6 ms·
Accurate. They are literally middle men taking a cut without offering anything to the process. Switch to single payer, dump the middlemen, and have our taxes pa
by WorldWideWebb 2y ago
Accurate. They are literally middle men taking a cut without offering anything to the process. Switch to single payer, dump the middlemen, and have our taxes pay for essential services (keeping us alive and healthy). Seems simple enough but…
- tptacek 2y agoBut literally every state in the country disagrees with you and so it's not going to happen.
- mostlysimilar 2y ago(decades of propaganda and state capture by the insurance companies later...) oh I guess the people just don't want it! Too bad.
- bdangubic 2y agotrue but that doesn’t make it right when people are running these states are paid by the same people who benefit from the current system…
- tptacek 2y agoThe people in those states do not want it, which is why state single payer referenda fail.
- paulryanrogers 2y agoRomneycare and the ACA were a pretty big step in the single payer direction. Popular enough to overcome vetos and attempts to roll them back.
- tptacek 2y agoI like the ACA. I think the Swiss system makes a lot of sense. Community rating, guaranteed issue, mandate, subsidy, then universal single payer at retirement, where costs are concentrated. It's a sane system. The problem isn't the system structure.
- rawgabbit 2y agoWhat one thing would you change in the American system?
- tptacek 2y agoI would drastically increase the number of residency slots Medicare funds.
- valval 2y agoI would never have expected your answer to be “spend more of other people’s money”.
- bdangubic 2y agoall of insurance and all of healthcare is "other people's money" :) it just depends where other people's money is going. this is amazing thing to me as European living in the United States, people want Gov to spend money for education or healthcare or ... COMMUNISM!! but corporate subsidies and 984 trillion dollars to the department of offense - oh RIGHT ON - let me get another gig job to pay more to that :)
- rrrrrrrrrrrryan 2y agoMost Americans support a public option, which is the transition step toward a healthcare system that more closely aligns with other first world nations.
- tptacek 2y agoOnly in the abstract. When you work out a concrete proposal that involves people paying for programs, support evaporates.
- antisthenes 2y agoPeople are already paying for the healthcare one way or another, whether they understand it or not.
- tptacek 2y agoOh, you can get a lot of stuff done if you just assume you know better than voters do and make the decisions for them.
- antisthenes 2y agoYou think the ruling classes in the US don't assume that they know better than the voters? And they still get nothing done when it comes to entrenched interests. Let's not glorify the average voter either.
- locopati 2y agoThe voters are for the most part uninformed, bordering on flat out ignorant. I feel safe in saying the experts who solve problems like this do know better than voters.
- jzb 2y agoBut regulatory capture ensures that can’t happen.
- tbrownaw 2y ago> Switch to single payer, dump the middlemen, and have our taxes pay for essential services (keeping us alive and healthy). Seems simple enough but… ... But you still have group A (patients) paying group B (doctors) with group C's (taxpayers', or currently insurers'/policyholders') money.
- sundaeofshock 2y agoUh, group A and group C are the same. We would see much more preventative care if such care was free at time of service.
- MattPalmer1086 2y agoSure - but it's a lot simpler with less middlemen and way more cost effective. What point are you making here?
- rich_sasha 2y agoI suppose, careful what you wish for. The NHS (UK's single payer health provider), allegedly the envy of whole wide world, is failing under the burden of insufficient funding, aging society and years of mismanagement by politicians. We're talking, properly dysfunctional, like ambulances taking hours to be dispatched to life-threatening emergencies or people dying on emergency wards due to neglect.
- stackedinserter 2y agoSame for Canadian healthcare.
- piva00 2y agoThe NHS was properly sabotaged by the Tories, exactly because they wanted to privatise it. Starving the NHS has been per design, no accident there. - https://tribunemag.co.uk/2023/07/defunding-the-nhs https://tribunemag.co.uk/2023/07/defunding-the-nhs