General Bernie Sanders: Why We Need Medicare for All

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Ted Williams' head

It's freezing in here!
Sep 23, 2015
11,283
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That's ridiculous. Waits for mental health services are no where near that bad here in this part of BC. We have walk in mental health services all across Vancouver Island run through VIHA.
Damn that's crazy. We got people with mental illness clogging up our emergency rooms.
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
26,589
Lies, damn lies, and statistics.
The majority of our mortality is built around societal issues that aren't inside, or solved by, universal health care of any kind.

Inside the system, the costs comparison ignores the bleeding edge medicines accessible that you don't even have on formulary. The majority of the foundational care costs are comparable. The diminishing returns occur anytime you push the last 10% with incentives to always create and push another last 10%. No, those last 30% of dollars are not efficient ones. But it doesn't have to do with universal care giving more coverage, access, or prevention. Your system simply rations those dollars and we allow/encourage and ever increasing pool into them.
Some interesting points.

What societal issues do you face in America that we dont face in Canada which reduces your overall life expectancy, that is not related to health care?
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
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Damn that's crazy. We got people with mental illness clogging up our emergency rooms.
We have mentally ill people also clogging up for emergency rooms but it isnt to seek help for their mental health disabilities.. It often stems from the mental health struggles though.
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
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We in the USA also get to subsidize the billions it takes to bring any new drug to market while socialized countries put price controls on these drugs, that's why we get the pleasure of paying $300 for a pill & you guys pay a quarter. It's either that or the companies making these life saving drugs (and to be fair, boner pills & the like) go out of business. To just compare the yearly costs leaves out a whole lot of context

Yet drug companies post billions of dollars in profits yearly.

Something is wrong with that situation.
 

Truck Party

TMMAC Addict
Mar 16, 2017
5,711
6,831
Yet drug companies post billions of dollars in profits yearly.

Something is wrong with that situation.
that'd be replacing what's worked with what sounds good. when socialized medicine starts churning out the new life saving medications on a routine basis, I'll start listening
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
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What societal issues do you face in America that we dont face in Canada which reduces your overall life expectancy, that is not related to health care?
That's a little bit of a loaded question. Obviously Every health problem is related to health care. But the preponderance of our mortality and morbidity is in the usual areas you might expect...

Obesity, smoking, hypertension, drug use, homicide.



Averages hide the above.
While white males have much more access to helath care, black females outlive them.

Of course 100% coverage for basic healthcare would address the 10% of Americans dying of these items uninsured. It's not clear that being insured or not changes all of this of course. But it would surely increase life for that group.

For the remainder that could go to the doctor regular...they don't. And they live lifestyles in which Healthcare is counseling and attempting to save them in spite of their bad lifestyles.

Large public education campaigns and public policies that address the causes of obesity , instead of addressing the healthcare problems that come from it, would be more effective.
 

BeardOfKnowledge

The Most Consistent Motherfucker You Know
Jul 22, 2015
60,626
56,162
Canada $4000 per year vs USA $9000 per year on average.
82 year life expectancy vs 79 year life expectancy.

We live longer and it costs us less.
How exactly do you come by those dollar values? If I lived stateside my employer would pay for my health insurance and my taxes would be a fraction of what they are here. The service would also be almost infinitely better, but that's a different discussion.
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
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Obesity, smoking, hypertension, drug use, homicide.
Obesity, smoking, drug use and hypertension could all be more adequately addressed by someone with access and the ability to make a health plan with a physician, I would assume?

While white males have much more access to helath care, black females outlive them.
Females in general live longer than males.

Large public education campaigns and public policies that address the causes of obesity , instead of addressing the healthcare problems that come from it, would be more effective.
I think in the Canadian health care system, we do attempt to focus on public education campaigns, public policies and early intervention as we are able to do so due to the healthcare system being public.

Doctor associations and the such regularly speak out against the negative consequences of smoking, poor diet, drug use and so on. We have publicly funded non-profit family health associations which focus almost exclusively on these issues.

Are these things even possible under a privatized system? If so, who would foot the bill?
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
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Obesity, smoking, drug use and hypertension could all be more adequately addressed by someone with access and the ability to make a health plan with a physician, I would assume?

Selective quoting. I already addressed enough caveats for this.

Females in general live longer than males. Apples and oranges.

Whites live longer than blacks... Apples and oranges.
Point remains. Coverage is but one piece and those with coverage are dying at abnormally high rates.

Coverage would address approximately 10% of our early deaths by the books on my shelf (that's as close as I can get to sourcing for you right now). The other 90% is us... We are fatter, smoke more, and kill each other more than Canadians.

I think in the Canadian health care system, we do attempt to focus on public education campaigns, public policies and early intervention as we are able to do so due to the healthcare system being public.

Doctor associations and the such regularly speak out against the negative consequences of smoking, poor diet, drug use and so on. We have publicly funded non-profit family health associations which focus almost exclusively on these issues.
So do we.
You're making a strong case for public education and campaigns like taxing cigarettes or sodas that gas nothing to do with private vs universal paying.
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
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So do we.
You're making a strong case for public education and campaigns like taxing cigarettes or sodas that gas nothing to do with private vs universal paying.
Who funds those public education campaigns? How does that work under a private system?
 

Freeloading Rusty

Here comes Rover, sniffin’ at your ass
Jan 11, 2016
26,916
26,589
I didn't see it mentioned how they come by those numbers. If you're just taking the number of people and dividing it by how much money was spent they number will be hilariously inaccurate.
I am not sure how the World Economic Forum, World Health Org. or the Peter Peterson Foundation came up with those specific numbers.
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
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Who funds those public education campaigns? How does that work under a private system?

Through the remainder of the tax base in the general discretionary funds. All our usual doctor orgs do the same as you describe. Weirdly, private insurance too. Quitting smoking saves/makes them money.

Even things like our homicide rate goes down the rabbit hole. Gun ownership is hugely high in southern white America, but urban black males are suffering the highest homicide rate. So even that health related issue has a hidden dichotomy in the average alone.

As a reminder I support us moving to a Medicare for all system. I just think outcomes and expectations have to be tempered when looking at that country vs country stats.

Zeph @MMA Expert Skip Bayless and kneeblock @Kneeblock will appreciate my forced nod to needing all these other social programs to address many gaps.