4 ms·

To those who are in favor of a national healthcare system which is payed for using tax revenue: Can you give an example of an existing state or federal governm

To those who are in favor of a national healthcare system which is payed for using tax revenue: Can you give an example of an existing state or federal government agency which is consumer facing and well functioning? I am personally a big fan of the FAA, which I believe fits those criteria, but the FAA requires a substantial filter you have to pass (generally: getting a pilot's license) before you begin interacting with them. Is there some government program that works well that you could point to and say: it will work like this? Because the unfortunate experience I have had is that some of these national-level projects do work passably-well for micro-countries like Canada, but don't seem like they would scale at all for the 3rd largest (by population) country in the world.

hn_throwaway_99 6y ago
I mean, Medicare actually works quite well given it has to function within the other constraints of the US healthcare system.
akg_67 6y ago
> Because the unfortunate experience I have had is that some of these national-level projects do work passably-well for micro-countries like Canada, but don't seem like they would scale at all for the 3rd largest (by population) country in the world. Hogwash, most European countries, Australia, New Zealand, Japan are not micro-countries and deliver healthcare that is head and shoulders above US. I have personally experienced healthcare in US, Japan and Canada. I will accept Japan's healthcare over US's anyday (excluding Canada as you consider it micro country). US healthcare is a clusterfuck between insurance, hospital system, drugs, and patient care.
- thepasswordis 6y ago
  >Hogwash, most European countries, Australia, New Zealand, Japan are not micro-countries Australia: population less than 10% of the US. New Zealand: population about 5% of the US. Japan: Population about 33% of the US. Canada: Population about 10% of the US. Yes they are. If you want to talk about states individually deciding to provide healthcare for their citizenry, then I think there is a comparison to be made. Do you think that the people in France would give up their French healthcare for one that was provided by the EU? The answer would be no.
  - akg_67 6y ago
    Once again, hogwash. You are making a non-sequitur argument as there is no developed country with similar population size to compare. What population got to do with delivering universal healthcare? It is actually opposite of what you are trying to imply. Larger the population better universal healthcare can be provided as cost and services shared across larger number of people. If smaller country like Japan can provide more effective healthcare than US, then US should be able to do 3X better not 1/3rd.
    - thepasswordis 6y ago
      Why hasn’t the EU demanded that member countries abolish the healthcare systems and create unified system? By your logic, everybody would win here, and the win is obvious. So what is holding it back?
YinLuck- 6y ago
You're overdosing on low-tier conservative talking points if you think Canada isn't a comparable example. Its a massive federal state with the same history, culture, language, religion, etc.
triceratops 6y ago
> Can you give an example of an existing state or federal government agency which is consumer facing and well functioning? National Parks Service. All of my interactions with its employees and facilities have been pleasant and efficient. Furthermore, there's no need to have a healthcare system administered at the national level. Even a "micro-country" like Canada has provincial level systems. The population of Ontario, the largest province, is between Pennsylvania and New York. The population of Newfoundland and Labrador, the 2nd smallest province, is similar to that of Wyoming. The federal government only specifies standards and inter-operability. That model is probably a better fit for the US than a literal "Medicare for all".

hn_throwaway_99 6y ago

I mean, Medicare actually works quite well given it has to function within the other constraints of the US healthcare system.

akg_67 6y ago

> Because the unfortunate experience I have had is that some of these national-level projects do work passably-well for micro-countries like Canada, but don't seem like they would scale at all for the 3rd largest (by population) country in the world. Hogwash, most European countries, Australia, New Zealand, Japan are not micro-countries and deliver healthcare that is head and shoulders above US. I have personally experienced healthcare in US, Japan and Canada. I will accept Japan's healthcare over US's anyday (excluding Canada as you consider it micro country). US healthcare is a clusterfuck between insurance, hospital system, drugs, and patient care.

thepasswordis 6y ago
>Hogwash, most European countries, Australia, New Zealand, Japan are not micro-countries Australia: population less than 10% of the US. New Zealand: population about 5% of the US. Japan: Population about 33% of the US. Canada: Population about 10% of the US. Yes they are. If you want to talk about states individually deciding to provide healthcare for their citizenry, then I think there is a comparison to be made. Do you think that the people in France would give up their French healthcare for one that was provided by the EU? The answer would be no.
- akg_67 6y ago
  Once again, hogwash. You are making a non-sequitur argument as there is no developed country with similar population size to compare. What population got to do with delivering universal healthcare? It is actually opposite of what you are trying to imply. Larger the population better universal healthcare can be provided as cost and services shared across larger number of people. If smaller country like Japan can provide more effective healthcare than US, then US should be able to do 3X better not 1/3rd.
  - thepasswordis 6y ago
    Why hasn’t the EU demanded that member countries abolish the healthcare systems and create unified system? By your logic, everybody would win here, and the win is obvious. So what is holding it back?

YinLuck- 6y ago

You're overdosing on low-tier conservative talking points if you think Canada isn't a comparable example. Its a massive federal state with the same history, culture, language, religion, etc.

triceratops 6y ago

> Can you give an example of an existing state or federal government agency which is consumer facing and well functioning? National Parks Service. All of my interactions with its employees and facilities have been pleasant and efficient. Furthermore, there's no need to have a healthcare system administered at the national level. Even a "micro-country" like Canada has provincial level systems. The population of Ontario, the largest province, is between Pennsylvania and New York. The population of Newfoundland and Labrador, the 2nd smallest province, is similar to that of Wyoming. The federal government only specifies standards and inter-operability. That model is probably a better fit for the US than a literal "Medicare for all".