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> Sure, but hospital requirements don't scale with area. They absolutely do. How can you say the requirements of getting emergency response to a sparsely popul

> Sure, but hospital requirements don't scale with area. They absolutely do. How can you say the requirements of getting emergency response to a sparsely populated area is the same as a much smaller and more densely populated area? Getting a appropriate response times to cover the larger and more sparsely populated area is definitely going to be more costly and difficult. >If the US had a horrible healthcare system in Alaska, and a great one in urban areas, maybe we wouldn't have this debate. Actually yes healthcare in rural areas is significantly worse. Urban is not great, but that is not relevant to the point, also they are not disjoint systems they share significant funding. Saying urban US doesn't have great healthcare doesn't disprove the point that rural areas have higher healthcare costs and worse outcomes. https://hpi.georgetown.edu/rural/#:~:text=The%20rural%20population%20is%20consistently,population%20with%20respect%20to%20health.&text=Rural%20residents%20are%20also%20more,tests%20for%20various%20chronic%20conditions https://hpi.georgetown.edu/rural/#:~:text=The%20rural%20popu....

gspr 6y ago
> They absolutely do. How can you say the requirements of getting emergency response to a sparsely populated area over a much larger area is the same as a much smaller and more densely populated area? Getting a appropriate response times to cover the larger and more sparsely populated area is definitely going to be more costly and difficult. You are describing density. > Saying urban US doesn't have great healthcare doesn't disprove the point that rural areas have higher healthcare costs and worse outcomes. Nor does rural areas having higher costs prove that European-style public healthcare won't scale to the US.
- kongolongo 6y ago
  >Nor does rural areas having higher costs prove that European-style public healthcare won't scale to the US. No but now the burden of proof is to show how it does scale when the requirements and characteristics of the users are clearly very different. European population density is in general higher than US, and in general European countries are more homogeneous.
  - gspr 6y ago
    They're not "very different". And I gave numbers that show that Europe and the US are roughly equally urban. As for homogeneity, what kind of homogeneity are you thinking about? Europe is in general ridiculously far from homogeneous in most measures!
  - kongolongo 6y ago
    Having similar rates of urbanization does not address the fact that the population density is still significantly different. Even if the urban rates are exactly the same there may still be many more pockets of rural areas in the U.S. that also require access to healthcare, which incurs significant costs. You're completely not addressing this point at all.

gspr 6y ago

> They absolutely do. How can you say the requirements of getting emergency response to a sparsely populated area over a much larger area is the same as a much smaller and more densely populated area? Getting a appropriate response times to cover the larger and more sparsely populated area is definitely going to be more costly and difficult. You are describing density. > Saying urban US doesn't have great healthcare doesn't disprove the point that rural areas have higher healthcare costs and worse outcomes. Nor does rural areas having higher costs prove that European-style public healthcare won't scale to the US.

kongolongo 6y ago
>Nor does rural areas having higher costs prove that European-style public healthcare won't scale to the US. No but now the burden of proof is to show how it does scale when the requirements and characteristics of the users are clearly very different. European population density is in general higher than US, and in general European countries are more homogeneous.
- gspr 6y ago
  They're not "very different". And I gave numbers that show that Europe and the US are roughly equally urban. As for homogeneity, what kind of homogeneity are you thinking about? Europe is in general ridiculously far from homogeneous in most measures!
- kongolongo 6y ago
  Having similar rates of urbanization does not address the fact that the population density is still significantly different. Even if the urban rates are exactly the same there may still be many more pockets of rural areas in the U.S. that also require access to healthcare, which incurs significant costs. You're completely not addressing this point at all.