webb, "Do they look younger, or do they look like they've had cosmetic surgery?"

    116. Re:Healthcare by BronsCon · · Score: 1

      The 47% number is nearly dead-on the 46.4% number for 2011, as stated by the Tax Policy Center. The numbers on that page now are for 2012 and it looks like 44.3% didn't pay income tax last year. Supposedly, according to a quote from the video attached to this article, they're looking to push that number down below 40% by the end of the decade. That article also contains some other numbers you may find interesting (including the 2011 numbers from the Tax Policy Center page I linked to).

      Are you sure you're not confusing Medicare and Social Security with Income Tax? I paid those, too, for the entire decade that I was making $16k/yr, but those don't go into funding general welfare programs and, so, aren't relevant to the topic Romney was commenting on.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    117. Re:Healthcare by Maudib · · Score: 1

      Well, I am going to do everything I can (short of not working or fraud) to avoid paying into this system. I won't be a slave to another generation's mistakes and retirement. Im not actually against programs that fight poverty or encourage education. However until things are reigned in, and its clear I'm not going to be effectively enslaved for the benefit of others:

    118. Re:Healthcare by cascadingstylesheet · · Score: 1

      Wow, you really believe all that, don't you?

      Insurance doesn't pay for cosmetic surgery. Are you high?

      People come here from the rest of the world for health care ... at least they did. The more we government-ize it, the worse it gets.

    119. Re:Healthcare by Attila+Dimedici · · Score: 1

      Actually, if you look at medical costs over the long haul you discover an interesting fact. Until 1965 medical costs rose at the same rate as inflation. Since 1965 medical costs have risen much faster than inflation. In 1965, Medicare and Medicaid were first implemented. The evidence suggests that Medicare and Medicaid are distorting the market for medical care in such a fashion as to disrupt the normal price feedback mechanism of a free market.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    120. Re:Healthcare by Attila+Dimedici · · Score: 1

      Interesting that you bring up Japan. The life expectancy for Japanese living in the U.S. is greater than the life expectancy of Japan.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    121. Re:Healthcare by AK+Marc · · Score: 1

      Same result, but you are happier being oppressed by a rich white guy. Got it.

    122. Re:Healthcare by phantomfive · · Score: 1

      Life expectancy isn't a very good measurement of a healthcare system.........

      --
      "First they came for the slanderers and i said nothing."
    123. Re:Healthcare by jayveekay · · Score: 2

      Suppose there was a minimum income tax amount of $N per year (where N is some number set by law and greater than 0). Thus the 47% number would be reduced to 0%, as every adult would pay some income tax, at least $1. Would that make Mitt happy? Or would he then find something else to complain about? Perhaps Mitt would then complain "Why do I have to pay more income tax than my housekeeper?

    124. Re:Healthcare by PopeRatzo · · Score: 3, Insightful

      If you think about it for a minute. "Insurance" is about the dumbest way possible to pay for a society's health care. It's based on giving a load of money to some corporations and them paying less than that amount for your care. Care which they get to approve.

      For goodness sake, it's clearly more efficient to have all basic and catastrophic health care paid directly by society via taxes. If there are years where society uses less health care, there could be a tax rebate, giving financial incentive for people to remain healthy.

      Nobody bringing a family member to a hospital for life-saving care should be worrying about losing their home if the insurance company decides to be shitty.

      --
      You are welcome on my lawn.
    125. Re:Healthcare by artor3 · · Score: 1

      I'm saying it is very likely it will be that way in the future. The money will have to come from somewhere, and if it doesn't, which is likely, costs must be cut.. This will result in legislation. It is NOT an unreasonable assumption.

      You're imagining that the future might be awful, and getting angry over the things you imagined. There is ZERO reason to think that the government is going to "tell you when and where you must exercise". Either we'll improve the cost efficiency of health care by eliminating middle men, or we'll just not have as much healthcare and leave the sick to die. No one is pushing for the future you've built up in your mind.

      You gotta lay off the anger. It may be fun to imagine yourself as a heroic fighter against the evil, oppressive government. Maybe it makes an otherwise dull life more exciting. But it's bad for you. Being constantly angry at imagined threats isn't healthy.

    126. Re:Healthcare by Garridan · · Score: 1

      Just because a mistake is common, doesn't make it any less a mistake.

      Quite to the contrary. Languages evolve democratically, irregardless* of the desires of linguisic prescriptivists who rail against the trend. Ergo, if a common mistake passes a critical threshold, it does make it less of a mistake. At this point, you're a fool to not recognize this all-too-common 'mistake' as an amusing wrinkle in the organism that is our language.

      * heh.

    127. Re:Healthcare by AK+Marc · · Score: 4, Insightful

      The red states don't want it, but vote in representatives who will fight for it, not representatives who will turn it down because it shouldn't be spent. No, I don't believe you. The red states believe the "deserve" it more than the blue states who pay more for it.

    128. Re:Healthcare by Anonymous Coward · · Score: 4, Insightful

      Err, yes he was wrong. Even in the most literal sense: the poorest pay tax -- disproportionatey so, in fact. Income tax is not the only kind of tax there is, although someone with Romney's income (but not his position) might be forgiven for thinking so. Even if you ignore payroll tax, sales tax, bus fares, inflation of rent due to property tax, and so on, those that don't pay income tax aren't "putting nothing into the system." Many of them are working their asses off for sub-poverty wages (44% of the 47%). Others are children, elderly, or housewives who would not be expected to pay income tax in any system (30% of the 47%).

      He was dead wrong, and from the looks of the google results, most major networks called him out on it in precise detail. Maybe Fox forgot?

      http://www.cbsnews.com/news/fact-checking-romneys-47-percent-comment/

      http://www.newrepublic.com/article/108817/anatomy-47-percent

    129. Re:Healthcare by Anonymous Coward · · Score: 0

      EDIT: Your appraisal of his true meaning was incorrect in a literal sense. Romney himself did mention income tax, so he's only wrong in context.

    130. Re:Healthcare by Anonymous Coward · · Score: 0

      Do you realize that people in other countries have a much higher quality of life as well? Just the fact that you don't have to stress out about going bankrupt if you fall ill allows you to enjoy life that much better.

    131. Re:Healthcare by dgatwood · · Score: 1

      But that's also true for private insurance. For example, consider every person who dies of cancer, and how much money was wasted on ineffectual treatments that mostly reduced that person's quality of life and did not significantly extend the length of his or her life. Of course, sometimes it works, and the person goes on to live for decades. That's the problem with your basic assumption; you're assuming that you can know ahead of time with some degree of certainty whether that spending will be futile or not.

      Further, your assumption is wrong even for the elderly. Take my grandfather, for example. He lived quite normally for a couple of years after a bleeding ulcer brought him to the brink of death and required weeks of hospitalization and rehabilitation. On the flip side, he eventually died of what I'm fairly certain was a hospital-acquired MRSA infection after being brought in for something that probably should not have resulted in him being admitted in the first place. So what actually turned out to be his last few weeks of life were extremely expensive as well, in large part because of grossly incompetent and unnecessary care by an area hospital, which would likely not have been the last few weeks of his life had he not gotten such "care".

      In short, medical care is a crapshoot in every possible way. To use a car analogy, sure, end-of-life care is expensive, in much the same way that repeatedly fixing a lemon automobile might be more expensive than replacing it with a non-lemon. The problem is that you don't know whether the car is a lemon until you've gotten fed up with fixing it over and over. So in hindsight, that money seems like a poor investment, whereas at the time, it may well have been a reasonable decision. Worse, for 80% of those cars, repairing it might have been the right decision, but if you get stuck with one of the remaining 20% of cars where it isn't, that doesn't help you much. And eventually, every car is going to end up in that 20%. If you look at every car's end of life, there is almost always some point that you can look back upon and say, "I should have cut my losses at that point," but it is only possible to know that in retrospect. Up until then, there's almost always some valid reason to believe that the car will work if you just fix that one more problem.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    132. Re:Healthcare by BronsCon · · Score: 1

      I don't know, because I don't know exactly what his rationale for complaining was. Perhaps ask one of his supporters if you sincerely want an answer. All I said was he was factually correct, which he was, and that I support his right to speak publicly about his beliefs regarding the nature of his job and wish more politicians would do the same, since that is information we can use to weed out the Romneys of the world.

      To be clear, I don't support any person in office; I merely approve of or disapprove of their actions, typically on an action-by-action basis. Do I support what Romney said as fact? The available facts seem to align with it, so yes. Do I support his right to say what he said? It's a right I take very seriously and, without it, we likely wouldn't be having this conversation, or openly discussing politics at all, so yes. Do I support the sentiment behind his words? That's a firm "no".

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    133. Re:Healthcare by Anonymous Coward · · Score: 1

      The context was that 47% of Americans are taking out of a system they are not putting anything in to.

      The reality is that income taxes are NOT the only taxes, that those people do pay into the tax system, and many of them do contribute. More to the point, a large segment of that CURRENT 47% is the retired population.

      Who may have contributed substantially before you know RETIRING!

      Context is everything, and people citing that statistic are quite blind to it.

      I'm not saying his sentiment was right, but the man was not wrong.

      The man was wrong both factually (regarding the statistic) and morally (regarding his ethical choice not to care).

    134. Re:Healthcare by dbIII · · Score: 1

      You have an insurance system with a side effect of healthcare. Spending more money on it than anyone else doesn't really mean much when so many players are making vast profits.

    135. Re:Healthcare by Third+Position · · Score: 1

      What you're ignoring is that with our for-profit health care, we also lead development of medical treatments, largely because of the profit incentive. See Nature, April 2007, Price controls seen as key to Europe's drug innovation lag

      For those hoping that Europe might be redressing the imbalance in R&D innovation compared with the United States, two recent reports make gloomy reading. According to a competitiveness report published in November 2006 by the European Commission's high-level Pharmaceutical Forum, the US has established itself firmly as the key innovator in pharmaceuticals since 2000.

      Also see the New York Times, Poor U.S. Scores in Health Care Don’t Measure Nobels and Innovation.

      Advocates of national health insurance cite an apparently devastating fact: the United States spends more of its gross domestic product on medical care than any nation in the world, yet Americans do not live longer than Western Europeans or Japanese. More Americans lack insurance coverage as well. It is no wonder that so many people demand reform.

      But the American health care system may be performing better than it seems at first glance. When it comes to medical innovation, the United States is the world leader. In the last 10 years, for instance, 12 Nobel Prizes in medicine have gone to American-born scientists working in the United States, 3 have gone to foreign-born scientists working in the United States, and just 7 have gone to researchers outside the country.

      --
      American Third Position
      Finally, a real choice!
    136. Re:Healthcare by jma05 · · Score: 1

      > wake up sheeple!

      Shh! Quiet

    137. Re:Healthcare by dbIII · · Score: 1

      I say that many of us have a serious issue with the portion of this country that consumes far more from the fed then it pays in taxes.

      Hollywood?

    138. Re:Healthcare by Anonymous Coward · · Score: 0

      ... Insurance" is about the dumbest way possible to pay ...

      Not really; where the equation is something like:

      insurance premiums - (insurance premium * 3/4; paid to doctors) - administrative costs - shareholder's dividends = ordinary health services + special health services

      Your premium might pay more than 1 doctor, because the whole point of insurance being that healthy people pay the costs of sick people.

      Obviously, if dividends could be removed that would allow bigger payments to those doctors. Also, in order to increase administrative costs and dividends, the payout to doctors must be reduced, or special health services eliminated.

    139. Re:Healthcare by Confusedent · · Score: 1

      My understanding is that a major component of the absurd healthcare costs here are due to liability issues, so doctors and hospitals run dozens of tests with no regard for the cost vs. benefits of doing so. Because they don't want to get sued into oblivion for failing to run those tests. It's a protection against medical malpractice suits. If that's true, then tort reform is at least part of the solution towards lowering healthcare costs in the US. Unfortunately the left always sees any talk of that as some Republican conspiracy to eliminate people's right to sue greedy corporations, and think everything can be solved by just raising and raising taxes, so I doubt that'll be happening anytime soon. And if it does it'll likely be some watered down version like the recent healthcare reform act was (referring to Obamacare).

      FYI: I'm neither liberal nor conservative, so don't write this comment off as right-wing propaganda.

    140. Re:Healthcare by dbIII · · Score: 1

      Risky behaviour happens whether contraceptive are available or not. The funny little statistic that people who have taken the pledge to be celibrate have a greater than average incidence of STDs merely indicates that such a group don't like using condoms when they indulge in their risky behaviour.

    141. Re:Healthcare by dbIII · · Score: 1

      So the failure of as especially twisted incidence of capitalism indicates that anything that looks remotely like socialism doesn't work? You may want to work on that point a little bit :)
      The UK had a system with a lot of similarities to the current US one in the 1930s. When WWII started nearly the entire male population of the UK attempted to join the military and the poor state of health observed in the medical tests inspired the creation of the UK national health service. Other countries followed their example. The US had a similar wakeup call with the draft in the 1960/70s and such were the results that Nixon proposed what you would call a "socialist" heath care system so that the US would have enough healthy people to be able to raise an army.
      Do you see how old this argument is and how you have to consider the lessons of the past instead of bringing up this weeks talking point as drafted by an insurance industry lobbyist?

    142. Re:Healthcare by dbIII · · Score: 1

      Our government, run by the Republicans and their Democratic neocon equivalents, will manage it badly.

      You mean like the way the military and veterens hospitals are run? How many private hospitals work as well as those?

    143. Re:Healthcare by Jane+Q.+Public · · Score: 1

      "Pretty much, we spend more money on HC in america than any other country yet our care is no where near good by any stretch of the imagination."

      BULLSHIT

      We spend more on insurance than others spend on health care, and we get less health care in exchange.

      This is the fundamental mental leap that too many Americans have failed to make. Insurance does not equal health care. And therefore, an increase in insurance, and even higher rates (Obamacare) is doomed to worsen the problem, not make it better.

    144. Re:Healthcare by dbIII · · Score: 1

      The last thing I want is the state telling me what I may eat

      Chinese milk with added nitrite OK with you then?

    145. Re:Healthcare by dbIII · · Score: 1

      Forget the flag waving, it's not a "good" system - I pay extra travel insurance just to be able to get out of your country in time if I get sick there. It only looks so good at the top end because the bottom line is so bad. Your military have better health care than the richest in the private system thanks to the "socialist" health care they enjoy. Also consider that such a system is costing the military less than if they contracted out the work to those inferior private hospitals.

    146. Re:Healthcare by Sabriel · · Score: 1

      The trouble is that if you don't also keep your poor healthy etc, at some point "keep your rich healthy" will involve funding the rich's private armies to keep the rebellion at bay.

    147. Re:Healthcare by Anonymous Coward · · Score: 0

      What is this "TAX" thing everyone keeps talking about?

    148. Re:Healthcare by BronsCon · · Score: 1

      His comment was in reference to Federal Income Tax, which is how the programs to which he was referring are funded. Payroll tax, the only federal tax in your long list, is unlikely to be paid by the poor, as the poor tend to not own businesses with employees other than themselves. Sales tax is a state tax used to fund state programs and, on top of that, not every state has a sales tax. Bus fares pay for buses and many municipalities have privately-run bus lines; this is direct payment for a service at the time of use and is not, in any way, shape, or form, a tax. Property tax is often a local tax and, if not local, is a state tax.

      The only tax that actually matters for the programs he was referring to is Federal Income Tax. Period.

      Furthermore, you may wish to actually read the first article you linked; I did, before I made my first post in this thread; it supports Romney's 47% number, with numbers from the Tax Policy Center, including a breakdown of who, exactly, is not paying income tax, and your perception of this group is dead wrong. I'm not even going to bother with the New Republic article, as I've already reviewed the actual numbers involved, so the opinion of some biased publication (and this is including CBS and Fox) is of little value to me, as I'm perfectly capable of forming my own.

      Again, Romney was factually correct in the context of the general welfare programs to which he was referring, whether or not you support where he's coming from which, for the record, I do not.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    149. Re: Healthcare by SydShamino · · Score: 2

      Both of my wife grandparents, whose finances we managed in the last few years of their lives, had supplemental insurance from their past employers (~30 years prior). Their total out-of-pocket for medical procedures was very low. In the end my wife had to fight the doctors to keep the, from doing lots of unnecessary procedures that went against the legal directives they had left for us to execute. Seriously, a few times they would have been wheeled off for some pointless exploratory procedure or scheduled for useless therapy (like speech therapy when a few days from death) if she hadn't been there to just tell them No after No after No. When she finally got them into hospice, the hospice nurse understood, and would help keep the other nurses away.

      --
      It doesn't hurt to be nice.
    150. Re:Healthcare by Anonymous Coward · · Score: 1

      just that they are a burden on the system in general, which is true.

      Or false. It's more like the bottom end of the population is undercompensated for the work they do so that the top end can be grossly overcompensated. There are plenty of rich people who are/were a burden on society. Simply being able to pay your own way in society doesn't mean you aren't a burden, when the way in which you make your money is corrupt and unfair.

    151. Re:Healthcare by Anonymous Coward · · Score: 0

      Romney wasn't wrong about the number, he was wrong about the nature of that demographic and the reasons they wouldn't vote for him. I think there are a lot of retirees, people on disability, and non-working poor who consistently vote Republican anyway - maybe because they are "values voters."

      What he should have pointed out is that his income tax policy would make no difference to those who pay no income tax!

    152. Re:Healthcare by BronsCon · · Score: 1

      In the context of general welfare programs funded at the federal level (Social Security and Medicare are not GENERAL welfare programs, and food stamps are funded at the state or local level), which is what he was talking about, he was absolutely correct in context. He never said 47% have never put anything into them, he said that 47% are not putting anything into them; since these programs are funded by Federal Income Tax, he is correct in context, as well.

      The man is despicable and his position, in general, is indefensible, but he was absolutely, 100% correct in that quote. I just wish more of our politicians would speak their minds so openly; we might begin to see actual, meaningful change in our government if we encouraged more of this.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    153. Re:Healthcare by towermac · · Score: 1

      Which sentiment exactly? You just said he was right in his facts. How is he supposed to address the problem if you won't allow him to speak on it?

      And this is also why this blurb was intended for a handful of faithful supporters and not the general public. He's talking nuts and bolts because these big money guys want to hear specifics. They already heard the commercials like the rest of us; if you want the hundred grand, they want to hear how smart you are. Romney blurts the uncomfortable elephant in the room truth out like somebody that doesn't have time to waste on a bunch of platitudes. A liberal hears that, is offended right off, that one's worth is judged by their income and taxes, especially by a rich man. it figures, huh?

      And miss the whole point. Namely, that not only are these people not paying taxes, worse; they are not earning incomes worth taxing. And they still have to live and eat and spend on healthcare the same as the rest of us; 47% of the people are basically not even making a living. They are just squeaking by, or they're falling behind, but they're certainly not creating any wealth, which is what has to happen for us not to go broke. Exactly what this article says by the way: An influx of capital to jump-start business and jobs at the low end of the economy. (I wonder who would have been well qualified for that...)

      So he's telling the rich Republican donors exactly the truth, and the real problem that needs to be attacked, and he still can't get a break from you. Okay, you did cut him a bit of a break, but you still couldn't possibly support him? Or the sentiment that some portion of that 47% need jobs? There's no evil there, which I believe you recognized.

      Let me tell you something in case you're unaware: We're broke. Well, going broke; it takes a long time in a country this big. Romney would have made us money; that's what he does. He seems to be very good at it. Everything he touches. How many Olympics actually make money? I believe his Utah one did. And it was fucked up when he took over.

      Here's another hint. Don't listen to what they say; look at what they've done. I know your biggest fear might be how far he sets back your causes, even while you admit the benefits of fiscal responsibility. But Massachusetts is still a pretty liberal place, in spite of him turning their giant deficit into a surplus, while phasing in universal health coverage, improved schools and tax cuts. They survived Romney.

      They did what they had to do, not only to get a guy to run things right for a while, but more importantly maybe, send a message to the other side, which would be your side, that they don't own you, especially if they get too far from the center. And of course that goes for both sides. I wish you'd give me a Democrat I could cross over and vote for btw.

      Is the Democrat that followed Romney more fiscally responsible than the ones before? I'm off to see if I can find out.

    154. Re:Healthcare by stenvar · · Score: 1

      No, not "same result". The level of incompetence and dysfunction brought to government by Obama is in a new category. Romney would likely have done things I would have disagreed with (I didn't vote for him), but nowhere near as much as Obama.

      And Obama has used his presidency to become rich: he's worth around $10m and draws an annual salary of $400k. That places him firmly in "the 1%".

    155. Re:Healthcare by BronsCon · · Score: 1

      How did I not let him speak on anything? I flat-out said I with more politicians would speak as openly as Romney does. I'm not cutting anyone any breaks based on their actions *or* words; look at it this way: someone with ill intent will occasionally say or do the right thing, but if it lacks sincerity (which you be discerned when their actions and their words consistently agree with each other), it should not be applauded.

      How, exactly, was I not supporting the sentiment that people need jobs? I've been there; for a decade I supported my (at the time) fiancee and myself on less than $16k, then found myself unemployed for 6 months before finding a job that was worth a damn. It took me over a decade to find a job that was worth shit; trust me, I know how it is and I fully support the notion that things should not be the way they are. I'm not sure what his ability to make the Olympics profitable has to do with the general population's ability to find gainful employment, though. One is putting money in the pockets of the state and businesses operating within the state and the other is putting money in the pockets of the people; while it is true that businesses have to have money in order to pay people and states must have income from non-tax sources in order to allow people to keep more of their money, neither of those prerequisites ensures those outcomes. That's the part you're missing and Romney can't change that, as it's an institutional problem with the companies involved and the fact that the state, any state can always find a way to spend more money, rather than letting people keep it. I don't fault him for his inability to affect this degree of change, it is simply outside the abilities of any single person, but I also to not support him because I do not and can not support where his words and actions come from, regardless of whether the outcome of some of those actions may be favorable to me.

      Here's a bigger hint, touched upon, briefly, above: Supplement looking at what they do by listening to what they say. Just because someone does something that ultimately benefits you does not mean they have your interests at hear, and their words may very well reveal this to you,

      This isn't a Democrat vs Republican thing, this is about sincerity and who our politicians are actually working for.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    156. Re:Healthcare by BronsCon · · Score: 1

      Agreed.

      --
      APK quotes people (including myself) without context and should not be trusted. Just thought you should know.
    157. Re:Healthcare by stenvar · · Score: 1

      The red states don't want it, but vote in representatives who will fight for it

      You better believe it. I'm certainly going to suck out the maximum amount of money that I can from social security and Medicare, even though I oppose those programs and want to see them abolished. I took mortgage interest deductions even though I think they are lousy policy and should be abolished. Etc.

      It's perfectly logically and morally consistent to oppose a government program, and yet accept money from that program.

      (Of course, the Tax Payer Foundation study is bogus and outdated anyway.)

    158. Re:Healthcare by Anonymous Coward · · Score: 0

      That's because it's not. It's a scam to hand money to insurance companies.

    159. Re:Healthcare by nbauman · · Score: 1

      Military and veteran's hospitals are good examples of how the government does things well. I think the key factors in their success are that:

      (1) They have a strong lobby behind them, and Congress and the White House support them, with an adequate budget.

      (2) Congress and the White House give them substantial independence to follow their professional judgment.

      (3) They have a committed work force. Some may be lazy or incompetent, but most are committed to serving their patients, which they see as a service to their country.

      (4) They treat their employees well, in ways that count. They pay a modest salary, with good job security and pension. They have unions. I think that if you expect your employees to do a good job for you, you should give them a good job in return.

      One of the striking things about the VA hospital system is that they do a lot of research. If you go to a cardiology conference, a vascular surgery conference, a urology conference, etc., you will hear them talking about the "VA study," which is the definitive study on treatment in many of those fields.

      If we could expand the VA system to care for the rest of America, that would be one of the best health care systems in the world, but it seems to be politically impossible, which is a shame. The current veterans are afraid that it might make their services worse. I can't imagine how we could create a system like that again, especially with the Tea Party Republicans out to stop anything.

    160. Re:Healthcare by AK+Marc · · Score: 1

      Woo hoo, my very own stalker troll, and a hypocritical one at that.

    161. Re:Healthcare by AK+Marc · · Score: 1

      It's not a new category. It was on a road paved by the Republicans with Bush. He may have traveled further along the road, but the road was built by Bush and paved by the Republicans. They are just mad it wasn't a Republican driving on it.

    162. Re:Healthcare by nbauman · · Score: 2

      If you want a moral argument, here's one:

      If you lose all your money, or get an expensive disease that you can't pay for, you're going to fall back on the public welfare system that you've derided all your life and begrudged paying into.

      Or suppose you have so much money that you will never be in want. Then you should share it. As Adam Smith said, those who have gotten greater benefit from society have an obligation to pay a proportionately greater share of the cost of running society.

      If you don't accept the moral argument, I'm afraid you'll have to go along anyway. If you want to do everything legally, you have to contribute anyway.

    163. Re:Healthcare by dbIII · · Score: 1

      I agree with all of that but see it as diverging from your "Our government, run by the Republicans and their Democratic neocon equivalents, will manage it badly". I see it as an example of how a US government can run it well, IMHO due to the desire to do it properly outweighing external forces such as bribes (the health lobby groups crossed the line to outright bribery years ago in other areas of health).

      IMHO it's that bribery that makes it currently "politically impossible" but there does seem to be some pushback and lower tolerance for corruption that is changing that.

    164. Re:Healthcare by Anonymous Coward · · Score: 0

      That doesn't make sense. The same "mired in for-profit operation" is what makes T-shirts a few dollars and DVD players $15. The American health care system is anything but a capitalist system. Blaming the free market for health care costs is simplistic and inaccurate. If you want an example of the area that is closest to it, look at eye care. For years this was on separate plans and is generally paid out of pocket by the vast majority of Americans. We have eye clinics in malls and you can get Lasik done better and cheaper every year... all because it is priced so people off the street can afford it. The big problem with health care in America is the insurance system. People need to pay for their every day care and simple doctor visits and insurance should exist only for expensive and catastrophic care. (Like auto insurance). ACA actually does this by having large deductibles. The poor and middle class won't like it, but ACA forces a reasonable amount of annual health care to be out of pocket.

    165. Re:Healthcare by Anonymous Coward · · Score: 0

      Woo hoo, my very own stalker troll, and a hypocritical one at that.

      You go through my past postings and troll, then when I respond, you accuse me of trolling? Not in full possession of your faculties, are you?

      Nope, sorry, it's not hypocrisy to use programs one opposes; getting back $0.50 on the dollar is still better than getting back nothing.

    166. Re:Healthcare by Anonymous Coward · · Score: 0

      It was on a road paved by the Republicans with Bush. He may have traveled further along the road, but the road was built by Bush and paved by the Republicans.

      I completely agree with that assessment. So you're implying that because Bush was behaving like a criminal and wrecking the budget, that makes it OK that Obama is doing even more of the same thing? You want to know who the "evil people" are that have been causing so much harm to the US? Look in the mirror, it's people like you.

    167. Re:Healthcare by Sarius64 · · Score: 1

      Yes, but poor people voted for it! That's the irony.

    168. Re:Healthcare by Anonymous Coward · · Score: 0

      They may be paying in, but there IS a large percentage that are taking out in earned income credits, etc more than they paid in. So no, it's not about wealthy people.

    169. Re:Healthcare by Anonymous Coward · · Score: 0

      Pretty much. The insurance system has its place. It is great for an individual that wants an organized way to share a risk.
      For something that already involves a large group of individuals like a nation getting an insurance is just a way of pouring money into an insurance company without getting a risk distribution better than you already have through taxes.

    170. Re:Healthcare by ganjadude · · Score: 1

      if you REALLY think the road was started by bush and the republicans only a few years ago you clearly dont know your history. The road you speak of has been laid and paved long before bush was even born. Its funny, you talk to him like hes the one playing partisan politics when its obvious you are

      --
      have you seen my sig? there are many others like it but none that are the same
    171. Re:Healthcare by ganjadude · · Score: 1

      Does anyone have the brakedown by city? for example in VA I believe it was the other day the democrat won, eventhough he won like 5 counties in the entire state (inner cities) and the rest of the state was red http://upload.wikimedia.org/wikipedia/commons/4/43/2013_virginia_gubernatorial_election_map.png

      --
      have you seen my sig? there are many others like it but none that are the same
    172. Re:Healthcare by akinliat · · Score: 1

      if you REALLY think the road was started by bush and the republicans only a few years ago you clearly dont know your history. The road you speak of has been laid and paved long before bush was even born.

      Well, that's certainly true. It was Nixon who first came up with the idea of a healthcare marketplace, and a wonk from the Heritage Foundation who added the idea of the individual mandate. It was Gingrich who first wrote it into a bill, and Romney who first implemented the system.

      So it wasn't Bush and the Republicans who designed and paved the road to Obamacare ... just the Republicans. It fascinates me that after finally getting what they've been after for almost 40 years, the Republicans can't stop whining about how it's the end of the world.

    173. Re:Healthcare by ganjadude · · Score: 1

      As someone living in NY, bloomberg SUCKS. I mean he has no clue what the people need/want. hes one of them "rich white people" everyone on the left loves to hate, he wants to tell us what we can drink and eat, how much we can have of it, he is so out of touch with what needs to be done. Bloomy is just a joke to us here in NY

      --
      have you seen my sig? there are many others like it but none that are the same
    174. Re:Healthcare by ganjadude · · Score: 1

      not bullshit at all. Regardless of how you label it we are spending money on health care. and it fits this study perfectly because as you said we are not spending it wisely

      --
      have you seen my sig? there are many others like it but none that are the same
    175. Re:Healthcare by crunchygranola · · Score: 2

      Actually, if you look at medical costs over the long haul you discover an interesting fact. Until 1965 medical costs rose at the same rate as inflation.

      Indeed they did. They also rose at the same rate as inflation from 1965 all the way to 1982!

      Since 1965 medical costs have risen much faster than inflation. In 1965, Medicare and Medicaid were first implemented. The evidence suggests that Medicare and Medicaid are distorting the market for medical care in such a fashion as to disrupt the normal price feedback mechanism of a free market.

      Woefully (and inexcusably) misinformed or simply a brazen liar? You be the judge.

      The mysterious 17 year lag after Medicare before the health care cost explosion began completely destroys the claim you make. Some other changes in how society functions, beginning, oh, around 1981 perhaps would seem to be the cause. Oh, whatever could that correlate too?

      So Attila you going to cop to being grossly in error or a liar? Or you going to recycle this lie again in the future? It is one thing to have a different opinion and real facts to support it, it is quite another to go Fox News on this site and just throw at lies hoping they will stick.

      --
      Second class citizen of the New Gilded Age
    176. Re:Healthcare by crunchygranola · · Score: 1

      Interesting that you bring up Japan. The life expectancy for Japanese living in the U.S. is greater than the life expectancy of Japan.

      Please post a link to back up this claim so that we know you aren't making it up, or grossly distorting the facts.

      You tried to pass off an outrageous falsehood farther up this page by claiming (without providing a link, naturally) that US health care inflation started right after Medicare began in 1965, rather than telling the truth that the inflation began 17 years later, a couple of years after Reagan's election and the start of the "corporate greed is good" era.

      Given your history of deception, we need to see you link to evidence to believe your statements.

      --
      Second class citizen of the New Gilded Age
    177. Re:Healthcare by DerekLyons · · Score: 1

      Elective or cosmetic surgery isn't necessarily a natural monopoly:

      True, but the examples you give aren't examples of "natural monopolies" either. They're so far from being examples, one suspects that you've no clue as to what the words mean.

    178. Re:Healthcare by crunchygranola · · Score: 1

      Life expectancy isn't a very good measurement of a healthcare system.........

      The world medical community would disagree. What is your real, excellent, true measure of a healthcare system? Number of people with coverage? (Ooh... we don't do well at all there.) Anything else come to mind?

      --
      Second class citizen of the New Gilded Age
    179. Re:Healthcare by DerekLyons · · Score: 1

      You're missing something pretty critical with that analysis. In every for-profit business with viable competition, the path to maximum profits tends to be lowering costs. Unfortunately, outside of major cities, you will rarely find more than one hospital within a short enough distance to handle emergencies. In every for-profit business with few (if any) competitors, the path to maximum profits tends to be buying the competition and raising costs, lowering them only enough to bankrupt any new competitors that dare to enter the market.

      Right - that's where in places that there is competition, costs are lowered... except they aren't. You haven't a clue as to what you're talking about.

    180. Re: Healthcare by Anonymous Coward · · Score: 0

      Actually comparatively speaking Doctors in the rest of the world ARE almost working for free in comparison to the US. Specialist salaries are easily 2-2.5x those in Canada for doing the same position.

    181. Re:Healthcare by dgatwood · · Score: 1

      Competition requires two things: multiple players and customer mobility. If either one is missing, you don't have true competition. And even when you do, there are other considerations besides money. Competition can drive prices down, but it can also improve quality instead. This is particularly true in the case of medical care.

      For example, one reason that competition doesn't always drive down the cost of healthcare is the high cost of equipment required for top-notch care. If you are a hospital with a million-dollar MRI machine, you need to recover the cost of that machine (including the fairly substantial power bill). This means that the kid with the broken arm might get an MRI instead of an X-ray, and now you have a $1,000 medical bill instead of a $100 medical bill even though the actual cost to the hospital is not that different. In a decade, when you've paid off most of that cost, there will be something else to take its place, just as the MRI took the place of the now-paid-off CT scanner.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    182. Re:Healthcare by AK+Marc · · Score: 1

      You oppose them, yet work hard to keep them going. That's the hypocrisy..

    183. Re:Healthcare by AK+Marc · · Score: 1

      It was Nixon that started the EPA and the War on Drugs. Yet so many Republicans these days bash both (but don't work to end them).

    184. Re: Healthcare by Anonymous Coward · · Score: 0

      Thats because other countries freeload off the expensive medicines and procedures developed on the American dime.

    185. Re:Healthcare by AK+Marc · · Score: 1

      Pointing out the hypocrisy of those complaining now doesn't condone anything. I didn't vote for Obama, but he doesn't look any different than the last guy (well, aside from looking different). Anyone who thinks Bush started the bailouts, Bush started Gitmo and wasteful wars, anyone who thinks Bush did any wrong is an "evil person"? Yes, team play is a mental disease. It may have helped tribally tens of thousands of years ago, but now, just cultivates the "us or them" that leads to political failures.

    186. Re:Healthcare by ganjadude · · Score: 1
      Re read what I was replying to

      The level of incompetence and dysfunction brought to government by Obama is in a new category. Romney would likely have done things I would have disagreed with (I didn't vote for him), but nowhere near as much as Obama.

      This was not a response to the health care it was a response to incompetency in the office of the whitehouse.

      --
      have you seen my sig? there are many others like it but none that are the same
    187. Re:Healthcare by Anonymous Coward · · Score: 0

      Believe me, I know how language evolves. My point is that when you don't bother to learn the meaning of words, you misuse them. English is full of words and idioms that are commonly misused because people learn them from context, instead of looking in a fucking dictionary.

      Language standards are a good thing, because they keep communication from getting garbled by sloppy usage.

    188. Re:Healthcare by Anonymous Coward · · Score: 0

      Now you listen here Fella. Americans have to pull themselves up by their OWN bootstraps not by handout bootstraps from others. That's how it has allays been done an that's just how it will always be under this current Best Healthcare in the World system. Now you quit having these high falutin ANTI-AMERICAN IDEAS YOU HEAH BOY?

    189. Re:Healthcare by AllenABQ · · Score: 2
      This.

      It's also the underlying reason why the two conservative health care panaceas of tort reform and selling insurance across state lines won't do squat to bend the cost curve.

      Tort reform doesn't address the underlying problem (and only results in a piddling amount of savings across the board while screwing a lot of people who are legitimately harmed).

      Selling insurance across state lines makes the problem worse because it allows the insurers and the middle-men to set up shop in the states with the least consumer protections, enabling them to inflate their costs even more.

    190. Re:Healthcare by AK+Marc · · Score: 1

      The disconnect in health care is that the customer isn't the patient/user, but the insurance company. That's why the system is broken.

    191. Re:Healthcare by Anonymous Coward · · Score: 0

      The US healthcare system is mired in being a for-profit operation controlled by large multi-nationals and insurance companies.

      They have no interest whatsoever in providing good health care, they care about maximizing corporate profits.

      Except... there's not a shred of evidence this is true. Doubly so since in every other for-profit business, the path to maximum profits seems to universally be to ower costs to the consumer in order to attract a larger market share - while the medical sector's model seems to be to increase costs and drive away customers. The problems with your claim are further highlighted by what's been happening in the fields of cosmetic and elective surgeries and eye care surgery, which show the expected competition, reduced costs, and rapid innovation cycles. (Heck, they're even offering financing now.)

      You cannot put cosmetic surgery etc. in the same category as normal health care. To simplify, consumers reason "face lift or new car? Which will make me happier, get me a young lover?" However, gravely ill consumers do not reason "treat my cancer or get a new car?" Your health has infinite value to you so you'll dig up every last penny from your pocket and so will the people who love you, if it means your life can be saved. Furthermore, consumers are terribly bad at evaluating treatment options because they don't have medical expertise themselves and it is in the best interests of companies to ensure demand for treatments, not a healthy population. Why offer cheap preventive care or tests when you know that a much sicker patient will yield a substantial revenue stream over a long period of time. The incentives for profit-oriented health care providers are the same as for other service providers, i.e. to sell more. But needing more health care is not in the interests of consumers, the less care a consumer needs, the better it is for him/her. I agree with you fully that in every other industry private companies do the best job but you cannot use that model for selling a product that consumers should need as little as possible.

    192. Re:Healthcare by phantomfive · · Score: 1

      It's not clear to me that you are a sane rational person, but as a test, we'll see how you respond to this:

      If people want to smoke, it doesn't matter how good the medical system is, because that will reduce their life expectancy.

      --
      "First they came for the slanderers and i said nothing."
    193. Re:Healthcare by Anonymous Coward · · Score: 0

      Pretty much, we spend more money on HC in america than any other country yet our care is no where near good by any stretch of the imagination. Throwing more money at it like the current admin wants to do, according to this study anyway seems to be a waste of money

      You completely misunderstand the issues being discussed. The phase "influx of capital" does not refer to spending money on health care.

      Please read at least three books on economics by different authors before again commenting on an article like this. There are also readily available instructional DVDs on the subject of economics.

      Aside from that complete misunderstanding of the issues, your claims regarding health care spending and results are grandiose and unscientific, not to mention that you haven't provided any reliable sources.

      It is politically popular amongst those who wish to change health care to make similar claims, and you may have been misled into thinking that these claims are based upon careful and accurate research which is generally accepted as reliable by the scientific community.

      Human beings being imperfect, there is always room to improve things done by human being, and health care is done by human beings. Attempting to do so on the basis of grandiose and poorly supported claims is unwise.

      Please read at least three different books on social science by different authors to understand this point. Make sure at least one of these is a book on research design that discusses how to evaluate the merits of claims being made by researchers and/or those reporting on them, and the many ways in which research results (and especially statistics) can be misunderstood. It will be helpful to find a book that provides examples of the many ways in which politicians, political parties, and the "professional" press misunderstand and / or misrepresent scientific results in order to develop the ability to be sceptical regarding such claims.

      Unfortunately, the US school system is not competent at selecting the subjects to teach that people actually need to understand the world around them, and thus social science education is not part of a standard high school degree. You will need to make up this lack on your own.

    194. Re:Healthcare by AK+Marc · · Score: 1

      The confusion is that if you don't like something, you argue against the worst it could possibly be, with no concern for what it is likely to be, or the realistic alternatives. Doom Gloom and Lies is standard.

    195. Re:Healthcare by Anonymous Coward · · Score: 0

      Very true. Talk to people in the healthcare field and they'll be able to list tons of examples of wasted money. Any patient on medicaid/medicare gets more treatments, pills, devices, etc. because the hospital, dr, or specialist can bill for it.

      Example: 80-something comatose man in the final stages of lung cancer being given a colonoscopy ... just in case he might have ass cancer too. Seriously.

      Healthcare is for-profit and must-CYA. Those are the two primary factors 90+% of the time. That's not to say there aren't doctors who care. Many do. But they're stuck working in a system that leaves them little choice but to go along if they want to continue practicing medicine (and paying off their insane student loans).

      At least from that POV universal health care systems seem to work much better. I once talked to a couple of medical students in Finland, where I live right now, and they explained how their "quiz" system (I think it was only for rehearsing and not in exams but I'm not sure) incorporated cost considerations as well. The system gave them a series of questions like "your patient is a 60-year-old man who complains about pain in blah, blah...what tests do you request?" and then a follow-up with "the results of test X show...and test Y show...do you request more tests or can you make a diagnosis?" Making the correct diagnosis and having requested all the essential tests to rule out other possibilities were the requirement to pass the question but the system also gave you an estimate of the total cost of the tests made and you could compare your costs with the best (minimal) costs and the average cost that other students using the system had gotten to solve the same exercise. That's a pretty good approach IMO - let doctors have the last word but also teach them to behave responsibly when spending taxpayer money.

      I might also add that I have gone to a doctor here twice and the first time I had to wait for over four hours in total but my problem was "just" a strong allergic reaction from a facial cream and it was Xmas eve so staff was minimal. The second time I got an appointment for my non-critical problem two days after asking for it and was then sent to be examined by a specialist and got a date about three weeks later. By then my problem (a strange numbness/weakness in my arm) had almost passed so the visit didn't yield much else than "ok get back to us if it happens again" + me getting to hear and see my own nerve impulses through electrodes hooked up to an apparatus (the sound resembled radio noise of varying intensities). I believe that what the first doctor did was to look at the specialist's appointment schedule and place me in it according to how urgent he considered my problem to be. So based on my experience at least, single payer seems to work. However, I've also heard that waiting times can be much longer in sparsely-populated rural areas.

    196. Re:Healthcare by denzacar · · Score: 1

      Nothing that hasn't been seen among the poor or the well off too.

      Or among the animals for that matter.

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    197. Re:Healthcare by denzacar · · Score: 1

      Added later not even as an afterthought and with much struggle against it.
      AND only for a small section of the population.

      Also, emphasis on MOST in "built to accommodate most".

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    198. Re:Healthcare by denzacar · · Score: 1

      You are describing a solution, not a problem.

      There's probably even a huge tax write-off for supporting an entire army and thus boosting the economy.

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    199. Re:Healthcare by Anonymous Coward · · Score: 0

      Being a paid slave for a longer period doens't mean make people more healthy.
      Resource-based economy? Anyone?

    200. Re:Healthcare by stenvar · · Score: 1

      Added later not even as an afterthought and with much struggle against it. AND only for a small section of the population.

      Well, I just pointed out that it exists and constitutes about 40% of US health care spending. So the idea that the US is this cut-throat private system that doesn't attempt to pay for the old and needy is fiction.

      The real problem is that Medicare/Medicaid is a piss-poor system, like all single payer systems, and instead of extending it, we should get rid of it.

    201. Re:Healthcare by Anonymous Coward · · Score: 0

      However believe me when I say that many of us have a serious issue with the portion of this country that consumes far more from the fed then it pays in taxes.

      Indeed. I can't wait until the corporate class of citizens are finally weaned from the government teat. Multi billion dollar subsidies aren't necessary when your gross profits have been increasing exponentially over the past few decades.

    202. Re:Healthcare by ToddInSF · · Score: 1

      "Free market" is just code for special interest monopolies that have bought representatives off.

      Insurance is not healthcare. Healthcare in the US causes bankruptcies BECAUSE it's insurance-based.

      The fake differences between the political parties owned by special interests in the US is the difference between Tweedledum and Tweedledee.

    203. Re:Healthcare by denzacar · · Score: 1

      And replace it with a better, less "piss-poor" single payer system or with a "cut-throat private system"?

      Private system always ends up being a "cut-throat" system.
      Only question is if it ends up being run by a group of mutually competitive companies (in theory - in practice they are more like allies as they have the same goals and interests for which they then lobby) - or by a single monopoly.
      Neither of which is there to serve the needed but to acquire profit.

      --
      Mit der Dummheit kämpfen Götter selbst vergebens
    204. Re:Healthcare by Jane+Q.+Public · · Score: 1

      "not bullshit at all. Regardless of how you label it we are spending money on health care. and it fits this study perfectly because as you said we are not spending it wisely"

      Yes, it is bullshit. I understand that you're agreeing with my basic point that we're no spending wisely, but my other point is an important one. Insurance is not healthcare.

      As an analogy: imagine, if you will, that you contracted with someone to deliver your food purchases to your home. You pay them, they go to the store, buy your food, and deliver it. They keep a percentage of the money as payment. So you pay them more than the raw groceries cost at the store, of course. They want to make a profit or they would not do it.

      Over time, these delivery companies figure out that they can make more profit if they buy the lowest-quality, cheapest food at the market, while charging you the same price. This process is assisted by the government, which decides it will subsidize this business by getting your employer to offer "delivery plans", at group rates. Sadly, those people who are in business for themselves (e.g., entrepreneurs, who are the primary drivers of our economy) do not get these government subsidies.

      More time passes... the delivery companies become the norm. And because they now control the majority of dollars going to the grocery stores, they start to dictate what they will pay the stores for which products. Consistently, they choose the lowest-cost (which coincidentally usually means lowest-quality) products, and squeeze the stores for ever lower prices.

      The people who actually bring the product to market -- the stores -- start to say: "Hey... going to expensive secondary and tertiary school and working my ass off for 15 years to be a professional in this business is no longer paying off. I'm going to strongly suggest to my children that they NOT go into this business."

      The delivery companies actually start telling people: "We will NOT spend your money on certain products. They are just too expensive and we don't make enough profit. Grocery stores: we don't care how much it costs YOU. We'll only pay you X for it."

      Which of course means that the stores stop offering that item. Because THEY no longer profit from it.

      The quality of food reaching the bulk of America is drastically reduced, while the cost has gone up dramatically.

      Delivery companies do not equal food. Insurance does not equal health care. You mistake the delivery system for the product. They are NOT the same. They are not even close to the same.

    205. Re:Healthcare by Jane+Q.+Public · · Score: 1

      I almost forgot to add:

      Then some would-be dictator is elected President, and tells the American people:

      "Our food quality sucks. Therefore, we are going to pass a law saying that EVERYBODY must have a contract with the food-delivery industry, or we're going to fine them 20% of their take-home pay."

      Talk about corporate welfare! The average American is screwed over even more, while actual HEALTH care declines even more. The only people who benefit are the delivery companies.

      Someone once said, "Continuing to do the same thing and expecting different results is one definition of insanity."

      To my government: doing MORE of the same thing, when it is demonstrably the CAUSE of the problem in the first place, and expecting better results, is beyond insanity.

    206. Re:Healthcare by lsatenstein · · Score: 1

      'We find that a large influx of capital is successful in escaping the poverty trap, but increasing health spending alone is not,

      Pretty much, we spend more money on HC in America than any other country yet our care is no where near good by any stretch of the imagination. Throwing more money at it like the current admin wants to do, according to this study anyway seems to be a waste of money

      Healthcare by for profit businesses can never compete with state medicare. Those with money get served sooner, but not better than those with much lesser amounts ($0.00+) of money.

      My daughter gets $30k/yr of MS medicine. Her cost for all her meds $1000/yr. When I say all, it is the max out-of-pocket for meds the combined total med costs.
      And she is going to receive this amount for the next 40+ years at least.

      --
      Leslie Satenstein Montreal Quebec Canada
    207. Re:Healthcare by stenvar · · Score: 1

      Neither of which is there to serve the needed but to acquire profit.

      Yes, that is correct, and that is why it works: by seeking profit in a free market, companies end up meeting the needs of the market and eliminating waste. If you replace it with a single payer system, you still have corporations providing the drugs and services and seeking profit; but now they seek profit by lobbying politicians to pay them more money and delivering services people don't need. In addition, powerful consumer special interests now also lobby for special treatment and subsidized services. That's what we see with Medicare/Medicaid: $10000/year wasted on people for useless drugs and useless end-of-life care, largely at the expense of young people and their health care.

      And replace it with a better, less "piss-poor" single payer system

      A working single payer system has to set sharp coverage limits, and spend very little money on people over 70. More authoritarian nations can impose such draconian rules, but there is no political will or ability in the US to set such limits. The US hasn't even managed to keep Medicare expenses even close to inflation.

      There is simply no way the US can ever get a better single payer system. The only politically realistic option for cost control in the US is to leave cost control up to the market. It's not ideal, but it's better than any available alternative. Or we can use "single payer" in the same sense that Switzerland does, namely as very minimal coverage with a large private market selling people the insurance they actually want on top of that.

    208. Re:Healthcare by Anonymous Coward · · Score: 0

      It's nice to see you recognize Time magazine for what it is these days... "Total BS..."

    209. Re:Healthcare by Anonymous Coward · · Score: 0

      You are twisting the context. It was meant that you didn't build it, because you relied on the government constructs to allow you to innovate or build something. It WAS a direct statement about job creators and inventors - plain and simple.

      And coming from a constitutional professor who taught Saul Alinksi.... that's rich.

    210. Re:Healthcare by ganjadude · · Score: 1

      that sounds EXACTLY like what obama did with HC

      "Our health care sucks so we pass a law DEMANDING that everyone get insurance or pay a fine" I think we seem to agree fully here we are just differing on the wording

      --
      have you seen my sig? there are many others like it but none that are the same
    211. Re:Healthcare by Anonymous Coward · · Score: 0

      If you think about it for a minute. "Insurance" is about the dumbest way possible to pay for a society's health care. It's based on giving a load of money to some corporations and them paying less than that amount for your care. Care which they get to approve.

      For goodness sake, it's clearly more efficient to have all basic and catastrophic health care paid directly by society via taxes. If there are years where society uses less health care, there could be a tax rebate, giving financial incentive for people to remain healthy.

      Nobody bringing a family member to a hospital for life-saving care should be worrying about losing their home if the insurance company decides to be shitty.

      This actually is a major reason why I do not want to have to pay for insurance--it is cheaper for me to pay for the basic care out of pocket, because I have abnormal reactions to two of the major classes of medicines. The last time I tried to get insurance to cover much, with the surgery I needed they kept changing their minds, wanted to send me to a hospital in a different country to have an antique version of the surgery (I live less than 10 minutes away from an extremely good hospital), then changed their minds at the last minute after approving it at the local hospital the night before I was scheduled. With my medications...they first tried to have me forced onto a medication I'd been removed from because I started having rather nasty side effects from it, and drop the monitoring down significantly...never mind that I was on record for also being extremely responsive to it. (I started learning pharmacology in self-defense because of my insurance, in fact.)

      Why should I pay for insurance, when I know that they won't actually reliably cover my medical bills, leaving me to pay for it out of pocket anyway?

      Given that it sounds like is the tested successful method is an infusion of capital, basic insurance underwritten by taxes might not be the right choice, but rather taxes funding clinics offering basic services, for free or at-cost, with the staff paid not for services rendered but wages, removing all concerns there. (The latter also would fix one of the major problems health care providers have with insurance+medicare/medicaid: they don't know until later, sometimes months later, if they'll get paid for services already rendered...never mind that they got bills they are expected to pay now.)

      This would also leave, like the Aussie system, doctors in charge of making decisions, meaning you don't have some management suit who is effectively practicing medicine without any license and sans oversight.

    212. Re:Healthcare by Anonymous Coward · · Score: 0

      Pay less? I doubt it, especially over the long term. It doesn't matter if we overpay the insurance companies or the state..both are experts at wasting other people's money.

      The USA Spends more per capita (by far) than any other nation on earth. Yet our actual life expectancy is just 33rd.

      Doubt all you want. I prefer to get some facts and base my opinions on them rather than "gut feelings".

      Most countries are very homogeneous in their populations, which greatly eases the whole situation on the life expectancy thing. It does not help that some countries will...adjust how they do their demographics in order to make themselves look good on things like life expectancy. I prefer to know what my statistics actually are measuring and if they are actually comparable.

    213. Re:Healthcare by jbo5112 · · Score: 1

      The WHO ranks the US health care system #1 in responsiveness to the needs and choices of the individual patient (http://online.wsj.com/news/articles/SB10001424052748704130904574644230678102274). If that is nowhere near good, then what are you grading it on? Are you flunking it because Bill Gates, Warren Buffett, Larry Ellison, the Koch brothers and the Walton family aren't pooling their money to give you free access to healthcare?

      Where the US famously ranked 37th in overall performance is more based on our funding and distribution than how well it responds to patients needs (by a factor of 5). We tend to charge people for health care somewhat based on what goods and services they use, instead of making Mark Zuckerberg fund unlimited access to a 30 year old bum living in his mother's basement dividing his time among reddit, McD's and drinking himself sick (notice no job). Actually, those factors only get the US downgraded to 15th in overall attainment. The remaining downfall is that the WHO thinks we should have a better health care ranking with our resources. (http://www.politifact.com/truth-o-meter/statements/2009/sep/14/paul-hipp/rocker-viral-video-mocks-us-37th-best-health-care-/)

      To summarize...The UK sets records for wait times for a hospital bed. The US guarantees that anyone can walk into any emergency room with no money or resources and get excellent care (i.e. not sleeping in hospital hallways -- http://thelongestlistofthelongeststuffatthelongestdomainnameatlonglast.com/long545.html). In the end, the WHO decides UK has better healthcare because there the harder you work to have more money, the more money it costs to get the same pitiful access.

    214. Re:Healthcare by Anonymous Coward · · Score: 0

      Sales and Property tax are not Federal taxes (ignoring DC). The point is that you have a sizeable block of people with no personal incentive to keep federal spending down.

    215. Re:Healthcare by Anonymous Coward · · Score: 0

      Sales and Property tax are not Federal taxes (except, perhaps for DC residents). "The system" in question is the federal tax system, so aside from payroll taxes (which are at least nominally set aside for specific programs), they are indeed "putting nothing into the system."

    216. Re:Healthcare by PopeRatzo · · Score: 1

      The Aussie system is pretty smart. There are others.

      It's not like we don't have good examples for universal health care. Unfortunately, this simple idea seems to be too difficult for the can-do American society to figure out. So we go on, spending 1/6 of our entire economy on health care costs, and 20% of that going to a a relative handful of people who have nothing at all to do with health care. And that percentage is increasing.

      America won't be the first country that was destroyed by stupidity and greed, but its end will certainly be spectacular.

      --
      You are welcome on my lawn.
    217. Re: Healthcare by gzuckier · · Score: 1

      Given that the insurance companies have to actually shell out for the actual medical expenses they most assuredly do have a for profit interest in keeping their members healthy. Unlike the providers of medical products and services, who unfortunately still operate on the basis of not making money unless somebody gets sick, thus the drive to find a different model for the medical industry.

      --
      Star Trek transporters are just 3d printers.
    218. Re: Healthcare by Anonymous Coward · · Score: 0

      Had the experience in the past year of both parents being hospitalized (separately, a year apart, for completely different things) and in both cases, long after the original complaints went away as mysteriously as they had appeared, the doctors kept pushing test after test, trying to find anything, getting even further from any plausible connection, until they started repeating the tests and we finally convinced the doctors to let them go and stop punching holes in them. I know what I'm talking about in this field. The weird part is that this was in Canada.

    219. Re: Healthcare by Anonymous Coward · · Score: 0

      So you voted for Gore instead of Bush I take it?

    220. Re: Healthcare by gzuckier · · Score: 1

      Yes, Obama will never be the organizational genius Bush was, but nobody could ever match that particular pinnacle of experienced republican competence. Him and his whole administration.

      --
      Star Trek transporters are just 3d printers.
    221. Re: Healthcare by gzuckier · · Score: 1

      I would have a hard time voting for a brilliant businessman who noted that in the worst recession in decades a lot of people had no income tax, and putting two and two together came up with the conclusion that it was because they would never "take personal responsibility and care for their lives."

      --
      Star Trek transporters are just 3d printers.
    222. Re: Healthcare by Anonymous Coward · · Score: 0

      Actually, it was Bush's ineffectiveness and laziness that kept him from doing too much harm. Obama is incompetent and dysfunctional, but unfortunately pretty effective at pushing through his agenda, destructive as it is.

    223. Re:Healthcare by hazah · · Score: 1

      These are the tendencies that support the evolution of rich within societies -- just that there's only room for a few slots there.

    224. Re:Healthcare by __aarzwb9394 · · Score: 1

      It might also be that those people would never want to be caught buying or having condoms.

    225. Re:Healthcare by mdielmann · · Score: 1

      Where I live, I have government-managed healthcare, and while it has problems, I don't lie awake at night worrying if my kid is going to contract some rare illness and leave me at the mercy of never being able to change jobs without researching what the new health care plan will cover. (Well, you don't have to either, anymore, now that "Obama-care" is in place. A real tragedy, that.) I can also eat just about anything I like, and about the only restrictions are that the treats sold to me have to be made from actual food - little things like Olestra (and it's anal leakage!), increasingly trans-fats, and cheese-like products that mostly didn't see the inside of a cow need not apply. If you want to buy lard by the pound from the local grocery store and eat it with a spoon, no one (from the government, anyway) is going to insist that you stop. Bacon is in good supply, as well. So is McDonald's and all the other fast food joints, with generally better-quality ingredients than are found in the States (I don't believe that was coincidental to the government food requirements). If I was fool enough to smoke tobacco, I'd pay a premium, but when I get cancer, it's all covered. If I was fool enough to drink (which I do, rarely), I can do so at a level that doesn't leave me making an ass of myself, and still have plenty of cash in my pocket, or I can take a trip to the States and buy some more cheaply (which is not incentive for me to make an ass of myself, either). If I was fool enough to smoke pot, I'd face a fine if caught by the police rather than risking life in prison (presuming I'm carrying quantities that are small enough to be considered 'for personal use'). Other risky behaviour, such as skydiving, off-road sports, scuba diving, and others are generally available. Yes, there might be some "sports" where the participants precede their acts with "Hey, ya'll, watch this!" that would be illegal here, but I can't think of any off the top of my head.

      In other liberty-restricting countries, I hear that prostitution and drugs are legal, and they, too, have government-managed healthcare. Yet another tragedy of government interference, I presume.

      --
      Sure I'm paranoid, but am I paranoid enough?
    226. Re:Healthcare by Maudib · · Score: 1

      I live in NYC, and I'm not a rich white guy. That said, I adore Bloomberg and am sad to see him go.

      Easily the greatest Mayor in the history of NYC.

    227. Re:Healthcare by strikethree · · Score: 1

      How much do you think it *really* costs to diagnose and treat a broken leg?

      I do not know but I can tell you how much it costs to get a broken wrist repaired. $13k+ of which insurance would only pay $5k despite it being treated at THEIR hospital with THEIR doctors with THEIR treatments. God damned mother fucking leeches.

      --
      "Someone needs to talk to the tree of liberty about its ghoulish drinking problem." by ohnocitizen
    228. Re:Healthcare by Rolgar · · Score: 1

      FYI, I'm a father of 4, and I make just over $50,000 a year. After filing, I've gotten a check of about $3000 each of the last 4 years after having nothing withheld for the entire year. I have a co-worker who is in a similar situation, and he actually lets our employer withhold money, so he gets an even bigger check.

    229. Re:Healthcare by Anonymous Coward · · Score: 0

      No, a healthy population uses less healthcare. An unhealthy population uses more healthcare and each transaction causes more fees to accumulate. If my car is getting regular maintenance, it's not going to suffer from the expensive and lucrative, high overhead repairs needed down the road.

    230. Re:Healthcare by Hognoxious · · Score: 1

      by seeking profit in a free market, companies end up meeting the needs of the market and eliminating waste.

      As a last resort, if they can't eliminate or acquire their competitors and put up prices.

      There is simply no way the US can ever get a better single payer system.

      Perhaps the US can't. Other countries seem to be able to.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    231. Re:Healthcare by stenvar · · Score: 1

      As a last resort, if they can't eliminate or acquire their competitors and put up prices.

      Yes, they can do that, thanks to government-created monopolies.

      Perhaps the US can't. Other countries seem to be able to.

      Yes, if we turn into Sweden, Singapore, or the UK, we can make single payer work as well as they do. The price is far too high.

    232. Re:Healthcare by solune · · Score: 1

      HOLY F-ING SHIT!

      First, let me handle the obvious: Your replies (bagorange and dbill) seem to indicate that you are under the illusion that I am a bible-thumpin’ Warrior of God who has forsaken sex that I might instruct you wicked men in the holy ways of our lord and saviour Jesus Christ.

      Nothing could be further from the truth: Although I see some value in religion, its benefits are too often obscured by the sensationalist presentation of the dark lacunae therein. This post is not about that, so engage me on what I mean another time instead of hurling rage.

      Now, on to the meat of your ignorant commentary.

      My original post in this thread was a rebuttal to the notion that obesity rates were the result solely of a medical condition and should be treated as such. When the lifestyle and eating habits of the Japanese are compared to that of an American (as you did), you can see the difference: The Japanese culture has always been one to favor moderation and motion, the Americans favor excess consumption and sedentary lifestyle . This is made more clear when you factor in uniquely American phrases as “Couch Potato” “Supersize” and “Armchair quarterback” to describe a great mass of humanity that would rather sit on their couch—inactive and not burning calories—than go out for a walk with their (also fat) dog.

      Oh, they could move if they wanted to. I, for one, know I should be working more on managing my lifestyle to include more “healthful” decisions, but ultimately, I choose where I spend my precious time. Sometimes I think it’s better spent replying to threads on slashdot in the hope blind hate gives way to understanding. In any event, the point is Americans are known for excess, and their exaltation of it despite possible consequence. A cure for disease or obesity is only an operation or pill away. And it’s sad that the mindset is “fix it down the road” instead of “keep an eye on the little shit before it becomes big shit” Zen way of thinking.

      As evidence,I presented the words and actions of the person who is the face of the current healthcare debate in America. Actual words, spoken by the president, carefully researched because I wanted the quote to be accurate—Because it matters.

      Words DO matter. Believe it or not, they are supposed to mean something.

      What Barry clearly meant was that abortion should exist as a birth control measure. Read the words back again because I cross checked this quote a few times to ensure I got it right and couldn’t be accused of misrepresenting this position:

      “I’ve got two daughters.” = “I have two kids”

      “I am going to teach them first of all about morals and values” = “I will teach them right from wrong, and about paying for your actions”

      “But, if they make a mistake, I don’t want them punished with a baby.” = If they ignore my teachings, and spread their legs at the wrong time, maybe even promiscuously, it’s cool with me if they scrape their innards or imbibe chemicals (organic food, but not people? Really, Barry?) to prevent a natural consequence of their action. To Protect them from The payment for their deeds.

      Now, it’s bad enough B.O. equates a baby with punishment (I’m sure his daughters love that phrasing), and I suppose for a lot of people children are. The point I’m trying to make is that having a baby should NOT be a “punishment,” nor should pregnancy be taken lightly. It’s not just life, but the continuation of life, of human life, and to regard it as just so much bad tissue is abhorrent. I find it ironic that the crowd that generally loathes the death penalty has no problem with abortion as birth control.

      What you read (“permitting abortion is handing responsibility to the stat

    233. Re:Healthcare by jwhitener · · Score: 1

      I live in Australia which has a hybrid UHC/Private system. Basically everyone pays for "medicare" (Which I guess would be called "medicaid" in the US)

      If the US went for UHC, it would also be using our Medicare system. Medicare is what we now give elderly people, but could be extended to everyone if politicians would do it. Medicaid is what the government gives to people of any age that are in poverty.

  2. Africa by Anonymous Coward · · Score: 1

    This clearly is working for Africa.

  3. Can you be serious? by Anonymous Coward · · Score: 1

    So the solution to poverty.. is for other countries to just give you some money?

    What the hell kind of solution is that?

    1. Re:Can you be serious? by Grantbridge · · Score: 2

      As a one-off payment to kickstart better healthcare, which results in better health of workers and then more output, so you can spend more on healthcare...etc.

    2. Re:Can you be serious? by pezpunk · · Score: 1

      you seem to have missed the point. try reading it again.

      --
      i could live a little longer in this prison
    3. Re:Can you be serious? by Grishnakh · · Score: 1

      Sounds great, but how do you convince some other country to be your benefactor? Usually, when countries get loans, there's all kinds of horrible strings attached which only serve to keep that country crippled in perpetuity.

    4. Re:Can you be serious? by Anonymous Coward · · Score: 0

      I read it again, and um, nothing has changed. It still says the escape from poverty is achieved by an injection of capital from outside the country.Well, how, exactly, do you intend to receive such an injection? How will you motivate the wealthholders outside the country to inject capital into you? You won't. That's how.

    5. Re:Can you be serious? by epyT-R · · Score: 1

      It will go right into the coffers of the corrupt politicians running those countries. Just like here in the states..except we can hide it better through multiple layers of bureaucracy. Those countries have it bad because we helped them move beyond their self sufficiency point. Giving them more resources just causes them to pump out more thugspawn. Enough already.

    6. Re:Can you be serious? by Anonymous Coward · · Score: 0

      Don't you think that the Bill Gates and Warren Buffet fund could start doing this one country at at time and see if it works? Start with the small countries, then move up as the system is proven to work?

    7. Re:Can you be serious? by Sarius64 · · Score: 1

      Because clearly outstanding retired politicians, like Chris Dodd, continue make salaries like $2.4 million acting as the CEO of a lobbyist group, show us the roadmap for morals within our own superior American bureaucracy.

    8. Re:Can you be serious? by operagost · · Score: 1

      And apparently, this money comes out of thin air and doesn't hurt the benefactor-- like maybe making their health care worse.

      I guess we just fire up the printing press.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    9. Re:Can you be serious? by nbauman · · Score: 1

      Sounds great, but how do you convince some other country to be your benefactor? Usually, when countries get loans, there's all kinds of horrible strings attached which only serve to keep that country crippled in perpetuity.

      If you don't give us aid, we'll go to the Communists -- oops, can't do that any more. Oh well, it worked well for a while.

    10. Re:Can you be serious? by Grishnakh · · Score: 1

      Yep; at least back in those days, there was competition for international aid, between the capitalist Americans and western powers and the communist Russians and the Soviet state. Now it's being monopolized, unless China decides to get into the international aid business to further their superpower goals.

    11. Re:Can you be serious? by Anonymous Coward · · Score: 0

      unless China decides to get into the international aid business to further their superpower goals.

      They started doing that a long time ago. Take a look at Africa, some time.

    12. Re:Can you be serious? by Anonymous Coward · · Score: 0

      Yep; at least back in those days, there was competition for international aid, between the capitalist Americans and western powers and the communist Russians and the Soviet state. Now it's being monopolized, unless China decides to get into the international aid business to further their superpower goals.

      Are you fucked in the head? China is building railways, roads, ports, cities and hospitals across Africa. What they are doing dwarves anything western powers are doing, including all the wars we keep starting there.

  4. Charities had it right all along? by mevets · · Score: 1

    Who would have thought? Well I guess WHO, CARE, Red Cross, Oxfam, ...
    But, now we know the reason...

    1. Re:Charities had it right all along? by KRL · · Score: 2

      Yep... Haiti is a perfect example of how throwing money at a problem really helps... oh wait...

    2. Re:Charities had it right all along? by mevets · · Score: 2

      Not throwing money, focussing on the health and wellbeing of the people. In Haiti, that has been a success, due to the hard work of Haitians and international volunteers in providing health care, food, shelter and supplies.

      The problem you are alluding to, that money for Haiti has been used by intermediary groups and governments as an in-and-out scheme to launder money and prop-up domestic business failures is quite different. The responsibility for first world corruption should remain in the first world.

    3. Re:Charities had it right all along? by nbauman · · Score: 1

      Not throwing money, focussing on the health and wellbeing of the people. In Haiti, that has been a success, due to the hard work of Haitians and international volunteers in providing health care, food, shelter and supplies.

      The problem you are alluding to, that money for Haiti has been used by intermediary groups and governments as an in-and-out scheme to launder money and prop-up domestic business failures is quite different. The responsibility for first world corruption should remain in the first world.

      You are correct, and there are actually a lot of published articles to back you up.

      Paul Farmer, the doctor from Harvard who helped design Haiti's health care system, said that the big problem was that the Clinton Administration was trying to undermine Aristide, so Clinton made sure that American aid, and international aid, didn't go to the Aristide government's health care system, but instead went to independent groups, most of them hostile to Aristide.

      That was the most inefficient way to do it, with uncoordinated aid groups running around at cross purposes. One group may be delivering eyeglasses when what they really needed was infectious control, one group may be delivering wheelchairs that can't be repaired, etc.

    4. Re:Charities had it right all along? by dbIII · · Score: 1

      Sounds like Cuba 2.0 :(

  5. So... by Anonymous Coward · · Score: 0

    They are concluding that socialized health care while also allowing a competitive economic environment actually can work?!!?! but nutjobs form left and right keep telling me that's utter bullshit and a conspiracy!

    1. Re:So... by Anonymous Coward · · Score: 0

      They are concluding that socialized health care while also allowing a competitive economic environment actually can work?!!?! but nutjobs form left and right keep telling me that's utter bullshit and a conspiracy!

      Too stupid to read the letters in the mail telling you that you're going to get a 2X or 3X hike on your premiums? Typical of the voting populace that elected the people who put this system in place.

    2. Re:So... by Anonymous Coward · · Score: 0

      If the US had single payer, that wouldn't be an issue would it? Sucks to be you; your politicians managed to piss and moan for four years instead of being constructive and you got the worst of both worlds. Suckers.

  6. How you can help. by Anonymous Coward · · Score: 1

    Effective, sustainable anti-poverty measures begin here.

    Poverty-stricken countries remain poor because they cannot produce enough to sustain themselves. They cannot produce enough because their workforce is sick. Give them medicine and you break that cycle without putting local farmers or manufacturers out of business. Doctors without borders is a good start.

  7. What is the first thing the World Bank and IMF do? by plopez · · Score: 1, Flamebait

    Demand cuts in social programs including health care. The World Bank and IMF are evil.

    --
    putting the 'B' in LGBTQ+
  8. Plan to escape from poverty? by Anonymous Coward · · Score: 0

    Eat the Rich?

  9. Awesome by Anonymous Coward · · Score: 0

    Another model of some type of human system basically follows the second law of thermodynamics.

  10. sending aid doesn't help, stop raiding countries by dutchwhizzman · · Score: 5, Insightful

    Most "poor" countries to which we send aid, are being plundered just as hard, or even harder. Every time we send food aid to some poor African or central American country, the local farmers get no money for the little food they produce and the local market is ruined, stopping local production of food instead of encouraging it.

    Every time we demand the lowest price for all the stuff we import from those countries, we make them find ways to produce even cheaper, lowering the standard of life there. This results in pricing that is so low that our own economy can't compete and we put import taxes on these goods. This results in the foreign producers being forced to lower their prices even more, again ruining their economy and health.

    Instead of "sending aid" every time a famine or natural disaster strikes one of these countries, we should stop plundering them. Micro credits for local businesses there have helped a lot, investing in farming for local food supply helps. These people are perfectly capable of helping themselves, given half a chance.

    --
    I was promised a flying car. Where is my flying car?
  11. Escape Plan From Social Science's Vicious Cycle by Baldrson · · Score: 4, Insightful
    This study is just more social pseudo-science. Social science is incapable of effectively dealing with the "correlation doesn't imply causation" trope we've all been taught in statistics 102.

    In real science control groups are required to establish causality.

    Social scientists are as terrified of real control groups testing causal hypotheses in human ecology as were the Jesuits of independent interpretations of the Bible. This is because social science is essentially a pre-enlightenment theocratic discipline:

    If the powers-that-be oppose your social "science" then no matter how much data you gather, some variant of "correlation doesn't imply causation" will be trotted out to ignore it.

    If the powers-that-be like your social "science" then the NYT will take one data point -- perhaps even one anecdote about one person at some point in history and base public policy on it. With the mass media holding mass and preaching said sermons the pious slaves to intellectual fashion, generally those with college degrees from the seminaries known as "colleges", and and with IQs below 140 who like to pretend to be morally superior "thought leaders" (knowing they have safety in numbers from hearing sermons at "mass") will then to the dirty work on the street.

    Moreover, this theocratic sophistry, imposing social theories on unwilling human subjects, locks into place powerful interests that oppose any truth-discovery.

    From Machiavelli's "The Prince" chapter 6:

    "It ought to be remembered that there is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. Because the innovator has for enemies all those who have done well under the old conditions, and lukewarm defenders in those who may do well under the new. This coolness arises partly from fear of the opponents, who have the laws on their side, and partly from the incredulity of men, who do not readily believe in new things until they have had a long experience of them."

    If we are ever to escape this vicious cycle driven by the social sciences, the Enlightenment must penetrate them through Sortocracy:

    Sorting proponents of social theories into governments that test them.

    Fortunately, like the Protestant movement's impetus to independently interpret the Bible due to the Gutenberg press, the Internet is now letting people have direct access to and independent interpretation of data about human ecologies -- and the demand for freedom from imposition of social theories on unwilling human subjects will increase until freedom from theocratic forms of government -- and their social scientist theologians -- will win the day.

    In the process, as with the wars for freedom of religion that lasted over a century, we cannot expect this penetration of Enlightenment values into the social sciences to take place without a struggle.

    1. Re:Escape Plan From Social Science's Vicious Cycle by Anonymous Coward · · Score: 0, Troll

      In the process, as with the wars for freedom of religion that lasted over a century, we cannot expect this penetration of Enlightenment values into the social sciences to take place without a struggle.

      I'm sorry, but - is it possible you are unaware of what the Enlightenment was?

      The principle belief is the Tabula Rasa Myth, which has been thoroughly disproven by over a decade of genetics research. Literally thousands upon thousands of studies have proven that for any behavioral attribute that can be reliably measured, there is a genetic component. We have the Soviet Union, founded upon your religion, that executed scientists who did not believe, and that tortured and indoctrinated millions with the belief that conditioning can change people significantly.

      Social science today, is beholden to these views and is unable to grasp genetics.

      This very topic would be demonstrative of this religion. What do we know about all the people they are describing who are impoverished? They have IQs of less than 80. Disease has affected every society, obviously that is no hindrance to civilization. A minimum average intelligence however appears to be required.

      You undoubtedly recoil at this fact, just as all sociologists who continue to promote Marxist theory. Many people reading this will probably want to moderate my post down.

      But, that's how it goes. Most believers can't accept challenges to their beliefs. Yours is a curious way of dealing with however.

    2. Re:Escape Plan From Social Science's Vicious Cycle by Baldrson · · Score: 1

      The conflation of cultural determinism with the empiricism was an obvious intellectual error that afflicted not just Enlightenment philosophers but Islamic and classical Greek philosophers as well. It has no more bearing on the priority of evidence over theory (particularly theology posing as theory), that was the bedrock of the Enlightenment, than do other widely-held erroneous beliefs that persist throughout the ages.

    3. Re:Escape Plan From Social Science's Vicious Cycle by Anonymous Coward · · Score: 0

      You seem unaware that it was a Christian who came up with the scientific method. You also seem to be misconstruing propaganda "The Age of Reason!" with actual philosophical work, which was nowhere near as groundbreaking as you claim.

      Humans aren't equal. They are born with unequal abilities and attributes. Intelligence and creativity is distributed in a bell curve fashion in all people. The mean measures are related to ethnicity. Africa is poor and barbaric because their people have an average intelligence a full standard deviation below nearly all other people, even more for Asians.

      Freedom is an illusion. Most people are not smart enough to make independent decisions about anything. They do what they are told.

      Democracy is an abject failure, used to manufacture consent for a plutocratic elite that has no allegiance to the people over whom they rule. As freedom doesn't exist, mass propaganda is necessary to relentlessly push the heard towards accepting their fate.

      The Enlightenment unleashed near constant warfare and persecution of tens of millions in order to prove what you consider an intellectual error. Today, we continue to have persecutions throughout the west to maintain the lie that humans are equal. Millions of drones, including most slashdot readers, are incapable of accepting their faith to be a lie, and are gleeful participants in the persecution of dissenters.

      No, your Enlightenment has created a nightmare. All you have done is deluded yourself into think you are god.

      And chaos is now the result.

      The reality is the West has taken all the lies of the Enlightenment to the final, inglorious end. Like the Soviets who had to hunt for wreckers who kept their utopia from manifesting, you've taken the idiotic, simplistic approach of saying we need MORE Enlightenment!

      Well, the pendulum is swinging back. You've missed. Now, it's the Dark Enlightenment.

      http://occamsrazormag.wordpress.com/2013/04/27/what-are-characteristics-of-the-dark-enlightenment/

    4. Re:Escape Plan From Social Science's Vicious Cycle by Baldrson · · Score: 1

      Garbage. Voting with your feet is the antithesis of politics and its stillborn "freedom" democracy.

    5. Re:Escape Plan From Social Science's Vicious Cycle by Anonymous Coward · · Score: 0

      ... Social science is incapable of effectively dealing with the "correlation doesn't imply causation" trope ...

      If we get Jackie from family X to pick a number and Johnny from family X to pick a number, we will get 2 different results. In social sciences, correlation is more difficult to achieve. Usually this means useful predictions about social science are nearly impossible. Which makes it difficult to infer the cause of the correlation. We need a form of science that tolerates this variability such as statistics. We don't need complaints of "This is not science".

      ... In real science control groups are required to establish causality.

      This brings use to another point of science, an ability to reproduce the results. Many branches of science are leaving these 2 building-blocks of methodology behind, not just the the 'fuzzy' sciences.

      ... one anecdote about one person at some point in history and base public policy ...

      It is disappointing that a powerful voice of the press indulges in chick-magazine one-solution-fits-all reporting but I doubt the NYT sets policy. If bureaucrats champion chick-magazine & shock-radio memes then those bureaucrats should be held responsible.

  12. The Camelot Effect by Anonymous Coward · · Score: 0

    Am I the only one who, when I read "a new computer model", thinks that the whole thing is a load of crap?

    I've made computer models, and they're the working definition of "garbage in, garbage out". How anyone can put their faith (and that's precisely what it is) in anything coming out of them is beyond me.

    It always reminds me of the scene from Monty Python and the Holy Grail:

    Sir Lancelot: Look, my liege!
    [trumpets play a fanfare as the camera cuts briefly to the sight of a majestic castle]
    King Arthur: [in awe] Camelot!
    Sir Galahad: [in awe] Camelot!
    Sir Lancelot: [in awe] Camelot!
    Patsy: [derisively] It's only a model!
    King Arthur: Shh!

    1. Re:The Camelot Effect by fche · · Score: 1

      No, you're not the only one.

  13. Spending on Prevention always more cost effective by acroyear · · Score: 4, Insightful

    So long as we just focus on *treatment* of the sick, costs will continue to spiral.

    A general influx of cash doesn't just focus on treatment of those sick - it starts to alleviate the issues that allow disease to spread in the first place (lack of hygene, lack of vaccination, lack of clean water, lack of balanced food (and complete meals), and lack of general preventive care, and lack of birth control - ALL things people in poverty already lack).

    Health care costs get under control when the focus is on prevention rather than treatment: you spend FAR less money when fewer people get sick. When you use the capital to address the causes of disease rather than just treating it, you spend much less on treating the ones that got away.

    Relatedly, this is why insurance companies love birth control - a pill a day and a box full of condoms is far cheaper to them than the thousands of dollars for examinations, the birth, emergency natal care, and having to cover the kid for the next 26 years.

    --
    "But remember, most lynch mobs aren't this nice." (H.Simpson)
    -- Joe
  14. Re:Spending on Prevention always more cost effecti by acroyear · · Score: 1

    (and gee, many of our problems in Education go away when one addresses the poverty issue that makes education impossible rather than constantly trying to change the education system that has otherwise worked for generations)

    --
    "But remember, most lynch mobs aren't this nice." (H.Simpson)
    -- Joe
  15. Makes sense by Minwee · · Score: 1

    "So an obvious solution is for a country to spend more on healthcare."

    If that's the case then the USA must be the greatest country in the world.

  16. Re:What is the first thing the World Bank and IMF by epyT-R · · Score: 0

    Just a bit disingenuous, no? The countries with the socialist bias are almost always about to run out of money, even with crazy tax rates (eg sweden). While I'm sure the world bank brats would love never to have to pay any tax, they do have a point. Take it too far either way causes too much power to be focused on too few people, with little oversight.

    It boils down to who has control of the money, right? Whether it's the world bank, or the state, both are rife with corruption.

  17. Socialism, right? by Anonymous Coward · · Score: 0

    People helping others.

  18. Re:What is the first thing the World Bank and IMF by Anonymous Coward · · Score: 0

    Demand cuts in social programs including health care. The World Bank and IMF are evil.

    That's because it's full of the same kind of people who caused the financial melt-down and continue to believe in absurd things like trickle-down economics and that the 'market' will solve all problems.

    When your economic decisions are made by people who only understand how to make the rich get richer, everyone else gets fucked in the process.

  19. bah, next you'll claim MDs better than paperwork by raymorris · · Score: 1

    Bah. I bet you think it would be more effective for doctors to spend 20 minutes with the patient rather than 4 minutes with the patient and 16 minutes on t government paperwork.

    I bet you also think eating healthy foods like vegetables and whole grains works better than eliminating $15 copays by exchanging them for $163 tax expenditures.

  20. after RTFA by Anonymous Coward · · Score: 0

    TL;DR Bill Gates is wasting his money?

  21. Stating the obvious, isn't it? by mark-t · · Score: 1

    "If [an injection of cash from outside the economy] is large enough and sustained for long enough... [W]e find that a large influx of capital is successful in escaping the poverty trap"

    That should generally be true anyways... for individuals as well as for poor nations.

  22. What Bullshit! by Anonymous Coward · · Score: 0

    HealthCare does NOT mean healthy people. Sorry.

    Capitol influxes that fix corrupted food supplies and increase dietary education will do a whole lot more good than extra white coats.

    The HealthCare industry in the USA is overloaded with people who are dying from eating the Standard American Diet. Not because there's some massive "LACK" of healthcare.

    Morons... we're surrounded by morons!

    Read more on my blog at TheCleanGame [.] net

    Keep it Clean! :D

  23. Laugh by koan · · Score: 1

    "'We find that a large influx of capital is successful in escaping the poverty trap, "

    No shit Sherlock, every time someone gives me a billion dollars I don't feel the poverty any more.
    How about this, mandatory birth control for your out of control population growth... you think that would help your health issues?

    No, instead you go looking for outside investment which will hurt you even more in the long term.

    --
    "If any question why we died, Tell them because our fathers lied."
  24. waste of space by Anonymous Coward · · Score: 0

    What a dumb study. Everything you need to know about it is summarized in the "fits" of Fig. 2. I'm supposed to believe ANYTHING based on that? Then they marry it with the SOLOW MODEL?!?!? Clickbait "science" at its worst.

  25. out one and into another by AndyKron · · Score: 1

    Out of the poverty trap, and into the corporate consumerism trap.

  26. Self-assured ignorance. by Anonymous Coward · · Score: 0

    That this is said without irony when the United States currently has a large malnutrition problem. Food deserts -- where grocery a stores are not found, but there is plenty of nutritionally devoid (but tasty and cheap) fast food nearby.

    How are you completely ignorant of the obesity epidemic and the circumstances driving it?

  27. Or it could be GENES... by Anonymous Coward · · Score: 0

    Which cause lower IQs...

  28. I wish it was as simple as that by submain · · Score: 1

    Yes, just dump more money into it, and see it vanish into the pockets of those who are in power while they build a clinic that costs as much as three hospitals. And one year later, even that will start to fall apart, because the dictator's/president's/king's yacht has priority over the budget.

    Poverty is not an economic/health issue, it is a cultural one. If you don't change how the people and their leaders think, countries will remain poor.

    I came from a poor country, and lived there for 23 years. Enough time to see how things truly work.

  29. Like few other things by symbolset · · Score: 1

    The amount spent on care is completely disconnected from the benefit or real cost of care. There are few other fields where cooperating state-sanctioned monopolies conspire to drive up cost and deprive a minority of service entirely. It is not good for health. I doubt it will ever change.

    --
    Help stamp out iliturcy.
  30. water is wet... by 192_kbps · · Score: 1

    "an injection of capital from outside the country allows spending on healthcare to increase without any drop in economic output." Well, dang, ain't that just the statement of the century.

  31. Re:Gimmie, Gimmie, Gimmie by DogDude · · Score: 1

    I reject that as complete liberal bullshit.

    I reject your rejection.

    How's THAT for an argument?

    --
    I don't respond to AC's.
  32. Opposite page headline by russotto · · Score: 1

    "Computer Scientists and Statisticians Demonstrate That Computer Models Can Demonstrate Anything You Like"

  33. Healthcare by Anonymous Coward · · Score: 0

    Well there is so many Health Alternatives, food and medicines worldwide, why do we still struggle with this kind of things? Poverty starts with the mind of those whos responsibility is managing a country, Please wake up!

    Love the People

  34. This paranoid fantasy is tiring by Anonymous Coward · · Score: 0

    No obama is not going to shoot grandma."ut having the state manage it is no better. They have the power to dictate your behavior the moment you receive care." AS opposed to the private company decidign BEFORE ? And you having no recourse ? Furthermore I have *YET* to have the state saying me no for any health care ground, or my parents, or my family or my friend or ANYBODY I know. The worst that can happen is that the state here says "well we don't think this is a vital treatment, so we won't reimburse you 100% of it" or even "this is an experimental treatment so we won't help you getting it". Yupudo, how is that worst than the US ?

    Again get that paranoid fantasy out of your system. For all your "governement is bad eleventy!", here around this is not the holocaust you think it look like.

  35. Misplaced priorites by Anonymous Coward · · Score: 0

    If the nation in question lacks basic sanitation and suffers under despotic, and likely arbitrary on a day-by-day basis, rules about property ownership then of course it's going to be poor. But in such conditions getting Tamiflu on the cheap is small beans compared to the actual causes of poverty. But hey, it's the computer game SimCare; so anything goes.

  36. Imperial Solution by Cajun+Hell · · Score: 1

    an injection of capital from outside the country

    Ergo, my country needs to invade and pillage another country.

    But (sorry, Republicans!): do it cheaply. If you spend more money on the aggression than you pillage, obviously that's not going to count as a net injection of capital.

    --
    "Believe me!" -- Donald Trump
  37. or make your country rich by khallow · · Score: 2

    One lesson that seems to be glossed over here is that since richer countries fare better, then making a country richer is (according to the model) a successful strategy for mitigating the harm of disease (and probably a huge variety of disasters, natural and man-made, as well). But my take is that there's a lot of countries, both rich and poor, which are trying hard to make their countries poorer and hence, more susceptible to disease under this model.

    Back in 1900, virtually everyone was suffering from the same diseases. The Western world had discovered the benefits of public sanitation and fire control, but a lot of places still didn't have that. Medicine was still in the sawbones era where uncontrollable infections routinely led to amputation. What changed from then to now is that the developed world developed, including vast knowledge of pathology and the biology of our bodies.

    Everyone on the planet can use that development process as a template, readily subject to local modification. It's something that has been demonstrated to work, to make people wealthier and healthier. And they are doing so. I think it's getting better.

  38. Re:sending aid doesn't help, stop raiding countrie by Anonymous Coward · · Score: 0

    do what the Chinese do and bring infrastructure like wi-fi and roads and shit

    Y'know soften them up for colonization through "altruism"

    In 25 years they'll be the industrialized centre that are "takin yer jerbs" (or whatever the Mandarin equivalent praise is)

    in summary, globalization

  39. Re:What is the first thing the World Bank and IMF by compro01 · · Score: 2

    Just a bit disingenuous, no? The countries with the socialist bias are almost always about to run out of money, even with crazy tax rates (eg sweden).

    I guess we know who Jobs willed his Reality Distortion Field to.

    Sweden has, as a percentage of GDP, less than half as much debt as the USA.

    Norway is very decidedly in the black with their pension fund.

    --
    upon the advice of my lawyer, i have no sig at this time
  40. Pfffftttt! Healthcare.... by Anonymous Coward · · Score: 0

    A little prayer every day keeps the doctor away... germ theory is just a theory

  41. So if someone gives you money, you aren't poor? by Gothmolly · · Score: 1

    It sounds like the cure for poverty if for someone to give you money. is there a -1, Obvious?

    --
    I want to delete my account but Slashdot doesn't allow it.
  42. so there is an escape plan. by museumpeace · · Score: 1

    that is nice. but here in america, we have a plan to get back into the prison of poor health for poor people.

    --
    SLASHDOT: news for people who can't concentrate on work or have no life at all and got tired of yelling back at the TV.
  43. Re:Gimmie, Gimmie, Gimmie by nbauman · · Score: 1

    That's true. People who insist on ignoring facts, and make their decisions based on right-wing ideology, will reject these arguments as "complete liberal bullshit."

  44. Right... this is why countries are poor by Karmashock · · Score: 2

    What a load of stupid garbage. Anyone that thinks politics, economics, culture, geography, and the happenstance of history doesn't rule the destiny of nations is an idiot.

    To claim its all down to healthcare is just mindless self serving statistics for healthcare aid organizations. To claim that all the worlds many problems will just go away if we have healthcare. How completely stupid.

    Obviously poor health contributes to poor economic conditions. But as someone that has actually been to these countries and seen what is really going on... the poor health is itself a symptom.

    In Nigeria for example there are villages with open pit wells. Just a hole in the ground where water bubbles up. No effort made to keep it clean or sanitary. They wash animals in the same pit they drink from. SHOCKINGLY they get horribly ill with some frequency.

    This is a problem that was solved about 6000 years ago if not earlier. You create a series of step wells. The highest step is either human drinking water or completely left untouched. The next step is for cleaning. And the step after that is for animals.

    This costs nothing to build. Literally nothing. You can use dirt/clay from the area and just build this with local labor at a cost of literally nothing. Not 2 dollars a day. Not 10 cents a day. ZERO.

    And yet they drink from the open pit well and get all sorts of horrible water born diseases.

    The politics and culture in most poor countries is beyond hopeless. You're dealing with entrenched ways of doing things that kill.

    If you want to fix these places you need to graft a new culture into their community that actually is effective. This isn't colonialism. We're not sending our own people over there to live permanently. Rather, you build a reasonable village for these people and structure it along lines that will be successful. That is your best chance at bringing real change to those parts of the world.

    If you lack the "care" to do that... then just leave them alone. You're just wasting everyone's time otherwise.

    --
    I've decided to stop wasting my time responding to AC trolls/sockpuppets... so if you want a response from me... login.
    1. Re:Right... this is why countries are poor by Anonymous Coward · · Score: 0

      > You create a series of step wells.

      That isn't why they exist. You CONservatives live-up to the CON in your name. You blame imaginary features of a type of well on problems that you created rather than admitting it is your fault.

    2. Re:Right... this is why countries are poor by Karmashock · · Score: 1

      What?

      I say something about step wells and you talk about imaginary features?

      Kindly have a coherent thought like a sapient human being or I'll have to assume you're nothing but another poor fool that had his head filled with garbage.

      Think for yourself or you can't claim to think at all. When you immediately start mouthing talking points you do nothing more then signal to everyone that you're a tool... a robot... a parrot. And rather then take you seriously or have a discussion with you... I'll throw crackers at you.

      Choose. Be a human being or less then human. And yes... if you are incapable of thinking for yourself then you are less then human.

      --
      I've decided to stop wasting my time responding to AC trolls/sockpuppets... so if you want a response from me... login.
    3. Re:Right... this is why countries are poor by Anonymous Coward · · Score: 0

      ... lack the "care" to do that...

      There was a story in the 1980s about how white men were making poor people sicker.

      Missionaries went into the rainforest and taught the primitive nomads to follow the bible, to build huts and even build a dam for storing water. What happens when one has a body of stagnant water? Malaria happens, which decimated the local population.

    4. Re:Right... this is why countries are poor by Anonymous Coward · · Score: 0

      No shit, village life is stupid. News at 11.

      People in cities in Nigeria or other African countries fare much better than dumb uneducated villagers, this is not surprising.

    5. Re:Right... this is why countries are poor by jwhitener · · Score: 1

      Studies like this don't conclude that there are no other factors...

      This study just revealed one more possible cyclical influence on poverty. It isn't claiming to be the be all end all.

    6. Re:Right... this is why countries are poor by Karmashock · · Score: 1

      It shows no causation. Correlation is useless.

      Wearing long sleeves correlates with winter. Long sleeves do not cause winter.

      What you want is CAUSATION. Everything else is trash.

      --
      I've decided to stop wasting my time responding to AC trolls/sockpuppets... so if you want a response from me... login.
  45. Sounds Interesting by readin · · Score: 1

    We've seen that the left's solution of throwing money at every problem doesn't work and often causes problems. The right's approach of just letting the poor fend for themselves (once the government gets out of the way) seems to move things in a good direction, but not always quickly. If this study and follow-ups can tell us where the happy middle is that would be a very ggod thing.

    --
    I often don't like the choices people make, but I like the fact that people make choices. That's why I'm a conservative.
  46. Looking At History For Examples by Anonymous Coward · · Score: 0

    Looking at history for examples to support the assertion, who injected the cited capital into the likes of the United States, Australia? Who injected the cited money into the likes of England during/after the plague?

    Who injected the cited money into the Dominican Republic while withholding it from Haiti? Why does South Africa prosper while Rhodesia/Zimbabwe suffers abject poverty?

    It just seems that reality is far more complicated than this model's premise chooses to allow it to be. But, that's IRL. It's complicated. This model, meanwhile, is bunk.

  47. Kiteo, his eyes closed. by Anonymous Coward · · Score: 0

    Because you haven't bothered to read Hayek's "The Fatal Conceit" or even think about how the extended human order came about.

  48. Been Tried Before by wisnoskij · · Score: 2

    We have tried this many times before.

    Send lots of money.
    The debt from this money is then leveraged to get the country to sell its resources to international corporations.
    The people of the country now have to pay for water, and are restricted from hunting and fishing on their native lands.
    The people cannot afford to pay for this privatized food or water and cannot gather it themselves any longer, so they starve to death.

    --
    Troll is not a replacement for I disagree.
    1. Re:Been Tried Before by Anonymous Coward · · Score: 0

      We have tried this many times before. ...

      You missed a step:
      The people buy infrastructure from other international corporations at grossly inflated prices.

      So the poor people are robbed twice.

  49. wow what a bunch of misconceptions by stenvar · · Score: 1

    The kind of "healthcare" that matters in developing countries is something that costs a few hundred dollars a year; less than a month of an ACA bronze plan. The kind of "healthcare" that is under discussion in the US is mostly overpriced, unnecessary fixes for poor lifestyle choices, plus useless intensive care at the end of life.

    Keeping people healthy so that they live longer is not something healthcare does, it's something that good nutrition and exercise do.

    Most people in the US die after retirement, so keeping them alive longer actually is not good financially like you imply. But American are covered by Medicare after age 65 anyway, so even if what you wrote were true, the US already has single payer, socialized medicine for those people.

    Finally, your thinking that government should keep people alive longer so that they pay more taxes is pretty telling, and rather scary.

    1. Re:wow what a bunch of misconceptions by dbIII · · Score: 1

      Finally, your thinking that government should keep people alive longer so that they pay more taxes is pretty telling, and rather scary.

      Welcome to reality. The Australian government is as of this week discussing raising the official retirement age to 70 for exactly this reason. That's how governments think no matter what you, I or the poster above think of it so I don't think you should blame it on the above poster.

  50. This is why /. should avoid economics issues by Anonymous Coward · · Score: 0

    The summary of this article and the comments that follow are great evidence for why slashdot should avoid economics issues - the contributors here by and large simply know nothing about it. If you're interested in poverty and development issues, go read Chris Blatman's blog, or the World Bank's regional or country blogs or actual academic articles, or any of a host of other sites with content produced by people who know what they're talking about.

    The title of the post is the worst offence: "Computer Model Reveals Escape Plan From Poverty's Vicious Circle". What a load of crap. No economist would make a claim like that. Any economist knows there are a hoard of factors that determine economic development. Poverty traps come in all shapes and sizes and have a vast literature analysing them. The paper discussed here might be a decent contribution to that literature.

    Granted, the summary and title are lifted from a blog (The Physics arXiv blog), not made up by the slashdot contributor, but that just shows idiocy on another level. You need to be able to critically assess what you read before submitting it to slashdot. Don't just send something because it sounds cool; it makes you look like an idiot.

    Slashdot should focus on what its good at, which tech and nerdy stuff. Posting articles like this just embarrasses yourself.

  51. Countries can control their own currency... by Anonymous Coward · · Score: 0

    If a country has its own fiat currency, it can use that currency to make the local economy reach full employment, and take up as much of that labour for public use as is desired (by contracting the private economy with taxes) - you don't need foreign money i.e. foreign debt, because that is what cripples countries (particularly when it's denominated in a foreign currency).

    Standard economic 'common knowledge' is bullshít guys, the current mainstream economic theories (neoclassical), get macroeconomics completely wrong; check what the Post-Keynesian economists teach (who are entirely different to regular neoclassical 'Keynesians'), it's much more intuitive/informative to learn, and it better fits the empirical data of how economies run.

  52. Electricity in the time of cholera by TheRealHocusLocus · · Score: 1

    In order to make real-world use of this model, the health care industry would have us load catapults with doctors and medicines and fling them into Africa.

    They're on the right track but with their health care model they're backing the wrong horse. How and when exactly did that endemic sickness that must be countered, arise?

    Let's take a look at the world according to cholera [cases reported to WHO 2007-2009]. Cholera flourishes where masses of people have converged on areas without sufficient infrastructure to support them. They often do this in an attempt to escape rural poverty. It also flourishes along major rivers, such as the Ganges and historically the Thames, again where infrastructure for water filtration and sewage treatment is lacking.

    Now look at the world according to (lack of) access to electricity [Numbers in Millions and % of People without access to Electricity, 2008. Source: WHO & UNDP]

    Electricity means clean water and waste processing.
    Cholera hates electricity.

    That is because with electricity comes deeper wells, better filtration, distribution, active media filtration of surface sources and sewage treatment with water effluent ready for discharge into rivers -- along with the basics such as refrigeration for food and medicine. It was infrastructure and not better health care that eliminated the threat of cholera in North America, and other diseases besides.

    And by electricity I mean real base load electricity, the power to run distribution and filtration plants and whole villages and cities. A full square meal of energy, not the 'energy happy meal toys' that are too often envisioned by North Americans as gifts to Africans -- a solar panel here or a wind turbine there, to run some tiny apartment fridge in some clinic somewhere, or a single LED light, sometimes. Solutions we could not and would not tolerate for ourselves.

    The human race (at our favored levels of population density) has evolved past the point where a natural state of good health can be maintained without access to bulk electricity, which equates to drinkable tap water. This is a greater factor than access to doctors or medicine.

    Obama is making the right noises about Africa with his $7 billion pledge to help Africa lift itself out of darkness with new sub-Saharan infrastructure. Remember -- this $7 billion is is NOT your hard-earned taxpayer dollars, which are all going toward repayment of interest on our national debt. This is magical unicorn money that will come from World Investment Funds and Bank perpetual money machine that is backed by International Corporate Banks that bought shitloads of worthless paper that were bailed out by Bushobama with the Fed minting virtual money that saved the banks' balance sheets from ruin, and Treasury Bonds purchased by the Chinese who have said fuck-it and have decided to give Africa their time and especially their money directly, some of which would ultimately come from us as repayment on debt to China with China becoming Africa's direct partner in infrastructure instead. This does not make sense on so many levels.

    I think the United States is presently screwed on Energy but not in the conspiracy sense. It is this awful mental condition where we have lost sight of 'big electric' and 'big water' infrastructure as something we are truly vested in, regardless of whether we personally own stock in it.

    I think it is why discussants in these forums never seem to discuss topics of coal, nuclear and natural gas production of electricity at any length -- and spend so much more time on the minutia

    --
    <blink>down the rabbit hole</blink>
  53. Capitalism's the answer-not spending on healthcare by Anonymous Coward · · Score: 0

    What a load of crap! Free the market to innovate and capitalism will lift those out of proverty.

  54. Re:What is the first thing the World Bank and IMF by Kjella · · Score: 1

    Sweden is a much better comparison, they have no oil at all. Norway, well we've hit the jackpot in terms of oil. The oil-related jobs are creating an income level which makes a host of service industries (Like, who cuts the hair of the oil workers? Who serves them beer?) which is entirely out of touch with everyone else. We're leading the McDonald's index and I'm quite sure we have the highest pay for being a McDonald's employee anywhere in the world as well, even post-tax. The government is sucking up most the oil revenue, first the oil companies pay a huge tax on oil (I think 50% + 28% of any profit), the the workers pay their income tax and finally everyone else pays as they get their oil-inflated income tax. In short, it's easy to be Norway

    --
    Live today, because you never know what tomorrow brings
  55. Go to the doctor online by Anonymous Coward · · Score: 0

    If your complaint is one of their listed conditions you can have a doctor visit over the phone or webcam in minutes without coverage. It costs $49.95 on your credit card. I did it today and they are legit. Alas saying that I also have to post AC. Excess personal medical disclosure and all.

    memd.me - I have no association other than as a patient.

  56. Confirmed by symbolset · · Score: 1

    Cat got your tongue? (something important seems to be missing from your comment ... like the body or the subject!)

    --
    Help stamp out iliturcy.
  57. A computer model reveals ... by cascadingstylesheet · · Score: 1

    A computer model reveals that spending other people's money is the answer?

    Nice work if you can get it ...

  58. glad to see some rage over the article by Anonymous Coward · · Score: 0

    The article is faulty for reasons already covered in other posts. Then again, remember it is supposed to be based on a computer model. Everyone knows computer models usually are faulty. I guess the researchers should have realized this model is awful.

    rage rage :)

  59. No Escape by Anonymous Coward · · Score: 0

    In other words what they're saying is there is no escape, you can't pick yourself up by your bootstraps, you're stuck on the ground UNLESS you get a subsidy, a gift, a grant, a guardian angel who will lift you out of poverty and you cooperate.

    Not quite true as there have been plenty who have gotten out of poverty without being uplifted. Yes, many kick, scream and fight even being helped but some make it without help.

  60. Little spending? by Anonymous Coward · · Score: 0

    That 15% of the healthcare would represent at least 12% of the total budget in some countries. That's really, really big investment with a payback which requires building a whole set of heavy industries in the country of concern to meet a payment plan of few years. How many countries with low level natural resources and high level of corruption can build such an infrastructure? Let's be honest and say none.

  61. Resource curse by Nidi62 · · Score: 1

    Most "poor" countries to which we send aid, are being plundered just as hard, or even harder. Every time we send food aid to some poor African or central American country, the local farmers get no money for the little food they produce and the local market is ruined, stopping local production of food instead of encouraging it.

    You are right, except it's not the West that causes it. In most cases it is the government (both state and local) that causes economies to get worse even as aid increases. In many cases these governments are corrupt to some degree, so the aid intended for local farmers or communities never gets there. The aid tends to go either to the military (purchasing soldiers is a lot more expensive than one would think, and it pays to keep soldiers happy-notice how many undemocratically elected third world rulers have military ranks?) or in the case of a tame military to personal residences and bank accounts.

    In political science there is a theory that is known as the resource curse, whereby a state that has an abundance of a natural resource finds its growth hampered by that resource, so that it is poorer than one would expect. This is caused by a number of problems, such as a failure to diversify the economy or internal conflict (ie, war) over the revenue. However, a major cause of this is government corruption and revenue mismanagement. The government either diverts the proceeds to their own pockets or, expecting the revenue to continue at high levels, fails to invest the money back into the economy and spends it on pet projects to remain in power.

    Now, this is kind of perverse, but think of poor people as a natural resource. As long as the people remain poor, the aid continues to come in. If the aid continues to come in, the local political elites are able to allocate that aid in ways that continues to enrich themselves while allowing them to remain in power (paying off cronies/the military/subsidies). If they invest the aid properly, then the economy grows, the poor get less poor, and as they get less poor they have more energy and resources to invest in things such as politics, demanding a greater say in how they are governed. This demonstrates a direct threat to the ruling elites, who as a general rule are not strong leaders, as they rule by economic coercion or the threat or actual use of military force. So, essentially, in order for them to remain in power it is in their own self interest (not a fan of rationalism, but sometimes it just fits) to keep their population poor. In a nutshell, this is one big reason why Third World states tend to remain poor even when they receive large amounts of foreign aid.

    Ideally, the aid given to these states should be neither financial nor edible. The investment should be in infrastructure (roads), and in raising the standard of living (water filters, solar panels/crank generators, farming equipment, etc). Investments such as this help the poor and are much harder to divert or misallocate (can't exactly wire a shipment of solar panels to a Swiss bank account). You are correct that these people are perfectly capable of helping themselves given the right tools. The problem is getting the tools into the hands of the people who need them, not those who want them.

    --
    The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
  62. Bill Gates isn't all that bad, ya know? by Stolzy · · Score: 1

    I used to hate Bill Gates. Then one day I realised Gates had "grown up". He's still a businessman, but he's using his business "prowess" to increase his ability to help people in Africa with his vaccination programme. Which is why he set up his charity with family, and uses investment in businesses like Monsanto to offset his expenditures (and who's not to say to direct the firm away from GM crops?)

    Whether my "naive" optimist side is coming out or not remains to be seen. Either way, what Gates is doing for Africa fits this model perfectly, you'd have to say.

    /Stolzy

  63. Re:What is the first thing the World Bank and IMF by dbIII · · Score: 1

    The UK was in a similar situation but blew all that money, killed their manufacturing industry, and were left with little other than very rich bankers and a huge unemployed underclass. Norway seems to be running things better than Thatcher did before her own party stabbed her in the back as a liability.

  64. Re:bah, next you'll claim MDs better than paperwor by Anonymous Coward · · Score: 0

    You do realize that the most expensive single-payer systems in the world cost half of what our care does, right? The experiment has been run, the results are in. Free market health care has failed to deliver its promised efficiency. It's time we copy the successful model and move on.

    Also, having private insurance companies dramatically increases the amount of time doctors spend filling out paperwork, because each one has a slightly different system and all of them are designed to be convoluted enough so that the insurance company can find "problems with the paperwork" and delay/deny payment.

    I know that this goes against the "free market is always more efficient" party line, but it's the truth: http://en.wikipedia.org/wiki/List_of_countries_by_total_health_expenditure_%28PPP%29_per_capita

    If you want to know why the health care market in particular throws the free market for a loop and why its one of the things government actually can do better, here's a good place to start: http://www.pnhp.org/facts/single-payer-resources

  65. They needed a computer model... by Keyboard+Rage · · Score: 1

    They needed a computer model to reach those incredibly obvious conclusions? WTF? You can figure that out with a little bit of logical thinking (as has been done many times in history)!

  66. The Institute strikes again by Anonymous Coward · · Score: 0

    "We find that a large influx of capital is successful in escaping the poverty trap" A Report presented by the Instutute for Slowly and Meticulously Finding Out the Bloody Obvious...

  67. Re:Spending on Prevention always more cost effecti by drinkypoo · · Score: 1

    many of our problems in Education go away when one addresses the poverty issue that makes education impossible rather than constantly trying to change the education system that has otherwise worked for generations

    Worked towards what goal? We've become more and more complacent, and I can't help but believe that a substantial portion of that is through the indoctrination received in the public education system, which is a series of lies — both outright, and through omission. You're told a bunch of rosy bullshit about how things are meant to be, but it's not explained to you how corporations get to write laws and decide which ones are passed. The general framework is described, and it's left for you to figure it out on your own, the subtext being that you're not supposed to actually figure it out. If you ask questions you become a nuisance and the teachers will deprecate you so that you are bullied in an effort to cause you to become withdrawn so they can do their job of pretending to educate the excessive number of students they've got.

    --
    "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  68. Ok guys, we can stop now by Anonymous Coward · · Score: 0

    This is just silly. So they think that if you just say the obvious in fancy words, then it counts as new conclusive evidence. I dont think a single person really thought that if foreign countries invested into a developing economy that the best place to put the investment for the people would be in building banks, airports, military based and so forth, they did that because the health of the population was irrelevant. Any clear thinking human can come to the conclusion that directing VC to the health industry instead of overspending your own currency on it would be the best thing for the peoples health. This is neither new nor shocking.

  69. Thank you Captain Obvious by kenh · · Score: 1

    So an outside infusion of money will break the cycle of poverty? How long were they working on that theory?

    And where, exactly, is this 'outside' infusion of money to come from? Will it ever be repaid, or must it be a gift?

    Who would have thought more money could end the cycle of poverty?! Brilliant!

    Maybe now they can turn their big brains towards homelessness and hunger... Wait, let me take a crack at it - how about 'free housing breaks the cycle of homelessness'? 'Free food breaks the cycle of hunger'!

    --
    Ken
  70. Only one flaw in the hypothesis by RogueWarrior65 · · Score: 1

    You can't simply give these poor countries a bunch of money and expect them to spend it properly on healthcare or any other necessity for that matter. There will always be too many sticky fingers and blatantly corrupt functionaries involved. The right way to do this is for some external organization to come in, set up the hospital, and administer treatment with zero local government influence. Of course, the eventual result might be that a healthy populace will come to realize that their totalitarian government is really screwing them over.

  71. So how did WHITE people manage it? by Anonymous Coward · · Score: 0

    This is laughable. White people built successful civilisations, yet black people have NEVER done so - because the IQ of a grown black man is the same as that of a 14 year old white child.

  72. so it boils down by Anonymous Coward · · Score: 0

    to more vaccinations?

  73. So for most efficient escape from poverty... by Pherdnut · · Score: 1

    You need some external agency to give you lots and lots of money. This is genius! Who would have thought! Carry on with the research! Who knows, perhaps we can also solve world hunger with a similar solution.

  74. The problem with all models... by dave.leigh7335 · · Score: 1

    ...is they're not reality. And the problem with all economic models is that they only superficially resemble reality.

  75. Of course this thought experiment is only useful by Kubla+Kahhhn! · · Score: 1

    ...inside its own petri dish. Most countries have a terribly broken society and government, preventing that infusion of capital from being properly injected.

  76. Re:Healthcare and A, B, C's by Anonymous Coward · · Score: 0

    Any patient on medicaid/medicare gets more treatments, pills, devices, etc. because the hospital, dr, or specialist can bill for it.

    You grossly overestimate how much medicare (and medicaid) provide, and ignore the cost of what you receive. Being on medicare, a chunk of your Social Security income is taken for part A. For me, that amount is almost $200 a month. I only get an allowance of ~$630 dollars a month to spend on the hospital/PCP/specialist. A trip to the hospital, and I owe out of pocket. If I visit my PCP (primary care physician) AND have a psychiatrist appointment, or a physical therapy appointment in the same month, I owe out of pocket. Essentially, I get a "free" ~$430 to throw at my medical care and the rest is up to me to cover.

    Medicare Part B (drugs) is optional. It can cost anywhere from $120 to $300+ dollars a month, depending on what and how much you want. It is only beneficial to have if you are on a regimen of costly drugs that would normally go above what you would pay without it. Even if you opt to purchase part B, not everything is covered, and you have a varying copay.

    You have your parts mixed up. Part D is Drugs.

  77. Correlation is not causation by rinka · · Score: 1

    Bravo!!!
    So the authors take a wicked problem and find the just one element that solves it. This is intelligence of the highest order. I wonder if they are even aware of the definition of a wicked problem. I guess I have this problem with theoreticians.

    Using the authors' logic, then if one were to make everyone healthy in â" say Afghanistan, then that country will have escaped poverty and would get to be on the road to being a developed nation...

    It doesn't matter how healthy, productive or motivated the Afghan citizen is. His/Her life is impacted by people coming over their border with a very clear agenda.

    As an aside, US has pumped a huge amount of development money into that country and Afghanistan is still a pretty poor country.

    Anyone can play these âoeintelligentâ math games...

  78. Gee! If we could only get more free ice cream... by Anonymous Coward · · Score: 0

    This nonsense amounts to countries selling their output for more than it's worth.
    Kinda like us borrowing 42 cents of every horrible dollar spent by our communist/socialist government.
    85 billion per month to prop up the stock exchange.... LOL
    Can't last forever... epic fail on the way!

  79. Wrong by tjstork · · Score: 1

    The US Health Care System would be fine for the middle class if states didn't screw it up with all these mandates for stupid stuff like birth control.

    --
    This is my sig.
  80. Canada by Haawkeye · · Score: 1

    I live in canada where we have the evil socialist health care system where if you are sick and go to the hospital you don't pay anything. This is obviously a system where someone is trying to trick people. There must be a hidden cost somewhere..... Sarcasm if you didn't notice. I had cancer it did not cost me a dime! Yes I pay more taxes. I thank god I do because I love the fact that when I am sick I don't have to worry about the costs of my healthcare.

  81. Mod Insightful by Anonymous Coward · · Score: 0

    A computer model was required to tell that having more money is the best way to avoid being poor?

    Clerp clerp...

  82. Re:sending aid doesn't help, stop raiding countrie by strikethree · · Score: 1

    Every time we send food aid to some poor African or central American country, the local farmers get no money for the little food they produce and the local market is ruined, stopping local production of food instead of encouraging it.

    If the local farmers were producing enough food, then why would we be sending aid? If they are not producing enough food, then the aid is stopping them from gouging starving people. I fail to see the real problem here.

    --
    "Someone needs to talk to the tree of liberty about its ghoulish drinking problem." by ohnocitizen