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> Why can't we just adopt the European model or Canadian model. Simple. There's not enough money. To do that there are a lot of people who have to get pay redu

by ars 7y ago

> Why can't we just adopt the European model or Canadian model. Simple. There's not enough money. To do that there are a lot of people who have to get pay reductions or lose jobs. But if you did that people would be anyway able to afford healthcare, so you kind of solved the wrong problem. Good luck solving the pay problem, can you imagine a politician running on a platform of job losses?

Scoundreller 7y ago
> There's not enough money. Sure there is. US governments' expenditure per capita on healthcare is more than governments' expenditure p.c. everywhere else. Wherever that money is going, it's not going to better outcomes, or being evenly distributed. https://en.wikipedia.org/wiki/List_of_countries_by_total_health_expenditure_per_capita https://en.wikipedia.org/wiki/List_of_countries_by_total_hea...
- ars 7y ago
  Yes, that's exactly what I said. You read it exactly backwards. There's not enough money, for government, to pay all the Dr.'s etc, at current rates. Healthcare workers of all sorts will need to either have a pay reduction or be laid off, in order to bring spending in-line with how much other countries spend.
  - Scoundreller 7y ago
    Oh. It was confusing when you said there wasn’t enough money and then talked about job losses: I thought you were suggesting higher taxes, making some businesses uneconomical, or cutting spending in general to raise money to get enough money. But ya, a lot of the health care industry in the US isn’t economical, and skims off the rest of the economy. Issues that competitor countries mitigate better. Fix that and you improve America’s competitiveness. It should be an easier sell than it is.
  - MandieD 7y ago
    Being a doctor in Germany pays well enough to be a desirable profession, so the required high school exit exam (Abitur) cutoffs for medical school spots are pretty tight, but it's not as insanely well-paying as being a doctor in the US can be. On the other hand, they start their internships and residencies with no student debt, as opposed to their American colleagues. They also go straight into their medical studies instead of doing an unrelated bachelor's degree first.

by ars 7y ago

Scoundreller 7y ago

> There's not enough money. Sure there is. US governments' expenditure per capita on healthcare is more than governments' expenditure p.c. everywhere else. Wherever that money is going, it's not going to better outcomes, or being evenly distributed. https://en.wikipedia.org/wiki/List_of_countries_by_total_health_expenditure_per_capita https://en.wikipedia.org/wiki/List_of_countries_by_total_hea...

ars 7y ago
Yes, that's exactly what I said. You read it exactly backwards. There's not enough money, for government, to pay all the Dr.'s etc, at current rates. Healthcare workers of all sorts will need to either have a pay reduction or be laid off, in order to bring spending in-line with how much other countries spend.
- Scoundreller 7y ago
  Oh. It was confusing when you said there wasn’t enough money and then talked about job losses: I thought you were suggesting higher taxes, making some businesses uneconomical, or cutting spending in general to raise money to get enough money. But ya, a lot of the health care industry in the US isn’t economical, and skims off the rest of the economy. Issues that competitor countries mitigate better. Fix that and you improve America’s competitiveness. It should be an easier sell than it is.
- MandieD 7y ago
  Being a doctor in Germany pays well enough to be a desirable profession, so the required high school exit exam (Abitur) cutoffs for medical school spots are pretty tight, but it's not as insanely well-paying as being a doctor in the US can be. On the other hand, they start their internships and residencies with no student debt, as opposed to their American colleagues. They also go straight into their medical studies instead of doing an unrelated bachelor's degree first.