^This guy speaks sense^
Warning, Idealogical Difference:
I would post some basic points here about what I believe but that would change the debate from health-care to the merits of socialism and wealth redistribution. If you wish you can start a separate debate thread and I will willfully participate there.
Ya know, I was the third most right-wing guy in my school? Just throwing it out there. I don't think I could adequately represent socialism.
Many people will say that America is a v
ice-ridden country, awash in promiscuity and drug use and eating disorders and alcoholism. This is probably true, and if it is the fault of our lower life expectancy is not on the health-care system, but on the poor individual choices people make.[/QUOTE]
More the reason to get a good system up and running :)
I'll combine these next bits for easy comparison.
Since I will be looking this up later le
t's assume that everything that follows this colon is true:
Americans drive more; thus more Americans die in car related incidents.[/QUOTE]
http://www.monash.edu.au/muarc/reports/papers/fatals.html
Yup. After adjusting for population, 50% more deaths than the closest competitor, and 150% more than us. That's about 5.2 deaths per 100,000 for the UK and about 13.5 for you.
Americans drink more; thus more American
s die from alcohol induced diseases / or accidents[/QUOTE]
This one would surprise me. We are very heavy drinkers. Then again, practice makes perfect - we might not die from it as often. Lemme check.
http://www.statistics.gov.uk/downloads/theme_health/Summary_responses.pdf - 6488 deaths for us. That's 10.56 deaths per 100,000.
For you -
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a2.htm - 75,766 or 24.7 per 100,000
Ok, that's ridiculous. I would like to assert doubt over these figures, although I confess that I can't find any more reliable sources than the Centre for Disease Control and the Office of National Statistics.
Americans smoke more; thus more American
s die from cigarette related diseases[/QUOTE]
443,000 per year for you -
http://www.cdc.gov/tobacco/data_statistics/tables/index.htm - or 148 per 100,000
106,000 per year for us -
http://www.patient.co.uk/ - or 176 per 100,000. Got you on this one, although I'm not especially proud of it.
Americans eat a shit load of McDonalds;
thus more Americans die from obesity related diseases.[/QUOTE]
It'll be embarrassingly high for us too I expect.
US -
http://cardiology.jwatch.org/cgi/content/full/2005/520/1 - 400,000 = 133 per 100,000
UK -
http://www.medicalnewstoday.com/articles/8243.php - 30,000 = 50 per 100,000
Oh. That could have been worse.
Americans use drugs more often; thus mor
e Americans die from drug use.[/QUOTE]
US -
http://drugwarfacts.org/cms/?q=node/30 - 17,000 = 5.6 per 100,000
UK -
http://www.sgul.ac.uk/about-st-georges/divisions/faculty-of-medicine-and-biomedical-sciences/mental-health/icdp/website-pdfs/np-SAD%2010th%20annual%20report.pdf - 1490 = 2.5 per 100,000
So yes, apart from smoking which we, as Europeans, apparently excel at, being born an American appears to be bad for your health.
None of these are directly the fault of
the medical industry; much less the fault of technology not being readily available.
Yes, you could argue it is the fault of the healthcare system as a whole for not adequately informing people of such and such this and such and such that - but that does not mean that there is a fault with our capitalistic system. [/QUOTE]
So how does the capitalist system go about warning people of the dangers? Or do they not bother because it's more profitable for them if people keep on getting ill? I'm trolling a little but - I assume your government does something.
If we adjusted our life expectancy rates
for the greater percentage of people who die from vice related diseases (as compared to the UK) I am sure our life expectancies would be far more similar, if ours was not, in fact, better.[/QUOTE]
Be my guest. I just spent far too long finding all that to be bothered to analyse it. If it is the case then it would not be unexpected since the people who can afford the last 20 years worth of patented medical advances will probably drag it up a bit.
Also, I will be the first (probably on
this site for that matter) to admit that I am not a lawyer. Nor a crook. I do not understand in detail how the various legal institutions between countries works; much less patents.
And I may be wrong here, but when a patent expires the information for manufacturing said product is freely available (or, if that sounds to anarchistic 'easily obtainable'). This freedom of availability, in our modern age of dial-up internet and cheap long distance phone rates, will easily cross state lines. How is the rest of the world limited from obtaining our advances, if this is the case?[/QUOTE]
You're allowed to copy the product, but they won't actually provide blueprints or recipes. You still gotta work back from the answer. I would also like to point out that twenty years is a really long time when we're talking about cutting-edge scientific research.
I suppose I must have made a mistake in
interpreting this statement, which would make sense why it seemed so ridiculous: "
Can you give me any examples at all of American medical advances that are readily available to any American?" What you must have meant is that available to any-random American, in other words every American. I somehow interpreted that to mean 'any American whatsoever' which is an egregious mistake on my part.[/QUOTE
Haha. Partly my fault - I could have worded it better.
Now that that's cleared up, can you name
any advance that everyone has access to? This may be an inappropriate example but indoor plumbing is an amazing technological advance, yet most of the world does not have it. I would venture to say there are even some Americans who do not have it. [/QUOTE]
I can name a British advance that anyone in Britain has access to, yes. Penicillin was brought to public attention by Alexander Flemming, a Scotsman who won a Nobel Prize for it. Anyone in Britain can get easy access to penicillin on the NHS.
This is vaguely related: MRIs (credited
jointly to an American and a Brit, ugh) and CT scanners (again, jointly credited to an American and a Brit, goddamnit) are considered to be "the most important medical innovations of the late 20th century". As this website shows they are far more widely available in America with more than twice of each per million people than in any other country, especially the UK. - This is apparently proven by this site
http://www.ecosante.org/index2.php?base=OCDE&langh=ENG&langs=ENG&sessionid=
Which I cannot figure out how to use. So moving on -
MRI use shows the same result:
[i*mg]http://www.kevinmd.com/blog/wp-content/uploads/mri-usage-chart.gif[/img]
It is more available, and thus used more often in the US.
http://www.kevinmd.com/blog/2010/01/doctors-united-states-order-ct-scans-mri-tests.html
[/QUOTE]
It is widely known that doctors in America perform a lot more harmless but not-always-beneficial procedures such as MRI scans than anyone else because the profits of performing such scans are high and there's always the off chance that something might be there which would get the doctor sued if he hadn't spotted. In Britain we only bother if there's reasonable grounds for the suspicion, ie. the doctor can see a lump.
We're not talking past each-other at all
. I said that these 8 million people were unable to get health insurance, that does not mean they are not getting help from private donations and charities. No health insurance is different than no help at all.
The point I was trying to make with that post is thus:
Let's just agree that people are compassionate for a selfish reason: they don't want to feel guilty, so they pay the poor man to assuage their guilt.
This leads to an abundance of compassion (probably).
But if you know that part of your salary already goes to take care of the less fortunate than your guilt is covered, you feel no need to pay more than you already do.
Having the government doling out charity inadvertently decreases the amount of individual charity - Again, compassion is for humans, not for governments. When you take away a people's compassion you might end up with a more 'fair' (cough) society, but you end up in one devoid of what makes people great. [/QUOTE]
Your argument is that if you split the service up into charity and government provision then there will be little/no charity. Therefore we either need a complete charity system - what you're suggesting - or a complete government system - like I'm suggesting. From my brief read over your points before I pressed "quote" I believe there is a more appropriate place to discuss which is better below. Onwards!
Furthermore the government is going to b
e perfectly inefficient at doling out your hard earned cash. I don't know if you remember a little storm that people like to call 'Hurricane Katrina'. Now, I can't be arsed to look up the facts so you can either believe what I say or insist I look them, but if I remember correctly private charity (from private persons) gave a significant amount (multiples of ) the amount of government aid distributed through FEMA. Not only did the government give less money than people were individually capable of, it did it extremely poorly (as it does all things) and there was a big hubbub about how much FEMA sucked for several weeks on the news.
I'm trying to say that paying the man is not the best solution, it's not even a solution that should be considered.[/QUOTE]
Oh good. I'm glad I won't have to scroll back up and edit myself. Now then.
I'll take your word on the data. The fact that the government didn't do much to help isn't necessarily indicative that the system is flawed. As I remember you were under republicans at the time. That can't ever bode well for getting things done or throwing enough money at a project.
Joking aside, charity is not a reliable way to fund anything. Back in whenever it was you were at the tail end of one of the biggest and longest periods of economic growth ever. Everyone felt rich. Everyone felt that they could spare something to help their fellow Americans whose images were being broadcast on every channel 24/7. What if it happened during recession? What if the story wasn't broadcast, like 99% of suffering isn't. Since the markets tanked international aid has fallen off 10% and charitable donations by the public 15%. That's a lot. The government can run a deficit in recession and a surplus in periods of growth so that there is no shortage of funds.
What about if things aren't broadcast across the country? Look at Madeline McCann. I don't know if you've heard of her, since she was British. She went missing in Portugal a few years back, and because she was an especially photogenic little girl and had an abnormality of the eye that was the cute sort of mutation rather than the ugly kind (I think her left iris was unusually colourful) her story was very heavily reported on for about six months. A public appeal was set up to receive donations that would aid in the investigation to try to find her (all completely unsuccessful if you're wondering). The British public gave two million pounds. Do you know how much money goes to finding children that are not broadcast on the news? £20 and 50p each. That means you get ninety seven thousand times more money when you broadcast on the news emotionally with pictures of people you can relate to suffering.
What's better then? To rely on the charity of people who will give when they feel like it to whoever cries on TV the most, or to rely on a government who can look at everything objectively and provide stable finance.
I believe it is self-evident that a loca
l organization that knows its members and the needs of its people, and doesn't have to go through miles of red tape, will more efficiently and ably answer the needs of the people it supports. If I really need to explain and include examples I'm sure I can, though I think it would be a waste of time.[/QUOTE]
When it's a small group of people who all know each other and are just trying to work together to do something that benefits only them, then sure, the people benefiting can get together and get it organised properly. A hospital just isn't like that. Human social groups naturally consist of 150 people. Unless you are planning to have two million hospitals in the US it's just not practical to have each social group care for themselves. With a standard sized hospital, whether it's run privately or nationally, you just cannot get a personal kind of service with people than know you by your first name and are all working together like you suggest.
They get the money from the government,
thus they are asking for permission. The government has to ration out money to people and to hospitals, how is that not asking for permission from Gordon Brown?[/QUOTE]
They get a budget, but that doesn't mean they're massively inefficient or filling out a phone-book's worth of forms to put a cast on a broken arm. I expect you'd find private hospital departments get budgets too. Each hospital gets a patient walking through its doors, it sends the patient to whichever doctor is on duty and free, that doctor diagnoses and either sends the patient to another part of the hospital for treatment or prescribes something on the spot. One prescription form or one x-ray-this-person's-arm form and that's it. That form is copied into the patient's medical record for easy access next time they're treated somewhere and then it's all done. No inefficiency there.
So to address the few people who are pe
rfectly able to get help as soon as they get a new job (or decide to start paying, as they probably have enough funds to pay for health insurance, but choose not to and decide instead to wait for their new job to start paying) you want to overhaul our entire healthcare system?[/QUOTE]
Can't insure people with pre-existing conditions, remember?
An addition to social security unemploym
ent benefits would easily cover this (even though social security is itself a failure). Why make things more complicated than they need to be?[/QUOTE]
Je n'comprendé pas.
Do you honestly believe the mexican gove
rnment would pay for health care we gave in the US to one of their illegal immigrants? [/QUOTE]
Like I said, no, but they should, as should you. I'm advocating a global nationalised system here. You can't just say that you won't do it until they do it either because they'd say the same and no one would do it. Take the initiative.
Just because you do do something does[n't] make it sound. I bang my head against the wall everyday for exercise, I have a really strong neck and resistant skull. Does that mean everyone should take up my exercise method? (Eh, this isn't a good analogy)
If everyone wanted a strong neck then yes. I am assuming everyone wants to be cared for if the get sick. Maybe that's overly presumptuous of me.
I don't know how well that system works
in Britland, but in America it is a pile of shit. Medicare (which does exactly what you described) has lost the US government more than 100 billion dollars (as in taxes can't keep up). It seems to me like it's a giant ponzi scheme, which is bad.[/QUOTE]
If taxes can't keep up then you're not taxing high enough.
This is so ... I don't even know.
So
because the government has decided it has to look after everyone and minutely manage their affairs it is suddenly criminal to not pay into a system? It is suddenly okay to be taxed simply because you live?
This probably, again, comes down to idealogical differences.[/QUOTE]
If you're doing something that hurts someone else, ie. withholding money from them that they need, then the government needs to step in. That's the entire basis of government and law.
My point was to show the importance of c
apitalism in stimulating research f