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My experience with advanced cancer is that it is not. I routinely see people from the UK and Canada raising funds for legitimate treatments my insurance will co

My experience with advanced cancer is that it is not. I routinely see people from the UK and Canada raising funds for legitimate treatments my insurance will cover because their governments won’t. To be fair, those treatments are paid for by the government in Nordic countries and France, so it isn’t universal that governments fail their sickest when treatments get expensive.

spiderfarmer 2y ago
Exceptions don’t make the rule.
d1sxeyes 2y ago
There is ultimately a monetary value of extended life. In single payer systems, that’s determined by a body whose responsibility is to provide the most effective healthcare to all its citizens given a limited budget. In the US, the monetary value of extending your life is proportional to the amount of money you spend on your health insurance (and appropriate actuarial tables). Both systems have flaws.
- spiderfarmer 2y ago
  Both systems have flaws? True, but it’s a false equivalence. There’s a reason why there’s only one country in the world where insurance company CEO’s have to hire security to walk around in public.
  - d1sxeyes 2y ago
    Not really. At the end of the day, in both systems, the person paying for the healthcare decides what healthcare options are available to the patient. In the US, the patient themselves (or their insurer) is paying. In other countries, it’s often the health service itself that is paying. Don’t get me wrong, I believe the single payer system is infinitely better, but for a small number of people, it will lead to worse healthcare outcomes.
- DennisP 2y ago
  It's not "both" systems, it's at least four. Canada is private doctors, public insurance. In the UK, the public system includes the doctors as well. France is not single-payer but has a system somewhat similar to the ACA, with private but nonprofit insurance, an effective mandate, a national price list for health services, and a prohibition of claim denials for anything on the list. A great book comparing eight national systems in The Healing of America by T.R. Reid. It references stats showing the French-style systems get the highest quality results, with reasonable cost. Japan and Germany have similar systems.

spiderfarmer 2y ago

Exceptions don’t make the rule.

d1sxeyes 2y ago

There is ultimately a monetary value of extended life. In single payer systems, that’s determined by a body whose responsibility is to provide the most effective healthcare to all its citizens given a limited budget. In the US, the monetary value of extending your life is proportional to the amount of money you spend on your health insurance (and appropriate actuarial tables). Both systems have flaws.

spiderfarmer 2y ago
Both systems have flaws? True, but it’s a false equivalence. There’s a reason why there’s only one country in the world where insurance company CEO’s have to hire security to walk around in public.
- d1sxeyes 2y ago
  Not really. At the end of the day, in both systems, the person paying for the healthcare decides what healthcare options are available to the patient. In the US, the patient themselves (or their insurer) is paying. In other countries, it’s often the health service itself that is paying. Don’t get me wrong, I believe the single payer system is infinitely better, but for a small number of people, it will lead to worse healthcare outcomes.
DennisP 2y ago
It's not "both" systems, it's at least four. Canada is private doctors, public insurance. In the UK, the public system includes the doctors as well. France is not single-payer but has a system somewhat similar to the ACA, with private but nonprofit insurance, an effective mandate, a national price list for health services, and a prohibition of claim denials for anything on the list. A great book comparing eight national systems in The Healing of America by T.R. Reid. It references stats showing the French-style systems get the highest quality results, with reasonable cost. Japan and Germany have similar systems.