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Read the rules in the OP before posting, please.

In order to ensure that this thread continues to meet TL standards and follows the proper guidelines, we will be enforcing the rules in the OP more strictly. Be sure to give them a re-read to refresh your memory! The vast majority of you are contributing in a healthy way, keep it up!

NOTE: When providing a source, explain why you feel it is relevant and what purpose it adds to the discussion if it's not obvious.
Also take note that unsubstantiated tweets/posts meant only to rekindle old arguments can result in a mod action.
Acrofales
Profile Joined August 2010
Spain18227 Posts
November 21 2013 23:12 GMT
#12781
Also, even if a majority classified themselves as "happy" or even "very happy" with the healthcare the way it was, if a minority was unbearably miserable, it's a bad situation. Democracy is NOT the dictatorship of the majority.

I think the uninsured, who suddenly needed health care, can fairly be classified as being "unbearably miserable" in the old system.
xDaunt
Profile Joined March 2010
United States17988 Posts
November 21 2013 23:19 GMT
#12782
On November 22 2013 08:05 KwarK wrote:
Show nested quote +
On November 22 2013 04:23 xDaunt wrote:
You guys do realize that Obamacare isn't what Europeans have, right? It is a steaming turd of a replacement for universal healthcare. Why the European and liberal posters are not criticizing Obamacare for what it is shows just how stupidly partisan and hypocritical they are.

I have been criticising it?

+ Show Spoiler +
On November 04 2013 08:19 KwarK wrote:
Obamacare is a shitty idea. A comprehensive nationalised system along with death panels and a tax to fund it is the right idea. You can have a private insurance running parallel with it if you like, most countries do, those who can afford it still get to pay extra to have extra if they want but it provides a simple minimum standard of healthcare for everyone.

Suggesting that healthcare decisions are somewhat comparable to buying a car is really, really dumb. Buying a car is pretty fucking simple, you have a few basic parameters (where you wanna go, how cool you wanna look, how much money you wanna spend etc) and you measure it against those. Assessing health insurance is mind boggling complicated. You can know your life intimately but you don't know what your statistically biggest health risks are, nor what the biggest financial risks (risk of incident multiplied by cost of it is), you don't know if your co-pay is a lot compared to your likely costs or not much, you don't know if you're overpaying or underpaying, you don't know if there is a bunch of other shit that could happen that isn't covered because it'd be too expensive and a billion other variables. Healthcare is really fucking complicated, which phone you want isn't.

You've been one of the good boys. =)
Rob Ford
Profile Joined November 2013
Canada6 Posts
November 21 2013 23:31 GMT
#12783
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?
xDaunt
Profile Joined March 2010
United States17988 Posts
November 21 2013 23:33 GMT
#12784
On November 22 2013 08:06 Falling wrote:
Show nested quote +
On November 22 2013 04:56 xDaunt wrote:
Edit: and to the above, I'm not referencing old Republicans at all, I'm referring to the total lack of a legislative revision process put into place when the Repubs shut down the government rather than meet to work on changing the bill for the better.


So what are you blaming republicans for precisely? Is it their fault that they did not work with democrats on the original Obamacare bill, or is it their fault that they are not agreeing to fix Obamacare? If it's the former, then the obvious retort is that democrats were the idiots who passed a bad bill. It's on them. If it's the latter, why exactly should the republicans be altruistic to the democrats and fix the democrats' problem?

Probably little incentive. Which is why more than ever, I like the idea of majority rule in a Parliamentary democracy with the occasional minority government when party support is too even. There doesn't seem much incentive these days to be altruistic and help out the other side. Often you'll find, certain positions are critiqued in Opposition because in Opposition, they had zero reason to cooperate, but once in government turns out they actually agreed. The way it works now it seems to incentivize sabotaging the other side.

Sure, politics is jaded, which is why Obamacare was passed without a single republican vote in the first place. My point is really this: given how bad and (more importantly) unpopular Obamacare is turning out to be, why exactly should republicans agree to work with democrats to "fix" Obamacare when they have a very good shot at actually repealing it now?

Politically, the smart thing to do is obviously to let the Obamacare stink continue to grow. It's obviously going to be an ever-growing albatross for the democrat party. Like I suggested before, the republicans might as well just grab the popcorn.

On more substantive grounds (ie, what's good for the US), I don't think that the republicans have any incentive to try to "fix" Obamacare over outright repealing it anyway. As I mentioned before, the key components of Obamacare that people are bitching about are critical to Obamacare functioning as a system. You can't just pick and choose which features you want to keep and expect everything else to remain the same. Healthcare simply doesn't function like that. There are always tradeoffs. Trying to "fix" Obamacare probably will only screw things up more or in other unintended and unexpected ways. In the end, repeal and replacement is really the only viable option.
KwarK
Profile Blog Joined July 2006
United States43646 Posts
Last Edited: 2013-11-22 02:04:34
November 21 2013 23:37 GMT
#12785
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

You realise in the western world at the moment there really isn't all that much work that actually needs doing. The reason we're able to decide all these things are rights is because we live in a society that has an insane amount of surplus and can actually provide these things with a relatively low (historically) amount of labour per person. But I wouldn't be happy with just the basics (roof, food, health) and I wouldn't be happy doing nothing all day every day. I want that other stuff, I want the internet, I want the luxuries. But to suggest that because it doesn't take much to afford them means you're a leech is just not understanding how ridiculously productive our society is (or, if you want to be more cynical, how imbalanced our trade with China is). It doesn't take much to afford them because your labour is valued pretty highly against the things.
ModeratorThe angels have the phone box
Kaitlin
Profile Joined December 2010
United States2958 Posts
November 21 2013 23:42 GMT
#12786
What Republicans consider "fixing Obamacare" is much different than what Democrats consider it to be. So, why should Republicans just go along with what the Democrats see as the solution ? Democrats certainly aren't considering going along with what the Republicans see as the solution. Fact is, many Republicans see this entire thing as a giant hunk of shit that is going to be problem after problem and is better off being scrapped entirely. The best way bring about the best outcome (repeal) is to allow this 100% Democrat created and owned piece of shit explode on its own.
JonnyBNoHo
Profile Joined July 2011
United States6277 Posts
November 21 2013 23:47 GMT
#12787
On November 22 2013 07:36 {CC}StealthBlue wrote:
Show nested quote +
On November 22 2013 07:26 JonnyBNoHo wrote:
On November 22 2013 05:05 farvacola wrote:
Mostly because it isn't just the Democrat's problem; it is everyone's, and it has been far before Obamacare was passed. Scrapping the law outright when it contains many incredibly beneficial aspects that require no dressing, be they the fine on readmissions, the ban on denying coverage for pre-existing conditions, or the introduction of choice into many very narrow insurance markets; Democrats want to see those continue while we fix this hodgepodge state exchange/federal system mess, whereas Repubs just want to see it all burn. That's where the conversation ought to revolve instead of about playing blame games.

The majority of Americans are very happy with the current healthcare system. The ACA was designed to tip toe around the current system while bringing more people into it. If enough people figure that they'll be negatively affected, the political backing for the law may evaporate.


Yes I remember like it was yesterday people complementing the system that prevented them from getting insurance due to preexisting conditions. Such as acne, or diabetes.

The vast majority of Americans don't have that problem.

On November 22 2013 08:01 farvacola wrote:
Show nested quote +
On November 22 2013 07:26 JonnyBNoHo wrote:
On November 22 2013 05:05 farvacola wrote:
Mostly because it isn't just the Democrat's problem; it is everyone's, and it has been far before Obamacare was passed. Scrapping the law outright when it contains many incredibly beneficial aspects that require no dressing, be they the fine on readmissions, the ban on denying coverage for pre-existing conditions, or the introduction of choice into many very narrow insurance markets; Democrats want to see those continue while we fix this hodgepodge state exchange/federal system mess, whereas Repubs just want to see it all burn. That's where the conversation ought to revolve instead of about playing blame games.

The majority of Americans are very happy with the current healthcare system. The ACA was designed to tip toe around the current system while bringing more people into it. If enough people figure that they'll be negatively affected, the political backing for the law may evaporate.

Establishing that the majority of Americans are "very happy" with the previous iteration of the US healthcare system is an incredibly problematic undertaking, both in terms of going about it soundly and in terms of demonstrating the impact of such a statement. Let's suppose that an aggregate of "good" polls on the topic of Pre-Obamacare satisfaction, both historically and contemporaneously, sufficiently point to approval enough to legitimize the notion that a majority of Americans were very happy with the previous system. What does this really tell us? The majority of Americans have been very wrong about a fair number of things in the past, and given the incredibly nebulous nature of healthcare pricing and market facade, it would seem an awful leap of faith to make in supposing that the majority of Americans can even name a single alternative to their current health insurance plan, not to mention whether or not they know enough of the entire system to say whether or not it is "good", which is in itself a shorthand term more useful in attempting to legitimize polling than in accurately reflecting the state of healthcare in the United States. The below is from a case study on healthcare as a market good published in the Archives of Internal Medicine that I've posted on occasion.
Show nested quote +
Our first result of the median charge for treating “uncomplicated” appendicitis of $33 611 would certainly startle many patients. Given estimates that 60% of bankruptcies in the United States involve catastrophic medical expenses,7 these data should alarm those making decisions about our society’s ability to obtain medical care without financial catastrophe.

A patient with severe abdominal pain is in a poor position to determine whether his or her physician is ordering the appropriate blood work, imaging, or surgical procedure. Price shopping is improbable, if not impossible, because the services are complex, urgently needed,8 and no definitive diagnosis has yet been made. In our study, even if patients did have the luxury of time and clinical knowledge to “shop around,” we found that California hospitals charge patients inconsistently for what should be similar services as defined by our relatively strict definition of uncomplicated appendicitis.

In order to consider health care a good that abides by traditional market theory, both consumers and producers should have a reasonable sense of how much the good costs. Yet health care providers are often unaware of what their recommendations cost.9 Consumers (ie, patients) with adequate insurance are shielded from charges, while the underinsured or uninsured see staggeringly high numbers without understanding what the charges mean, let alone if they are appropriate. Our findings suggest that there are inherent limitations of market theory within the health care system, and much work remains to be done to allow consumers to fulfill the role of a true consumer in the health care marketplace.

Health Care as a “Market Good”? Appendicitis as a Case Study
That last paragraph is very important, as it speaks to just how opaque the health insurance market truly is. Granted, some of the distortion that takes place is due to Medicare and its ubiquity, but the point is that, in general economic terms aimed towards establishing whether or not a given commodity or service is free market apropos, the consumer is simply unable to gather enough information, act in enough time, or make salient enough choices when searching for both preventative and palliative healthcare to make good "rational" choices enough of the time. (I won't even go into the US systems problem with preventative medicine :D) Accordingly, the opinion of the majority of Americans (which is, I'll remind you, incredibly difficult to establish in the first place) when it comes to healthcare becomes quite a bit more complicated in terms of how we are to act on it from a public policy standpoint, as it is rather clear, given what we know of how insurance markets work and how people come upon their plans, that many people have very little idea what is going on when they say that they are happy with their employee insurance plan that is, in the background, pushing the costs of those less fortunate exponentially higher.

Edit: You are right in describing Obamacare as a bad tip-toe though, that much we agree on

Whether or not Americans like their healthcare has huge political consequences. If they like shit, they won't want to change their shit, since they like it.

If we're concerned as to whether or not the healthcare is shit or not (looking beyond the politics) then we need good objective measures of quality, which are hard to come by. Country comparisons are difficult.

I'm not sure what your point about healthcare as a market good is. The paragraph you highlighted states that healthcare isn't a market, not that it can't be.
Rob Ford
Profile Joined November 2013
Canada6 Posts
November 21 2013 23:47 GMT
#12788
On November 22 2013 08:37 KwarK wrote:
Show nested quote +
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

You realise in the western world at the moment there really isn't all that much work that actually needs doing. The reason we're able to decide all these things are rights is because we live in a society that has an insane amount of surplus and can actually provide these things with a relatively low (historically) amount of labour per person. But I wouldn't be happy with just the basics (roof, food, health) and I wouldn't be happy doing nothing all day every day. I want that other stuff, I want the internet, I want the luxuries. But to suggest that because it doesn't take much to afford them means you're a leech is just not understanding how ridiculously productive our society is (or, if you want to be more cynical, who imbalanced our trade with China is). It doesn't take much to afford them because your labour is valued pretty highly against the things.

But the labor I need to pay for the luxuries I want will never be sufficiently productive to equal the housing/health care/education/retirement/food/etc. that is a guaranteed right. Also, part of the reason our society is insanely productive is because there are still significant incentives to work. For example, the fear of homelessness.
mcc
Profile Joined October 2010
Czech Republic4646 Posts
Last Edited: 2013-11-21 23:54:19
November 21 2013 23:49 GMT
#12789
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

And yet in countries where those things are guaranteed (except maybe transportation) people still work, and not just few, but overwhelming majority.

On November 22 2013 08:50 Rob Ford wrote:
Show nested quote +
On November 22 2013 08:49 mcc wrote:
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

And yet in countries where those things are guaranteed (except maybe transportation) people still work, and not just few, but overwhelming majority.

That doesn't really answer my question though.

Not as to the mechanism, just to the fact that there is one. It tells you that such motivation exists, the specifics are hard question, but nearly irrelevant as far as policy goes.
Rob Ford
Profile Joined November 2013
Canada6 Posts
November 21 2013 23:50 GMT
#12790
On November 22 2013 08:49 mcc wrote:
Show nested quote +
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

And yet in countries where those things are guaranteed (except maybe transportation) people still work, and not just few, but overwhelming majority.

That doesn't really answer my question though.

User was banned for this post.
mcc
Profile Joined October 2010
Czech Republic4646 Posts
November 21 2013 23:52 GMT
#12791
On November 22 2013 08:47 Rob Ford wrote:
Show nested quote +
On November 22 2013 08:37 KwarK wrote:
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

You realise in the western world at the moment there really isn't all that much work that actually needs doing. The reason we're able to decide all these things are rights is because we live in a society that has an insane amount of surplus and can actually provide these things with a relatively low (historically) amount of labour per person. But I wouldn't be happy with just the basics (roof, food, health) and I wouldn't be happy doing nothing all day every day. I want that other stuff, I want the internet, I want the luxuries. But to suggest that because it doesn't take much to afford them means you're a leech is just not understanding how ridiculously productive our society is (or, if you want to be more cynical, who imbalanced our trade with China is). It doesn't take much to afford them because your labour is valued pretty highly against the things.

But the labor I need to pay for the luxuries I want will never be sufficiently productive to equal the housing/health care/education/retirement/food/etc. that is a guaranteed right. Also, part of the reason our society is insanely productive is because there are still significant incentives to work. For example, the fear of homelessness.

If you are a citizen of most European countries homelessness is not a consequence of not working. I would guess that Canada would be in the same category ?
Rob Ford
Profile Joined November 2013
Canada6 Posts
November 21 2013 23:53 GMT
#12792
On November 22 2013 08:42 Kaitlin wrote:
What Republicans consider "fixing Obamacare" is much different than what Democrats consider it to be. So, why should Republicans just go along with what the Democrats see as the solution ? Democrats certainly aren't considering going along with what the Republicans see as the solution. Fact is, many Republicans see this entire thing as a giant hunk of shit that is going to be problem after problem and is better off being scrapped entirely. The best way bring about the best outcome (repeal) is to allow this 100% Democrat created and owned piece of shit explode on its own.

But when Obamacare does explode, they will tell the public: "See, the market just doesn't work for health care." And the people will buy it.
Roe
Profile Blog Joined June 2010
Canada6002 Posts
November 21 2013 23:54 GMT
#12793
On November 22 2013 08:47 Rob Ford wrote:
Show nested quote +
On November 22 2013 08:37 KwarK wrote:
On November 22 2013 08:31 Rob Ford wrote:
Once every need is a guaranteed human right, what exactly is my incentive to work? If housing and clothing and food and health care and education and transportation and retirement are all human rights provided by the government, why should I work? Why should I invest the time or money to learn marketable skills? Why should I struggle or strive to produce or advance?

Sure, there is the desire for luxuries. I'd like a broadband connection and a computer, but it doesn't take much work to afford such things. So how do you keep me providing goods for society and not just leeching my whole life?

You realise in the western world at the moment there really isn't all that much work that actually needs doing. The reason we're able to decide all these things are rights is because we live in a society that has an insane amount of surplus and can actually provide these things with a relatively low (historically) amount of labour per person. But I wouldn't be happy with just the basics (roof, food, health) and I wouldn't be happy doing nothing all day every day. I want that other stuff, I want the internet, I want the luxuries. But to suggest that because it doesn't take much to afford them means you're a leech is just not understanding how ridiculously productive our society is (or, if you want to be more cynical, who imbalanced our trade with China is). It doesn't take much to afford them because your labour is valued pretty highly against the things.

But the labor I need to pay for the luxuries I want will never be sufficiently productive to equal the housing/health care/education/retirement/food/etc. that is a guaranteed right. Also, part of the reason our society is insanely productive is because there are still significant incentives to work. For example, the fear of homelessness.


What's your reasoning behind this? What could lead to such exponential production due to simply the fear of being homeless? Surely one could get a simple, minimum wage job that doesn't produce much and still have a home.
IgnE
Profile Joined November 2010
United States7681 Posts
November 22 2013 00:48 GMT
#12794
Rob Ford is clearly smoking crack. He's a Marxist troll in disguise.
The unrealistic sound of these propositions is indicative, not of their utopian character, but of the strength of the forces which prevent their realization.
aksfjh
Profile Joined November 2010
United States4853 Posts
November 22 2013 02:34 GMT
#12795
On November 22 2013 08:47 JonnyBNoHo wrote:
Show nested quote +
On November 22 2013 07:36 {CC}StealthBlue wrote:
On November 22 2013 07:26 JonnyBNoHo wrote:
On November 22 2013 05:05 farvacola wrote:
Mostly because it isn't just the Democrat's problem; it is everyone's, and it has been far before Obamacare was passed. Scrapping the law outright when it contains many incredibly beneficial aspects that require no dressing, be they the fine on readmissions, the ban on denying coverage for pre-existing conditions, or the introduction of choice into many very narrow insurance markets; Democrats want to see those continue while we fix this hodgepodge state exchange/federal system mess, whereas Repubs just want to see it all burn. That's where the conversation ought to revolve instead of about playing blame games.

The majority of Americans are very happy with the current healthcare system. The ACA was designed to tip toe around the current system while bringing more people into it. If enough people figure that they'll be negatively affected, the political backing for the law may evaporate.


Yes I remember like it was yesterday people complementing the system that prevented them from getting insurance due to preexisting conditions. Such as acne, or diabetes.

The vast majority of Americans don't have that problem.

Show nested quote +
On November 22 2013 08:01 farvacola wrote:
On November 22 2013 07:26 JonnyBNoHo wrote:
On November 22 2013 05:05 farvacola wrote:
Mostly because it isn't just the Democrat's problem; it is everyone's, and it has been far before Obamacare was passed. Scrapping the law outright when it contains many incredibly beneficial aspects that require no dressing, be they the fine on readmissions, the ban on denying coverage for pre-existing conditions, or the introduction of choice into many very narrow insurance markets; Democrats want to see those continue while we fix this hodgepodge state exchange/federal system mess, whereas Repubs just want to see it all burn. That's where the conversation ought to revolve instead of about playing blame games.

The majority of Americans are very happy with the current healthcare system. The ACA was designed to tip toe around the current system while bringing more people into it. If enough people figure that they'll be negatively affected, the political backing for the law may evaporate.

Establishing that the majority of Americans are "very happy" with the previous iteration of the US healthcare system is an incredibly problematic undertaking, both in terms of going about it soundly and in terms of demonstrating the impact of such a statement. Let's suppose that an aggregate of "good" polls on the topic of Pre-Obamacare satisfaction, both historically and contemporaneously, sufficiently point to approval enough to legitimize the notion that a majority of Americans were very happy with the previous system. What does this really tell us? The majority of Americans have been very wrong about a fair number of things in the past, and given the incredibly nebulous nature of healthcare pricing and market facade, it would seem an awful leap of faith to make in supposing that the majority of Americans can even name a single alternative to their current health insurance plan, not to mention whether or not they know enough of the entire system to say whether or not it is "good", which is in itself a shorthand term more useful in attempting to legitimize polling than in accurately reflecting the state of healthcare in the United States. The below is from a case study on healthcare as a market good published in the Archives of Internal Medicine that I've posted on occasion.
Our first result of the median charge for treating “uncomplicated” appendicitis of $33 611 would certainly startle many patients. Given estimates that 60% of bankruptcies in the United States involve catastrophic medical expenses,7 these data should alarm those making decisions about our society’s ability to obtain medical care without financial catastrophe.

A patient with severe abdominal pain is in a poor position to determine whether his or her physician is ordering the appropriate blood work, imaging, or surgical procedure. Price shopping is improbable, if not impossible, because the services are complex, urgently needed,8 and no definitive diagnosis has yet been made. In our study, even if patients did have the luxury of time and clinical knowledge to “shop around,” we found that California hospitals charge patients inconsistently for what should be similar services as defined by our relatively strict definition of uncomplicated appendicitis.

In order to consider health care a good that abides by traditional market theory, both consumers and producers should have a reasonable sense of how much the good costs. Yet health care providers are often unaware of what their recommendations cost.9 Consumers (ie, patients) with adequate insurance are shielded from charges, while the underinsured or uninsured see staggeringly high numbers without understanding what the charges mean, let alone if they are appropriate. Our findings suggest that there are inherent limitations of market theory within the health care system, and much work remains to be done to allow consumers to fulfill the role of a true consumer in the health care marketplace.

Health Care as a “Market Good”? Appendicitis as a Case Study
That last paragraph is very important, as it speaks to just how opaque the health insurance market truly is. Granted, some of the distortion that takes place is due to Medicare and its ubiquity, but the point is that, in general economic terms aimed towards establishing whether or not a given commodity or service is free market apropos, the consumer is simply unable to gather enough information, act in enough time, or make salient enough choices when searching for both preventative and palliative healthcare to make good "rational" choices enough of the time. (I won't even go into the US systems problem with preventative medicine :D) Accordingly, the opinion of the majority of Americans (which is, I'll remind you, incredibly difficult to establish in the first place) when it comes to healthcare becomes quite a bit more complicated in terms of how we are to act on it from a public policy standpoint, as it is rather clear, given what we know of how insurance markets work and how people come upon their plans, that many people have very little idea what is going on when they say that they are happy with their employee insurance plan that is, in the background, pushing the costs of those less fortunate exponentially higher.

Edit: You are right in describing Obamacare as a bad tip-toe though, that much we agree on

Whether or not Americans like their healthcare has huge political consequences. If they like shit, they won't want to change their shit, since they like it.

If we're concerned as to whether or not the healthcare is shit or not (looking beyond the politics) then we need good objective measures of quality, which are hard to come by. Country comparisons are difficult.

I'm not sure what your point about healthcare as a market good is. The paragraph you highlighted states that healthcare isn't a market, not that it can't be.

There are some pretty good measures on outcomes that cross national boundaries. Things like treatment and detection rates for diseases, and average doctor visits per year per person.
{CC}StealthBlue
Profile Blog Joined January 2003
United States41117 Posts
November 22 2013 04:33 GMT
#12796
As the Texas State Board of Education nears a vote on which science textbooks it will recommend to schools, a watchdog group is calling out advocates for the oil and gas industry for disrupting the process with what it says are attacks on accurate science.

For months, the SBOE has been weighing which textbooks to put on a classroom “approved” list. While previous debates have centered on whether or not the books would include references to creationism, on Wednesday -- just two days before the board’s final vote -- oil and gas industry advocates pushed the board to abandon the only environmental science book up for approval, according to the Texas Freedom Network, a nonpartisan watchdog group that focuses on civil liberties.

The SBOE expressed concern over an environmental science textbook from publisher Houghton Mifflin Harcourt after Becky Berger, a geologist and oil and gas professional, testified at a textbook hearing Wednesday evening. Berger reportedly told the board that the textbook contained factual errors on topics such as hydraulic fracturing, or fracking, and the causes of climate change.

Due to the board’s visible "shock" over the testimony, the episode "showed just how easy it is for special interests, at the last minute, to hijack the textbook adoption process in Texas," Texas Freedom Network said. The group also noted that previous review panels had not taken issue with the book.

Berger is running for Texas Railroad Commissioner, and if elected would help regulate the state’s oil and gas industry. Josh Rosenau, the programs and policy director at the National Center for Science Education, told The Huffington Post that Berger's testimony sounded like a “campaign speech.”

"She's running for the Texas Railroad Commission ... so she's running on a platform ... [that says] 'I've worked in this industry, I'm not going to do anything to this industry,'" Rosenau told HuffPost over the phone.

Berger said she was merely trying to point out what she sees as inaccuracies in the textbook, and that her testimony was not politically motivated.


Source
"Smokey, this is not 'Nam, this is bowling. There are rules."
zlefin
Profile Blog Joined October 2012
United States7689 Posts
November 22 2013 04:55 GMT
#12797
It'd be nice if the actual list of objections was provided, so we could assess the merits of them.
Great read: http://shorensteincenter.org/news-coverage-2016-general-election/ great book on democracy: http://press.princeton.edu/titles/10671.html zlefin is grumpier due to long term illness. Ignoring some users.
xDaunt
Profile Joined March 2010
United States17988 Posts
Last Edited: 2013-11-22 05:33:18
November 22 2013 05:33 GMT
#12798
In fairness, if the textbook does discuss the dangers of fracking, chances are that it does contain inaccuracies.
sam!zdat
Profile Blog Joined October 2010
United States5559 Posts
November 22 2013 05:35 GMT
#12799
fracking 100 percent safe, take it from our resident oil and gas lawyer
shikata ga nai
JonnyBNoHo
Profile Joined July 2011
United States6277 Posts
November 22 2013 05:35 GMT
#12800
On November 22 2013 13:33 {CC}StealthBlue wrote:
Show nested quote +
As the Texas State Board of Education nears a vote on which science textbooks it will recommend to schools, a watchdog group is calling out advocates for the oil and gas industry for disrupting the process with what it says are attacks on accurate science.

For months, the SBOE has been weighing which textbooks to put on a classroom “approved” list. While previous debates have centered on whether or not the books would include references to creationism, on Wednesday -- just two days before the board’s final vote -- oil and gas industry advocates pushed the board to abandon the only environmental science book up for approval, according to the Texas Freedom Network, a nonpartisan watchdog group that focuses on civil liberties.

The SBOE expressed concern over an environmental science textbook from publisher Houghton Mifflin Harcourt after Becky Berger, a geologist and oil and gas professional, testified at a textbook hearing Wednesday evening. Berger reportedly told the board that the textbook contained factual errors on topics such as hydraulic fracturing, or fracking, and the causes of climate change.

Due to the board’s visible "shock" over the testimony, the episode "showed just how easy it is for special interests, at the last minute, to hijack the textbook adoption process in Texas," Texas Freedom Network said. The group also noted that previous review panels had not taken issue with the book.

Berger is running for Texas Railroad Commissioner, and if elected would help regulate the state’s oil and gas industry. Josh Rosenau, the programs and policy director at the National Center for Science Education, told The Huffington Post that Berger's testimony sounded like a “campaign speech.”

"She's running for the Texas Railroad Commission ... so she's running on a platform ... [that says] 'I've worked in this industry, I'm not going to do anything to this industry,'" Rosenau told HuffPost over the phone.

Berger said she was merely trying to point out what she sees as inaccuracies in the textbook, and that her testimony was not politically motivated.

Source


Uhh... so? Unless SBOE is being bribed or incompetent, Berger's opinion shouldn't be a big deal.
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