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Author Topic: Universal health care  (Read 1589 times)
Big Bear
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« Reply #30 on: January 30, 2008, 06:15:17 PM »

Good points and the Paris Hilton comment cracked me up! laugh laugh

I don't agree about buying better healthcare, though.  When I was stationed in the UK, anyone who could bought better healthcare than the National Health system offered.  I did use the NH a couple of times and it was pretty good, about the same as I got from the US military.  I also had occaission to use private healthcare in the UK and it worked better, just like private healthcare in the States.  Isn't it like buying a house or a car or even a meal?  I mean you have choice and sometimes cheap and easy is fine.  Other times, you want the best you can afford.  I don't buy an expensive steak dinner every time I want to eat because I cannot afford it, not because I do not love steak.   And, if I and everyone else ate an expensive steak dinner for every meal, there would not be enough for any of us.  Realistically, healthcare works the same way.  There is a basic standard that is met.  But, if you can afford a little better, why not?  If you have a heart operation in a very fancy hospital it doesn't stop me from having a broken arm set at a public clinic. 

Jimmy Coalminer may never earn as much as Paris and I know that I never will.  But, I don't have to have as much as her to be content.  (Besides, no vagina to flash! Cheesy)

Maybe it comes down to being able to say, "I have enough." 
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Leo
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« Reply #31 on: January 30, 2008, 10:44:59 PM »

Good points and the Paris Hilton comment cracked me up! laugh laugh

I don't agree about buying better healthcare, though.  When I was stationed in the UK, anyone who could bought better healthcare than the National Health system offered.  I did use the NH a couple of times and it was pretty good, about the same as I got from the US military.  I also had occaission to use private healthcare in the UK and it worked better, just like private healthcare in the States.  Isn't it like buying a house or a car or even a meal?  I mean you have choice and sometimes cheap and easy is fine.  Other times, you want the best you can afford.  I don't buy an expensive steak dinner every time I want to eat because I cannot afford it, not because I do not love steak.   And, if I and everyone else ate an expensive steak dinner for every meal, there would not be enough for any of us.  Realistically, healthcare works the same way.  There is a basic standard that is met.  But, if you can afford a little better, why not?  If you have a heart operation in a very fancy hospital it doesn't stop me from having a broken arm set at a public clinic. 

Jimmy Coalminer may never earn as much as Paris and I know that I never will.  But, I don't have to have as much as her to be content.  (Besides, no vagina to flash! Cheesy)

Maybe it comes down to being able to say, "I have enough." 

I'm sorry, but I must disagree on a couple of points. I was born and grew up in the UK. My family are comfortable financially and I have used both the private health care and the NHS. There is qualitatively no difference, and if you are really ill, the NHS hospitals are better funded and have more modern equipment. The same applies to Australia where I currently am. What people perceive as a difference is that with additional private health care insurance you get a private room in hospital, and you get to schedule your procedures around your golfing commitments. Like yourself, I have no problem with this, provided you have already contributed (via taxation) to the NHS.

Neither the NHS nor the Australian Medicare are 'cheap and easy'. According to the WHO, both provide appreciably better health care than the US private system. I have been described as accident prone, so I have spent many a long day in hospitals while various fractures mended, etc. So I know of what I speak.  Grin
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Big Bear
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« Reply #32 on: February 01, 2008, 07:46:05 PM »

Leo: I like you! You know how to disagree without being disagreeable. Wink

NHS and taxation and a leveling ground.  I always like playing on a level field.  You have to pay your dues in whatever system you are part of.

Let me clarify the cheap and easy:  Not saying that NHS is either.  I am saying that sometimes you might be willing to put up with the negative points of a system to save some money and sometimes you are not.

Surprised at the better level of care issue.  Lots of folks from Canada, not one of the countries we've mentioned but the do have an NHS, come to the USA for surgical procedures they cannot get or will not wait for in Canada.  Of course, we like to buy our prescriptions there if we can because they are cheaper.  Folks do like to vote with their pocketbooks. Grin

I've spent my unfair share of time in the doc's too.  Confession: I had a back operation in one of our VA hospitals.  They did a great job and I went from crippled to walking in one day!  I guess that is close to an NHS solution.  Follow up care was not so hot though.  I wish I had had insurance to cover that.  Benefit of private insurance. Undecided
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gommi
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« Reply #33 on: February 01, 2008, 09:27:36 PM »

Quote
Surprised at the better level of care issue.  Lots of folks from Canada, not one of the countries we've mentioned but the do have an NHS, come to the USA for surgical procedures they cannot get or will not wait for in Canada.
Canada however is not a good example of a strong national health care system due to limited funding. European nations generally perform better in this regard.
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Leo
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« Reply #34 on: February 02, 2008, 06:52:19 AM »

Quote
Surprised at the better level of care issue.  Lots of folks from Canada, not one of the countries we've mentioned but the do have an NHS, come to the USA for surgical procedures they cannot get or will not wait for in Canada.
Canada however is not a good example of a strong national health care system due to limited funding. European nations generally perform better in this regard.

You are quite right. Canada is not regarded as a good universal health care system, as the waiting times for necessary procedures can be too long (which is the primary reason Canadians go to the US).  The WHO ranks France as the best, and the UK's NHS is also ranked quite highly.

But basically, universal health care is a matter of principle which needs to be understood and agreed. The actual modus operandi can vary a lot, and no one system needs to be slavishly copied.  Smiley
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Leo
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« Reply #35 on: February 02, 2008, 07:04:19 AM »

Leo: I like you! You know how to disagree without being disagreeable. Wink

LOL, thanks! You seem the same.  Smiley

NHS and taxation and a leveling ground.  I always like playing on a level field.  You have to pay your dues in whatever system you are part of.

Let me clarify the cheap and easy:  Not saying that NHS is either.  I am saying that sometimes you might be willing to put up with the negative points of a system to save some money and sometimes you are not.

I totally understand what you mean. We also need to understand that not every universal health care system operates exactly the same. The French, the Brit, and the Aussie systems seem to be better than the Canadian system.

Surprised at the better level of care issue.  Lots of folks from Canada, not one of the countries we've mentioned but the do have an NHS, come to the USA for surgical procedures they cannot get or will not wait for in Canada.  Of course, we like to buy our prescriptions there if we can because they are cheaper.  Folks do like to vote with their pocketbooks. Grin

I've spent my unfair share of time in the doc's too.  Confession: I had a back operation in one of our VA hospitals.  They did a great job and I went from crippled to walking in one day!  I guess that is close to an NHS solution.  Follow up care was not so hot though.  I wish I had had insurance to cover that.  Benefit of private insurance. Undecided

TBH, I have no idea where the WHO ranks Canada, but I don't think it is very high. The European systems tend to be ranked much higher. But I think it is important for a country to be able to offer the level playing field of one standard of health care for everyone, irrespective of his wealth and income. The minute health care becomes dependent upon varying insurance schemes, that becomes no longer possible.
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yilmaz101
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« Reply #36 on: February 21, 2008, 10:51:23 AM »

I really fail to understand what the whole fuss is about as far as universal healthcare and American aversion to it go. First of all you live in the largest welfare society ever in the history of mankind. The problem is that the welfare in question is not the welfare of the people but the welfare of the corporations. Just in 2006 the federal government spent 92 billion bucks in subsidies to corporations and other businesses. That I am sure is more than what it would cost to provide each and every American citizen with a decent level of healthcare.

Perhaps what you need is something similar to the system we are trying to set up here in Turkey. The new system that is going into effect (the transition will take a few years) insures that everyone, regardless of income or wealth is entitled to a minimum level of healthcare. Those that can afford to can go to private health providers and pay the difference out of their own pockets, or can buy supplemental insurance that accords them private health care. In our system there are two types of hospitals. Public hospitals must provide healthcare free of charge to patients (with the state picking up the tab for treatments) and private hospitals if they so choose can also participate in this system. Those private hospitals that do not choose to participate in the system can still continue to provide healthcare as long as they finance their own operations in any way they see fit (ie. without government help). In this system we 1. have more choice as to which healthcare provider we go to, as most private hospitals are participating because this way they have a guaranteed cashflow, 2. we have better quality healthcare because the providers, be it public or private sectori are competing for customers (in healthcare this is only possible through service quality) and 3. we still have the option of balking at what the government provides and purchasing our own healthcare.
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Leo
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« Reply #37 on: February 22, 2008, 10:39:01 PM »

I really fail to understand what the whole fuss is about as far as universal healthcare and American aversion to it go. First of all you live in the largest welfare society ever in the history of mankind. The problem is that the welfare in question is not the welfare of the people but the welfare of the corporations. Just in 2006 the federal government spent 92 billion bucks in subsidies to corporations and other businesses. That I am sure is more than what it would cost to provide each and every American citizen with a decent level of healthcare.

Perhaps what you need is something similar to the system we are trying to set up here in Turkey. The new system that is going into effect (the transition will take a few years) insures that everyone, regardless of income or wealth is entitled to a minimum level of healthcare. Those that can afford to can go to private health providers and pay the difference out of their own pockets, or can buy supplemental insurance that accords them private health care. In our system there are two types of hospitals. Public hospitals must provide healthcare free of charge to patients (with the state picking up the tab for treatments) and private hospitals if they so choose can also participate in this system. Those private hospitals that do not choose to participate in the system can still continue to provide healthcare as long as they finance their own operations in any way they see fit (ie. without government help). In this system we 1. have more choice as to which healthcare provider we go to, as most private hospitals are participating because this way they have a guaranteed cashflow, 2. we have better quality healthcare because the providers, be it public or private sectori are competing for customers (in healthcare this is only possible through service quality) and 3. we still have the option of balking at what the government provides and purchasing our own healthcare.

That almost exactly describes the universal health care systems extant throughout Europe, in the UK, and in countries such as Australia. Because the system is funded by general taxation, everybody contributes to it, thereby providing a sufficiently large funding base to ensure it can operate efficiently. Those who wish, may opt for private health insurance, but they are not exempt from funding the public system via their taxes.

Health care providers may opt to be within the government funded system, or to operate outside it as a pure private system. They are predictably, more expensive, and therefore less competitive than the public system. But they do provide certain advantages as to convenience, and shorter waiting times for procedures concerned with non-life-threatening conditions. Some people are prepared to pay extra for this, and that is fine, as it lessens the load on the public system.

I suspect the underlying resistance to universal health care in the USA comes from an impression that this is a form of socialism. Something which is inexplicably anathema to most Americans. Perhaps that impression will change over a period of time.  Americans are only 50 years distant from the McCarthy era. Cheesy
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yilmaz101
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« Reply #38 on: February 23, 2008, 11:50:45 AM »

Depending on how you look at it public transportation, or even government funding of infrastructure such as roads and bridges is a form of socialism. I just don't get the Americans sometimes.....
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gommi
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« Reply #39 on: February 24, 2008, 02:28:55 PM »

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. Because the system is funded by general taxation, everybody contributes to it, thereby providing a sufficiently large funding base to ensure it can operate efficiently.
If taxes remain at an appropriate level then yes, it will operate efficiently. Any irresponsible tax cuts however will threaten public services.

Depending on how you look at it public transportation, or even government funding of infrastructure such as roads and bridges is a form of socialism.
Its not surprising then that some Americans have proposed the privatization of roads, with toll fees and competing construction and maintenance firms. Of course this is ridiculous, and it is not a popular policy.
« Last Edit: February 24, 2008, 02:30:51 PM by gommi » Logged

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