| ▲ | nickpp 17 hours ago |
| Expensive health treatments can easily bankrupt any western government. None of those developed countries can afford to spend their money indiscriminately on them. So instead they turn to waiting lists, death panels and very often saying no but not in your face (since that is politically frowned upon) but thought delays and countless committees and bureaucracy until the patient expires... |
|
| ▲ | hermanzegerman 17 hours ago | parent | next [-] |
| I know that's what you hear and read on Fox News and other "News Sources" daily.
But here in Germany, there are no "death panels" or long waiting times for cancer treatment. Also we don't need "pre-auth" and other Bullshit before we start standard treatments. The real death panels are sitting in your Insurance Companies Offices as seen by the news coverage around United Healthcare et al lately |
| |
| ▲ | nickpp 11 hours ago | parent | next [-] | | I live in Eastern Europe and my "news sources" are friends in hospitals asking us to donate for desperate causes. Governments-paid treatments are god-sent but many times the funds are limited so they only cover older, cheaper treatments. Approval and funds for newer ones come so late, sometimes too late. Germany has one of the most developed economies on the planet so naturally has more spend on healthcare. But that can change and when the money is tight, tough choices have to be made. I'd make those choices for myself rather than trust the State to do it for me. | |
| ▲ | throw-the-towel 17 hours ago | parent | prev [-] | | The German health insurance system also has a deficit of 6 billion euro, while doctors are leaving the profession. Do you think that's sustainable? | | |
| ▲ | pavlov 17 hours ago | parent | next [-] | | For a country with a $4.5 trillion GDP, a 6 billion deficit is a drop in the bucket and easily covered from taxes. It’s just a political question of what you want to fund. For comparison, the New York City public transport system (MTA) runs a deficit of about $3 billion. Six billion for universal healthcare in a country of 83.5 million people seems like a total bargain. | |
| ▲ | jacquesm 15 hours ago | parent | prev | next [-] | | > Do you think that's sustainable? Yes. To help you think a bit more clearly: the health insurance system is not a for-profit system, even though some people mistakenly hold on to the idea that it should be. It is a risk spreading mechanism. | |
| ▲ | tiagod 14 hours ago | parent | prev | next [-] | | Not everything needs to be profitable. | | |
| ▲ | nickpp 11 hours ago | parent [-] | | I lived under the very system this principle enabled and I can tell you that without the profit motive we were cold and starving since there was no motivation for people to work and sew clothes or grow food. | | |
| ▲ | tiagod 10 hours ago | parent [-] | | I didn't write "nothing needs to be profitable". I live under a system where even very expensive treatments are covered by the state using taxpayer money, and I'm not starving. Sometimes you need to optimize for human dignity. |
|
| |
| ▲ | hermanzegerman 16 hours ago | parent | prev [-] | | 10 Billions of that deficit are coming from the State paying insufficient contributions for unemployed insured people. It is a policy choice to offload those costs onto Publicly-Insured-People (excluding rich and healthy people) instead of funding them through taxes (including those groups). The German Healthcare System also has some historically developed peculiarities that don't make much sense in today's age, but they are difficult to address without pissing people off (The duality of Private and Public Health Insurance, allowing the first one to get rich and very healthy people out of the risk pool, and then loopholes to switch back into the public system when they grow older and don't want to pay the then high prices in private insurance) The Hospital Reform is already working to reduce costs by reducing the number of small hospitals, and concentrate them into bigger ones. (As a side effect, quality of care will increase too, since outcomes are correlated with experience) Also more care will be shifted to outpatient setting. Otherwise we are fighting with the demographic change. But these problems are also hurting all other developed nations including the US, where funding problems in Medicaid are also expected in the next decades tl:dr We have problems due to the demographic change, but these are in line with other developed nations. There are some efforts to address them, but politicians are hesitant to do real reforms, because old people have the most voting power |
|
|
|
| ▲ | jamdav16 16 hours ago | parent | prev | next [-] |
| I am yet to see any western nations go bankrupt for universal healthcare. I have three second-hand cancer experiences from family here in Australia (Dad, Mum and my half-sister - under 35/yo). All three were detected early thanks to regular checkups and screening (covered under Medicare), treated in major hospitals (Dad was in a rural hospital, Mum and half-sister in Metro major city hospitals) and are all alive and certainly not in debt. The biggest cost was parking at the hospital, drinks from the vending machine and the PBS medication (all PBS medicine costs $31.60 for adults, and $7.70 for concessions). Any PBS medication has the full-cost price printed on the label for reference, more often than not the printed prices go from $300 - $2,000, but I remember that these aren't the full price anyway since our government collectively bargains for cheaper prices on OS medication). I can't imagine having to pay for treatment AND the insane full price of medications, it must be so much more stressful for families going through cancer treatment. Americans, don't let the media and your government tell you otherwise. Universal healthcare is cheaper [0] and more effective than whatever archaic system you have now. I am so god damn proud of our system in Australia, it's not perfect, but damn it's so efficient for critical care, thank heavens for Medicare and the PBS. Oh and for those that say "well doctors aren't paid very well"... they are. My brother-in-law is a surgeon and he's doing pretty well for himself, bought a new Audi last month for his wife, heading to Europe for a month-long holiday with his family and just moved into a new house. [0] https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD?most_... |
| |
| ▲ | j-krieger 14 hours ago | parent | next [-] | | > I am yet to see any western nations go bankrupt for universal healthcare. Boy are you in for a ride. France will be first and Germany is on a good track for it within the next two decades. | |
| ▲ | naian 16 hours ago | parent | prev [-] | | Western nations do not go bankrupt since they discovered that little trick of printing money until the end of time. | | |
| ▲ | ceejayoz 15 hours ago | parent [-] | | This is actually how the US is getting away with their twice-as-expensive-as-the-rest-of-the-OECD setup for a little while longer. The end of ACA subsidies is probably gonna collapse that approach. |
|
|
|
| ▲ | acchow 16 hours ago | parent | prev | next [-] |
| > but thought delays and countless committees and bureaucracy until the patient expires... So then you would expect life expectancy in the US to be higher than in Germany, France, UK? It is not. |
| |
| ▲ | nickpp 6 hours ago | parent [-] | | > So then you would expect life expectancy in the US to be higher than in Germany, France, UK? Pretty soon, actually. EU countries are falling further and further behind economically. Health care costs are increasing, taking up an ever increasing slice of the government budget. Labor force participation rate is decreasing due to generous welfare and high taxes. Natality is plummeting. Attempts to increase retirement age are met with riots. We're a technological backwater. AI research is done in USA and China - the benefits will mainly go there too. We can't even cool our cities: we're losing more people every year to heatwaves than the USA to gun violence. We're closing down nuclear power plants after years of shamelessly funding the Russian war machine for cheap energy. Years of redirecting defense spending into social programs are coming back to bite us. Russia is hungry and aggressive, while the US is not protecting us anymore. What do you think will be the life expectancy under drone and rocket attacks? |
|
|
| ▲ | tokioyoyo 17 hours ago | parent | prev | next [-] |
| Private/public here in Japan works okayishly well. I have never heard of anyone getting bankrupted over medical bills, and have had loved ones going through surgeries and other complex issues. |
|
| ▲ | EdwardDiego 17 hours ago | parent | prev | next [-] |
| As soon as you said "death panels" you invalidated your entire point, I'm sorry. |
|
| ▲ | ericjmorey 17 hours ago | parent | prev | next [-] |
| Did you make all of this up or just so credulous that you repeated what someone else made up? |
|
| ▲ | exitb 17 hours ago | parent | prev | next [-] |
| Is there a legitimately good reason for all those treatments to be so expensive, or is that, to a large degree, capitalism extracting capital from the market? Why is American insulin so expensive when compared to that from other countries? |
| |
| ▲ | nickpp 5 hours ago | parent [-] | | > Is there a legitimately good reason for all those treatments to be so expensive We can't really know, since only free markets can determine the price of a good or service (it's driven by supply and demand) and health care market is tightly regulated. > Why is American insulin Because of the regulatory barriers not allowing other providers to enter and sell insulin on the US market. |
|
|
| ▲ | intended 15 hours ago | parent | prev | next [-] |
| Theres a (now old) memo that specifically outlines which talking points carry most salience amongst the audience. Those terms are present here in your comment. (Luntz - The language of Healthcare 2009) Even with waiting lists, people get healthcare. They get better health outcomes per $ spent. America can provide excellent cutting edge healthcare, which is especially great if you can afford it. At some point, you have to decide whether having most of the bell curve taken care of, is more / less important in terms of rhetoric and priority. |
|
| ▲ | pjc50 15 hours ago | parent | prev [-] |
| > waiting lists, death panels and very often saying no As we all know, American insurance companies never deny coverage, nor do you ever have to wait in an American hospital. /s |