Brad Wardell's views about technology, politics, religion, world affairs, and all sorts of politically incorrect topics.

The current system has its flaws but it does something profoundly right:

Most people who have health insurance are paying for their own individual health insurance either directly or indirectly through their employer. They are paying into the system for what they get back.

Obama supporters dream of a different system where taxes pay for health insurance instead. The problem with that is that nearly half the population pay no net federal income taxes. 

People get this and they’re pissed off about being saddled with paying for yet another thing for the nearly half of the population who pay no net taxes.

A big reason I have such disdain for the federal government is that the people who don’t pay have not just a lot of control over how money is spent but have an incentive to get ever increasing goodies given to them. Health insurance is just the latest.

According to the 2008 exit polls, over 60% of the people who pay no net federal income taxes voted for Obama. Zip.

So yea, I’m sure they’d love to see the idea of health insurance paid for by tax payers, because it’s free for them.

But the remaining near half the population are stuck with the bill.

And that’s just one reason. Loss of freedom, rationed care, the unintended consequences of moving away from the free market are just a handful of other reasons.

But for me, one of my big frustrations is just getting sick of being stuck with the tab of paying for people who hide their parasitic demands behind the illusion of “compassion”.


Comments (Page 4)
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on Aug 16, 2009

Here's a great dissection of the prevarications and dissembling of BO at the Portsmouth, NH, 'town hall' this past week.

on Aug 16, 2009

Even if assumed to be correct, that's an advantage of moving to a UHC system - the state would end up paying for all that litigation, and hence would likely be more interested in curbing it.

Good one, anymore jokes? It is against the law to sue the government except in very rare ocasions. You can sue for information but not damages. As a vet I can't sue because of malpractice which is why if a doctor is close to losing their license they go to work for the VA. What makes you think that the government is going to open itself up to litigation after spending huge wads of our money to provide us with healthcare? If a government employee is injured on the job and it is the governments fault you can sue. if you win they give you compensation but they do not pay lawyers fees. That is why there are only three lawyers in my state that even do federal damage suits. The system is designed to discourage law suits. There is no money in it for the lawyers so they don't do that kind of law.

on Aug 16, 2009

Interesting little tidbit from this article in the WSJ:

My colleague at the American Enterprise Institute, Tom Miller, estimates that U.S. patients have the lowest out-of-pocket costs as a percent of total national health spending of any developed country except France, Luxembourg, the Czech Republic and Ireland. They're even lower than the single-payer health system in Canada. Mr. Miller calculates that out-of-pocket spending on physician and clinical services in the U.S. was about 60% of total real per capita spending on health care in 1960. By 2002 it had fallen to 10%.

This is consistent with my contention that the 'free-er' healthcare gets for the individual, the more expensive it becomes for society.

on Aug 16, 2009

taltamir, you know a wealthy person who would like to jump the Canadian queue for her health care by spending more money in the US? Shocker. If she wants to do so, that's her call. For all I know, it was for plastic surgery. I was merely pointing out one case of an American taking advantage of the Canadian system. There are plenty of Americans who have moved to the UK, France and northern Europe (Sweden, Norway, etc.) for better social services. Yes, they have higher taxation. But it's not like the US is a tax haven as it is.

The life expectancy graph was just one piece of the puzzle. It's a starting point. Since you're spending the highest % of your GDP on health care, you should logically be the best in virtually every category. Life expectancy, infant mortality, various cancers – these are just a few of the many things the US is not the best in the world at combatting. Since your government spends the most on health care, though, than virtually any other nation in the world, we can conclude that this money is being poorly spent, and has been for quite some time (similar comparisons over the past decade have come to the same conclusion). Therefore, it's probably time to try something different.

I was always taught that a business is not a charity. To business owners, this is a given – they need to make a decent profit to keep going. That's the comparison. I see it another way, too. Charities should not become a business. The insurance providers in the US are trying to please both shareholders, who would like to see increased profits, and their customers, who would like to make insurance claims. And you know what? Insurance companies can't meet both demands. It's a broken system.

Daiwa: there was very little information in that article as a comparison to UHC programs outside of that paragraph. Even within that paragraph, there are only two pieces of data. For all I know, Canada's per-capita out of pocket expenses could be 10.1%.

on Aug 16, 2009

Oh, and for those who want to read it, here's the full text of the bill.

on Aug 16, 2009

Since you're spending the highest % of your GDP on health care, you should logically be the best in virtually every category. Life expectancy, infant mortality, various cancers – these are just a few of the many things the US is not the best in the world at combatting.

Such a conclusion requires that %GDP spent on healthcare be the sole determinant of life expectancy & infant mortality, which it clearly is not.  It's also clear that you're not up to speed on cancer survival rates in the US vs., say, Canada and the UK - they're better here.  And were my wife to give birth to a seriously premature infant (not possible, just hypothetically speaking), there's nowhere else that child's chances of survival would be as good as here, let alone better.  Sorry, but %GDP is an intellectually lazy argument.

on Aug 16, 2009

Well, it seems there is another healthcare system being described as 'unsustainable' - by its own doctors.

Care to guess?  This is rich, really rich.  And the timing is exquisite.

on Aug 17, 2009

The life expectancy graph was just one piece of the puzzle. It's a starting point. Since you're spending the highest % of your GDP on health care, you should logically be the best in virtually every category. Life expectancy, infant mortality, various cancers – these are just a few of the many things the US is not the best in the world at combatting. Since your government spends the most on health care, though, than virtually any other nation in the world, we can conclude that this money is being poorly spent, and has been for quite some time (similar comparisons over the past decade have come to the same conclusion). Therefore, it's probably time to try something different.

Wait, your contention is that because we spend more we should be the best? We have a higher population of old folks that is what the country spends most of its healthcare dollars on. A nation of 300 million and almost a third of that is my age group 50's and higher, medicare and medicaid is government run, and partially government funded the rest of us pay our own way. So yes, we pay more per person treated because we treat everyone regardless of their ability to pay and bill them later. If you are poor the government picks up the tab, if you are old the government picks up the tab unless you have the money to pay out of pocket. Healthcare is not rationed as it is in other countries. waiting three to five years for a hip replacement is unheard of in America. As I pointed out before Japan ranks second in the world for life expectancy but how many old people do they have to take care of compaired to America? Don't forget the difference of six years. All this arguing is over the average difference of six years. Eat fish and rice as your staples and you live maybe 6 years longer than the person that eats at McDonalds.

on Aug 17, 2009

clearly flawed and insufficient evidence should just be accepted

Better insufficient evidence than no evidence at all

Wait, your contention is that because we spend more we should be the best?

Ceteris paribus it should be. Hence if it isn't that unless there are other factors that can be shown to explain away all of the difference, there is likely (more) inefficiency in how that money is used.

A nation of 300 million

If anything you'd expect that to be beneficial due to economies of scale.

almost a third of that is my age group 50's and higher

One possible explanation - how do the demographics compare with other countries though?

Well since you've not provided any comparative figures, I decided I'd get some instead.

US 2009 est: http://en.wikipedia.org/wiki/Demographics_of_the_United_States#Age_structure:

65 years and over: 12.8%

UK 2008 est: http://www.indexmundi.com/united_kingdom/demographics_profile.html

65 years and over: 16% (and increasing, so the 2009 est would be expected to be the same or higher, not lower)

You'd probably have more luck if you went with the 'bashing the fat' factor

All this arguing is over the average difference of six years

I don't know about you, but 6 years is a long time to me. It's also the arguing over trillions of dollars worth of spending, since if the 6 years is in any way down to the healthcare system of the country in question, and it is spending less, then you could save lots of money by adopting their system, spending less, and without having life expectancy take a hit, assuming you're able to effectively emulate their system.

on Aug 17, 2009

Sorry, but %GDP is an intellectually lazy argument.

In case you missed it.

on Aug 17, 2009

Good one, anymore jokes? It is against the law to sue the government except in very rare ocasions. You can sue for information but not damages. As a vet I can't sue because of malpractice which is why if a doctor is close to losing their license they go to work for the VA. What makes you think that the government is going to open itself up to litigation after spending huge wads of our money to provide us with healthcare? If a government employee is injured on the job and it is the governments fault you can sue. if you win they give you compensation but they do not pay lawyers fees. That is why there are only three lawyers in my state that even do federal damage suits. The system is designed to discourage law suits. There is no money in it for the lawyers so they don't do that kind of law.

This is even worse than what we have now... it is better to have expensive but safe medical care due to crazy lawsuits than abolish lawsuits alltogether. We need payout LIMITS (say, 1/4th of a million dollars), not the elimination of compensation.

on Aug 17, 2009

why is everyone ignoring this?

 best country in the world as far as life expectancy is japan, 82 years (land of fish and rice... healthy)... it's spending matches ireland (land of beer) which also has 78 years (just like the USA - land of mcdonnalds), also spending the same are nicaragua at 72, and zimbabwe at 42. All of these countries have the same spending... sure the worse in the world has much less spending and they get 41 years... but unless you pick and choose your information, you see that there is no tangible link between per capita % of GDP spending on healthcare and life expectancy.

How about one of you intelligently respond to this instead of skirting the issue with hyperboles (is hyperbole the right name for it?) likes "Better insufficient evidence than no evidence at all"

on Aug 17, 2009

How about one of you intelligently respond to this instead of skirting the issue

Hard to have an intelligent conversation when you come out with stuff like this:

"Most people would consider healthcare linked to life expectancy" Then most people are idiots

If healthcare has no affect on life expectancy, what is the point of having any healthcare at all?

on Aug 17, 2009

Can anybody tell me why some people should be forced to pay for expensive treatment for other people while so many more lives could be saved for less money?

The fact is that there are many places in the world where some very little, compared to Obama's or any public health care plan, money would be enough to raise public healthcare standards considerably. Instead the money is used for patients who already have a chance.

Once we have decided that we can take people's money and spend it on other people's health (which I understand is a moral thing to do and I won't argue it), can we not also decide that the number of lives saved and people covered by basic health care is the metric we should go for?

Tax Americans and use the money to bring African healthcare systems to the standard of the current American system for poor people.

I understand conservatives will tell me that doing so would be wrong because it is wrong to take people's money to give it to others, even in the form of free healthcare.

But can liberals tell me what's wrong about my alternative to Obama's healthcare system and why Obama's healthcare plan is morally superior to my proposal?

And this is what it comes down to. Once we decide that taking money from one group to provide something to another, we have to figure out which other, and why not others still.

A conservative is here someone who refuses to give except voluntarily. A liberal is someone who takes and then uses an arbitrary system to determine who should receive.

It's not the most needy who will benefit from this system. It is not the most needy at all. The most needy are not even part of the discussion because they don't live in America. And yet, we are told, it is the American system that needs repairing. How can that be?

 

 

on Aug 17, 2009

I'd be darned, I was sure it was "healcare SPENDING" ... in context, it WAS money spent on health care being a direct link to expectancy.

And you are still cowardly avoiding an answer; you attack me because there is absolutely NOTHING you can do to counter my argument. "oh boohoo the evil man is mean and disrespectful of us"

On the other hand, yes I off handedly insulted people who completely ignore facts to concoct their imaginary little world by calling them stupid. But I only do so after presenting irrefutable evidence. Just as I offhandedly laugh at those who claim the earth is flat. When someone is that delusional or stupid than I have no obligation to respect their opinion. Show me an intelligent counter argument and I will respectfully debate it, until then I am going to point and laugh.

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