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Almost 100 Million People a Year 'Forced To Choose Between Food and Healthcare' (theguardian.com)

Almost 100 million people are pushed into extreme poverty each year because of debts accrued through healthcare expenses. From a report: A report, published by the World Health Organization and the World Bank this week, found the poorest and most vulnerable people are routinely forced to choose between healthcare and other necessities for their household, including food and education, subsisting on $1.90 a day. Researchers found that more than 122 million people around the world are forced to live on $3.10 a day, the benchmark for "moderate poverty," due to healthcare expenditure. Since 2000, this number has increased by 1.5% a year. A total of 800 million people spend more than 10% of their household budgets on "out-of-pocket" health expenses, defined as costs not covered by insurance. Almost 180 million people spend a quarter or more, a population increasing at a rate of almost 5% per year, with women among those worst affected.

415 comments

  1. Don't be mistaken by damn_registrars · · Score: 5, Insightful

    The reason health care is so costly in the US can be found at the top of the insurance companies. Many of the top execs of these companies - including the ones that are listed as "non-profit" or "not-for-profit" take in guaranteed annual bonuses that exceed the lifetime earnings of most Americans. The "Affordable Care Act" just gave these greedy capitalists the keys to the kingdom as well, in guaranteeing them customers for the rest of time.

    People dropping out of the insurance market and having no coverage won't solve this problem. The solution is to finally have our country behave like a modern industrialized nation and have a single-payer system. It's too bad nobody was willing to propose such a sensible thing.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    1. Re:Don't be mistaken by Train0987 · · Score: 2, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

    2. Re:Don't be mistaken by kaybee · · Score: 1

      I'm not saying it isn't a problem, but if you divide out the CEO compensation by the number of insured people, you'll find it isn't going to be that significant. I'll do the math for you if you reply with the most egregious health care CEO salary you can find.

    3. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Insightful

      This is so dangerously stupid.

    4. Re:Don't be mistaken by kaybee · · Score: 0

      Oh, and on the single payer aspect, it won't be the solution you are looking for. Currently the US subsidizes much of the world's healthcare costs. When we pay $50 for a pill that other countries pay $5 for, we are effectively keeping many drug companies afloat, and funding their R&D, etc. If the whole world only paid $5 per pill, then it would be a problem. Either all prices would go up, or R&D would cease, etc.

      The other issue is that there is unlimited demand for healthcare, and limited supply. Nothing will change that. If money isn't the rationing factor than something else needs to be (e.g. "death panels").

    5. Re: Don't be mistaken by Anonymous Coward · · Score: 1, Insightful

      Single payer would not bankrupt America. How about cutting your fucked up military budget? Lol. Omg the US used to really be a beacon and now it's just a fucked up mess.

    6. Re:Don't be mistaken by Baron_Yam · · Score: 1

      You get compensated for risk, responsibility, and skill. I'm generally OK with that, except that mostly we see that word 'responsibility' being seen as a perfect synonym for 'authority', which it is not.

      And the risk? Well, your risk is that your obscene (to most people) income will be temporarily interrupted until your peers install you in the next available slot... and you get a big payout to cover your expenses until that happens. And even if it all somehow goes completely to shit, you still have so much money just from your payout that you will never, ever, fall into the middle class. And neither will your children. So no risk.

      And finally, I have a lot of trouble believing anyone has so much in the way of skills that couldn't be learned by large numbers of other people that they are worth 1000x per hour what the average salaried employee makes (never mind comparing it to minimum wage).

      It's not how much they draw compared to each person, it's how much they draw in total. It is, in fact, obscene.

    7. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      there are already "death panels" they're just employees of the medical coverage companies instead of the government.

    8. Re:Don't be mistaken by mridoni · · Score: 5, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

    9. Re: Don't be mistaken by Anonymous Coward · · Score: 1

      How about cutting your fucked up military budget?

      No. We need to spend as much on our military as the next ten highest military-spending countries combined. Then in an Orwellian twist of logic, call our military the Department of "Defense" and send them overseas to invade Iraq for over ten years in a preemptive war (i.e. Bush 2 is the aggressor). These things are more important than taking care of our own population.

      If we didn't spend so much on Team America: World Police, how else would we be able to bully the rest of the world into doing our bidding?

    10. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Informative

      By limiting services as much as possible.

    11. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      Nope. The pharmaceutical are established as demanding compensation beyond the reasonable. That is why they fight for their patents and even refuse increased compensation in order to keep artificially inflated prices. That is why countries like India are setting up panels to review the burdens imposed by these companies shady practices.

      Not to mention the vast advertising budgets and malfeasances like Vioxx.

    12. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      The reason American healthcare is compared against European is because of arguments like yours. Europe is not bankrupt from its healthcare system. They do spend less on military and pay higher taxes, but that's not the same as going bankrupt.

    13. Re:Don't be mistaken by OrangeTide · · Score: 4, Insightful

      Yet everyone gets their insulin in Canada. I can't say the same for USA.

      There is limiting services through budget constraints that are applied broadly. And there is limited services by not providing any services to lower class people. Which model do you think we have in the US?

      --
      “Common sense is not so common.” — Voltaire
    14. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Sorry but this meme died a long time ago. We now know that most drug R&D in the US comes from public money, so your anecdote is totally incorrect. Besides, other countries are making huge strides in medicine that the US just can't due to inertia. This is how Cuba has a working vaccine for lung cancer that costs $1 and we have assholes with no medical background at all getting placed at the heads of pharmaceutical companies and raising the price of their key drug 13000%.

    15. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      The US is subsidizing much of the discovery and profitability for pharma that benefits the rest of the world.

      Without the US paying full fare, new drugs might not exist and the rest of the world couldn't demand their steep discounts on what's left.

    16. Re:Don't be mistaken by Anonymous Coward · · Score: 1

      And yet with their "limited services" we still have worse health outcomes: https://www.forbes.com/sites/d....

    17. Re:Don't be mistaken by damn_registrars · · Score: 1

      Currently the US subsidizes much of the world's healthcare costs.

      No. The rest of the world does quite well without any such imagined subsidies.

      When we pay $50 for a pill that other countries pay $5 for, we are effectively keeping many drug companies afloat, and funding their R&D, etc. If the whole world only paid $5 per pill, then it would be a problem. Either all prices would go up, or R&D would cease, etc.

      Several things are wrong with that statement.

      First, drug company CEOs are also disgustingly over-compensated.

      Second, a very large part of the cost per pill goes in to advertising. Very few companies outside the US allow drugs to be advertised at all. In the US we see drug ads on TV, hear them on the radio, see them in the newspaper, on the sides of buses, on billboards, in magazines, etc. Few 8 year olds in the US haven't seen and heard the name Viagra, even if they don't know what it is.

      Third, a lot of critical drug R&D steps are done in public institutions, and the majority of the testing is as well. This isn't funded by the drug prices as much as it is funded by tax dollars.

      The other issue is that there is unlimited demand for healthcare, and limited supply.

      That's a cop-out at best. In countries with single-payer how many people are hypochondriacs driving "unlimited demand"? You'll still have plenty of people who won't want to go see a physician for whatever reason. People still need to go to work and take care of their basic life needs.

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    18. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      I'm all in favor of relaxing regulations that are designed to limit effective competitiveness and limit availability of specific resources in order to make those resources more expensive (i.e., trained medical doctors, etc.). The AMA is very guilty of colluding with medical schools to keep the number of seats in each graduating class small by keeping the acceptance standards extremely high, when if they were to open up acceptance to GPA 3.6 and up it would nearly quadruple the number of students. And that 0.2 GPA difference doesn't amount to a hill of beans in the long run, other than guaranteeing that the majority of doctors make over $500K a year.

      The regulations that need to stick are the ones that ensure patient safety and increase their chances of better outcomes.

    19. Re:Don't be mistaken by RevDobbs · · Score: 0

      Bingo. "More enlightened" countries point to their smaller healthcare and defense costs and neglect that the US shoulders the burden for the rest of the world.

    20. Re:Don't be mistaken by Bing+Tsher+E · · Score: 1

      Obscene, and as the person you responded to you explained, off topic.

      The salaries of the top insurance executives are a tiny fraction of the money that passes through the insurance companies. Paying them zero dollars would change nothing about health care costs.

      Now, can you please post your off-topic socialist grandstanding spam someplace else?

    21. Re: Don't be mistaken by jeoten · · Score: 1

      Nonsense. Government has created this problem, and no amount of government will fix it. People do not have the freedom to choose the best option including low cost options because government restricts by laws and hideous regulation, the free and open marketplace. Government gives insurance companies protections. Government policies are the problem.

    22. Re:Don't be mistaken by Anonymous Coward · · Score: 1

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

      This small-ell libertarian is generally against regulation as well, but the medical industry is not your typical free market. When the product is required to live for some people and cost is inelastic, some level of regulation is required to avoid hurting consumers.

      We could start by requiring that all drugs sold by U.S. companies and their subsidiaries must have a single price per dose world-wide. Stop milking U.S. citizens for 4,000% more than you charge the rest of the world. Do the same for medical devices and equipment. Billing needs to be more transparent. If you want to pass on costs for uninsured patients to everyone else, or the CEO's new private jet, then list those as line items on my bill. Instead of $500 for a leg brace, charge me $10 for a leg brace, $200 for uninsured patients, and $290 for the CEO's new jet. At least then I know just how I'm being fucked.

    23. Re:Don't be mistaken by dcw3 · · Score: 5, Insightful

      Bullshit. Single payer removes a middleman that is of no value added, and in fact raises the total cost of healthcare.
      And, for whatever it's worth, I'm saying this as a fiscal conservative.

      --
      Just another day in Paradise
    24. Re:Don't be mistaken by hackwrench · · Score: 1

      You'd think they'd have a name for something like that... economics or something, which is exactly what they do no matter how many payers are in the system, which is why none of this matters.

    25. Re:Don't be mistaken by RevDobbs · · Score: 1

      Everything in your first paragraph is true -- despite the loaded phrase "greedy capitalists". But you cannot just plop "single payer" in like a grand solution. Every other country with single payer has their own collection of horror stories of needed treatment and diagnostics being pushed out months. All these countries still have third-party health insurance available to cover things their government has deemed unnecessary or has not adequately provisioned for.

    26. Re:Don't be mistaken by Kohath · · Score: 1

      It's mostly because health care workers in the US make a lot more than in other countries. Here's a survey of nurse salaries in different countries.

      Total executive bonuses for ~100 guys don't come close to the amount it costs to pay millions of doctors and nurses more.

      Is your single payer system going to cut health care worker pay by 25-50% and keep it down?

      How about we stop telling each other fanciful stories (that appeal to our personal tribal biases) long enough to do simple a little arithmetic?

    27. Re:Don't be mistaken by damn_registrars · · Score: 5, Insightful

      Single-payer would bankrupt the country.

      Just because the GOP says that, doesn't make it true. The rest of the industrialized world uses some form of single-payer and their nations aren't going broke. We use a market-based system with essentially no floor and we are going broke. We are the only industrialized nation where it is even possible to go bankrupt due to medical debt.

      The solution is to relax regulations, not increase them

      Single payer does relax regulations. The biggest barriers to health care right now come from the insurance industry, not the government.

      Remove the artificial limits placed on the number of doctors by the AMA

      You really need to look in to what you're saying. Several problems exist with that statement.

      First of all, we have alternative paths to practicing medicine. Ever hear of a Nurse Practitioner? They are able to practice medicine on their own now in several states. Ever hear of a Physician's Assistant? They are taking patients independently for routine cases in many states as well. Ever hear of a Doctor of Osteopathic medicine? They can also see patients on their own. We also have pharmacists who can do more patient care than before in many situations - they are doing a lot more now than just handing out prescriptions and selling Sudafed.

      Do you really want someone practicing medicine who has less qualifications than that?

      Cap malpractice payouts through tort reform.

      Malpractice payouts are a trivial expense compared to what goes to the top of the insurance industry. In fact most doctors pay vastly more in malpractice insurance than they will ever pay in malpractice settlements. The reason why so few doctors go in to Obstetrics (for example) isn't because they are actually concerned about the possibility of committing malpractice, but because the insurance industry requires them to carry absurd terms for their malpractice insurance. Sure, the lawyers are getting a big cut but it is dwarfed again by what the insurance company execs get - and the insurance execs get it regardless of their own performance while the lawyers have to prove a case in court to get the big paycheck.

      In other words the bulk of your argument reads like an ad for the insurance industry.

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    28. Re:Don't be mistaken by Bradac_55 · · Score: 0

      Nothing better than spending other peoples money ... until it runs out.

      Communists are always good for a morning laugh.

    29. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      By rationing access to services.

    30. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      And in the US, you can overrule them if you have money.

      In the US:
      "We won't insure this procedure!"
      "Fine, I'll pay cash."
      "Ok, good luck."

      In the UK:
      "We won't permit this procedure."
      "I don't need you to pay for it, I can afford it myself."
      "No doctor in all of the United Kingdoms will perform it. If you're serious, go somewhere else and stop bothering us."

      Things get even more complicated when you include research hospitals, which are much more prevalent in the US than in single-payer countries. Often, if you have something uncommon enough to not be in the insurance fee-book, a research hospital will offer an experimental treatment at no cost. Sometimes even when you have something common, if there's an experimental new treatment you can get free medical care that way.

    31. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      It's too bad nobody was willing to propose such a sensible thing.

      I had to take my baby to the hospital for a blood draw (pediatricians office wouldn't do it on a baby for some reason). Cost: $541.00.

      There's the problem.

      Shifting around who pays for it doesn't solve the problem.

    32. Re:Don't be mistaken by Bradac_55 · · Score: 0

      Sure with death panels and less than stellar services.

    33. Re:Don't be mistaken by Anonymous Coward · · Score: 1

      That's easy, we pay for it with our taxes and ensure the majority of our population is healthy enough that we don't need the system all that much.

      I live in Canada. My grandfather recently had cancer (past tense, he beat it). The total bill was just under $3500, and a lot of that was due to "well we better be careful just to be sure" hospital trips (which turned out to be minor stuff).

      He's never had any other health problems. Our family is pretty healthy except for some minor weight issues (think 180-200lb, not 400lb+). He got better, and no longer needs to depend on the system.

      Up here, the hospitals are almost never full because the quality of living is pretty damned decent. We don't have people running around trying to kill themselves or others, so that's nice as well. And most Canadians are fairly well educated. All this translates to a reduced load on the medical system, to the point that what we do need to pay for is easily covered by our taxes and what not.

      Given how self destructive the majority of the US population seems, I'm not surprised a system like this wouldn't work down there. There's more to this problem than just having the government take care of everything. You need a strong and healthy population to balance things out, which the USA doesn't currently have.

    34. Re:Don't be mistaken by Computershack · · Score: 4, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

      Its not bankrupted any other first world country which has universal healthcare free at the point of need. The tax burden per capita of the UK NHS is the same as the tax burden per capita in the USA for Medicare and Medicaid yet the NHS covers 100% of the population. It may not be perfect but people don't have to make the choice between getting treatment and eating.

      --
      I only please one person per day. Today is not your day. Tomorrow isn't looking good either. - Scott Adams
    35. Re:Don't be mistaken by ranton · · Score: 5, Insightful

      It's not how much they draw compared to each person, it's how much they draw in total. It is, in fact, obscene.

      Considering this thread was started with the statement: "The reason health care is so costly in the US can be found at the top of the insurance companies.", the only thing that matters is how much they draw compared to each person. For the purposes of this discussion that is. Whether or not their pay is obscene has no bearing on whether or not it is the reason health care is so costly in the US, which is the contention which was being refuted by the post you replied to.

      Based on the figures I found here the top 10 highest paid insurance CEO's made $159 million in 2014. That is about $1.30 per household. I don't think health care costs are so high just because of an extra ten cents per month we all pay extra to pay these CEO's.

      If I use Amtrust Financial Services (home of the highest paid CEO above) as a model, the entire C-level suite including the CEO made 261% of the CEO's pay. So I'll estimate that the C-level suite at the 10 companies above were paid $415 million in 2014, which is about a quarter per household per month.

      If you factor in every C-level executive in every insurance company in the US, I doubt you would come to more than a couple dollars per household per month. That is not why insurance is so expensive. I would still agree that private insurance companies are the number one reason why health care is so expensive in the US but it has far more to do with the stockholders who demand return on investment (gasp, the horror) than it does with obscene CEO pay.

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    36. Re:Don't be mistaken by Baron_Yam · · Score: 1

      >off topic.

      My reply was perfectly on-topic to the content of the post I was replying to.

      >Now, can you please post your off-topic socialist grandstanding spam someplace else?

      Instead of that... how about you take your attitude and shove it right up your ass?

    37. Re:Don't be mistaken by Bradac_55 · · Score: 0

      Huh? Citation required on that comment. Show me where people can't get insulin in the country that supplies it to most of the world.

    38. Re:Don't be mistaken by Computershack · · Score: 0

      Don't need to spend as much on defense when you're not invading large parts of the world and making most of it hate you.

      --
      I only please one person per day. Today is not your day. Tomorrow isn't looking good either. - Scott Adams
    39. Re:Don't be mistaken by um...+Lucas · · Score: 1

      Your solution is to not require medicines get vigorously tested before being prescribed?

      Or to not be able to sue the bejesus out of the surgeon who accidentally amputates the wrong leg?

    40. Re:Don't be mistaken by Computershack · · Score: 1

      The UK NHS pays some silly amounts of money for some treatments. Some of them can be $1,000s a dose and you're still not charged anything for them.

      --
      I only please one person per day. Today is not your day. Tomorrow isn't looking good either. - Scott Adams
    41. Re:Don't be mistaken by Anonymous Coward · · Score: 5, Informative

      This is so very wrong. As much as we would like to think we have that much effect on the world economy, the reality is that the reason why drugs are so expensive in the USA is because the pharma companies can charge as much as they want. And it is coming to light that most of them are doing just that. Most of the rest of the civilized world took one look at the potential for rent-seeking that could happen in health care and quickly put in fee schedules to keep their citizenry from being robbed blind. Did this slow down progress? Not really, since a majority of the pure research that feeds these drug companies is actually funded by public monies. By the time pharma companies actually start picking up the bill on research of a promising drug, most of the basic research is done. The majority of the private money spent by pharma companies from that point on is in the marketing of that drug. The clinical trials are actually little more than a speed bump in comparison to this. This is true whether the drug is being developed in the US, Germany, France or the UK. And a lot more research is happening in Europe and Asia than in the US right now. And that's in markets where the governments regulate the profits that pharma companies make on their products.

    42. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Easy. They provide much lower quality of service and care, because that is all that such systems can afford.

    43. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Hey genius, this article's numbers are WORLDWIDE numbers, not just in the US.

    44. Re:Don't be mistaken by PopeRatzo · · Score: 5, Informative

      Sure with death panels and less than stellar services.

      Countries with single-payer health care have better medical outcomes and longer life expectancy.

      https://www.oecd.org/els/healt...

      --
      You are welcome on my lawn.
    45. Re:Don't be mistaken by sycodon · · Score: 2

      Perhaps the US should adopt the Canadian Immigration policies.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    46. Re:Don't be mistaken by jeremyp · · Score: 0

      Because it is much cheaper to finance healthcare using the single payer model. As an example, healthcare per person was something over $10k for each US citizen in 2015. In the UK it was closer to $3k and in the UK nobody has to go bankrupt and outcomes are better e.g. we have a higher life expectancy.

      --
      All I want is a secure system where it's easy to do anything I want. Is that too much to ask ~~ Randall Munroe
    47. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Yep - that is why Canadians live longer than Americans. We can't access doctors as often and are less likely to die due to medical mistakes.

    48. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Bullshit. Single payer removes a middleman that is of no value added, and in fact raises the total cost of healthcare.
      And, for whatever it's worth, I'm saying this as a fiscal conservative.

      As a fiscal conservative, please explain the value in paying any profit margin to the insurance industry. And please keep in mind that while their profits are usually stated to be a modest 6% or so, their overhead is near the top of all over-bloated industries.

      In addition, because it is more profitable for insurance industry to decline payment whenever possible, the cost of a medical bill is inflated by the number of employees any medical business is required to keep to deal with extracting payment.

      Looking forward to your response...

    49. Re:Don't be mistaken by 14erCleaner · · Score: 1

      Facts schmacts. Stop trying to influence politics with reality.

      --
      Have you read my blog lately?
    50. Re:Don't be mistaken by jeremyp · · Score: 0

      The single payer countries have better outcomes and nobody has to go bankrupt.

      The death panels thing is risible. In the US it's for profit insurance companies that decide what treatments you get, not independent panels of qualified professionals.

      The US healthcare system is a scandal and the government is abdicating its responsibility to its citizens by not doing it properly.

      --
      All I want is a secure system where it's easy to do anything I want. Is that too much to ask ~~ Randall Munroe
    51. Re:Don't be mistaken by wyHunter · · Score: 1

      You don't realize that this was the intention of the Democrats who pushed this bill did you? Liberals indeed. And oh by the way - what stops the abuse by government employees running this single payer system? Look at the bloated waste in every other program run by the feds - except, ironically Nasa who keeps getting funding cut and also continues to do amazing thing.

    52. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Obscene, and as the person you responded to you explained, off topic.

      The salaries of the top insurance executives are a tiny fraction of the money that passes through the insurance companies. Paying them zero dollars would change nothing about health care costs.

      Now, can you please post your off-topic socialist grandstanding spam someplace else?

      Why limit this aspect of the discussion to only the CEO or even upper management? To be fair, let's add in all of the employees who work diligently to deny payment/process payment, all of whom would be unemployed if we had a single payer system.

    53. Re:Don't be mistaken by wyHunter · · Score: 2

      Hate to tell you this but folks throughout the world hate the Europeans as much as they hate the Americans.

    54. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      And yet with their "limited services" we still have worse health outcomes: https://www.forbes.com/sites/d....

      Try controlling for the choices people make.

      Group A is 100 people who never smoke.
      Group B is 100 people who smoke six packs a day.

      If I give socialist healthcare to group A and make group B pay for their insurance, group B will cost more.
      If I give socialist healthcare to group B and make group A pay for their insurance, group B will *still* cost more.

      Of course the real solution is to get group A to stop smoking, and make americans take their health seriously. Can you please try to make americans take their health seriously *before* sticking the taxpayer with their bills?

    55. Re:Don't be mistaken by wyHunter · · Score: 1

      Not dissing you - but perhaps some of it is because people of the US pay obscene prices for medicines - so the rest of the world negotiates cheap rates.

    56. Re:Don't be mistaken by DNS-and-BIND · · Score: 1

      Because America pays for their defense, and they are free to put the vast savings into a welfare state. Europe flat out refuses to pay their minimum share of NATO, 2%, because this would bankrupt them and their people would revolt. It's easy to pay for nice things when you don't have to find a hugely expensive military to defend the borders of other nations while neglecting your own borders.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
    57. Re:Don't be mistaken by PopeRatzo · · Score: 4, Informative

      Huh? Citation required on that comment. Show me where people can't get insulin in the country that supplies it to most of the world.

      You could have googled it pretty easily.

      https://tonic.vice.com/en_us/a...

      http://www.kaaltv.com/news/mot...

      --
      You are welcome on my lawn.
    58. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      The vast majority of health care costs include end of life care. Unfortunately, your ideas solve none of those issues. Relaxing regulations would not help that either. If we just executed all people after 70, the system would be solvent immediately. Somehow though, I don't think that's what most people want. We would rather have our cake and Edith too, and it's always easier to propose simple fixes that do nothing.

    59. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      How does suing surgeons provide health care for poor people? If people are supposed to sacrifice to make sure poor people get health care, why shouldn't the guy who wants to sue a surgeon have to sacrifice?

    60. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Now, can you please post your off-topic socialist grandstanding spam someplace else?

      Disgusting as grandparent's off-topic socialist grandstanding spam is, it does serve a useful function to post it here. I personally came to see the american left for the frauds they are by reading this sort of illogical hateful screed.

    61. Re:Don't be mistaken by bozzy · · Score: 1

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

      Services cost less. See charts here https://www.pbs.org/newshour/h...

      If the US can fix the system of incentives that inflate prices, then single-payer can be much more affordable.

    62. Re:Don't be mistaken by Anonymous Coward · · Score: 3, Interesting

      Guess what happens to all those European oil and mining companies after the US soldiers pack up & go home?
      Oh, everyone likes to ignore that Norway was drilling for oil in Iraq in 2004 before the blood had dried.

    63. Re:Don't be mistaken by boudie2 · · Score: 1

      Health care varies greatly across the country with different rules and regulations in different provinces. Often it's a spin of the wheel as to whether you're covered. And Canadians are no sicker or healthier than Americans. In fact I suspect the above poster has been hit in the head more than once by a hockey puck as little of what was stated is true. My experience where I live is a 6-8 hour wait at the hospital for anything. And there was a story in the news last year which said that if you get a cancer diagnosis you better have $50k for "incidentals". When someone says free health care or free anything it's rarely true.

    64. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      In case the you didn't notice, this article was about worldwide numbers... this isn't about you.

    65. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      It's too bad nobody was willing to propose such a sensible thing.

      Too bad, he'd probably be president if Hillary hadn't hacked the primary.

    66. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      It wouldn't bankrupt the country if we quit paying for bullshit wars throughout the world.
      The military budget this year was 700 billion dollars.

    67. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Interesting

      US imperialism is solely to the benefit of the capitalists who which to control the regions like in Syria which has nothing to do with liberating the people and everything to do with a gas pipeline that competes with Russia as Russia is funding their own with their ally Assad.
      Now do you get why there is all this Russian xenophobia all of a sudden? Why we are arming Al Queda(the 9/11 guys) to overthrow Assad?
      Its all bullshit

    68. Re:Don't be mistaken by damn_registrars · · Score: 1

      Why did California scrap their proposed single-payer plan a few months ago? Because it would have bankrupted the state. California!

      That is a sweeping over-generalization. Have you read the proposed bill? I expect not. Have you actually bothered to listen to the comments from any of its authors? I expect you haven't done that either.

      In fact, based on your reply I can't see any reason to suspect you even bothered to read my earlier reply to you. Do you actually want to participate in a discussion or do you just want to throw talking points at me?

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    69. Re:Don't be mistaken by Kohath · · Score: 1

      Single payer removes a middleman that is of no value added

      How is a government bureaucrat paying a doctor less of a middleman than an insurance company bureaucrat paying a doctor?

    70. Re:Don't be mistaken by Anonymous Coward · · Score: 1

      Yeah those limited services are why Europe and Canada have longer life expediencies, higher care satisfaction, and fewer chronic ailments....hmmm...

    71. Re:Don't be mistaken by TheRaven64 · · Score: 1

      In the US:
      "We won't insure this procedure!"
      "Fine, I'll pay cash."
      "Ok, good luck."

      In the UK:
      "We won't permit this procedure."
      "I don't need you to pay for it, I can afford it myself."
      "No doctor in all of the United Kingdoms will perform it. If you're serious, go somewhere else and stop bothering us."

      You are conflating two things: whether a procedure is allowed and whether it is covered. In the USA, you can't have procedures performed that the FDA doesn't approve, but you can pay a licensed surgeon to perform any operation that is permitted. The same is true of the UK (though currently the approval is done by the European regulator, so no idea what's going to happen there next year).

      In the US, if your insurance doesn't cover an operation that is permitted by the FDA, then you can pay someone to perform it, and if an FDA-approved medicine is not covered by your insurance then you can pay for it. In the UK, if the NHS doesn't offer an approved procedure or drug it, then you can get it privately. If you have a fairly high income, then you can get medical insurance that will cover a lot of the things that the NHS doesn't pay for.

      For rich people, there is very little difference between the two. For poor people; however, the situation is very different: getting a serious illness in the US can result in bankruptcy, whereas in the UK it results in some time off work.

      --
      I am TheRaven on Soylent News
    72. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Not even close to the same comparison, the United States set the middle east on fire. We are creating more terrorism due to the mass murder and displacement of entire families.

    73. Re:Don't be mistaken by TheRaven64 · · Score: 4, Informative

      Do you know why the UK can negotiate better rates than the US? Because the country negotiates as a single entity and if a drug isn't offered at a reasonable rate then the company may find that they lose their right to sell the drug at all. In contrast, individual hospitals in the USA negotiate rates separately and (on top of having little bargaining power) have little incentive to negotiate good rates because they're going to pass on the costs directly to the insurance companies.

      The fact that the US moving to single payer and negotiating drug rates centrally would push up the cost of healthcare in other countries is a pretty weak argument to advance to US health insurance payers as to why they should keep being overcharged.

      --
      I am TheRaven on Soylent News
    74. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Don't need to spend as much on defense when your big buddy the USA would likely step in if anyone tried to invade you.

      FTFY

    75. Re:Don't be mistaken by Mashiki · · Score: 0

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

      The same way the US pays for it's military. By borrowing and going into debt. The healthcare system in Canada is bankrupt, has been for nearly 30 years. The only reason the entire thing doesn't come crashing down in every province is because the federal government takes "general revenue funds" and tops up each provinces healthcare system so it doesn't come crashing down. In most cases, doctors, nurses and what not in Ontario haven't had a pay increase in 5 years. Ontario has $308B in debt compared to California @ $380B, and has 1/3 the population.

      On top of that, services get cut and gut nearly every year here. So you'd better have private insurance as well, otherwise you're probably going to run out of money very quickly especially if you're paying for drugs. My pain medication is nearly $200/mo, that's not counting the muscle relaxants(another $100), or stuff I use for migraine control(another $350 or so).

      --
      Om, nomnomnom...
    76. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Single payer removes a middleman that is of no value added

      How is a government bureaucrat paying a doctor less of a middleman than an insurance company bureaucrat paying a doctor?

      Lack of a profit motive.

    77. Re:Don't be mistaken by liquid_schwartz · · Score: 1

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

      That depends on many factors. Are we talking about health care for US citizens or for illegals also? Are we talking about paying the highest cost in the world for the same medications or do we get prices on par with Canada? If we restrict the conversation to US citizens and we treat it as an engineering problem and intelligently attack it I'm confident it could be solved. If instead we get distracted by politics and political correctness (ie is the diversity enough, lobbyist companies get higher no bid pricing, etc) then it is bound to fail.

    78. Re:Don't be mistaken by c · · Score: 4, Insightful

      Single-payer would bankrupt the country.

      Just because the GOP says that, doesn't make it true.

      If the GOP were in charge of single-payer, they'd make it true.

      --
      Log in or piss off.
    79. Re:Don't be mistaken by shaitand · · Score: 1

      This just doesn't mesh, we currently pay more tax dollars on healthcare in the US per capita than countries which have single payer while offering inferior healthcare to most.

      How is capping malpractice payouts relaxing regulations? If you want to cut cost by removing regulations, remove the regulations that reduce competition by making the FDA approval process completely tax subsidized and provide a public option that disregards patent awarding contracts to third parties to produce a subset of the most expensive and commonly prescribed medications that would normally still be locked under patent. That will actually drive costs down as drug companies try to keep their new drug low enough to dodge the top 10 list or wherever you set the cutoff.

    80. Re:Don't be mistaken by Khashishi · · Score: 2

      How big a factor is the wages of doctors and nurses in the bottom line? The cost of drugs and supplies is much higher in US, driven up by collusion between pharmaceuticals, insurance companies, and government. You also have leeches like Martin Shkreli pumping up the cost.

    81. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Because the super delegates for the California Democratic party are in bed with lobbyists with the health care industry all voted against it.
      As a progressive I have been following the development closely, something you apparently haven't done yourself.

    82. Re:Don't be mistaken by liquid_schwartz · · Score: 1

      Because America pays for their defense, and they are free to put the vast savings into a welfare state. Europe flat out refuses to pay their minimum share of NATO, 2%, because this would bankrupt them and their people would revolt. It's easy to pay for nice things when you don't have to find a hugely expensive military to defend the borders of other nations while neglecting your own borders.

      Which is exactly why the US should pull back. Focus on solving our own problems. Like Switzerland but without the shady tax haven / banker angle.

    83. Re: Don't be mistaken by shaitand · · Score: 1

      Our numbers are so high we can spend as much as military spenders 2 through 11 and have the most expensive low quality healthcare in the world. Let's not pretend, this is in very large part about the US.

    84. Re:Don't be mistaken by dryeo · · Score: 1

      OTOH. here in BC, just last night I had to take a friend to emergency (puking and shitting blood). There was a twenty minute or so wait and took him an hour or so to be in a room with most of that time spent with 4 nurses trying to get an IV in him, his veins were pretty collapsed.
      The other week, my sister had to be admitted for what turned out to be double by-pass surgery. Basically from her doctors office to a bed in the hospital and surgery 2 days later.
      Last time I went to emergency, I did have quite a wait of a few hours. I had a nasty cut and people kept coming in who were in worse shape and got triaged ahead of me. I understand if you have bad timing, the wait can be quite long.

      Most non-Canadians don't understand that we have at least 11 slightly different healthcare plans, one for each Province, then Federal and I'm not sure how it works in the Territories.

      --
      https://en.wikipedia.org/wiki/Inverted_totalitarianism
    85. Re: Don't be mistaken by nehumanuscrede · · Score: 1

      Single payer would bankrupt the country if we left the system as it is today, which is ludicrous.

      Show of hands: Who here thinks charging someone $2k for 10 minutes in an MRI sounds fair ?

      How about $20k / hour for a surgery ?

      $30k for a ride on life-flight ?

      $150k for a thirty day hospital stay ?

      $200k for a round of chemo ?

      These numbers aren't made up folks. They are quite real. Can you afford it as they are today ?

      The fix is simple: As part of the plan to go single payer, you first have to regulate how much the healthcare industry ( all of it ) is allowed to charge for their services or products.

      Once that happens, and the prices come down to something realistic, the rest is easy.

      Right now, the only option for affordable healthcare is to go anywhere but the US for it.

    86. Re:Don't be mistaken by Kohath · · Score: 1, Insightful

      So no structural incentive to control costs then. Or keep customers happy. But still a middleman who has to be paid a salary out of the total, instead of spending that money on actual care.

    87. Re:Don't be mistaken by Khashishi · · Score: 1

      And what justification do you have for dividing the CEO compensation by the number of insured people, rather than dividing the CEO compensation by the number of CEOs? Sure, you can make any big number small by dividing it by a big number.

    88. Re:Don't be mistaken by pots · · Score: 1

      The cost of health care in the US is a pretty robust problem. There's no single culprit, the executives that you talk about at insurance companies and elsewhere do take a chunk of it, but given the size of health care expenditures it's not enough to make a big difference. The insurance companies have fairly thin profit margins.

      The largest single factor (i.e.: the group with the highest profit margins) are the pharmaceutical companies. They've been given essentially free reign, with minimal limitations and no price controls, and over the last couple decades have decided to see far they can push it. The answer seems to be, "extremely far." This is less to do with the Affordable Care Act than it is to do with the Medicare Modernization Act of 2003, but the ACA did fail to revoke the prohibition on government bargaining for drug prices that the MMA established (this was one of Obama's campaign promises).

      However, the drug companies can't be blamed for everything. A lot of the costs are related to compensation for medical staff, which can get pretty ridiculous, and inefficient methodology, such as the pretty extreme hoops that medical establishments have to jump through to file insurance claims (the ACA tried to address this, but doesn't seem to have been wholly successful). No one really profits from inefficiency, but unless someone or something steps in to change it then it tends to be self-perpetuating.

      It's always dangerous when you take a problem and say, "This one single factor is the cause of this problem." Since you're basically giving every other factor that you may have missed a pass to go nuts.

    89. Re:Don't be mistaken by um...+Lucas · · Score: 1

      Lawsuits are the punishment to insure they're doing their jobs correctly.

      There aren't any "successful treatment lawsuits", but there are "malpractice" lawsuits galore.

      Here is the definition of Malpractice from Dictionary.com:

      Law. failure of a professional person, as a physician or lawyer, to render proper services through reprehensible ignorance or negligence or through criminal intent, especially when injury or loss follows.

      Should I go on and look up "reprehensible", "ignorance", "negligence", and "injury" for you?

    90. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      You only aren't charged for any of them if you consider the taxes you're paying into the NHS to not count as a charge. You may agree with the tax, but don't try to BS and say that it's free, every tax payer pays for it.

    91. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Only if the cost of medicines and hospital facilities aren't kept in check. Health care should NOT have stock holders!! I propose that the government run clinics that do not make a profit - just break even on costs. Doctors who have large student debt could work there to pay it off at a reasonable rate. We should be getting the same break on medicine costs as Canada at least. There should be programs in place to reduce the hospital costs, improve medical technology, and reduce red tape. These are only a few of the things we could do to reduce the absolute fraud involved in health care.

    92. Re:Don't be mistaken by Kjella · · Score: 5, Informative

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

      It's because US people put up a straw man and cut it down. A single payer system means it's funded almost entirely by taxes (here in Norway co-pay is ~$30/visit and capped at ~$250/year), it doesn't mean they got infinite money or resources and it doesn't mean they deliver everything the patients want or need. There's only so many hospitals, doctors and nurses as the budget permits. Treatments are granted based on medical need and ranked based on quality-adjusted years of life. Waiting lists are prioritized on urgency and impact. It's not the best care money can buy, it's trying to be the most fairly distributed level of care possible at that funding level.

      Single payer doesn't mean exclusively public employees, there are many private doctors and institutions delivering services into the public system. But apart from that there's also truly private insurance and private healthcare, if you can afford it. It's not subsidized, you don't get a tax refund and it caters to a market that won't wait and won't take anything less than excellence. LIke if a pro sports player is injured and need surgery, they often use that because in the public system they're not special and you can't pay to get to the head of the line. Same way some people bankroll certain medications we've rejected to give because of cost, typically >$100k/year. Even though they're medically proven to work and the patient will die sooner.

      So if it's not a happy wonderland, why is it working better? Because we don't have insurance people trying to save costs by denying coverage. We don't have doctors that earn more by billing more or get kickbacks from selling brand drugs. While there's an ever ongoing pressure to reduce costs, we're not looking to cherry pick profitable patients and hospitals don't get stuck with unprofitable ones. For the most part we simply have medical personnel and administrators trying to balance out the limited resources based on who needs it most. And they're actually pretty good at it, as long as they don't get other personal incentives.

      Just to take one example, there's a national standard for average ambulance response time which says it should be <12 minutes in >90% of the cases in urban areas and <25 minutes in >90% of the cases in rural areas. Poor or rich area? Easy or hard geography? Doesn't really matter. The money is distributed so it's mostly uniform no matter where you live, we're not quite hitting that metric but then we'd rather fall a little short most places rather than fail spectacularly in a few. Those are the stretch goals, on the low end you have a standard of adequate healthcare which is like a legal minimum. It's a pretty low bar though where violations are usually human error, flaws or failures in the system like say no ambulance is actually dispatched. It's not your typical triage.

      --
      Live today, because you never know what tomorrow brings
    93. Re:Don't be mistaken by Shotgun · · Score: 1

      Bullshit. You've just changed the middleman to a government bureaucrat.

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
    94. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      It's worth considering that the income inequality and centralization of compensation at the top is not only a financial problem. When a company decides to pay their executive 400-1000 times what their typical worker earns that's an implicit statement that the executive has 400+ times the value to add to the organization, and probably more when considering only value of understanding and decision making vs. day-to-day operations. It is explicitly false, that this could be the case on average.

      How much value has been ignored or undervalued in these organizations when they undervalue their worker's understanding to such a ridiculous extent? Insurance companies are currently standing in the way of preventative healthcare, telemedicine, and I'm sure dozens of other life-improving cost-saving measures. How many of these Insurance firms do you imagine have no workers who understand this? Maybe if the CEO's impression of the world wasn't overvalued by 1000x this wouldn't be the case.

    95. Re:Don't be mistaken by kaybee · · Score: 1

      Sure, take the total compensation of all CEOs of all healthcare companies, then divide by the number of insured, and the number is still small. It doesn't change anything. If you want to add it up go ahead.

      Meanwhile, Google tells me this is the highest-paid healthcare CEO, at $22 million per year:

      https://www.fiercehealthcare.c...

      Looks like they have 12 million members:

      https://www.centene.com/

      So, definitely the $1.83 per year that he is taking from each member is really ruining their lives.

    96. Re:Don't be mistaken by kaybee · · Score: 1

      I don't see how that is relevant to my comment. If there was a pill that cost $1 million and helped you lose weight, would they pay for it? Or how about a $1 million pill that killed cancer?

    97. Re:Don't be mistaken by Shotgun · · Score: 1

      I worked for a short stint at a medical company. They developed tests for cognitive ability to be used during medical trials. I automated QA for a web interface.

      Their entire process was stilted by a need to generated literally several reams of paper in an attempt to overwhelm "investigators". I use quotes, because the FDA people would come in and make comments like a sheet of the eight page "script" was not signed, or was signed but the date was missing. I'm saying that the FDA people added actually zero value or quality to the product, but forced the company to have twice as many people to implement pointless manual processes.

      Unless you've worked the industry, you can not comprehend the depth of wastefulness imposed by your beloved "regulations".

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
    98. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Because that's what it makes sense to do if you are trying to understand how health care costs would be impacted from lower CEO salaries. If you remove the CEO and upper management entirely, that makes VERY little difference to the cost of health care. Pennies compared to the monthly costs of hundreds of dollars per person.

      You can't meaningfully reduce health care costs by lowering upper management salaries. There just isn't enough money there to go around.

    99. Re:Don't be mistaken by deathguppie · · Score: 2

      Medical insurance companies tell the hospitals what they can charge for any given procedure based on the individual plan the customer has purchased. Depending on your plan the the cost of the procedure and the copay will differ. There are only two major health care insurance providers in the US. On the west coast this is Bluecross/Blueshield for instance. Every other provider is a reseller of their products who make money by slightly changing the packages and adding things like vision and dental (also provided by other carriers). To deal with the ever complex series of plans and payment schedules hospitals and insurance companies have had to increase their administrative costs by over 60% in the last 20 years. Most major hospitals now have at least one entirely separate building complex dedicated to nothing but billing. Where as in Japan (where the insurance/medical costs are regulated by government) an MRI will cost 500 USD in the US an MRI will cost anywhere between $600-$3000 and that often doesn't even cover the staff required to operate or analyse the results.

      Now while you may not trust government bureaucracy (and hell I'm right with you) it's really hard to imagine how it could get any more bloated and screwed up than it is.

      But lets just look at some basic known quantities. Medicaid. Now mind you copays on Medicaid are very low to almost nonexistent so keep that in mind when searching for a health care plan. Use this chart to find your state and then see if you can find a comparable private health care plan at a comparible cost. There is nothing more simple than looking for yourself.

      --
      once more into the breach
    100. Re:Don't be mistaken by Kohath · · Score: 1

      That's a lot of text, but it doesn't make a government payer not a middleman.

    101. Re:Don't be mistaken by kaybee · · Score: 1

      You completely misunderstood everything in my post, but hey.

      I'm not saying the US subsidizes in terms of sending drug companies cash (perhaps we do, but it wasn't my point). When we pay $x for a drug, and the rest of the world pays $x/10, we are subsidizing the rest of the world.

      Looking at Pfizer, they spend $3 billion per year in advertising (source https://www.statista.com/stati...), with revenue of $52 billion. That's not trivial, nor is it a "very large cost per pill". It is about 5% of revenue. Meanwhile they spend almost $8 billion in R&D (source: http://www.nasdaq.com/symbol/p...).

      Fully 50% of their revenue is from the US (source: https://www.statista.com/stati...). And we pay more for drugs (source: https://www.bloomberg.com/grap...). So looking at the financials, let's say that Pfizer takes a 25% reduction in revenue (if the drug prices in the US cut in half). There goes the R&D budget, the advertising budget, and more.

      So to keep the R&D going we'd have to raise drug prices everywhere, or subsidize R&D.

    102. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Rich young people have better outcomes still. Let's make everyone rich and young and solve all our health care problems.

      Why not? It's almost as easy as making the US into Germany.

    103. Re:Don't be mistaken by bobbied · · Score: 2

      Why exactly is dangerous and stupid?

      You think this idea is wrong, but I believe there to be evidence that this *could* be at least partially right on some points.

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    104. Re:Don't be mistaken by cayenne8 · · Score: 1

      It's mostly because health care workers in the US make a lot more than in other countries [nytimes.com]. Here's a survey of nurse salaries [worldsalaries.org] in different countries.

      According to that 2009 article you linked to...Dr.s in the US appear to average about $175K annually....I didn't see the nurse one, but I would guess RN's get about 6 figures or close....

      Now, while I know that specialist Dr.s (Heart surgeons, etc) make well over that and closer to the $300K-$450K range)....those are not what I would call high or overrated salaries...not at all.

      First, in many parts of the US, $175 is simply NOT a lot of money compared to the cost of living in these areas.

      And second of all, these Dr's and nurses, put in a LOT of time and sacrifice (and often leaving school in debt) early on for schooling (4 years med school, plus internship and more if specializing)..to where they're doing 8+ years of school with no salary coming in....long hours, etc. And once they are working...think of whom they are working with, they see and experience the WORST the human condition can present. Long hours, everyone is in pain or discomfort or trying to die on them. Blood, bile, puke and worse.....nurses clean you up and make sure you stay alive.

      I seriously have NO problem with them making well into the 6 figure range. If they work that hard and long, and get that good..and keep MY ass well and alive...they are worth it.

      I can think of plenty of other industries where I'd cut salaries before I'd think of touching those that keep my physical body functioning and above room temperature.

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    105. Re:Don't be mistaken by Kohath · · Score: 1

      How big a factor is the wages of doctors and nurses in the bottom line? The cost of drugs and supplies is much higher in US, driven up by collusion between pharmaceuticals, insurance companies, and government. You also have leeches like Martin Shkreli pumping up the cost.

      Drugs are 14% (or 17%) of the cost of health care. Maybe costs can be cut there. Do you think you can get huge savings without significantly cutting costs in the other 83-86% of health care spending?

      Politicians run on cutting drug costs all the time. How does that work out?

      You also have leeches like Martin Shkreli pumping up the cost.

      What if we wanted to accomplish something besides scoring political debate points?

    106. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Come on, illegal immigration only costs $158 billion per year.

    107. Re:Don't be mistaken by pnutjam · · Score: 1

      Willful ignorance.

    108. Re:Don't be mistaken by magzteel · · Score: 1

      The reason health care is so costly in the US can be found at the top of the insurance companies. Many of the top execs of these companies - including the ones that are listed as "non-profit" or "not-for-profit" take in guaranteed annual bonuses that exceed the lifetime earnings of most Americans. The "Affordable Care Act" just gave these greedy capitalists the keys to the kingdom as well, in guaranteeing them customers for the rest of time.

      The article isn't about the U.S.

    109. Re:Don't be mistaken by Kohath · · Score: 1

      I seriously have NO problem with them making well into the 6 figure range. If they work that hard and long, and get that good..and keep MY ass well and alive...they are worth it.

      Cool. But then you can't cut health care costs much (single-payer or otherwise) because that's where most of the money goes.

    110. Re: Don't be mistaken by bobbied · · Score: 2

      Single payer would not bankrupt America. How about cutting your fucked up military budget? Lol. Omg the US used to really be a beacon and now it's just a fucked up mess.

      Really? Having the government fork over 14% of GDP could be covered by the military budget? I think you GREATLY over estimate what we spend on the military. Something like 3.5% of GDP. So yea, let's zero out the defense budget and have single payer... NOT possible.

      And.. Have you considered what situation we'd be in without a military?

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    111. Re:Don't be mistaken by Camel+Pilot · · Score: 1

      And yet Canadian life expectancy exceeds the US.

    112. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Lawsuits are the punishment to insure they're doing their jobs correctly.

      How does punishment get poor people health care?

      Should I go on and look up "reprehensible", "ignorance", "negligence", and "injury" for you?

      How about looking up a way for poor people to get health care?

    113. Re:Don't be mistaken by pnutjam · · Score: 1

      $50k, I'd love to see a citation.

    114. Re:Don't be mistaken by kaybee · · Score: 1

      Thank you, yes, my point exactly. Strawman arguments are being made here. Oh the CEO pay is causing all of our problems! Is CEO compensation a problem? Maybe, maybe not. But that's not why our healthcare is expensive.

    115. Re:Don't be mistaken by pnutjam · · Score: 1

      Any Emergency care in an urban US hospital is going to be outrageous as well, in my experience. In a rural area, you have the added joy of an hour drive.

    116. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      That's correct. The biggest one last time I checked was something like $13M. That is trivial compared to total costs, or even total insurer overhead. The reason US healthcare is so expensive is due to how much PROVIDERS charge. The main complainers about the insurers are providers, who are in a battle with insurers about compensation. Even though insurance companies are doing very well, thank you, they actually keep costs down by negotiating with providers. That is completely orthogonal to whether their CEOs deserve astronomical pay.

    117. Re:Don't be mistaken by Applehu+Akbar · · Score: 1

      All single payer means is the savings and economy of scale you get from buying in bulk. When the Canadian health system buys a million doses of Harvoni at once, it pays substantially less than the $1000 per pill you have seen advertised.

      So... why can't every buyer of health care be able to purchase in bulk? Governments and charities, insurance companies, private buyer clubs. Your suggested reforms are a good start, but why can't we buy drugs on the world market from countries that have testing regimes comparable to ours? In my wife's hometown of Basel, a major center for pharma research and manufacturing in an economy with testing regimes comparable to the FDA and personnel standards as good as our own, you can go to a pharmacist and get elementary problems diagnosed and treated right on the spot.

    118. Re:Don't be mistaken by Applehu+Akbar · · Score: 1

      This is so dangerously stupid.

      Spotted the pharma exec!

    119. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      And second of all, these Dr's and nurses, put in a LOT of time and sacrifice (and often leaving school in debt) early on for schooling (4 years med school, plus internship and more if specializing)..to where they're doing 8+ years of school with no salary coming in....long hours, etc. And once they are working...think of whom they are working with, they see and experience the WORST the human condition can present. Long hours, everyone is in pain or discomfort or trying to die on them. Blood, bile, puke and worse.....nurses clean you up and make sure you stay alive.

      by the same reasoning the garbage man and the plumber should make six figures because they keep you from drowning in your own filth

    120. Re:Don't be mistaken by fluffernutter · · Score: 1

      My wife has has cancer twice, and the week after diagnosis got all the scans she needed and was on treatment. We didn't have to go bankrupt, which would have surely happened the second time. Sure they might not ask for an MRI when an ultrasound will do, but that just makes good fiscal sense.

      --
      Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
    121. Re:Don't be mistaken by Kohath · · Score: 1

      Its not bankrupted any other first world country which has universal healthcare free at the point of need. The tax burden per capita of the UK NHS is the same as the tax burden per capita in the USA for Medicare and Medicaid yet the NHS covers 100% of the population. It may not be perfect but people don't have to make the choice between getting treatment and eating.

      That's not a plan. Do you propose to cut doctor salaries in the US to the level of the UK? How about nurses? How do you think that political fight will go?

      Do you think we can easily afford to have a system like the UK's health system with personnel costs like the US system?

      Just saying "but the UK...." isn't an answer. Vermont tried it. They couldn't find a way to pay for it. There must be some actual reason. Unless you think everyone in Vermont's government is just a moron...?

    122. Re:Don't be mistaken by fluffernutter · · Score: 1

      Single payer countries reject many of those drugs because they are just designer versions of something that exists already with no additional benefit. The ones they deem to be good get paid for. No one seems to put the blame on Apple for paying more on taxes than they can legally get away with, why put the blame on a country that has found the correct way to negotiate for drugs?

      --
      Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
    123. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Because they don't fund large, never ending wars and the middle class is taxed at a much higher rate and corporate taxes are low. But try to get Americans to agree to that and you'll have riots.

    124. Re:Don't be mistaken by fluffernutter · · Score: 1

      A person would have to be crazy to have something done that isn't approved by the FDA.

      --
      Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
    125. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      You picked one company out of dozens and ignored their grants for R&D from government and charity.

      Sorry. Your lies are obvious.

    126. Re:Don't be mistaken by religionofpeas · · Score: 1

      The reason health care is so costly in the US can be found at the top of the insurance companies

      It's already costly at the source: the hospitals and doctors, even before the insurance companies get involved.

    127. Re:Don't be mistaken by boudie2 · · Score: 1

      Although I'm in the other end of the country right now, have lived in Vancouver before. If you're in the lower mainland you have pretty good access to health care. The rest of the province not so much. Ditto for the rest of the country, it's a crap shoot that they're not too busy and that they have the right doctor when needed. And if you don't have the extra private insurance from work or buying it yourself you're getting second rate treatment.

    128. Re:Don't be mistaken by boudie2 · · Score: 1

      Like they say, an ounce of prevention is worth a pound of cure. I hate hospitals.

    129. Re:Don't be mistaken by Cinnamon+Beige · · Score: 1

      Remove the artificial limits placed on the number of doctors by the AMA

      You really need to look in to what you're saying. Several problems exist with that statement.

      [...]

      Do you really want someone practicing medicine who has less qualifications than that?

      The artificial limits placed on the number of doctors is by limiting access to the qualifications--it's not 'as many people as can meet the qualifications,' the AMA is limiting the number of seats available for people to attempt to get the qualifications in the first place. Dropping any attempt to cap the number of seats available in MD programs and instead working purely off of "program must meet these qualifications and standards" would do a lot to help, especially since we're already seeing shortages and a universal single-payer system will make the problem harder to miss.

      A lot of countries with single-payer actually are importing a decent chunk of their doctors from the developing world, which probably at least contributes to the problem the WHO is reporting--the farther you have to travel to receive medical care, the greater the costs are...even if the place providing the health care services is a completely free clinic.

      Oh, and an doctor of osteopathic medicine is a doctor. They just got a DO instead of an MD. That's pretty much it on the differences: they can, legally, get the same medical license with the same authorizations and everything as somebody with an MD, and can join the AMA if they wish.

    130. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      Yes, dealing with human waste is important. Thank you for noticing the problem.

    131. Re:Don't be mistaken by AlanObject · · Score: 2

      Why exactly is dangerous and stupid?

      I sense presence of the libertarian shibboleth that the free market will fix everything. That is what is dangerous and stupid.

      Also the reliance on shaky facts, common among libertarians. I don't want to get into a long discussion but let's just pick out one since it was mentioned:

      Cap malpractice payouts through tort reform.

      This has always been an appeal to emotion rather than reliance on actual facts and figures. My dad was a personal injury lawyer for 60 years and had gotten record-setting multimilion dollar malpractice settlements. Outrageous? Not the the person who has to care for a cripple for life because the hospital screwed up. Do you know what percentage of malpractice suits result in a payout for the plantiff? About 2%.

      Yet the "tort reform" banner always gets hoisted in these discussions. When they do, I know that the one doing the hoisting doesn't really know what they are talking about. Instead they are relying on right-wing media propaganda.

    132. Re:Don't be mistaken by werepants · · Score: 1

      Single-payer would bankrupt the country.

      Total unsubstantiated nonsense. How is it that every other major country in the world has universal healthcare without being bankrupt? Norway has completely socialized healthcare, yet somehow they have very low national debt as a fraction of GDP. Maybe it's because they manage their finances like rational adults, rather than instituting $1.5T in tax cuts to the wealthy in the midst of an economy that's already thriving...

      Some citations:
      https://www.theatlantic.com/in...
      https://www.reuters.com/articl...

    133. Re:Don't be mistaken by ranton · · Score: 1

      It's worth considering that the income inequality and centralization of compensation at the top is not only a financial problem. When a company decides to pay their executive 400-1000 times what their typical worker earns that's an implicit statement that the executive has 400+ times the value to add to the organization, and probably more when considering only value of understanding and decision making vs. day-to-day operations. It is explicitly false, that this could be the case on average.

      That is a pretty bold statement that the leader of a company cannot add 400x more value to a company than its average worker. While a part of me would prefer to stay an individual contributor, I realized a while ago that management makes most of the decisions which really move the needle at a company. Just as the senior developer architecting an enterprise software platform has a much larger value add than a junior level programmer implementing some user stories, the executives setting corporate strategy and ensuring it is executed well have a much larger role in a company's success than its average workers.

      The difference between a good salesman and a bad salesman is maybe a few million in lost sales at most. The difference between a good CEO and a bad one is the difference between Facebook and MySpace. That is obviously an extreme example, but a bad CEO really can cost a company billions.

      Most people are not really paid based on their value add to the company. In the case of a CEO, it has more to do with how much a company wants to risk on its most important employee. Generally they want to hire the best person they can convince to take the job. Who wants to save a few million dollars per year when the result could be billions in lost stock valuation? To put it into context, if you are getting a Craniectomy (the riskiest medical procedure I could find on Google) do you want a bargain option or the most expensive specialist you can afford?

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    134. Re:Don't be mistaken by werepants · · Score: 1

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

      The same way the US pays for it's military. By borrowing and going into debt.

      Not everybody. Some countries behave like rational adults and show some discipline with their finances.

      https://www.reuters.com/articl...

    135. Re:Don't be mistaken by werepants · · Score: 1

      How is a government bureaucrat paying a doctor less of a middleman than an insurance company bureaucrat paying a doctor?

      No marketing, no execs with golden parachutes and private jets, no department devoted to denying coverage, no B.S. wrangling between insurance companies to decide who has to pay, no duplication of admin/HR/etc between competing insurance companies, no profit required to send to screaming shareholders... I could go on and on, but instead I'll just post some facts. In the U.S., socialized healthcare costs are already far lower, and growing more slowly, than private health insurance: https://www.healthaffairs.org/...

    136. Re:Don't be mistaken by Cederic · · Score: 1

      As a fiscal conservative, please explain the value in paying any profit margin to the insurance industry.

      Wouldn't that insurance industry be the middleman he said added no value?

      You're asking him to present the case for the opposing view. While he may well be able to provide a plausible case, he'd be playing Devil's Advocate only.

    137. Re:Don't be mistaken by Cederic · · Score: 1

      Do you propose to cut doctor salaries in the US to the level of the UK?

      Sure, why not? Doctors in the UK are extremely wealthy compared to their median patient.

    138. Re:Don't be mistaken by Cederic · · Score: 1

      No doctor in all of the United Kingdoms will perform it.

      If the private medical companies also wont perform it then generally it's either ineffective, dangerous or so new that it hasn't been adequately assessed to assure that it's neither of those things.

      The UK market has all of the options available in the US - you can go cradle to grave without ever using the NHS, taking advantage of leading medical care at great expense.

      The real difference is that you don't have to.

    139. Re:Don't be mistaken by Solandri · · Score: 1

      That's the misguided grade-school reasoning used to get support for the ACA. Yes the U.S. healthcare system is screwed up. But it wasn't the private insurance system which screwed it up. A salient point the media ignored in the buildup to the ACA was that (1) U.S. government spending on healthcare was almost as much as private spending, and (2) the government alone was already spending more per capita on health care than Canada. i.e. Government healthcare spending was just as much to blame for the high prices as the private healthcare system. If a single-payer system like Canada's was truly the answer, it could've been duplicated with the complete elimination of the private health insurance system and a slight reduction in taxes.

      Middlemen can help or hurt a system. The value they add is in adding fluidity, reducing risk (they take on some of the risk themselves), and consolidating work (eliminating duplicated effort). The retail merchandise market is rife with middlemen. They're the ones doing the market analysis and guessing how much of a product needs to be shipped to each geographic area. They place the orders with the manufacturer, and arrange for transportation. They add value by doing their best to minimize the delta between supply and demand for each region. If you eliminated these middlemen, it would result in more undersupply (shortages for a product, resulting in buyers having to waste time and money going to other stores in search of the product) and more oversupply (excess inventory, resulting in having to hire more transportation to ship the products to areas with shortages, increasing overall costs), and increased costs due to the duplicated effort of every manufacturer selling competing products having to do these regional market analyses.

      But a system only requires a certain number of middlemen layers to achieve maximum efficiency. Beyond that, middlemen needlessly increase prices (the value they add is less than the cost they charge). But for something as widescale and varied as healthcare, I'm extremely dubious of the contention that the optimal number of middlemen for that system is zero. I can see a social argument for single payer (I actually agree with the notion that basic healthcare should be a human right), but the economic arguments for it never made sense.

    140. Re:Don't be mistaken by apoc.famine · · Score: 1

      Bullshit yourself, unless you don't give a shit about the cost of healthcare.

      Aetna Inc. AET -1.22% Chief Executive Mark T. Bertolini's compensation was valued at $17.3 million last year, up from $15.1 million in 2014, reflecting higher stock and option awards.

      The highest paid employee in the Medicare/Medicare offices makes $222k annually. If you add up the top 100 earners in the Medicare/Medicade offices, you get about $17.6 million, which as we can see, is pretty much the price of ONE SINGLE HMO CEO. And how many of those are out there? And other C* officers?

      I'll take those government bureaucrats over one in a for-profit opaque private entity, outside of any influence I might have, any day. At the end of the day, the amount the HMOs are scraping off the top is so extreme, that I have a very hard time believing that a government agency could do worse administering health care. The price and outcomes in countries that do administer their own is confirmation of this.

      --
      Velociraptor = Distiraptor / Timeraptor
    141. Re:Don't be mistaken by Cederic · · Score: 1

      Given Pfizer are making $12bn profit a year, they could kill the advertising spend, halve the cost of their products to Americans and still be profitable. No need to touch the R&D or other budgets.

      The US customers are subsidising Pfizer shareholders, nobody else.

    142. Re:Don't be mistaken by Cederic · · Score: 1

      Since you ask: Yes.
      http://www.telegraph.co.uk/new...

      Although when you're buying for 65 million people at a time, economies of scale usually help you avoid such per-unit charges.

    143. Re: Don't be mistaken by cyber-vandal · · Score: 1

      What are these death panels Americans talk about? I'd imagine US insurance companies are more likely to have those given the need for profit over people.

    144. Re:Don't be mistaken by bobbied · · Score: 1

      I think most don't understand "tort reform" and I don't think you are an exception, at least about what's being suggested with this.

      What MOST people who actually think about this mean with Tort Reform doesn't mean a cap on ACTUAL damages, but on punitive damages. So, to use your example of having to provide care for someone the rest of their lives the money for that wouldn't be touched. What does get capped is the punitive part of a judgment, which is the "We have to make you pay a bunch of money so you won't do this again" part of a judgment.

      Further, I would recommend that we do what they do in the UK (and other countries) where the loser pays the winner's legal fees. This will discourage the more frivolous suits from being filed for stupid stuff that just gums up the works, but that's another issue.

      The free market DOES fix a lot of stuff. We survived a LONG time in this country without all the medical related regulations and licensing requirements. Where I'm not advocating a return to the wild west days where you could become a doctor by just claiming to be one, I do think that the current regulatory structure in the USA stifles innovation in the provision of inexpensive medical services. The regulatory structure today assumes only one model and there is no way to innovate because of this.

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    145. Re:Don't be mistaken by Cederic · · Score: 1

      The direct costs of employing nurses in the NHS accounts for approx. 10% of its budget.

      Bear in mind that nurses are not the best paid NHS staff and comprise only 20% of its employees.

      Doctors are another 10% of the employees and cost another 10% of the budget.

      So quite material - but also bear in mind that there's now a shortage of trained medical staff, so wages are likely to rise in response.

    146. Re:Don't be mistaken by Bradac_55 · · Score: 1

      Try a real citation next time. Random local news and blogs have no place other than for low information 10 second googlers.

    147. Re: Don't be mistaken by Hognoxious · · Score: 4, Funny

      Single payer would not bankrupt America.

      We can't possibly know for sure.

      I mean, if any other developed country had implemented it, or even something close (especially in difficult times, like after being bombed to shit by the Germans), we could like look at them or something.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    148. Re:Don't be mistaken by cayenne8 · · Score: 1

      Cool. But then you can't cut health care costs much (single-payer or otherwise) because that's where most of the money goes.

      I disagree, I would posit that most of the $$ that could be cut, would be getting rid of the HMO's and other bean counter middlemen.....to put our pharmaceutical costs more on par with what the rest of the world pays for meds, tort reform would help and physicians wouldn't have to charge as much to CYA for all the trivial legal problems people give them...quit letting hospitals get away with $12 aspirins and the overcharging of everything else there, etc.

      The salaries are a drop in the bucket for healthcare costs in the US.

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    149. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Single-payer would bankrupt the country.

      We're already spending an average that's close to around 10,000 a person, and not covering everybody.

      Single-payer would cost less as we got rid of unproductive insurance and healthcare provider leeches.

      The only people going bankrupt would be them, and their accountants. Which is the point. So what's the problem?

      There will never be enough of anything to satisfy demand completely.

      Not for stupidity. We have more than enough. Yours alone satisfied sixteen percent of the demand.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

      Good idea, not only do you reduce the regulations that prevent injury, you prevent punitive measures on those who do cause injury!

      But hey, we proposed training and hiring more doctors. You know who rejected it? The GOP.

    150. Re:Don't be mistaken by dcw3 · · Score: 1

      Your comparison of middlemen is only of value in an open marketplace. That's not the case with healthcare, where middlemen are, again, of NO value. They're not taking on the risk. They get subsidized. They can set their fees as virtual monopolies.

      --
      Just another day in Paradise
    151. Re:Don't be mistaken by cayenne8 · · Score: 1

      by the same reasoning the garbage man and the plumber should make six figures because they keep you from drowning in your own filth

      I got new for ya....there are plumbers out there that DO make six figure salaries...have you not hired one lately?

      You think a highly schooled and skilled doctor/nurse should make less than a plumber?

      --
      Light travels faster than sound. This is why some people appear bright until you hear them speak.........
    152. Re:Don't be mistaken by dcw3 · · Score: 1

      Oh, and cram your "grade-school reasoning". That was a jackass comment.

      --
      Just another day in Paradise
    153. Re:Don't be mistaken by jedidiah · · Score: 1

      > This is so dangerously stupid.

      No. The idea that deadbeats like you can be trusted to fully fund public health care is what's stupid.

      The US already has fine examples of what happens when you let the Feds manage this kind of stuff. You don't even have to look to Canada or Tories ravaging the NHS.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    154. Re: Don't be mistaken by jedidiah · · Score: 1

      > Single payer would not bankrupt America. How about cutting your fucked up military budget? Lol. Omg the US used to really be a beacon and now it's just a fucked up mess.

      Completely gutting the entire Pentagon would not pay for the health care for 320M Americans. Our current military budget is roughly equal to our Medicare budget.

      That's just one program for a portion of our population. It's not even a proper single payer system. It doesn't cover everything and people still have to buy their own gap plans.

      There is no free lunch here. People that think there is are the problem.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    155. Re:Don't be mistaken by youngone · · Score: 1

      I don't remember being told there were limits on care went my wife broke her ankle earlier this year, in fact when she needed a second operation to remove some plates and screws, she waited a total of about 24 hours to get the operation she needed.
      Total cost (or out of pocket as you Americans seem to call it) was about $90 for some Physiotherapy.
      Don't believe your propaganda, the US has the worst of of both worlds went it comes to health care.

    156. Re:Don't be mistaken by jedidiah · · Score: 1

      > Yet everyone gets their insulin in Canada. I can't say the same for USA.

      I don't have to wait 2 months for an MRI. I don't have to worry about being put on a waiting list for back surgery or a bone marrow transplant.

      I don't have to worry about DYING because my Canadian doctor didn't do a proper cancer work up on me.

      It's trivial for me to get a GP. I can get next day specialist visits. In a pinch, I can see my oncologist the same day.

      We could use some spackle for the cracks but "be like Canada" is a really stupid approach.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    157. Re:Don't be mistaken by jedidiah · · Score: 1

      > higher care satisfaction

      You've clearly never heard a Brit describe their health care experiences. It's funny how they make up excuses for the NHS while eviscerating it in gorry detail.

      Australians are great for this too.

      The whole common language thing makes it easy to see for yourself in their own press or just from conversations made possible by this here Internet.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    158. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Not in my experience. Having lived, worked, and need health services in the US and Europe. My service has been much more limited in the States not even counting the addition of the SOP "deny the first claim" which I never experienced in Europe and have never not experienced in the US with any injury.

    159. Re:Don't be mistaken by kaybee · · Score: 1

      That's actually interesting, thanks for sharing! But the article goes on to prove my point, because in order to cut costs (perhaps to pay for this crazy expensive treatment), they have to choose who gets to live and who gets to die. See here:

      http://www.telegraph.co.uk/new...

    160. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      The problem is that health care is not particularly obedient of market principles, the first of which is that nobody is forced to buy or sell. You don't really have a choice with a whole lot of health issues.

      That is why a national health care system (for US citizens and lawful temporary visitors only) is the only way to go: the free market will never solve problems that don't obey free market rules. There aren't that many such things, but this is one of them. The people who say we can't afford it are both ignoring how much we waste on insurance overhead, on billing, on fighting claims denials, and other such things. In addition, even ignoring that, if their premise that we can't afford it is true then by definition they're admitting that people are dying because of lack of money.

      One big huge problem in the US of course is political sabotage. At the moment, the Republicans are victims of it much more than the Democrats are, but history has shown them quite capable of it as well. They love to "means test" benefits and do other things to try to make people "qualify" for public programs because they love to portray all public programs as welfare. The idea is to make everyone think they're better than that and therefore make a program that should be a benefit of living in a rich society unpopular.

      A national health care system need not be government providing medical services, though that's a way. Some nations do it by merely requiring nonprofits run health insurance. Some do Medicare-style single payer with private non-profit medical providers, and some do it via actual government provided service delivery. The debate ought to be about what method we're going to use to fix what's truly both a human and a financial crisis. Obamacare was a for-profit joke and the only reason the Republicans oppose it is because it has Obama's name on it. Otherwise it's perfect with their usual ideals--it funnels money from regular people to corporate fat cats for no real benefit to the people paying the money. We need to not do that anymore.

    161. Re: Don't be mistaken by jedidiah · · Score: 1

      > What are these death panels Americans talk about? I'd imagine US insurance companies are more likely to have those given the need for profit over people.

      No. It's the socialized systems that are more backwards and less aggressive. Even in the US, you're better off with private insurance than any of the public options.

      When is the last time you've begged to be taxed more for the elderly, the poor, or veterans? Government budgets are an ugly limitation. Everyone things someone else should pay.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    162. Re:Don't be mistaken by j-beda · · Score: 2

      We could use some spackle for the cracks but "be like Canada" is a really stupid approach.

      Yeah, except that Canada seems to have better health outcomes than the USA does. With some exceptions, waiting times are not unreasonable across the country, and patient satisfaction rates are significantly higher than in the US. Sure, they aren't perfect, and there are many areas that could be improved, but to paint it as an unmitigated disaster is disingenuous.

      Of course the US already spends about twice the per-capita rate for healthcare as Canada, so maybe the US could just do the Canadian system and spend an extra 50% to "fill-in-the-cracks" and still come out at 25% lower than current costs.

    163. Re:Don't be mistaken by jedidiah · · Score: 1

      > Any Emergency care in an urban US hospital is going to be outrageous as well, in my experience. In a rural area, you have the added joy of an hour drive.

      I've never had to wait in an ER. There are more than enough hospitals around. Probably more than we really need.

      Maybe a hospital in a city center is ugly. The rest don't seem to be.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    164. Re:Don't be mistaken by Straif · · Score: 1

      You won't have to worry about all those testing procedures because there simply won't be much to test. Drug companies spend billions a year on R&D and it's not out of the goodness of their hearts. Take away the cash cow that is the US drug market and the incentives to continue to develop new treatments evaporates. Sure you can rely on public research but that's less than 1/5th the size of the private research being done on new drugs and procedures.

      Simply put they can sell to other countries on the cheap because the US markets shoulders the costs. So we Canadians can get our pills for $40/bottle while Americans spend $400 because the companies do their math based on American sales, everything else is just gravy.

      --
      Of course that's just my opinion...... you could be wrong!
    165. Re:Don't be mistaken by PopeRatzo · · Score: 4, Informative

      Try a real citation next time. Random local news and blogs have no place other than for low information 10 second googlers.

      https://www.washingtonpost.com...

      https://www.cbsnews.com/news/s...

      https://www.nytimes.com/2017/0...

      https://www.indystar.com/story...

      --
      You are welcome on my lawn.
    166. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      Fucking retard.

      You keep on paying through the nose for your second rate health care system. That makes my vastly superior healthcare even cheaper ! :)

      Win for me, lose for you. As you're one of those brain dead American libertrarian cannon fodder types I'm totally OK with this.

      You mean nothing to me. Now go die bankrupt in a ditch somewhere so I can get that $100 CT scan, there's a good boy.

    167. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      So what you say sounds great, but try and scale that up to 330 million + people across a country the size of the US. The administrative costs alone to manage our healthcare in the way you describe would bankrupt us.

    168. Re:Don't be mistaken by Cederic · · Score: 1

      Yeah. Ultimately resources at a national level are constrained.

      However, private health cover is also available so you're at worse in the same position as the US. Hell, you can even fly to the US for treatment.

    169. Re:Don't be mistaken by jedidiah · · Score: 1

      Sure. Whatever. I've "been there, and done that" and I simply don't buy the propaganda. I know people that have been killed by your "better results".

      I would rather spend more and have more facilities, better treatment options, and expensive miracle drugs.

      Things like "unreasonable" are very subjective. So are "satisfaction" surveys that are poisoned by a news media that lies to push an agenda.

      I am aware of some of the lies because of the whole "been there, done that thing". I don't just get my information from the news media.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    170. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      Fucking retard.

      Strawman much ?

      Making up shit that doesnt even happen.

      Explain why US healthcare is so shitty the n ? It consistently rates at the bottom of the advanced nations in what really counts....outcomes.

      You morons are just like North Koreans lecturing Germans on why NK is so much better because even though the NK's are all peasants walking through shit all the way to the glorious tractor factory, the Dear Leader has a Ferrari !!

      Meanwhile the entire population of Germany laughs and nods from behind the wheels of their Audi's and BMW's.

      "Whatever you say comrade, whatever you say...."

    171. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      And yet, the US is the only developed country where life expectancy is now actually *declining*.

      Services are always limited, the question is how that limit is going to be applied. On present evidence, it looks as if limiting by restricting services to those with the best financial means is far from the optimal method (assuming the goal is best aggregate outcomes).

    172. Re:Don't be mistaken by phantomfive · · Score: 1

      . I would still agree that private insurance companies are the number one reason why health care is so expensive in the US but it has far more to do with the stockholders who demand return on investment

      If we took all the profits away from the investors, how much extra health care could we buy?

      --
      "First they came for the slanderers and i said nothing."
    173. Re: Don't be mistaken by Anonymous Coward · · Score: 1

      Are you high ????

      An Australian complaining about their healthcare is like a Porsche owner complaining that the A pillar is a teeny bit too noisy at 200mph.

      There are precisely ZERO Australians that would swap their best in world healthcare system for the user pays US abomination.

      In fact, the US system is commonly used as the example of what NOT to do.

      "If we are not careful we'll end up like the US". Governments get punished instantly if the voters see any US style changes creeping in.

      You need to lay off the crack pipe for a while and stfu about things you know nothing about.

    174. Re:Don't be mistaken by Kohath · · Score: 1

      Sure, why not? Doctors in the UK are extremely wealthy compared to their median patient.

      And you think voters will listen to you (or anyone wanting to cut health care salaries) instead of doctors and nurses? Why do you think that?

    175. Re:Don't be mistaken by damn_registrars · · Score: 1

      The artificial limits placed on the number of doctors is by limiting access to the qualifications--it's not 'as many people as can meet the qualifications,' the AMA is limiting the number of seats available for people to attempt to get the qualifications in the first place

      That is a popular myth from people who have been told to dislike the AMA (often as people see it as being too similar to a union for their liking). Let's take a serious look at medical education - which is the key to qualifying to practice medicine in this country- for a moment.

      What the AMA does have a say on is the medical school entrance and medical school graduation requirements. They have the ability to certify a medical school as having - or not having - a program that is sufficient to qualify someone to practice medicine in this country as an MD.

      What they do not have a say on is how many students can go in to a program, or how many programs there can be. If they were really interested in suppressing the number of practicing MDs, wouldn't they want to shut down (for example) the Caribbean Medical Schools? The programs down there are particularly popular for students who were close to getting in to their choice schools who didn't want to wait another year (or retake the MCAT). Many of them have higher graduation rates than schools in the US as well. If the AMA was genuinely interested in limiting the number of MDs in this country, that would be a great place for them to start as de-certifying those schools would be very easy.

      Similarly, the AMA takes no stance against NP, PA, or DO programs. Those all produce medical professionals who can see patients to varying degrees depending on location.

      Dropping any attempt to cap the number of seats available in MD programs and instead working purely off of "program must meet these qualifications and standards" would do a lot to help,

      You're looking at the wrong scape goat here. The limits are placed by the schools and programs themselves. If you want the schools to attempt to teach anatomy to classes of 400 students at a time, go ahead and make that argument. At least be knowledgeable enough to know where the bottleneck is though before you go pinning it incorrectly.

      Oh, and an doctor of osteopathic medicine is a doctor. They just got a DO instead of an MD. That's pretty much it on the differences: they can, legally, get the same medical license with the same authorizations and everything as somebody with an MD, and can join the AMA if they wish.

      You seem to have missed the point there. You were bashing hard on the AMA and I showed one of many ways that one can be licensed to practice medicine without going through an AMA accredited MD program.

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    176. Re:Don't be mistaken by Kohath · · Score: 1

      So still a middleman then.

    177. Re:Don't be mistaken by Kohath · · Score: 1

      The salaries are a drop in the bucket for healthcare costs in the US.

      It's about 75% of all the water in the bucket.

    178. Re: Don't be mistaken by harvey+the+nerd · · Score: 2

      Prices in the US are a mess, Even a 75 yr old drug, a few cents in Asia, was monopolized thanks to some FDA regs and then hawked for $700+.

    179. Re:Don't be mistaken by harvey+the+nerd · · Score: 1

      Single payer is likely to restrict (y)our access to lifesaving treatments.

      I've lost number of Canadian acquaintances to cancer. In many cases they were not funded for expensive treatments - either a drug or surgery available in the US. Also they could not get a critical generic drug that I pay 11 cents at Walmart in the US and 2 cents in Asia. In some cases, if they bypassed the Canadian restrictions, like got a scan in the US, some Canadian doctors wouldn't look at or use the scan. They were all unhappy about these Canadian features.

    180. Re:Don't be mistaken by MarkeJohnston · · Score: 1

      "Group A is 100 people who never smoke." OK. and then you have... "Of course the real solution is to get group A to stop smoking,"

    181. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      However, you stupid fuck, you're ALREADY paying vastly more that any other developed nation.

      Seriously, how fucking stupid do you have to be to not realise paying an extra 0.5 % in tax each year for top notch medical services beats getting a $300k bill if you get seriously sick ????

      Have you ever had a mental health assessment ? It looks like you need one.

      Ooops, sorry....you're American. You can't afford one. My bad.

    182. Re:Don't be mistaken by Alsn · · Score: 4, Informative

      You "know people"? What about the tens of thousands(studies show 18k-45k depending on methodology, the 18k figure is from conservative estimates) of American citizens who die every year because they simply can't afford to take part in your health care system? I guess since you don't know them, they can fuck off and die?

      What you call propaganda is simply truth.
      I'm a jr. doctor in Sweden and our (single payer) healthcare costs per capita are way less than the US (even though we rank way up there in costs). Sure, we do have long queues for some diagnostics, especially when the illness in question is not life threatening (such as back pain, which btw generally just gets better on its own in a few years, no treatment other than acetaminophen or some other mild painkiller required). That said, implying as others in these comments have that single payer systems skip cancer tests and other life threatening diagnostic tools is not only misleading, but often based on ignorance or plain lies. Doctors here have full authority to order any damn test we like, the life of the patient goes before all else, anyone telling you different has no clue.

      In short, the us system of insurance is inefficient (poor people often can't pay for regular check ups which increase costs when they do have to go to the ER), expensive (find any list of healthcare spending per capita, then remember that you don't even cover all of your citizens) and finally just plain unethical (if you can't figure out why, you're a shitty human being).

      Ps. We even have private health care in Sweden, it's just funded publicly. So spare me the "socialist commie" bullshit. And yes, arguing about this makes me mad, which doesn't happen often.

    183. Re:Don't be mistaken by Applehu+Akbar · · Score: 1

      That's corporate FUD. Pharma companies make a profit in every market they sell into other than disaster aid programs in the poorest countries, and their products are priced at what each market will bear. Prices in the US are highest because we're suckers who swallow the bunk that pharma PR departments spout, willingly paying the world's highest prices. If we bought electronics the same way we buy medications, only high-rollers would be able to afford computers and smartphones.

      Canadians pay less because their government buys in bulk, millions of doses at once, making deals for lower prices due to saved marketing and distribution costs. Canada has no power to "control" drug prices either: it just asks for bids on all the compounds it might be interested in, and accepts only the offers that are in its price range. It can do this because it buys on the world market that Americans are not allowed to access.

    184. Re:Don't be mistaken by MoarSauce123 · · Score: 1

      Also, about 80% of the budgets of drug companies are spent on marketing, the rest is for production and R&D. Further, the overhead in medical facilities is insane. Yes, it gives people jobs, but look at how lean facilities are run in Europe requiring only a fraction of the expenses while delivering the same quality of care. In Germany, for example, EHR are common place for decades, billing is standardized across all plans, and consumers sign up with the insurance company they want to rather than having the employer pick it for you, health care insurance is mandatory for almost everyone (see below), access fees are split 50/50 between employee and employer, and the access fees are based on a percentage of income with a max percentage set by law. Insurance companies can compete for customers by offering access fees at a lower percentage of income. That also means that rich people pay more while receiving the same level of service....although really rich people can ask to be excused from the insurance mandate. Then they have to pay out of their own pocket which may be cheaper for them and is wildly preferred by providers.
      By the time Trump is done destroying this country we can double the number of people having to decide between food, shelter, and health care.

    185. Re:Don't be mistaken by MoarSauce123 · · Score: 1

      Relaxing regulations brought us the Wall Street meltdown and the following mega recession. It is naive, if not painfully dumb to believe that less regulation is better for the greater good. Less regulation is only good for rich people and rich corps to get even richer by making everyone else pay. How many more times does this Reagonomics think have to be proven to be majorly flawed?

    186. Re: Don't be mistaken by cyber-vandal · · Score: 1

      Are there no prisons? Are there no workhouses? What you're forgetting, Scrooge, is that health insurance works in exactly the same way as the evil socialised medical services. You wouldn't pay full price for a major operation if you were insured. The difference is that the evil socialised medical services don't have whole departments dedicated to screwing you out of the treatment you paid for.

    187. Re: Don't be mistaken by kenh · · Score: 1

      europeans don't count premies that die shortly after birth, Americans do - we have older women having riskier pregnancies and delivering more at risk babies.

      A lot of the differences are in what is and is not counted.

      Capture the same life span metrics from european countries and America, and the two will be much closer.

      --
      Ken
    188. Re: Don't be mistaken by kenh · · Score: 1

      What about the tens of thousands(studies show 18k-45k depending on methodology, the 18k figure is from conservative estimates) of American citizens who die every year because they simply can't afford to take part in your health care system?

      Our brilliant leaders in the last administration decided to fine those folks that can't afford insurance, to help drive down premiums for those that can afford coverage.

      Then, when administrations change, the new leader chooses to eliminate the Individual mandate - because taking money from people that can't afford health insurance is just mean - and gets attacked for taking healthcare away from people!

      --
      Ken
    189. Re: Don't be mistaken by Alsn · · Score: 1

      That I can agree with, politics making a shitty job out of fixing a problem isn't news in any developed nation. When arguing the pros and cons of solutions though, misinformation and unsubstantiated scaremongering helps no one.

    190. Re: Don't be mistaken by Alsn · · Score: 1

      Oops, meant to reply to kenh, not to myself.

    191. Re:Don't be mistaken by Patent+Lover · · Score: 1

      Wrong. Single payer means the government negotiates a single price for drugs and services, instead of thousands of insurance companies doing the same. For reference, see the rest of the modern world.

    192. Re:Don't be mistaken by dcollins117 · · Score: 1

      We use a market-based system with essentially no floor and we are going broke.

      We're no where near going broke. If that were true, then the recent vote to reduce taxes would be a highly irresposible thing to do.

      What the GOP objects to is any program that benefits the poor, disabled, minorities, and the elderly. Welfare for poor people is bad. Welfare for corporations is terrific.

      There is plenty of money to go around, but the hypocritical GOP pieces of shit in Congress want all of it going to the rich. Let's not pretend otherwise.

    193. Re:Don't be mistaken by Alsn · · Score: 2

      Said text also includes a suggestion at the end that in one of the cases where that government IS the middle man, costs are lower. I'm not American, so I don't really know what to compare it to, but unless that part is an outright lie, the text does indeed seem to suggest that a government payer is a *better* middleman.

    194. Re:Don't be mistaken by ranton · · Score: 1

      If we took all the profits away from the investors, how much extra health care could we buy?

      The top six health insurers reported $6 billion in adjusted profits for the second quarter of 2017. That was a record quarter, but considering that isn't even all the insurance companies it could be argued that each household would save at least $200 per month on health care costs if not for that profit. That is a far more serious chunk of our health care dollars.

      Wasteful spending caused by how our insurance system works is harder to pin down, but it is clear that this drive for profits caused far more economic damage than just the profits it siphons off to shareholders. The total waste has been estimated by some to be $1 trillion per year That would save each household over $650 per month.

      There is no honest debate on whether a single payer system would save an enormous amount of money for tax payers. It's too bad even most progressive politicians think enacting such a system is too politically unfeasible to get behind.

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    195. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Sweden is a well off country economically with a VERY small population. It is 3% that of the United States. The socialist system works in Sweden, but that doesn't mean it works for the world. If a small socialist country opened its boarders to the worlds poor the system would collapse. The way it is maintained is by racist restrictive immigration policies. And it doesn't really if Sweden lets more people in than any other country. The fact remains its still not letting everyone in and must decide who to let in in order to keep the system functioning adequately.

      I'm not anti immigration. I think there should be no men at the boarder making decisions who can enter and who can't at all. I don't think the way the US health care system works before or since Obama care is a good system. It's a terrible system. I'd rather a single payer system provided nobody is allowed to profit beyond what is necessary to attract people into the service areas needed by society- but this system too is terrible and doesn't work with open boarders. So instead I'd prefer the government do neither. What I'd prefer is the government remove the laws which prevent me from partaking in non-insurance non-profit cost sharing organizations. The US restricted these to those operated by religious groups pre-dating 1950 I think. I'm an atheist and I shouldn't be forced into a religious non-health insurance program or suffer at the hands of health insurance companies. The non-health-insurance cost sharing programs are a fraction the cost of health insurance.

      I advocate the near elimination of the tax system and a return to charity. Most of the basic things we all use like roads make up only about $350 USD of your taxes. Other services like non-governmental schooling become affordable when you eliminate government involvement and the 70%+ of your wealth that the government steals from you in the USA is returned. It's significantly more in socialist countries like Sweden.

      I also have a story about my partner who experienced first hand what socialist medicine really meant. One of the earlier states to roll out a socialist health mandate was Massachusetts. At the time and before I had met him my partner was working a minimum wage job. In the socialist wisdom the government forced health insurance onto everyone but in the process that had to be funded by something. It ended up reducing his effective income to a point he couldn't feed, clothe, and house himself. He ended up sleeping on someones couch for many many months before I met him and he eventually gave up and moved in with me. He left the state to do this and gave up on employment. In NJ by this point a similar socialist system had been setup. Here he decided to go ahead and get on the government funded health program. Well, after filing out a ton of paperwork and getting health insurance through the state program they contacted him to demand evidence of his non-existent employment. How do you prove no income?????? Well, he jumped through some more hoops and finally he had government paid health care. Now he tried to use it. He made an appointment with a government approved doctor. Which was only an hour away by car (no public transit where we were living)... in spite of the many doctors, hospital, and all that in our very town which was at the heart of the county and where everybody went from surrounding areas for health care. Now he has no income remember and so he has no car. So how is a person with no income or making minimum wage with no chance at car ownership in an expensive socialist shit hole supposed to get to this far off government doctor? Walk? HA. My partner biked 50 miles from nashua to boston and back just to do an unpaid internship for 3 months. But given the hilly area even he couldn't of pulled this off. But let me continue the story. So he borrows my car as he did have a license and gets to the doctors appointment. This is about a week later. They tell him the doctor doesn't take government insurance. Yea- he was told one week prior when he made the appointment a

    196. Re:Don't be mistaken by Kohath · · Score: 1

      That's some awesomely fucked math you got there. Let's correct that

      The top six health insurers reported $6 billion in adjusted profits for the second quarter of 2017. That was a record quarter, but considering that isn't even all the insurance companies it could be argued that each household would save at least $200 per month on health care costs if not for that profit.

      There are about 125 million US households.
      There are about 3 months in a quarter.

      $6 Billion per quarter / 3 months per quarter = $2 Billion per month
      $2 Billion per month / 125 million households = $16 per month per household

      So your $200 per month per household is inflated by 1250%.

      There is no honest debate on whether a single payer system would save an enormous amount of money...

      Is that because single payer advocates can't do simple arithmetic?

    197. Re:Don't be mistaken by dave420 · · Score: 1

      The US already spends more tax money per capita on healthcare than most developed countries with universal healthcare/single payer systems. The money is already there - it's being squandered on insurance middlemen and businesses operating where no business has any reason to do so. You are perpetuating a falsehood which only serves to condemn successive generations to developing-country-level healthcare. I know you think you're helping, but you're doing exactly the opposite.

    198. Re:Don't be mistaken by dave420 · · Score: 1

      Healthcare scales. The US already spends more tax money per capita on healthcare than countries with universal systems. Your argument needs a lot of work.

    199. Re:Don't be mistaken by dave420 · · Score: 1

      Hint: basing assumptions of a complicated system on a few acquaintances isn't going to yield useful results. The statistics are known, and you're incorrect. Outcomes in Canada are comparable to the US, and it costs far less.

    200. Re:Don't be mistaken by dave420 · · Score: 1

      You should check the official rankings as opposed to what you read from randoms on the internet...

    201. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      . Europe flat out refuses to pay their minimum share of NATO, 2%, because this would bankrupt them

      Wrong.

      "The Europe" paid well over 2% GDP into their defence for decades.... during the Cold War. After hostilities ceased and Russia under government by a friendly drunk, this gradually declined. And now that Russia is fast becoming a threat again, you're seeing defence spending going up.

      Stop making excuses. You Americans still think you're in a rat race, but in reality you lot are all together in a crab bucket.

    202. Re:Don't be mistaken by Budenny · · Score: 1

      Europe and the UK do it very differently. Its a two-by-two matrix. Insurance can be state or private. Provision can be state or private. The US is private and private. Europe is state insurance and private provision. The UK is state insurance and state provision in a nationalised health industry. The UK does it by rationing the provision of care. Europe does it by asking for top-up contributions.

    203. Re:Don't be mistaken by bingoUV · · Score: 1

      The profit computed was from top six health insurers, so it would make sense to only include the households that have insurance from one of those six health insurers.

      Are you sure 125 million households have insurance from one of those six health insurers ?

      --
      Bingo Dictionary - Pragmatist, n. A myopic idealist.
    204. Re:Don't be mistaken by TheRaven64 · · Score: 1

      Which is why his point makes no sense. The things that are approved by the FDA are more or less the same things that are approved in the UK. The existence of the NHS doesn't prevent you from having a private doctor prescribe you approved drugs or performing approved surgery, even if the NHS won't cover it.

      --
      I am TheRaven on Soylent News
    205. Re: Don't be mistaken by FuzzyDaddy2 · · Score: 1

      Yeah, itâ(TM)s never worked anywhere else.

    206. Re: Don't be mistaken by Reverend+Green · · Score: 1

      It's probably better to find a different term than "tort reform". Reform is a nebulous concept. "Cap on punitive damages in malpractice suits" would probably have pretty high popularity. However it's a mouthful. Maybe in the spirit of brexit we can call it "punicap".

      Not saying I agree it's a good policy. I haven't thought about it enough. But I think phrased that way it would be a lot more palatable to most people than "tort reform".

    207. Re: Don't be mistaken by Reverend+Green · · Score: 1

      Everyone knows the Pentagon is not going to get gutted to pay for National Healthcare. Everyone knows that you can't pay for National Healthcare with the current budget.

      The policy question is, do we want socialized medical care for everyone, paid for through taxation? Or do we prefer to continue the current system of very expensive, low quality healthcare that
        excludes part of the population?

      It's not an academic debate about socialism vs free market. Our current medical system has the dubious distinction of being both unfathomably expensive and quite shitty. It's unlikely that even the most spectacularly mismanaged National Healthcare program would be worse.

      Many other large, civilized countries are able to provide healthcare for their entire populations. America can too.

    208. Re:Don't be mistaken by ranton · · Score: 1

      You are absolutely correct that my math on the profits was off, because I must have thought I already divided by 12 when getting the per month figures. I should have taken more time to check my math. That is still 10x more impactful than CEO salaries, but not as much as I would have thought.

      There is no honest debate on whether a single payer system would save an enormous amount of money...

      Is that because single payer advocates can't do simple arithmetic?

      Although here are you taking a largely irrelevant math mistake and ignoring the more important part of the math I got right.

      $1 Trillion per year / 12 months / 125 million households = $667 per month

      The wasteful spending caused by profit seeking health insurance companies is still the largest caused of the inflated health care costs in the US.

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    209. Re:Don't be mistaken by werepants · · Score: 1

      In the sense that a red cross volunteer and criminal warlord are both middlemen for basic food supplies.

    210. Re:Don't be mistaken by torkus · · Score: 1

      Bankrupt the country? ROFL.

      You're so misled. If the US paid, per person, what most other countries with universal healthcare pay, we could fund the entire damn thing with what we pay today. Oh, didn't you know? The US Gov't already pays the majority of healthcare costs in the country.

      Using our norther neighbor's insurance costs vs the governmental contributions to healthcare in the US alone, we could provide every person in the US with healthcare. Hell, we could probably cover canada too as a thank-you for fixing our shit.

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    211. Re: Don't be mistaken by torkus · · Score: 1

      But...think of the CEOs!!! Without all this ridiculous spending they might...omg they might not be able to keep the yacht docked at their mansion in Miami!

      Seriously, the amount of money consolidated and mis-spent in military and healthcare spending would be enough to provide healthcare for the remainder of our country, fix our ailing infrastructure, and send some tourists to mars several times over.

      But...the CEOs!!!

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    212. Re: Don't be mistaken by torkus · · Score: 2

      How can we NOT know this? There are multiple examples of other countries with people and less wealth per-capita (so they get less economy of scale while having less to spend per person) who do this quite readily.

      I love using canada as an example here. US spend for healthcare is $8233PP while Canada with universal healthcare is a mere 4445. Multiply THEIR rate by OUR population and you could cover the whole US for an additional $400BB. Not cheap, but not impractical by any means given we wast^^^^spend $600BB on the military a year.

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    213. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      By limiting services as much as possible.

      Not true! I live in Finland and I get quality healthcare without compromising my life in other respects.

    214. Re: Don't be mistaken by david_thornley · · Score: 1

      If you require insurance companies to offer plans that cover pre-existing conditions, then either they're working with a very large insurance pool that includes a lot of healthy people, or the premiums are going to be sky-high. The phenomenon of only sick people getting insurance is "adverse selection". Therefore, by mandating that everyone have health insurance (and providing financial aid so everyone can afford it), and having a marketplace, insurance costs are kept down.

      Removing the mandate means that people with pre-existing conditions will not be able to afford insurance.

      Health care is at least moderately complicated, and what's obvious may not be good.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    215. Re: Don't be mistaken by david_thornley · · Score: 1

      So, you're saying that we pay about half again as much per capita as any European health care systems, but the results aren't as much worse as it looks.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    216. Re:Don't be mistaken by Lord+Flipper · · Score: 1

      This has always been an appeal to emotion rather than reliance on actual facts and figures.

      Thank you for speaking up, and shining a bit of the light of reality on this subject, and specifically, this right-wing, pro-corporate, absurdist "argument" against moderate regulation of would-be unfettered capitalism, not to mention the necessity of enforcing equal treatment before the Law.

    217. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Single-payer would bankrupt the country.

      I think you are confusing "single-payer" and "for-profit" healthcare.

    218. Re: Don't be mistaken by shaitand · · Score: 1

      "Seriously, the amount of money consolidated and mis-spent in military and healthcare spending would be enough to provide healthcare for the remainder of..."

      A big chunk of the world.

    219. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      wrong. Single payer would reduce the exorbitant costs imposed by for profit hospitals, for profit placebo drug companies, for profit doctors and for profit pharmacies.

      The medical system needs to cap salaries, and only pay a determined amount for operations, procedures, etc. A colonoscopy should not be $3000, when it's a half hour procedure that does not need the entire operating theatre to be swabbed down. The doctor is worth $300 for the exam, the nurses $200, and hospital fees for the rest. A team of doctors can do a procedure in 10 minutes, allow 20 for cleanup and do another in 10 minutes. With three or 4 doctors in the department, the hospital can make a good profit. The hospital also makes a good profit from parking fees.

      My bro-in-law had a splinter removed from his finger. Cost was $1200 because he did not have insurance.
      Do you need more examples. Do you know what pharmacies charge for placebos?

    220. Re:Don't be mistaken by Straif · · Score: 1

      Making profit and making enough profit to reinvest in large scale R&D are 2 completely different things. One dictates whether it's worth making shipments to a region to sell your wares while the other determines if you actually have wares to sell in the first place.

      Only in a world where math doesn't exist would eliminating the mark up in a market which makes up over 45% of the worlds pharmaceutical revenue not impact their R&D budgets. I'm not saying it's fair to the US, it clearly isn't, I'm just saying all you people saying the fix for the US is just to model other countries drug buying policies are living in a dream world.
      Drug companies are in the drug business to make money. They don't want to have to wait 30 years to see the ROI for a cancer drug. Sure they can make a profit off each sale of the pill @ $15 a bottle but that doesn't compensate then for the $250 million in research to come up with that drug in the first place. If the ability to make their money back in a reasonable timeline is removed they simply won't spend the $250 million in the first place.

      --
      Of course that's just my opinion...... you could be wrong!
    221. Re:Don't be mistaken by Applehu+Akbar · · Score: 1

      Computer processors are subject to the same economics as pharma development: R & D is a large fraction of the price, it takes yearsto develop and test each new product, and the marketing is indirect. "Intel Inside" is the same kind of marketing as "Ask your doctor about."

      The one difference is that electronics sales has always been part of an open-market competitive culture, while pharma sales take place in the historically cartelized healthcare culture, in which pharma companies use governmental legal systems to carve out restricted markets for themselves. Intel and AMD have no such privilege, so they have to compete openly for your US dollars.

    222. Re:Don't be mistaken by Anonymous Coward · · Score: 0

      Do not those extra millions belong to the shareholders? The CEO does not generally own any significant shares, and and he is not worth more than 10 to 20 times the average salary of the employees in the corporation.

      The shareholders and purchasers of insurance deserve to not overpay senior employees. No boss can manage more than 10 employees who run diverse departments. If he spent one hour per day per manager, he could see each of them 3 times per week and have time to do his own things as well.

      By managing 10 employees, for a bosss earning $450 million per year, that's an amazing $45 million dollars of fees to manage one employee. WOW, WOW WOW

    223. Re: Don't be mistaken by djinn6 · · Score: 1

      And.. Have you considered what situation we'd be in without a military?

      Oh yeah, Canada's totally going to invade us. Next thing you know, we'll be speaking Canadian French!

    224. Re:Don't be mistaken by djinn6 · · Score: 1

      Voters are going to vote their own wallet over voting for their doctors. If they believe single payer will be cheaper for them, they'll vote that way.

    225. Re: Don't be mistaken by Anonymous Coward · · Score: 0

      You're an idiot. Canada has not been bombed by the Germans.

    226. Re:Don't be mistaken by vakuona · · Score: 1

      If only 2% of malpractice suits result in a payoff for the plaintiff, then there is a lot of money possibly being spent and added to healthcare costs unnecessarily.

      So doctors have to have insurance to ensure that malpractice suit don't bankrupt them.

    227. Re:Don't be mistaken by AutodidactLabrat · · Score: 1

      Bullshit
      The "existing conditions mandate" exactly countered the increased-mandatory-insurance income.
      And now Greedy Capitalists have removed the latter, guaranteeing the former will also pass away

    228. Re:Don't be mistaken by wyHunter · · Score: 1

      Believe me, I'm no fan of what we've got at the moment. I was merely making an observation. Of course, the biggest thing I wonder is "Why do so many people "need" lifestyle medications ?" But that's another conversation.

    229. Re: Don't be mistaken by bobbied · · Score: 1

      And.. Have you considered what situation we'd be in without a military?

      Oh yeah, Canada's totally going to invade us. Next thing you know, we'll be speaking Canadian French!

      LOL, Where do you think Canada would be without our military then? Why in the same place you fool, only they'd be speaking Russian by now.

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
  2. 10% spent on out-of-pocket" health expenses? by OffTheLip · · Score: 3, Insightful

    I'm surprised it's not a greater percentage than that. It is for me.

    1. Re:10% spent on out-of-pocket" health expenses? by oic0 · · Score: 1

      Yep. FSA limit for me was 2100. That's very easy to blow through.

    2. Re:10% spent on out-of-pocket" health expenses? by Anonymous Coward · · Score: 0

      I am spending ~7% of my paycheck for healthcare. That is before the deductible kicks in. I used to spend ~0.5%. My healthcare costs have gone up dramatically and the amount of service I get for that amount has gone done dramatically.

  3. It's not healthcare by Anonymous Coward · · Score: 1

    It's health insurance.
    Get it right.

    1. Re:It's not healthcare by Anonymous Coward · · Score: 0

      There is no health insurance in the United States. Health insurance is a voluntary arrangement in which one party wagers they will experience a malady which will require use of the insurance, while the provider counter wagers that they will not.

      What we have in the United States is a healthcare racket, where the insurance companies are guaranteed payment by use of government force and provide dubious service to people who didn't want it to begin with.

  4. What fraction of those are in the USA? by bogaboga · · Score: 0

    Almost 100 Million People a Year 'Forced To Choose Between Food and Healthcare'

    The USA accounts for about 0.5m of those? Maybe?

    Just guessing...

    1. Re:What fraction of those are in the USA? by Train0987 · · Score: 0

      Probably less. When was the last time anyone heard of an American starving to death? Our poorest of the poor have an obesity problem.

    2. Re:What fraction of those are in the USA? by bogaboga · · Score: 1

      FYI, the article didn't talk about "starving to death..."

      Read this article.

      It will perhaps educate you.

    3. Re:What fraction of those are in the USA? by sycodon · · Score: 0

      Pretty much.

      Yet the SJWs will use it to rail on America.

      Just see the first thread.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    4. Re:What fraction of those are in the USA? by Anonymous Coward · · Score: 0

      The food one chooses to eat is also part of healthcare. A lot of people, across the economic spectrum, eat garbage. The headlines always trot out the truly needy individual looking for a heart or kidney but a lot of ailing folks are just obese, (pre-)diabetic, lethargic or they drink too much. They don't exercise and they eat garbage. Don't ever expect the news to trade in anything except vast generalizations. Don't ever expect the politicians to trade in anything except more tax money and votes. Healthcare is a sign of a moral government but the individual has to be part of it; of their own healthcare.

      This is not news for nerds. But it is what slashdot has become.

    5. Re:What fraction of those are in the USA? by Archangel+Michael · · Score: 2, Insightful

      The poorest Americans are richer than the average of the rest of the world. They have access to actual healthcare where in other places, they don't even have access, as there are no doctors. We live in a world of riches, and think we're poor, because the myopia we suffer. The solution being offered, "single payer" isn't really a solution, and will end up putting us on the road to Venezuela and Greece.

      The real fix is to get rid of insurance all together, and rid ourselves of the middlemen extracting 50% of all costs for themselves. It will actually lower costs (backoffice) that doctors have to run chasing down insurance repayments and keeping track of all the required paperwork it involves.

      There is no reason why 8 hour (that should have been 2) visit to the Emergancy Room cost $10,000(no costly tests), except insurance. You see, those that can pay, end up paying for those that can't (or won't), with the Insurance Middlemen getting their cut.

      And THAT is why healthcare costs so much.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    6. Re:What fraction of those are in the USA? by Anonymous Coward · · Score: 0

      It happens over 1,000 times a day. Go read something.

    7. Re:What fraction of those are in the USA? by sycodon · · Score: 2, Insightful

      On a gold-gray morning in Mitchell County, Iowa, Christina Dreier sends her son, Keagan, to school without breakfast. He is three years old, barrel-chested, and stubborn, and usually refuses to eat the free meal he qualifies for at preschool. Faced with a dwindling pantry, Dreier has decided to try some tough love: If she sends Keagan to school hungry, maybe he’ll eat the free breakfast, which will leave more food at home for lunch.

      Dreier knows her gambit might backfire, and it does. Keagan ignores the school breakfast on offer and is so hungry by lunchtime that Dreier picks through the dregs of her freezer in hopes of filling him and his little sister up. She shakes the last seven chicken nuggets onto a battered baking sheet, adds the remnants of a bag of Tater Tots and a couple of hot dogs from the fridge, and slides it all into the oven.

      So her little brat kid won't eat the free meals. But wait, she was feeding him breakfast at home too?

      And she's buying frozen chicken nuggets and Tater tots? A dozen eggs cost $1.50. Potatoes even less per pound. Iceberg Lettuce is sometimes also $1,.50 cents a head.

      On this particular afternoon Dreier is worried about the family van, which is on the brink of repossession. She and Jim need to open a new bank account so they can make automatic payments instead of scrambling to pay in cash. But that will happen only if Jim finishes work early.

      And they own a Van. OK. Seems like a Corolla would have been a better choice. And apparently she is incapable of opening a bank account by herself? BTW, most banks have Sat hours.

      Either this article is poorly made up bullshit or these people are the victims of their own idiocy.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    8. Re:What fraction of those are in the USA? by Khashishi · · Score: 2

      It's true: poor Americans don't normally starve. But they do frequently die of exposure or lack of medical care. The indigent mostly get care from emergency rooms, and don't have treatment for more chronic issues.

    9. Re:What fraction of those are in the USA? by Jason+Levine · · Score: 1

      The van might be paid off (either because it's just that old or from better times when money was more plentiful) whereas getting a new (or even used) car would come with car payments that they couldn't afford.

      --
      My sci-fi novel, Ghost Thief, is now available from Amazon.com.
    10. Re:What fraction of those are in the USA? by dcw3 · · Score: 1

      I'd argue that the solution is for people to have fewer kids, but that's somewhat off-topic.

      Yes, we do need of get rid of the insurance companies. If you accept that government is going to be involved in our healthcare, then there's no logical reason for insurance companies. I'm no fan of big government, but insurance companies are simply leaches on the system.

      And to pile onto your ER example, I have my own anecdotes. Last March, I had a severe fall that nearly sliced my nose off of my face when it hit the edge of a flagstone step...the photos were brutal. I was on the surgical table for about 1.5 hrs., and spent one night in the trauma unit. This came to more than $50,000, not including subsequent visits to the plastic surgeon's office. And while I only had to cover about 10% of that, I don't understand where all that money went, other than profit, or to subsidize those who couldn't afford ER visits.

      Just one more...my daughter sliced her hand open while working in the kitchen of a local resort. The staff at the resort basically superglued the cut. I came and took her to a local ER, where she got a tetanus shot, and after the doctor examined it, told us that the glue job was fine, and she could go home. $1500 for a shot and a look by a doctor. Fortunately, that was covered by workman's compensation.

      --
      Just another day in Paradise
    11. Re:What fraction of those are in the USA? by Oxygen99 · · Score: 1

      Is that true when there are non-negligible parts of the United States that don't have access to basic sanitation?

      --
      I had a dream, bright and carefree, but now there's doubt and gravity
    12. Re:What fraction of those are in the USA? by Anonymous Coward · · Score: 0

      Go watch the documentary "Remote Area Medical" and let us know if you still feel the same way.

    13. Re:What fraction of those are in the USA? by Anonymous Coward · · Score: 0

      The solution being offered, "single payer" isn't really a solution, and will end up putting us on the road to Venezuela and Greece.

      But the sad part is we are already on our way there without single payer healthcare. And all the while spending as much public money on healthcare as many other countries already do. Our debt to GDP ratio is already horrible. Throw in a Trumpian tax cut, some infrastructure spending, a wall, and a great military, and we have only one direction to go.

    14. Re:What fraction of those are in the USA? by Graymalkin · · Score: 2

      So we get rid of insurance but single-payer is a no go...the way to pay for medical care is then âoebe richâ? If you donâ(TM)t want to suffer from chronic conditions with expensive treatment then simply donâ(TM)t be not rich?

      Even if you take all of the insurance industry padding out of medical bills they are still not cheap. The bottom four quintiles of the population wouldnâ(TM)t be able to afford more than occasional clinic visits. Treatment of chronic conditions would only end up available to the wealthy, even a good portion of the top quintile of the population would find treatment inaccessible.

      Insurance works by risk pooling. Thereâ(TM)s nothing fundamentally wrong with risk pooling and is exactly what a single-payer system would do. Everyone pays into the system which has funds to pay for individual expenses because not everyone gets expensive to treat conditions simultaneously. Overall productivity increases because everyone has ready access to basic healthcare and doesnâ(TM)t need to choose between food and a trip to the doctor or filling a prescription.

      When people can see a doctor for minor conditions without resorting to an emergency room visit not only do they see less impact from minor conditions but can get early identification and treatment for major ones. Businesses win because their workers are sick at work less often (just by having their symptoms effectively treated sooner) which limits the spread of disease through the staff.

      Single-payer has the same benefits economically as just eliminating health insurance with the added bonus of people having effective healthcare.

      --
      I'm a loner Dottie, a Rebel.
    15. Re:What fraction of those are in the USA? by danbert8 · · Score: 1

      A van that is on the brink of repossession is not paid off.

      --
      Yes it's an anecdote! Were you expecting original research in a Slashdot comment?
    16. Re:What fraction of those are in the USA? by houghi · · Score: 1

      The last time I went to a bank was to open an account. Well, I had to present myself so they knew I existed. Took about 10 minutes. Could be done during lunch hour.
      But perhaps that is all because I use the metric system.

      --
      Don't fight for your country, if your country does not fight for you.
    17. Re:What fraction of those are in the USA? by Shotgun · · Score: 1

      Vehicles that are paid off generally are not "on the brink of repossession" or require "automatic payments".

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
    18. Re:What fraction of those are in the USA? by Anonymous Coward · · Score: 0

      They obviously have a loan on it now:

      On this particular afternoon Dreier is worried about the family van, which is on the brink of repossession. She and Jim need to open a new bank account so they can make automatic payments instead of scrambling to pay in cash. But that will happen only if Jim finishes work early.

      The van could be a 2017 or a 2007. Without details it is hard to say whether selling it and getting something cheaper would be better.

      I agree that they could make better choices with food. In my parts, you can get chicken for less than a $1 a pound and eggs for less than $.50 a dozen now that ALDI has shown up in my area. Hell, you can get boneless chicken breasts for less than $2 a pound on sale. I actually spend less on food than I would get from food stamps for my household size. My diet is mostly fresh meats and produce. Having a chest freezer helps, they require very little energy, and only cost a few hundred dollars. I bet if they lived on rice, beans, eggs, bananas, and bake their own bread products, they could have a chest freezer in a month or two.

    19. Re:What fraction of those are in the USA? by bingoUV · · Score: 1

      How many kiloseconds is that ?

      --
      Bingo Dictionary - Pragmatist, n. A myopic idealist.
    20. Re:What fraction of those are in the USA? by Archangel+Michael · · Score: 1

      Single Payer is Health Insurance. Instead of private companies striving for efficiencies, you end up with what looks a lot like the VA health system.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    21. Re:What fraction of those are in the USA? by skam240 · · Score: 1

      My dad is in the VA health system. He has a hospital bed and an electric wheel chair that they have provided and gets regular physical therapy in the hopes that we can get him walking again.

      So were you pointing out how awesome VA coverage is as a means of reinforcing the above's claims?

      --
      I ignore Anonymous Coward posts. If you want to discuss something, that's awesome. Log in.
    22. Re:What fraction of those are in the USA? by skam240 · · Score: 1

      What a world of ignorance you live in. There is an entire Western world outside of our own that has perfectly healthy economies (think Germany, UK, Australia, and Canada to name a few) that have socialized medicine. No one who finds themselves ill due to genetic disease, cancer, or any other form of illness ever has to worry about impoverishing their families in these societies.

      Really it sounds like some sort of crazy utopia to Americans and yet it's something that is regularly enjoyed by country's that are far less wealthy than ours. The reality is we are poorer than these nations for this.

      You're comparison of socialized medicine to country's that were massively corrupt and/or miss-run really betrays your willful ignorance of the subject.

      --
      I ignore Anonymous Coward posts. If you want to discuss something, that's awesome. Log in.
  5. Uh-huh by Anonymous Coward · · Score: 0, Troll

    And when they “choose” they buy cellphones, ultra large screen TVs and the latest video game system.

    I’ve seen it personally.

    Like food stamps in the US if you force them to eat healthy they MIGHT buy more likely they’ll trade their food stamps for the goods they want.

    The solution is to let doctors actually PRACTICE medicine and not bind them up with endless bureaucracy forcing them into managed hospital systems with even more red tape and costs and regulations about how many people they need to see to be “productive”

    1. Re:Uh-huh by Anonymous Coward · · Score: 0

      Health care needs to be profitable, or it's not worth doing. If someone can't earn a living off of fixing your problems, then they won't bother. You need to fix your own problems. If you can't, then you're a burden on society and frankly we'll be better off without you. What's that you say? You have a family, loved ones, friends who will miss you? Great, have them all chip in. We'll get you fixed up.

      Life is expensive. Life costs money. Fixing broken humans is probably the most important thing that people do and there is no reason it should be inexpensive or free. It should cost a lot. It's not simple and it's not easy. If there's not good money to be made in doing it, the smart and talented people will go do something else that they can make good money at ... so that they can afford to have *themselves* fixed when they break down.

  6. And yet... by Anonymous Coward · · Score: 0

    And yet, people like Bill Gates and Jeff Bezos amass tens of billions of dollars that could be used to provide food and healthcare for these people. How can anyone justify people accumulating this wealth while so many suffer in extreme poverty? I'll be waiting...

    1. Re:And yet... by Anonymous Coward · · Score: 0

      When you grow up, you will no longer be a socialist.

    2. Re:And yet... by Anonymous Coward · · Score: 0

      Bill Gates and Jeff Bezos got rich off government subsidies, contracts and protectionism via intellectual property law. If you think the free market granted them their billions, your public school indoctrination was successful.

    3. Re:And yet... by Anonymous Coward · · Score: 0

      When you grow up, you will no longer be a socialist..

    4. Re:And yet... by Anonymous Coward · · Score: 0

      Bill Gates, et. al do NOT have tens of billions of dollars.

      Fucking look up "wealth" and then lookup "income".

    5. Re:And yet... by Archangel+Michael · · Score: 1

      Do you run Linux or Windows on that computer? Do you buy using Amazon? Those are free will choices that made those guys rich.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    6. Re:And yet... by Anonymous Coward · · Score: 0

      Funny, all the socialists I know are older with high paying jobs running your internet infrastructure. Or they are doctors.

    7. Re:And yet... by Anonymous Coward · · Score: 0

      >giving men fish instead of teaching them to fish
      You are the reason the population of Africa is beyond a sustainable level.

    8. Re:And yet... by Anonymous Coward · · Score: 0

      Creimer, I love you so much! If I have the mod points, I would polish up your nob!

      --
      Balena!

    9. Re: And yet... by Anonymous Coward · · Score: 0

      Rockefeller owned 1.5% of the American economy. In modern terms, heâ(TM)d be capable of giving every American about $1,000.

    10. Re:And yet... by Anonymous Coward · · Score: 0

      I'm arguing against subsidizing the rich via taxes, and you think I'm a socialist?

      When you grow up you will no longer be illiterate.

    11. Re:And yet... by Anonymous Coward · · Score: 0

      I despise Gates because he got rich lying about how great were his shitty products. Bezos is a tougher nut to crack.

    12. Re:And yet... by Anonymous Coward · · Score: 0

      I think that in the US unaffordable health care is part of a larger problem. As good-paying, productive jobs disappear, jobs which are thought to be absolutely necessary for society to function begin to attract more and more people and such sectors become overcrowded. Health care is one example of this, but there are others, like the jail industry (jails are a necessary evil, but a couple of private jail companies rake in tens of billions a year), universities (because you need education to get ahead when there are few jobs and the government will loan you money to go to college), and the legal profession (because when jobs are scarce, suing for damages or what not becomes a consideration). All this accelerated after ca. 1985, when the "financial economy" overtook the real economy (the economy of actually making things). Around that time, GNP, which was a measure of the real economy, was discarded in favor of GDP, which includes the money-shuffling economy (so, when somebody maxes out his credit card to buy that gigantic large-screen TV designed and made in Korea, that enters today's GDP as "wealth").

      Necessity is the mother of invention. And invention is something America is very famous for the world over. Just like America set an example with aviation, space travel, rock n' roll, and the internet, it can set an example of a new era in health care. For example, crowd-sourced diagnostics can already outperform expert doctors. And why should we have to go to a specialized lab for blood work and not do it at home? A lab-analyzer-on-a-chip costs a few $k, so it is not too far out of reach for the average individual. And yes, competition may fix the problem. Somewhere I've read that in India a heart bypass costs about $10k vs. over $250k in the US, so India has set up hospitals which mostly cater to foreigners (medical tourism). Those prices (which undoubtedly will rise if demand increases) are less than Obamacare's premiums for some people. Don't laugh because US-trained doctors in India already have been assessing MRI's, CATscans, etc., for big-name hospitals for years (because the data can be relayed electronically but now the price difference is so wide that the price of airline tickets and hotel accommodations become negligible, so the patient himself can just physically go to India). Instead of being evaluated by a nurse practitioner, you can just fly to India and be examined by a US-trained doctor.

      Change will come because the current situation with health care is unsustainable.

  7. Impossible by Anonymous Coward · · Score: 1, Informative

    The Democrats fixed healthcare a decade ago, remember?

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

      No, that was insurance. Conservatives wouldn't let them do anything about Healthcare.

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

      Which branch of government did conservatives control at the time again?

  8. Consider the arc of history by Anonymous Coward · · Score: 0

    At least people today have a choice. At any time prior to the late 20th century, these people would have just died.

  9. Being Poor Sucks by nevermindme · · Score: 1

    At $3.00/day what are we to expect, these people are poor. 100 million people are criticaly poor in third world sence, their governments and societies have failed to provide a modicum of capitalism where even a pittance of service to society is worth ten times that.

    Perhaps instead of talking about universal global health insurance we should talk about restrictive economic states who keep their poor permanently poor and living is squaller. Perhaps lets skip the 80 years of a socialism experiment and jump right into a free market economy where the worker is in high demand and healthcare is just another perk to attract useful labor. Dare to dream.

    1. Re:Being Poor Sucks by Anonymous Coward · · Score: 0

      >the worker is in high demand
      ha ha ha what

      That ship has sailed. No matter what political party, no matter what wealth distribution you use, it doesn't matter what you call it or dress it up in:

      "Workers" are obsolete.

      Billy Johnson is a healthy 18 year old who wants to pay for school in the year 2200. He wants to be a "worker" but there's nothing for him to do. No, don't "akshually" some niche task, we don't need 3 billion poets.

      Exclusive R&D skills are in demand. Cutting edge AI is in high demand. But ditch diggers are dead, and nothing can change that. Well, maybe time travel.

    2. Re:Being Poor Sucks by Anonymous Coward · · Score: 1

      We did try that. It's called the Gilded Age, and I think most of us would rather not go back to living in company towns and being shot on sight for falling asleep on the job. Or having our children die from black lung in a coal mine. Nobody with an understanding of history would willingly go back to corporate slavery, which has proven to be the result of all "free market" economies.

    3. Re:Being Poor Sucks by nevermindme · · Score: 1

      The places with $3/day, $20/day ditchdiggers and pavers are still needed as good portions of the rural globe are missing sanitation, drainage and irrigation in poor neighborhoods. The world bank, the UN and any number of top teir nations send money yearly for these needs and they never seem to be covered but connected upper level bureaucrats sip coffee in the new urban landscapes built on some socialist program.

    4. Re:Being Poor Sucks by danbert8 · · Score: 1

      No, most of us would rather not go back to that because CAPITALISM brought us above that. The corporate slavery thing wasn't even a true free market. But by all means Anonymous Coward, tell me about how your straw man had it so bad.

      --
      Yes it's an anecdote! Were you expecting original research in a Slashdot comment?
  10. To quote Dick Cheney by Anonymous Coward · · Score: 0

    So?

  11. Food is overrated by Anonymous Coward · · Score: 0

    You don't need to stuff your face 3 times a day. Eating once or twice every 48 hours is more than enough.

    Especially in the US you have evidence of people people choosing food over health and it is not due to lack of money. It is all the land whales that need mobility scooters to go around. And yes, they are being forced by bad government policies, and fat acceptance and sleazy advertisement/marketing. There are large swats of land (with cities in them) in US that do not have a place where you can buy grass fed/pastured meat/eggs or non-geo and non-soy veggies or vegetable products. Not to mention kids in schools are being fed refined sugar.

  12. Well... by denzacar · · Score: 1

    That's one way to cure obesity I guess.

    Or unemployment and homelessness.

    --
    Mit der Dummheit kämpfen Götter selbst vergebens
  13. I've accumulated... by Anonymous Coward · · Score: 0

    ...$200K in cash so far. Would you consider me among the "immoral hoarders" like Gates?

  14. 100MM of 7.6GG people by Nutria · · Score: 1

    That's barely 1% of the world population. I think that's damned impressive.

    --
    "I don't know, therefore Aliens" Wafflebox1
  15. What is health care? by Anonymous Coward · · Score: 0

    Most actors in the "health care" industry do little to nothing to improve a patient's future health, instead acting as a clean-up crew. Certainly there will be edge cases where people suffer from tragic events but if we're looking at the mean, it would be smart for these "patients" to invest in better eating and supplements and other pro-active biohacking rather than in insurance. Which one of those methods sounds more like "eating"?

  16. Whatever by bogie · · Score: 1

    Give all the Stats you want. In America, one of the richest country's in the world, we simply don't give a shit about Poverty or Healthcare issues and have no interest in solving them.

    --
    If you wanna get rich, you know that payback is a bitch
    1. Re:Whatever by Anonymous Coward · · Score: 0

      It's called charity. If you care so deeply, there is nothing stopping you from using YOUR money to fund a supplement or an alternative.

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

      Give all the Stats you want. In America, one of the richest country's in the world, we simply don't give a shit about Poverty or Healthcare issues and have no interest in solving them.

      I have an interest. That is why I give to charity. I am not alone in doing this.

      Perhaps you meant to say that we have no interest in having the government solve the problem using tax money. If I thought that would be effective, I would support it. Sadly, I can find no evidence that the government is capable of do this well over the long term.

      When I give money, I look carefully at the charity's track record. I look at the people running it, and make sure audits of its books are clean. Suppose you found a charity offering to provide medical care for all americans. You found that the following facts about it:

      * Already runs a hospital system for veterans. Can't implement electronic medical records in that system, in spite of billions of dollars spent in at least four attempts trying. People routinely wait six months to see a doctor.
      * Outsourced medical care to private doctors for its poor and elderly patients (Medicare and Medicaid). Pays doctors well below market rate, so that about half do not accept patients on these programs.
      * Spends $1.40 for every $1.00 in contributions. Makes up the difference by getting a bigger loan every year. Currently spending 10% of its budget on interest on the existing debt.
      * Run by Donald Trump (I wish I were making this up...).

      Would you give money to such an organization? Why on earth do you think you should be able to force others to give money to this obvious scam?

    3. Re:Whatever by dcw3 · · Score: 1

      Depends.

      We have our own poor to take care of. I you can't solve that, than you have no business trying to solve it for the rest of the world. Do we really need to be sending money around the world when we have homeless on the streets of every major city? How about all of those veterans who still can't get help in spite of all the media attention that was brought to it over the last couple years?

      Many of us who do have decent healthcare are not pleased with our premiums skyrocketing. This isn't giving us any better healthcare, and has in fact removed access to many of the "Cadillac" plans that we used to have because companies are no longer willing to pay for those. Yeah, I get it that more people have healthcare now...and many also have reduced benefits, and more expense as a result.

      --
      Just another day in Paradise
    4. Re:Whatever by Ol+Olsoc · · Score: 1

      Depends.

      Yeah - some people have to wear them.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  17. keeping the man down by Anonymous Coward · · Score: 0

    keep 'em unhealthy, keep 'em down. another form of control by the rich and powerful.

  18. Food is overrated by Anonymous Coward · · Score: 0

    There is no reason to eat 3 or more times a day, except for profits for corporations. Eating once or twice in 48 hours is enough.

    There are many people who choose food over health every day. Voluntarily. All those land whale fatties that stuff their mouths any waking minute, require a mobility scooter to go around and the fire department with construction crane to get in and out of their homes. They are being forced by fat activism, self acceptance of their loaded fat ass, commercials and marketing or just because of where they live. There are large swats in the flyover states that do not have a single place where natural non-gmo, non-soy/fed, non-pesticide, non-antibiotic, non-rbst food is available.
    And all those kids eating refined sugar at school... Someone has already forced them to eat "food" and give up their health.

  19. Re:Easy way to cap malpractice payouts. by Bing+Tsher+E · · Score: 1

    That, and killing 95% of the lawyers.

    Nothing will improve until the two above changes are made.

  20. Plan B is jail/prison (cover more then er and food by Joe_Dragon · · Score: 1

    Plan B is jail/prison (cover more then er and free food)

  21. News for Nerds? by SpaceBoyToy · · Score: 4, Insightful

    First of all, I don't want to minimize the seriousness of this topic. It deserves discussion and action. I'm just not sure it belongs here, on this site.

    I have come to /. for many years to stay up to speed on the latest tech news and other interesting news that interests me. I also follow many other sites for political content. Lately, every site has seemed to wade into politics more than usual. I understand we live in a hyper partisan environment. However, we must have some safe havens from it. This site serves as that, to some extent, for me. I would hate to see it devolve into yet another political dystopia.

    This site was built for a particular niche. I don't know about the rest of you, but I would like to see it stay in the niche.

    1. Re:News for Nerds? by davek · · Score: 1

      Mod parent up. Stories like this are why I rarely read /. anymore.

      There are plenty of sites for political flamewars. It would be nice if this site went back to being one for only tech-y political flamewars.

      --
      6th Street Radio @ddombrowsky
    2. Re:News for Nerds? by Anonymous Coward · · Score: 0

      Mod parent up. Stories like this are why I rarely read /. anymore.

      There are plenty of sites for political flamewars. It would be nice if this site went back to being one for only tech-y political flamewars.

      yeah because slashdot readers are all 14 year olds on their parents health insurance

    3. Re:News for Nerds? by phantomfive · · Score: 0

      Read the comments. I think you'll find there are quite a few that do deeper analysis than you'll find on other websites. This is why this kind of story is worth having.

      Fixing healthcare is hard

      --
      "First they came for the slanderers and i said nothing."
  22. Prosperity for all lifts us all up by OrangeTide · · Score: 1

    A refrigerator you buy once and use for years. Often it comes with the apartment you rent, so you don't really buy it at all. (nor are your permitted to sell it)

    Selling a crappy beater car will cover medical expenses for about a month, at least in my case. Then what do you do, not work because you are too disabled to walk the 8 miles to work every morning? Does selling a $150 television really solve a families food problems for more than a few weeks?

    You'd have a valid point if priorities of the poor were as Senator Chuck Grassley states, "... that are just spending every darn penny they have, whether it’s on booze or women or movies.”

    --
    “Common sense is not so common.” — Voltaire
    1. Re:Prosperity for all lifts us all up by Anonymous Coward · · Score: 0

      The OP was on the right track but biffed it with the "sell" argument.

      Cell plans cost money, cable costs money, other BS these people do (drugs, liquor, birthing tons of kids, etc) costs tons of money.

      The FACT is that the "poor" are pretty fucking well off by historical standard but then again what else do liberals have to do but get off on the fact that someone has a yacht and someone else can't afford to go to the hospital once a month. There is no regard for the Yacht being the reward for creating a world where the "poor" literally have more in every measurable way INCLUDING HEALTHCARE than the ultra wealthy 150 years ago. Name one way in which a "poor" person is less well off.

    2. Re:Prosperity for all lifts us all up by OrangeTide · · Score: 1

      Cell plans cost money, cable costs money, other BS these people do (drugs, liquor, birthing tons of kids, etc) costs tons of money.

      Pay as you go plan, which is what I use, and you'll be spending around $8 a month for moderate usage as a primary device. That is cheaper than a land line. I'm not saying every poor person is being frugal, far from it. But the amount of money that goes into into the "BS" things that people think the poor are buying doesn't account for why they are poor.

      The very fact of having a child dramatically increases a woman's chance of being poor. Combine that with low socioeconomic class and no post-secondary education and you have a recipe for disaster. And this example isn't about a woman who buys things she doesn't need or isn't frugal. It's about a woman who is so far behind that she can't catch up on her own.

      So make a decision, should a woman raise her children in poverty, so that her children will likely also be in poverty. Or do we pull people up, sometimes kicking and screaming, into a stable situation where with hard work they can rise up and improve themselves?

      --
      “Common sense is not so common.” — Voltaire
  23. With an HMO... by Anonymous Coward · · Score: 0

    We went from spending 600/mo for the whole family to 2000/mo in the span of a couple years.

    That comes out to 24000/year for a family of 4, or about 1/3 of my parents' salary.

    They were up to 1500/mo for just the two of them by the time they hit retirement. That was before including medicine, annual, or unexpected doctors' visits too.

    Makes you think.

  24. One of the things which I like of my country by CustomSolvers2 · · Score: 1

    In my country (Spain) and quite a few other ones, medical expenses rarely represent an issue as far as a part of all the salaries (and contributions of companies/self-employers) is being used to pay for the public health care system. I could even stop working/contributing for some years without losing these benefits (I did over-contribute in the past); but even people with no work or illegal immigrants can enjoy it under quite a few scenarios. You only use paid/private alternatives either voluntarily or for somehow-unnecessary treatments.

    --
    Custom Solvers 2.0 = Alvaro Carballo Garcia = varocarbas.
    1. Re:One of the things which I like of my country by Train0987 · · Score: 0

      Spain has MASSIVE economic problems. That happens when you borrow more than you can repay in order to redistribute it in the name of socialism.

    2. Re:One of the things which I like of my country by CustomSolvers2 · · Score: 2

      Spain has MASSIVE economic problems.

      Macro-economically speaking, sure. From the everyone's living fine point of view, I don't think so. I am not precisely a blind defender of my country and, in fact, I will be most likely moving out within the next years; but people here live well, safe and happy. If you like exorbitant luxury and hard-capitalism atmosphere where only richness matters, etc., Spain wouldn't be for you. But if you want to live without too many concerns on the basic safety, wellness, tolerance fronts, you would certainly like it.

      In any case, the free health system is very nice and I cannot even picture myself paying because of being ill (what if I happen to not have too much money at that point?). Additionally, this aspect is quite self-sustained as far as everyone is over-paying (I did over-pay on top of the due over-payment) for what they will be spending. This is a forced contribution which is automatically subtracted from all the salaries/companies.

      --
      Custom Solvers 2.0 = Alvaro Carballo Garcia = varocarbas.
    3. Re:One of the things which I like of my country by Anonymous Coward · · Score: 0

      The US has MASSIVE economic problems. That is what happens when we borrow 21 trillion for a military and resource wars. And now we are about to redistribute a lot of money in the name of capitalism.

      Capitalism works great until the rich hoard all the money.

    4. Re:One of the things which I like of my country by Anonymous Coward · · Score: 0

      Spain has MASSIVE economic problems.

      Macro-economically speaking, sure. From the everyone's living fine point of view, I don't think so. I am not precisely a blind defender of my country and, in fact, I will be most likely moving out within the next years; but people here live well, safe and happy.

      That is nice while it lasts. How long can it last? A state can't keep borrowing to give free stuff forever.

      Spain played a game of chicken with Germany in the last crisis. Germany bailed you out. Do you think the people of Germany will keep doing that, now that they know how your government cheated them?

    5. Re:One of the things which I like of my country by Train0987 · · Score: 0

      Capitalism works until it's not allowed to work. We don't have a free market in the US, ESPECIALLY in health care. Let the free market work and many of the problems will solve themselves. Sure, there will always be some who will be left behind, but far fewer than everyone being poor under socialism. Utopia does not exist.

    6. Re:One of the things which I like of my country by tsqr · · Score: 1

      In my country (Spain) and quite a few other ones, medical expenses rarely represent an issue

      And yet your country with a pubic health care system, and my country (US) without one, are in the same boat with respect to "catstrophic spending" on health care. More info here. (PDF)

    7. Re:One of the things which I like of my country by CustomSolvers2 · · Score: 1

      A state can't keep borrowing to give free stuff forever.

      The basic ideas is that taxes (or specific contributions like with the health-care system) should cover everything. Rather than letting the free market and theoretically the fittest (actually, the privileged-born regardless of anything else) to survive, the state acts as a long-term, solid support for everyone's basic needs by paying special attention at those in worse circumstances. The government mismanaging or not being able to implement the most adequate policies isn't a flaw of that approach, but a sad output of short-sightedness, incompetence and stupidity (usually delivered by the aforementioned not-properly-speaking fittest ones) and this can happen in any system.

      Nobody gets free stuff, they simply give more power to the government. The government takes care of many more basic needs than in countries where there is a more aggressive capitalism. People don't pay companies which compete among them to earn the most regardless of anything else, but to the government which, theoretically, should be less greedy and arbitrary.

      Spain played a game of chicken with Germany in the last crisis. Germany bailed you out. Do you think the people of Germany will keep doing that

      Germany has also a social-oriented/protective government with similar expenses than the Spain's ones, but apparently is doing a better management job. As said before, I am not interested in defending my country (or anyone else's mistakes), but most of financial actions are usually based on egoism (= being considered by the party lending the money the best option for its own interests). Seriously thinking that money is being lend as a favour to the recipient denotes either dishonesty or lack of understanding. Germans (or better the EU or even better the banks/financial institutions) are free to do what they wish with their money and that shouldn't affect Spain's policies.

      --
      Custom Solvers 2.0 = Alvaro Carballo Garcia = varocarbas.
    8. Re:One of the things which I like of my country by CustomSolvers2 · · Score: 1

      I cannot talk about what I don't know and have always enjoyed free medical care, either in my country or in other ones. I have also been in countries without it, but I happened to never get ill there (additionally, my country would have partially covered my expenses). I am happy with the free system, if you are also happy with the paid one, we both would be happy and this would become a happy sub-thread with a quite off-topic (bad Slashdot! We want news for nerds!!!) and not-too-happy article :)

      --
      Custom Solvers 2.0 = Alvaro Carballo Garcia = varocarbas.
    9. Re:One of the things which I like of my country by fluffernutter · · Score: 1

      How long can American capitalism last? Companies can't hoard wealth forever.

      --
      Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
  25. I've always been deeply opposed by rsilvergun · · Score: 1

    to the job killing regulation that is the medical license. If it's good enough for Dr Nick Riviera it's good enough for me. And let's not let anyone sue Dr Nick, heavens no. Sure, he used an artichoke heart instead of a human on, but he passed the savings on to you!

    Oh, fyi, payouts for medical malpractice, according to this very pro tort reform (I hate calling it that) website are only $3.6 billion. This is /., so this story didn't belong here in the first place (news for nerds) but as a nerd I trust you can figure out that this is .3% of the annual cost of healthcare in America.

    --
    Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
    1. Re:I've always been deeply opposed by Shotgun · · Score: 1

      How many doctors get successfully sued? What happens to THAT small percentage of doctors?

      The thing your statistic misses is that only a small percentage of the doctors make up that .3%, but those doctors are totally destroyed. In response, the doctors that are NOT part of that .3% go to extraordinary lengths, unreasonably expensive lengths, to make sure they don't wind up part of that .3%.

      It's the tail wagging the dog, like how we all have to get cavity searched to ride an airplane, because of a few box knives over a decade ago.

      --
      Aah, change is good. -- Rafiki
      Yeah, but it ain't easy. -- Simba
  26. Re:Easy way to cap malpractice payouts. by Anonymous Coward · · Score: 3, Insightful

    Don't be a shitty doctor, and you won't get sued. It is literally that easy.

    Do you think 100% of lawsuits against doctors are reasonable? That is an extraordinary claim. It presumes no one who seeks medical care, and gets a bad outcome due to the limits of medicine and/or bad luck is not willing to cry in front of a jury to get several million dollars.

    I live and work with humans. I can report to you that at least 10% of people do something that makes them a jerk at least once a week. People who think they have been wronged in some way (such as going to the doctor and not getting a pill that cures cancer for $1) are even more likely to do this. Please explain why people become angels the minute they step into a doctor's office.

  27. Vermont tried it by Kohath · · Score: 4, Informative

    Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

    By starting 50 or 75 years ago and keeping costs from rising year after year up until the present.

    Vermont tried to go single-payer a couple years ago. They couldn’t make it work because there was no way for them to cut doctor and nurse salaries enough to make the financing work out.

    If you want to understand, start by learning from Vermont's experience.

    1. Re:Vermont tried it by Anonymous Coward · · Score: 1

      It wouldn't have worked because they couldn't stop people from neighboring states from flooding in.

    2. Re:Vermont tried it by Kohath · · Score: 1

      It wouldn't have worked because they couldn't stop people from neighboring states from flooding in.

      Yeah, that's the problem with giving people something for "free" isn't it?

      Vermont could easily have added a residency requirement. That doesn't solve the problem. Even if no new people show up, it's still astronomically expensive. And the only way to make it much cheaper is to significantly cut compensation for health care workers and keep them from rising.

      Everything else is a few percentage points that might get you back to the cost levels from 3 or 4 years ago. (And you remember 3 to 4 years ago right? Was health care cheap then? Was it a lot better? No.)

    3. Re:Vermont tried it by djinn6 · · Score: 1

      Given the population of Vermont, they have practically no negotiating power against any of the health care or drug providers. Try it again with California or Texas and you'll get a different result.

  28. the idiot can't google by Anonymous Coward · · Score: 3, Informative

    www.businessinsider.com/insulin-prices-increased-in-2017-2017-5

    "It's led some people living with diabetes to turn to the black market, crowdfunding pages, and Facebook pages to get access to the life-saving drug."

    1. Re:the idiot can't google by Bradac_55 · · Score: 1

      Yea business insider, not so much.

      First : The price of prescription controlled medication has no bearing on US healthcare it's all completely subsidized by insurance. No one pays the price tag on medication here.

      Second : Google is only your friend if you have an IQ over 50 so your out of luck.

      Third: Cowards have no say on anything.

    2. Re: the idiot can't google by kenh · · Score: 1

      Your example of people not being able to get insulin is actually a catalog of all the non-traditional ways people get insulin.

      --
      Ken
  29. In the USA you just show up at ER and don't pay by Joe_Dragon · · Score: 1, Informative

    In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

    1. Re:In the USA you just show up at ER and don't pay by Train0987 · · Score: 4, Insightful

      And the rest of us absorb those costs. That's another reason why prices are out of control.

    2. Re:In the USA you just show up at ER and don't pay by Anonymous Coward · · Score: 1

      They only have to stabilize you and keep you from dying. And they still can come after whatever assets you have.

    3. Re:In the USA you just show up at ER and don't pay by Anonymous Coward · · Score: 1

      they can't turn you away.

      you won't get chemotherapy or an organ transplant in the emergency room

    4. Re:In the USA you just show up at ER and don't pay by damn_registrars · · Score: 5, Informative

      In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

      That is not entirely true. If you are having a medical emergency the ER cannot turn you away for lack of insurance but that doesn't mean they can't bill you for coming in - and they will. They're just limited in how far they can go with their attempts to collect on fees before they hand them over to the government.

      Furthermore as already pointed out the hospital only needs to stabilize you. If you need an organ transplant and you have no insurance, that simply won't happen. If you went in because you were suicidal you'll be kept for a couple days and then sent right back out.

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    5. Re:In the USA you just show up at ER and don't pay by liquid_schwartz · · Score: 1

      In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

      I believe that's called the illegal alien plan. It passes the costs onto the rest of us who actually do pay.

    6. Re:In the USA you just show up at ER and don't pay by Joe_Dragon · · Score: 1

      and they can't force you to show an ID and can't turn away people with fake ones.

    7. Re:In the USA you just show up at ER and don't pay by OrangeTide · · Score: 1

      In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

      That's a great way for a diabetic to lose a foot. Only receiving care for acute conditions is neither cost effective nor ethical.

      --
      “Common sense is not so common.” — Voltaire
    8. Re:In the USA you just show up at ER and don't pay by pnutjam · · Score: 1

      Sounds like a great way (and cost effective) to get daily insulin. Do you honestly think that would work?

      Hospitals are only required to stabilize you, they can also be very aggressive about collecting payments and will absolutely turn you away if your condition is not life threatening (immediately) and you can't pay.

    9. Re:In the USA you just show up at ER and don't pay by Anonymous Coward · · Score: 0

      If you went in because you were suicidal you'll be kept for a couple days and then sent right back out.

      I went in after an attempt. ~100x OD on muscle relaxants coupled with a half-fifth of whiskey. After some aggressive blood cleansing via a spike in my neck, I went to psych for 3 days. Then I was put out on the curb. They gave me $3 and a 1-day local bus pass. I was 50 miles from any city where I knew a person. I didn't even have a phone. Completely abandoned.

    10. Re:In the USA you just show up at ER and don't pay by jedidiah · · Score: 1

      This narrative is really bullshit if you think about it. What costs are there really if some git use the ER as their GP? So they bother the on duty doctors and nurses. What real costs are the hospital enduring.

      They simple aren't. All those idiots are doing is giving the hospital a tax write off.

      It's not like they're running the cat scan machine or getting blood drawn or even getting an x-ray.

      They aren't creating any more costs than if they had gone to the quick clinic instead. There is no one to pay their bogus bill even if they want to create one.

      The basic operational cost of the ER is the same whether it's full or empty.

      The same goes for abused NHS ambulances and MRI machines that are sitting idle at night.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    11. Re:In the USA you just show up at ER and don't pay by jedidiah · · Score: 1

      > you won't get chemotherapy or an organ transplant in the emergency room

      There was an old liberal hit piece I saw on American health care. It was a kind of tale of two patients. The American patient without any insurance had a kidney transplant. The Canadian patient was still stuck on dialysis.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    12. Re:In the USA you just show up at ER and don't pay by swell · · Score: 1

      "And the rest of us absorb those costs"

      Partly true. Actually, you will be billed.

      The $10,000 debt that you don't pay will be sold to a collection agency for maybe $7,000. The collection agency will use their tricks to get you to pay the full amount. They are merciless. They will call you at dinnertime, they will use strong language and they don't care that you are still sick and poor and at death's door.

      The next step is your credit rating- yup, it's gone. At least for the next ten years, if you live that long. And when the collection agency gives up, they'll sell your debt to another agency for $2,000. And they will begin the routine anew.

      This is capitalism at work. Vultures are part of the ecosystem.

      --
      ...omphaloskepsis often...
    13. Re:In the USA you just show up at ER and don't pay by torkus · · Score: 1

      Worse, the 'rest of us' pay thousands for a ER visit when an ear infection realistically needed 5 minutes with a P.A. and $5 worth of generic meds which, in theory, could simply be sold over the counter.

      So yeah, we COULD do a single payer but lots of people making lots of money by contributing nothing would have to find a useful job. I mean, maybe they could fill in all the anticipated need for medical care professionals the doomsayers keep talking about needing if we did have universal healthcare in the US?

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    14. Re:In the USA you just show up at ER and don't pay by torkus · · Score: 1

      I...seriously don't know if this is a troll or you're actually that stupid. Your entire premise is completely flawed. ERs are never empty unless the hospital is closed down.

      An ER visit requires in-processing, triage, nurse visits, dr visit, a BED, etc. and ALL of that has costs. Some are capital, some are staffing, some are OT due to demand, some are excess capacity cost above planned because they're so damn overused.

      Sure, an empty still has a pretty high cost...but THAT DOES NOT HAPPEN. Ever. Go tot he ER at 3AM and there's probably a multi-hour wait for non-emergent care (mind you, broken bones typically aren't emergencies). They staff more doctors, have more beds, more nurses, more everything because of how many people go there.

      Not to mention people come in and complain of EVERYTHING so they get a whole battery of tests. And not the normal blood-draw, send to lab, get results next week tests but the dedicated-onsite-tech rush tests which have far, far greater costs.

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    15. Re:In the USA you just show up at ER and don't pay by torkus · · Score: 1

      Oh, you assume the person gave a legit name and social. Silly rabbit, trix are for kids!

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
    16. Re:In the USA you just show up at ER and don't pay by torkus · · Score: 1

      Actually, if you came in due to organ failure they have to treat you...and if that means ongoing 24/7 ICU care until you get a transplant or die...well that's what you get.

      This is why people come in complaining of everything under the sun in order to get treated for a simple ear infection...but the ER then needs to test for everything (and take the cost associated) because CYA.

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
  30. Hollywood Upstairs Medical College by Joe_Dragon · · Score: 1

    Is the party med school.

  31. Same in "free medicare" Sweden. by Anonymous Coward · · Score: 0

    I wish I were able to afford going to a dentist. Thank god for Sensodyne... But the plus side, they just decided to add three years to my pension age (which I have paid for through the same taxes that makes a dentist affordable) three years... I guess I must be healthier than I though, so I have that going for me.

  32. This nonsense again by fyngyrz · · Score: 5, Informative

    In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

    The ER has to try to stabilize you. They don't have to provide needed treatment beyond that, or drugs — and they won't. What they will do is determine what will stabilize you, do that, give you perhaps one dose of whatever prescription(s) is(are) needed which you can then go get from a pharmacy if you can pay for it, and refer you to a doctor, who you can also go to if you can pay for it, and that's the end of it.

    You have cancer? Diabetes? A hernia? You're not going to get the treatment you need for that at the ER. Period. The ER does things that are specific to the moment, like set a broken arm. Still, you get to pay for the meds, and any follow-up care.

    ER visits are not even remotely comparable to appropriate medical care for anything serious. People who claim it is have no idea what they are talking about.

    --
    I've fallen off your lawn, and I can't get up.
    1. Re:This nonsense again by Kohath · · Score: 1

      You have cancer? Diabetes? A hernia? You're not going to get the treatment you need for that at the ER. Period. The ER does things that are specific to the moment, like set a broken arm. Still, you get to pay for the meds, and any follow-up care.

      But poor people qualify for Medicaid. So if you show up with cancer and have no money, they enroll you in Medicaid and Medicaid pays for treatment.

    2. Re:This nonsense again by fyngyrz · · Score: 1

      There is a huge gulf between those who qualify for medicaid, and those who do not. It is a pernicious and disingenuous myth that everyone who needs healthcare can get it.

      --
      I've fallen off your lawn, and I can't get up.
    3. Re:This nonsense again by Anonymous Coward · · Score: 0

      >But poor people qualify for Medicaid. So if you show up with cancer and have no money, they enroll you in Medicaid and Medicaid pays for treatment.

      You're an idiot, you have no idea how it works. The hospital doesn't enroll you in medicaid, you have to do it yourself it's a huge mountain of paperwork and it takes days to find all the necessary documentation. If you don't have every single scrap of data that they want, you're denied.

    4. Re:This nonsense again by Kohath · · Score: 1

      The hospital doesn't enroll you in medicaid, you have to do it yourself it's a huge mountain of paperwork and it takes days to find all the necessary documentation. If you don't have every single scrap of data that they want, you're denied.

      False.

    5. Re:This nonsense again by rfengr · · Score: 1

      Actually they don’t even set a broken arm. They put a temporary cast on it and send you to an orthopedist.

  33. U deserve it, stupid Americans! by Anonymous Coward · · Score: 1

    You can't let ER rooms deny care until they verify your insurance. So you pass a reasonable law making them care for everybody... because that might be you the paying customer they let DIE while trying to find your insurance!

    So that gets exploited by desperate people YOU refuse to care for; out of desperation if not involuntarily when disaster strikes. Also, YOU have laws preventing death from sick people who just want to die on their own terms. End of life costs are insane in a country full of cowardly people... home of the brave my ass! I've lived here 40 years and it's a culture of fear all over the place. If you were brave, it's likely they got you acting more cowardly after a decade... probably even buying a gun (most every gun owner I've met is a coward. Yes, I have one - inherited, it gives me no added security; it's so marginal that I'm at greater risk just owning it..fact.)

    ER visits are often due to people not having proper preventative care. The expensive situations especially. That greatly increases costs even beyond the ER visit (or repeat ER visits if no follow up care.) This is also a cheap insurance and lazy American problem because proper preventative care is likely the leading cause of all healthcare use in the USA.

    The political system is horribly corrupt and the voters are out of touch with reality. 1/3 of the medical cost problem is the insurance industry-- all things being equal, they could buy a lot of time by cutting them out completely-- but it would continue to decline as unchecked control over prices continue (thing is government insurance would have more incentive to NOT keep things on the same path so it wouldn't be as bad as it is now. not a great deal better... given all the other problems in the country. still 30% less overhead costs.)

    People can't even handle the truth, let alone blunt harsh truths. The worst things get the more impossible it is to have people face the truth of their deteriorating situation. This is why the USA is going to collapse in the near future. Seen it coming for decades now; it's a bug in the system that only a reboot could solve (except it's not a computer, so it'll be an ugly reboot and the rise of trump politics proves it's likely to be quite ugly, not civil like the fall of the british empire.)

    1. Re:U deserve it, stupid Americans! by Train0987 · · Score: 1

      I refuse to care for people? Who are you caring for? Why do you feel entitled to have other people support you?

    2. Re: U deserve it, stupid Americans! by cyber-vandal · · Score: 1

      That's how medical insurance works too only not as well.

    3. Re:U deserve it, stupid Americans! by mpercy · · Score: 1

      "This is also a cheap insurance and lazy American problem because proper preventative care is likely the leading cause of all healthcare use in the USA."

      Upwards of 20% of all US health care expenditures are related to complications from smoking.

      Another 20% or so is related to complications from obesity.

      30% of all Medicare expenditures are attributed to the 5% of beneficiaries that die each year, with 1/3 of that cost occurring in the last month of life.

    4. Re:U deserve it, stupid Americans! by OrangeTide · · Score: 1

      Broadly over a large population those statistics are useful. We can overall lower the healthcare costs in our country if people took better care of themselves.

      For individuals there are factors where simply healthy living doesn't resolve. There are diabetics who are not obese, but still have the costs associated with conditions typical of diabetics. There are people born with congenital disorders such as CAH and PCOS that causes them chronic problems throughout life.

      Ideally I'd like to see both. But we need both cultural changes and political changes before that can happen.

      --
      “Common sense is not so common.” — Voltaire
  34. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 2, Insightful

    Do you think 100% of lawsuits against doctors are reasonable? That is an extraordinary claim. It presumes no one who seeks medical care, and gets a bad outcome due to the limits of medicine and/or bad luck is not willing to cry in front of a jury to get several million dollars.

    Yep...one cost of increased US health care is Dr's running multiple tests to CYA against a lawsuit...when usually 1-2 would suffice. But, medicine is NOT an exact science, and occasionally a test misses something or false negative. If the Dr doesn't cover his ass with every test possible, he's gonna get sued.

    Aside from the ONE thing Obama care did to positively, that being disallowing coverage refusal for pre-existing conditions....it has been a disaster and a great reason prices have increased and continue to do so.

    For example...I'm self employed. Way back 10 years or so ago, I could get a simple, high deductible insurance policy (only $1300 or so), and basically have that for what used to be termed, "Major Medical" coverage. Basically there for $$$ emergencies like getting hit by a bus or heart attack. I paid about $120/mo for that, and that was with being a smoker and high cholesterol pre-existing.

    I couple that with a HSA (Health Savings Account) that I fully fund (this year about $3200 max) annually pre-tax that I used to pay my routine meds needs, and office visit fees, etc.

    Now? Well, about 4 years ago, I started off with a "silver" policy...about $450/mo.....increasing yearly till for 2018 they were wanting about $1100-$1200 a month for same thing.

    Part of the problem? Well, with fscking Obama care regulations, there isn't ability to get a "major medical" type policy. No....EVERYTHING and the kitchen sink has to be included.

    I'm a single male, in between women....I have NO plans to get pregnant, yet I have policy coverage for prenatal, etc. Why the fuck should I pay that?

    That's one reason.

    Another...WTF don't they allow insurance to be sold across state lines, like car insurance is? That would surely increase competition....and lower prices.

    Why can't I pick and choose what coverages I need, a cafeteria type thing, much like we want to do TV ala carte, why can't we all be big boys and big girls and pick and choose what coverage we need?

    Let's get the bean counters out of the way, and go back to having insurance be for EMERGENCY care, and all....prices will lower, Dr's then could be independent again and charge reasonable...and let's get some tort reform in there to prevent frivolous lawsuits.

    Back before the bean counters, HMO's and all...medical care wan't THAT expensive. I had a relative that was a Dr. back in the 70's-80's....he would charge according to what the patients' means were.

    We have medicaid for the truly poor, but for everyone else that is capable of working, lets go back to the older says and things like I've put forth where it won't cost an arm and a leg and people are covered for emergency care, but for routine stuff, they manage themselves.

    If nothing else, it would unclog the fucking ER at hospitals...and keep people from using that as their primary physician....

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  35. Simple by Ol+Olsoc · · Score: 1
    If I have to choose between living and bankrupting my family,

    I'm gonna die, and as quickly as possible.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
  36. Health Care vs. Health Insurance by msc.buff · · Score: 1

    To fix the health system it must be split into Health Care and Health Insurance.

    People must be personally responsible (and pay) for their Health Care and can pay a small amount to be in the large Health Insurance pool.

    Stupid Car Analogy: Do you make a claim for an oil change? What about wiper changes? Tires? Back into a tree and get a tiny dent? NO. Car Insurance is for those times when fate smacks you in the face and wrecks your car.

    The same should be true in the Health Industry. You are responsible for the care and maintenance of your body. Until people take a direct role in their health and stop thinking things are "free" the system will continue to spiral into failure.

    1. Re:Health Care vs. Health Insurance by ThanatosMinor · · Score: 1

      This is exactly how the system currently works, for people with insurance anyway. They buy isopropyl alcohol and bandages and cough medicine and contraceptives and soap and toothbrushes and aspirin and shoe inserts and vitamins and hemorrhoid cream and ankle braces and all kinds of things that are part of their everyday health upkeep. But they go to the dentist for cavities and to the doctor for broken bones and cancer and pregnancy and whatnot.

      I don't know anyone who thinks health care is free and since your analogy describes the status quo it's really unclear what your point is.

    2. Re:Health Care vs. Health Insurance by HAKdragon · · Score: 1

      Part of the "care and maintenance of your body" should include, at the very least include annual check-ups and routine blood work. Part of the problem now is that people without insurance cannot afford to see a family doctor and learn they have a medical issue that can be easily (and usually more cheaply) treated and instead learn years on down the line they have a serious health condition.

      --
      "Our opponent is an alien starship packed with atomic bombs. We have a protractor."
    3. Re:Health Care vs. Health Insurance by msc.buff · · Score: 1

      You are talking minor health issues (headache, stubbed toe, etc.) and I'm talking about things which should be in the Health Care category but have migrated into Health Insurance.

      Health Insurance should be for catastrophic incidents in your life. Cancer. Birth defect. Stroke. etc.. Basically the things nobody has any control over.

      Health Care should be cheap and easy. Eat right, exercise, wear a condom, skip being a competitor in the X-Games, and you will be fine.

      Example: Having a baby? Get out your checkbook.

      Example: Born with a heart defect? No worries.

      Example: High cholesterol from a crap diet? Get out your checkbook.

      Example: Brain tumor? Your covered.

      Example: Life time smoker with lung cancer? Get out your checkbook.

      It all boils down to personal responsibility and personal control. If you as an individual can control it then you should pay for it.

  37. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  38. In my opinion: Most 'health insurance' is a waste by Rick+Schumann · · Score: 1

    So-called 'health insurance' only really benefits you if you become seriously ill or injured. Otherwise all it does is suck money out of your pocket every month and give you nothing in return. In my opinion, if the average person spent money every month on physical activities and eating healthier instead of spending that money on so-called 'health insurance', they'd find that they don't need 'health insurance'. They'd be stronger, more resistant to injury and illness, lower chance of cancers or heart disease, and little chance (if any) of conditions like obesity or diabetes. Probably be less neurotic and overall happier more of the time than they'd be otherwise, too.

  39. if there were no insurance industry by Khashishi · · Score: 1

    You can look at the LASIK clinics for an example of a medical industry which is mostly unaffected by insurance, since it is generally considered an elective procedure. The price is mostly quoted up front, and you can shop around for a better price, or go for a more reputable doctor. From what I can tell, price is also much lower than most procedures covered by insurance. Of course, if you can't afford LASIK, then you simply don't get it done, so there is a much smaller coercive price driver.

    Actually, on second thought, there's no way to compare this with an urgent procedure. If you need a procedure right away, the clinic could charge an exorbitant price, akin to private firefighters watching your house burn down. The insurance company reduces the coercive force because they and the clinic agree to a price structure beforehand, when there is no urgency.

  40. Re:In my opinion: Most 'health insurance' is a was by SlaveToTheGrind · · Score: 1

    Agree wholeheartedly. Layer a high-deductible policy on top of that (true "health insurance" for big, unexpected problems rather than the make-my-office-visits-and-pills-a-bit-cheaper system we have today), and the vast majority of people would be set.

  41. Right analysis, wrong cure by SuperKendall · · Score: 1

    You are absolutely right that Obama and the Democrats gave a big wet french kiss to the insurance industry with Obamacare - hey, lets mandate by law that everyone has to buy the most absurdly insurance possible, which included things you will never need.

    The real answer lies in history, as in every time you let competition happen prices improve. So what really needs to happen is to let people buy ANY insurance policy they like, including none. Let people buy an insurance policy from anywhere, don't let insurance companies have fiefdoms in each state. Allow people to come up with creative forms of insurance. There are tons of ways medical care can easily get lots cheaper...

    But the single worst thing you can do, is ironically to go for single payer. That means the same government that is screwing you over now is the ONLY source of your medical care. It means the government paying for health care has no leverage over costs so costs would go up dramatically, and service quality and amount would taper off (as you can see with anywhere on earth that has single payer, over time waiting lists get much worse and the number of providers of care goes down if the government imposes price controls).

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
    1. Re:Right analysis, wrong cure by Anonymous Coward · · Score: 0

      The real answer lies in history, as in every time you let competition happen prices improve.

      Good point, let's get rid of the monopolies that the healthcare industry has and mandate competitive environments instead.

      So what really needs to happen is to let people buy ANY insurance policy they like, including none. Let people buy an insurance policy from anywhere, don't let insurance companies have fiefdoms in each state. Allow people to come up with creative forms of insurance.

      Good point, let's enjoy your "creative" form of insurance that only makes you richer because you're scamming people who don't read the fine print.

      There are tons of ways medical care can easily get lots cheaper...

      Like for example, getting rid of the profiteers.

      But the single worst thing you can do, is ironically to go for single payer. That means the same government that is screwing you over now is the ONLY source of your medical care. It means the government paying for health care has no leverage over costs so costs would go up dramatically, and service quality and amount would taper off (as you can see with anywhere on earth that has single payer, over time waiting lists get much worse and the number of providers of care goes down if the government imposes price controls).

      And yet everywhere on earth that has single payer has cheaper medical care, more effective delivery, and better results. Your only complaint is phantom concerns about "waiting lists" when in reality, the difference is between "covered and taken care of" and "no coverage because it isn't profitable to take care of you" or worse "covered in a way that is actually taking advantage of you" which happens a lot. Just ask Rick Scott, who stole billions.

      Oh but wait, he was a competitor providing care...wasn't he? Oh wait, no.

      Funny how that works.

    2. Re:Right analysis, wrong cure by david_thornley · · Score: 1

      Letting everyone buy the insurance they need means that it's far too expensive for a sick person to buy insurance. If the whole population is the insurance pool, then there's plenty of healthy people to counterbalance the sick. (Remember that you can become one of the "sick ones" at any time despite whatever precautions you take.) The ACA fostered competition through the marketplaces, where insurance companies would offer roughly equivalent policies for the premiums they thought good.

      Also, single payer doesn't mean single source. Many countries with some sort of single payer have both private and public providers.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  42. Re:Easy way to cap malpractice payouts. by pnutjam · · Score: 1

    Your comment is dangerous stupidity, because people believe your wild exaggerations.
    The cost and number malpractice payouts has been dropping, and the "prevalence" of lawsuits is absolutely related to the arrogance of many doctors.

  43. Millennial alert by Anonymous Coward · · Score: 0

    Sigh. This is not news. There are nearly 8 BILLION people on earth, that is a teeny, tiny fraction. Relatively speaking, things are much, much better than they have ever been in that regard. I know millennials have no connection to reality due largely to the fact that you were born into prosperity and comfort, but there has always been disparity, and likely always will be, you did not invent it or discover disparity, and the earth has never been a utopia, never will be. Life is not fair. Desl with it. Put your energy into the differences you can make rather than those you wish you could, and watch your world improve. Another shocker for you: everyone dies, and not everyone is going to make it. Fight the laws of nature and the universe all you want, you will not change this fundamental truth of existence.

  44. forced to live on $3.10 a day by Anonymous Coward · · Score: 0

    And I'm forced to live on less than $700 a day.

  45. Third option... by Anonymous Coward · · Score: 0

    Get a "I Beat Anorexia" shirt.

  46. Re:Easy way to cap malpractice payouts. by shaitand · · Score: 1

    Please explain the basis for your assumption that the doctors aren't people with the same made up 10% doing something that makes them a jerk at least once a week. People who think they've been wronged in some way are no more or less likely to be the jerks than the doctors.

    Keep in mind we are talking about medical care here. If you go in to have surgery on your shoulder and the doctor makes a good faith best effort but say, sneezes at the wrong moment and slices a nerve leaving your arm hanging limp and dead at your side for life, you can't just shrug it off (heh) because the doctor wasn't being a jerk. It isn't about thinking the doctor was an ass, most people NEED their limbs and the loss of a limb is too great a burden to bear financially.

  47. Re:Easy way to cap malpractice payouts. by fluffernutter · · Score: 2

    Why don't you just be happy that women who plan to get pregnant are paying for treatment if you get prostate cancer? It works both ways.

    --
    Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
  48. Re: Easy way to cap malpractice payouts. by Anonymous Coward · · Score: 0

    Hey, did you know your major medical policy was bogus, and would never have paid out?

    All those crowded ERs? They wwre losing money due to collection issues. That's why the ACA mandated coverage. Now you are supposed to go to a regular doctor anyway.

    Stop being a moron.

  49. Canadian here, bulls&*t by Anonymous Coward · · Score: 1

    The stories people hear in the U.S. about long waiting times, people dying before getting service etc. are hand-picked outliers designed to set an anti-public health care agenda.

    I've had friends/loved ones who, when going to the doctor for something they thought was minor, being immediately wheeled to the MRI in order to save their lives. The system isn't perfect, and definitely there have been cases of people waiting in emergency room lines too long (deaths have occurred, no doubt about it -- but we're talking a few cases in the last decade, not people daily having to decide between bankruptcy for their entire family, and death, with a diagnosis). But it's lightyears better than what the US has and we'd never, ever give it up for the trainwreck you poor people have to endure.

    And yet, in the US., with its supposedly low tax rate, people are via the health system down there paying hundreds of dollars for a pair of rubber gloves. Someone's getting very, very rich literally on the blood of Americans there.

    1. Re:Canadian here, bulls&*t by jedidiah · · Score: 1

      > The stories people hear in the U.S. about long waiting times, people dying before getting service etc. are hand-picked outliers designed to set an anti-public health care agenda.

      You can say the same about US "horror stories". They are propaganda pushed by people with a socialist agenda.

      Although my own "outlier" is a matter of personal knowledge. Someone I know and care about was killed by Canadian medicine.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    2. Re: Canadian here, bulls&*t by Anonymous Coward · · Score: 0

      Fucking bullshit.

      I lived in the US (maryland) for six years, and worked at a little hospital there called John Hopkins, you may have heard of it.

      Your healthcare decisions are made by faceless beancounters, not medical officers.

      Ceasing or denying treatment based upon ability to pay was routine.
      Getting people out the door was a priority.

      If you're rich then US healthcare is great. If you're the 99% then your fate lies with a commercial entity trying to maximise their profit.

      What could possibly go wrong ???

    3. Re: Canadian here, bulls&*t by kenh · · Score: 1

      The stories people hear in the U.S. about long waiting times, people dying before getting service etc. are hand-picked outliers designed to set an anti-public health care agenda.

      You know I've never heard of any American crossing the border to get expedited healthcare they didn't want to wait for in the US.

      I have heard of people going to Mexico, assorted Asian countries, for elective procedures that are cheaper overseas when paying out of pocket.

      So are you trying to tell me that there are only extremely few cases of Canadians crossing the border to cost US hospitals along our northern border? That's odd...

      --
      Ken
  50. medicare/medicaid by nten · · Score: 1

    My dentist said the paperwork burden for public healthcare was much higher than for private insurance and that the rates allowed for hygienists and doctors was below what they could turn a profit, so they stopped taking it. The doctors left that still take insurance seem to be universally horrible, so I doubt dropping wages and allowing for more doctors would make any difference in quality, so I say bring on the single payer. I'll pay out of pocket for anything diagnostic or surgical anyway just to get decent quality.

    --
    refactor the law, its bloated, confusing and unmaintainable.
  51. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    I have NO plans to get pregnant, yet I have policy coverage for prenatal, etc. Why the fuck should I pay that?

    Are you suggesting that having a vagina should be considered a preexisting condition?

    --
    He's getting rather old, but he's a good mouse.
  52. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    Why don't you just be happy that women who plan to get pregnant are paying for treatment if you get prostate cancer? It works both ways.

    You know..why not let people pick and choose what coverage they want?

    Let women worry about prenatal stuff if they plan on having kids.

    I don't intend to have kids, but I will happily pay for my own coverage of prostate problems.

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  53. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    Are you suggesting that having a vagina should be considered a preexisting condition?

    Well, it is potential for having a kid.

    ON the other hand, I have no problem paying for insurance covering prostate problems...having one is pretty much a potential pre-existing condition for that...so, sure, why not?

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  54. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    Maybe different rates for the preexisting condition, black?

    --
    He's getting rather old, but he's a good mouse.
  55. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    Maybe different rates for the preexisting condition, black [webmd.com]?

    Well, different things cost different amounts to treat, and different things affect the sexes and yes, some races have different pre-dispositions to different illnesses. Hell, why not mention Jews, Canadians and Cajuns and Tay-Sachs disease?

    Thing is, not everyone is the same, but everyone generally has things wrong unique to their genetic makeup. Some are worse than others and hence yes, they will cost a bit more.

    So what?

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  56. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    I didn't see that coming. I was surprised at suggesting different rates for women but thought you'd stop short of suggesting special rates for Jews, et al.

    So if somebody's born with a genetic disorder, they pay rates comparable to their expected cost of treatment? I think you and I have different ideas about the purpose of insurance. But then, I'm one of those kooks that thinks even unemployed women should get prenatal care.

    --
    He's getting rather old, but he's a good mouse.
  57. Uncles Sam the monopoly man... by harvey+the+nerd · · Score: 1

    There are restrictione that prevent competition. In India, generic insulins, porcine or human analog, are available for $1-3 per vial.

  58. Is this Slashdot or the Democrat/Communist site? by Anonymous Coward · · Score: 0

    What is this crap? What the Fuck does anyone care about this shit on this website? Go back to one of the "C" ('C' for 'Cunt) networks, such as ABC, NBC, and CBS.

  59. Rule of "large numbers" by Anonymous Coward · · Score: 0

    If you want to shock people use large scary numbers without context. The numbers used amount to 3% of the worldwide population, or put another way 97% of the world is "fine".

    This is not to say the individual lives don't matter, but people get sick and die daily and the reasons are varied. The best response is to raise WW wealth...eg "a rising ocean lifts all boats".

  60. Guns and healthcare arguments.... by Anonymous Coward · · Score: 0

    ....clearly show how similar Americans and North Koreans really are.

    The social conditioning and brainwashing is really effective.

    So sad. :(

  61. please slashdot, tech stories by Anonymous Coward · · Score: 0

    What does this have to do with being a tech nerd?

  62. Not about anyone in first world countries by kenh · · Score: 1

    Researchers found that more than 122 million people around the world are forced to live on $3.10 a day, the benchmark for "moderate poverty," due to healthcare expenditure.

    How many Americans, Europeans, Australians, etc. are forced to live on $3.10/day because of medical bills?

    --
    Ken
  63. Who cares... by Anonymous Coward · · Score: 0

    A person's personal budget is "personal." The real issue is the rapid drop of American IQs. Tort reform would put many lawyers where they belong - digging ditches for a living thus lowering the cost of medical care. This would help get rid of insurance companies too...

  64. Re:Easy way to cap malpractice payouts. by bingoUV · · Score: 1

    Why do you need insurance at all ? Why not pay for only the disease you get, and for exactly the treatment you choose, at the place of your own choice, after you get the disease ?

    --
    Bingo Dictionary - Pragmatist, n. A myopic idealist.
  65. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    So if somebody's born with a genetic disorder, they pay rates comparable to their expected cost of treatment? I think you and I have different ideas about the purpose of insurance. But then, I'm one of those kooks that thinks even unemployed women should get prenatal care.

    I don't think insurance is there for routine care.

    It is there ONLY for emergencies....heart attack, cancer, getting hit by a bus....it is for catastrophic needs.

    But your routine care, that should be planned and paid for by the individual. That would lower insurance costs to what insurance should be.."insurance against catastrophic loss".

    I think it would help if the govt would loosen up and broaden the allowance of HSA's so people could save their money monthly pre-tax for these routine medical needs.

    You save money monthly for food, shelter, etc...why should you not also save for routine medical/health needs?

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  66. Re:Easy way to cap malpractice payouts. by torkus · · Score: 1

    I mostly agree.

    However, having coverage for routine wellness visits and the related tests generally results in far more people getting them. And THAT results in addressing far more conditions before they become serious and thus harder (and more expensive) to treat.

    What "universal healthcare" did was just add another layer, more complexity, more options and features and nonsense instead of removing barriers and administration and focusing the spend in healthcare on...well...healthCARE.

    Agreed, you used to be able to go do a Dr. and get care...and just pay for it. Now doctors need to 'charge' ridiculous rates so the percentage they actually get paid still comes out to something livable after you figure in all the support costs required.

    --
    You can get rich if you own a politician, but you have to be rich to buy one in the first place.
  67. Re:Easy way to cap malpractice payouts. by torkus · · Score: 1

    That's the scam of insurance.

    Unless you're out there on the bell curve, it's CHEAPER to do without it. Mind you, that would mean paying into a savings plan significantly in years where you don't even see a doctor...which people generally will not do if they have the option not to.

    Insurance is a game of adding up the overall cost, adding your overhead, then dividing that larger number out between your customers. Benefit is shared risk, downside is additional cost.

    --
    You can get rich if you own a politician, but you have to be rich to buy one in the first place.
  68. But good food is healthcare ... by Anonymous Coward · · Score: 0

    Good food is the ounce of prevention to the pound(euro in some places) of cure ...

  69. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    But your routine care, that should be planned and paid for by the individual. That would lower insurance costs to what insurance should be.."insurance against catastrophic loss".

    I think we've confirmed that you and I have different philosophies on insurance. If I understand you correctly, people who have more expensive medical needs by being black, female, whatever, will pay for life for their bad decision. People with chronic conditions like genetic disorders will be fucked. You'll be fine.

    You save money monthly for food, shelter, etc...why should you not also save for routine medical/health needs?

    "Routine" can vary radically from one person to another based solely on where you stand at birth. Just having a vagina is pretty expensive. I don't mind subsidizing people who opt for a vagina. "Saving up" for chronic conditions can be insurmountable even though expensive treatments are "routine" for that patient.

    Making women 100% responsible for the cost of all pregnancies because men "don't need that coverage" is something I strongly disagree with. I thought that opinion would be pretty much universal.

    --
    He's getting rather old, but he's a good mouse.
  70. Re:Easy way to cap malpractice payouts. by Rolgar · · Score: 1

    There are bigger problems.

    The AMA defines the codes that are used by billing, and because of Medicare, the AMA makes a huge amount of money from the Government. A great big racket built on lies, and for the benefit of corruption.. https://www.forbes.com/sites/t...

    The number elderly (who use most of the health care resources) is increasing far faster than the supply of doctors. We need to streamline and reduce the cost of getting young people through school and into medical fields in order to get a better balance which will tilt the cost balance in favor of the patient, not to mention reducing waiting times to get care.

    I would like to see health care coops provided in locally were you pay a membership fee, and your care is taken care of. Whoever sells the membership promises to include care at the ER, hospital, cancer, and other chronic conditions for a reasonable cost, with an option on preventative care, and with multiple different groups competing somewhat on price to keep each other honest.

    There is probably some other things that can be done with regard to making sure regulations are reasonable, etc.

    Implement these, and I think you'd see costs move toward a more affordable level. The thing is neither side is interested in addressing the long term demographic need to have more doctors to care for a more elderly population because the medical provider lobby doesn't want them to because it keeps prices high and enriches the medical field at the cost of the rest of us.

  71. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    I think we've confirmed that you and I have different philosophies on insurance. If I understand you correctly, people who have more expensive medical needs by being black, female, whatever, will pay for life for their bad decision. People with chronic conditions like genetic disorders will be fucked. You'll be fine.

    "Routine" can vary radically from one person to another based solely on where you stand at birth. Just having a vagina is pretty expensive. I don't mind subsidizing people who opt for a vagina. "Saving up" for chronic conditions can be insurmountable even though expensive treatments are "routine" for that patient.

    Making women 100% responsible for the cost of all pregnancies because men "don't need that coverage" is something I strongly disagree with. I thought that opinion would be pretty much universal.

    Ok..so, you're saying I should pay for everyone else's problems?

    Why is that?

    Are you assuming that be virtue of my sex, race, {add category here} that I don't/won't have special needs in my life too?

    It all balances out...but I shouldn't have to pay up front for everyone else/s special needs, just like they shouldn't pay for mine.

    As far as having kids and all the costs that go with it...hey, it takes two to tango and have one, therefore those that CHOOSE to have kids should be the ones that pay for it with insurance, etc.

    I choose not to have them, why should I subsidize others that have them?

    And I realize we disagree, I'm guessing you are much younger than me.

    I remember a time growing up, where medical insurance is exactly what I'm describing...it was for catastrophic needs, not routine care.

    That insurance for routine care is a fairly new paradigm....I'm just wanting to go back to what it was decades back, before medical insurance costs skyrocketed.....

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  72. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    Ok..so, you're saying I should pay for everyone else's problems?

    Why is that?

    Because civilized societies shouldn't leave the weak to die. That's just my opinion.

    And I realize we disagree, I'm guessing you are much younger than me.

    40.

    --
    He's getting rather old, but he's a good mouse.
  73. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1
    Yep, you're younger than man.

    ;)

    Well, we do have a bottom safety net, medicaid...but for those of us (hopefully the majority) with real jobs, we can pay our own way...individualism and all that.

    But anyway, very nice discussion with you on this...nice to have a respectful discussion of differing opinions.....

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  74. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    nice to have a respectful discussion of differing opinions.....

    Let's hope that doesn't get us kicked off slashdot. I don't think differing opinions are allowed unless one person calls the other a snowflake.

    --
    He's getting rather old, but he's a good mouse.
  75. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 1

    Let's hope that doesn't get us kicked off slashdot. I don't think differing opinions are allowed unless one person calls the other a snowflake.

    Nah...we're both too old to be snowflakes.

    ;)

    --
    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  76. Re:Easy way to cap malpractice payouts. by bingoUV · · Score: 1

    What is the scam ? You forgot to describe it.

      Which bell curve ? Is there a bell curve but everybody is not "out there" on it ?

    Do you understand diminishing marginal utility ?

    --
    Bingo Dictionary - Pragmatist, n. A myopic idealist.
  77. Re:Easy way to cap malpractice payouts. by gnick · · Score: 1

    Unless you're out there on the bell curve, it's CHEAPER to do without it.

    Yes. That's by design.

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    He's getting rather old, but he's a good mouse.
  78. Nothing new by Anonymous Coward · · Score: 0

    Writing such "shocking" news is like writing about hunger in Zimbabwe- it happened before, it's happening and it will be happening. There are 3rd world countries after all, so it's nothing unusual.