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We already are doing rationing, it's just the rations are distributed according to our class system instead of any reasonable metric. Everyone already pays for

We already are doing rationing, it's just the rations are distributed according to our class system instead of any reasonable metric. Everyone already pays for heavily for it, much more than necessary due to the grift. These things are conceptually simple and much easier for a bureaucracy to handle than the current dumpster fire. It's actually only impossibly hard for us to solve because entrenched power and corruption mean few politicians are actually particularly interested in making the changes necessary to fix it, and those who are are excluded from the democratic process by gatekeepers.

liontwist 2y ago
We are rationing. But not in the binary yes/no sense you will get from a bureaucracy designed flow chart. It’s economizing which allows substitution and sharing across supply and demand. At least you agree it’s a resource problem and we don’t have infinite healthcare. The point about rich folks being price insensitive is demonstrably false. One key here is that rich and reckless exists, but is a much rarer breed than rich and careful. > much easier for a bureaucracy to handle Navigating bureaucracy favors elite groups even more strongly as it requires education in law, politics, and communication skills most lacked by disadvantaged groups. The biggest problem is if your voice isn’t loud enough you literally have no alternative. The insurance pleading nightmare is exactly this system. They are a rationing bureaucrat. The US has unique demographic problems where the bottom quartile of health and well being demand most healthcare resources. So the sales pitch for European style healthcare sounds like “we are going to make everything slightly worse for responsible people and remove higher end options, so we can better cover super users”.
- DangitBobby 2y ago
  > The US has unique demographic problems where the bottom quartile of health and well being demand most healthcare resources. This is not a unique problem. The sickly and elderly always consume much more medical resources than the healthy. > slightly worse for responsible people You mean people with money. And for all the problems the EU countries medical systems have, I've never heard a European say they'd prefer the American system.

liontwist 2y ago

We are rationing. But not in the binary yes/no sense you will get from a bureaucracy designed flow chart. It’s economizing which allows substitution and sharing across supply and demand. At least you agree it’s a resource problem and we don’t have infinite healthcare. The point about rich folks being price insensitive is demonstrably false. One key here is that rich and reckless exists, but is a much rarer breed than rich and careful. > much easier for a bureaucracy to handle Navigating bureaucracy favors elite groups even more strongly as it requires education in law, politics, and communication skills most lacked by disadvantaged groups. The biggest problem is if your voice isn’t loud enough you literally have no alternative. The insurance pleading nightmare is exactly this system. They are a rationing bureaucrat. The US has unique demographic problems where the bottom quartile of health and well being demand most healthcare resources. So the sales pitch for European style healthcare sounds like “we are going to make everything slightly worse for responsible people and remove higher end options, so we can better cover super users”.

DangitBobby 2y ago
> The US has unique demographic problems where the bottom quartile of health and well being demand most healthcare resources. This is not a unique problem. The sickly and elderly always consume much more medical resources than the healthy. > slightly worse for responsible people You mean people with money. And for all the problems the EU countries medical systems have, I've never heard a European say they'd prefer the American system.