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I think we need to accept that much like communism is an ideal that might work in small groups (literally communes) but quickly falls apart when dealing with la

I think we need to accept that much like communism is an ideal that might work in small groups (literally communes) but quickly falls apart when dealing with large groups (because people are terrible and will find ways to abuse the system), pure capitalism is also an ideal that might work in small groups but also quickly falls apart when dealing with large groups (because again, people are terrible and will find ways to abuse the system). I think "free markets" will inevitably trend towards "crony capitalism" as long as 1) government exists and consists of, as you say, corruptible people, and 2) money exists, and therefore can be used to influence said corruptible people. Therefore, even if you managed to hit a reset switch and turn health care into a "free market" and ran the experiment over and over again, 100% of the time it will turn back into the same "crony capitalism" mess that we're in now. What can I say, I'm a cynic at heart. And I've already mentioned this, but it also seems kind of silly to advocate for this theoretical experiment (which may not actually be possible to implement) when there are already many other countries around the world that have successfully implemented universal health care (either single-payer or two-tiered systems) with better health outcomes than the US.

lend000 10y ago
Communism is flawed in theory because it relies on people not acting in their own personal interests, which is not a declared assumption (because it would be so ridiculous). The free market you often hear about is sound in theory when it makes clear assumptions about the government, but those assumptions are idealistic because they require government officials to not be persuaded by rent-seekers. But you've taken this way off topic to be honest, because I am not advocating the ultra-pure free market ideal. I am advocating scaling back and reducing the scope of our excessive USDA/FDA (which would cause the same problems in a universal healthcare system regardless), reducing IP protections (same problems regardless of universal healthcare system), making it easier to become a doctor (also a problem regardless of whether we have universal healthcare) and getting rid of our existing lop-sided "universal" healthcare systems which would be irrelevant in a universal health-care system. To my original point, we have the most government distorted healthcare market in the world so it really should not be so surprising that our system is the worst per dollar. You can't just add another "universal healthcare program" and expect all of the problems to go away -- there's a lot of cleanup to do. And even after that cleanup, I think it would be silly to resign ourselves to the mediocrity of other systems instead of seeking progress.
- nodamage 10y ago
  Yeah I did not mean to go so far off topic, just wanted to point out that I think a free market approach to health care will lead to an abusive system due to for-profit entities like insurance companies behaving in ways that are good for itself, but ultimately bad for patients. I agree that reducing IP protections is a good idea. I'm not sure I would call other systems mediocre. They're not perfect but they're far, far ahead of what we have in the US. I don't think that our country is so different from others that implementing a similar system wouldn't lead to an improved outcome as well. Anyways, thanks for the discussion.

lend000 10y ago

Communism is flawed in theory because it relies on people not acting in their own personal interests, which is not a declared assumption (because it would be so ridiculous). The free market you often hear about is sound in theory when it makes clear assumptions about the government, but those assumptions are idealistic because they require government officials to not be persuaded by rent-seekers. But you've taken this way off topic to be honest, because I am not advocating the ultra-pure free market ideal. I am advocating scaling back and reducing the scope of our excessive USDA/FDA (which would cause the same problems in a universal healthcare system regardless), reducing IP protections (same problems regardless of universal healthcare system), making it easier to become a doctor (also a problem regardless of whether we have universal healthcare) and getting rid of our existing lop-sided "universal" healthcare systems which would be irrelevant in a universal health-care system. To my original point, we have the most government distorted healthcare market in the world so it really should not be so surprising that our system is the worst per dollar. You can't just add another "universal healthcare program" and expect all of the problems to go away -- there's a lot of cleanup to do. And even after that cleanup, I think it would be silly to resign ourselves to the mediocrity of other systems instead of seeking progress.

nodamage 10y ago
Yeah I did not mean to go so far off topic, just wanted to point out that I think a free market approach to health care will lead to an abusive system due to for-profit entities like insurance companies behaving in ways that are good for itself, but ultimately bad for patients. I agree that reducing IP protections is a good idea. I'm not sure I would call other systems mediocre. They're not perfect but they're far, far ahead of what we have in the US. I don't think that our country is so different from others that implementing a similar system wouldn't lead to an improved outcome as well. Anyways, thanks for the discussion.