Message from @Jym
Discord ID: 685315883056627775
Not entirely opposed depending on what you mean by 'strong arming'. Half of the world's medicines are invented here. Now they pay for the R&D by having a local monopoly. If we legalized *importing* medication they would have to raise their prices abroad because they would have to compete against arbitrage.
Also what you call 'bronze' now cost half as much before ACA.
Maybe it does cost less, all I know is after Obamacare passed and I had work health insurance it went from awesome to mediocre and cost 2x as much
and got worse every year after
Pretty much because while it is not 'single payer' per-say it has the same economic effect. Because it changes not cost but method of payment. So the burden of payment transfers to you and the quality goes down. Whether that is though Bernie's tax or Obama's fees the result is the same.
It's still the fault of the insurance companies in collusion with hospitals to jack up prices astronomically
so whatever busts that stranglehold
a way-open free market? A central healthcare system telling them what to charge? Either way
I'd say additionally that the procedure of medical school raises costs. Doctors have undergrads often in entirely unrelated subjects. That's 4 years of school and the accompanying expense added for no reason. Even Nursing school extends to undergrad.
As to 'whatever works' a central system fails on the grounds of working. At least working up to American standards.
Well the fact that school also is too expensive now is the other half of that problem. Either way, we need to cut out the middleman.
No government-backed student loans, no insurance companies
Ah and how did school become so expensive? We had a central government universally fund it.
That's the problem.
Definately get a trade. My little sister is graduating from trade school in a couple months. Pricing plane tickets.
That's another thing, the myth everyone should go to college. Especially when they get worthless degrees in stuff like gender studies
Right but why do they get those degrees? Because the fed will insure loans for anyone who qualifies. So where does this put the incentive for the schools? Spend as much as you want to make your product attractive to the end user who will not see the bill. Then raise the price to cover it at a nice profit.
Socialized medicine results in the same set of incentives. Except that the cost can be pushed onto *everyone* and is not dependent on extending lines of credit to teenagers.
But how come it doesn't in most of the countries that have a national health care system? You often see that Americans pay more for healthcare than anyone else in the world. They wouldn't give people loans to get care like a college loan. You'd just get covered, and maybe have a very small fee. The government and the hospitals/pharma/etc can work out pricing vs the insurance companies doing it to try to make themselves rich along with kickbacks to the hospital.
I'd prefer a fully open healthcare market with no insurance companies, just pay reasonable costs, home visits, etc. But no one is trying to go back to that in earnest.
Just the Pauls, that's about it
We do pay more. "Fast, cheap, or good **pick 2**". We did not pick cheap. What we get from paying more is the highest survival rates in almost every terminal illness and the shortest wait times on the planet. Naturally this does have a downside.
And again I think we could decrease *costs* by deregulation in many cases. Like selling insurance across state lines to increase competition. Changing the structure of medical certification. Allow drug imports to use arbitrage to reduce costs etc.
Or pick socialism and get slow, expensive AND shit
No it is cheaper per-capita. That is why rich people in socialist countries come here for medicine.
Yet we go to Canada and Mexico for cheaper meds
Procedure for procedure, it's more expensive
I.e. an MRI in the states is like 300$ but in Canada it's like 900$
Even one small insurance company flies their clients to San Diego, drives them down the border to get drugs and back because it's so much cheaper even for them.
That doesn't sound right
Hell my CT scans cost like $1200
MRI, not CT
Of course CT is more expensive
It looks like CT scans are about half the price in Canada
of here
But yes, MRIs are less here
Right. That's what I was talking about when I said we should allow importation so arbitrage could lower drug costs. It would be cheaper if we could buy those Mexican drugs on Amazon or some shit just in gas money.
As to the CT scans you can get them in time to act here.....
and interstate insurance shopping/group buys
but like I said, no one is pushing this except Rand Paul
Trump has for at least the last 2 years. Like I said I started liking him *after* he got the job. I also think right-to-try will lower R&D costs.