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Any single payer system would significantly impact American's ability to choose their doctors, specific drugs, and procedures. Just look at the difference betw

Any single payer system would significantly impact American's ability to choose their doctors, specific drugs, and procedures. Just look at the difference between dealing with an MRI for an injured knee in the US vs Canada - you're going to wait much longer in Canada. Americans really value choice and access, so they resist anything that hints at “rationing.” As a result, costs keep climbing, and there’s an insane amount of money tied up in administrative overhead. For anyone looking for a nuanced perspective on this, I highly recommend Peter Attia's interview with Saum Sutaria (McKinsey's formed healthcare lead).

makeitdouble 2y ago
Even in Canada you can pay more to get better or faster care. You'll always have overpriced options that by definition won't be worth it for people who can wait, and you can shop around the world if it's not an super emergency and you're really willing to spend. If that doesn't resonate, it's the same as schooling: you can have good and cheap public schools accessible to everyone, and private schools that will cost 5~20x more but provide a significantly different education.
makeitdouble 2y ago
> For anyone looking for a nuanced perspective on this, I highly recommend Peter Attia's interview with Saum Sutaria (McKinsey's formed healthcare lead) The taste I got of it (introduction bit) https://youtu.be/QqrpFICtqpQ?si=iqrhOc6lvELGuzvV https://youtu.be/QqrpFICtqpQ?si=iqrhOc6lvELGuzvV A definition of insurance that doesn't seem to understand how randomness can be upon the group instead of the individual. A person in his situation can't be so grossly misunderstanding pooling risk over a population. I've skipped here and there among the multiple videos to get a better feeling of the whole interview, but to be blunt that perfectly fit into the stereotype of a guy coming from McKinsey.
AngryData 2y ago
Americans don't have to wait, if they can pay enough money to make other people wait, usually through having superior insurance. And this is anecdotal but my own father had to spend 3 months in 24/7 heart afib as he waited for his thyroid to be removed. And that is with every doctor knowing for a fact that having afib is both damaging to the heart and may result in a deadly heart attack at literally any moment. But because his insurance isn't as great as other people's insurance, he has to wait in line with all the poor saps while people with money get treatment within hours or days. The idea that American's get better and more immediate healthcare is only true for people with money.

makeitdouble 2y ago

Even in Canada you can pay more to get better or faster care. You'll always have overpriced options that by definition won't be worth it for people who can wait, and you can shop around the world if it's not an super emergency and you're really willing to spend. If that doesn't resonate, it's the same as schooling: you can have good and cheap public schools accessible to everyone, and private schools that will cost 5~20x more but provide a significantly different education.

makeitdouble 2y ago

> For anyone looking for a nuanced perspective on this, I highly recommend Peter Attia's interview with Saum Sutaria (McKinsey's formed healthcare lead) The taste I got of it (introduction bit) https://youtu.be/QqrpFICtqpQ?si=iqrhOc6lvELGuzvV https://youtu.be/QqrpFICtqpQ?si=iqrhOc6lvELGuzvV A definition of insurance that doesn't seem to understand how randomness can be upon the group instead of the individual. A person in his situation can't be so grossly misunderstanding pooling risk over a population. I've skipped here and there among the multiple videos to get a better feeling of the whole interview, but to be blunt that perfectly fit into the stereotype of a guy coming from McKinsey.

AngryData 2y ago

Americans don't have to wait, if they can pay enough money to make other people wait, usually through having superior insurance. And this is anecdotal but my own father had to spend 3 months in 24/7 heart afib as he waited for his thyroid to be removed. And that is with every doctor knowing for a fact that having afib is both damaging to the heart and may result in a deadly heart attack at literally any moment. But because his insurance isn't as great as other people's insurance, he has to wait in line with all the poor saps while people with money get treatment within hours or days. The idea that American's get better and more immediate healthcare is only true for people with money.