National heath care has arrived (Political)

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The Icemaiden
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Post by The Icemaiden »

AxeMental wrote:
Actually its not free (as you mention), he pays for it (just not at the moment he uses it).
You're actually correct...my use of "for nothing" was probably inaccurate. We pay for our NHS and its development/ research via taxes and national insurance contributions which in most cases are deducted from our salaries each month. So used to it we dont notice it.

For example... I put my shoulder out at a paintball tournament of all things :oops: a few months back and required a months course of anti-inflamitories. The month's course cost me £5.00 (prescription charge) probably around $8.00. Those tax/national insurance contributions are what keeps the cost to a bare minimum for the UK citizen. If I required drugs for life the prescription cost would still only be £5.00.

If its not a system your used to then I can understand the reluctance (Paying for something via tax that you may never use) But it may just pay dividends in the end. It wont mean the end of the private/free market healthcare system, private health is still readily available here, so I dont see why it would in the States, the two systems can work in tandem.
quatzl wrote:Directed to our UK friends, IceMaiden, P&P, ...

I am just curious, and don't mean to derail the discussion (how would we tell? :) ). I hope to be visiting the UK sometime this year. How does your healthcare treat foreigners, legal and illegal?

For example, I will be traveling to Scotland, and if I need emergency care. Will I be billed? or is it forgiven under the current system?

Thanks.

I'll look into it for you.

But IIRC emergency treatment at a clinic / accident+emergency ward as an "out-patient" is free...Im sure hospital admissions are chargable.... double check what your travel insurance covers you for to be safe.
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PapersAndPaychecks
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Post by PapersAndPaychecks »

quatzl wrote:Directed to our UK friends, IceMaiden, P&P, ...

I am just curious, and don't mean to derail the discussion (how would we tell? :) ). I hope to be visiting the UK sometime this year. How does your healthcare treat foreigners, legal and illegal?

For example, I will be traveling to Scotland, and if I need emergency care. Will I be billed? or is it forgiven under the current system?

Thanks.
Chances are they won't even ask for any papers or ID.
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Post by PapersAndPaychecks »

AxeMental wrote:Hey P&P, if you wanted to say get your hip joint replaced in the USA would your national insurance flip the bill (or part of it)?
Nope. If I wanted to travel to the US I'd have to arrange separate medical cover.
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Post by Dwayanu »

Axe: What I was getting at a few pages back was your careless argument from premises that you probably don't even accept -- such as the notion that morality is an invalid basis for political decisions because some people might "not share" a particular value. Perhaps you don't recognize when you do that because you assume that your preferred set of exceptions is a given, but that just begs the question.

Teachers are generally not poorly paid, I think, although some might argue that they are often underpaid (a different matter). Offhand, I think the most objective measure would be the average difference in students' lifetime wealth production (which is not necessarily synonymous with income) versus those in another population; multiply that by the number of students taught in a teacher's career. One curiosity (at least in the public-school system) is that seniority tends to be most telling, and that it gets set back when a teacher moves to a different district.

A market's pricing structure does not necessarily reflect the real wealth valuation of all participants. A "free" market may entail "hidden" costs and profits.

It seems to me the basic point of an insurance model that costs are spread out so that the "worst case" is not crippling to the individual -- and neither does the frequency of such cases cripple the general fund. There's a combination of uncertainty about which individuals shall withdraw the most, along with a high probability that the cost in the long run shall be near an average. Casinos operate on a similar principle.

So, it seems to me, for most participants it is likely to be more expensive to pay for insurance than not. The key is that it should be much more costly if one happens to be among the unusually unfortunate (which one usually cannot predict).

When individuals in that latter category are driven to bankruptcy by medical bills, there is a case to be made that the system has failed.

A bigger population should make the overall spread less variable than a smaller but similarly representative one. Right now, we may have skewed populations: low-risk in private insurance, high-risk in public. Comprehensive preventative care can reduce the need for more expensive remedial treatment. There can also be efficiencies of scale (e.g., in purchasing drugs and other products).

I note that efficiencies of scale are often used to give artificial advantages to big firms by imposing regulatory burdens more onerous to small businesses.
Last edited by Dwayanu on Fri Feb 20, 2009 7:41 pm, edited 1 time in total.

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Algolei
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Post by Algolei »

AxeMental wrote:Perhaps Canada is different Alg (and it may be, with a much lower mostly homogenous population)
:shock: "Homogenous?" Bah ha ha ha ha ha ha! :lol:
I said it before, and I'll say it again Alg, we AMERICA create the generator of new products that YOU the socialists take advantage of.
Just 'cause you say it often doesn't make it any truer.
Personally Alg, I'd like to see these companies tell the rest of teh world to bite it and not give them any of the medications their people need
Companies don't "give" medications to anyone. Other countries pay for them. If they weren't making money, they wouldn't sell.
Unfortunately, these drug companies aren't the heartless bastards I would be.
Oh of course they are!
They give the same medications they sell to us Americans to much of the rest of the world at a loss (perhaps not Canada, but possibly, it probably depends on the particular drug) but places like Central America, Africa, Asia, you get it.
No, they don't give medications to anyone, they sell them at a profit. Selling at a loss wouldn't be tolerated by shareholders.
America has done more for the world (in providing medicines and new tools) in the last 100 years than any other nation (not the govt. but its people and its free market system).
So what've they done for me recently? :P

But seriously....

Many people from many countries have worked together to provide those medicines and new tools.
Once again, you'll never here a pro-socialist medicine person ever mention a serious reinvestigation into how to make drug development cheaper or the practise of medicine less expensive for our doctors (tort, FDA, Govt. reform, etc.).
I'm not sure what you're saying here. "Pro-socialists never mention serious reinvestigations into how to make drug development cheaper or the practice of medicine less expensive?" You can't possibly mean that, so I must be reading it wrong.
Alg, There is a reason it takes 4 billion to develop a new medication these days, and its not all research and development. If you want to start someplace, start by helping the hand that feeds you, not biting it off. :roll:
You think buying medication at a reasonable price is "biting the hand that feeds you." I think overcharging people for medication is "biting the hand that feeds you."

You are aware that Canada is one of the leading nations when it comes to certain areas of medical research, right? Same as pretty much any modern nation, really.
AxeMental wrote:Hey Alg, I remember reading an article about Canadian's coming down to Florida for hip replacements and other medical procedures (we get a ton of French Canadians around here) and the Fl hospitals raking it in. Couldn't find it but here is another covering similar ground: http://www.pubmedcentral.nih.gov/articl ... id=1453063 its
The article mentions there is serious concern from the Canadian govt. over this trend (Canadians going to the USA for elective surgery to avoid waiting on the governments tab).
And this seems to confirm this concern (the fact that they keep talking about waiting periods must indicate a problem).
http://www.pubmedcentral.nih.gov/articl ... id=1453063
Yup. Nobody likes waiting for elective surgery. Poor planning and budget cuts are constantly causing problems in some areas like that.

Other people do it just to hack everyone off. There are plenty of people in Canada who would rather go to the American system. Us lefties often call them "right wing lunatics." :P Many Quebecers also dislike any Canadian system, no matter which wing of the duck they're flapping on.

The problem isn't that people go to the States for treatment, it's that they do it when such treatment is available in Canada. Our medicare still has to pay for their treatment, no matter where they get it done, and the prices in the States are often ridiculously high in comparison.

Part of our health care system is intregrated with US medical care. Patients are sent to the States for certain rare illnesses that would be too expensive in Canada. IIRC, we also send patients to the UK and (maybe) Sweden still, too.
You have to remember, our population dwarfs your own, and generally its much less healthy (with a much larger population of illegal immigrants and higher levels of poverty). Our govt. also tends to be far more corrupt and waistful (check out Obama's 1000 page 800 billion dollar bail out plan dropped off 2 days before its vote with no one having the time to read it and no public disclosure).
We have plenty of government corruption. Just ask our Liberal Party. But don't let them side-track you with stories about golf balls!
Like I said, I've only read and watched stories about people coming from Europe, Canada and the rest of the world for medical care (usually because of the wait due to rationing, but also because of the quality of our doctors and facilities).
Some countries specialise in certain areas. Sometimes Americans go to other countries because of the quality of their doctors and facilities, too.

Dwayanu

Post by Dwayanu »

An anecdote from a trucker has me wondering how much production of "USA" branded pharmaceuticals (and other products) actually takes place in Canada because the cost of doing business there is lower -- due in part to lower costs for health care.
Our medicare still has to pay for their treatment, no matter where they get it done, and the prices in the States are often ridiculously high in comparison.
Well, that puts things in an interesting perspective!

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Post by AxeMental »

Dw: "Axe: What I was getting at a few pages back was your careless argument from premises that you probably don't even accept -- such as the notion that morality is an invalid basis for political decisions because some people might "not share" a particular value. Perhaps you don't recognize when you do that because you assume that your preferred set of exceptions is a given, but that just begs the question."

Dw, I actually don't understand what your trying to say here (your careless argument from premises that you probably don't even accept)

What? :?

Look, my point is that basically we all share some of the same moral opinions and differ on others (in kind and intensity) . That should be a given to any member of society (one person finds capital punishment morally wrong, another morally right, or abortions morally wrong and another right). Morality is the foundation of our motivation to pass laws, but reason, logic and debate is how we create laws that people want to pass. This happens by convincing others of your arguement, not threw emmotion but threw persuasion.

Using inflammatory speech is dangerous (like National disgrace) because it often results in rushing past reason and passing whatever person in power (or presenting fear) wants (in this case socializing medicine). Its anti-democratic and is the tool of the dictator and the thug. History is full of such examples, I need not point out to you. Its easy to fall into this trap, and the democrat (small d) must always be vigilant to watch for this sort of speak, not only in others but him/herself. Remember, when the mob is riled, the mob will rule ("and the dog will have his day.").
Last edited by AxeMental on Fri Feb 20, 2009 9:29 pm, edited 3 times in total.
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Post by Dwayanu »

AxeMental wrote:Myth, its dangerous using your morality as a rational to socialize medicine. First off, TRP and I and others may not share your morality. Secondly, your opening the door to use someone elses morality to justify things you may disagree with.
Do you really not see the absurdity of this argument?

If we can act in no case in which someone might disagree, then we can have no polity at all. There is no opinion universally held. The variety and contentiousness of human nature is the very assumption underlying every political system, for without it we should need no such systems.

Even did Mythmere give his moral code a name and appeal to others on a basis of putative mutual subscription to all under that rubric, it would remain each individual's prerogative to say, "No, I do not even agree that the one follows from the other."

That is in fact what people commonly do, outside of certain "dittohead" subcultures!

Your argument for making your opinion privileged is intrinsically self-defeating.

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Post by TRP »

Algolei wrote:
AxeMental wrote:Perhaps Canada is different Alg (and it may be, with a much lower mostly homogenous population)
:shock: "Homogenous?" Bah ha ha ha ha ha ha! :lol:
I'll second that for Axe's benefit.. Having vacationed extensively in Canada (Alberta is bee-u-tee-ful) I know that it's just as diverse as the U.S. Not just ethnically, but politically as well.

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AxeMental
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Post by AxeMental »

Dw: "If we can act in no case in which someone might disagree, then we can have no polity at all. There is no opinion universally held. The variety and contentiousness of human nature is the very assumption underlying every political system, for without it we should need no such systems.

Even did Mythmere give his moral code a name and appeal to others on a basis of putative mutual subscription to all under that rubric, it would remain each individual's prerogative to say, "No, I do not even agree that the one follows from the other."

I suggest you speak more clearly and to the point. Your hyperbole and involuted style is beyond annoying. If you weren't so consistantly confusing I'd say you were drunk or high. :roll: Seriously, in one sentance, what is your point?

TRP I second that the Canadian Rockies are amazing!

Alg: "I'm not sure what you're saying here. "Pro-socialists never mention serious reinvestigations into how to make drug development cheaper or the practice of medicine less expensive?" You can't possibly mean that, so I must be reading it wrong."


Hmmm!! seems to be missing from the debate at the moment (that is keeping the private system private by reducing costs threw massive tort reform, FDA reform, and anything else the medical providers can think of). Infact, what little debate that did occur had nothing to do with tort reform or anything that would lower the cost for the provider.


Not to put all the blame on our pinko liberal Democrats, the Republicans didn't do this either to the degree needed (I agree with Sean on this, the Republicans turned out to be a huge disappointment to me in 94'. Even if they did have to deal with a hostile press and Clinton, they squandered their momentum and agenda. Reagan used to talk directly to the American people, thats what they needed to do, daily...assuming they were sincere in the first place).

Alg, sometimes I really wish we'd taken over Canada in the past, but then I think of all those French Canadians being part of our voting population....yikes! I can barely stand watching them walk around in their speedos at the beach (terrifying).
Last edited by AxeMental on Fri Feb 20, 2009 9:54 pm, edited 1 time in total.
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Post by Flambeaux »

The Icemaiden wrote:It wont mean the end of the private/free market healthcare system, private health is still readily available here, so I dont see why it would in the States, the two systems can work in tandem.
This, for me, is the crux of the matter. I don't believe our politicians will allow a private system to coexist alongside the government-mandated system.

They'll tax and regulate the competition out of existence in the name of equality.

And that's why some of us in the US are so incensed about this.

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Post by T. Foster »

Flambeaux wrote:
The Icemaiden wrote:It wont mean the end of the private/free market healthcare system, private health is still readily available here, so I dont see why it would in the States, the two systems can work in tandem.
This, for me, is the crux of the matter. I don't believe our politicians will allow a private system to coexist alongside the government-mandated system.

They'll tax and regulate the competition out of existence in the name of equality.

And that's why some of us in the US are so incensed about this.
Why do you think that? There are tons of examples in the U.S. of private and public systems existing alongside one another. Why would healthcare be any different?
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Post by Flambeaux »

T. Foster wrote:Why do you think that? There are tons of examples in the U.S. of private and public systems existing alongside one another. Why would healthcare be any different?
Because I don't trust statist to stop seizing power once they're given a chance.

Because I have concerns about freedom of religion in this country.

Because I think the American Experiment has failed and that the Republic is dead.

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Post by Dwayanu »

Axe: I intended no hyperbole, regarding those statements rather as matters of fact (and not difficult to ascertain).

Perhaps your own language shall serve better:
Isn't it just as unethical to socialize medicine ... I wouldn't think it wise (or ethical) ... [The biggest problem is that] doctors are oathed to do everything they can to save life regardless of who it is.

We should not hold them any more accountable then we do ourselves ... what should be done ... should be forced ... force them to give those agreed to reductions. ... In any event, we need to do whatever it takes ... Those things you mention are monopolies and, for obvious reasons, have to be (therefore the govt. running them is totally legit). ... This right here needs the congress's full attention. ... that should be everyones focus ... The advancements you Brits make in the field of medicine are good, but ...

Its not a right ... it is a human right ...

Thats why I'm against the government, its out to grab what it can as fast as it can. ... If the alternative is socialism, what do we have to loose. ... Once we start down the road to socialized medicine there will be no going back. ... I do change my mind on occasion, but something has to sit right in my gutt first, and socialism (or anything like it) just doesn't. Not only do I detest the philosophy of it ... also, I detest the parasites that go into it for easy money and power. ... the Democratic party (aka the new name for the American socialist/communist party) ... you liberals ... California style leftist liberalism ... liberals handing it out for votes ... our European socialist friends ... pinko liberal ...

Using inflammatory speech is dangerous ... Its anti-democratic and is the tool of the dictator and the thug.

If it takes a propogandist headline (either liberal or conservative) to grab the publics attention, I don't see the harm. ... When you here both passionate arguements you can draw your own conclusion. ... your a good guy and your heart is obviously in the right place.

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Post by TRP »

Flambeaux wrote:
T. Foster wrote:Why do you think that? There are tons of examples in the U.S. of private and public systems existing alongside one another. Why would healthcare be any different?
Because I don't trust statist to stop seizing power once they're given a chance.

Because I have concerns about freedom of religion in this country.

Because I think the American Experiment has failed and that the Republic is dead.
Rome. First Century BC. I agree.

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