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Author Topic:   How Does Republican Platform Help Middle Class?
crashfrog
Member (Idle past 1496 days)
Posts: 19762
From: Silver Spring, MD
Joined: 03-20-2003


Message 331 of 440 (611583)
04-08-2011 8:00 PM
Reply to: Message 328 by subbie
04-08-2011 6:37 PM


Re: Republican Platform is brainwashing
This child then files suit against the parent, teacher and pastor, claiming he has a right to not listen to them.
Certainly his suit is going to be thrown out because he's not demonstrated that he's somehow been prevented from not listening to them.
Again it's this "right to not listen" that I don't understand. I mean it's basically impossible to get children to pay any attention to most adult authority figures; not listening is kind of the prerogative of children, isn't it? So I don't know what is meant by "not listen." (Although Jar said "not hear", and he seemed to think that was an important distinction.) Not obey? There's no law that a child has to obey their parents, and pastors or other religious figures can hardly order anybody about, adult or child.
Again I'm utterly confused about what the action here is supposed to be, when Jar refers to children hearing people. It seems to me that hearing is a passive act which occurs automatically, assuming one is capable of it. If I speak at you, no volition on your part is necessary to hear me - just unobstructed, functioning ears. Whether or not you listen, obviously, is the volitional act that determines whether my speech has an effect on you. But children, like all human beings, certainly retain the right not to listen.

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Jon
Inactive Member


Message 332 of 440 (611585)
04-08-2011 8:27 PM
Reply to: Message 330 by crashfrog
04-08-2011 7:54 PM


Re: Republican Platform is brainwashing
The Winnipeg case was not a divorce proceeding, so I've already met this standard.
And Winnipeg's not in the U.S., as you've been told. Too bad you're not actually interested in presenting your case.
I think I gave you a pretty fair opportunity for doing so.

Check out No webpage found at provided URL: Apollo's Temple!
Ignorance is temporary; you should be able to overcome it. - nwr

This message is a reply to:
 Message 330 by crashfrog, posted 04-08-2011 7:54 PM crashfrog has replied

Replies to this message:
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crashfrog
Member (Idle past 1496 days)
Posts: 19762
From: Silver Spring, MD
Joined: 03-20-2003


Message 333 of 440 (611587)
04-08-2011 8:31 PM
Reply to: Message 332 by Jon
04-08-2011 8:27 PM


Re: Republican Platform is brainwashing
And Winnipeg's not in the U.S., as you've been told.
I'm aware, but we're not talking about the United States.
I think I gave you a pretty fair opportunity for doing so.
I don't see that you've done anything but repeat other people's arguments. The Canada objection, for instance, was addressed two pages ago.

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ZenMonkey
Member (Idle past 4540 days)
Posts: 428
From: Portland, OR USA
Joined: 09-25-2009


Message 334 of 440 (611589)
04-08-2011 8:36 PM
Reply to: Message 322 by crashfrog
04-08-2011 5:31 PM


Re: Republican Platform is brainwashing
crashfrog writes:
But just because something is wrong, that doesn't alway make it illegal.
You're quite right, of course. Luckily, in this case we're talking about conduct that is both wrong and illegal - brainwashing.
Actually, we could resolve this debate right here. I will fully admit that what you call brainwashing - using coersion to inculcate belief - is wrong. Wrong, wrong wrong. However, as you freely admit, indoctrination without coersion is just teaching, regardless of the content of the indoctrination. Good so far? Where you're getting into trouble is that you're also trying to make a legal argument, and you are unfortunately confused about how the law actually works, so that part of your argument falls apart.
Had I hours to do so, I could go back and refute your attempt at a legal argument point by point. But you could make that unnecessary if you simply agree that you have a perfectly valid moral argument, just not a legal one.

I have no time for lies and fantasy, and neither should you. Enjoy or die.
-John Lydon
What's the difference between a conspiracy theorist and a new puppy? The puppy eventually grows up and quits whining.
-Steven Dutch
I never meant to say that the Conservatives are generally stupid. I meant to say that stupid people are generally Conservative. I believe that is so obviously and universally admitted a principle that I hardly think any gentleman will deny it. - John Stuart Mill

This message is a reply to:
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crashfrog
Member (Idle past 1496 days)
Posts: 19762
From: Silver Spring, MD
Joined: 03-20-2003


Message 335 of 440 (611591)
04-08-2011 8:46 PM
Reply to: Message 334 by ZenMonkey
04-08-2011 8:36 PM


Re: Republican Platform is brainwashing
However, as you freely admit, indoctrination without coersion is just teaching, regardless of the content of the indoctrination.
I don't equate "indoctrination" with teaching, I guess. Could you explain what you mean by the term?
If you mean just the communication of values (for instance), I'd use a different word but I'd agree that it was neither coercive nor illegal. Communicating racist values could (and has been) be a justification for loss of custody in a custody-specific suit, but on its own it's not likely to result in CPS action, obviously. That's the "racist uncle" level of racism I've been talking about. Clearly CPS isn't going to have the time, ability, or authority to intervene.
I wouldn't necessarily say that a parent has a "right" to communicate racist values to their child, but clearly they have the ability to do so. Not much is going to stop them. But they don't have the right to have a racist child - that is, if the child is determined to reject racist views, the parent has no legal right to compel them otherwise. Attempting to do so by coercive means would certainly violate the law, and certainly be a basis for loss of parental custody (as it was in Winnipeg.)
Had I hours to do so, I could go back and refute your attempt at a legal argument point by point.
I don't know why everybody thinks they have to rush on my account. Take all the time you need!

This message is a reply to:
 Message 334 by ZenMonkey, posted 04-08-2011 8:36 PM ZenMonkey has not replied

  
Meddle
Member (Idle past 1300 days)
Posts: 179
From: Scotland
Joined: 05-08-2006


(1)
Message 336 of 440 (611719)
04-10-2011 12:47 PM
Reply to: Message 287 by marc9000
04-07-2011 8:28 PM


marc9000 writes:
Because it doesn't have much detail about the details? The detail is out there, but it's not going to be found at NPR, or ABC. Here is a link you won't find in the mainstream U.S. media.
In the NHS everyone who requires a hip and knee operation will get one, and under normal circumstances hospitals should provide this service within 18 weeks. But this issue of delays has only recently surfaced as part of budget cuts, resulting in doctors and surgeons having to prioritise those who are most in need.
Of course in the US this situation will not arise since not everyone who has a need for a hip or knee operation will have the opportunity to get one. This situation will not be decided by doctors or surgeons but by the insurance companies, either directly by whether the operation is covered by the policy, or indirectly by the patient/customer looking at the affordability of the policy excess or hike in premiums.
I also work for the NHS, although for me it is in a hospital microbiology department. From my experience a national health service is more than just patching up an individual when they are ill. At my work, amongst other things, we screen for MRSA and C.difficile carriage for patients admitted to hospital as well as in the community, which are important infection control issues and could affect the outcome of any surgical intervention. The routine testing of patient samples also allows us to track other health issues, like food poisoning outbreaks or STD's or new bacterial resistance patterns.
My point of this is that even if you don't accept that universal health provision isn't a basic human right, you should at least recognise that withholding it from a section of the population means could still affect you. For example, you go to a doctor in the UK with an illness, they take a sample and we can tell you the causative organism and what antibiotics to treat with. The bacteria is eradicated and that's the end of the story. In America an uninsured person walks into the emergency room with an illness, and the doctor gives them some generic broad-spectrum antibiotic and fulfils their contractual obligations. It may not be the best antibiotic for the illness, the illness may not even be bacterial, and the patient may not be able to afford a full course of treatment. The upshot is that the bacteria is not eradicated and may go on to develop novel antibiotic resistances.
Edited by Malcolm, : No reason given.

This message is a reply to:
 Message 287 by marc9000, posted 04-07-2011 8:28 PM marc9000 has replied

Replies to this message:
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Dr Adequate
Member (Idle past 314 days)
Posts: 16113
Joined: 07-20-2006


(1)
Message 337 of 440 (611720)
04-10-2011 1:36 PM
Reply to: Message 209 by marc9000
04-06-2011 7:14 PM


Oh yes, I missed that one.
The detail is out there, but it’s not going to be found at NPR, or ABC. Here is a link you won't find in the mainstream U.S. media.
So, here's a story showing how conservative cuts in socialized medicine have caused pain and suffering to patients because they have to wait a long time for the government to supply them with necessary operations.
The conclusion our friendly neighborhood conservative wishes to draw from this? That there should be no socialized medicine at all, so that people would have to wait for ever for the government to supply them with necessary operations.
When British conservatives cause hunger by taking away half the loaf, American conservative logic decrees that the situation could be remedied by ensuring that we have no bread.

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marc9000
Member
Posts: 1522
From: Ky U.S.
Joined: 12-25-2009
Member Rating: 1.3


Message 338 of 440 (611746)
04-10-2011 7:42 PM
Reply to: Message 336 by Meddle
04-10-2011 12:47 PM


A good, civil message Malcolm, I appreciate it.
In the NHS everyone who requires a hip and knee operation will get one, and under normal circumstances hospitals should provide this service within 18 weeks. But this issue of delays has only recently surfaced as part of budget cuts, resulting in doctors and surgeons having to prioritise those who are most in need.
Of course in the US this situation will not arise since not everyone who has a need for a hip or knee operation will have the opportunity to get one. This situation will not be decided by doctors or surgeons but by the insurance companies, either directly by whether the operation is covered by the policy, or indirectly by the patient/customer looking at the affordability of the policy excess or hike in premiums.
Everyone who requires — with so many medical procedures, it’s not that simple. What is required is often subjective — what is required for some people may not be required for others. When to go to a doctor, what medical issues/symptoms can be lived with - in the U.S. these are all individual decisions as they should be. I find myself wondering if, in a government run health care system, are there requirements for physical exams? If a small medical issue is found during one of these exams, and the patient doesn’t want it treated, is he forced to have it treated? To save the system from more expense later on?
I also work for the NHS, although for me it is in a hospital microbiology department. From my experience a national health service is more than just patching up an individual when they are ill. At my work, amongst other things, we screen for MRSA and C.difficile carriage for patients admitted to hospital as well as in the community, which are important infection control issues and could affect the outcome of any surgical intervention. The routine testing of patient samples also allows us to track other health issues, like food poisoning outbreaks or STD's or new bacterial resistance patterns.
My point of this is that even if you don't accept that universal health provision isn't a basic human right, you should at least recognise that withholding it from a section of the population means could still affect you. For example, you go to a doctor in the UK with an illness, they take a sample and we can tell you the causative organism and what antibiotics to treat with. The bacteria is eradicated and that's the end of the story. In America an uninsured person walks into the emergency room with an illness, and the doctor gives them some generic broad-spectrum antibiotic and fulfils their contractual obligations. It may not be the best antibiotic for the illness, the illness may not even be bacterial, and the patient may not be able to afford a full course of treatment. The upshot is that the bacteria is not eradicated and may go on to develop novel antibiotic resistances.
I understand, of course there are advantages to a universal program. I think these people who want it in the U.S. are eventually going to get their wish. I just don’t see them thinking through the disadvantages, and the change over process. Since currently in the U.S. not everyone who needs a hip or knee operation will get one, it provides incentive (especially for those who are uninsured, or poorly insured) to live a healthier lifestyle that helps them avoid that problem. Like eating better, and/or getting some exercise. But it’s still a choice. Under universal health care, why would they worry? The government will take care of them. Unless the government mandates eating better, or getting exercise. That’s not liberty, not what the U.S. is about.
There’s going to be a world of problems with a changeover to a universal system in the U.S. that’s going to surprise a lot of people. No matter how gradual it’s implemented, some things are going to happen overnight. Much health coverage in the U.S. is paid for partly, or completely by employers. If insurance companies are eliminated from the process, suddenly employers are going to be freed from this burden. What happens to that money? It’s company’s money, it’s earned by them, and it should be theirs to do with as they see fit. Does everyone expect them to hand it all out in raises to employees? Is the government going to find it justifiable to tax it away from them? Also, insurance companies suddenly lose a major source of income. They still insure automobiles, and houses, and much of this coverage is mandated by law (in the case of automobiles) and mortgage holders (in the case of homes) Will those rates skyrocket, as insurance companies attempt to counter their loss of medical insurance business?
In some cases in the U.S., medical coverage is an incentive to be involved in organized work. In my area, school bus drivers are part time (average around 4 hrs work per day) and they get medical insurance through that job. For most of them, it’s a supplement to other work they or their spouse does — without medical insurance, they wouldn’t do it. So there’s no question that filling some jobs is going to be harder if medical insurance is suddenly out of the equation.
The U.S. health care system has problems, to be sure. But I don’t think the only solution is to turn it all over to our government, which could very well do a far lousier job of administering it that your country’s government does.

This message is a reply to:
 Message 336 by Meddle, posted 04-10-2011 12:47 PM Meddle has replied

Replies to this message:
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 Message 341 by Dr Adequate, posted 04-10-2011 8:42 PM marc9000 has replied
 Message 343 by Jon, posted 04-11-2011 12:43 AM marc9000 has not replied
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 Message 352 by ZenMonkey, posted 04-15-2011 9:09 PM marc9000 has replied

  
jar
Member (Idle past 423 days)
Posts: 34026
From: Texas!!
Joined: 04-20-2004


Message 339 of 440 (611750)
04-10-2011 7:47 PM
Reply to: Message 338 by marc9000
04-10-2011 7:42 PM


marc9000 writes:
Much health coverage in the U.S. is paid for partly, or completely by employers. If insurance companies are eliminated from the process, suddenly employers are going to be freed from this burden. What happens to that money? It’s company’s money, it’s earned by them, and it should be theirs to do with as they see fit. Does everyone expect them to hand it all out in raises to employees? Is the government going to find it justifiable to tax it away from them? Also, insurance companies suddenly lose a major source of income. They still insure automobiles, and houses, and much of this coverage is mandated by law (in the case of automobiles) and mortgage holders (in the case of homes) Will those rates skyrocket, as insurance companies attempt to counter their loss of medical insurance business?
Actually, it is NOT the companies money, it is already part of what the worker is paid. Yes it should get given to the employees but it is NOT a raise, it is already theirs.

Anyone so limited that they can only spell a word one way is severely handicapped!

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crashfrog
Member (Idle past 1496 days)
Posts: 19762
From: Silver Spring, MD
Joined: 03-20-2003


Message 340 of 440 (611772)
04-10-2011 8:28 PM
Reply to: Message 338 by marc9000
04-10-2011 7:42 PM


I find myself wondering if, in a government run health care system, are there requirements for physical exams? If a small medical issue is found during one of these exams, and the patient doesn’t want it treated, is he forced to have it treated?
You wonder? Why not find out?
http://www.telegraph.co.uk/...-by-judge-to-have-surgery.html
The answer is that, just like in the US, courts can order and force medical treatment on individuals who don't desire it if and when the court determines that they lack the capability to make an informed and rational decision.
But absent that, it's a crime of assault in the UK to subject someone to unwanted medical procedures, just like it is in the US.
Under universal health care, why would they worry?
Because people don't like injuries, illnesses, or invasive medical interventions even when they're free?
In your experience, do insured people act more recklessly?
What happens to that money? It’s company’s money, it’s earned by them, and it should be theirs to do with as they see fit.
If the money belongs to the company - and, contrary to Jar, I largely agree with you that it's the company's money we're talking about - then the company will decide what to do with it. Maybe they'll feel pressure from their employees, who feel like their compensation is being reduced if the company is no longer paying for health insurance. Maybe they'll feel like they have to increase wages to match, to meet the labor market pressure and avoid losing their valuable employees to other firms. Or maybe they'll keep it, and reap profits from the reduction in labor force costs.
Very likely, some combination of both will occur. Market pressure from employees will result in increased monetary compensation to make up for the loss of benefits, and total labor costs for most companies will be reduced since they're no longer on the hook for expensive health benefits.
I really don't see it as a conundrum, though. Do you think that companies won't be able to figure out what to do with a windfall generated by lower labor costs? I don't understand how more money in a company's pocket is an "unexpected problem." I think that's a "problem" most companies want to have.
Also, insurance companies suddenly lose a major source of income.
Yeah, they're probably going to go the way of ice delivery services and buggy whip manufacturers. That's the free market for you - nobody has a right to be in business forever.
For most of them, it’s a supplement to other work they or their spouse does — without medical insurance, they wouldn’t do it.
Well, right. Why is that a bad thing? If bus driving is such a valuable service then we'll have to pay people a wage that convinces them to do it. That'll be cheaper, in the long run, than paying bus drivers in health coverage. Moving away from benefits-based compensation will save money for everyone.
But I don’t think the only solution is to turn it all over to our government, which could very well do a far lousier job of administering it that your country’s government does.
Why? The US government already has plenty of practice administering health services; there are two completely separate Federal single-payer coverage providers already, and a majority of Americans are already on one of those two single-payer systems.
Yes, that's right - a majority of Americans already get single-payer health care run by the government. So I don't think the changeover to a "Medicare for all" system would be as big a deal as you portray it. The government already meets the health care needs of the sickest and oldest, since there's no market for insuring people who need expensive care; the people we'd move into the pool - healthy, able-bodied working Americans - are the people who also have the least health care needs.

This message is a reply to:
 Message 338 by marc9000, posted 04-10-2011 7:42 PM marc9000 has replied

Replies to this message:
 Message 353 by marc9000, posted 04-17-2011 4:24 PM crashfrog has replied

  
Dr Adequate
Member (Idle past 314 days)
Posts: 16113
Joined: 07-20-2006


Message 341 of 440 (611776)
04-10-2011 8:42 PM
Reply to: Message 338 by marc9000
04-10-2011 7:42 PM


Everyone who requires — with so many medical procedures, it’s not that simple. What is required is often subjective — what is required for some people may not be required for others. When to go to a doctor, what medical issues/symptoms can be lived with - in the U.S. these are all individual decisions as they should be. I find myself wondering if, in a government run health care system, are there requirements for physical exams? If a small medical issue is found during one of these exams, and the patient doesn’t want it treated, is he forced to have it treated?
No.
Since currently in the U.S. not everyone who needs a hip or knee operation will get one, it provides incentive (especially for those who are uninsured, or poorly insured) to live a healthier lifestyle that helps them avoid that problem. Like eating better, and/or getting some exercise.
How's that been working out so far?
Under universal health care, why would they worry? The government will take care of them.
Wouldn't the same degree of moral hazard apply to having private health insurance?
But in either case there are other incentives not to be a tub of lard. And even from a medical point of view, there's not much the government or private insurance can do for someone who's really determined to "dig his grave with his teeth".
What happens to that money? It’s company’s money, it’s earned by them, and it should be theirs to do with as they see fit. Does everyone expect them to hand it all out in raises to employees? Is the government going to find it justifiable to tax it away from them?
You could ask that of anything that saved a company money, but it's not something one usually worries about. I've not seen you fretting about what would happen if oil prices came down.
Also, insurance companies suddenly lose a major source of income.
And expenditure.
They still insure automobiles, and houses, and much of this coverage is mandated by law (in the case of automobiles) and mortgage holders (in the case of homes) Will those rates skyrocket, as insurance companies attempt to counter their loss of medical insurance business?
Only if they've been subsidizing an otherwise uneconomic car-insurance business with profits from health insurance, and presumably they're not stark raving mad and they haven't.
In some cases in the U.S., medical coverage is an incentive to be involved in organized work.
People in other nations manage to drag themselves to work with the incentive of actual money.
The U.S. health care system has problems, to be sure. But I don’t think the only solution is to turn it all over to our government ...
I don't know of any country (perhaps North Korea?) where the government has a monopoly on health care.
... which could very well do a far lousier job of administering it that your country’s government does.
Is there any reason to suppose that America is uniquely likely to make a mess of what other nations seem to do quite well?
You could use this sort of vague anxiety as an argument against doing anything, but it's not a very good argument unless you can justify it.

This message is a reply to:
 Message 338 by marc9000, posted 04-10-2011 7:42 PM marc9000 has replied

Replies to this message:
 Message 354 by marc9000, posted 04-17-2011 4:27 PM Dr Adequate has replied

  
xongsmith
Member
Posts: 2587
From: massachusetts US
Joined: 01-01-2009
Member Rating: 6.4


(1)
Message 342 of 440 (611788)
04-11-2011 12:07 AM
Reply to: Message 321 by ZenMonkey
04-08-2011 5:07 PM


Re: Republican Platform is brainwashing
ZenMonkey writes:
Find me a case in which Nazi or Mormon or Green Party parents kept their child in a closet, denied him meals, and subjected him to hours and hours of coersive lectures about their beliefs, then you'll have valid case of brainwashing.
Perhaps I am mistaken - but isn't that what the Republican Party has been doing?

- xongsmith, 5.7d

This message is a reply to:
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Jon
Inactive Member


Message 343 of 440 (611791)
04-11-2011 12:43 AM
Reply to: Message 338 by marc9000
04-10-2011 7:42 PM


Since currently in the U.S. not everyone who needs a hip or knee operation will get one, it provides incentive (especially for those who are uninsured, or poorly insured) to live a healthier lifestyle that helps them avoid that problem. Like eating better, and/or getting some exercise. But it’s still a choice. Under universal health care, why would they worry?
Who the fuck wants a knee operation no matter who's paying for it?
Unless the government mandates eating better, or getting exercise.
There is no need for a mandate, in fact, such is to be discouraged. Incentives and education would do the trick just finealong with 'food' industry regulations, as they have done in other countries.
For most of them, it’s a supplement to other work they or their spouse does — without medical insurance, they wouldn’t do it. So there’s no question that filling some jobs is going to be harder if medical insurance is suddenly out of the equation.
An alternative would be to pay people fairly for the work they do, and teach people how to live within their means and make this more of a possibility.
Jon

Check out No webpage found at provided URL: Apollo's Temple!
Ignorance is temporary; you should be able to overcome it. - nwr

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Taq
Member
Posts: 10085
Joined: 03-06-2009
Member Rating: 5.1


Message 344 of 440 (611825)
04-11-2011 12:08 PM
Reply to: Message 287 by marc9000
04-07-2011 8:28 PM


Okay, so you have one area (elimination of insurance company involvement) where cost would be saved in a government run system. Is that the only one you have? If so, after considering the brand new cost of more government employees to run the new system, do you still see a large enough difference in those two amounts to solve all the problems of medical costs in the U.S.?
Do you think that private insurance companies do not spend any money on administrative costs? Also, the government will not be pulling money out as profit, so there is a cost saver right there. After there is a single payer system the next step would be in decreasing cost at hospitals. This is more easily done if everyone can collectively bargain as a single population instead of piecemeal like it is now. We should also look at government run hospitals like the VA system.
But the U.S. has higher rates of obesity than people in other western nations that do have government health care. Should addressing this problem be part of government health care? Should the government pass ‘sugar control’ laws? I don’t think so and suspect you might not either, but I think government health czars would be much more likely to impose sugar control, than would insurance company lobbyists.
Nothing is stopping these type of regulations right now, and there is no one stopping advocacy of healthier diets. I really don't see what this has to do with anything.
You said student loans, not tuition and cost of living. I was merely making the point that amounts of student loans have a lot to do with ‘wants’, rather than needs.
Student loans have to do with tuition outpacing the cost of living to the point that middle class families can no longer "pay as they go".
It IS strange, because you don’t seem to like traditional America. James Madison once said; "I cannot undertake to lay my finger on that article of the Constitution which granted a right to Congress of expending, on objects of benevolence, the money of their constituents." That’s the spirit of U.S. government that Tea Partier’s would like to see restored.
I want to fix modern America, not the America from the 1700's. If you want to live in the America from 1700 I would suggest building a time machine.
I’m saying that just because life is more complicated than it was in the horse and buggy days, doesn’t mean that government has to grow to unaffordable levels to oversee the new complications.
I am not saying it should either. Other countries spend around the same amount as we do per capita, and yet they are able to provide health care for everyone while we only do it for the poor and old. Obviously, we are spending too much in other areas, namely the defense budget.
With a few rare exceptions, we got along fine without the EPA until 1970. I admit that the time for it had probably come by then. But like any government agency, it got too big and intrusive.
So we shouldn't even try? Sorry, but a defeatist attitude is a poor excuse.
Countries with government run health care don’t have as many high tech medical devices like CAT scans or MRI’s as the U.S. does. The U.S. has one of the highest cancer survival rates in the world. Do you think these characteristics of U.S. medicine will stay the same, or get better, when the government takes it all over?
The US has a lower lifetime expectancy, higher infant mortality rates, and overall poorer healthcare than countries with government run health care. All the while, we are spending twice the money for inferior healthcare.
What little public transportation that we do have, (compared to all of it) it’s still not single payer.
It is very similar to healthcare in other countries. Taxes are used to fund the bulk of the cost while users are expected to fund a small percentage of the total cost. To use my own city as an example, a day pass on the bus is 2 bucks. If all tax funding were pulled from the system that same pass would need to be 9 to 10 dollars.
Nothing socialist about public roads. Public posting of roads is in the U.S. Constitution.
We use tax money to build and maintain public roads that are open for everyone to use. Why can't we do the same for healthcare?
Most effective for what? Curing disease and keeping people out of pain, or running them through the system, keeping everything moving, pacifying doctors and assistants who may not be happy with the allowance the government gives them? Do doctors of different skill levels all make the same money?
Curing disease. If a more expensive procedure saves more lives then the more expensive procedure is recommended.
It’s usually the people themselves through the free market of the insurance company they choose to deal with, or their families that decide in the current U.S. system. It’s true that the system may run more smoothly if a bureaucrat in Washington makes some decisions however. A stranger’s death is much easier to take, isn’t it?
How many middle class families could provide for a child with a chronic condition without insurance, or afford a $250,000 doctor bill if the breadwinner has a heart attack or gets cancer?

This message is a reply to:
 Message 287 by marc9000, posted 04-07-2011 8:28 PM marc9000 has replied

Replies to this message:
 Message 355 by marc9000, posted 04-17-2011 4:36 PM Taq has not replied

  
Meddle
Member (Idle past 1300 days)
Posts: 179
From: Scotland
Joined: 05-08-2006


(1)
Message 345 of 440 (612419)
04-15-2011 12:19 PM
Reply to: Message 338 by marc9000
04-10-2011 7:42 PM


marc9000 writes:
Everyone who requires — with so many medical procedures, it’s not that simple. What is required is often subjective — what is required for some people may not be required for others. When to go to a doctor, what medical issues/symptoms can be lived with - in the U.S. these are all individual decisions as they should be.
Well of course medical treatment will vary depending on the patient and their symptoms and what is 'required' will be determined by the examining doctor. I simply cited knee and hip operations as that was the example in the article.
As others have already pointed out, nothing is compulsory. You can still when or if you go to a doctor if you are feeling unwell, and choose whether to follow the advise the doctor gives. However I would say that the general public is not qualified to determine if symptoms they are experiencing can be lived with. It could be the start of something more serious, even potentially life-threatening, so the sooner you choose to see the doctor the better the outcome. Of course over here doctor visits are free. I did not realise that you even have to pay to just see the doctor in the US system.
I understand, of course there are advantages to a universal program. I think these people who want it in the U.S. are eventually going to get their wish. I just don’t see them thinking through the disadvantages, and the change over process. Since currently in the U.S. not everyone who needs a hip or knee operation will get one, it provides incentive (especially for those who are uninsured, or poorly insured) to live a healthier lifestyle that helps them avoid that problem. Like eating better, and/or getting some exercise. But it’s still a choice. Under universal health care, why would they worry? The government will take care of them. Unless the government mandates eating better, or getting exercise. That’s not liberty, not what the U.S. is about.
Illness is not something you can control and even living a healthier lifestyle provides no guarantees. To go back to the example of hip operations, that is the result of gradual wear and tear on the joint, so is generally age related but can also be exacerbated by a job which is physically demanding. The risk of heart disease can be increased by stress. Other diseases like many cancers can happen spontaneously. A person may have unknown genetic predispositions to certain diseases, or have a child with a genetic disorder like cystic fibrosis requiring long term care. The point is illness is not always a choice.
As a non-American I admit I don't fully comprehend the 'American Dream' but it seems to be the idea that if you work hard you can improve your lot in life. But this doesn't appear to be what happens. You work harder to not fall behind, so your busy running on the spot until a health issue comes along to trip you up. I realise a public health service is open to knee-jerk accusations of freeloading or abusing the system (not so sure about unnecessary elective surgery ) but really it's a safety net for when things go wrong.
There’s going to be a world of problems with a changeover to a universal system in the U.S. that’s going to surprise a lot of people. No matter how gradual it’s implemented, some things are going to happen overnight. Much health coverage in the U.S. is paid for partly, or completely by employers. If insurance companies are eliminated from the process, suddenly employers are going to be freed from this burden. What happens to that money? It’s company’s money, it’s earned by them, and it should be theirs to do with as they see fit. Does everyone expect them to hand it all out in raises to employees? Is the government going to find it justifiable to tax it away from them?
There are a huge number of services involved in a national health service, and they do not all have to come under a public healthcare system at one time. For example you already have Medicare and Medicaid services which could be expanded. As less services are required to be covered by the insurance companies, the premiums will go down, including for employers. With more money the employers can invest it in the business, providing more jobs. This will in turn drive up salaries as businesses compete for staff, and the increase in salaries will be offset by an increase in taxes as more services are added. Anyway that's how I see it.

This message is a reply to:
 Message 338 by marc9000, posted 04-10-2011 7:42 PM marc9000 has not replied

Replies to this message:
 Message 346 by jar, posted 04-15-2011 12:44 PM Meddle has not replied

  
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