I'm less interested on whether the bill *should* pass -- I just want to TL's thoughts on if it *will* pass.
Health Care Bill passed the House
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lOvOlUNiMEDiA
United States643 Posts
I'm less interested on whether the bill *should* pass -- I just want to TL's thoughts on if it *will* pass. | ||
DM20
Canada544 Posts
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TanGeng
Sanya12364 Posts
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RoyW
Ireland270 Posts
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blue_arrow
1971 Posts
so now that the bill has passed the house, it's onwards to the senate | ||
Rotodyne
United States2263 Posts
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TanGeng
Sanya12364 Posts
I don't think it will pass the senate though. | ||
Undisputed-
United States379 Posts
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SWPIGWANG
Canada482 Posts
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Jadyks
United States119 Posts
Socialism != USSR Medicare, Medicaid, Social Security, these things are socialist programs we already have in place. Wanna bitch about those too? Grow up and stop listening to sound-bytes. Stop listening to republican hot-words like 'socialist' 'communist', this is bullshit. | ||
Manit0u
Poland17257 Posts
On November 10 2009 01:49 Jadyks wrote: Right, because socialism is a terrible terrible thing. I hate uneducated conservatives. Socialism != USSR Medicare, Medicaid, Social Security, these things are socialist programs we already have in place. Wanna bitch about those too? Grow up and stop listening to sound-bytes. Stop listening to republican hot-words like 'socialist' 'communist', this is bullshit. Yup. There even aren't many communist countried left around. Even Russia claims it's democratic now (it's not, but they claim it is). Also, there are several types of socialism out there, you might want to check it out. | ||
Sha[DoW]
Canada110 Posts
(That was sarcasm) Honestly, I'm Canadian and I think that centralized Healthcare is an excellent step forward for the US. It is very expensive, but it is also very useful for everyone in the middle class and below in the states. | ||
dnosrc
Germany454 Posts
Does America have the best health care regarding gunshot wounds? Would people take their guns and let me find out? | ||
Undisputed-
United States379 Posts
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pubbanana
United States3063 Posts
On November 10 2009 02:04 Undisputed- wrote: Obamacare = legalized stealing Yeah, just say shit. People will believe it. | ||
agorist
United States115 Posts
Any realistically intelligent economist understands that pure socialism is folly. An attainable form of "socialism" is anarchy. Central planning just will not work. Read some Mises. The United Dtates and most modern countries are state-capitalist (fascism). Fascism and socialism are very alike for a couple reasons; force is required to maintain and institute them, and, some goofy mantra/propoganda is utilized on an indoctrinated public to push the elite's agendas. The most popular tool for the elite to use is class warfare. | ||
Undisputed-
United States379 Posts
On November 10 2009 02:06 pubbanana wrote: Yeah, just say shit. People will believe it. It's pretty obvious, taxes will be used to pay for it. People who don't pay taxes will be covered under it. Pretty much stealing. | ||
Ingenol
United States1328 Posts
On November 10 2009 01:49 Jadyks wrote: Right, because socialism is a terrible terrible thing. I hate uneducated conservatives. Socialism != USSR Medicare, Medicaid, Social Security, these things are socialist programs we already have in place. Wanna bitch about those too? Grow up and stop listening to sound-bytes. Stop listening to republican hot-words like 'socialist' 'communist', this is bullshit. This is true, and in line with your statement it should be noted that capitalism != USA. We have never had a truly capitalist economy (it's actually a yet untested political system), and since the New Deal we have basically been more of a "minimally socialist" government, becoming more so all the time. I'm not going to start another huge discussion about the pros/cons of this, simply pointing out people that say, "capitalism clearly doesn't work, look at the US these days" are using an incredibly circuitous, flawed definition of capitalism. They basically hold that capitalism is the economic political system of the United States. While it can certainly be argued that the economic system of the United States doesn't work--and really you can argue that no country's economic system seems to be working--the simple truth is that nobody knows whether or not (true) capitalism will/would work. I say why not try it, but that's a discussion for another time. | ||
HwangjaeTerran
Finland5967 Posts
On November 10 2009 02:15 Undisputed- wrote: It's pretty obvious, taxes will be used to pay for it. People who don't pay taxes will be covered under it. Pretty much stealing. Nice to hear you Americans love your fellow man <3 What about someone whose taxmoney is used for warfare without his will ? Is it stealing too? | ||
Ingenol
United States1328 Posts
On November 10 2009 02:11 agorist wrote: No offense; but you guys are rather retarded. Any realistically intelligent economist understands that pure socialism is folly. An attainable form of "socialism" is anarchy. Central planning just will not work. Read some Mises. The United Dtates and most modern countries are state-capitalist (fascism). Fascism and socialism are very alike for a couple reasons; force is required to maintain and institute them, and, some goofy mantra/propoganda is utilized on an indoctrinated public to push the elite's agendas. The most popular tool for the elite to use is class warfare. Nice post. Very few people are willing to admit that facism and socialism are at their core systems under which government--either explicitly (socialism) or implicitly (facism)--attempts to control production. This might also be a good point to mention that the United States Post Office operates at a net loss every year, whereas FedEx and UPS (private companies) show a profit, despite the fact that a system of government regulations prevents them from charging less than USPS for equivalent services. If that doesn't cast doubt on the government's ability to run anything effectively, I don't know what would. | ||
Scorch
Austria3371 Posts
On November 10 2009 02:15 Undisputed- wrote: It's pretty obvious, taxes will be used to pay for it. People who don't pay taxes will be covered under it. Pretty much stealing. Sure, almost the same thing buddy. It's quite surprising to me how hard some people fight against social measures. Is it a lack of social conscience? Avarice? Or maybe it's just my European upbringing and me being used to living in a welfare state which tell me that Survival Of The Fittest is not an adequate social system. | ||
Sky101
United States1758 Posts
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Sadist
United States7228 Posts
On November 10 2009 02:27 Sky101 wrote: Capitalism carried the U.S. from a nobody to the super power that it is today. Socialism will just make everyone lazy. Look at the Europeans, no offense, try to compare the work ethics and attitude to that of an American. Bahahahaha? Work ethic? Where the hell do you live? | ||
Undisputed-
United States379 Posts
On November 10 2009 02:23 HwangjaeTerran wrote: Nice to hear you Americans love your fellow man <3 What about someone whose taxmoney is used for warfare without his will ? Is it stealing too? Charity should not be forced. | ||
Undisputed-
United States379 Posts
On November 10 2009 02:26 Scorch wrote: Sure, almost the same thing buddy. It's quite surprising to me how hard some people fight against social measures. Is it a lack of social conscience? Avarice? Or maybe it's just my European upbringing and me being used to living in a welfare state which tell me that Survival Of The Fittest is not an adequate social system. Free healthcare is not a right, some people seem to think they are entitled to it though. Some of us work for a living. | ||
ZeroCartin
Costa Rica2390 Posts
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Osmoses
Sweden5302 Posts
On November 10 2009 02:38 Undisputed- wrote: Free healthcare is not a right, some people seem to think they are entitled to it though. Some of us work for a living. I seem to remember my economy professor saying capitalism only works if a certain percentage of the population are unemployed at all times. "Some of us work for a living," what an idiotic thing to say. You are in serious need of falling on some hard times to give you some perspective. | ||
Undisputed-
United States379 Posts
On November 10 2009 02:42 Osmoses wrote: I seem to remember my economy professor saying capitalism only works if a certain percentage of the population are unemployed at all times. "Some of us work for a living," what an idiotic thing to say. You are in serious need of falling on some hard times to give you some perspective. True the economy is rough, but I would rather make the choice that I want to help those people out instead of being forced to. | ||
QibingZero
2611 Posts
On November 10 2009 02:38 Undisputed- wrote: Free healthcare is not a right, some people seem to think they are entitled to it though. Some of us work for a living. Why even have government if it's not able to provide the absolutely basic service of keeping you alive? Oh, right. You might need to bomb a country that's done nothing to you sometime in the near future. | ||
Undisputed-
United States379 Posts
On November 10 2009 02:52 QibingZero wrote: Why even have government if it's not able to provide the absolutely basic service of keeping you alive? Oh, right. You might need to bomb a country that's done nothing to you sometime in the near future. Because the service involves stealing. A right does not impose an obligation upon others for its fulfillment. | ||
SWPIGWANG
Canada482 Posts
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agorist
United States115 Posts
Sure, I'd love absolutely everyone to have insurance and access to great medical care. I'd love everyone to be able to afford the best education. I'd love everyone to be able to adequately feed and provide for their children. The important question to ask is, are these goals attainable and are they sustainable? The reality is that resources and money is finite, and, the foolish quest for faux-egalitarianism will only end up with us facing a net-loss due to the inefficiencies of government. Inflation is a slow killer. Try reading this paper; it's actually really short and does a good part in describing the windfalls inherit in usurping the free-market. http://mises.org/midroad.asp | ||
Mothra
United States1448 Posts
On November 10 2009 03:11 SWPIGWANG wrote: Europe, an act of Satan to deceive righteous Americans from their path of LIBERTY, FREEDOM AND JUSTICE. The only solution to the problem of the existence of Europe is complete and utter extermination of those living under an immoral atheist ideology base on murder, theft, oppression and stupidity. You are either with us or against us. This might be meant to be humorous, but the last time I tried going to a church they were honestly preaching that. To be fair it was an interum pastor, but he was going on about how the EU was the antichrist and was going to attack Israel and nobody said anything (he wasn't even loud and angry, just matter-of-fact). When it was time for people to stand up and share (prayer requests and stuff), one lady talked about her trip to Europe, and how the churches there seemed so devoid of the spirit and the people so lost and faithless. Unreal how self righteous some people can be and not feel ashamed. Sorry to derail. As for healthcare bill I have no comment or wish to jump into a discussion (flame war). | ||
agorist
United States115 Posts
On November 10 2009 02:52 QibingZero wrote: Why even have government if it's not able to provide the absolutely basic service of keeping you alive? Oh, right. You might need to bomb a country that's done nothing to you sometime in the near future. Nice false dichotomy. There's plenty of individuals who are opposed to social programs and war. I personally detest the very idea of an army. And more importantly, are you asserting that it's the government's role to keep you alive? I'm sure then that you're OK with a government prohibiting you from the right to end your life. I'm also sure you'd be OK with the government prohibiting you from eating unhealthy foods and using narcotics. Your are no different than a religious man who seeks to utilize government to apply his morality to those of others. You seek to use government as a tool to steal, coerce, and punish. Please don't attempt to make yourself look like the noble fellow. | ||
Scorch
Austria3371 Posts
On November 10 2009 02:50 Undisputed- wrote: True the economy is rough, but I would rather make the choice that I want to help those people out instead of being forced to. You don't sound like the type of person who helps voluntarily. Neither am I such a person. This is why I find it necessary for the government to force people to care about others: nobody would do it otherwise. I can't stand your antisocial attitude to be honest. Needy people aren't poor by choice, you know. And please stop calling spending of tax money stealing. Is it stealing if the government builds streets? | ||
BlackJack
United States10499 Posts
On November 10 2009 03:19 agorist wrote: Sure, I'd love absolutely everyone to have insurance and access to great medical care. I'd love everyone to be able to afford the best education. I'd love everyone to be able to adequately feed and provide for their children. The important question to ask is, are these goals attainable and are they sustainable? I love the adjectives you throw in there. Great medical care Best Education Adequately feed If everyone got the best education wouldn't that make it the "average" education? | ||
Not_A_Notion
Ireland441 Posts
If I may actually reply to the OP's question of if it would pass as opposed to should it pass, I reckon a few moderate republicans could very well side with it, so I think it will pass, if anything the major problem would be with Democrat disagreements, are there any "Blue Dog" Senators? I could only see representatives on their wiki article. | ||
BlackJack
United States10499 Posts
On November 10 2009 03:23 agorist wrote: And more importantly, are you asserting that it's the government's role to keep you alive? I'm sure then that you're OK with a government prohibiting you from the right to end your life. I'm also sure you'd be OK with the government prohibiting you from eating unhealthy foods and using narcotics. Of course, if you're okay with the government providing something you must also be okay with the government prohibiting something. After all, both words begin with a P and end in an -ing. | ||
agorist
United States115 Posts
On November 10 2009 03:27 Scorch wrote: You don't sound like the type of person who helps voluntarily. Neither am I such a person. This is why I find it necessary for the government to force people to care about others: nobody would do it otherwise. I can't stand your antisocial attitude to be honest. Needy people aren't poor by choice, you know. And please stop calling spending of tax money stealing. Is it stealing if the government builds streets? I'm glad you can make claims without research. http://www.nptrust.org/philanthropy/philanthropy_stats.asp Yes, it's stealing if you take money from an individual who doesn't support building a street. A street should be paid directly by those who use and benefit from it. This is done more efficiently via private ownership, however, can be done publicly with tolls and fees. Also, I'd also like to remind you of the divide between state and federal governments. I have a lot less of a concern with states enacting taxes and providing social programs than I do with a federal government doing the same. Also, it's a bit rude to assert that someone's anti-social because they don't agree with your support of theft. Take a breather and think about what you're saying. Do you support occupation of Iraq and Afghanistan? Aid for Israel? Our taxpayer dollars are funding these things that most of us don't agree with, and, there's nothing we can do. For the same reason it's stupid to call someone anti-american for not supporting war, it's stupid to call someone anti-social for not supporting social programs. | ||
Undisputed-
United States379 Posts
On November 10 2009 03:27 Scorch wrote: You don't sound like the type of person who helps voluntarily. Neither am I such a person. This is why I find it necessary for the government to force people to care about others: nobody would do it otherwise. I can't stand your antisocial attitude to be honest. Needy people aren't poor by choice, you know. And please stop calling spending of tax money stealing. Is it stealing if the government builds streets? It's stealing, your comment about building roads is not even close to the same thing. It's hardly selfish to want to keep what you earn. It is selfish to expect others take care of you. And as for the needy not being poor by choice. Short of having a disability out of your control, it is very easy to "make it" in America if you are willing to work. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 10 2009 03:33 Not_A_Notion wrote: Wow, this is one hell of a flame-fest. If I may actually reply to the OP's question of if it would pass as opposed to should it pass, I reckon a few moderate republicans could very well side with it, so I think it will pass, if anything the major problem would be with Democrat disagreements, are there any "Blue Dog" Senators? I could only see representatives on their wiki article. I appreciate the fact that you read and answered my question. The news I have read recently has given me the impression that the house version of the bill will not pass. They need 60 votes to end debate and Lieberman has stated that he won't vote for the house version of the bill. I don't know if any republicans are planning on voting for the bill --- I doubt it though. Maybe the senator from Maine? | ||
ulszz
Jamaica1787 Posts
On November 10 2009 03:33 BlackJack wrote: I love the adjectives you throw in there. Great medical care Best Education Adequately feed If everyone got the best education wouldn't that make it the "average" education? ad hominem | ||
agorist
United States115 Posts
On November 10 2009 03:33 BlackJack wrote: I love the adjectives you throw in there. Great medical care Best Education Adequately feed If everyone got the best education wouldn't that make it the "average" education? Sure, by definition. By no means are these goals attainable, either. My point is that in attempting to achieve what you've quoted we undermine the quality of everything across the board. For example, take a look at college education. Costs are soaring through the roof as we subsidize and bury children in debt, most of which are doing so for useless degrees, We've in essence inflated collegiate degrees; a communications or philosophy degree will get you nowhere today. | ||
tirentu
Canada1257 Posts
On November 10 2009 03:40 Undisputed- wrote: Short of having a disability out of your control, it is very easy to "make it" in American if you are willing to work. Because the notion of the American dream isn't a lie designed to propagate free market capitalism that benefits the rich, oh no no no! | ||
Undisputed-
United States379 Posts
On November 10 2009 03:44 tirentu wrote: Because the notion of the American dream isn't a lie designed to propagate free market capitalism that benefits the rich, oh no no no! ok comrade | ||
lOvOlUNiMEDiA
United States643 Posts
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QuanticHawk
United States32051 Posts
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betaben
681 Posts
noooot really. ah hominem= attack on the person. the adjectives he comments on are all part of agorist's argument, not his character. that is a false criticism. I'm not going to speculate on the motivation. | ||
Amber[LighT]
United States5078 Posts
NVM found something from my trusted CNN http://www.cnn.com/2009/POLITICS/11/07/health.care/index.html oh and lol... http://news.yahoo.com/s/ap/20091108/ap_on_bi_ge/us_health_care_overhaul | ||
SkelA
Macedonia13032 Posts
And some ppl here are against this you should be against wars and use that HUGE budget for improving your lives instead raging wars for the past 50 years. | ||
Undisputed-
United States379 Posts
On November 10 2009 03:59 SkelA wrote: Like a week ago i watched Michael Moore documenatary about healthcare in USA and im amazed how stuff works in the USA. And some ppl here are against this you should be against wars and use that HUGE budget for improving your lives instead raging wars for the past 50 years. Michael Moore is an idiot and we have a massive debt. | ||
knatt
Sweden21 Posts
I don't even know if I'm saying anything that makes any sense, since my knowledge of American politics is very limited. Oh well, life goes on~~~ | ||
Try
United States1293 Posts
On November 10 2009 03:59 SkelA wrote: Like a week ago i watched Michael Moore documenatary about healthcare in USA and im amazed how stuff works in the USA. And some ppl here are against this you should be against wars and use that HUGE budget for improving your lives instead raging wars for the past 50 years. I am also amazed that anyone would take anything Michael Moore makes seriously. I am also surprised by the lack of any centrists in this forum. Everyone who has posted so far in this thread has either been a flaming leftist douchebag or a rightist who refuses to accept the fact that Keynes was right in some aspects. Complete control of the economy and purposeful redistribution of wealth is inefficient, and as I would argue, wrong, but certain steps must be taken to control the flaws of a market economy, especially externalities. As a budding economist (or as I would like to think), I believe that the market economy must be reigned in at times. With our current system, our lack of perfect information and the barriers that block us from acheiving a full market economy status in the realm of health care is causing drastic inefficiency. If such a bill can cut down on this inefficiency, I am all for it. However, a bill that does not protect doctors from malpractice lawsuits and ridiculous medical school rates will be worthless. | ||
Amber[LighT]
United States5078 Posts
On November 10 2009 03:59 SkelA wrote: Like a week ago i watched Michael Moore documenatary about healthcare in USA and im amazed how stuff works in the USA. And some ppl here are against this you should be against wars and use that HUGE budget for improving your lives instead raging wars for the past 50 years. NO NO NO NO NO >_< Michael Moore is not an intelligent individual. Take what he says as simple political satire. He is the John Stewart of documentaries. | ||
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TheYango
United States47024 Posts
On November 10 2009 02:52 QibingZero wrote: Why even have government if it's not able to provide the absolutely basic service of keeping you alive? The business of providing health insurance is not the same as keeping your citizens alive. In the event of immediate, life-threatening issues, such as injuries from a bad car crash or gunshot wound, a hospital does not have the option to turn you away because you can't pay (situations where that does occur indicate a different problem with the system--administrators simply shouldn't have the power to do that, and universal healthcare doesn't fix that). This is precisely why hospitals in poorer areas can have lower collection rates--those without the means to pay simply don't. What healthcare does is allow citizens' economic well-being to not be drastically affected by medical misfortunes, which may or may not be simple bad luck. Whether that's a socially acceptable use of government funds is up for debate, but needless to say, it's not a right. On November 10 2009 04:04 knatt wrote: What's wrong with free health care? Find it kind of unnecessary for children with no health insurance to die in vain because of some random stupid shit. Again, as far as I know this shouldn't happen to begin with. Hospital administrators aren't supposed to have the power to turn away patients based on their ability to pay in immediate life-threatening situations. On November 10 2009 04:06 Try wrote: As a budding economist (or as I would like to think), I believe that the market economy must be reigned in at times. With our current system, our lack of perfect information and the barriers that block us from acheiving a full market economy status in the realm of health care is causing drastic inefficiency. If such a bill can cut down on this inefficiency, I am all for it. However, a bill that does not protect doctors from malpractice lawsuits and ridiculous medical school rates will be worthless. What inefficiencies does a system of government-managed healthcare actually solve? Regulation of the healthcare industry through other lawmaking might make sense, but doesn't the government entering the market simply create a deadweight loss? (not trolling, I'm asking a legitimate question as my knowledge of economics is fairly limited in scope) | ||
Try
United States1293 Posts
On November 10 2009 04:04 knatt wrote: What's wrong with free health care? Find it kind of unnecessary for children with no health insurance to die in vain because of some random stupid shit. I don't even know if I'm saying anything that makes any sense, since my knowledge of American politics is very limited. Oh well, life goes on~~~ Yeah, these kind of posts make me think that very few people posting here actually understand the financial ramifications of universal health care. There are many problems with free health care in the United States. 1. People will always go for the more expensive treatment. 2. People will go to the ER for very minor cuts and diseases. 3. Doctors will be paid far less, which will increase the shortage of surgeons and PCP's. 4. Baby boomers are aging, and will cause the debt to explode. 5. Presciption drug companies will be paid far less, decreasing their incentive to find cures. 6. Due to 1 and 2, wait times for treatments will be far longer 7. (This point might be controversial) People who are more useful to society (generally those who make more money, for example, Bill Gates or someone with a good job probably contributed more than some random hobo) should be able to get better health care. 8. etc, etc, etc. | ||
CrimsonLotus
Colombia1123 Posts
On November 10 2009 02:15 Undisputed- wrote: It's pretty obvious, taxes will be used to pay for it. People who don't pay taxes will be covered under it. Pretty much stealing. Yeah, fuck those poor people who can't afford healthcare. We all know that being poor just means that you're too lazy/stupid to work and so othey have to steal from the hard working people. /Sarcasm. On November 10 2009 04:11 Try wrote: 7. (This point might be controversial) People who are more useful to society (generally those who make more money, for example, Bill Gates or someone with a good job probably contributed more than some random hobo) should be able to get better health care. Wait, what? That's really not how socialized medicine works at all... And the idea that some lives are worth more than others contradicts the basic principle of medicine. "Free healthcare" doesn't mean that you can't get better treatment if you have the money to pay for it, that's just a stupid idea. | ||
Try
United States1293 Posts
On November 10 2009 04:12 CrimsonLotus wrote: Yeah, fuck those poor people who can't afford healthcare. We all know that being poor just means that you're too lazy/stupid to work and so othey have to steal from the hard working people. /Sarcasm. Healthcare is expensive. I ask you, if you had the opportunity to work twice as hard and make twice as much money, but the government would take half your money away to pay for poor people's health care, would you still have an incentive to work harder? Or maybe you are just Mother Teresa. I'm sorry we're not as good of people as you are. | ||
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motbob
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United States12546 Posts
On November 10 2009 04:14 Try wrote: Healthcare is expensive. I ask you, if you had the opportunity to work twice as hard and make twice as much money, but the government would take half your money away to pay for poor people's health care, would you still have an incentive to work harder? Yeah, this would definitely make me less likely to work hard. Good thing this isn't what's in the bill. | ||
Try
United States1293 Posts
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Undisputed-
United States379 Posts
On November 10 2009 04:15 motbob wrote: Yeah, this would definitely make me less likely to work hard. Good thing this isn't what's in the bill. No what's in the bill is a legal form of coercion. | ||
Try
United States1293 Posts
On November 10 2009 04:15 motbob wrote: Yeah, this would definitely make me less likely to work hard. Good thing this isn't what's in the bill. The bill will cost money, correct? That will cause taxes to go higher, correct? Which means if you make more money, than you will pay more taxes, correct? And I was mostly responding to Crimson Lotus, who sounds like he is an altruist who would give away all his money to help poor people get health care. | ||
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TheYango
United States47024 Posts
On November 10 2009 04:15 motbob wrote: Yeah, this would definitely make me less likely to work hard. Good thing this isn't what's in the bill. Actually, for some higher tax brackets, the tax rate approaches damn near 50%. Given that a good percentage of doctors actually do fall in those income ranges, it's a fairly relevant issue to examine. | ||
agorist
United States115 Posts
Does nobody give a shit that the government is FORCING you to BUY something? | ||
betaben
681 Posts
how about: "If you work, you should not pay for another to avoid a very painful existence - even if they do not work, or do anything to avoid it themselves." | ||
Undisputed-
United States379 Posts
On November 10 2009 04:27 agorist wrote: Nobody is mentioning how the bill forces all Americans to acquire a government-approved insurance plan. Most of these options are private. Those who don't are fined. Does nobody give a shit that the government is FORCING you to BUY something? Double edged sword I guess, if you don't have health insurance and get injured badly. They can't just turn you away. Who pays for that? | ||
agorist
United States115 Posts
On November 10 2009 04:31 Undisputed- wrote: Double edged sword I guess, if you don't have health insurance and get injured badly. They can't just turn you away. Who pays for that? You do. They perform the surgery and give you a large bill. | ||
NotJumperer
United States1371 Posts
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motbob
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United States12546 Posts
Reflecting the change noted above, CBO and the staff of JCT now estimate that, on balance, the direct spending and revenue effects of enacting H.R. 3962, incorporating the manager’s amendment, would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period (see Table 1). So the federal budget deficit will actually decrease because of this bill. Now, let's take a look at how the bill achieves this feat. Among other things, H.R. 3962, incorporating the manager’s amendment would establish a mandate for most legal residents of the United States to obtain health insurance; set up insurance “exchanges” through which certain individuals and families could receive federal subsidies to substantially reduce the cost of purchasing that coverage; establish a public plan that would be administered by the Secretary of Health and Human Services (HHS); significantly expand eligibility for Medicaid; substantially reduce the growth of Medicare’s payment rates for most services (relative to the growth rates projected under current law); impose an income tax surcharge on high-income individuals; and make various other changes to the federal tax code, Medicaid, Medicare, and other programs. So what exactly is the nature of this surcharge? Let's find out. NET CHANGES IN THE DEFICIT FROM OTHER PROVISIONS AFFECTING REVENUES Effects on the Deficit of Changes in Revenues -39 -40 -59 -62 -65 -69 -73 -80 -86 -574 The above is a table that lost its formatting from the CBO PDF file. It basically says that the total decrease to the deficit from "revenues" (probably taxes) is 574 billion dollars over 9 years. The rest of the funding for health care reform comes from cost savings. So where are these revenues coming from? People in this thread claim it's from the rich. Let's find out! Surcharge on Adjusted Gross Income 0 31 32 45 49 53 57 61 64 68 157 460 Another table that lost its formatting. This one says that the income tax surcharge will be 460 billion over 9 years. But arrrgh the CBO paper doesn't go into greater detail than that. I've got to look for the actual text of the bill. | ||
Piy
Scotland3152 Posts
I appreciate -Undisputed is trolling to some degree, but he does still seem to represent the views of a pretty scary number of Americans today. To equate social reforms to stealing, to me at least, seems to hark back to the initial periods of industrialization in the early 1800's, wherein factory owners equated stealing to not being able to work employees more than 14 hrs a day. It's a less radical claim of course, no-ones claiming that those two things are close to the same thing. But its funny that the social reforms being implemented by the Obama administration are merely the continuation of a constant attempt to equalise humanity that begun in France with the Libertarian's and the Rights of Man, continued into campaigns for womens suffrage and the NHS and the Civil Right's Movement, and have now begun to spread into the areas of world poverty. In my opinion any attempt to block these reforms and bills is a step backward towards the problems faced by Lassez Faire capitalism during the industrial revolution. They will be blocked though, and isn't that just nothing short of very very sad. | ||
QuanticHawk
United States32051 Posts
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Not_A_Notion
Ireland441 Posts
On November 10 2009 03:41 lOvOlUNiMEDiA wrote: I appreciate the fact that you read and answered my question. The news I have read recently has given me the impression that the house version of the bill will not pass. They need 60 votes to end debate and Lieberman has stated that he won't vote for the house version of the bill. I don't know if any republicans are planning on voting for the bill --- I doubt it though. Maybe the senator from Maine? Ah right,sorry I have kind of tuned out of the debate over the last few weeks so I got mixed up and thought the couple of republicans who voted for the stimulus would support it but half of whom have switched parties already so my comment was kind of dumb. Yeah it seems that Olympia Snowe is against it in its current form. And since some of Lieberman's bigger donors are pharma and insurance companies, I reckon he will remain steadfast in his opposition. So I suppose the market does have a point in betting against it. Plus I totally forgot about having to reconcile both versions of the bill even if it does pass the Senate. So I retract my original uninformed optimism on it passing, and replace it with a slightly less uninformed pessimism. Though I think that expecting a bill to be on the Presidents desk before the turn of the year might be forcing the pace somewhat, I mean it is a huge proportion of the economy to reform in 4 months imo. On the other hand, maybe they are rushing it because they believe they will never have a better opportunity, in which case it's really f*ucked. | ||
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motbob
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United States12546 Posts
(a) General Rule- In the case of a taxpayer other than a corporation, there is hereby imposed (in addition to any other tax imposed by this subtitle) a tax equal to 5.4 percent of so much of the modified adjusted gross income of the taxpayer as exceeds $1,000,000. So if you make $1,000,001 taxable income per year, you pay 5.4 cents extra because of this bill. If you make $2,000,000 taxable per year, you pay $54,000 extra per year because of this bill. So I dunno how this statement from TheYango is true: Actually, for some higher tax brackets, the tax rate approaches damn near 50%. Given that a good percentage of doctors actually do fall in those income ranges, it's a fairly relevant issue to examine. since the VAST VAST majority of doctors don't make more than a million bucks. | ||
HwangjaeTerran
Finland5967 Posts
True, why are you paying any taxes then? | ||
Undisputed-
United States379 Posts
On November 10 2009 04:40 Piy wrote: Have any of you right wing republicans ever thought that by trying to block these health care reforms you are basically saying that the value of a person directly correlates to their net income. Theres a reason why logical people don't think like that y'know. I appreciate -Undisputed is trolling to some degree, but he does still seem to represent the views of a pretty scary number of Americans today. To equate social reforms to stealing, to me at least, seems to hark back to the initial periods of industrialization in the early 1800's, wherein factory owners equated stealing to not being able to work employees more than 14 hrs a day. It's a less radical claim of course, no-ones claiming that those two things are close to the same thing. But its funny that the social reforms being implemented by the Obama administration are merely the continuation of a constant attempt to equalise humanity that begun in France with the Libertarian's and the Rights of Man, continued into campaigns for womens suffrage and the NHS and the Civil Right's Movement, and have now begun to spread into the areas of world poverty. In my opinion any attempt to block these reforms and bills is a step backward towards the problems faced by Lassez Faire capitalism during the industrial revolution. They will be blocked though, and isn't that just nothing short of very very sad. I don't have a problem with you advocating tyranny but don't try to pass it off as logic. | ||
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motbob
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United States12546 Posts
On November 10 2009 04:27 agorist wrote: Nobody is mentioning how the bill forces all Americans to acquire a government-approved insurance plan. Most of these options are private. Those who don't are fined. Does nobody give a shit that the government is FORCING you to BUY something? Car insurance...? | ||
Undisputed-
United States379 Posts
On November 10 2009 04:47 HwangjaeTerran wrote: True, why are you paying any taxes then? Because if I don't, guys with guns will show up and throw me in jail. They got guns! | ||
{CC}StealthBlue
United States41117 Posts
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betaben
681 Posts
On November 10 2009 04:50 Undisputed- wrote: Because if I don't, guys with guns will show up and throw me in jail. They got guns! and without that you would not be paying taxes at all for anything? unlikely. even you must admit that the government can't run on nothing, and it provides many benefits. are you against the bill or an anarchist? | ||
RoyW
Ireland270 Posts
On November 10 2009 02:01 Sha[DoW] wrote: Honestly, I'm Canadian and I think that centralized Healthcare is an excellent step forward for the US. It is very expensive, but it is also very useful for everyone in the middle class and below in the states. No, it's not. Properly implemented socialised healthcare is cheaper for every western nation when compared to the US. The only reason that the US implementation is going to be so costly is because of the Insurance Industry. The new bill does absolutely nothing to minimise the major damage and cost to healthcare that is caused by privatised everything. Plus, when you're bleeding even more money in 3 years time, everything the dems will have done will just be undone by the new rep government. And a sincere question to those opposed to socialised healthcare. What arguments do you have against socialised healthcare that couldn't be applied to a fire department, for example? | ||
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motbob
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United States12546 Posts
On November 10 2009 04:54 {CC}StealthBlue wrote: I still don't understand how Dennis Kucinich voted No. He's an idiot. "Oh it's not single payer I'm so pure I'm voting no." If it hadn't passed we would have fucking crucified him. I'm sure, though, that if he were the deciding vote, he'd have voted yes. | ||
NotJumperer
United States1371 Posts
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QibingZero
2611 Posts
On November 10 2009 03:19 agorist wrote: I love how logic and reason is left at the door when debating against the indoctrinated. Sure, I'd love absolutely everyone to have insurance and access to great medical care. I'd love everyone to be able to afford the best education. I'd love everyone to be able to adequately feed and provide for their children. The important question to ask is, are these goals attainable and are they sustainable? The reality is that resources and money is finite, and, the foolish quest for faux-egalitarianism will only end up with us facing a net-loss due to the inefficiencies of government. Inflation is a slow killer. Try reading this paper; it's actually really short and does a good part in describing the windfalls inherit in usurping the free-market. http://mises.org/midroad.asp Ah, the wonderful things economics classes breed. If you want to look at things from that perspective, yes those goals are easily met and sustained. It's simply a matter of priorities. Is the US working toward any of this? Most certainly not. We're too busy trying to retain our hegemony over the rest of the world. We spend ridiculous amounts of resources in an effort to do nothing but destroy the resources of other countries (or plunder them for ourselves). Then again, it's much easier to sell war to the masses than charity. Every argument of your kind ends right here, though. Cut out the real wasteful spending, and suddenly all kinds of things become possible. The only problem we start facing becomes overpopulation, which isn't even a problem if we're responsible and caring toward other people in the first place. Instead, we decide to have 12 kids because we can, or because our religion tells us it's a good idea. Of course, most everyone in power (not simply the politicians, but the companies they represent) is solely concerned about bettering themselves, without a thought for the future or anyone that gets in their way. Instead of working toward more efficient renewable resources, let's make as much money as possible on nonrenewable ones while we still can! This is a common theme when you start talking about an unrestricted free market. The market is not concerned with any of the goals we're discussing here, and usually works in the opposite direction. This is why for-profit health care is a scary, scary entity. It should scare even the most right-wing person when they have to take medicine that was created with profit as it's primary goal. And more importantly, are you asserting that it's the government's role to keep you alive? I'm sure then that you're OK with a government prohibiting you from the right to end your life. I'm also sure you'd be OK with the government prohibiting you from eating unhealthy foods and using narcotics. Twisting words is fun! I'm not saying the government has an obligation to keep you alive, I'm saying that if the government isn't even able to keep you alive when you need it, there's a serious problem. And let's not BS around and say that hospitals can't refuse to take you if you're dying, because that's far from the point. Every illness is not life threatening immediately. Those with solid health care, who do not have to worry about how they're going to pay doctor's bills, will have any health issues they face taken care of at nearly the earliest possible time. If they have any strange symptoms that are not easily diagnosed, they can spend the time going from doctor to specialist until something is found - many times saving their life thanks to an early catch of cancer. Everyone who doesn't have this luxury has to constantly wonder how they're ever going to be out of medical debt if they get seriously ill. Many of these people end up staving off treatable diseases until they've become much worse. The irony in all of this discussion is that this bill isn't even that good for those of us who do support free health care. You could make a lot of money investing in insurance companies if this passes the senate, if that says anything. Of course, you'd probably just complain about the taxes incurred on the money in that case... Also worthy of noting, is how by far and large the only people who seem to have a serious problem with health care are Americans. It never ceases to embarrass me as to how callous a country we are. | ||
BlackJack
United States10499 Posts
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QuanticHawk
United States32051 Posts
On November 10 2009 05:06 QibingZero wrote: Every argument of your kind ends right here, though. Cut out the real wasteful spending, and suddenly all kinds of things become possible. Yeah, but trying to pass a huge health care bill and then go after wasteful spending is ass backwards. | ||
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motbob
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United States12546 Posts
On November 10 2009 05:13 BlackJack wrote: The whole "if you're against socialized healthcare then you don't care about people's lives" is as stupid as the "if you don't support the war then you're against the troops" Healthcare saves lives. War... saves troops' lives? | ||
Undisputed-
United States379 Posts
On November 10 2009 05:17 motbob wrote: Healthcare saves lives. War... saves troops' lives? reading comprehension ftw | ||
QibingZero
2611 Posts
On November 10 2009 05:13 BlackJack wrote: The whole "if you're against socialized healthcare then you don't care about people's lives" is as stupid as the "if you don't support the war then you're against the troops" Perhaps it would help if anyone who was against socialized health care actually had an argument that wasn't blatant self-interest ("I don't want to pay for someone else's health care"). It's hard to assume you care when all the objective evidence says otherwise. On November 10 2009 04:54 {CC}StealthBlue wrote: I still don't understand how Dennis Kucinich voted No. His vote was strongly against the reliance on the current infrastructure. The insurance companies plan to profit from this, even though they're a large part of the reason health care in the US is so costly and ineffective in the first place. Basically, the government is helping people get health insurance, not health care.... and people wonder why many Americans think the only thing government does is add an extra step to things. | ||
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motbob
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United States12546 Posts
Don't be condescending. He was drawing a parallel between the two arguments. my point is that they're not equivalent statements. | ||
Undisputed-
United States379 Posts
On November 10 2009 05:26 QibingZero wrote: Perhaps it would help if anyone who was against socialized health care actually had an argument that wasn't blatant self-interest ("I don't want to pay for someone else's health care"). It's hard to assume you care when all the objective evidence says otherwise. His vote was strongly against the reliance on the current infrastructure. The insurance companies plan to profit from this, even though they're a large part of the reason health care in the US is so costly and ineffective in the first place. Basically, the government is helping people get health insurance, not health care.... and people wonder why many Americans think the only thing government does is add an extra step to things. Your argument is that people are selfish because they won't give you free stuff. | ||
LeoTheLion
China958 Posts
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mangomango
United States265 Posts
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Undisputed-
United States379 Posts
On November 10 2009 05:43 mangomango wrote: It's gonna pass after a lot of hand wringing and arm twisting. Oh and watering down to the point that it's not worth the paper it will be printed on. We should have a single payer system. your argument is invalid | ||
diehilde
Germany1596 Posts
Its not like the scientific debate about social market economy is clear cut in terms of it costing more money than it generates or vice versa. It kinda shocks me that people seem oblivious to the fact that there are good economical arguments for a social market economy and even come up with horseshit like "stealing". Try to inform yourself a lil next time pls. | ||
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TheYango
United States47024 Posts
On November 10 2009 05:30 motbob wrote: Don't be condescending. He was drawing a parallel between the two arguments. my point is that they're not equivalent statements. Except health insurance *doesn't* save people's lives. It just prevents them from getting a huge bill after their lives have been saved. What happens when people can't pay that? They just don't pay. It happens ALL the time. Someone gets in a car accident/gunshot wound/etc. The hospital doesn't dump them on the street because they can't pay. It's not like people are *prevented* from having their lives saved in critical moments by costs. It's just dealing with the huge bill afterward. And arguably, if your life just got saved, you DO owe that person in some large form. You don't have some right to get out of that. You have a right for your life to be preserved. You don't have a right to the money that pays for such things. You could argue that large medical costs have some implicit pressure on someone's decision making in those sorts of situations, but to argue that healthcare as a right is synonymous to the right to life is just wrong. | ||
Shizuru~
Malaysia1676 Posts
Communitarianism the new word yo! a big FUCK YOU to the disabled... apparently, none of u guys actually knows what this healthcare bill is really about. | ||
betaben
681 Posts
On November 10 2009 05:32 LeoTheLion wrote: Wait. I thought it wasn't free. People still have to pay insurance. Government is just starting a state run insurance company. this is the issue - currently, people that pay insurance get the insurance, and some don't pay it and don't get it. proposed, is that those that pay provide insurance for everyone - even those that don't pay. | ||
NovaTheFeared
United States7222 Posts
So there will have to be changes to pass the bill in the Senate. Olympia Snowe, a Republican, has supported a "trigger" public option which would only deploy it if premiums fail to fall, which of course they won't. That or some other form of compromise will be needed to get the bill out of the Senate by the barest margin of 60-40. At that point, it's a question of whether Pelosi can keep the liberal members of her caucus on board with the compromise. And this depends on how big of changes Snowe demands for her support of the bill. If it is just delaying the public option with a trigger I *think* Pelosi can hold the most liberal members of her caucus in line. If, as I suspect, Snowe demands changes to the scope and cost (iirc she wanted it around $800-900 billlion, the House bill is over $1 trillion), then it will probably get bogged down in negotiations and may not pass in the Senate or the House. My read of the situation is that a public option is a vote or two shy of reality. I'll be very interested to see how this plays out in the coming weeks. | ||
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motbob
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United States12546 Posts
On November 10 2009 05:46 TheYango wrote: Except health insurance *doesn't* save people's lives. It just prevents them from getting a huge bill after their lives have been saved. What happens when people can't pay that? They just don't pay. It happens ALL the time. Someone gets in a car accident/gunshot wound/etc. The hospital doesn't dump them on the street because they can't pay. After they are stabilized, the hospital does exactly that. You can't get treatment for ANYTHING that isn't immediately deadly without health insurance. Cancer? Heart problems? You can't say that people in the United States get free treatment for heart problems just because heart attacks are treated. My read of the situation is that a public option is a vote or two shy of reality. I'll be very interested to see how this plays out in the coming weeks. I think the public option will be in the final bill out of conference. A majority in both chambers support it so I don't see any reason why the House bill won't be the final bill. | ||
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TheYango
United States47024 Posts
On November 10 2009 05:51 motbob wrote: After they are stabilized, the hospital does exactly that. Yes. Because their life is no longer in immediate danger. Housing and feeding those without the means to do so themselves is part of existing social programs, and not the business of a hospital. I don't see how that's relevant. On November 10 2009 05:51 motbob wrote: You can't get treatment for ANYTHING that isn't immediately deadly without health insurance. Cancer? Heart problems? You can't say that people in the United States get free treatment for heart problems just because heart attacks are treated. Point taken, but it's questionable how relevant the right to life in its most explicit form is to diseases that affect things months or years down the line. Like I said, you can make the argument that the right to life relates to universal healthcare, but you can't just say something on the order of "People have a right to life, ergo governments should provide health insurance. Q.E.D." It's not that simple. | ||
Undisputed-
United States379 Posts
On November 10 2009 05:45 damenmofa wrote: oh lord, such misinformation in this thread. Why has nobody opposed the argument that a healthcare system costs much money and therefore weakens the economy? If you look at business ethics or modern economy, such claims are unfounded. In fact one can argue it strenghthens the economy, because it enables more people who have problems (in this case get sick, other example would be to get unemployed) to get productive again and contribute to the economy. Also, it enables people to invest more riskily on the market (in this case health, other example would be money), potentially creating more innovations/revenues and general wealth. Its not like the scientific debate about social market economy is clear cut in terms of it costing more money than it generates or vice versa. It kinda shocks me that people seem oblivious to the fact that there are good economical arguments for a social market economy and even come up with horseshit like "stealing". Try to inform yourself a lil next time pls. tl:dr I'm going to talk about stuff without backing any of it up, just take my word for it I know what I'm talking about. p.s. you guys are stupid the end /smug | ||
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motbob
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United States12546 Posts
On November 10 2009 05:55 TheYango wrote: Yes. Because their life is no longer in immediate danger. Housing and feeding those without the means to do so is part of existing social programs, and not the business of a hospital. I don't see how that's relevant. ...where have I seen this method of argument before? lol. Get proven wrong on one point and then switch points ASAP, right? This is how it's relevant: YOU SAID: Except health insurance *doesn't* save people's lives. I showed that it, in fact, does, since it opens up the option of getting treatment for cancer/heart disease/diabetes/anything else that is not going to cause your death in the next 24 hours. | ||
timmeh
Austria177 Posts
On November 10 2009 04:11 Try wrote: Yeah, these kind of posts make me think that very few people posting here actually understand the financial ramifications of universal health care. There are many problems with free health care in the United States. 1. People will always go for the more expensive treatment. 2. People will go to the ER for very minor cuts and diseases. 3. Doctors will be paid far less, which will increase the shortage of surgeons and PCP's. 4. Baby boomers are aging, and will cause the debt to explode. 5. Presciption drug companies will be paid far less, decreasing their incentive to find cures. 6. Due to 1 and 2, wait times for treatments will be far longer 7. (This point might be controversial) People who are more useful to society (generally those who make more money, for example, Bill Gates or someone with a good job probably contributed more than some random hobo) should be able to get better health care. 8. etc, etc, etc. Bwahwhahwahwhawhahwhawhahwah wait. . . . . BUAAUBAUBAUHBAUAHBUAHBAUAHBAAU Great troll. This made my day. Shows that you have no idea how Health Care works in other countries | ||
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TheYango
United States47024 Posts
On November 10 2009 05:59 motbob wrote: I showed that it, in fact, does, since it opens up the option of getting treatment for cancer/heart disease/diabetes/anything else that is not going to cause your death in the next 24 hours. Read my edit. I conceded that point, but also pointed out that it doesn't directly fall out of the ethical "right to life". I'm not sure we're arguing in the same place, but my point is you can't justify universal healthcare solely out of the fact that it saves lives. It only does it sometimes, and it isn't the only way the same outcome could be achieved in those cases. | ||
Triple7
United States656 Posts
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Meta
United States6225 Posts
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motbob
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United States12546 Posts
On November 10 2009 06:02 TheYango wrote: Read my edit. I conceded that point, but also pointed out that it doesn't directly fall out of the ethical "right to life". I'm not sure we're arguing in the same place, but my point is you can't justify universal healthcare out of the fact that it saves lives. It only does it sometimes, and it isn't the only way the same outcome could be achieved in those cases. It's true that you can't justify certain things based on the number of lives they save. For example, there was a bill under discussion concerning airplane safety seats that would have saved lives, but was not passed partly because the amount of money that it would cost per life saved was too high. The EPA doesn't carry out every single program that it could... it only carries out the ones that would cost less than $7.4 million (or was it 4.7 million? can't remember) per life saved. But health care is almost certainly worth the costs. There's a Harvard study in The American Journal of Public Health that claims that 45,000 American adults die every year due to lack of health insurance. Let's say they're off by half, and that the real figure is only 22,000. Now, remember that health care will cost about $570 billion in taxes over 9 years, both on the rich and on people who do not buy health insurance. So that's ($570 billion/9)/22000, or $2.9 million per life saved. So that's actually a better value than some other government programs see, even if the Harvard researchers didn't know what they were talking about. If we take the Harvard study at face value, it would be $1.4 million per life saved, which by governmental standards is certainly worth it. | ||
Nosmo
Canada210 Posts
On November 10 2009 05:58 Undisputed- wrote: tl:dr I'm going to talk about stuff without backing any of it up, just take my word for it I know what I'm talking about. p.s. you guys are stupid the end /smug This is a terrible post. You're not even addressing the point. Troll? | ||
johnnyD
United States78 Posts
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motbob
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United States12546 Posts
On November 10 2009 06:24 johnnyD wrote: Yes, socialism is at our core, I can vouch for that. Any and all government jobs pay its employees a set amount of money depending on what their position is, and how long they have served. Uh, in the army at least, the way you get to higher paying positions is through merit. I would assume that's true in the general bureaucracy as well. | ||
Ceril
Sweden1343 Posts
Or maybe service should guarantee citizenship? As it stands now I see this between the lines: If you dont have a job, your worthless, if you dont have healthcare your worthless. If your worthless noone would miss you, your just stealing using our roads, our public space, our land. How many uninsured people do you have again? Say all thoose millions got struck with a disease that only affects people unemployed and worthless, it will kill them if left untreated, not a big loss in your book from what I'am reading seeing as it would leave only the superior that currently have jobs. I exagerate, but sadly not by much I fear. So, now having basic healthcare avaible to you if you get sick so you can be treated: You can get a citizen back looking for a job, maybe he'll become very succesful and help the economy. Your working and doing best you can but it dosent quite cover things, your kid gets sick, you'll now not have to worry about not getting that child a doctor, you can support it and have some stress taken out, making you a happier worker and citizen. Thats just two scenarios, none of them seem far fetched and none makes you lazy. Once upon a time someone said, qouting from memory; Do not judge a society based upon the one that has it best, judge it based upon its poorest citizen. If we do not collaboratively strive for the betterment of our community and land and world, what is there to be so proud of? That you can die, freely, in diabetes. That you can go to jail, freely, stealing a piece of food because your not getting jobs and the worlds best country would have you die of starvation. As of after wwII the home of the brave; land of the free, that so many splendid and humane minds helped fund and lay their lives, slowly rots. | ||
Undisputed-
United States379 Posts
On November 10 2009 06:29 Ceril wrote: I find it disturbing that there is such much resistance to giving the citizens of your blessed land of the free, best country in the world etc. a healthcare system that will care for them if they get sick. Or maybe service should guarantee citizenship? As it stands now I see this between the lines: If you dont have a job, your worthless, if you dont have healthcare your worthless. If your worthless noone would miss you, your just stealing using our roads, our public space, our land. How many uninsured people do you have again? Say all thoose millions got struck with a disease that only affects people unemployed and worthless, it will kill them if left untreated, not a big loss in your book from what I'am reading seeing as it would leave only the superior that currently have jobs. I exagerate, but sadly not by much I fear. So, now having basic healthcare avaible to you if you get sick so you can be treated: You can get a citizen back looking for a job, maybe he'll become very succesful and help the economy. Your working and doing best you can but it dosent quite cover things, your kid gets sick, you'll now not have to worry about not getting that child a doctor, you can support it and have some stress taken out, making you a happier worker and citizen. Thats just two scenarios, none of them seem far fetched and none makes you lazy. Once upon a time someone said, qouting from memory; Do not judge a society based upon the one that has it best, judge it based upon its poorest citizen. If we do not collaboratively strive for the betterment of our community and land and world, what is there to be so proud of? That you can die, freely, in diabetes. That you can go to jail, freely, stealing a piece of food because your not getting jobs and the worlds best country would have you die of starvation. As of after wwII the home of the brave; land of the free, that so many splendid and humane minds helped fund and lay their lives, slowly rots. Healthcare costs money, we are in debt. The American taxpayers will have to pick up the bill to cover people putting nothing back into the system. I don't want to be FORCED to pay for someone else. IT IS SELFISH to assume society should take care of you. | ||
RoyW
Ireland270 Posts
Also, why, in those countries, hasn't the world ended with all those dire consequences that are happening if US becomes socialised? | ||
Ceril
Sweden1343 Posts
On November 10 2009 06:39 Undisputed- wrote: Healthcare costs money, we are in debt. The American taxpayers will have to pick up the bill to cover people putting nothing back into the system. I don't want to be FORCED to pay for someone else. IT IS SELFISH to assume society should take care of you. It is SELFISH not wanting to help your countrymen. It is sad you are FORCED to pay for public roads, tracks, the army, the goverment.to mention a few. | ||
Mindcrime
United States6899 Posts
On November 10 2009 06:24 johnnyD wrote: Yes, socialism is at our core, I can vouch for that. Any and all government jobs pay its employees a set amount of money depending on what their position is, and how long they have served. Oh, we're socialist? So what means of production do I own, in common with my fellow citizens, that I was not aware of? | ||
RoyW
Ireland270 Posts
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dnosrc
Germany454 Posts
On November 10 2009 05:59 timmeh wrote: Bwahwhahwahwhawhahwhawhahwah wait. . . . . BUAAUBAUBAUHBAUAHBUAHBAUAHBAAU Great troll. This made my day. Shows that you have no idea how Health Care works in other countries Some points are true, some are wrong: 1. With public health care you will get basic treatment, but you can still pay for the expensive(better) one. 2. The problem with the expensive system in america is that people "have to" wait too long with their illness. Most times the later you go to get treatment the more expensive it will get. 4. As of now People over 65 have a government-run insurance anyway?!? You basically say that people who worked the last 40 or so years and build up america should just die quick. 5. America has the best medical research. Doing that research for profit seems inhuman to me though. 6. True. Americans have the shortest wait times at the moment. But better wait than get no treatment at all. If you compare the American and the German healthcare costwise: About 45% of the costs in America are payed from taxes. In America this covers treatment for >65 year people and other cases. In Germany ALL costs are covered with the same amount of money in terms of costs per citizen. Like motbob wrote it is in your interest to cure people to allow them to work. The costs raise significantly the later you go for treatment. | ||
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motbob
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United States12546 Posts
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ZeaL.
United States5955 Posts
On November 10 2009 06:39 Undisputed- wrote: Healthcare costs money, we are in debt. The American taxpayers will have to pick up the bill to cover people putting nothing back into the system. I don't want to be FORCED to pay for someone else. IT IS SELFISH to assume society should take care of you. I love it when people oppose things out of some moral justification with no regard to the possible outcomes. If we actually sat down and tried to actually reform the system without political grandstanding and all the lobbying I'll bet we could make a system thats cheaper, better, and covers more people. It shouldn't be this freaking hard, the rest of the world has done all the testing for us, we just need to take the good parts of other systems and make it work for us, but no, if it means I might be paying for some poor dude to live then fuck that asshole I'll take paying more for my own healthcare. | ||
Undisputed-
United States379 Posts
On November 10 2009 06:42 RoyW wrote: Undisputed. - Could you please explain why other western nations, with socialised medicine, have a cheaper per capita expense on healthcare than the US? Also, why, in those countries, hasn't the world ended with all those dire consequences that are happening if US becomes socialised? Why do we lead the world in cancer survival rates? The US health care system is so horrible people from around the world come here to be treated. The US is probably one of the few places you drop into an emergency room and be treated even with no ID because they cannot turn you away. Outside of the US health care is rationed and optimized based on age mostly from what I have seen. We spend the most I think because doctors have to cover there asses from malpractice lawsuits. | ||
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motbob
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United States12546 Posts
On November 10 2009 06:59 Undisputed- wrote: Why do we lead the world in cancer survival rates? The US health care system is so horrible people from around the world come here to be treated. The US is probably one of the few places you drop into an emergency room and be treated even with no ID because they cannot turn you away. Outside of the US health care is rationed and optimized based on age mostly from what I have seen. We spend the most I think because doctors have to cover there asses from malpractice lawsuits. States with tort reform laws (anti-medical malpractice) do not have lower medical costs than states without. Honestly this whole post basically screams "I haven't done any research but I'm still absolutely sure of my position" | ||
mangomango
United States265 Posts
We don't want to FORCE anyone to pay for someone else. | ||
QuanticHawk
United States32051 Posts
On November 10 2009 06:50 motbob wrote: The "we are in debt" argument is sort of bad in my opinion... the bill is deficit neutral. It's not increasing the debt... why is the debt relevant? Do you know how many things are promoted as 'debt neutral' by the government? Plus, when all these rich people and corporations get hit with huge taxes, you can bet they're making up the difference by upping the price on their products. One way or another, this is going to cost everyone in a big way, except those who are uninsured, and given the absolutely craptastic economy we're in, it's stupid. | ||
Undisputed-
United States379 Posts
On November 10 2009 07:03 mangomango wrote: Undisputed- should we shut down the public school system? How about go back in time and stop the polio immunizations. What about rebuilding Europe after WWII? Social Security? Medicare/Medicaid? Let's not build roads. Let's not send the children of dead soldiers to university. Screw'em all no social safety nets. Let's terminate the police and fireman too. (They've been getting a free ride too if you ask me.) We don't want to FORCE anyone to pay for someone else. yeah thats almost the same thing RAGE RAGE | ||
Caller
Poland8075 Posts
to op, while your trolling skills are quite strong, you have yet to learn how to control your powers. Join me and I can teach you how to control your powers and grow them so that you may one day eventually be able to knock out your rivals and claim the title of He That Should Not be Posted. | ||
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motbob
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United States12546 Posts
On November 10 2009 07:04 Hawk wrote: Do you know how many things are promoted as 'debt neutral' by the government? Plus, when all these rich people and corporations get hit with huge taxes, you can bet they're making up the difference by upping the price on their products. One way or another, this is going to cost everyone in a big way, except those who are uninsured, and given the absolutely craptastic economy we're in, it's stupid. ...taxes on rich individuals get passed on to the poor? That's not true at all. In fact it's sort of impossible. | ||
dnosrc
Germany454 Posts
On November 10 2009 06:59 Undisputed- wrote: Why do we lead the world in cancer survival rates? The US health care system is so horrible people from around the world come here to be treated. The US is probably one of the few places you drop into an emergency room and be treated even with no ID because they cannot turn you away. Outside of the US health care is rationed and optimized based on age mostly from what I have seen. We spend the most I think because doctors have to cover there asses from malpractice lawsuits. IF you can PAY for it you get the best treatment possible. But in many countries people even live longer than in the US despite not having the best cancer survival rates. The reason hospitals can't turn emergency cases away is why more and more close their ER. And yes malpractice lawsuits are part of the puzzle why health care is so expensive in the US. | ||
Mindcrime
United States6899 Posts
On November 10 2009 02:20 Ingenol wrote: This is true, and in line with your statement it should be noted that capitalism != USA. We have never had a truly capitalist economy (it's actually a yet untested political system), and since the New Deal we have basically been more of a "minimally socialist" government, becoming more so all the time. It annoys me when people gripe about the New Deal and then neglect to mention the anti-market, pro-business polices that Hamilton advocated and the united states has been putting into place since the 1790s. | ||
QuanticHawk
United States32051 Posts
On November 10 2009 07:11 motbob wrote: ...taxes on rich individuals get passed on to the poor? That's not true at all. In fact it's sort of impossible. If a dude's making a certain amount of money and would like to maintain that lifestyle and taxes lop off %15 percent of that, you don't think whatever product he's peddling is going up in cost to recoup some of that? | ||
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motbob
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United States12546 Posts
On November 10 2009 07:15 Hawk wrote: If a dude's making a certain amount of money and would like to maintain that lifestyle and taxes lop off %15 percent of that, you don't think whatever product he's peddling is going up in cost to recoup some of that? Products are always priced at the profit maximizing point. No amount of taxes on individuals will change the price of products. I mean, the assumption that somehow rich people could just magically make more money after a tax hike means that you're assuming that rich people aren't profit-maximizing before the tax hike, which honestly is a pretty bad assumption to make. | ||
mangomango
United States265 Posts
On November 10 2009 07:06 Undisputed- wrote: yeah thats almost the same thing RAGE RAGE OK, it's official your an ass. | ||
Jank
United States308 Posts
On November 10 2009 07:15 Hawk wrote: If a dude's making a certain amount of money and would like to maintain that lifestyle and taxes lop off %15 percent of that, you don't think whatever product he's peddling is going up in cost to recoup some of that? No. Thats simply not how economics work. It is not economically feasible for a "dude" to mark up prices in order to stay at the same net income. Thats just not how supply and demand works. | ||
gchan
United States654 Posts
On November 10 2009 06:47 RoyW wrote: USA spends, before any implementation of socialised medicine, 13.8% of it's GDP on health. Germany and switzerland are next two highest in the world at 10%. Why have the wonders of the free market raped the American people of affordable healthcare? That's because the US isn't a free market. In many industries, we are a oligopolistic competitive market with the possibility of collusion. In today's modern system--with bailouts, top government officials coming from major companies, and the high frequency of nepotism visible between politicians and big executives--I'm pretty sure there is in fact a high degree of collusion. The argument here isn't whether or not the system is broken, but whether or not we should be moving to a public option, or a truer, more free market privatized health care system. | ||
NovaTheFeared
United States7222 Posts
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ZeaL.
United States5955 Posts
On November 10 2009 07:28 NovaTheFeared wrote: The one reform that would lower costs more than any other at minimal Federal expense is one Democrats will not touch: using Commerce Clause power to allow insurance companies to compete across state lines. It has been reported in the news how many markets are served by just a few providers. Instead of introducing a single government competitor to oligopolistic markets, it makes much more sense to introduces dozens of private ones if your concern is competition. Bad idea. See: Delaware | ||
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motbob
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United States12546 Posts
On November 10 2009 07:28 NovaTheFeared wrote: The one reform that would lower costs more than any other at minimal Federal expense is one Democrats will not touch: using Commerce Clause power to allow insurance companies to compete across state lines. It has been reported in the news how many markets are served by just a few providers. Instead of introducing a single government competitor to oligopolistic markets, it makes much more sense to introduces dozens of private ones if your concern is competition. Honestly, the public option sort of fixes this. I wish the reimbursement rates for the public option were higher, though. | ||
SnK-Arcbound
United States4423 Posts
On November 10 2009 07:21 Therapy wrote: No. Thats simply not how economics work. It is not economically feasible for a "dude" to mark up prices in order to stay at the same net income. Thats just not how supply and demand works. Please don't talk about the economy when you don't know what you're talking about. Company's have to maintain a certain percent above costs to make money. All costs must be paid for by revenue. If you increase costs (taxes, minimum wage, inflation, cost of goods, transporting costs etc.) you must raise the price to match your profit margin, or cut the product, or try to dispose of the product to be replaced with something else. | ||
NovaTheFeared
United States7222 Posts
Congress can regulate the new interstate commerce created under such a plan. Federal law would pre-empt state law in that case. | ||
Sadist
United States7228 Posts
On November 10 2009 04:11 Try wrote: Yeah, these kind of posts make me think that very few people posting here actually understand the financial ramifications of universal health care. There are many problems with free health care in the United States. 1. People will always go for the more expensive treatment. 2. People will go to the ER for very minor cuts and diseases. 3. Doctors will be paid far less, which will increase the shortage of surgeons and PCP's. 4. Baby boomers are aging, and will cause the debt to explode. 5. Presciption drug companies will be paid far less, decreasing their incentive to find cures. 6. Due to 1 and 2, wait times for treatments will be far longer 7. (This point might be controversial) People who are more useful to society (generally those who make more money, for example, Bill Gates or someone with a good job probably contributed more than some random hobo) should be able to get better health care. 8. etc, etc, etc. You are a fucking dick. Havent made it through all the posts in this thread yet and im sure someone else pointed it out but seriously. Think before you type. Jesus christ. | ||
Mindcrime
United States6899 Posts
On November 10 2009 07:28 NovaTheFeared wrote: The one reform that would lower costs more than any other at minimal Federal expense is one Democrats will not touch: using Commerce Clause power to allow insurance companies to compete across state lines. It has been reported in the news how many markets are served by just a few providers. Instead of introducing a single government competitor to oligopolistic markets, it makes much more sense to introduces dozens of private ones if your concern is competition. Pshh, the commerce clause is clearly in the Constitution to empower Congress to make laws to prevent people from growing marijuana in their basements. | ||
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motbob
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United States12546 Posts
On November 10 2009 07:40 SnK-Arcbound wrote: Please don't talk about the economy when you don't know what you're talking about. Company's have to maintain a certain percent above costs to make money. All costs must be paid for by revenue. If you increase costs (taxes, minimum wage, inflation, cost of goods, transporting costs etc.) you must raise the price to match your profit margin, or cut the product, or try to dispose of the product to be replaced with something else. Don't be condescending. You haven't been following the argument. We're talking about taxes on individuals, not on corporations. Besides, taxes on corporations are on profits, not revenue, so corporate behavior does not change as a result of taxes. Profit-maximizing behavior before corporate taxes is the same as profit-maximizing behavior after. | ||
Ketu
United States57 Posts
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SnK-Arcbound
United States4423 Posts
On November 10 2009 07:45 motbob wrote: Don't be condescending. You haven't been following the argument. We're talking about taxes on individuals, not on corporations. Besides, taxes on corporations are on profits, not revenue, so corporate behavior does not change as a result of taxes. Profit-maximizing behavior before corporate taxes is the same as profit-maximizing behavior after. Taxes are a cost of doing business, when it is applied during the accounting process is irrelevant. If your taxes are increased, you increase the cost of the items to maintain your profit. The debate was that "rich" don't stick the increased cost onto the poor, which is entirely false. The company (and thus an individual, since most people aren't on their own payroll and just make withdrawals from the business when they need money, and will often take all business income as personal income) is still making 10% profit, but the cost of increased tax is shown in the company's increased prices. People who are buying the product are the ones paying, not the one being taxed. Profit "maximization" has nothing to do with a dollar amount. If you're in the IT business, you could be making a million dollars a year, but if you're below a 10% net income, you won't be in business. Maximizing profits is expending assets to produce revenue at a greater than 1:1 ratio, so it has nothing to do with taxes anyways. | ||
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motbob
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United States12546 Posts
On November 10 2009 09:57 SnK-Arcbound wrote: Taxes are a cost of doing business, when it is applied during the accounting process is irrelevant. If your taxes are increased, you increase the cost of the items to maintain your profit. Taxes are not a cost of production. Increasing taxes will not make it more expensive for a company to produce their product. Thus, corporate taxes do not move the supply curve for a business. If the supply curve does not move, then the profit-maximizing price set for the item will remain the same. The debate was that "rich" don't stick the increased cost onto the poor, which is entirely false. The company (and thus an individual, since most people aren't on their own payroll and just make withdrawals from the business when they need money, and will often take all business income as personal income) is still making 10% profit, but the cost of increased tax is shown in the company's increased prices. People who are buying the product are the ones paying, not the one being taxed. Profit "maximization" has nothing to do with a dollar amount. If you're in the IT business, you could be making a million dollars a year, but if you're below a 10% net income, you won't be in business. Maximizing profits is expending assets to produce revenue at a greater than 1:1 ratio, so it has nothing to do with taxes anyways. You are making the assumption that if the government raises taxes, the company can simply shrug their shoulders and raise the price of their product in order to get back to the level of profits that they were at before. This is an untrue assumption. The following is anecdotal evidence to support my argument, but I think it's convincing all the same. Google "effect of corporate taxes"" and see what comes up. All you will find are articles on the effect of corporate taxes on investment and entrepreneurship. If you still believe I am wrong, please find an article that discusses the effect of corporate taxes on prices. | ||
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ArvickHero
10387 Posts
On November 10 2009 07:06 Undisputed- wrote: yeah thats almost the same thing RAGE RAGE what the hell is wrong with you? You can't even properly answer the question anymore, you're just stuck in your own little shell where no amount of facts/reasoning will penetrate through. | ||
Undisputed-
United States379 Posts
On November 10 2009 10:59 ArvickHero wrote: what the hell is wrong with you? You can't even properly answer the question anymore, you're just stuck in your own little shell where no amount of facts/reasoning will penetrate through. His comment had nothing to do with health care reform was my problem. | ||
gchan
United States654 Posts
In fairly competitive markets, with thin profit margins and elastic demand, higher taxes will either force companies to go under, or find other ways to lower their costs. The price is given to them by the market and is not something they can control. The most common means of cutting down costs is to lay off people. Tying this back into the discussion of health care before it got derailed, most of the sectors associated with health care falls in the first category of markets--that is, it is inelastic and there are few competitors. The markets I'm talking about here are biotech/pharmaceuticals, insurance companies, and actual health care providers. In all these industries, the effect of raising taxes will probably be that the consumers will bear the burden of the costs. I didn't entirely read the line of discussion about taxes so I don't know if this is relevant to what you are discussing. | ||
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motbob
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United States12546 Posts
Remember that corporate taxes do not tax revenue. They tax profit. | ||
pubbanana
United States3063 Posts
And if socialized democracies are such horrible and ineffective ways to govern our population, why is Norway ranked number one on the Human Development Index? http://hdr.undp.org/en/statistics/ A big thank you to anyone on this website who is credited enough to dispute these facts and figures in advance. | ||
ocoini
648 Posts
One example, how people in the U.S with severe life threatening diseases (like cancer etc) cannot even get to see a doctor because of the cost and lack of insurance. And how you can call it stealing, to use your nations tax income, to build up a national health-care system that tries to get health-care to thoose that can't afford it..... well, i just don't want to belive you are this evil.. ![]() You are aware that international help organizations are operating in The US, because your states can't take care of it's citizens that fall out of the loop right? There are aid camps, intended for the poorest regions in the world getting set up in your country for gods sakes! | ||
QibingZero
2611 Posts
On November 10 2009 11:22 pubbanana wrote: So ... if our healthcare is fine the way it is, why are we ranked number 37 on the World Health Organization's global ranking on world healthcare systems? http://www.photius.com/rankings/healthranks.html And if socialized democracies are such horrible and ineffective ways to govern our population, why is Norway ranked number one on the Human Development Index? http://hdr.undp.org/en/statistics/ A big thank you to anyone on this website who is credited enough to dispute these facts and figures in advance. [colbert]You expect hardworking Americans to trust studies done by organizations clearly tied to the evil United Nations, which every day tries to usurp US law by asking us for the money we promised them years ago? Try again, fiend! If we were looking for someone to bring us international critiques to ignore, we'd ask Jimmy Carter.[/colbert] | ||
gchan
United States654 Posts
Most accountants who are the professors have knowledge that is 20 year old antiquated industry knowledge. That is why good accounting professors will try to bring in guest lecturers to provide contemporary industry insight. The bad accounting professors will lecture straight from the book. Another factor to consider is that it is very expensive to gather information from industry because companies do not want to disclose their information. Most publicly traded companies have the generic 10-Ks they have to file, but that does not provide insight on what you are to address--how companies change their cost and price structure based on taxation. Disclosure: I'm a tax accountant. | ||
HonestTea
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5007 Posts
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diveteamcharlie
United States6 Posts
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motbob
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United States12546 Posts
On November 10 2009 11:54 gchan wrote: motbob, you're not going to find articles from academics that disclose information about how companies internally run their cost structures and pricing structures. Scientific articles are written by academics who work in a university for a living, not work in private industry. The reason why articles on corporate taxation are so scare when you google it is because in the field of taxation, cost accounting, and accounting in general, there is a huge divided between industry and academia. Most accountants who have the knowhow to work the corporate tax system, or have the know how to manipulate their cost structure for profit maximization are going to be working in industry. They can make money there. And they won't disclose that information out by publishing it in scientific papers because that would give away a company's competitive edge. Most accountants who are the professors have knowledge that is 20 year old antiquated industry knowledge. That is why good accounting professors will try to bring in guest lecturers to provide contemporary industry insight. The bad accounting professors will lecture straight from the book. Another factor to consider is that it is very expensive to gather information from industry because companies do not want to disclose their information. Most publicly traded companies have the generic 10-Ks they have to file, but that does not provide insight on what you are to address--how companies change their cost and price structure based on taxation. Disclosure: I'm a tax accountant. If there's no academic economic theory or empirical analysis concerning the effect of corporate taxes on prices, then as far as I know, such a relationship doesn't exist. If you maintain that information on the effect of taxes is simply impossible, then fine. I can't say definitively that you're wrong. You have experience in the field and I don't. But you can't expect me or anyone else to just take your word for it. You can't just say "it's a trade secret." | ||
gchan
United States654 Posts
That's exactly what I'm saying it is, which is why it is pointless to discuss it from a scientific standpoint. And that is also why I was trying to steer the argument away from taxation back on task to health care systems. | ||
Wr3k
Canada2533 Posts
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LeoTheLion
China958 Posts
How many of you guys actually know what the bill is about? | ||
gchan
United States654 Posts
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motbob
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United States12546 Posts
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Mystlord
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United States10264 Posts
On November 10 2009 12:22 motbob wrote: If there's no academic economic theory or empirical analysis concerning the effect of corporate taxes on prices, then as far as I know, such a relationship doesn't exist. If you maintain that information on the effect of taxes is simply impossible, then fine. I can't say definitively that you're wrong. You have experience in the field and I don't. But you can't expect me or anyone else to just take your word for it. You can't just say "it's a trade secret." I would argue that corporations pass the tax to the people, but that's my personal belief. Common sense says that a corporate tax will cause less money to go to the corporations who, if they want a certain profit, will increase prices to achieve that effect. But common sense isn't always right and there's no way to prove it, so it's a moot point. On November 10 2009 12:51 LeoTheLion wrote: So i'm wondering. How many of you guys actually know what the bill is about? You win the thread. The bill is at least a step towards health care reform, but it's nowhere near what really needs to be done. | ||
BlackJack
United States10499 Posts
On November 10 2009 09:57 SnK-Arcbound wrote: Taxes are a cost of doing business, when it is applied during the accounting process is irrelevant. If your taxes are increased, you increase the cost of the items to maintain your profit. The debate was that "rich" don't stick the increased cost onto the poor, which is entirely false. The company (and thus an individual, since most people aren't on their own payroll and just make withdrawals from the business when they need money, and will often take all business income as personal income) is still making 10% profit, but the cost of increased tax is shown in the company's increased prices. People who are buying the product are the ones paying, not the one being taxed. Profit "maximization" has nothing to do with a dollar amount. If you're in the IT business, you could be making a million dollars a year, but if you're below a 10% net income, you won't be in business. Maximizing profits is expending assets to produce revenue at a greater than 1:1 ratio, so it has nothing to do with taxes anyways. How exactly do you work it out in your head to think "if we raise the cost of our product our profits go up." When you raise the cost of your product fewer people can afford it and fewer people want to buy it, so your profits can just as easily go DOWN. If it was as simple as "lets raise our prices to increase our profits" companies would raise their prices every day of the year and charge $1 million for a cheeseburger. | ||
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Falling
Canada11350 Posts
On November 10 2009 12:41 Wr3k wrote: 1 Step closer to us socialist Canadians! That's why our flag is red, comrade ![]() I consider my self right of centre, but have to say I'm in favour of our universal healthcare system. To those arguing that charity should not be forced, well and good, but it doesn't work so well. Most social initiatives start with voluntarism, switch to moral-suasion and in the end find that only state intervention actually provides. (Prohibition followed that route.) When church membership was more or less a given, then it had the economic base to create a social safety net, education, etc. (Particularly Catholic countries.) It wasn't so much voluntarism there either as tithing was a given too. The church, at one point, was the lowest level of state that provided a form of welfare. (Albeit separate from government.) That economic base is no longer there with declining attendance, and particularly tithing- even in America. (Evangelicals have never been as good as the Catholics with social initiatives.) All that to say that voluntarism did not provide for people in the past on a large scale and I doubt it will now. The quotes such as "some of us actually work for a living" is rather ignorant of who can't afford healthcare insurance. Think single parents, particularly working at a minimum wage. Debilitating sicknesses/ health issues so they can't work. If they have children, they also will not be covered. When someone one is born with lupus, requires a kidney transplant, is on dialysis, who's body rejects all sorts of medicines you could say it's theft to force someone to pay for their medical bills. You could say that it should be paid by charity. You can NOT dismiss it by saying "some of us actually work for a living"- at least without sounding incredibly ignorant. Furthermore, voluntary charity is not systematic. It cannot possibly provide proper safety net. We're not talking about a Marxist 'pie in the sky' revolution. State-run health-cares are in operation throughout the world and are functioning just fine. Furthermore, we are no closer to a Proletariat uprising, then before. And yes, you will get people that abuse the system, just as people abuse the current insurance system. As to the OP, I'd like to see it pass, but I'm cautious about my hopefulness. | ||
ShroomyD
Australia245 Posts
http://blog.libertarian.org.au/2009/10/18/the-old-should-pay-for-themselves/ | ||
mangomango
United States265 Posts
But consider this: There are regimes in the world that execute their own citizens for speaking out politically and then send the family a bill for the bullet that ended their child's life. You may say that this has nothing to do with health care reform but I disagree. It speaks to who we are as a people and a nation. The total cost of the wars in Iraq and Afghanistan is over 930 billion (source http://costofwar.com). We can afford compassionate care for our citizens. Surely our Congressman and Senators won't deny to us what has been so kindly afforded to them. | ||
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IntoTheWow
is awesome32274 Posts
On November 10 2009 12:07 HonestTea wrote: WOMEN! Non sequitur. | ||
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TheYango
United States47024 Posts
On November 10 2009 13:11 BlackJack wrote: How exactly do you work it out in your head to think "if we raise the cost of our product our profits go up." When you raise the cost of your product fewer people can afford it and fewer people want to buy it, so your profits can just as easily go DOWN. If it was as simple as "lets raise our prices to increase our profits" companies would raise their prices every day of the year and charge $1 million for a cheeseburger. If you raise prices, it means that you generate greater marginal profit per item sold. Whether this increases or decreases profits is dependent on the elasticity of demand with regard to the good being sold. The reason that it's inferred that profits will go up in the case of healthcare is that it seems reasonable to assume that healthcare is fairly inelastic (because most people with a legitimate need won't suddenly decide to stop getting healthcare just because the price goes up a bit). | ||
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motbob
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United States12546 Posts
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3clipse
Canada2555 Posts
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Falling
Canada11350 Posts
On November 10 2009 03:37 agorist wrote: Yes, it's stealing if you take money from an individual who doesn't support building a street. A street should be paid directly by those who use and benefit from it. This is done more efficiently via private ownership, however, can be done publicly with tolls and fees. I find it hard to believe you'd get anything but a crappy transportation system. They used to do this in the late 1700's, but only the rich aristocrats could actually afford to build and upkeep their portion of the road. So you end up with a patchwork of good and terrible roads. A person may not support building a street, but they certainly use it. The public uses the roads, so I fail to see why it's not in the public's interest to have it funded publicly. | ||
L
Canada4732 Posts
because most people with a legitimate need won't suddenly decide to stop getting healthcare just because the price goes up a bit Is that so? | ||
endGame
United States394 Posts
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SWPIGWANG
Canada482 Posts
On November 10 2009 15:24 TheYango wrote: The reason that it's inferred that profits will go up in the case of healthcare is that it seems reasonable to assume that healthcare is fairly inelastic (because most people with a legitimate need won't suddenly decide to stop getting healthcare just because the price goes up a bit). It would be irrational to maintain a price point below the maximum profit price. The elasticity in health care may very well lie in the ability of people to pay over the desires of people to get care. Looking at the medical bankruptcy rate, health care may be hitting a cap in price. As a person won't pay any more if you bankrupt him once or three times over. -------------------- The "inelastic demand" up to bankruptcy thing on the other hand suggest that in a monopoly/oligopoly setting, prices would naturally be increased to "just below bankrupting a lot of people" for many medical services. If price discrimination is possible, we are looking at "however much you can pay" instead. This is also independent of the actual cost to provide the services. ========== All the better argument to just shoot the sick and get over with it. /tired of this healthcare crap | ||
kefkalives
Australia1272 Posts
On November 10 2009 02:27 Sky101 wrote: Capitalism carried the U.S. from a nobody to the super power that it is today. Socialism will just make everyone lazy. Look at the Europeans, no offense, try to compare the work ethics and attitude to that of an American. Aahahahaha, you win fuckmuppet of the day award. Holy shit. Stupidity this intense is just far too much. | ||
Foucault
Sweden2826 Posts
On November 10 2009 17:30 kefkalives wrote: Aahahahaha, you win fuckmuppet of the day award. Holy shit. Stupidity this intense is just far too much. He has quite a valid point. In Europe you can get quite alot of social welfare in many countires, and I've seen ALOT of people get lazy. They sit at home and don't look for work while collecting welfare and play WoW. It's ridiculous. At least in America, people can realize far bigger dreams that getting to level 70 and also have to work to make ends meet. | ||
StarN
United States2587 Posts
9/11! | ||
Unentschieden
Germany1471 Posts
For thouse arguing to reduce military spending to pay for Universal healthcare take a look at this, especially the orange countries: http://www.gadling.com/2007/07/05/what-countries-have-universal-health-care/ America doesn´t bomb countries instead of providing Healthcare. America provides healthcare where they are bombing. Maybe you should start another Civil war? Sad jokes aside, the US does have a system of universal healthcare best described as universal emergency room. But it´s the second worst method to provide healthcare for your people, right after letting the poor die. By only making the ER available the US maximises the pain, suffering (and cost to) of it´s people since the any issue is untreated until it´s life threatening (and the most expensive to treat). | ||
Shizuru~
Malaysia1676 Posts
On November 10 2009 12:51 LeoTheLion wrote: So i'm wondering. How many of you guys actually know what the bill is about? Apparently none of the Americans posted in this thread do... i'll give u guys a hint, its not as simple as just the economics of it, have u guys checked how exactly is the government healthcare coverage going to work? | ||
diehilde
Germany1596 Posts
On November 10 2009 21:49 Unentschieden wrote: Ah the US Healthcare system. It´s both funny and sad at the same time. For thouse arguing to reduce military spending to pay for Universal healthcare take a look at this, especially the orange countries: http://www.gadling.com/2007/07/05/what-countries-have-universal-health-care/ America doesn´t bomb countries instead of providing Healthcare. America provides healthcare where they are bombing. Maybe you should start another Civil war? Sad jokes aside, the US does have a system of universal healthcare best described as universal emergency room. But it´s the second worst method to provide healthcare for your people, right after letting the poor die. By only making the ER available the US maximises the pain, suffering (and cost to) of it´s people since the any issue is untreated until it´s life threatening (and the most expensive to treat). good post, excellent graphic. maybe that rings a bell for some, but I fear the hardliners will only see it as a support to their argument, since the whole world always does things wrong and only the US does it right... | ||
SWPIGWANG
Canada482 Posts
On November 10 2009 22:10 Shizuru~ wrote: Apparently none of the Americans posted in this thread do... i'll give u guys a hint, its not as simple as just the economics of it, have u guys checked how exactly is the government healthcare coverage going to work? It is 2000 pages of legalese.... ![]() | ||
Piretes
Netherlands218 Posts
On November 10 2009 20:13 Foucault wrote: He has quite a valid point. In Europe you can get quite alot of social welfare in many countires, and I've seen ALOT of people get lazy. They sit at home and don't look for work while collecting welfare and play WoW. It's ridiculous. At least in America, people can realize far bigger dreams that getting to level 70 and also have to work to make ends meet. In America, there are at least as many WoW-playing fatasses. America is no longer the nation of hard work and big dreams, it has long become a nation of fat consumerists. Long live capitalism! In Europe, we actually do try help lower classes with their problems. In a wealthy, developed nation, people shouldn't have to be denied such simple things such as health treatment and proper schools. | ||
Undisputed-
United States379 Posts
On November 10 2009 23:27 Piretes wrote: In America, there are at least as many WoW-playing fatasses. America is no longer the nation of hard work and big dreams, it has long become a nation of fat consumerists. Long live capitalism! In Europe, we actually do try help lower classes with their problems. In a wealthy, developed nation, people shouldn't have to be denied such simple things such as health treatment and proper schools. Elitist european hating America nothing to see here. | ||
QibingZero
2611 Posts
On November 10 2009 23:27 Piretes wrote: In America, there are at least as many WoW-playing fatasses. America is no longer the nation of hard work and big dreams, it has long become a nation of fat consumerists. Long live capitalism! In Europe, we actually do try help lower classes with their problems. In a wealthy, developed nation, people shouldn't have to be denied such simple things such as health treatment and proper schools. This is true. I've seen much, much greater social responsibility from nearly every European I've met than from most people here in the US (and thanks to the internet, you can actually gain a broad perspective on this). Even when people here do have a drive to accomplish things, it is largely a personal, individualistic one. And as far as the lazy WoW-players go, I find it hard to believe you would blame the state over WoW itself. The problem persists in America as well, you know! | ||
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TheYango
United States47024 Posts
On November 10 2009 16:28 SWPIGWANG wrote: It would be irrational to maintain a price point below the maximum profit price. The elasticity in health care may very well lie in the ability of people to pay over the desires of people to get care. Looking at the medical bankruptcy rate, health care may be hitting a cap in price. As a person won't pay any more if you bankrupt him once or three times over. -------------------- The "inelastic demand" up to bankruptcy thing on the other hand suggest that in a monopoly/oligopoly setting, prices would naturally be increased to "just below bankrupting a lot of people" for many medical services. If price discrimination is possible, we are looking at "however much you can pay" instead. This is also independent of the actual cost to provide the services. Oh I agree with you. I was just pointing out to the poster that I responded to that whether profits go up or down in response to a price change is not just random guessing, but can reasonably assessed from the characteristics of the market in question. | ||
Undisputed-
United States379 Posts
The Individual Mandate. Like the earlier version, this bill requires the uninsured to pay an extra income tax — 2.5% of adjusted gross income above the filing threshold, capped at the national average premium. Paying that tax wouldn’t “buy” anything; those paying this tax would remain uninsured. However, in a bid to decrease the government’s costs, this bill contains higher premiums that low- and moderate-income individuals and families would have to pay for health coverage to avoid the tax. Those premiums would increase rapidly with income, amounting to an additional tax on those with incomes below 4 times the federal poverty level (equivalent to about $88,000 per year for a family of four) ranging from 1.5% to 12%. This tax on low and moderate income Americans would be in addition to a “surtax” on higher incomes ranging up to 5.4%. The Employer Mandate. The bill imposes a new 8% payroll tax on employers who don’t cover specified percentages of their employees’ health insurance. Employers would have to get the money to pay the tax from someplace, and much of it would come from cutting wages or other benefits. This tax would also not go to pay for any coverage; the bill specifically says that the tax paid by the employer “shall not be applied against the premium of the employee.” Furthermore, since this tax would be lower than the cost of providing health care, especially for low-income workers, this would reduce the incomes of those most likely to be uninsured, or cause them to lose their coverage. Furthermore, health plans would have to meet new requirements to be specified later by the new “Health Choices Commissioner.” If your employer’s health plan doesn’t meet those requirements, you couldn’t keep it – employers would have five years to bring their plans into compliance. The Commissioner could require coverage of services people don’t want (increasing premiums), and then in the name of “cost containment” prohibit plans from covering services people want but that the Commissioner doesn’t want. The bottom line is: Almost everybody will pay more, and a new appointed bureaucrat will make your health care choices for you." heritage.org | ||
Mickey
United States2606 Posts
Undisputed, if you are gonna cite something, have the fucking common sense not to cite it from a CONSERVATIVE THINK TANK. Think before you post. YOU FUCKING IDIOTIC AMERICAN ASSHOLE! + Show Spoiler + Did you get the satire?, it's related to your above comment. | ||
gchan
United States654 Posts
On November 10 2009 23:27 Piretes wrote: In America, there are at least as many WoW-playing fatasses. America is no longer the nation of hard work and big dreams, it has long become a nation of fat consumerists. Long live capitalism! In Europe, we actually do try help lower classes with their problems. In a wealthy, developed nation, people shouldn't have to be denied such simple things such as health treatment and proper schools. I don't want to start a Europe vs America tangent, but that is the actual worry of too much government involvement. It may be nice to say that we shouldn't deny simple things like health treatment (I agree with providing education, just to note), but this comes at the cost of private market growth. The government is vastly inefficient compared to the private market, so when you expand government programs, you are doing it at the expense of the private market. Markets have one target: growth; and when you are taking away money from these markets, you are sacrificing future growth. While it is nice to provide health care treatment now for those in need, but is it worth the cost of future well being of our off spring? As is, America still has impoverishment, still has shortages of education, and is no longer as dominant as it once was. I would argue that I prefer further growth at the expense of current "fairness" relief at this point in time. It will be interesting to see where the EU will be in the next few decades and how their socialized programs will hurt/benefit the economy. Arguably, you could even say that they are already reeling from their high taxation through their lack of internal growth. Much of the central European, France, and Sweden's growth the last decade has come through investment in the emerging eastern Europe market. Where will you grow from there once the investment opportunities run out? That and you also face the daunting joining of Turkey around the corner. | ||
Undisputed-
United States379 Posts
On November 11 2009 06:10 Mickey wrote: First of all, I've pretty much skimmed throughout the thread. Even before beginning to skim I realized that YES this was going to end up into a flame war, because people like Undisputed bring their idiotic and mildly hilarious trolling skills into play. Undisputed, if you are gonna cite something, have the fucking common sense not to cite it from a CONSERVATIVE THINK TANK. Think before you post. YOU FUCKING IDIOTIC AMERICAN ASSHOLE! + Show Spoiler + Did you get the satire?, it's related to your above comment. Why beat around the bush. A large majority of this thread is people paraphrasing the filth spewed by liberal media outlets. Anyway I doubt the bill will get the required 60 votes to pass the senate anyway as it skated by the house by the narrowest of margins. Even then it would have to go to conference. So, there is still a long way to go before the left is allowed to turn the world’s leading health care system into yet another entitlement program. | ||
Kennigit
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Canada19447 Posts
On November 11 2009 06:33 Undisputed- wrote: So, there is still a long way to go before the left is allowed to turn the world’s leading health care system into yet another entitlement program. Are you kidding? | ||
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Arbiter[frolix]
United Kingdom2674 Posts
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Arbiter[frolix]
United Kingdom2674 Posts
Well, we have to be careful here. There is no doubt that if you can afford it you get the very highest standards of healthcare in the United States. Of course, overall the United States performs absolutely woefully in terms of internationally recognised health indicators, which makes the claim of being "the world's leading health care system" look rather hollow. | ||
Railxp
Hong Kong1313 Posts
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Undisputed-
United States379 Posts
Thought it was funny | ||
jalstar
United States8198 Posts
but i do think that government should provide some health care to the people, it's a basic necessity like defense and education, government spends money on far more useless stuff like arts and welfare and all the pork in the stimulus bill. hopefully when the republicans take back everything they realize that health care is essential and only cut the democrat waste and pork. | ||
jalstar
United States8198 Posts
for those who can afford it america has the best health care, period, people from all over come here. the trick is making it more accessible without losing quality. | ||
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TanGeng
Sanya12364 Posts
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eMbrace
United States1300 Posts
On November 10 2009 04:14 Try wrote: Healthcare is expensive. I ask you, if you had the opportunity to work twice as hard and make twice as much money, but the government would take half your money away to pay for poor people's health care, would you still have an incentive to work harder? Or maybe you are just Mother Teresa. I'm sorry we're not as good of people as you are. You have a really fucked up version of what this bill is proposing | ||
koreasilver
9109 Posts
lol, Americans. | ||
cunninglinguists
United States925 Posts
he means the best QUALITY of care available. not necessarily the best system for providing it. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 06:50 Arbiter[frolix] wrote: Well, we have to be careful here. There is no doubt that if you can afford it you get the very highest standards of healthcare in the United States. Of course, overall the United States performs absolutely woefully in terms of internationally recognised health indicators, which makes the claim of being "the world's leading health care system" look rather hollow. What are these indicators and metrics that you speak of??? Is it controlled for external factors like racial distribution, pre-mature birth rates, dietary quality or indulgences, and lifestyle factors, etc. I've never seen any metrics that have shown US health care to be worse when adjusted for external factors. In most cases, it's shown to be better. | ||
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TanGeng
Sanya12364 Posts
lol Canadians | ||
jalstar
United States8198 Posts
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Mindcrime
United States6899 Posts
On November 11 2009 14:04 jalstar wrote: Private options will always be better due to the profit motive. Private armies will always be better due to the profit motive. | ||
Savio
United States1850 Posts
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jalstar
United States8198 Posts
On November 11 2009 14:10 Mindcrime wrote: Private armies will always be better due to the profit motive. Not sure what your point is. I'm for a public option by the way. | ||
koreasilver
9109 Posts
On November 11 2009 14:01 cunninglinguists wrote: he means the best QUALITY of care available. not necessarily the best system for providing it. He clearly said health care system. Just read the post again. ". . . the world's leading health care system." That's just pure lol. | ||
Sadist
United States7228 Posts
On November 11 2009 14:12 Savio wrote: Health care is a personal service (your colonoscopy does not protect me) and armies are a collective protection and therefore faces the freeriding problem (just like pollution and other collective problems) so your analogy is a fail analogy, Mindcrime. Your roads are a personal service. I do not use them. Ergo I should not have to pay taxes on them. | ||
Savio
United States1850 Posts
On November 11 2009 14:48 Sadist wrote: Your roads are a personal service. I do not use them. Ergo I should not have to pay taxes on them. What are you even talking about? The whole point of public roads is that they are public. They are the textbook example of public goods. *sigh* | ||
Tyraz
New Zealand310 Posts
On November 10 2009 04:31 Undisputed- wrote: Double edged sword I guess, if you don't have health insurance and get injured badly. They can't just turn you away. Who pays for that? Wrong. If you don't have the cash they CAN turn you away. On November 11 2009 02:51 Undisputed- wrote: + Show Spoiler + "The new House bill, H.R. 3962, builds on its predecessor from July in increasing the financial burden on low-income and moderate-income Americans. The Individual Mandate. Like the earlier version, this bill requires the uninsured to pay an extra income tax — 2.5% of adjusted gross income above the filing threshold, capped at the national average premium. Paying that tax wouldn’t “buy” anything; those paying this tax would remain uninsured. However, in a bid to decrease the government’s costs, this bill contains higher premiums that low- and moderate-income individuals and families would have to pay for health coverage to avoid the tax. Those premiums would increase rapidly with income, amounting to an additional tax on those with incomes below 4 times the federal poverty level (equivalent to about $88,000 per year for a family of four) ranging from 1.5% to 12%. This tax on low and moderate income Americans would be in addition to a “surtax” on higher incomes ranging up to 5.4%. The Employer Mandate. The bill imposes a new 8% payroll tax on employers who don’t cover specified percentages of their employees’ health insurance. Employers would have to get the money to pay the tax from someplace, and much of it would come from cutting wages or other benefits. This tax would also not go to pay for any coverage; the bill specifically says that the tax paid by the employer “shall not be applied against the premium of the employee.” Furthermore, since this tax would be lower than the cost of providing health care, especially for low-income workers, this would reduce the incomes of those most likely to be uninsured, or cause them to lose their coverage. Furthermore, health plans would have to meet new requirements to be specified later by the new “Health Choices Commissioner.” If your employer’s health plan doesn’t meet those requirements, you couldn’t keep it – employers would have five years to bring their plans into compliance. The Commissioner could require coverage of services people don’t want (increasing premiums), and then in the name of “cost containment” prohibit plans from covering services people want but that the Commissioner doesn’t want. The bottom line is: Almost everybody will pay more, and a new appointed bureaucrat will make your health care choices for you." heritage.org Aegraen... is that.. you? | ||
cunninglinguists
United States925 Posts
On November 11 2009 14:36 koreasilver wrote: He clearly said health care system. Just read the post again. ". . . the world's leading health care system." That's just pure lol. well actually, now that i reread his post i see that he's just being sarcastic...i think? | ||
Savio
United States1850 Posts
On November 10 2009 03:27 Scorch wrote: You don't sound like the type of person who helps voluntarily. Neither am I such a person. This is why I find it necessary for the government to force people to care about others: nobody would do it otherwise. I can't stand your antisocial attitude to be honest. Needy people aren't poor by choice, you know. And please stop calling spending of tax money stealing. Is it stealing if the government builds streets? Interesting here how you suspect that since he opposes social programs, he is not generous and wouldn't give willingly. Also interesting that you admit you wouldn't give freely because: http://philanthropy.com/free/articles/v19/i04/04001101.htm Excerpt: "In Who Really Cares: The Surprising Truth About Compassionate Conservatism (Basic Books), Arthur C. Brooks finds that religious conservatives are far more charitable than secular liberals, and that those who support the idea that government should redistribute income are among the least likely to dig into their own wallets to help others." "If liberals persist in their antipathy to religion," Mr. Brooks writes, "the Democrats will become not only the party of secularism, but also the party of uncharity." And a map of the most generous state in the Union with red being "more generous": ![]() Here is the outcome of the 2004 Presidential race: ![]() Source: http://taxprof.typepad.com/taxprof_blog/2005/11/generosity_inde.html According to this, 28 of the 29 "most generous" states are Red States that voted for President Bush (including all 25 of the "most generous" states) While 17 of the 21 "least generous" states are Blue States that voted for Senator Kerry (including all 7 of the "least generous" states) I just thought that was interesting. ..and on a side note, I don't think that supporting government spending or entitlement programs counts as "charity", "generosity" or even "nice". When its not your money you are spending, you can't claim any of those titles. When thinking about government spending you just analyze it and make a choice that you think is logical or reasonable but you are NEVER generous when you are spending money that was taken from other people by an inherently coercive process. And pretending that it is generous is the great fallacy of modern liberalism. | ||
Drowsy
United States4876 Posts
On November 10 2009 02:11 agorist wrote: Any realistically intelligent economist understands that pure socialism is folly. An attainable form of "socialism" is anarchy. Central planning just will not work. Read some Mises. After only 3 years of college, it physically pains me to hear people talk about socialized health care having never stepped inside an introductory economics classroom and having no direct experience in the medical field. I can't even talk about it with non-economists anymore. It'd be like me lecturing a physics student about why string theory is wrong or something. Hearing two people who aren't involved in the medical field directly or have a basic understanding of economics talk about healthcare reform is like hearing two mildly retarded people try and teach calculus to each other. That said, it won't pass through the Senate. | ||
jalstar
United States8198 Posts
..and on a side note, I don't think that supporting government spending or entitlement programs counts as "charity", "generosity" or even "nice". When its not your money you are spending, you can't claim any of those titles. When thinking about government spending you just analyze it and make a choice that you think is logical or reasonable but you are NEVER generous when you are spending money that was taken from other people by an inherently coercive process. Agree completely. A "welfare state" is completely unnecessary when charities function much more efficiently and people give more when they have lower taxes. Government should be limited to necessities, like police, fire, transportation, defense, education, and, yes, health care. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 16:00 jalstar wrote: Government should be limited to necessities, like police, fire, transportation, defense, education, and, yes, health care. Out of these "necessities," I can't see an argument for providing education or health care. It's like arguing that government should provide food since it's a necessity. Perhaps, the might be a role for governments for police, fire, and transportation goods since they involve geographical monopolies, but that scope of government is much smaller than 500,000 people. It's even arguable that defense needs to be provided for on a daily basis. Most countries could get by with local militias with emergency provisions. | ||
koreasilver
9109 Posts
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TanGeng
Sanya12364 Posts
On November 11 2009 16:12 koreasilver wrote: funny how so many Americans push forward the whole neo-liberalism bullshit when the past few decades of history has shown how much nonsense it is. It's funny how your comments have no relevance to anything in the thread. | ||
QibingZero
2611 Posts
On November 11 2009 06:43 Arbiter[frolix] wrote: I doubt the bill will pass the senate. It is a bad bill anyway, from what I have seen. It is next to impossible to achieve the kind of healthcare reform required given the political situation in the United States anyway. Every major political and economic debate is framed, and the agenda dominated, by the interests of established wealth and power rather than the interests of the general population. I do not see that changing any time soon. This is exactly the problem. Every debate in America is framed deliberately to mislead the public. The politicians do this, and the media follows suit. Instead of any constructive debate, we get two opposing parties throwing non sequiturs at each other until one side gets tired of it and gives up. Rarely are any real issues discussed. The reality behind the situation is that the power interests in America have most of the public believing that universal health care provided by the government is not only evil and the first step to socialism, but also is extremely expensive and fails to work. Of course, it's very much the opposite on all accounts. But what can you expect? When the media picks and chooses their stories to cover, you're going to end up with public opinion largely skewed. If all Americans hear about socialized health care is that some guy in Canada had to wait in line to see a doctor (I'm pretty sure I hear this same story every other week, and have for years), how are they to know better? Most people don't actively make an effort to research these type of things. | ||
koreasilver
9109 Posts
On November 11 2009 16:16 TanGeng wrote: It's funny how your comments have no relevance to anything in the thread. lol obviously you have no idea what neoliberalism is. | ||
gchan
United States654 Posts
On November 11 2009 16:12 koreasilver wrote: funny how so many Americans push forward the whole neo-liberalism bullshit when the past few decades of history has shown how much nonsense it is. Please enlighten me on how much nonsense it is. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 16:21 koreasilver wrote: lol obviously you have no idea what neoliberalism is. You mean the neo-liberalism (economic school of thought) - but that's not just an American phenomenon. And despite its glaring limitations, it works better than Keynesian ideas or socialist idealism. You might mean neo-liberalism (political school of thought) but that's government regulation towards "free-market policies" usually involving regulations that benefit large business and thereby creating the anti-thesis of the free market. Perhaps you are taking about "privatization" where government doesn't give up control of the market. Instead it bestows its monopoly on some private company. But yeah neo-liberalism is probably BS. It's macroeconomics, and that's mostly BS. The only useful economics that you can learn is microeconomics, and to get some understanding of overall effect, one has to generalize and aggregate individual behavior. The strongest arguments against socialism have always come from microeconomics so the attack against neo-liberalism is entirely tangential. | ||
koreasilver
9109 Posts
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QibingZero
2611 Posts
On November 11 2009 16:11 TanGeng wrote: Out of these "necessities," I can't see an argument for providing education or health care. This is my favorite one. Whenever someone says that the government shouldn't be providing education, I know I can pretty much just discount anything I hear them say. Either you haven't thought on the subject very much, or you're racist, classist, or devoid of all empathy and human emotion. Removing education from the public sphere is effectively going back in time to a much unhappier place. There is no other explanation for wanting such a thing than the belief in some kind of sickening social darwinism. On November 11 2009 16:21 koreasilver wrote: lol obviously you have no idea what neoliberalism is. Yeah, the term really isn't in use in most circles in America, because the government doesn't really like talking to it's people about foreign affairs. They're supposed to be all secretive and beyond the scope of us poor sheep. We're told something is 'protecting America's interests abroad' and the questions end there. It's not like we do things like set up right-wing dictatorships in other countries in place of left-leaning democracies or anything. Oh wait. | ||
koreasilver
9109 Posts
Complete asinine dipshits that have no qualms in destroying an "other" for their own benefit. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 16:37 QibingZero wrote: This is my favorite one. Whenever someone says that the government shouldn't be providing education, I know I can pretty much just discount anything I hear them say. Either you haven't thought on the subject very much, or you're racist, classist, or devoid of all empathy and human emotion. Removing education from the public sphere is effectively going back in time to a much unhappier place. There is no other explanation for wanting such a thing than the belief in some kind of sickening social darwinism. Besides just asserting that, you resort to ad hominems? I'm a racist? You haven't looked at public education much have you? If anything is racist and perpetuating poverty, it's public education system. That said the public system of Europe is far superior to the public system of US. In Europe the schools compete with each other for students, while in the US, the public system are geographical monopolies dominated by teacher's unions. On November 11 2009 16:37 koreasilver wrote: Neoliberalism isn't just an American thing, but it started off in America and I see a looooooooot of conservative Americans using neoliberal stances nowadays. There's enough historical evidence from all the junta counter revolutionists in South America, Poland, post-apartheid South Africa, and several other places that have shown how must of a hilariously bad idea the whole thing is. My attack against neoliberalism in this thread is not tengential when you people are saying that a welfare state is completely unnecessary and going on about how nearly everything should be privatized. That's neoliberalism what are you on about. You are talking about the political neoliberalism. Ok. He was my answer. On November 11 2009 16:31 TanGeng wrote: You might mean neo-liberalism (political school of thought) but that's government regulation towards "free-market policies" usually involving regulations that benefit large business and thereby creating the anti-thesis of the free market. Perhaps you are taking about "privatization" where government doesn't give up control of the market. Instead it bestows its monopoly on some private company. But yeah neo-liberalism is probably BS. It's macroeconomics, and that's mostly BS. | ||
vx70GTOJudgexv
United States3161 Posts
I choose not to have health insurance on my own accord. I have a fairly strong immune system at this point in my life, any injuries I sustain are small ones (rolled ankles, sprained wrist) that I can self-care for. I see no point in having health insurance, due to the combination of price and myself finding it unnecessary, at this time in my life, and I probably won't until I have a family of my own (which I have no clue if and when that will happen). Yet the government is deciding that I need to not only help pay for someone else's insurance who can not afford it, but also that I am going to be penalized for making my own decisions about my life. There goes one of my freedoms. And for that reason alone, I hope that this does not pass in the Senate. | ||
koreasilver
9109 Posts
And neoliberal economics has a stronger symbiotic relationship with American neoconservatist politics more than any other American political school of thought. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 16:54 vx70GTOJudgexv wrote: Yet the government is deciding that I need to not only help pay for someone else's insurance who can not afford it, but also that I am going to be penalized for making my own decisions about my life. There goes one of my freedoms. And for that reason alone, I hope that this does not pass in the Senate. Not only will you be paying more other people's mistakes, more people will make mistakes that you'll have to pay for. Hell, maybe you'll even decide that it's not worth it be impeccable about maintaining your health. Moral hazard is a bitch. (microeconomics 101: socialism creates moral hazard) | ||
vx70GTOJudgexv
United States3161 Posts
On November 11 2009 16:57 TanGeng wrote: Not only will you be paying more other people's mistakes, more people will make mistakes that you'll have to pay for. Hell, maybe you'll even decide that it's not worth it be impeccable about maintaining your health. Moral hazard is a bitch. (microeconomics 101: socialism creates moral hazard) I don't understand the first part of your post... :/ | ||
koreasilver
9109 Posts
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TanGeng
Sanya12364 Posts
On November 11 2009 16:56 koreasilver wrote: I'm not sure if you're just joking about but there's no way of you going around the fact that you're a neoliberal in all ways when you're advocating the privatization of education and healthcare for god's sake. Besides, neoliberal economics has always had deep roots in politics. Neoliberal economics and your definiton of "neoliberal politics" with the whole movement towards the free-market IS neoliberal economics what are you going on about. I'm not sure how you can't get it into your head that the neo-liberalism political machine has not move the world towards a free-market, but it seems to not get in there. Here the differences in bold. You ready? On November 11 2009 16:31 TanGeng wrote: You might mean neo-liberalism (political school of thought) but that's government regulation towards "free-market policies" usually involving regulations that benefit large business and thereby creating the anti-thesis of the free market. Perhaps you are taking about "privatization" where government doesn't give up control of the market. Instead it bestows its monopoly on some private company. But yeah neo-liberalism (economics) is probably BS. It's macroeconomics, and that's mostly BS. Allow me to clarify that even more. My political stance is of fragmentation. If the US broke into 50 states, that would be wonderful. If the US broken into 5000 separate states, that would be heavenly. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 16:59 vx70GTOJudgexv wrote: I don't understand the first part of your post... :/ Since everyone is covered no matter what, people have less incentive to be careful about their own health. Invariably that means more people behaving irresponsibly and more mistakes that everyone has to pay for. Does that make sense now. That's moral hazard. edit: spelling | ||
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motbob
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United States12546 Posts
On an unrelated note, I'm reading through the actual bill right now. Feel free to ask me questions about it, like what your tax will be if you/your employer chooses not to purchase health insurance. | ||
QibingZero
2611 Posts
On November 11 2009 17:00 koreasilver wrote: rofl I know, right? There's really no other apt response. "Libertarians say the darndest things" | ||
gchan
United States654 Posts
On November 11 2009 16:54 vx70GTOJudgexv wrote: Honestly, I was fairly indifferent about the bill for a while. I realize the American health-care is fucked up. I don't like this particular solution, but so be it. But the thing that irks me about this is that I'm going to be penalized for my own choices. I choose not to have health insurance on my own accord. I have a fairly strong immune system at this point in my life, any injuries I sustain are small ones (rolled ankles, sprained wrist) that I can self-care for. I see no point in having health insurance, due to the combination of price and myself finding it unnecessary, at this time in my life, and I probably won't until I have a family of my own (which I have no clue if and when that will happen). Yet the government is deciding that I need to not only help pay for someone else's insurance who can not afford it, but also that I am going to be penalized for making my own decisions about my life. There goes one of my freedoms. And for that reason alone, I hope that this does not pass in the Senate. I'd advise you to get health insurance. Even if you are healthy, accidents happen and in those situations, it'd be smart to have insurance. Insurance plans that are basically catastrophe plans (high deductible) usually aren't that expensive. In addition, having continual insurance throughout your life will insure that medical insurance companies won't reject your coverage for "pre-existing conditions." If you pick up insurance some time in your mid life, without any evidence of having insurance before, the insurance companies could always pull the pre-existing condition card and completely screw you over when you need it most. | ||
koreasilver
9109 Posts
On November 11 2009 17:02 TanGeng wrote: I'm not sure how you can't get it into your head that the neo-liberalism political machine has not move the world towards a free-market, but it seems to not get in there. Here the differences in bold. You ready? For god's sake, your division of neoliberal "economics" and neoliberal "politics" as a whole is completely flawed because neoliberalist economics has always had a hand in politics. They are inseparable. I have also never said that I personally believe that neoliberalism leads to freedom in the market at all because there have been more than enough historical examples to show they they destroy economic freedom. I merely said that because that's what neoliberals believe that they are doing. It's just funny that you, as a neoliberal, are saying that neoliberalism is bullshit. That's just absurd; I must have stepped into a circus. On November 11 2009 17:05 TanGeng wrote: Since everyone is covered no matter what, people have less incentive to be careful about their own health. Invariable that means more people behaving irresponsibly and more mistakes that everyone has to pay for. Does that make sense now. That's moral hazard. Pray tell, then why do so many countries with public health care have a higher standard of life and higher average lifespans compared to America? | ||
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motbob
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United States12546 Posts
If you pick up insurance some time in your mid life, without any evidence of having insurance before, the insurance companies could always pull the pre-existing condition card and completely screw you over when you need it most. Not after this bill passes! :D | ||
GreenManalishi
Canada834 Posts
On November 11 2009 16:57 TanGeng wrote: Moral hazard is a bitch. (microeconomics 101: socialism creates moral hazard) I don't know where you took micro 101, but clearly it was some sort of online degree program because that is one of the stupidest things I have ever read. First of all, micro 101 is about individual preferences and PPE curves, aggregate preferences, and basic S-D curves, not this bullshit political science crap you are spouting off. Economics is not political science. There is no such thing as Socialism in economics, just as how there is no such thing as neo-liberalism. Almost everything you have said in regards to economics has been completely wrong. | ||
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Liquid`Daaman
Sweden1225 Posts
The rich, otherwise, drive a politic that make them even richer, they're in total control. The low-income takers should get a higher income to begin with to lower the income-gaps. I wouldn't want to live in a society where some of its people can't afford basic needs such as education/healthcare/decent living etc.. Take some damn responsibility for your citizens please! | ||
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TheYango
United States47024 Posts
On November 11 2009 17:11 koreasilver wrote: Pray tell, then why do so many countries with public health care have a higher standard of life and higher average lifespans compared to America? Through some combination of factors that we couldn't possibly fathom? I hate seeing this argument. There are so many other relevant differences between how society in other countries with socialized medicine functions and the United States that there's no way you can draw that correlation. | ||
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motbob
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United States12546 Posts
On November 11 2009 17:15 GreenManalishi wrote: I don't know where you took micro 101, but clearly it was some sort of online degree program because that is one of the stupidest things I have ever read. First of all, micro 101 is about individual preferences and PPE curves, aggregate preferences, and basic S-D curves, not this bullshit political science crap you are spouting off. Economics is not political science. There is no such thing as Socialism in economics, just as how there is no such thing as neo-liberalism. Almost everything you have said in regards to economics has been completely wrong. actually I'm an econ major and we just finished up a section on health care in my public policy class which covered moral hazard pretty extensively. So... maybe they teach Economics differently in Canada? | ||
vx70GTOJudgexv
United States3161 Posts
On November 11 2009 17:16 Liquid`Daaman wrote: The argument where people say the rich/those who can afford have to pay for this with their tax money I find totally silly. The rich, otherwise, drive a politic that make them even richer, they're in total control. The low-income takers should get a higher income to begin with to lower the income-gaps. I wouldn't want to live in a society where some of its people can't afford basic needs such as education/healthcare/decent living etc.. Take some damn responsibility for your citizens please! You sir, are my hero. Unless I misinterpreted this, which I think I may have. Yep, probably did. | ||
koreasilver
9109 Posts
On November 11 2009 17:15 GreenManalishi wrote: I don't know where you took micro 101, but clearly it was some sort of online degree program because that is one of the stupidest things I have ever read. First of all, micro 101 is about individual preferences and PPE curves, aggregate preferences, and basic S-D curves, not this bullshit political science crap you are spouting off. Economics is not political science. There is no such thing as Socialism in economics, just as how there is no such thing as neo-liberalism. Almost everything you have said in regards to economics has be completely wrong. There is socialism and there is neoliberalism, huh? I do agree with you talking about his class though. My microecon 101 didn't have any shit about differing ideas; just basic shit. Maybe he attended his econ class at the University of Chicago rofl. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 17:09 motbob wrote: I don't buy the moral hazard argument against the health care bill. You'd have to convince me that people would be more likely to put themselves in painful, injury inducing situations if they have health insurance, or that people would be likely to change their eating habits for the worse if they are sure that their quadruple bypass surgery will be covered down the road. On an unrelated note, I'm reading through the actual bill right now. Feel free to ask me questions about it, like what your tax will be if you/your employer chooses not to purchase health insurance. How about not smoking? How about preventive care, like exercising? How about These are activities that people that don't have insurance would definitely think twice about doing. Once an insurance company is involved, there is a third-party-payer in the transaction, and moral hazard rears its ugly head. Moral hazard of the third-party-payer system is one the reason why health care costs so much in the US, today. Will a government run public option have more or less moral hazard? That's hard to say but since government outlaws not buying insurance, it has already increased it there. | ||
koreasilver
9109 Posts
On November 11 2009 17:18 motbob wrote: actually I'm an econ major and we just finished up a section on health care in my public policy class which covered moral hazard pretty extensively. So... maybe they teach Economics differently in Canada? Yeah, in your public policy class, not fucking micro 101. | ||
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motbob
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United States12546 Posts
On November 11 2009 17:17 TheYango wrote: Through some combination of factors that we couldn't possibly fathom? I hate seeing this argument. There are so many other relevant differences between how society in other countries with socialized medicine functions and the United States that there's no way you can draw that correlation. Like what? | ||
vx70GTOJudgexv
United States3161 Posts
On November 11 2009 17:11 koreasilver wrote: Pray tell, then why do so many countries with public health care have a higher standard of life and higher average lifespans compared to America? A clown named Ronald... | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 17:15 GreenManalishi wrote: I don't know where you took micro 101, but clearly it was some sort of online degree program because that is one of the stupidest things I have ever read. First of all, micro 101 is about individual preferences and PPE curves, aggregate preferences, and basic S-D curves, not this bullshit political science crap you are spouting off. Economics is not political science. There is no such thing as Socialism in economics, just as how there is no such thing as neo-liberalism. Almost everything you have said in regards to economics has been completely wrong. I took a microeconomic course specifically about health care. We looked at moral hazards, marginal benefits of innoculation, kick backs, Insurance premium, Insurance rates, False positives, Value of Peace of mind, etc. Many of these topics were helpful in examine microeconomic activities in areas other than health care. | ||
koreasilver
9109 Posts
What a god forsaken country. | ||
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motbob
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United States12546 Posts
On November 11 2009 17:19 TanGeng wrote: How about not smoking? How about preventive care, like exercising? How about These are activities that people that don't have insurance would definitely think twice about doing. Once an insurance company is involved, there is a third-party-payer in the transaction, and moral hazard rears its ugly head. Moral hazard of the third-party-payer system is one the reason why health care costs so much in the US, today. Will a government run public option have more or less moral hazard? That's hard to say but since government outlaws not buying insurance, it has already increased it there. Please show me a study, any study, that concludes that getting health insurance causes people to neglect their health. The concept that people would be more likely to take up smoking if they knew that their lung cancer treatment down the road would be paid for is, again, fairly farfetched. | ||
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TanGeng
Sanya12364 Posts
Dietary. US is one of the countries that consumes high-fructose corn syrup to a sickening degree. The rest of the word uses can sugar which is far more healthy. Preterm birth. US has much higher preterm birth rates. For reasons that I won't go into, it looks like infant mortality is unexpectly higher. Those are just two. | ||
QibingZero
2611 Posts
On November 11 2009 17:16 Liquid`Daaman wrote: The argument where people say the rich/those who can afford have to pay for this with their tax money I find totally silly. The rich, otherwise, drive a politic that make them even richer, they're in total control. The low-income takers should get a higher income to begin with to lower the income-gaps. I wouldn't want to live in a society where some of its people can't afford basic needs such as education/healthcare/decent living etc.. Take some damn responsibility for your citizens please! I always think that to people in strongly humanitarian countries like Sweden, it must seem as if America is something straight out of Mad Max. And honestly, sometimes it doesn't feel far from the truth. "Social responsibility" is replaced in our vocabulary with "personal gain". | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 17:25 motbob wrote: Please show me a study, any study, that concludes that getting health insurance causes people to neglect their health. The concept that people would be more likely to take up smoking if they knew that their lung cancer treatment down the road would be paid for is, again, fairly farfetched. ... ok well. People aren't going to take up smoking just because of insurance. It never works that way. I have an example from business. Weyco fired employees for smoking - because smoker's health care costs are higher than non-smokers. To understand this behavior, you first have to know that insurance companies can't discriminate against individuals based on their lifestyle. States in the US all have laws that insurance will cover an entire group so that all employees of a single company pay the same rate. Now if insurance companies could discriminate based on lifestyle, then it's probably that the company could charge those individuals higher insurance premiums than non-smokers. Then, the smokers would faced with an additional cost for smoking, and that would be incentive to quit. It would also be an incentive not to start. All of this works on the margins, and you aren't going to get a controlled study that will provide definitive meaning conclusions. The statistics can always be massaged to suit the sponsor of the study. I've found conflicting scientific studies out there on various topics, so if that logic and example isn't enough, then I won't convince you. btw: The biggest moral hazard in insurance isn't this part of socialization, but the insurance rate. The higher the insurance rate for health care the more likely people are going to in for silly unnecessary check up. This instance of moral hazard leads people to overuse healthcare. This effect is well documented. | ||
Misrah
United States1695 Posts
Do i want to pay more taxes? No. Do i like this bill? No. (But misrah, your a heartless ass that doesn't care about the sick and injured)- Going into the health care field, and i don't want to pay for other people. I don't think this will work. Life sucks, Life is unfair, and yes some people get dealt bad cards. There is no way a government run program will ever fix the danger that is living, and i certainly don't want to help and try. so i guess that means i am not socially responsible? I could care less. Government hand outs have never worked, and they never will. It is human nature for there to be winners and losers. Everyone should not be the same. | ||
D10
Brazil3409 Posts
The average joe has no clue how much would be the right ammount of tax to pay, thats why some random burocrat needs to force you to do it, most people (specially in the US) are too greedy and selfish about caring about the needs of others when 5% of their income is on the line (if that much) So, pay for it and stfu. | ||
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motbob
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United States12546 Posts
On November 11 2009 17:42 Misrah wrote: My only concern- Will this cause me taxes to go up? Yes. Do i want to pay more taxes? No. Do i like this bill? No. (But misrah, your a heartless ass that doesn't care about the sick and injured)- Going into the health care field, and i don't want to pay for other people. I don't think this will work. Life sucks, Life is unfair, and yes some people get dealt bad cards. There is no way a government run program will ever fix the danger that is living, and i certainly don't want to help and try. so i guess that means i am not socially responsible? I could care less. Government hand outs have never worked, and they never will. It is human nature for there to be winners and losers. Everyone should not be the same. actually, this won't cause your taxes to go up unless you make more than a million bucks per year | ||
Shinshin
United States106 Posts
You know what, I don't think I've never called 911 for any emergency. We should get rid of what we already have, switch to a full private law enforcements, and a private fire department. And you know what, It's been years since I've graduated from my public high school, why should I pay taxes for other people's education? Blah blah blah -_- Pick and choose, right? | ||
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motbob
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United States12546 Posts
http://www.teamliquid.net/blogs/viewblog.php?topic_id=105481 I love the bill so far. I'm not looking forward to summarizing the complicated stuff later on (like the implementation of the public option) | ||
gchan
United States654 Posts
I believe the bill addresses the issue of denying health insurance if you have a pre-existing condition, but it does not address denying claims on health care for pre-existing conditions. In theory under the new bill, insurance companies would be forced to provide health insurance, but they could still deny specific treatments claims because of pre-existing conditions. | ||
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motbob
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United States12546 Posts
On November 11 2009 19:33 gchan wrote: I believe the bill addresses the issue of denying health insurance if you have a pre-existing condition, but it does not address denying claims on health care for pre-existing conditions. In theory under the new bill, insurance companies would be forced to provide health insurance, but they could still deny specific treatments claims because of pre-existing conditions. Sec 211 says A qualified health benefits plan may not impose any preexisting condition exclusion (as defined in section 2701(b)(1)(A) of the Public Health Service Act) or otherwise impose any limit or condition on the coverage under the plan with respect to an individual or dependent based on any of the following: health status, medical condition, claims experience, receipt of health care, medical history, genetic information, evidence of insurability, disability, or source of injury (including conditions arising out of acts of domestic violence) or any similar factors. | ||
LeoTheLion
China958 Posts
i thought the topic was on the health bill, and not about everyone's personal opinion on socialized medicine and whether people deserve a right to treatment. people please take your opinions about usa vs europe and neoliberalism somewhere else. let's talk about the health bill here, why it should/shouldn't pass and speculations on if it will pass the senate. | ||
LeoTheLion
China958 Posts
On November 11 2009 16:54 vx70GTOJudgexv wrote: Honestly, I was fairly indifferent about the bill for a while. I realize the American health-care is fucked up. I don't like this particular solution, but so be it. But the thing that irks me about this is that I'm going to be penalized for my own choices. I choose not to have health insurance on my own accord. I have a fairly strong immune system at this point in my life, any injuries I sustain are small ones (rolled ankles, sprained wrist) that I can self-care for. I see no point in having health insurance, due to the combination of price and myself finding it unnecessary, at this time in my life, and I probably won't until I have a family of my own (which I have no clue if and when that will happen). Yet the government is deciding that I need to not only help pay for someone else's insurance who can not afford it, but also that I am going to be penalized for making my own decisions about my life. There goes one of my freedoms. And for that reason alone, I hope that this does not pass in the Senate. If you don't have insurance and you get hit by a car, you will still get taken to the emergency room. The county hospital will try its best to fix and patch you up. They will not let you die. After you wake up, you will have a big bill. Without insurance, you probably won't be able to pay it, so in the end you won't pay it. Maybe you'll sign up for some bull shit payment plan where you pay back thirty bucks a month. But the accountability on those are so shitty that it doesn't really matter if you don't pay. So the hospital loses money because it had to save you and you didn't have insurance. Since county hospitals are funded by the government, the government loses money. Well guess what? The government gets that money from taxes, so your accident just cost taxpayer money, when you should have paid for it. Sound fair to everyone else? No. By requiring insurance, the government will make sure that it doesn't lose money in these scenarios. It is forcing you to buy insurance so that other people won't have to pay for your medical bill through taxes. This will also save county hospitals from losing money every year, and right now, they constantly operate in the negatives. I think it's a smart move, just like the law requiring car insurance. It makes us individually responsible for our medical expenses, instead of having others pay for it. Now if you want to argue how people don't pay for medicaid/medicare, well, most of those people are seniors who probably worked when they were younger, and paid their fair share of taxes. Sure, there are people who don't fit that category... but hey, that's the point of welfare. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
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ShroomyD
Australia245 Posts
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LeoTheLion
China958 Posts
i agree with you. i think the bill is good because it enforces some accountability for insurance companies. some of those companies are really dirty, and don't provide the coverage they promise they will when they sell you plans. this bill would make it a lot harder for them to withhold claims from deserving people who have paid years and years of premiums, then wound up in the hospital for whatever reason. as i also mention above, it saves some of the burden that the government has in paying for the medical expenses of the uninsured. it also makes employers more accountable for the health and well being of their employees. | ||
Piretes
Netherlands218 Posts
On November 11 2009 20:44 ShroomyD wrote: Why not drive costs down with the free market? isn't the health care market in America colluded by something like 75% Govt control? Free market would actually be better than the current system. The stranglehold of insurance companies on american healthcare, combined with other factors like malpractice cases (typically American) and american lifestyle driving costs up, has totally ruined the system. Insurance companies should get much more control from the government (taking everybody regardless of ills, offering treatment for pretty much everything, mandatory insurance) , and more cost control (no unneeded expensive treatment, more preventment instead of curing), to solve this problem, or it should be totally replaced with either 100% free market, which is going to ruin alot of lives, or 100% government, which will bankrupt the state. | ||
LeoTheLion
China958 Posts
On November 11 2009 20:44 ShroomyD wrote: Why not drive costs down with the free market? isn't the health care market in America colluded by something like 75% Govt control? i'm not sure about that figure, but you need government run hospitals. why? because otherwise poor people wouldn't get health treatment. private hospitals don't take people without insurance. if everything was free market, only the rich would be able to afford health care. free market also doesn't take into account hidden costs, such as if poor people can't work then they can't participate in the work force, resulting in less labor. | ||
lOvOlUNiMEDiA
United States643 Posts
Loosely put, the argument is "Should the United States have some form of socialized medicine." Well, this is not all that specific because there are many different forms. But, judging from the comments on this post, the socialized medicine most TL'ers have in mind is one where the government runs the health-care industry. Some of the things that happen in a government run health-care industry are: (1) no one goes without insurance -- you won't die just because you don't have the $25,000 needed to have surgery (2) government controls prices associated with health-care -- this way corporations won't "exploit" the "poor" workers by charging them to make a "unfair" profit. The argument put forth for socialized health-care are, basically, (1) it works [[whatever that means]] and//or (2) it is immoral to let a sick person die if they can be (for a "reasonable price" -- government health-care has to limit treatment because, for example, with a billion dollars the government can keep someone in better health than it can with one million, or one-hundred thousdand etc etc.) treated. Fortunately for me, I'm only interested in socialized health-care if it it is the strongest option. Is it "wrong" to let someone die if one dollar would heal them? Not if I have other plans for the dollar! Why? There is no such thing as a "right" or "wrong" and, thus, letting poor people die, starve, etc. may be "mean" (whatever that means) but it's not "wrong." Likewise, murder, incest, rape, etc. etc. are not "wrong" either. The closest thing to "right" is being the strongest. Let's explore this notion: What is implicit in the "everyone has a right to healthcare" view is a statement like "you wouldn't like that (dying because of an easily treatable disease//injury) if you were poor would you?" But that is just to say "it sure would suck to be poor!" I don't know of any who disagrees. When someone tells me that I ask, instead, "But if I were rich, i wouldn't want to give my money to those who are poor, unless it makes me stronger!" The reply is always, "Yes, but just a little bit of your money can save their life!" So what? What do I care for their life? The only reason to save their life is if it increases my power! Then the reply is, "Yes, but that way of living will get you crushed! Your view of things will lead to the crumbling of society!" Aha! You've just endorsed my point. You are saying that I should want national health-care, or a pity-based morality, because a "might makes right" view leads to my destruction. But that is just to say that I should care about "morality" because if I don't I will be crushed. But that means that your advice to me is simply: do what doesn't get you crushed! That is, you agree that morality's fundamental directive to me is "Be Strong!" I'd be the first to concede that in human affairs, being strong means working together. But that doesn't mean that a strong society saves the weak. A strong society might kill the weak. It might ship them away. It might use them for experiments. The point here is simply that "strength" is a scientific concept that has to be researched. It could be that a "strong" society won't experiment on it's own members because that would cause it to eventually collapse. Etc. Etc. That's why knowledge, philosophy (the foundation of knowledge), mathematics, physics, biology, chemistry, psychology, sociology, history and political science are so important. In the human world, knowledge is power. But knowledge is always embodied. The upshot is that this way of approaching morality avoids all the hysterical screeching from weaklings whose only strategy for survival is to make the strong think that strength is evil. This rant is based on the my reading of Schopenhauer (the attitude of weakness) and Nietzsche (the attitude of strength) | ||
ShroomyD
Australia245 Posts
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lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 21:22 ShroomyD wrote: I wonder how much healthcare costs would be reduced by if patents on medicines were removed. ![]() Weak idea -- if patents are removed there is no incentive to do research. Right? | ||
LeoTheLion
China958 Posts
On November 11 2009 21:22 ShroomyD wrote: I wonder how much healthcare costs would be reduced by if patents on medicines were removed. ![]() you would kill a huge incentive for R&D. the reason why pharmaceutical companies invest so much in discovering new drugs is for profit. without this, drugs would not be discovered as nearly as fast. | ||
LeoTheLion
China958 Posts
On November 11 2009 21:20 lOvOlUNiMEDiA wrote: Is it "wrong" to let someone die if one dollar would heal them? Not if I have other plans for the dollar! with that line of thinking the labor force gets shot to hell. so a country spends a lot of money educating and raising citizens from 0-18. then they work for 20 years, die because they can't get health care? you're losing another potential 20 years of work. 18 years invested, gotta milk every dollar! | ||
lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 21:34 LeoTheLion wrote: with that line of thinking the labor force gets shot to hell. so a country spends a lot of money educating and raising citizens from 0-18. then they work for 20 years, die because they can't get health care? you're losing another potential 20 years of work. 18 years invested, gotta milk every dollar! You clearly didn't read my whole post! | ||
ShroomyD
Australia245 Posts
On November 11 2009 21:25 lOvOlUNiMEDiA wrote: Weak idea -- if patents are removed there is no incentive to do research. Right? Patents destroy the incentive for innovation~~ monopolies suck right? | ||
lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 21:57 ShroomyD wrote: Patents destroy the incentive for innovation~~ monopolies suck right? I don't understand what you are arguing. You could be totally right that those companies with patents will charge monopoly prices on their drugs. What I am saying -- and what LeotheLion wrote above -- is that if you don't protect patents you won't have anyone doing drug research at all. I'd choose expensive drugs over no drugs. But if you can show me why researches will invest in the -very- expensive act of creating a drug just so they can watch another company analyze the drug and then sell it without having put capital in the act of research, then I'm all ears to your solution! | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 11 2009 21:20 lOvOlUNiMEDiA wrote: The argument put forth for socialized health-care are, basically, (1) it works [[whatever that means]] and//or (2) it is immoral to let a sick person die if they can be (for a "reasonable price" -- government health-care has to limit treatment because, for example, with a billion dollars the government can keep someone in better health than it can with one million, or one-hundred thousdand etc etc.) treated. Fortunately for me, I'm only interested in socialized health-care if it it is the strongest option. Is it "wrong" to let someone die if one dollar would heal them? Not if I have other plans for the dollar! Why? There is no such thing as a "right" or "wrong" and, thus, letting poor people die, starve, etc. may be "mean" (whatever that means) but it's not "wrong." Likewise, murder, incest, rape, etc. etc. are not "wrong" either. The closest thing to "right" is being the strongest. Let's explore this notion: What is implicit in the "everyone has a right to healthcare" view is a statement like "you wouldn't like that (dying because of an easily treatable disease//injury) if you were poor would you?" But that is just to say "it sure would suck to be poor!" I don't know of any who disagrees. When someone tells me that I ask, instead, "But if I were rich, i wouldn't want to give my money to those who are poor, unless it makes me stronger!" The reply is always, "Yes, but just a little bit of your money can save their life!" So what? What do I care for their life? The only reason to save their life is if it increases my power! Then the reply is, "Yes, but that way of living will get you crushed! Your view of things will lead to the crumbling of society!" Aha! You've just endorsed my point. You are saying that I should want national health-care, or a pity-based morality, because a "might makes right" view leads to my destruction. But that is just to say that I should care about "morality" because if I don't I will be crushed. But that means that your advice to me is simply: do what doesn't get you crushed! That is, you agree that morality's fundamental directive to me is "Be Strong!" I'd be the first to concede that in human affairs, being strong means working together. But that doesn't mean that a strong society saves the weak. A strong society might kill the weak. It might ship them away. It might use them for experiments. The point here is simply that "strength" is a scientific concept that has to be researched. It could be that a "strong" society won't experiment on it's own members because that would cause it to eventually collapse. Etc. Etc. That's why knowledge, philosophy (the foundation of knowledge), mathematics, physics, biology, chemistry, psychology, sociology, history and political science are so important. In the human world, knowledge is power. But knowledge is always embodied. The upshot is that this way of approaching morality avoids all the hysterical screeching from weaklings whose only strategy for survival is to make the strong think that strength is evil. Interesting. It has been quite some time since I have seen someone declare so openly and with such clarity that they are quite simply a deeply unpleasant human being. | ||
Sadist
United States7228 Posts
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Unentschieden
Germany1471 Posts
On November 11 2009 21:20 lOvOlUNiMEDiA wrote: Since my attempt to have this thread be a question of IF not SHOULD, I'll throw my thoughts on the "moral" question at issue: Loosely put, the argument is "Should the United States have some form of socialized medicine." Well, this is not all that specific because there are many different forms. But, judging from the comments on this post, the socialized medicine most TL'ers have in mind is one where the government runs the health-care industry. Some of the things that happen in a government run health-care industry are: (1) no one goes without insurance -- you won't die just because you don't have the $25,000 needed to have surgery (2) government controls prices associated with health-care -- this way corporations won't "exploit" the "poor" workers by charging them to make a "unfair" profit. The argument put forth for socialized health-care are, basically, (1) it works [[whatever that means]] and//or (2) it is immoral to let a sick person die if they can be (for a "reasonable price" -- government health-care has to limit treatment because, for example, with a billion dollars the government can keep someone in better health than it can with one million, or one-hundred thousdand etc etc.) treated. Fortunately for me, I'm only interested in socialized health-care if it it is the strongest option. Is it "wrong" to let someone die if one dollar would heal them? Not if I have other plans for the dollar! Why? There is no such thing as a "right" or "wrong" and, thus, letting poor people die, starve, etc. may be "mean" (whatever that means) but it's not "wrong." Likewise, murder, incest, rape, etc. etc. are not "wrong" either. The closest thing to "right" is being the strongest. Let's explore this notion: What is implicit in the "everyone has a right to healthcare" view is a statement like "you wouldn't like that (dying because of an easily treatable disease//injury) if you were poor would you?" But that is just to say "it sure would suck to be poor!" I don't know of any who disagrees. When someone tells me that I ask, instead, "But if I were rich, i wouldn't want to give my money to those who are poor, unless it makes me stronger!" The reply is always, "Yes, but just a little bit of your money can save their life!" So what? What do I care for their life? The only reason to save their life is if it increases my power! Then the reply is, "Yes, but that way of living will get you crushed! Your view of things will lead to the crumbling of society!" Aha! You've just endorsed my point. You are saying that I should want national health-care, or a pity-based morality, because a "might makes right" view leads to my destruction. But that is just to say that I should care about "morality" because if I don't I will be crushed. But that means that your advice to me is simply: do what doesn't get you crushed! That is, you agree that morality's fundamental directive to me is "Be Strong!" I'd be the first to concede that in human affairs, being strong means working together. But that doesn't mean that a strong society saves the weak. A strong society might kill the weak. It might ship them away. It might use them for experiments. The point here is simply that "strength" is a scientific concept that has to be researched. It could be that a "strong" society won't experiment on it's own members because that would cause it to eventually collapse. Etc. Etc. That's why knowledge, philosophy (the foundation of knowledge), mathematics, physics, biology, chemistry, psychology, sociology, history and political science are so important. In the human world, knowledge is power. But knowledge is always embodied. The upshot is that this way of approaching morality avoids all the hysterical screeching from weaklings whose only strategy for survival is to make the strong think that strength is evil. This rant is based on the my reading of Schopenhauer (the attitude of weakness) and Nietzsche (the attitude of strength) Unfortunately for you we live in Reality and not Rapture. Acording to your post you´d hate this: http://en.wikipedia.org/wiki/Human_rights According to this People DO have the right to be feed, clothed, housed etc..., to be exact: “everyone has the right to a standard of living adequate for the health and well-being of oneself and one’s family, including food, clothing, housing, and medical care.” The Emergency Medical Treatment and Labor Act has been criticized by the American College of Emergency Physicians as an unfunded mandate. This doesn´t mandate "Socialism" directly but the United States don´t provide adequate Healthcare for all it´s citizens. At LEAST the uninshured (and a lot that pay money to Insurers) only have access to Emergency Rooms. Emergency rooms are NOT adquate. Emergency rooms are for Emergencys. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 22:40 Arbiter[frolix] wrote: Interesting. It has been quite some time since I have seen someone declare so openly and with such clarity that they are quite simply a deeply unpleasant human being. "Booo! Hiss!" To you too! | ||
lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 23:12 Unentschieden wrote: Unfortunately for you we live in Reality and not Rapture. Acording to your post you´d hate this: http://en.wikipedia.org/wiki/Human_rights According to this People DO have the right to be feed, clothed, housed etc..., to be exact: “everyone has the right to a standard of living adequate for the health and well-being of oneself and one’s family, including food, clothing, housing, and medical care.” The Emergency Medical Treatment and Labor Act has been criticized by the American College of Emergency Physicians as an unfunded mandate. This doesn´t mandate "Socialism" directly but the United States don´t provide adequate Healthcare for all it´s citizens. At LEAST the uninshured (and a lot that pay money to Insurers) only have access to Emergency Rooms. Emergency rooms are NOT adquate. Emergency rooms are for Emergencys. Why am I quoted in your human-rights rant? I don't get it. | ||
Undisputed-
United States379 Posts
On November 11 2009 15:43 Tyraz wrote: Wrong. If you don't have the cash they CAN turn you away. Aegraen... is that.. you? Nope they really can't. | ||
ZeaL.
United States5955 Posts
1) A lot of the basic research costs associated with drug development are funded through the government through NIH grants and many of the drugs on the market today were created with some help from an NIH grant. The government spent about 30 billion a year in 2004 on basic drug research, almost as much as the 33 billion drug companies spent. 2) Drug companies have to charge exorbitant amounts for their drugs because they need to cover for their failed attempts. Its estimated that only one in ten thousand compounds has a medical purpose. After finding a promising compound it still has a high risk of not getting FDA approval (varies from year to year), so the cost of a drug includes the R&D for all the other drugs that didn't make it to market. They also have to sell for more in the US as other countries have price controls whereas the US has no price controls for drugs. 3) If a new drug makes it through FDA approval a drug company will want to profit from its creation, even if its not as effective at treating a disease as something thats on the market already. To achieve that end, drug companies aggressively market their drugs. Unfortunately, many doctors either do not keep up with or do not have access to literature that compares drug efficacies. That, along with drug companies pretty much bribing doctors to prescribe their drugs results in some doctors prescribing expensive, ineffective drugs. Instead of having drug companies do the research, we could instead just have the NIH do the majority of the research. The NIH already has a pretty good grant proposal selection system and they do churn out results. This removes the profit motive that public companies have and puts the costs in taxes rather than up front costs. The drugs themselves are generally very cheap to manufacture. Alternatively, the government could buy patents for drugs that are good and then sell the drugs on the cheap. Research also needs to turn away from a shotgun style where thousands of compounds are tried on an assay to see if any work. A more focused method would be to study how or why a disease occurs and then design a drug around the pathway. Oftentimes diseases dont even need drugs, a simple dietary restriction or lifestyle change can cure some things. Also, better drug delivery methods need to be developed. Lots of drugs would be much more effective if they were targeted to a specific cell type or tissue. One thing I've always thought we needed was more research on comparing drug efficacies and this data needs to be made more accessible. If both doctors and patients had access to an online database of drug efficacies, they could make more informed decisions on whether or not to prescribe a new drug which still costs a ton or a drug which has had its patent run out. As it is now all you hear is Drugminizole-HCL vs OTCDrugthing and you have no way to choose besides relying on your primary care physician who might not know anything about how they are different. | ||
Undisputed-
United States379 Posts
On November 11 2009 23:32 ZeaL. wrote: Heres some stuff regarding drug prices. 1) A lot of the basic research costs associated with drug development are funded through the government through NIH grants and many of the drugs on the market today were created with some help from an NIH grant. The government spent about 30 billion a year in 2004 on basic drug research, almost as much as the 33 billion drug companies spent. 2) Drug companies have to charge exorbitant amounts for their drugs because they need to cover for their failed attempts. Its estimated that only one in ten thousand compounds has a medical purpose. After finding a promising compound it still has a high risk of not getting FDA approval (varies from year to year), so the cost of a drug includes the R&D for all the other drugs that didn't make it to market. They also have to sell for more in the US as other countries have price controls whereas the US has no price controls for drugs. 3) If a new drug makes it through FDA approval a drug company will want to profit from its creation, even if its not as effective at treating a disease as something thats on the market already. To achieve that end, drug companies aggressively market their drugs. Unfortunately, many doctors either do not keep up with or do not have access to literature that compares drug efficacies. That, along with drug companies pretty much bribing doctors to prescribe their drugs results in some doctors prescribing expensive, ineffective drugs. Instead of having drug companies do the research, we could instead just have the NIH do the majority of the research. The NIH already has a pretty good grant proposal selection system and they do churn out results. This removes the profit motive that public companies have and puts the costs in taxes rather than up front costs. The drugs themselves are generally very cheap to manufacture. Alternatively, the government could buy patents for drugs that are good and then sell the drugs on the cheap. Research also needs to turn away from a shotgun style where thousands of compounds are tried on an assay to see if any work. A more focused method would be to study how or why a disease occurs and then design a drug around the pathway. Oftentimes diseases dont even need drugs, a simple dietary restriction or lifestyle change can cure some things. Also, better drug delivery methods need to be developed. Lots of drugs would be much more effective if they were targeted to a specific cell type or tissue. One thing I've always thought we needed was more research on comparing drug efficacies and this data needs to be made more accessible. If both doctors and patients had access to an online database of drug efficacies, they could make more informed decisions on whether or not to prescribe a new drug which still costs a ton or a drug which has had its patent run out. As it is now all you hear is Drugminizole-HCL vs OTCDrugthing and you have no way to choose besides relying on your primary care physician who might not know anything about how they are different. source? | ||
Not_A_Notion
Ireland441 Posts
On November 11 2009 22:40 Arbiter[frolix] wrote: Interesting. It has been quite some time since I have seen someone declare so openly and with such clarity that they are quite simply a deeply unpleasant human being. Ha Ha, Such Philosophical Harshness is refreshing. I would suggest, Arb, that you pay heed to the edited version of his post and actually look up what Nietzschean philosophy entails (Nietzche is my favorite philosopher because of his non-dogmatism and the sheer insight of his views). Such a philosophy is basically undercuts "You should". The point is that normative statements are vacuous, often borne of the psychological make up of the individual who makes such declarations, you are in essence arguing over nothing these past however many pages. Nietzsche' philosophy is not out and out egoist because he despises pity, it is rather a call to replace "You should" with "I will" (as in "I will it so"). I think 2 quotes sum up his philosophy for me (of course there is no 1 single interpretation of Nietzsche that would be patently missing the point). "The noble man also helps the unfortunate, but not (or hardly) out of pity, but rather from an impulse generated by the super-abundance of power" Beyond Good and Evil. "The way? This is now my way. Where is your? Thus answered I those that asked me "the way". For the way, it does not exist" Thus Spake Zarathustra. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 11 2009 23:51 Not_A_Notion wrote: Ha Ha, Such Philosophical Harshness is refreshing. I would suggest, Arb, that you pay heed to the edited version of his post and actually look up what Nietzschean philosophy entails (Nietzche is my favorite philosopher because of his non-dogmatism and the sheer insight of his views). Such a philosophy is basically undercuts "You should". The point is that normative statements are vacuous, often borne of the psychological make up of the individual who makes such declarations, you are in essence arguing over nothing these past however many pages. Nietzsche' philosophy is not out and out egoist because he despises pity, it is rather a call to replace "You should" with "I will" (as in "I will it so"). I think 2 quotes sum up his philosophy for me (of course there is no 1 single interpretation of Nietzsche that would be patently missing the point). "The noble man also helps the unfortunate, but not (or hardly) out of pity, but rather from an impulse generated by the super-abundance of power" Beyond Good and Evil. "The way? This is now my way. Where is your? Thus answered I those that asked me "the way". For the way, it does not exist" Thus Spake Zarathustra. Hello, my brother -- or at least hello to you that would like to be my brother! But my brother, there IS a correct interpretation of Nietzsche -- to say there ISN'T is no less dogmatic than to say there IS. Both are statements about what there IS. Let us brood, together, over this: Consider the assertion: "Everything is based on perspective." Alright -- well is that based on perspective or is that true regardless of perspective? Nietzsche's position was not that there is not anything beyond perspective but that everything is seen in perspective -- Nietzsche's fundamental position is that on what there is like Aristotle's -- wishing won't make it so. I hope the difference is clear. Contrary to popular opinion, Nietzsche is not a relativist. He is a realist. His attacks on Plato and Kant and the like are attacks on Kant's SUBJECTIVISM (Kant was a subjective idealist). And, of course, the essence of Nietzsche is "Saying Yes to Life!" | ||
Undisputed-
United States379 Posts
On November 11 2009 18:20 motbob wrote: actually, this won't cause your taxes to go up unless you make more than a million bucks per year I know this is bullshit. You know this is bullshit. You will be FORCED to get health insurance or be taxed (without getting anything). Businesses will pay a penalty of 8% on the average wage of their employees if they do not offer qualified health insurance (determined by a bureaucrat in washington). The 5.4% surtax (not adjusted for inflation) only effects the highest earners right! WRONG money taxed could have been used for investment. The surtax is also a direct tax on hundreds of thousands of small businesses (joint filers) who file their taxes for greater then 1 million dollars. Which leads to them less likely to expand, because taking a risk leads to a lower reward. The surtax is a tax on job creation. To Recap, The surtax is not adjusted for inflation and will effect more people every year which makes it a another tax on the middle class.Increasing taxes on business, individuals and capital would slow economic growth and DISCOURAGE HIRING WHEN THE UNEMPLOYMENT RATE IS 10.2% This bill is dead in the water when it gets to the senate anyway so whatever. | ||
ZeaL.
United States5955 Posts
NIH Grants Pharmaceuticals spending as well as a lot of other info on pharmaceuticals Article on OTC vs Prescription DTC advertising by pharmaceuticals Wiki on pharma marketing Wiki on drug design | ||
Not_A_Notion
Ireland441 Posts
On November 11 2009 23:59 lOvOlUNiMEDiA wrote: Hello, my brother -- or at least hello to you that would like to be my brother! But my brother, there IS a correct interpretation of Nietzsche -- to say there ISN'T is no less dogmatic than to say there IS. Both are statements about what there IS. Let us brood, together, over this: Consider the assertion: "Everything is based on perspective." Alright -- well is that based on perspective or is that true regardless of perspective? Nietzsche's position was not that there is not anything beyond perspective but that everything is seen in perspective -- Nietzsche's fundamental position is that on what there is like Aristotle's -- wishing won't make it so. I hope the difference is clear. Contrary to popular opinion, Nietzsche is not a relativist. He is a realist. His attacks on Plato and Kant and the like are attacks on Kant's SUBJECTIVISM (Kant was a subjective idealist). And, of course, the essence of Nietzsche is "Saying Yes to Life!" Hmmh, well my personal reading (I do not actually study philosophy, just read what I find interesting which is clearly going to be a biased starting base), of Nietzsche has been that he rejected objective truth. To be honest I don't understand how Kant can be categorised as a subjective idealist, I mean from what I recall of the critique he argued that noumena existed "outside" the person just that the pure intuitions and categories had to be applied to sense data from noumena to produce phenomena. Without understanding what constitutes what(subjectivist v objectivist), I can't really argue or discuss in a constructive manner, sorry. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 10 2009 04:56 motbob wrote: He's an idiot. "Oh it's not single payer I'm so pure I'm voting no." If it hadn't passed we would have fucking crucified him. I'm sure, though, that if he were the deciding vote, he'd have voted yes. Kucinich said on the floor of the House: "we cannot fault the insurance companies for being what they are. But we can fault legislation in which the government incentivizes the perpetuation, indeed the strengthening, of the for-profit health insurance industry, the very source of the problem." That is his view of the bill that passed the House and why would he support that given his general position on healthcare reform? | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 00:23 Not_A_Notion wrote: Hmmh, well my personal reading (I do not actually study philosophy, just read what I find interesting which is clearly going to be a biased starting base), of Nietzsche has been that he rejected objective truth. To be honest I don't understand how Kant can be categorised as a subjective idealist, I mean from what I recall of the critique he argued that noumena existed "outside" the person just that the pure intuitions and categories had to be applied to sense data from noumena to produce phenomena. Without understanding what constitutes what(subjectivist v objectivist), I can't really argue or discuss in a constructive manner, sorry. Hello again, my brother. In regard to the Nietzschean view on the health-care debate -- there has been and will be no rebuttal to the strength view. The only possible move is Schopenhauer's -- to argue that non-existence is better than existence. And that view fails for reasons I won't go into now. My view is that Nietzsche rejected "truth" a-la Plato and Kant (who both rejected "appearances" in favor of some "higher" understanding of reality). So his attacks on truth have to be understood in the context of the authors he was attacking. As far as Kant is concerned, I hope the following quote clears it up: ""This...is the fundamental contradiction at the heart of Kant's system. How we conceive of reality--that is, the structure and content of our thought about reality -- is itself just a part of reality, not something that could intelligibly be set in opposition to reality as a possible object of our knowledge, in the way that the rest of reality is allegedly not." E. J. Lowe | ||
L
Canada4732 Posts
2) Drug companies have to charge exorbitant amounts for their drugs because they need to cover for their failed attempts. Its estimated that only one in ten thousand compounds has a medical purpose. After finding a promising compound it still has a high risk of not getting FDA approval (varies from year to year), so the cost of a drug includes the R&D for all the other drugs that didn't make it to market. They also have to sell for more in the US as other countries have price controls whereas the US has no price controls for drugs. Yeah, that 1 in 10 thousand number is roughly accurate, but you forget to mention that the detection of bioactivity is done via high throughput assays which can check millions of compounds from a chemical library within weeks depending on how roboticized your lab is. This is a huge argument towards the centralization of research because machinery and large capital investments have an exponentially cumulative effect on the speed of research, which highly dissuades entry into the market unless you're an academic who found something marketable and decided to not publish the results for fear of your institution taking their monetary cut. The closest thing to "right" is being the strongest. Sup Thrasymachus, I believe your position was completely demolished back in ancient Greece. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 00:44 L wrote: Yeah, that 1 in 10 thousand number is roughly accurate, but you forget to mention that the detection of bioactivity is done via high throughput assays which can check millions of compounds from a chemical library within weeks depending on how roboticized your lab is. This is a huge argument towards the centralization of research because machinery and large capital investments have an exponentially cumulative effect on the speed of research, which highly dissuades entry into the market unless you're an academic who found something marketable and decided to not publish the results for fear of your institution taking their monetary cut. Sup Thrasymachus, I believe your position was completely demolished back in ancient Greece. I'd be very impressed if you could say why Thrasymachus' position was "demolished." But I hope you can understand why you un-substantiated glance to the past has no weight in itself! | ||
Not_A_Notion
Ireland441 Posts
On November 12 2009 00:35 lOvOlUNiMEDiA wrote: Hello again, my brother. In regard to the Nietzschean view on the health-care debate -- there has been and will be no rebuttal to the strength view. The only possible move is Schopenhauer's -- to argue that non-existence is better than existence. And that view fails for reasons I won't go into now. My view is that Nietzsche rejected "truth" a-la Plato and Kant (who both rejected "appearances" in favor of some "higher" understanding of reality). So his attacks on truth have to be understood in the context of the authors he was attacking. As far as Kant is concerned, I hope the following quote clears it up: ""This...is the fundamental contradiction at the heart of Kant's system. How we conceive of reality--that is, the structure and content of our thought about reality -- is itself just a part of reality, not something that could intelligibly be set in opposition to reality as a possible object of our knowledge, in the way that the rest of reality is allegedly not." E. J. Lowe Ah I understand now, yeah that was always a problem with Kant I've heard, sorry for not putting 2 and 2 together. However on the concept of "Strength", do you relate this solely to physiological strength or psychological strength? Should "Strength" really be treated as a scientific concept? How would yo go about researching such a thing? I must admit though that while Nietzsche is my favourite philosopher many of the things he says I find unsettling to say the least hence I would not consider myself a "Nietzschean" | ||
XeliN
United Kingdom1755 Posts
On November 12 2009 00:44 L wrote: Sup Thrasymachus, I believe your position was completely demolished back in ancient Greece. "demolished" probably wasn't the best choice of words. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 00:50 Not_A_Notion wrote: Ah I understand now, yeah that was always a problem with Kant I've heard, sorry for not putting 2 and 2 together. However on the concept of "Strength", do you relate this solely to physiological strength or psychological strength? Should "Strength" really be treated as a scientific concept? How would yo go about researching such a thing? I must admit though that while Nietzsche is my favourite philosopher many of the things he says I find unsettling to say the least hence I would not consider myself a "Nietzschean" You again, brother! I think strength can only be understood holistically. Presently, human beings with high intelligence that also are protected by institutions possessing superior physical force are in the best position to project strength. In turn, the strongest institutions are those that respect the need for such individuals and also respect the total psychological reality of those individuals -- that they will want time to pursue their own interests, desires, etc. Totalitarian regimes are generally weak and unstable. I don't think "strong" societies can be understood outside scientific research and the philosophical foundation that scientific research is built on. I can understand why individuals thought Marxism would be the strongest social movement -- but they were just wrong. Social democrats may very well be right that Democratic Socialism // Liberal democracies may be the strongest social form. But, as Paul Kennedy said, nation-state strength is always a relative term (as is individual strength!). For starters on research, I would recommend a military history//political science book by the author mentioned above called "The Rise and Fall of the Great Powers." I also found Francis Fukuyama's "The End of History" rather interesting. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 00:50 XeliN wrote: "demolished" probably wasn't the best choice of words. XeliN, I hope you understand why I heartily laughed at your insightful (I hope you meant it in the way I understood it) comment! | ||
L
Canada4732 Posts
I'd be very impressed if you could say why Thrasymachus' position was "demolished." Taken narrowly, the statement that justice is the advantage of the stronger was defeated quite quickly by means of reference to the Greek notion of an art/practical body of knowledge or Techne. The concept of a complete ruler was subdivided into that of a ruler, who's purpose was to rule, and a subsidiary moneymaker, who's purpose was to make money. Since the art of self interestedness and the art of ruling were agreed to be distinct from one another, ruling as a means of self enrichment is not ruling, but self enrichment.Its Thrasymachus' later reworking of his position, that perfect injustice is stronger than justice, which was far harder to defeat. His original statement, however, was completely vivisected. | ||
Not_A_Notion
Ireland441 Posts
On November 12 2009 01:00 lOvOlUNiMEDiA wrote: You again, brother! I think strength can only be understood holistically. Presently, human beings with high intelligence that also are protected by institutions possessing superior physical force are in the best position to project strength. In turn, the strongest institutions are those that respect the need for such individuals and also respect the total psychological reality of those individuals -- that they will want time to pursue their own interests, desires, etc. Totalitarian regimes are generally weak and unstable. I don't think "strong" societies can be understood outside scientific research and the philosophical foundation that scientific research is built on. I can understand why individuals thought Marxism would be the strongest social movement -- but they were just wrong. Social democrats may very well be right that Democratic Socialism // Liberal democracies may be the strongest social form. But, as Paul Kennedy said, nation-state strength is always a relative term (as is individual strength!). For starters on research, I would recommend a military history//political science book by the author mentioned above called "The Rise and Fall of the Great Powers." I also found Francis Fukuyama's "The End of History" rather interesting. Thanks, I will certainly take a look at the Kennedy book, and may get round to the other one, just looked at both on wikipedia, Derrida's criticism (or the part quoted anyway) is quite amusing imho. I get the feeling that this has been a decidedly one sided discussion, but I am under no illusions with regard to my ignorance! EDIT* Hence my ID | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 01:13 L wrote: Taken narrowly, the statement that justice is the advantage of the stronger was defeated quite quickly by means of reference to the Greek notion of an art/practical body of knowledge or Techne. The concept of a complete ruler was subdivided into that of a ruler, who's purpose was to rule, and a subsidiary moneymaker, who's purpose was to make money. Since the art of self interestedness and the art of ruling were agreed to be distinct from one another, ruling as a means of self enrichment is not ruling, but self enrichment. Its Thrasymachus' later reworking of his position, that perfect injustice is stronger than justice, which was far harder to defeat. His original statement, however, was completely vivisected. This doesn't touch my position on strength. All it does it reinforce the fact that ruling can be done weakly and strongly. More formally, the flaw in Socrates' position is that you shouldn't think of ruling and self-interestedness as distinct. Of course, Plato's Socrates does because for him (them) Justice is an other-worldly form with a distinct, objective reality. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 01:14 Not_A_Notion wrote: Thanks, I will certainly take a look at the Kennedy book, and may get round to the other one, just looked at both on wikipedia, Derrida's criticism (or the part quoted anyway) is quite amusing imho. I get the feeling that this has been a decidedly one sided discussion, but I am under no illusions with regard to my ignorance! EDIT* Hence my ID Derrida is a hilarious guy! But his criticism is a distinctly Schopenhauerian//Christian one. Unless he turns it by saying "and starving people around the world lead to weak institutions!" But, I'm not entirely convinced by Fukuyama's thesis either -- the next century will be an interesting one to say the least! Africa will be a huge player! Weird, huh!? | ||
L
Canada4732 Posts
More formally, the flaw in Socrates' position is that you shouldn't think of ruling and self-interestedness as distinct. The entire city of words proves otherwise with regards to your first point. It was plenty possible to distinguish between the art of ruling and the art of making money. The art of making money was so prominent as a stand alone piece that the entire first book's setting, as well as the conversation that Socrates has with Cephalos. Of course, Plato's Socrates does because for him (them) Justice is an other-worldly form with a distinct, objective reality. More than that, the distinction is so apparent that it was cemented in the greek language itself at the time. The Techne of moneymaking was a common term. The fact that we've gone through a good 500 years or so of scholastic method analysis of authors that are fiercely individualist shouldn't taint your assumptions as to the indivisibility of an art and the art of moneymaking. Examination of our most regulated professions, with their roles and duties will provide a substantial body of modern examples of the division. Another, perhaps more obvious and direct example would be that of the life of Van Gogh. Clearly a master painter, but a horrendous moneymaker. One wouldn't argue that one's skill in painting contained their skill at making a living from painting, yet you'd readily confuse the two aspects when it comes to ruling or being strong. That seems more odd than the reverse. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 01:30 L wrote: The entire city of words proves otherwise with regards to your first point. It was plenty possible to distinguish between the art of ruling and the art of making money. The art of making money was so prominent as a stand alone piece that the entire first book's setting, as well as the conversation that Socrates has with Cephalos. The fact that we've gone through a good 500 years or so of scholastic method analysis of authors that are fiercely individualist shouldn't taint your assumptions as to the indivisibility of an art and the art of moneymaking. Examination of our most regulated professions, with their roles and duties will provide a substantial body of modern examples of the division. It seems to me that only a very bizarre view of history would ever drive a wedge between ruling and money handling... Regardless, even if such a wedge does exist, it doesn't HAVE to -- and the best (strongest) rulers would understand this. This point is a reflection of the fact that I've stated that strength (which includes ruling) is a science -- something that goes through constant revision and improvement. | ||
lOvOlUNiMEDiA
United States643 Posts
"One wouldn't argue that one's skill in painting contained their skill at making a living from painting, yet you'd readily confuse the two aspects when it comes to ruling or being strong. That seems more odd than the reverse." Right -- that is why in my post above (p15) I explain that strength must be viewed holistically. It is no good being a painter unless you are able to excercise your techne. Likewise, it is no good being an institution if you can be crushed by other institutions. | ||
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TanGeng
Sanya12364 Posts
On November 11 2009 22:01 lOvOlUNiMEDiA wrote: I don't understand what you are arguing. You could be totally right that those companies with patents will charge monopoly prices on their drugs. What I am saying -- and what LeotheLion wrote above -- is that if you don't protect patents you won't have anyone doing drug research at all. I'd choose expensive drugs over no drugs. But if you can show me why researches will invest in the -very- expensive act of creating a drug just so they can watch another company analyze the drug and then sell it without having put capital in the act of research, then I'm all ears to your solution! It's possible to have drug innovation in a world without patents. It's not possible with a draconian drug regulatory system like that of the FDA process in place. Throw out the FDA and patents at the same time and it's conceivable to get much much lower costs. Even under the patent system, the current FDA process is awful and does little for consumer safety. I wouldn't mind seeing it go. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 01:45 TanGeng wrote: It's possible to have drug innovation in a world without patents. It's not possible with a draconian drug regulatory system like that of the FDA process in place. Throw out the FDA and patents at the same time and it's conceivable to get much much lower costs. Even under the patent system, the current FDA process is awful and does little for consumer safety. I wouldn't mind seeing it go. I'm with you on the FDA. I still don't see an answer to the incentive problem in regard to research/patents. Again, I'm not opposed to the idea of getting rid of patents in principle -- I just don't see how any further research would get done if that happened. | ||
L
Canada4732 Posts
It is no good being a painter unless you are able to excercise your techne. Likewise, it is no good being an institution if you can be crushed by other institutions. No, that has nothing to do with the Techne itself. You're making a prescriptive assumption about what someone should do, not an observation about the skills they have. I can be a fantastic moneymaker and completely shit at what I do. I'll still be well paid, but the quality of my work won't be awesome. I could, conversely, be the best possible basketball player in the world, but have a grand total of zero moneymaking skill and refuse to sign contracts/get scouted/etc. That wouldn't make me any less of a player. It seems to me that only a very bizarre view of history would ever drive a wedge between ruling and money handling... 1) Money handling and the techne of moneymaking are separate things. 2) I would hardly be able to understand the actions of any form of non-coercive leader if I adopted your position. 3) The modern concept of a state or nation did not exist at the time of the writing, which makes importing such a concept of government completely out of the scope of the argument. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 01:52 L wrote: No, that has nothing to do with the Techne itself. You're making a prescriptive assumption about what someone should do, not an observation about the skills they have. I can be a fantastic moneymaker and completely shit at what I do. I'll still be well paid, but the quality of my work won't be awesome. I could, conversely, be the best possible basketball player in the world, but have a grand total of zero moneymaking skill and refuse to sign contracts/get scouted/etc. That wouldn't make me any less of a player. 1) Money handling and the techne of moneymaking are separate things. 2) I would hardly be able to understand the actions of any form of non-coercive leader if I adopted your position. 3) The modern concept of a state or nation did not exist at the time of the writing, which makes importing such a concept of government completely out of the scope of the argument. None of these points addresses my (sustained) assertion that strength is holistic... Again, the point at hand is what "makes" something "right" or "wrong" -- My position is that there is no such thing as something that "makes" an action, skill etc right or wrong except strength. | ||
Mischy
United States179 Posts
You should realise that your incapability to be bothered by the suffering of others is identical to the incapability of the people you described (who argue against your egocentricity) to accept your moral standpoint. People like you are the yang, and t'others are the ying. You are just a product of a number crunch. Society has a normal distribution of selfish and selfless. You happen to be one of the selfish. And the difference between the two is that selfless people help themselves by helping others, and selfish people help themselves by helping themselves. When you say 'right = might', what you should actually say is 'might = choose what happens'. The notion of right can only be used when applied to a moral formula. For example, if you want to examine an action under the lens of humanitarian utilitarianism, like: You walk by a puddle in which a toddler is lying face down, dying, do you a) divert your course in order to pick the toddler up and save his life? b) walk past and save seconds on your journey? By all means, if you are in no way bothered by this event, then you will probably take action b). But if one is looking at this problem under said lens, then a) is the right thing to do, and b) is the wrong thing. Under the morality of dog eat dog, clearly b) is the right thing to do. The toddler's parents are weak and get what's coming to them for allowing him to die. The important pre-requisite for a moral judgment is a moral framework. The fact of the matter is that even if only one person out of 1000 cares about others, in the context of humanitarian utilitarianism, he is right to seize power and get what he wants, ie justice and fairness for all. So what is actually important is which morality a country should be governed by. Just because someone has the power to do something does NOT make them right, what they do has to correlate with the desired code of morality. And what matters in this debate is the impartials. That is always the case. There are people who are built for compassion, and people who are built for selfish enterprise (like you). You will never stop being a monstrous, apathetic scoundrel, because you were born like that. But there are people up and down the country who might side with either viewpoint. Either greed is good or compassion is good. Or at least, the scale is weighted 40:60 compared to 60:40. For you, obviously, it sounds like your personal leaning is 90:10 weighted in favour of self-advancement. The crux of the issue is that there CLEARLY is right and wrong, just depending on one's moral worldview. The real task in debate is convincing impartials that yours is closer to theirs than the opposition's. And that's where strength comes in. You have to use your strength to do what's right in accordance with your morality. Strength doesn't feature anywhere else in the matter though, and that's where I think you are wrong relying so much on a bizarre yardstick of strength to measure the validity of a proposed notion. Forgive me if this is obvious to you, but from the way you type it doesn't seem apparent that you have given much thought to this aspect of the issue. -HamerD | ||
L
Canada4732 Posts
On November 12 2009 01:56 lOvOlUNiMEDiA wrote: None of these points addresses my (sustained) assertion that strength is holistic... Again, the point at hand is what "makes" something "right" or "wrong" -- My position is that there is no such thing as something that "makes" an action, skill etc right or wrong except strength. But then you aren't talking about 'strength'. You can pretend moral suasion forms a portion of strength, or that concessions to secure a smaller amount of advantage are strength, but at that point your definition is so broad that you're including the opposite of what your original position inside the scope of your new position. If I accept a purely holistic view as strength, a world perfectly ruled by the moral suasion which flows from a drive to equality, containing a perfectly fair system of governance would be said to be held together and justified by 'strength' too. Since its clear that the opposite was meant in the initial exposition of strength that I objected to (as well as the manner in which Thrasymachus uses it), it falls to me to believe that your objection is sophistry. Anything that's 'right' is 'strong' and anything that's 'strong' creates 'right'. The logic is circular and has no reference to any outside factors, whereas our conception of 'right' does. Even if you decided to talk about 'strength', there's nothing that suggests the opposite, that strength makes an action right or wrong. What it might do, however, is make an action legitimate. That would be the positivist position, which goes to lengths to avoid associating itself with a moral approval or disapproval. Feel free to define what you're talking about if you want to get around the limitations of your current lack of definition. I outlined the argument against the first 2 iterations of Thrasymachus' position, including his rebuttal trying to link moneymaking and other arts, that's all I really set out to do. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:01 Mischy wrote: lOvOlUNiMEDiA, in the previous page you are, in essence, trying to bankrupt the moral notion of compassion by declaring its validity subjective. You are saying, 'regardless of what you want, you are only right if you can get it'. And this allows your typically insensitive phallocentric 'I only want to improve my lot' viewpoint to be considered on an equal plane with the sort of humanitarian utilitarianism that is the counterpart in modern politics. You should realise that your incapability to be bothered by the suffering of others is identical to the incapability of the people you described (who argue against your egocentricity) to accept your moral standpoint. People like you are the yang, and t'others are the ying. You are just a product of a number crunch. Society has a normal distribution of selfish and selfless. You happen to be one of the selfish. And the difference between the two is that selfless people help themselves by helping others, and selfish people help themselves by helping themselves. When you say 'right = might', what you should actually say is 'might = choose what happens'. The notion of right can only be used when applied to a moral formula. For example, if you want to examine an action under the lens of humanitarian utilitarianism, like: You walk by a puddle in which a toddler is lying face down, dying, do you a) divert your course in order to pick the toddler up and save his life? b) walk past and save seconds on your journey? By all means, if you are in no way bothered by this event, then you will probably take action b). But if one is looking at this problem under said lens, then a) is the right thing to do, and b) is the wrong thing. Under the morality of dog eat dog, clearly b) is the right thing to do. The toddler's parents are weak and get what's coming to them for allowing him to die. The important pre-requisite for a moral judgment is a moral framework. The fact of the matter is that even if only one person out of 1000 cares about others, in the context of humanitarian utilitarianism, he is right to seize power and get what he wants, ie justice and fairness for all. So what is actually important is which morality a country should be governed by. Just because someone has the power to do something does NOT make them right, what they do has to correlate with the desired code of morality. And what matters in this debate is the impartials. That is always the case. There are people who are built for compassion, and people who are built for selfish enterprise (like you). You will never stop being a monstrous, apathetic scoundrel, because you were born like that. But there are people up and down the country who might side with either viewpoint. Either greed is good or compassion is good. Or at least, the scale is weighted 40:60 compared to 60:40. For you, obviously, it sounds like your personal leaning is 90:10 weighted in favour of self-advancement. The crux of the issue is that there CLEARLY is right and wrong, just depending on one's moral worldview. The real task in debate is convincing impartials that yours is closer to theirs than the opposition's. And that's where strength comes in. You have to use your strength to do what's right in accordance with your morality. Strength doesn't feature anywhere else in the matter though, and that's where I think you are wrong relying so much on a bizarre yardstick of strength to measure the validity of a proposed notion. Forgive me if this is obvious to you, but from the way you type it doesn't seem apparent that you have given much thought to this aspect of the issue. -HamerD Mischy, my friend, You are certainly right that things are --obectively-- right or wrong depending on the moral code being used to judge it. Thus, accepting Jesus as your savior is the right thing to do if you accept the christian moral code. My point is deeper -- that is, there is no fact of the matter about what moral code to accept beyond "the strongest." Please keep in mind, this does not rule out a "compassionate" pre-disposition. It only says that such a disposition will only be "right" in that it is "the strongest." For example, I have no problem imaging someone who adopts a "might makes right" code of ethics picking up the toddler in the pool. It could be that the Toddler's existence enriches the strength of our immoralist! This goes hand in hand with my original post on strength --- that in human existence, strength can only be understood in terms of cooperation. But that doesn't indicate what level or type of cooperation may exist. As I said previously, the level and type of cooperation is up for grabs -- and there could certainly be instances where nurseries full of babies are annihilated for one purpose or another -- and morally so! You then move from defending "compassion" to arguing that there is a strong and weak approach to persuading others. I certainly agree. That is my point. And as far as your discussion about "ying" "yang" and "product of number crunch" -- If these are supposed to be arguments, I fail to see their soundness or validity. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 01:18 lOvOlUNiMEDiA wrote: This doesn't touch my position on strength. All it does it reinforce the fact that ruling can be done weakly and strongly. More formally, the flaw in Socrates' position is that you shouldn't think of ruling and self-interestedness as distinct. Of course, Plato's Socrates does because for him (them) Justice is an other-worldly form with a distinct, objective reality. Hmmm, stated it plain and clearly. Governance is like any other profession and subject to self-serving behavior. The ideal of a perfect ruler with strict adherence to justice, universal and objective, does not exist in reality. The best sense of justice a person may have is a cultural vision of justice and already corrupts the individual ruler with society's self-serving attitudes. Beyond that rulers are humans and subject to corruption and temptations. Despite all the rhetoric about morality and the such in the society, your position centered around the idea of strength is closer to way the world actually works. The strong - the virtuous (extremely capable sense) - in self-interests seek out relationships and arrangements that solidifies their strength. In a world absent any sense of morality and social order (social order depends on recognizing morality), the strong would be seen as a danger to the rest of the population and the weak would gang up on strong individuals to remove such danger. Then the population would move onto the next strongest. Recognition of morality is one of the ways out of such a vicious cycle. By adhering to certain rules, the strong can convince the weak that they are not in danger. Coincidentally, they can use the trust from being moral to organize and rule the weaker individuals in society. In a way, the idea of morality was created by the strong in order to placate and to justify its rule over the weak. | ||
keV.
United States3214 Posts
On November 11 2009 16:54 vx70GTOJudgexv wrote: Honestly, I was fairly indifferent about the bill for a while. I realize the American health-care is fucked up. I don't like this particular solution, but so be it. But the thing that irks me about this is that I'm going to be penalized for my own choices. I choose not to have health insurance on my own accord. I have a fairly strong immune system at this point in my life, any injuries I sustain are small ones (rolled ankles, sprained wrist) that I can self-care for. I see no point in having health insurance, due to the combination of price and myself finding it unnecessary, at this time in my life, and I probably won't until I have a family of my own (which I have no clue if and when that will happen). Yet the government is deciding that I need to not only help pay for someone else's insurance who can not afford it, but also that I am going to be penalized for making my own decisions about my life. There goes one of my freedoms. And for that reason alone, I hope that this does not pass in the Senate. Do you understand what a drain people, without health insurance, are on the country? | ||
Undisputed-
United States379 Posts
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TanGeng
Sanya12364 Posts
On November 12 2009 02:17 Undisputed- wrote: what the fuck is going on in here lOvOlUNiMEDiA has us in a discussion about philosophy. | ||
Undisputed-
United States379 Posts
On November 12 2009 02:19 TanGeng wrote: lOvOlUNiMEDiA has us in a discussion about philosophy. i see that | ||
QibingZero
2611 Posts
I wonder, though, if you've ever considered you might be born the same person under different circumstances, and how those would change what you would become. Obviously, it's not equally easy for the same person to obtain the same power regardless of in which elements he's introduced to the world. Would you accept the fact that you would be weaker than someone else based on factors completely separate from your individual being? Along the same lines, do you accept the fact that the children of the 'strong' automatically gain a large portion of that power, even if they obtain the 'worst' genetics of their parents? If everyone does not have an equal chance at obtaining strength, how can it possibly be a factor in determining morality? I find it hard to believe your position is not just simply nihilism. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:08 L wrote: But then you aren't talking about 'strength'. You can pretend moral suasion forms a portion of strength, or that concessions to secure a smaller amount of advantage are strength, but at that point your definition is so broad that you're including the opposite of what your original position inside the scope of your new position. If I accept a purely holistic view as strength, a world perfectly ruled by the moral suasion which flows from a drive to equality, containing a perfectly fair system of governance would be said to be held together and justified by 'strength' too. Since its clear that the opposite was meant in the initial exposition of strength that I objected to (as well as the manner in which Thrasymachus uses it), it falls to me to believe that your objection is sophistry. Anything that's 'right' is 'strong' and anything that's 'strong' creates 'right'. The logic is circular and has no reference to any outside factors, whereas our conception of 'right' does. Even if you decided to talk about 'strength', there's nothing that suggests the opposite, that strength makes an action right or wrong. What it might do, however, is make an action legitimate. That would be the positivist position, which goes to lengths to avoid associating itself with a moral approval or disapproval. Feel free to define what you're talking about if you want to get around the limitations of your current lack of definition. I outlined the argument against the first 2 iterations of Thrasymachus' position, including his rebuttal trying to link moneymaking and other arts, that's all I really set out to do. L, This is the problem -- what "standard" is used to describe someones techne as "good" or even a "techne" at all. The only standard I see applicable would be that it achieves what it sets out to do in a superior manner. Superior means that the method of action maximizes potentiality. So a techne-endowed basketball player maximizes the potentiality of a basketball player. You are certainly right that a skilled basketball player may fail to market himself --- but we are only speaking of the strength of his basketball skill -- not the strength of his marketing ability. The reason I bring up the holism of strength is that skills themselves must be evaluated in relationship to one another -- thus, someone who is skilled with (and possesses) a sword will not be strong enough to defend himself against someone who is skilled with a (and possesses) gun. When it comes to individuals and nations --- I'm arguing that entities that can be destroyed by other entities are "wrong." In our current framework -- the united states could certainly crush many other nations but there are institutions that are "stronger" than the united states military power. These are nothing but the governing "norms" on the application of force. My position is that the norms that govern the use of force are the product of evolution -- that is, they are the strongest (warfare is certainly less acceptable today that it was in the past). You are certainly correct that some form of the norms may be accidental -- but that is exactly my point (as it is in Darwinism): There is no such thing as "absolutely fit for survival" -- there is only fit for survival in a particular time and place. Thus, the standard for "right" and "wrong" (for individuals and institutions) should be strong -- meaning (definition): best fit to survive. | ||
Mischy
United States179 Posts
Para 1: ok I thought you'd already have that nailed Para 2: I can't see where you are coming from. Your first sentence is dangerously phrased. It's hard to understand, it could mean several things. Can you explain what you think could be used to measure the strength of a moral code, or a course of action (because I can't tell what you are referring to)? Para 3: ok, well I thought your point is that if something is strong it's right. Para 4: the argumentation necessary to sufficiently validate such assertions is circuitous and irrelevant. In brief, however, I am saying that there is a normal distribution of personalities and moral codes in society, based on humanity's need as a species to have inventors, rulers, moneymakers, fighters, artists, lovers, whatever. You are just a fluctuation in the equation that is a successful species. To such an extent, none of your opinions will ever be more than controlled by your place in this equation, and your place in society. By calling you a yang, I am calling you destructive. The male side of the coin of humanity = destruction, creation, change. The female, ying = stability and compassion. Seeing as humanity has always required both sides to be at balance in society, I fail to see how one side can actually ever be considered right or more valuable. And I don't want to have to go into explaining why humanity requires a balance of change and stability, because I'm sure you catch my drift. If you find the inclusion of terms such as ying, yang and the number crunch idea, then hopefully you can divorce the words from the notion I put forward. -HamerD | ||
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TanGeng
Sanya12364 Posts
It all started when lOvOlUNiMEDiA made a post about how it's his worldview is centered about the ideal of strength, and using that to evaluate goodness of policies. I'm of the opinion that it's a sound way to look at the world. That philosophical framework describes the basic mechanism for social interaction. Although I tend to think that his view of morality is less sophisticated. The original post was a 50+ posts ago. Some forumers were up in arms about what an uncaring bastard IOvOIUNiMEDiA - you know the usual thoughtless emotional reflex so often found in people. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:22 QibingZero wrote: I almost didn't think this thread could get any worse, but it has sure managed. Taking Nietzsche's 'morality' as anything other than a critique on the prevalence of religious morality at the time is absolutely insane. Furthermore, extending it to a single portion of today's politics (health care) is worthless, as Nietzsche very much used it as a critique against democracy in the first place. Face it - you have issue with the structure of society itself, not simply health care. Your position is completely disingenuous in this thread, and brings nothing of purpose to the discussion. I wonder, though, if you've ever considered you might be born the same person under different circumstances, and how those would change what you would become. Obviously, it's not equally easy for the same person to obtain the same power regardless of in which elements he's introduced to the world. Would you accept the fact that you would be weaker than someone else based on factors completely separate from your individual being? Along the same lines, do you accept the fact that the children of the 'strong' automatically gain a large portion of that power, even if they obtain the 'worst' genetics of their parents? If everyone does not have an equal chance at obtaining strength, how can it possibly be a factor in determining morality? I find it hard to believe your position is not just simply nihilism. QibingZero, my friend, Your understanding of Nietzsche's project is limited. His primary target was not Christians -- they were simply a symptom of the root cause --Pessimists-- (the pinnacle of pessimism was Schopenhauer). If you look at Nietzsche's work this will be clear. Or you can look to academic works like C. Janaway's "Willing and Nothingness" which lay out this connection baldly. I discuss your "what if you were born as the weak one" example earlier. My reply is, "but I'm not." Your reply is "that's because your lucky." My reply is, "Fine. What's your point?" Your reply is "But it's not fair!" My reply is, " What does fairness have to do with it? Of course the weak ones will appeal to "fairness" It is their strongest move! They find themselves in a position of weakness and are left with no recourse but to damn strength! Of course I agree it would suck to be weak. Thus, I'll do all I can to stay strong!" | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:28 Mischy wrote: lOvOlUNiMEDiA, to answer you in respective order: Para 1: ok I thought you'd already have that nailed Para 2: I can't see where you are coming from. Your first sentence is dangerously phrased. It's hard to understand, it could mean several things. Can you explain what you think could be used to measure the strength of a moral code, or a course of action (because I can't tell what you are referring to)? Para 3: ok, well I thought your point is that if something is strong it's right. Para 4: the argumentation necessary to sufficiently validate such assertions is circuitous and irrelevant. In brief, however, I am saying that there is a normal distribution of personalities and moral codes in society, based on humanity's need as a species to have inventors, rulers, moneymakers, fighters, artists, lovers, whatever. You are just a fluctuation in the equation that is a successful species. To such an extent, none of your opinions will ever be more than controlled by your place in this equation, and your place in society. By calling you a yang, I am calling you destructive. The male side of the coin of humanity = destruction, creation, change. The female, ying = stability and compassion. Seeing as humanity has always required both sides to be at balance in society, I fail to see how one side can actually ever be considered right or more valuable. And I don't want to have to go into explaining why humanity requires a balance of change and stability, because I'm sure you catch my drift. If you find the inclusion of terms such as ying, yang and the number crunch idea, then hopefully you can divorce the words from the notion I put forward. -HamerD You are a pessimist. Your view is that ---volition--- & ---spirit--- count for nothing but instead are determined by the needs of some cosmic human species. Your assertions are groundless or meaningless. I'll let you pick which. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 02:32 lOvOlUNiMEDiA wrote: QibingZero, my friend, Your understanding of Nietzsche's project is limited. His primary target was not Christians -- they were simply a symptom of the root cause --Pessimists-- (the pinnacle of pessimism was Schopenhauer). If you look at Nietzsche's work this will be clear. Or you can look to academic works like C. Janaway's "Willing and Nothingness" which lay out this connection baldly. I discuss your "what if you were born as the weak one" example earlier. My reply is, "but I'm not." Your reply is "that's because your lucky." My reply is, "Fine. What's your point?" Your reply is "But it's not fair!" My reply is, " What does fairness have to do with it? Of course the weak ones will appeal to "fairness" It is their strongest move! They find themselves in a position of weakness and are left with no recourse but to damn strength! Of course I agree it would suck to be weak. Thus, I'll do all I can to stay strong!" To be fair to QibingZero, some among the "Strong" will also appeal to the idea of fairness to direct the schadenfreude of the weak against the rivals of said "Strong." You will often find that it's best for any "Strong" to at least bribe some of the weak into being allies. Perhaps that's compassion? Perhaps it's just self-interest. I do like the way you think though. Very interesting to see people study more philosophy. I sort of wished to have done it myself but that inclination never struck me while in school. | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:37 TanGeng wrote: To be fair to QibingZero, some among the "Strong" will also appeal to the idea of fairness to direct the schadenfreude of the weak against the rivals of said "Strong." You will often find that it's best for any "Strong" to at least bribe some of the weak into being allies. Perhaps that's compassion? Perhaps it's just self-interest. I do like the way you think though. Very interesting to see people study more philosophy. I sort of wished to have done it myself but that inclination never struck me while in school. Agreed. Another application of strength. Who would deny that Christianity -- the morality of ---meekness--- has been among the ----strongest---- institutions ever? | ||
Undisputed-
United States379 Posts
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Arbiter[frolix]
United Kingdom2674 Posts
On November 11 2009 23:51 Not_A_Notion wrote: Edit, ooh took the bait, so I will repost Ha Ha, Such Philosophical Harshness is refreshing. I would suggest, Arb, that you pay heed to the edited version of his post and actually look up what Nietzschean philosophy entails (Nietzche is my favorite philosopher because of his non-dogmatism and the sheer insight of his views). Such a philosophy is basically undercuts "You should". The point is that normative statements are vacuous, often borne of the psychological make up of the individual who makes such declarations, you are in essence arguing over nothing these past however many pages. Nietzsche' philosophy is not out and out egoist because he despises pity, it is rather a call to replace "You should" with "I will" (as in "I will it so"). I think 2 quotes sum up his philosophy for me (of course there is no 1 single interpretation of Nietzsche that would be patently missing the point). "The noble man also helps the unfortunate, but not (or hardly) out of pity, but rather from an impulse generated by the super-abundance of power" Beyond Good and Evil. "The way? This is now my way. Where is your? Thus answered I those that asked me "the way". For the way, it does not exist" Thus Spake Zarathustra. Oh, I am quite familiar with Neitzschean philosophy, I just think it has very little weight. Raimond Gaita once told me that he thought the most appropriate response to a true utilitarian was "a kind of urbane condescension". I think a similar response is appropriate for anyone who endorses the kind of "ethic" under discussion here, to be honest. | ||
Syntax Lost
Finland86 Posts
Now one would think that there would be a positive output on their healthcare. After all, the US isn't spending a little extra on their healthcare, they're spending a gigantic fucking huge amount more. There should be some positive output, right? Yet, for all the dollars pumped into the system, they can't cover their entire population. Checking some basic health metrics such as life expectancy and infant mortality we see that there is a vast difference between the US trails horribly the behind the rest of the developed world. 50th in life expectancy. 45th in infant mortality. Now when those that defend the US healthcare model (or some totally unregulated free-market model) are confronted with these facts will appeal to the US being special. However, there are no credible peer-reviewed studies that support this notion. None whatsoever. The US has its share of issues to contend with, but so does every other nation and there are certainly no reasons to account for the significant difference between US healthcare expenditure compared to the rest of the world. So where is all this money supposed to be going? You spend more. You cover less. You get worse outcomes. Surely the money must be going somewhere, right? Well, if we compare the overhead costs between the Canada and the US, we see that the US spends three times (!!!) more on overhead than Canada does. Why is this so? NEJM wrote: A system with multiple insurers is also intrinsically costlier than a single-payer system. For insurers it means multiple duplicative claims-processing facilities and smaller insured groups, both of which increase overhead. Fragmentation also raises costs for providers who must deal with multiple insurance products — at least 755 in Seattle alone — forcing them to determine applicants’ eligibility and to keep track of the various copayments, referral networks, and approval requirements. Canadian physicians send virtually all bills to a single insurer. A multiplicity of insurers also precludes paying hospitals a lump-sum, global budget. Under a global-budget system, hospitals and government authorities negotiate an annual budget based on past budgets, clinical performance, and projected changes in services and input costs. Hospitals receive periodic lump-sum payments (e.g. 1/12 of the annual amount each month). The existence of global budgets in Canada has eliminated most billing and minimized internal cost accounting, since charges do not need to be attributed to individual patients and insurers. Yet fragmentation itself cannot explain the upswing in administrative costs in the United States since 1969, when costs resembled those in Canada. This growth coincided with the expansion of managed care and market-based competition, which fostered the adoption of complex accounting and auditing practices long standard in the business world. Claims that the free market is more efficient doesn't seem to be reflected in the data. But it gets more interesting. If we look at how health insurance premiums have changed over 2002-2007, we see that they've increase by 78%. That's a big fucking increase and certainly doesn't match inflation or wage increases. Given such a massive increase in price, can you honestly believe it's because of market efficiency? Doesn't this make you ask questions about the system? Wouldn't you think that you'd get a lot more service if you were paying 80% more? But surely there must be some positive output, right? With all those profits being recorded by pharmaceutical companies, shouldn't we see big investments into R&D to develop new cures, right? Well, looking at the data: The Public Library of Science wrote: From this new estimate, it appears that pharmaceutical companies spend almost twice as much on promotion as they do on R&D. These numbers clearly show how promotion predominates over R&D in the pharmaceutical industry, contrary to the industry's claim. Behold the triumph of the US healthcare system: The viagra commercial! But it gets worse. The number one selling drug in 2004 was Lipitor. "But Syntax Lost," I hear you cry, "What does Lipitor do?" Well, I'm glad you asked. Lipitor used for fighting high cholesterol. But hang on, high cholesterol is almost always a by-product of lifestyle. This is not curing the disease at all. You can't cure a bad lifestyle with drugs. What this does is enable people to continue a bad lifestyle. Seriously, where does the moral hazard lie if this is the inevitable result of your healthcare system? Pharmaceutical companies are going to chase wherever the profits lie, and there is little question what types of drugs they're going to aim for given the enormous success of lifestyle drugs like Lipitor. If a moral hazard does indeed lie in public healthcare, then certainly this should show up in the statistics associated with countries that operate with such a system, right? But where are the peer-reviewed studies to support such a notion. Heck, even when we look at the US and look at programmes like Medicaid and SCHIP we see that:. The article wrote: People who disenroll from Medicaid or SCHIP programs as a result of programmatic changes are not likely to replace public program insurance with private commercial insurance, because it is unlikely that people who live near the poverty level will be able to afford the premiums that are associated with private commercial health insurance. [...] Most states make programmatic changes in their Medicaid/SCHIP programs in an effort to decrease their costs for these programs. However, this study demonstrates that programmatic changes that result in disenrollment actually increase the total health care costs for the community. Most of the health care costs for the uninsured are paid by federal and state governments through Medicare and Medicaid in the form of disproportionate share hospital adjustments and indirect medical education payments in addition to other federal programs, such as funding for community health centers and the Maternal and Child Health Bureau. Indeed, federal and state funds have been estimated to cover 87% of the total costs of uncompensated care.11 Potential savings from programmatic changes in Medicaid/SCHIP also are offset by increased Medicaid medically needy spending, increased tax subsidies to private insurance, and increased costs that are associated with uncompensated care. In a previous analysis of Medicaid disenrollment in an agricultural community, we concluded that 10% disenrollment would increase the number of uninsured children by 21% and increase the community’s health care costs as a result of a shift in sites of care from less expensive ambulatory office sites to more expensive [emergency department]s and increased hospitalizations. Seriously, how can anybody who reads this sort of study honestly be against public healthcare in the US? The data here very clearly shows that such programmes represent an overall decrease in cost in healthcare so it's not like you're going to end up paying more for it. You get fewer hospitalisation, better care at lower cost since you're able to shift the cost burden to less expensive alternatives. People that argue that they don't want to pay for others healthcare miss the picture in two big ways: 1. You're going to depend on healthcare sooner or later. You simply can't avoid it. Be it an accident, pregnancy, a sick spouse, child or relative--at some point, you or someone very close to you is going to have to depend on the healthcare infrastructure. 2. You're already paying for other's healthcare through your premiums, additional costs, interest rates. TanGeng wrote: The biggest moral hazard in insurance isn't this part of socialization, but the insurance rate. The higher the insurance rate for health care the more likely people are going to in for silly unnecessary check up. This instance of moral hazard leads people to overuse healthcare. This effect is well documented. In times like this, I like to quote the immortal blue words of Wikipedia: "Citation needed." TanGeng wrote: Now if insurance companies could discriminate based on lifestyle, then it's probably that the company could charge those individuals higher insurance premiums than non-smokers. Then, the smokers would faced with an additional cost for smoking, and that would be incentive to quit. It would also be an incentive not to start. All of this works on the margins, and you aren't going to get a controlled study that will provide definitive meaning conclusions. The statistics can always be massaged to suit the sponsor of the study. I've found conflicting scientific studies out there on various topics, so if that logic and example isn't enough, then I won't convince you. Bwahahahaha! Simple translation: "This works because I say so. I have no real evidence to support my claims. I'm just going to claim studies posted in peer-reviewed journals are all false and hope nobody notices how ridiculous this claim actually is." The reality would be that these statistics would be too difficult to find considering that statistics concerning cost smokers incur on companies does exist and it turns out they cost $2000 per employee per year. TanGeng wrote: Dietary. US is one of the countries that consumes high-fructose corn syrup to a sickening degree. The rest of the word uses can sugar which is far more healthy. Canadians also consume similar amounts of corn syrup. But the difference in health outcomes aren't small, they're huge. You're going to need an awful lot of corn syrup to make up the difference Preterm birth. US has much higher preterm birth rates. For reasons that I won't go into, it looks like infant mortality is unexpectly higher. Let's look into this more closely, shall we? According to the CDC, the occurrence of pre-term births in 2005 was 12.7%. Furthermore, they estimate that 68.6% of infant mortality is a result of pre-term births. The infant mortality itself is estimated to be 6.26 per 1000 live births in 2009. Now assuming that there is very little change in the statistics between 2005 and 2009 we can estimate that the pre-term contribution to infant mortality is 4.29 per 1000 live births. Consequently the mortality for term and post-term infants is 1.97 per 873 live births, or 2.25 per 1000. The statistics for Canada show that the pre-term birth rate is about 8.1% in 2006/2007. They also estimate that 75% of infant deaths are a consequence of pre-term. This means of 5.04 infant deaths per 1000 live births, 3.78 are from pre-term births. Consequently the infant mortality rate for term and post-term infants is approximately 1.26 per 919 live births, or 1.37 per 1000. The US has 65% greater infant mortality if you want to ignore pre-term infants! Want to continue with this line of reasoning? Furthermore, it's important to note the huge difference between pre-term births between Canada and the US. Could it be because Canadians simply have better access to healthcare, again that's helping with this issue? | ||
lOvOlUNiMEDiA
United States643 Posts
On November 12 2009 02:56 Arbiter[frolix] wrote: Oh, I am quite familiar with Neitzschean philosophy, I just think it has very little weight. Raimond Gaita once told me that he thought the most appropriate response to a true utilitarian was "a kind of urbane condescension". I think a similar response is appropriate for anyone who endorses the kind of "ethic" under discussion here, to be honest. It's funny that you mention Gaita because I read some of his work several months ago. His fundamental point is, something like, "The weak should not be preyed upon." Sadly, he, like all moral philosophers who defend a similar view, can never give an adequate justification of why. This goes hand in hand with their emotion-filled damnation of those who don't buy their moral code. I couldn't have chosen a better example of slave morality. | ||
L
Canada4732 Posts
This is the problem -- what "standard" is used to describe someones techne as "good" or even a "techne" at all. No it isn't. If you know what the greek concept of 'good' meant at the time, you'd know it was more akin to "this is a good knife" than "this is a good person". An art was a practical body of knowledge and one's proficiency in it was how 'good' he was in it. So when you say: You are certainly right that a skilled basketball player may fail to market himself --- but we are only speaking of the strength of his basketball skill -- not the strength of his marketing ability. You admit that ruling and profiting from ruling are not the same Techne, which you stated was the 'flaw' in the argumentation.You have already accepted premises which completely dismantle your original objection. When it comes to individuals and nations --- I'm arguing that entities that can be destroyed by other entities are "wrong." If that's so, then everything material is 'wrong'. Nothing escapes decay or entropy. If you relate this concept to the theory of the forms, then everything is also right: the form/eidos of any object is indestructible because its a purely intellectual concept. The form of a chair is 'right' while every instantiation of chairs are 'wrong'? Your premise here is obviously false by reductio ad absurdum unless you again qualify right and wrong to mean something other than the moral suasion that was originally proposed, which means your original argument fails yet again.So here we reach the end of the road where you acknowledge that you've purposely been using terms to mean multiple things and trying to profit from the confusion between unlike terms. Strength isn't being defined, right isn't being defined, wrong isn't being defined. In every subsequent post you revise your base premises too like here: My position is that the norms that govern the use of force are the product of evolution No, that's not what you said prior. You said right = strength, not that our common perception of rights regarding force are the product of evolution. I'd agree with the second statement, and not with the first. Thus, the standard for "right" and "wrong" (for individuals and institutions) should be strong -- meaning (definition): best fit to survive. This doesn't even flow logically from your premise. At best your evolution premise sets out that being 'fit' in the evolutionary sense is a requirement for being right given competition between different codes that form the basis of 'right', which is something else I'd agree with. It does not, however, make strength the source of 'rightness' it simply notes a relationship between the two. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 12 2009 03:10 lOvOlUNiMEDiA wrote: It's funny that you mention Gaita because I read some of his work several months ago. His fundamental point is, something like, "The weak should not be preyed upon." Sadly, he, like all moral philosophers who defend a similar view, can never give an adequate justification of why. This goes hand in hand with their emotion-filled damnation of those who don't buy their moral code. I couldn't have chosen a better example of slave morality. I'll be sure to tell him of the insightful understanding of his "fundamental point" and convincing critique of his work published on a Starcraft site the next time I see him. | ||
TwilightStar
United States649 Posts
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Undisputed-
United States379 Posts
On November 12 2009 03:31 TwilightStar wrote: I'm neither democratic or republican... but that'll probably change soon enough.. Most republicans I have seen are idiots. ~_~ Independant is the way to be! | ||
QibingZero
2611 Posts
On November 12 2009 02:32 lOvOlUNiMEDiA wrote: QibingZero, my friend, Your understanding of Nietzsche's project is limited. His primary target was not Christians -- they were simply a symptom of the root cause --Pessimists-- (the pinnacle of pessimism was Schopenhauer). If you look at Nietzsche's work this will be clear. Or you can look to academic works like C. Janaway's "Willing and Nothingness" which lay out this connection baldly. I discuss your "what if you were born as the weak one" example earlier. My reply is, "but I'm not." Your reply is "that's because your lucky." My reply is, "Fine. What's your point?" Your reply is "But it's not fair!" My reply is, " What does fairness have to do with it? Of course the weak ones will appeal to "fairness" It is their strongest move! They find themselves in a position of weakness and are left with no recourse but to damn strength! Of course I agree it would suck to be weak. Thus, I'll do all I can to stay strong!" And, again, I don't believe that your presence in this thread (and likely in life itself) is even marginally above trolling. You reject and wish to turn back all of society's advancements in the name of some ridiculous appeal to moral nihilism. There's a disagreement on the most basic of levels here, and as a result there isn't even a real discussion to be had. At this rate, I'm surprised you aren't arguing against the existence of TL itself. It would almost be more relevant than the rest of this nonsense you're injecting into a political thread regarding health care. On a real note, thanks Syntax Lost for the time put into a relevant post that dispels a lot of the baseless rumors spread so far. That should be required reading for anyone even thinking of posting in this thread. | ||
stk01001
United States786 Posts
On November 12 2009 03:31 TwilightStar wrote: I'm neither democratic or republican... but that'll probably change soon enough.. Most republicans I have seen are idiots. ~_~ true that.. especially considering what's been going on recently with the town hall meetings, "teabaggers" (lol) and the fact that their leadership figures currently consist of Micahel Steele, Rush Limbaugh, Glenn Beck, Sarah Palin, Bobby Jindal etc. etc. The wingnuts are not allowing any flexibility in their party.. no moderates allowed!! If you support abortion, gun control or gay marriage believe me they don't want you in their party.. even if your other ideologies are in line with theirs. This being the case.. I think it's pretty safe to assume that anyone who still calls themself a republican is a complete moron.. (or a religious nut/totally ignorant) Oh and please note I said "republican" not "conservative"... there are plenty of intelligent conservatives out there... | ||
Unentschieden
Germany1471 Posts
Ayn Randi wrote: Even if every single economic consideration didn't make UHC a better choice (they do), simple cost wouldn't make UHC a worse option. Any society that doesn't value the life and welfare of it's citizens above the ability of the well off to glut themselves on endless quantities of consumer goods is sick and diseased itself. If you are against healthcare for everyone, the poor and needy included, you have lost touch with your common humanity. You are an aberration, you have set yourself apart as being outside society and the human community, but still demand a say in how it is run, so as it to enrich yourself at the expense of the suffering of others. You speak of productivity and point to the numbers in your bank account as validation of your worth as a human. You make the rich richer and laud yourself for your contribution to the great society of wealth. You are able to dehumanize others, turning them into abstract concepts beneath your concern by labeling them as lazy, useless, or otherwise unworthy of notice because they don't assist you to enrich yourselves and their existence helps invalidate the house-of-cards framework of justifications you've built up to allow your human conscience to excuse this atrocity. To accept that these are real people, with real lives, hopes, dreams, families and friends - to accept that whatever their circumstances, their situation may not be entirely their own fault - to accept the corollary of this, that your station in life is not the sole result of of your efforts - to accept that even if the destitute underclasses are there by their own doing, they are still human beings entitled to respect and dignity regardless - to do any of this would mean that the entire system of sink or swim free enterprise is flawed, and your own successes therefore not the pure well deserved reward for a life lived superior to others. So you will instead invent reasons and excuses to divest yourself of your humanity and your connection to others, quietly waiting for the day when you die, clutching your treasures to your chest as you are lowered into the dark earth. Forever removed from the human race you have scorned, a bodiless whisper as you slip into the void "yes... I kept it. I kept it all. fuck you.. I've got mine.. forever" Die swiftly. You are an outsider to the community of humanity, and the world will be enriched by your passing. | ||
Undisputed-
United States379 Posts
+ Show Spoiler + On November 12 2009 03:01 Syntax Lost wrote: Once again there is a healthcare thread on TL, and once again the same stupid arguments are posted without a shred of actual evidence supporting them. Previous thread on TL regarding healthcare can be found here and here. Note that the arguments posted in the previous threads (particularly those supported by peer-reviewed study) have never been rebutted by those arguing against public healthcare. The reality is that the US spends far more on healthcare as a function of GDP compared to every other nation on the planet! And it's not a small difference either. Compared to Canada, they spend 50% more relative to their GDP. Furthermore, the US also restricts access to their health services by having people unable to afford basic coverage or by using the wonderful word "Denied!" even if you do have coverage. Now one would think that there would be a positive output on their healthcare. After all, the US isn't spending a little extra on their healthcare, they're spending a gigantic fucking huge amount more. There should be some positive output, right? Yet, for all the dollars pumped into the system, they can't cover their entire population. Checking some basic health metrics such as life expectancy and infant mortality we see that there is a vast difference between the US trails horribly the behind the rest of the developed world. 50th in life expectancy. 45th in infant mortality. Now when those that defend the US healthcare model (or some totally unregulated free-market model) are confronted with these facts will appeal to the US being special. However, there are no credible peer-reviewed studies that support this notion. None whatsoever. The US has its share of issues to contend with, but so does every other nation and there are certainly no reasons to account for the significant difference between US healthcare expenditure compared to the rest of the world. So where is all this money supposed to be going? You spend more. You cover less. You get worse outcomes. Surely the money must be going somewhere, right? Well, if we compare the overhead costs between the Canada and the US, we see that the US spends three times (!!!) more on overhead than Canada does. Why is this so? NEJM wrote: A system with multiple insurers is also intrinsically costlier than a single-payer system. For insurers it means multiple duplicative claims-processing facilities and smaller insured groups, both of which increase overhead. Fragmentation also raises costs for providers who must deal with multiple insurance products — at least 755 in Seattle alone — forcing them to determine applicants’ eligibility and to keep track of the various copayments, referral networks, and approval requirements. Canadian physicians send virtually all bills to a single insurer. A multiplicity of insurers also precludes paying hospitals a lump-sum, global budget. Under a global-budget system, hospitals and government authorities negotiate an annual budget based on past budgets, clinical performance, and projected changes in services and input costs. Hospitals receive periodic lump-sum payments (e.g. 1/12 of the annual amount each month). The existence of global budgets in Canada has eliminated most billing and minimized internal cost accounting, since charges do not need to be attributed to individual patients and insurers. Yet fragmentation itself cannot explain the upswing in administrative costs in the United States since 1969, when costs resembled those in Canada. This growth coincided with the expansion of managed care and market-based competition, which fostered the adoption of complex accounting and auditing practices long standard in the business world. Claims that the free market is more efficient doesn't seem to be reflected in the data. But it gets more interesting. If we look at how health insurance premiums have changed over 2002-2007, we see that they've increase by 78%. That's a big fucking increase and certainly doesn't match inflation or wage increases. Given such a massive increase in price, can you honestly believe it's because of market efficiency? Doesn't this make you ask questions about the system? Wouldn't you think that you'd get a lot more service if you were paying 80% more? But surely there must be some positive output, right? With all those profits being recorded by pharmaceutical companies, shouldn't we see big investments into R&D to develop new cures, right? Well, looking at the data: The Public Library of Science wrote: From this new estimate, it appears that pharmaceutical companies spend almost twice as much on promotion as they do on R&D. These numbers clearly show how promotion predominates over R&D in the pharmaceutical industry, contrary to the industry's claim. Behold the triumph of the US healthcare system: http://www.youtube.com/watch?v=rE0up432ohY The viagra commercial! But it gets worse. The number one selling drug in 2004 was Lipitor. "But Syntax Lost," I hear you cry, "What does Lipitor do?" Well, I'm glad you asked. Lipitor used for fighting high cholesterol. But hang on, high cholesterol is almost always a by-product of lifestyle. This is not curing the disease at all. You can't cure a bad lifestyle with drugs. What this does is enable people to continue a bad lifestyle. Seriously, where does the moral hazard lie if this is the inevitable result of your healthcare system? Pharmaceutical companies are going to chase wherever the profits lie, and there is little question what types of drugs they're going to aim for given the enormous success of lifestyle drugs like Lipitor. If a moral hazard does indeed lie in public healthcare, then certainly this should show up in the statistics associated with countries that operate with such a system, right? But where are the peer-reviewed studies to support such a notion. Heck, even when we look at the US and look at programmes like Medicaid and SCHIP we see that:. The article wrote: People who disenroll from Medicaid or SCHIP programs as a result of programmatic changes are not likely to replace public program insurance with private commercial insurance, because it is unlikely that people who live near the poverty level will be able to afford the premiums that are associated with private commercial health insurance. [...] Most states make programmatic changes in their Medicaid/SCHIP programs in an effort to decrease their costs for these programs. However, this study demonstrates that programmatic changes that result in disenrollment actually increase the total health care costs for the community. Most of the health care costs for the uninsured are paid by federal and state governments through Medicare and Medicaid in the form of disproportionate share hospital adjustments and indirect medical education payments in addition to other federal programs, such as funding for community health centers and the Maternal and Child Health Bureau. Indeed, federal and state funds have been estimated to cover 87% of the total costs of uncompensated care.11 Potential savings from programmatic changes in Medicaid/SCHIP also are offset by increased Medicaid medically needy spending, increased tax subsidies to private insurance, and increased costs that are associated with uncompensated care. In a previous analysis of Medicaid disenrollment in an agricultural community, we concluded that 10% disenrollment would increase the number of uninsured children by 21% and increase the community’s health care costs as a result of a shift in sites of care from less expensive ambulatory office sites to more expensive [emergency department]s and increased hospitalizations. Seriously, how can anybody who reads this sort of study honestly be against public healthcare in the US? The data here very clearly shows that such programmes represent an overall decrease in cost in healthcare so it's not like you're going to end up paying more for it. You get fewer hospitalisation, better care at lower cost since you're able to shift the cost burden to less expensive alternatives. People that argue that they don't want to pay for others healthcare miss the picture in two big ways: 1. You're going to depend on healthcare sooner or later. You simply can't avoid it. Be it an accident, pregnancy, a sick spouse, child or relative--at some point, you or someone very close to you is going to have to depend on the healthcare infrastructure. 2. You're already paying for other's healthcare through your premiums, additional costs, interest rates. TanGeng wrote: The biggest moral hazard in insurance isn't this part of socialization, but the insurance rate. The higher the insurance rate for health care the more likely people are going to in for silly unnecessary check up. This instance of moral hazard leads people to overuse healthcare. This effect is well documented. In times like this, I like to quote the immortal blue words of Wikipedia: "Citation needed." TanGeng wrote: Now if insurance companies could discriminate based on lifestyle, then it's probably that the company could charge those individuals higher insurance premiums than non-smokers. Then, the smokers would faced with an additional cost for smoking, and that would be incentive to quit. It would also be an incentive not to start. All of this works on the margins, and you aren't going to get a controlled study that will provide definitive meaning conclusions. The statistics can always be massaged to suit the sponsor of the study. I've found conflicting scientific studies out there on various topics, so if that logic and example isn't enough, then I won't convince you. Bwahahahaha! Simple translation: "This works because I say so. I have no real evidence to support my claims. I'm just going to claim studies posted in peer-reviewed journals are all false and hope nobody notices how ridiculous this claim actually is." The reality would be that these statistics would be too difficult to find considering that statistics concerning cost smokers incur on companies does exist and it turns out they cost $2000 per employee per year. TanGeng wrote: Dietary. US is one of the countries that consumes high-fructose corn syrup to a sickening degree. The rest of the word uses can sugar which is far more healthy. Canadians also consume similar amounts of corn syrup. But the difference in health outcomes aren't small, they're huge. You're going to need an awful lot of corn syrup to make up the difference Preterm birth. US has much higher preterm birth rates. For reasons that I won't go into, it looks like infant mortality is unexpectly higher. Let's look into this more closely, shall we? According to the CDC, the occurrence of pre-term births in 2005 was 12.7%. Furthermore, they estimate that 68.6% of infant mortality is a result of pre-term births. The infant mortality itself is estimated to be 6.26 per 1000 live births in 2009. Now assuming that there is very little change in the statistics between 2005 and 2009 we can estimate that the pre-term contribution to infant mortality is 4.29 per 1000 live births. Consequently the mortality for term and post-term infants is 1.97 per 873 live births, or 2.25 per 1000. The statistics for Canada show that the pre-term birth rate is about 8.1% in 2006/2007. They also estimate that 75% of infant deaths are a consequence of pre-term. This means of 5.04 infant deaths per 1000 live births, 3.78 are from pre-term births. Consequently the infant mortality rate for term and post-term infants is approximately 1.26 per 919 live births, or 1.37 per 1000. The US has 65% greater infant mortality if you want to ignore pre-term infants! Want to continue with this line of reasoning? Furthermore, it's important to note the huge difference between pre-term births between Canada and the US. Could it be because Canadians simply have better access to healthcare, again that's helping with this issue? Wall of text crits Undisputed for 23907423047302 damage. So many stats kiddies in here. Yeah... you don't get it. The bill is BROKEN, even if it passes (it won't) it still won't insure everyone and the uninsured will have to pay heavy tax penalties to punish them for their misfortune. The new system is less responsive to patient preferences and choices (bureaucrats in washington make them for you, obviously the government knows better!). The House bill would create a new federal office a "Health Choices Commissioner" to make health choices for the entire nation, specifying precisely what services health plans must cover, may cover, and (perhaps) must not cover.The House bill also requires the Health Choices Commissioner to determine the premiums private health plans can charge (who needs competition anyway lol).The House bill does not actually impose a single-payer, Canadian-style health care system, it does give federal bureaucrats enough power to impose such a system without any further congressional action. Americans would face higher premiums and higher taxes. The bills impose taxes on medical devices and (in the case of the Senate bill) prescription drugs and health plans. The bills would tax those who need health care, to pay for health reform. Paying More and Getting Less Luckily the majority of Americans are against giving over 1/6 of the U.S. economy to the government and having inferior health care. http://www.rasmussenreports.com/public_content/politics/current_events/healthcare/september_2009/health_care_reform | ||
Matoo-
Canada1397 Posts
On November 12 2009 02:37 TanGeng wrote: To be fair to QibingZero, some among the "Strong" will also appeal to the idea of fairness to direct the schadenfreude of the weak against the rivals of said "Strong." You will often find that it's best for any "Strong" to at least bribe some of the weak into being allies. Perhaps that's compassion? Perhaps it's just self-interest. I do like the way you think though. Very interesting to see people study more philosophy. I sort of wished to have done it myself but that inclination never struck me while in school. I can't see how anyone would want to study philosophy if the results it grants are the apparently solid but completely uninteresting low-level rants about the baselessness of fairness/etc in this thread. :/ | ||
koreasilver
9109 Posts
On November 12 2009 04:07 Unentschieden wrote: Well while were at emotional arguments, let me qoute Ayn Randi from the Something awful forums: The username is ironic. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 03:01 Syntax Lost wrote: Once again there is a healthcare thread on TL, and once again the same stupid arguments are posted without a shred of actual evidence supporting them. Previous thread on TL regarding healthcare can be found here and here. Note that the arguments posted in the previous threads (particularly those supported by peer-reviewed study) have never been rebutted by those arguing against public healthcare. The reality is that the US spends far more on healthcare as a function of GDP compared to every other nation on the planet! And it's not a small difference either. Compared to Canada, they spend 50% more relative to their GDP. Furthermore, the US also restricts access to their health services by having people unable to afford basic coverage or by using the wonderful word "Denied!" even if you do have coverage. Now one would think that there would be a positive output on their healthcare. After all, the US isn't spending a little extra on their healthcare, they're spending a gigantic fucking huge amount more. There should be some positive output, right? Yet, for all the dollars pumped into the system, they can't cover their entire population. Checking some basic health metrics such as life expectancy and infant mortality we see that there is a vast difference between the US trails horribly the behind the rest of the developed world. 50th in life expectancy. 45th in infant mortality. Now when those that defend the US healthcare model (or some totally unregulated free-market model) are confronted with these facts will appeal to the US being special. However, there are no credible peer-reviewed studies that support this notion. None whatsoever. The US has its share of issues to contend with, but so does every other nation and there are certainly no reasons to account for the significant difference between US healthcare expenditure compared to the rest of the world. So where is all this money supposed to be going? You spend more. You cover less. You get worse outcomes. Surely the money must be going somewhere, right? Well, if we compare the overhead costs between the Canada and the US, we see that the US spends three times (!!!) more on overhead than Canada does. Why is this so? Claims that the free market is more efficient doesn't seem to be reflected in the data. But it gets more interesting. If we look at how health insurance premiums have changed over 2002-2007, we see that they've increase by 78%. That's a big fucking increase and certainly doesn't match inflation or wage increases. Given such a massive increase in price, can you honestly believe it's because of market efficiency? Doesn't this make you ask questions about the system? Wouldn't you think that you'd get a lot more service if you were paying 80% more? But surely there must be some positive output, right? With all those profits being recorded by pharmaceutical companies, shouldn't we see big investments into R&D to develop new cures, right? Well, looking at the data: Behold the triumph of the US healthcare system: http://www.youtube.com/watch?v=rE0up432ohY The viagra commercial! But it gets worse. The number one selling drug in 2004 was Lipitor. "But Syntax Lost," I hear you cry, "What does Lipitor do?" Well, I'm glad you asked. Lipitor used for fighting high cholesterol. But hang on, high cholesterol is almost always a by-product of lifestyle. This is not curing the disease at all. You can't cure a bad lifestyle with drugs. What this does is enable people to continue a bad lifestyle. Seriously, where does the moral hazard lie if this is the inevitable result of your healthcare system? Pharmaceutical companies are going to chase wherever the profits lie, and there is little question what types of drugs they're going to aim for given the enormous success of lifestyle drugs like Lipitor. If a moral hazard does indeed lie in public healthcare, then certainly this should show up in the statistics associated with countries that operate with such a system, right? But where are the peer-reviewed studies to support such a notion. Heck, even when we look at the US and look at programmes like Medicaid and SCHIP we see that:. Seriously, how can anybody who reads this sort of study honestly be against public healthcare in the US? The data here very clearly shows that such programmes represent an overall decrease in cost in healthcare so it's not like you're going to end up paying more for it. You get fewer hospitalisation, better care at lower cost since you're able to shift the cost burden to less expensive alternatives. People that argue that they don't want to pay for others healthcare miss the picture in two big ways: 1. You're going to depend on healthcare sooner or later. You simply can't avoid it. Be it an accident, pregnancy, a sick spouse, child or relative--at some point, you or someone very close to you is going to have to depend on the healthcare infrastructure. 2. You're already paying for other's healthcare through your premiums, additional costs, interest rates. In times like this, I like to quote the immortal blue words of Wikipedia: "Citation needed." Bwahahahaha! Simple translation: "This works because I say so. I have no real evidence to support my claims. I'm just going to claim studies posted in peer-reviewed journals are all false and hope nobody notices how ridiculous this claim actually is." The reality would be that these statistics would be too difficult to find considering that statistics concerning cost smokers incur on companies does exist and it turns out they cost $2000 per employee per year. Canadians also consume similar amounts of corn syrup. But the difference in health outcomes aren't small, they're huge. You're going to need an awful lot of corn syrup to make up the difference Let's look into this more closely, shall we? According to the CDC, the occurrence of pre-term births in 2005 was 12.7%. Furthermore, they estimate that 68.6% of infant mortality is a result of pre-term births. The infant mortality itself is estimated to be 6.26 per 1000 live births in 2009. Now assuming that there is very little change in the statistics between 2005 and 2009 we can estimate that the pre-term contribution to infant mortality is 4.29 per 1000 live births. Consequently the mortality for term and post-term infants is 1.97 per 873 live births, or 2.25 per 1000. The statistics for Canada show that the pre-term birth rate is about 8.1% in 2006/2007. They also estimate that 75% of infant deaths are a consequence of pre-term. This means of 5.04 infant deaths per 1000 live births, 3.78 are from pre-term births. Consequently the infant mortality rate for term and post-term infants is approximately 1.26 per 919 live births, or 1.37 per 1000. The US has 65% greater infant mortality if you want to ignore pre-term infants! Want to continue with this line of reasoning? Furthermore, it's important to note the huge difference between pre-term births between Canada and the US. Could it be because Canadians simply have better access to healthcare, again that's helping with this issue? I remember why I hate defending the "free market" health care system of US. It's nothing like the free market. FDA, patent law, state medical boards, state insurance regulations, medicare, and medicaid means that the health care industry is the most highly regulated market in the US. As for your statistics about pre-term births, Canadian population and US population differ in racial distribution people of African origin are nearly twice as likely to have pre-term births. Theses studies also do not factor induced births after 37 weeks. But many more women in the US have induced births even if it's just one or two weeks (the difference between 37 weeks and 39 weeks). In a way, statistics just lumps everything into one big black box without describing what actually happens to make the US health care system expensive or look expensive. The money in the statistic computation of health care costs doesn't directly flow into making people healthier. A huge percent of the cost associated with the US health care system is used to decrease moral hazard and comply with government regulations. A large part of what you get for your health insurance is the masses of insurance administrators and hospital administrators. This is a characteristic of insurance systems. If you want to argue that the insurance system is broken, I'm right there with you. Beyond that money that flows into the health care system goes to accessibility like parking lots, comfortable waiting rooms, and short waiting lines or customer relations activities like marketing, having a friendly reception, and having a respectable store front. Then after money flows toward innovation, so the American population get their unfulfilled wants first. Apparently one of those wants was for elderly males to be sexually active, and the FDA wants to classify that as healthcare. Personally, I would consider that as a recreational/lifestyle enhancement service and not health care, but all that is being included in these cost of health care statistics being compiled by the government. Other drugs that fall into this category of health care are personality modifiers and other "psychological enhancement" drugs like Prozaic. This is the pharmaceutical equivalent of recreational drugs except legal in the US and much more expensive. There are plenty of reasons why US health care system sucks a lot. Not being socialist or regulated isn't one of them. As far as a "real" debate with tons of cited articles and the such, it takes too much time and I'm lazy. -- rather if I could do that I could probably get a job as an economist. This has also reminded me why I hate macroeconomics. All the statistics found on the macroeconomic level are complete BS without discreet careful examination of all factors. | ||
Mischy
United States179 Posts
On November 12 2009 02:35 lOvOlUNiMEDiA wrote: You are a pessimist. Your view is that ---volition--- & ---spirit--- count for nothing but instead are determined by the needs of some cosmic human species. Your assertions are groundless or meaningless. I'll let you pick which. Of course volition and spirit count for nothing. Why would it be any different? Your will is a product of your personality, upbringing, genetics and mood. Unless you believe in souls, where is your argument? I know it's a cliche but I'm not a pessimist (at least philosophically), I'm a realist. You still haven't responded to my comments about paragraph 2, also. Why do you consider strength to be the be all and end all of moral dynamics? Sounds like a reductionist's desperate attempt to simplify the complicated. | ||
RoyW
Ireland270 Posts
-People of African origin account for maybe 10-15% of population, and maybe 12-17% of births. Even if your figure were true it would in no way address the discrepancy that was well documented. Are you being willfully ignorant or do you honestly not realise how much cognitive dissonance you are employing in order to maintain your 'lack of socialised medicine is not the problem in us' stance? | ||
RoyW
Ireland270 Posts
On November 12 2009 03:01 Syntax Lost wrote: Once again there is a healthcare thread on TL, and once again the same stupid arguments are posted without a shred of actual evidence supporting them. Previous thread on TL regarding healthcare can be found here and here. Note that the arguments posted in the previous threads (particularly those supported by peer-reviewed study) have never been rebutted by those arguing against public healthcare. The reality is that the US spends far more on healthcare as a function of GDP compared to every other nation on the planet! And it's not a small difference either. Compared to Canada, they spend 50% more relative to their GDP. Furthermore, the US also restricts access to their health services by having people unable to afford basic coverage or by using the wonderful word "Denied!" even if you do have coverage. Now one would think that there would be a positive output on their healthcare. After all, the US isn't spending a little extra on their healthcare, they're spending a gigantic fucking huge amount more. There should be some positive output, right? Yet, for all the dollars pumped into the system, they can't cover their entire population. Checking some basic health metrics such as life expectancy and infant mortality we see that there is a vast difference between the US trails horribly the behind the rest of the developed world. 50th in life expectancy. 45th in infant mortality. Now when those that defend the US healthcare model (or some totally unregulated free-market model) are confronted with these facts will appeal to the US being special. However, there are no credible peer-reviewed studies that support this notion. None whatsoever. The US has its share of issues to contend with, but so does every other nation and there are certainly no reasons to account for the significant difference between US healthcare expenditure compared to the rest of the world. So where is all this money supposed to be going? You spend more. You cover less. You get worse outcomes. Surely the money must be going somewhere, right? Well, if we compare the overhead costs between the Canada and the US, we see that the US spends three times (!!!) more on overhead than Canada does. Why is this so? Claims that the free market is more efficient doesn't seem to be reflected in the data. But it gets more interesting. If we look at how health insurance premiums have changed over 2002-2007, we see that they've increase by 78%. That's a big fucking increase and certainly doesn't match inflation or wage increases. Given such a massive increase in price, can you honestly believe it's because of market efficiency? Doesn't this make you ask questions about the system? Wouldn't you think that you'd get a lot more service if you were paying 80% more? But surely there must be some positive output, right? With all those profits being recorded by pharmaceutical companies, shouldn't we see big investments into R&D to develop new cures, right? Well, looking at the data: Behold the triumph of the US healthcare system: http://www.youtube.com/watch?v=rE0up432ohY The viagra commercial! But it gets worse. The number one selling drug in 2004 was Lipitor. "But Syntax Lost," I hear you cry, "What does Lipitor do?" Well, I'm glad you asked. Lipitor used for fighting high cholesterol. But hang on, high cholesterol is almost always a by-product of lifestyle. This is not curing the disease at all. You can't cure a bad lifestyle with drugs. What this does is enable people to continue a bad lifestyle. Seriously, where does the moral hazard lie if this is the inevitable result of your healthcare system? Pharmaceutical companies are going to chase wherever the profits lie, and there is little question what types of drugs they're going to aim for given the enormous success of lifestyle drugs like Lipitor. If a moral hazard does indeed lie in public healthcare, then certainly this should show up in the statistics associated with countries that operate with such a system, right? But where are the peer-reviewed studies to support such a notion. Heck, even when we look at the US and look at programmes like Medicaid and SCHIP we see that:. Seriously, how can anybody who reads this sort of study honestly be against public healthcare in the US? The data here very clearly shows that such programmes represent an overall decrease in cost in healthcare so it's not like you're going to end up paying more for it. You get fewer hospitalisation, better care at lower cost since you're able to shift the cost burden to less expensive alternatives. People that argue that they don't want to pay for others healthcare miss the picture in two big ways: 1. You're going to depend on healthcare sooner or later. You simply can't avoid it. Be it an accident, pregnancy, a sick spouse, child or relative--at some point, you or someone very close to you is going to have to depend on the healthcare infrastructure. 2. You're already paying for other's healthcare through your premiums, additional costs, interest rates. In times like this, I like to quote the immortal blue words of Wikipedia: "Citation needed." Bwahahahaha! Simple translation: "This works because I say so. I have no real evidence to support my claims. I'm just going to claim studies posted in peer-reviewed journals are all false and hope nobody notices how ridiculous this claim actually is." The reality would be that these statistics would be too difficult to find considering that statistics concerning cost smokers incur on companies does exist and it turns out they cost $2000 per employee per year. Canadians also consume similar amounts of corn syrup. But the difference in health outcomes aren't small, they're huge. You're going to need an awful lot of corn syrup to make up the difference Let's look into this more closely, shall we? According to the CDC, the occurrence of pre-term births in 2005 was 12.7%. Furthermore, they estimate that 68.6% of infant mortality is a result of pre-term births. The infant mortality itself is estimated to be 6.26 per 1000 live births in 2009. Now assuming that there is very little change in the statistics between 2005 and 2009 we can estimate that the pre-term contribution to infant mortality is 4.29 per 1000 live births. Consequently the mortality for term and post-term infants is 1.97 per 873 live births, or 2.25 per 1000. The statistics for Canada show that the pre-term birth rate is about 8.1% in 2006/2007. They also estimate that 75% of infant deaths are a consequence of pre-term. This means of 5.04 infant deaths per 1000 live births, 3.78 are from pre-term births. Consequently the infant mortality rate for term and post-term infants is approximately 1.26 per 919 live births, or 1.37 per 1000. The US has 65% greater infant mortality if you want to ignore pre-term infants! Want to continue with this line of reasoning? Furthermore, it's important to note the huge difference between pre-term births between Canada and the US. Could it be because Canadians simply have better access to healthcare, again that's helping with this issue? Thank you for your fantastic post. | ||
jalstar
United States8198 Posts
meh, in california democrats are the ultra-wingnut over-politically correct socialize everything party and republicans are a moderate voice of reason. but republicans elsewhere can be pretty crazy, look at beck or sarah palin for example. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 07:57 RoyW wrote: "As for your statistics about pre-term births, Canadian population and US population differ in racial distribution people of African origin are nearly twice as likely to have pre-term births." -People of African origin account for maybe 10-15% of population, and maybe 12-17% of births. Even if your figure were true it would in no way address the discrepancy that was well documented. Are you being willfully ignorant or do you honestly not realise how much cognitive dissonance you are employing in order to maintain your 'lack of socialised medicine is not the problem in us' stance? What cognitive dissonance? I'm explaining my position. The racial factor alone won't be sufficient to account for natal deaths. There are hundreds of factors, and unlike NHS, the people of US live under non-uniform laws, with "unequal" market distribution of resources. The health care system in US is not monolithic. What I am decribing is only one of hundreds ways to segment the market and provide a deep analysis. Here's some data from US Health Department about some aggregate statistics: http://minorityhealth.hhs.gov/templates/content.aspx?ID=3723. I wouldn't use its statistic to create a nationwide plan though. All I have done is provide factors that hint that the large discrepancies in infant mortality is external to the health care system. Does it explain the entire discrepancy? I don't know. I've heard arguments to both conclusions, and I've been able to poke holes in both. All of the studies that I've seen are fundamentally flawed. If I could explain all the factors involve, I could write a doctorate dissertation on it. But based on my study of the health care industry, I'm fairly confident that the answers won't be found on a national level. | ||
L
Canada4732 Posts
There are hundreds of factors The biggest one might be your health care system. Think about it. | ||
Undisputed-
United States379 Posts
On November 12 2009 09:02 jalstar wrote: meh, in california democrats are the ultra-wingnut over-politically correct socialize everything party and republicans are a moderate voice of reason. but republicans elsewhere can be pretty crazy, look at beck or sarah palin for example. Glenn Beck is a libertarian and conservative | ||
Undisputed-
United States379 Posts
On November 12 2009 09:33 L wrote: The biggest one might be your health care system. Think about it. Health care is the least of our worries. Our president destroyed the dollar and hasn't stopped campaigning for himself or other democrats since he has taken office. | ||
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motbob
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United States12546 Posts
On November 12 2009 10:05 Undisputed- wrote: Health care is the least of our worries. Our president destroyed the dollar and hasn't stopped campaigning for himself or other democrats since he has taken office. LOL you think Obama's the one to blame for the current weak money supply? First of all, he doesn't have any control over monetary policy. Second of all, if you think it's his fault the deficit is so high, let me educate you: ![]() | ||
gchan
United States654 Posts
On November 12 2009 09:02 jalstar wrote: meh, in california democrats are the ultra-wingnut over-politically correct socialize everything party and republicans are a moderate voice of reason. but republicans elsewhere can be pretty crazy, look at beck or sarah palin for example. There are pretty much nutjobs in both parties. I'm a registered Republican, but I don't agree with a lot of the social Republican agenda (read: the religious conservatives). The reason why is so I can vote in the primaries; that and the fact that the economy is more important to me than anything else. | ||
Undisputed-
United States379 Posts
On November 12 2009 10:11 motbob wrote: LOL you think Obama's the one to blame for the current weak money supply? First of all, he doesn't have any control over monetary policy. Second of all, if you think it's his fault the deficit is so high, let me educate you: + Show Spoiler + ![]() Bush was terrible, Obama is terrible. Bush went on a spending spree and Obama is continuing it. I think its funny when people hate bush and love obama when obama = bush for all intensive purposes. So much for that change. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 09:33 L wrote: The biggest one might be your health care system. Think about it. ... I was talking about diagnosing the roots of problem. By that I mean segmenting the marketplace so we can see what exactly is causing costs to be really high and health care results to be comparatively poor. But yes. The biggest one is the health care system. Insurance is an extremely bad model for health care delivery. I think one of the Senators recently said that the insurance industry isn't the problem and that not enough insured people was the problem. I can only shake my head in disbelief. ----- ok enough of this... first of all... people seem to think that I am defending the American system. I am not, but I am deeply against this bill. The worst part of the bill is the individual mandate and go to jail if you don't buy a conforming health insurance plan. I'd take the public option over the individual mandate. The individual mandate is sort of like "privatization" of the neo-liberalism political persuasion (term thanks to some guy name koreansilver - fascism in my own words) in that it's setting up a monopoly of sorts in forcing individuals to buy the goods of a private company or face penalties or jail time. ----- second of all.... if I only had a choice between a pure socialistic health care system and the health care system of the US as it is going right now, I would choose a socialist one. It would be a tough decision, but the future of the US health care system looks really really bleak. ----- third of all.... I will only argue to specific data points on microeconomic scale - decisions by individuals, individual firms, or a group of individuals. I will not argue about nationwide statistics except in generalities. There is too much variation in the variety of people, the geography of land, and nuances in legal system in a country of 300 million and 50 states. I may consider statistics for individual states, but even that is too large of politic to determine what is the best policy on a public basis. ---- that is all | ||
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Mystlord
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United States10264 Posts
On November 12 2009 11:28 Undisputed- wrote: Bush was terrible, Obama is terrible. Bush went on a spending spree and Obama is continuing it. I think its funny when people hate bush and love obama when obama = bush for all intensive purposes. So much for that change. ??? Don't equate TARP and the American Recovery and Reinvestment Act. They're two completely different bills that had two completely separate goals. Obama hasn't done any other big "spending sprees", so please elaborate on why you think that TARP and the stimulus is the same. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 12:44 Mystlord wrote: ??? Don't equate TARP and the American Recovery and Reinvestment Act. They're two completely different bills that had two completely separate goals. Obama hasn't done any other big "spending sprees", so please elaborate on why you think that TARP and the stimulus is the same. Remember Bush's first stimulus of 150 billion dollars that didn't do anything!? Yeah me neither. That was so long ago. | ||
Undisputed-
United States379 Posts
On November 12 2009 12:44 Mystlord wrote: ??? Don't equate TARP and the American Recovery and Reinvestment Act. They're two completely different bills that had two completely separate goals. Obama hasn't done any other big "spending sprees", so please elaborate on why you think that TARP and the stimulus is the same. They both spent a lot of money and both support big government. That is how they are the same. Republicans nowadays are a shadow of what the party used to be. The presidential election was pretty terrible for conservatives if McCain is the best they can come up with. 2012 can't come soon enough. | ||
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motbob
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United States12546 Posts
On November 12 2009 14:10 Undisputed- wrote: They both spent a lot of money and both support big government. That is how they are the same. Republicans nowadays are a shadow of what the party used to be. The presidential election was pretty terrible for conservatives if McCain is the best they can come up with. 2012 can't come soon enough. If the recent NY election is an indicator of the direction the Republican party is trying to go, it's going to be tough for you guys in '12. | ||
jalstar
United States8198 Posts
On November 12 2009 11:39 TanGeng wrote: ----- second of all.... if I only had a choice between a pure socialistic health care system and the health care system of the US as it is going right now, I would choose a socialist one. It would be a tough decision, but the future of the US health care system looks really really bleak. I think this is a good idea, scrap the system for a government one and then slowly re-introduce free-market incentives, sort of like the voucher idea for education that never got off the ground. A few pages back you said that government shouldn't handle health care or education. I disagree, because poor health care and poor education is better than none at all. The difference between liberals and the rest of us is that liberals seek to drive the free market out of health care and education, while everyone else realizes that no government program will reach market levels of effectiveness. | ||
Sadist
United States7228 Posts
On November 12 2009 11:28 Undisputed- wrote: Bush was terrible, Obama is terrible. Bush went on a spending spree and Obama is continuing it. I think its funny when people hate bush and love obama when obama = bush for all intensive purposes. So much for that change. at least obama isnt a social conservative religious nutbag. The republican party is a joke and will forever be a joke as long as they side with social conservatism and religion. | ||
Undisputed-
United States379 Posts
On November 12 2009 14:15 motbob wrote: If the recent NY election is an indicator of the direction the Republican party is trying to go, it's going to be tough for you guys in '12. New York is and always will be blue, it's sad because I live there. Virginia my friend is a better indicator. edit: Don't forget New Jersey either ![]() | ||
Undisputed-
United States379 Posts
On November 12 2009 14:19 Sadist wrote: at least obama isnt a social conservative religious nutbag. The republican party is a joke and will forever be a joke as long as they side with social conservatism and religion. I'm Independant but would classify myself as a libertarian. I don't believe in religion, am pro choice and am pro gay marriage. The only one I was really pulling for was Ron Paul lol. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 14:16 jalstar wrote: I think this is a good idea, scrap the system for a government one and then slowly re-introduce free-market incentives, sort of like the voucher idea for education that never got off the ground. A few pages back you said that government shouldn't handle health care or education. I disagree, because poor health care and poor education is better than none at all. The difference between liberals and the rest of us is that liberals seek to drive the free market out of health care and education, while everyone else realizes that no government program will reach market levels of effectiveness. Sounds civil enough. I'll take the bait. 1 - I would argue that once government has total control of a market place, there is no repeatable mechanism in our current political system to get them out - not that the US health care industry currently bears any resemblance to a free market. The US government is only digging its claws in further. 2 - Unfortunately, compared to an individual mandate, socialism is the lesser of two evils. Individual mandates!! Seriously, if US went from total socialism to individual mandates, that would be the definition of neoliberalism privatization that koreasilver was railing on and on about. We're ending up in the same hellish place - yet this is something to cheer about? 3 - Voucher system is what Europe has for its school systems at the primary and secondary level. Their primary and secondary public systems are on average far better than in the US. Schools systems are generally least effective where the teacher's union is strongest and most effective where the parents are most influential. Competition is my highest priority in elementary and secondary schools. I would compromise just for this much because good elementary and secondary schools are about 10x more important than universities. 4 - I am against public funding for college and universities. If you walk around many campuses in the US today, most of those students shouldn't be there. They would be better served honing their work ethic, testing out their entrepreneurial talent, or developing some trade skill. There is also a glut of well educated individuals majoring in studies that have no applications. Talking to my contacts in Europe, they have that problem except people are much much more highly educated. | ||
jalstar
United States8198 Posts
2. Agreed. 3. Agreed 4. I think the undergrad system should be closer to the medical school system. The amount of accredited institutions should be limited to a number of about 500, with only the best and brightest getting a bachelor's degree. Public universities in California and the Midwest are pretty damn good, but elsewhere you have a point. | ||
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TanGeng
Sanya12364 Posts
On November 12 2009 14:53 jalstar wrote: 1. Disagreed, pretty much everything was under government control during World War II and we got out fine. 2. Agreed. 3. Agreed 4. I think the undergrad system should be closer to the medical school system. The amount of accredited institutions should be limited to a number of about 500, with only the best and brightest getting a bachelor's degree. Public universities in California and the Midwest are pretty damn good, but elsewhere you have a point. 1. World War II is an interesting case. The regulatory precedents and infrastructure were retained but the people in charge were entrepreneur-friendly. The country was fighting a grueling war and needed to be efficient. But US carried quite a bit of baggage out of that. Maintaining war effort size would have been industrially impossible so instead US got Personal Tax Withholding and the Marshall Plan and eventually NATO, 60+ years in Germany and Japan, and the Military Industrial Complex. There was barely any retreat of the provisions of the New Deal. 4. That's not what I'm arguing at all. The artificial limit on doctors part of the problem with US health care system. The better solution is to let as many students try to become doctors as possible but not subsidize them in anyway. It more important to have on going evaluations of their competence throughout their career. Some students look great before getting into medical school but are busts coming out. Under the current system, when that happens society, will have permanently wasted one of its slots trying to capitalize a failure. Agreed on universities in California and the Midwest being good. But I would have to argue that the top students in virtually every single school are good. I knew the best student that went to a community college, and he was damn bright - brighter than the average Ivy League student. Artificially limiting the exclusive accredited universities to 500 would preclude some of these outlying stars. | ||
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Mystlord
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United States10264 Posts
On November 12 2009 14:23 Undisputed- wrote: New York is and always will be blue, it's sad because I live there. Virginia my friend is a better indicator. edit: Don't forget New Jersey either ![]() New Jersey? If Corzine won I would have murdered everyone in New Jersey. Like seriously =_=. On November 12 2009 14:50 TanGeng wrote: Sounds civil enough. I'll take the bait. 1 - I would argue that once government has total control of a market place, there is no repeatable mechanism in our current political system to get them out - not that the US health care industry currently bears any resemblance to a free market. The US government is only digging its claws in further. 2 - Unfortunately, compared to an individual mandate, socialism is the lesser of two evils. Individual mandates!! Seriously, if US went from total socialism to individual mandates, that would be the definition of neoliberalism privatization that koreasilver was railing on and on about. We're ending up in the same hellish place - yet this is something to cheer about? 3 - Voucher system is what Europe has for its school systems at the primary and secondary level. Their primary and secondary public systems are on average far better than in the US. Schools systems are generally least effective where the teacher's union is strongest and most effective where the parents are most influential. Competition is my highest priority in elementary and secondary schools. I would compromise just for this much because good elementary and secondary schools are about 10x more important than universities. 4 - I am against public funding for college and universities. If you walk around many campuses in the US today, most of those students shouldn't be there. They would be better served honing their work ethic, testing out their entrepreneurial talent, or developing some trade skill. There is also a glut of well educated individuals majoring in studies that have no applications. Talking to my contacts in Europe, they have that problem except people are much much more highly educated. 1 - Since when? Post WWI and WWII eras were great examples of how we pulled out. And I would caution you to doubt the power of lobbyists. 2 - Well I'd say socialism is the way to go in terms of health care because health care doesn't conform to the normal standards of free market capitalism at all, but that's another debate. 3 - I wouldn't say that. Take a look at Japan, which has a relatively strong teachers union, but they're pretty much at the top of the world in terms of education. However, I would note some key differences such as the ratio of public to private schools as well as government funding and focus on education. It's just been a lack of focus on the curriculum and regulation that has caused our education system to be so messed up. 4 - I am definitely not against public funding for universities. Yes, I recognize the need for private universities, and they are essential, but the problems that you state in our public universities stem from a poor primary and secondary education. | ||
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TanGeng
Sanya12364 Posts
2. ... ok... I agree it's another debate. 3. In Japan, middle schools operate on a magnet school system style. Then after that, all Japanese high schools cost money to attend. In both those stages there's far more competition over public and private funds than in the US. Beyond that there is cultural difference in work ethic. 4. Europe doesn't have the secondary school problems of US, but they have an extreme glut of college educated individuals and most of them are woefully underemployed. I don't see the benefit of this excess education. It's not like the universities are teaching these students civics. Their educations isn't all that applicable in wider society. | ||
RoyW
Ireland270 Posts
Aside from idealistic theory, can you produce some empirical evidence that shows that free-market for profit healthcare provides cheaper service while keeping the opportunity for all the populice to have obtainable access to health services. Also, it has been shown that free-market healthcare lowers the rates at which people will attempt early diagnoses. Generally speaking, the later the diagnosis, the more expensive it is to treat a health problem. Whether this cost is handled by the government or insurance companies(which will be passed onto customers - see massive premium rise over past decade), is there any demonstration of how the free market would tackle this problem? | ||
ShroomyD
Australia245 Posts
On November 12 2009 20:54 RoyW wrote: It's almost as if the extensive post demonstrating that socialised healthcare, as it exists in other western nations, is not only vastly more economically sound that the free market implementation that exists in the US but produces better results and service on average than thge US, was completely ignored. Aside from idealistic theory, can you produce some empirical evidence that shows that free-market for profit healthcare provides cheaper service while keeping the opportunity for all the populice to have obtainable access to health services. Also, it has been shown that free-market healthcare lowers the rates at which people will attempt early diagnoses. Generally speaking, the later the diagnosis, the more expensive it is to treat a health problem. Whether this cost is handled by the government or insurance companies(which will be passed onto customers - see massive premium rise over past decade), is there any demonstration of how the free market would tackle this problem? show us empirical evidence that the current system in the US is free market based~~!!!! | ||
Not_A_Notion
Ireland441 Posts
On November 12 2009 02:56 Arbiter[frolix] wrote: Oh, I am quite familiar with Neitzschean philosophy, I just think it has very little weight. Raimond Gaita once told me that he thought the most appropriate response to a true utilitarian was "a kind of urbane condescension". I think a similar response is appropriate for anyone who endorses the kind of "ethic" under discussion here, to be honest. That is indeed your prerogative, and it wasn't until a later edit that he mentions Nietzsche specifically. Though can't that approach be applied to pretty much everyone that disagrees with you? Just to clarify what I was trying to say was that such strength motivated arguments aren't necessarily as unpleasant as they appear, I am sure you have seen lOvOlUNiMEDiA's post that suggests that Social democracy may well be the strongest and therefore best, of course its a suggestion not an outright declaration, I don't want to put words in his mouth. I am keeping my own personal views on healthcare and indeed all politics to myself. + Show Spoiler + Indeed Nietzsche himself often condones a rejection of politics, a point of view well argued here | ||
Tal
United Kingdom1015 Posts
A lot of people read Beyond Good and Evil, and think they have understood Nietzche, and that he says there is no right and wrong, and socialist ideas have been utterly bankrupted. This really fails to pick up on his subtlety. Fortunately, in Daybreak he states things a bit more clearly "It goes without saying that I do not deny - unless I am a fool - that many actions called immoral ought to be avoided and resisted, or that many called moral ought to be done and encouraged - but I think that the one should be encouraged and the other avoided for other reasons than hitherto. We have to learn to think differently - in order at last, perhaps very late on, to attain even more: to feel differently." Nietzsche, Daybreak, p. 103. As someone said earlier, Nietzsche was reacting to his time. He was searching for a new morality. He was not justifying absolute selfishness. Sort it out guys ![]() | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 12 2009 21:12 Not_A_Notion wrote: That is indeed your prerogative, and it wasn't until a later edit that he mentions Nietzsche specifically. Though can't that approach be applied to pretty much everyone that disagrees with you? It could but only in relatively few cases would it be remotely justified. Just to clarify what I was trying to say was that such strength motivated arguments aren't necessarily as unpleasant as they appear, I am sure you have seen lOvOlUNiMEDiA's post that suggests that Social democracy may well be the strongest and therefore best, of course its a suggestion not an outright declaration, I don't want to put words in his mouth. Whatever the merits of your claim generally it certainly does not hold in this case. I think lOvOlUNiMEDiA's post which sparked this pseudo-philosophical discussion makes that fairly clear. One is going to struggle to argue that an ethic which endorses "So what? What do I care for their life? The only reason to save their life is if it increases my power!" is "not as unpleasant as it appears". My original response to him was addressed in the straightforward language of everyday moral discourse for a reason, to stress that his views (assuming they are honestly held, which is an interesting question in itself) put him radically outside the boundaries of anything which resembles moral understanding. The point I had in mind was originally made by Bernard Williams when he said (I think in his paper on ethical consistency) that our concept of an admirable moral agent could not be very far from that of a decent human being. I hope you now see why I responded in the way I did and the relevance of that point to lOvOlUNiMEDiA. | ||
Not_A_Notion
Ireland441 Posts
On November 12 2009 22:29 Arbiter[frolix] wrote: It could but only in relatively few cases would it be remotely justified. Whatever the merits of your claim generally it certainly does not hold in this case. I think lOvOlUNiMEDiA's post which sparked this pseudo-philosophical discussion makes that fairly clear. One is going to struggle to argue that an ethic which endorses "So what? What do I care for their life? The only reason to save their life is if it increases my power!" is "not as unpleasant as it appears". My original response to him was addressed in the straightforward language of everyday moral discourse for a reason, to stress that his views (assuming they are honestly held, which is an interesting question in itself) put him radically outside the boundaries of anything which resembles moral understanding. The point I had in mind was originally made by Bernard Williams when he said (I think in his paper on ethical consistency) that our concept of an admirable moral agent could not be very far from that of a decent human being. I hope you now see why I responded in the way I did and the relevance of that point to lOvOlUNiMEDiA. Well sure fair enough as the man says. He doesn't need me to argue his corner, I don't know how I put myself in that role anyway,(probably why I suck at chess and um BW) think I had a knee jerk "if it's something to do with Nietzsche it can't be all bad. Though I stand by my reference to one of his posts above as evidence of the contingent possibility(Please pay attention to that very important qualification) of power-ethic prescriptions agreeing with some more traditional ethical prescriptions. EDIT 2- Emphasis added also the word "some" is added to clarify. EDIT 3- Well I've broken my word on this. | ||
MoltkeWarding
5195 Posts
Though I stand by my reference to one of his posts above as evidence of the contingent possibility of power-ethic prescriptions agreeing with more traditional ethical prescriptions. If anything, they're contradictory. You say that Nietzsche was searching for a "new morality" and then you say that he agreed with traditional ethical prescriptions. Even if we accept this as disagreement on fundamentals and agreement on particulars, all that should mean would be that Nietzsche discovered a new way of thinking about morality while leaving traditional morality itself intact. In other words, he is irrelevant to any debate outside the confines of moral philosophy. This thread at least suggests the contrary. Anyhow, wouldn't Nietzsche have held his disciples in contempt? After all, they're treating his doctrines as truth. | ||
Undisputed-
United States379 Posts
On November 12 2009 20:54 RoyW wrote: It's almost as if the extensive post demonstrating that socialised healthcare, as it exists in other western nations, is not only vastly more economically sound that the free market implementation that exists in the US but produces better results and service on average than thge US, was completely ignored. Aside from idealistic theory, can you produce some empirical evidence that shows that free-market for profit healthcare provides cheaper service while keeping the opportunity for all the populice to have obtainable access to health services. Also, it has been shown that free-market healthcare lowers the rates at which people will attempt early diagnoses. Generally speaking, the later the diagnosis, the more expensive it is to treat a health problem. Whether this cost is handled by the government or insurance companies(which will be passed onto customers - see massive premium rise over past decade), is there any demonstration of how the free market would tackle this problem? Socialized health care is bad for America for a number of reasons from lack of choices, to poor quality, to waiting lines, to increase in government control over our lives. Socialized health care is un-American and unconstitutional. If you don't have insurance it is nobody's fault but your own, get your priorities straight. I believe Americans aren't so weak that they need the government to cling to. Why should the American taxpayer or anyone for that matter pay for you involuntarily? Socialized medicine might be ok for Euros and the Canadians. Their Constitutions don't guarantee freedom "under God". They have spent most of the last century preparing themselves for a master, and they are well suited for one. | ||
MoltkeWarding
5195 Posts
Socialized medicine might be ok for Euros and the Canadians. Their Constitutions don't guarantee freedom "under God". They have spent most of the last century preparing themselves for a master, and they are well suited for one. I must correct you there. In the Canadian Charter of Rights and Freedoms (our version of the Bill of Rights): "Whereas Canada is founded upon principles that recognize the supremacy of God and the rule of law...The Canadian Charter of Rights and Freedoms guarantees the rights and freedoms set out in it subject only to such reasonable limits prescribed by law as can be demonstrably justified in a free and democratic society." | ||
Sadist
United States7228 Posts
On November 12 2009 23:55 Undisputed- wrote: Socialized health care is bad for America for a number of reasons from lack of choices, to poor quality, to waiting lines, to increase in government control over our lives. Socialized health care is un-American and unconstitutional. If you don't have insurance it is nobody's fault but your own, get your priorities straight. I believe Americans aren't so weak that they need the government to cling to. Why should the American taxpayer or anyone for that matter pay for you involuntarily? Socialized medicine might be ok for Euros and the Canadians. Their Constitutions don't guarantee freedom "under God". They have spent most of the last century preparing themselves for a master, and they are well suited for one. while I feel people need to take more responsibility these days you have obviously never experienced or even been around hard times at all in your life. In Michigan you cant get a job with health insurance atm because no one will hire you full time especially if you are older. My father is 62 and his company he worked for for 27 years went bankrupt about 6 years ago. He found a new job worked there for 5 years and then was laid off about a year ago. Hes 62. Hell be working forever. Someone his age isnt going to get hired very easily so what is he supposed to do? We have insurance from unemployment for the time being thankfully, if not wed be in debt and fucked. Luckily my parents own our house so we dont have to worry about mortgage payments or anything. My neighbor is an amazing guy who sold pot and got caught and went to prison for 2.5 years (I think he had some priors when he was in his early 20's) he cant get a job anywhere. His wife had a child at 16 and consequently has no education. She cant get a good paying job anywhere either. What the fuck do you expect these people to do? You think McDonalds is goign to give them health insurance let alone enough hours to pay for their mortgage? They probably cant even afford an apartment. You honestly have no idea what its like to live in Michigan especially if you worked in Manufacturing or the Auto industry here. | ||
Not_A_Notion
Ireland441 Posts
If anything, they're contradictory. You say that Nietzsche was searching for a "new morality" and then you say that he agreed with traditional ethical prescriptions. Even if we accept this as disagreement on fundamentals and agreement on particulars, all that should mean would be that Nietzsche discovered a new way of thinking about morality while leaving traditional morality itself intact. If I may put my point into a more structured form. Proposition: Strength based ethical systems are not necessarily unpleasant ( I was referring to necessity in the strongest possible way) 1. It is possible (though not necessary)(Hence the use of contingently) for strength based ethical systems to suggest some courses of action that are consistent with more traditional ethics IN SOME CASES. (This is due to the ambiguity of the concept of Strength as a holistic scientific concept, until it is understood fully the possible predictions of such systems are ambiguous) 2. Prescriptions from traditional ethical models are, for the most part, pleasant. Hence it is possible (though only contingently) for strength based ethical models to give prescriptions that are agreeable to us. Analogously it is possible for such models to make ABSOLUTELY horrific prescriptions. In other words, he is irrelevant to any debate outside the confines of moral philosophy. Yes, imho, other people here who disagree are of course free to do so. Note I refer to "strength based ethical systems" not "Nietzschean ethics" to reflect that these models are based on interpretations of his work, apologies for the ambiguity. You will see in my posts that I don't use Nietzschean philosophy to argue for/against particular health care systems. This thread at least suggests the contrary. Well others are entitled to their opinions. Anyhow, wouldn't Nietzsche have held his disciples in contempt? After all, they're treating his doctrines as truth. Yes, well that is my reading, hence my previous post explicitly saying I don't consider myself a "Nietzschean". lOvOlUNiMEDiA's interpretation is different to mine. I hope this clarifies where I am coming from. To be honest I regret saying anything now, I have muddied the water substantially. | ||
Undisputed-
United States379 Posts
On November 13 2009 00:08 Sadist wrote: while I feel people need to take more responsibility these days you have obviously never experienced or even been around hard times at all in your life. In Michigan you cant get a job with health insurance atm because no one will hire you full time especially if you are older. My father is 62 and his company he worked for for 27 years went bankrupt about 6 years ago. He found a new job worked there for 5 years and then was laid off about a year ago. Hes 62. Hell be working forever. Someone his age isnt going to get hired very easily so what is he supposed to do? We have insurance from unemployment for the time being thankfully, if not wed be in debt and fucked. Luckily my parents own our house so we dont have to worry about mortgage payments or anything. My neighbor is an amazing guy who sold pot and got caught and went to prison for 2.5 years (I think he had some priors when he was in his early 20's) he cant get a job anywhere. His wife had a child at 16 and consequently has no education. She cant get a good paying job anywhere either. What the fuck do you expect these people to do? You think McDonalds is goign to give them health insurance let alone enough hours to pay for their mortgage? They probably cant even afford an apartment. You honestly have no idea what its like to live in Michigan especially if you worked in Manufacturing or the Auto industry here. There are a lot of people who can afford health insurance but would rather spend their money on something else. Under the current system they could qualify for medicaid. | ||
lOvOlUNiMEDiA
United States643 Posts
What reason could we have to, together, discuss the "right" or "true" morality? And yet, while the impetus for coming together in communication is present in my opponents --- otherwise they would have said nothing -- the great inertia behind their spirit forces them to push me away with the forked tongued remark that I am indecent. But my position is that somewhere amongst their disdain for my posts they see themselves -- they see their own desire to be strong -- even if presently they cannot divorce that notion from the intoxicating pull of pity. And so I pity the pitiers because "they know not what they do." And I feel the temptation to berate myself for not "saving" them with my abundance of force. But my projects have my loyalty. And I will not bend before their boots -- before their fundamental instinct: revenge. | ||
Piretes
Netherlands218 Posts
Your own self-pity for your social isolation leads to your heartless, hatefull ideas about ´weak´ people. You want to justify your antisocial lack of compassion. It´s not going to work. A society of solely soulless, chillingly rational people like yourself will not work. It will consume itself and leave behind a trail of destruction and pain. Go ahead and live your self-justified life, but don´t try to tell us we are blind for not following you. | ||
Undisputed-
United States379 Posts
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L
Canada4732 Posts
Let me put my point in a different way, friends: Why? Because your premises were shown to be unsatisfactory? What reason could we have to, together, discuss the "right" or "true" morality? I bolded the answer to your question. | ||
Stratos_speAr
United States6959 Posts
On November 12 2009 23:55 Undisputed- wrote: Socialized health care is bad for America for a number of reasons from lack of choices, to poor quality, to waiting lines, to increase in government control over our lives. Socialized health care is un-American and unconstitutional. If you don't have insurance it is nobody's fault but your own, get your priorities straight. I believe Americans aren't so weak that they need the government to cling to. Why should the American taxpayer or anyone for that matter pay for you involuntarily? Socialized medicine might be ok for Euros and the Canadians. Their Constitutions don't guarantee freedom "under God". They have spent most of the last century preparing themselves for a master, and they are well suited for one. Stop throwing around bullshit phrases. Obviously "the American way" isn't working very well. Also, I can't believe you are trying to use religion in your argument at all. Religion is one of the leading promoters of ignorance and intolerance throughout history, and has absolutely no place in governing society. Oh, and if you think it's always the person's fault for not having something, then you are a spoiled, rich asshole that is completely clueless about actually having difficulties throughout life and you shouldn't have a place discussing how our government should be run either. | ||
Undisputed-
United States379 Posts
On November 13 2009 01:46 Stratos_speAr wrote: Stop throwing around bullshit phrases. Obviously "the American way" isn't working very well. Also, I can't believe you are trying to use religion in your argument at all. Religion is one of the leading promoters of ignorance and intolerance throughout history, and has absolutely no place in governing society. Oh, and if you think it's always the person's fault for not having something, then you are a spoiled, rich asshole that is completely clueless about actually having difficulties throughout life and you shouldn't have a place discussing how our government should be run either. I don't believe in religion, I put under god in quotes because for me I'll take that as humans have rights and freedoms they are inherently born with. Explain how the American way "isn't working well" and how an alternative would work better. I'm a spoiled, rich asshole because I have a job and pay for my own healthcare. K w/e. | ||
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TanGeng
Sanya12364 Posts
On November 13 2009 01:46 Stratos_speAr wrote: Stop throwing around bullshit phrases. Obviously "the American way" isn't working very well. Also, I can't believe you are trying to use religion in your argument at all. Religion is one of the leading promoters of ignorance and intolerance throughout history, and has absolutely no place in governing society. Oh, and if you think it's always the person's fault for not having something, then you are a spoiled, rich asshole that is completely clueless about actually having difficulties throughout life and you shouldn't have a place discussing how our government should be run either. This is no way to speak to someone that you from whom you suggest we take from in order to pay for these social program that you so apparently support. Such pretensions of entitlement to other's fruits of labour is even more unbecoming than a spoiled brat that consumes his own wealth. It is the attitude of spoiled brats that consumes other people's wealth. | ||
Sadist
United States7228 Posts
On November 13 2009 00:18 Undisputed- wrote: There are a lot of people who can afford health insurance but would rather spend their money on something else. Under the current system they could qualify for medicaid. what about for those who its either housepayment/utilities/food or health insurance? Not everyone can afford $800 a month for health insurance. While we are on the topic of health insurance....what about the many people who have to choose between their eyes or their teeth? Seriously. Some people I swear have never been in the real world in their lives. | ||
Undisputed-
United States379 Posts
On November 13 2009 02:22 Sadist wrote: what about for those who its either housepayment/utilities/food or health insurance? Not everyone can afford $800 a month for health insurance. While we are on the topic of health insurance....what about the many people who have to choose between their eyes or their teeth? Seriously. Some people I swear have never been in the real world in their lives. Don't live above your means (another problem in the US). Not sure what you are getting at about eyes and teeth do you mean dental insurance? | ||
Sadist
United States7228 Posts
On November 13 2009 02:34 Undisputed- wrote: Don't live above your means (another problem in the US). Not sure what you are getting at about eyes and teeth do you mean dental insurance? dental and optical. People can have a change in income. What do you mean dont live above your means. You are talking about people who spend foolishly. Im trying to get the point across that that doesnt encompass everyone. There are plenty of people who have done everything correctly but by simple circumstance they have to choose between their health and their home. That is crime. | ||
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TanGeng
Sanya12364 Posts
The number of people that opt out by choosing not to pay for a health plan and the number of people than can't afford the average full featured health plan is testimony to how awful of a model it is. All these "fixes" are like tiny bandages over a gaping flesh wound. | ||
Sadist
United States7228 Posts
On November 13 2009 02:47 TanGeng wrote: The question to ask is "WHY BUY INSURANCE!?" Why is insurance even a model for delivering day-to-day health care services? Catastrophic health insurance, sure. Emergency service plans, sure. But day-to-day health care services!? Precautionary health services? Elective drugs?? Why? The number of people that opt out by choosing not to pay for a health plan and the number of people than can't afford the average full featured health plan is testimony to how awful of a model it is. All these "fixes" are like tiny bandages over a gaping flesh wound. fair enough but when you have to take medication that costs several hundred dollars a month and you have regular doctors visits shit adds up. Anyone who has some type of chronic condition would be destroyed with the current system without health insurance. | ||
Stratos_speAr
United States6959 Posts
On November 13 2009 01:56 Undisputed- wrote: I don't believe in religion, I put under god in quotes because for me I'll take that as humans have rights and freedoms they are inherently born with. Explain how the American way "isn't working well" and how an alternative would work better. I'm a spoiled, rich asshole because I have a job and pay for my own healthcare. K w/e. Then don't bring "Under God" into it at all. It doesn't imply anything special. Something that isn't completely free market doesn't automatically mean that it's going to take away all kinds of freedoms. A balance between individual freedoms and government control is needed. I consider myself very libertarian and even I believe this. Are you kidding? Obviously things aren't working well if the economy is in its current state and Congress considering this kind of overhaul of the healthcare system. You're a spoiled, rich, ignorant asshole because you believe that its always a person's fault if they are in economic troubles. Well, guess what, you are straight up WRONG, and the fact that you believe this shows just how ignorant you are. This is no way to speak to someone that you from whom you suggest we take from in order to pay for these social program that you so apparently support. Such pretensions of entitlement to other's fruits of labour is even more unbecoming than a spoiled brat that consumes his own wealth. It is the attitude of spoiled brats that consumes other people's wealth. I never mentioned that I support all those ideas. Do you know what assuming does? It makes you look like an ass, so stop doing it. I was merely criticizing Undisputed because his kind of thinking is just so wrong that its painful. And yes, in this case, his opinion is WRONG. | ||
Piretes
Netherlands218 Posts
On November 13 2009 02:02 TanGeng wrote: Such pretensions of entitlement to other's fruits of labour is even more unbecoming than a spoiled brat that consumes his own wealth. It is the attitude of spoiled brats that consumes other people's wealth. Yep, so the buisness elite with their so-called 'jobs' keeps earning exorbiant amounts, while the average working-class wage stagnates. Average blue-collar income has fallen far behind white-collar earnings, CEOs makes thousands of times more money than hard-working employees. Income balance is totally skewered in the U.S. People with normal jobs, working their asses of every day, can only just get by. But should one accident happen, they are fucked. Losing your job + some illness that requires drugs (fucking jacked up prices to pay executives) can bankrupt a family. Don't tell me the working class is going to suffer from a better, fairer health-care system. The rich and ultra-rich will. Spoiled brats as they are, thinking they are better because they earn more. Consuming the wealth created by the common worker, loading the consumer with debt, and ruining the american economy in the process. Scum of the earth. | ||
Undisputed-
United States379 Posts
On November 13 2009 06:16 Stratos_speAr wrote: Then don't bring "Under God" into it at all. It doesn't imply anything special. Something that isn't completely free market doesn't automatically mean that it's going to take away all kinds of freedoms. A balance between individual freedoms and government control is needed. I consider myself very libertarian and even I believe this. Are you kidding? Obviously things aren't working well if the economy is in its current state and Congress considering this kind of overhaul of the healthcare system. You're a spoiled, rich, ignorant asshole because you believe that its always a person's fault if they are in economic troubles. Well, guess what, you are straight up WRONG, and the fact that you believe this shows just how ignorant you are. Ok so "things" aren't working well. Great. Taking the moral high ground is a cop out, try again. What is wrong, are people like you who demonize success almost as if it's a crime. I don't have a problem with people using welfare/medicaid type programs when times are rough. But there is a lot of dead weight in this country leeching and abusing public assistance programs beyond what they were meant for. Not to mention how the government can't even run the medicare/medicaid programs properly with astronomical levels of fraud (only about 5% of claims are audited). Going to trust them to run 1/6 of the US economy? No thanks. | ||
Sadist
United States7228 Posts
On November 13 2009 06:55 Undisputed- wrote: Ok so "things" aren't working well. Great. Taking the moral high ground is a cop out, try again. What is wrong, are people like you who demonize success almost as if it's a crime. I don't have a problem with people using welfare/medicaid type programs when times are rough. But there is a lot of dead weight in this country leeching and abusing public assistance programs beyond what they were meant for. Not to mention how the government can't even run the medicare/medicaid programs properly with astronomical levels of fraud (only about 5% of claims are audited). Going to trust them to run 1/6 of the US economy? No thanks. so instead of always talking about the negative how about people come up with other solutions. I swear conservatives bitch and moan about government intervention but then never come up with anything. They ignore the problems. On the odd occasion they do come up with something it almost never addresses the problem at all. I dont give a fuck who comes up with the solution if it works properly and everyone can receive healthcare/dental/optical as "needed." | ||
Foucault
Sweden2826 Posts
On November 13 2009 06:39 Piretes wrote: Yep, so the buisness elite with their so-called 'jobs' keeps earning exorbiant amounts, while the average working-class wage stagnates. Average blue-collar income has fallen far behind white-collar earnings, CEOs makes thousands of times more money than hard-working employees. Income balance is totally skewered in the U.S. People with normal jobs, working their asses of every day, can only just get by. But should one accident happen, they are fucked. Losing your job + some illness that requires drugs (fucking jacked up prices to pay executives) can bankrupt a family. Don't tell me the working class is going to suffer from a better, fairer health-care system. The rich and ultra-rich will. Spoiled brats as they are, thinking they are better because they earn more. Consuming the wealth created by the common worker, loading the consumer with debt, and ruining the american economy in the process. Scum of the earth. Yeah that's fine but what about the people who actually worked hard to get their money? Sounds like you are assuming that everyone that's rich is a douchebag | ||
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TanGeng
Sanya12364 Posts
On November 13 2009 06:39 Piretes wrote: Yep, so the buisness elite with their so-called 'jobs' keeps earning exorbiant amounts, while the average working-class wage stagnates. Average blue-collar income has fallen far behind white-collar earnings, CEOs makes thousands of times more money than hard-working employees. Income balance is totally skewered in the U.S. People with normal jobs, working their asses of every day, can only just get by. But should one accident happen, they are fucked. Losing your job + some illness that requires drugs (fucking jacked up prices to pay executives) can bankrupt a family. Don't tell me the working class is going to suffer from a better, fairer health-care system. The rich and ultra-rich will. Spoiled brats as they are, thinking they are better because they earn more. Consuming the wealth created by the common worker, loading the consumer with debt, and ruining the american economy in the process. Scum of the earth. Do you know who gets hardest hit by these kind of wealth redistribution policies? The middle class, especially the upper middle class earning about twice the average income. The rich can easily vote with their feet and leave the country or hide their income if the tax rates go too high. The upper middle class is just at that threshold where they can't just up and leave but earn enough to pay significantly more. There's only so much "soak the rich" you can do. It also has a way of coming back to bite you in that capital investments tends to leave the country. This is what happened to manufacturing jobs. All that capital left the country. And what are these other things you are talking about? How does the new law streamline health insurance? It's still health insurance. In fact it's even worse because there is an individual mandate. That's exactly what the insurance agencies wanted in a health care reform bill - a bait and switch for the ages. They got it in Massachusetts and it's an overwhelming boon for those insurance companies and their executives. Who's the person helping to balloon executive pay in this instance? Blue collar work has lagged behind white collar work because there is no more capital investure in the US. When was the last time manufacturing plants were built or refitted with latest technology? White collar work is paying well because there is at least sufficient capital there. The disparity can be entirely explain by capital expenditures, but it looks like blue collar workers were too busy consuming to save or create capital. And what is this about "rich" loading the consumers with debt? Consumers in their blissful ignorance did most of that themselves, thank you very much. People who earn more usually are better human beings than those that earn less. And there are two kinds of scum in the world - those who leech off of others at the top through their political connections and those who leech off of others at the bottom and live as ungrateful beggars on the kindness of others - silently wishing a pox on the houses of their benefactors. Take your schadenfreude and shove it. | ||
Undisputed-
United States379 Posts
On November 13 2009 06:59 Sadist wrote: so instead of always talking about the negative how about people come up with other solutions. I swear conservatives bitch and moan about government intervention but then never come up with anything. They ignore the problems. On the odd occasion they do come up with something it almost never addresses the problem at all. I dont give a fuck who comes up with the solution if it works properly and everyone can receive healthcare/dental/optical as "needed." I'm open to solutions that don't involve stealing or diminishing the quality of service that I have. | ||
aRod
United States758 Posts
Biggest problems in health care in the USA = overutilization due to profit motive and defensive medicine (Docs funcitoning as co-investors for private hospitals, taking payments in return for admitting patients. Doctors are 4x more likely to order services if they offer these services in their offices (profit motive yay!)... etc). Lack of readily available primary and preventative care (An estimated 52% of hospital visits occur because individuals cannot get a timely appointment wtih a primary care doc, and our feeble 33% of primary care docs is too weak compared to the 52 percent seen in other countries). Overspecialization (Specialist cost more, and more specialist does NOT correlate with better health care outcomes. More PRIMARY CARE doctors do). The cost of drugs is greater than anywhere else (Don't give me the B.S. pharma needs the money for research. Anyone whose actually looked at how the average pharma co. manages their funds knows this is horseshit. And don't even forget the BILLIONS of annual federal investments into orphan drug programs and scientific research that pharma benefits from) Excessive spending on end of life care (Other countries are much better at utilizing hospice facilities for end of life care). Lack of responsible laws governing the sale of pharmaceuticals and medical equipment (I get free lunch from a visiting pharm rep every time I go to a preceptor. Why the fuck do these people exist but to leech of our current system?). Lack of legisilation controling health care profits (Many countries limit the profit margins of drug and private insurance companies to 0.5-1% while they remain unbounded in the USA encouraging one thing, screwing as many people over as legally viable). Also we need to remove the influence of pharma and hospitals on Washington. These groups should not be able to make politcal contributions and legislators should not be allowed to invest in these institutions. This is illegal in most European countries. Why not the US you ask? Because we are retarded here if you haven't noticed. Honestly health care is soo screwed up in the United States expanding it will only feed into a broken system that needs to be rebuilt from the bottom up. This is why I don't support the current legislation and neither does the AMA. Specifically we need completely restructured access, removal of the profit motive (like they do in the Mayo Clinic paying all docs a salary and remaining non-profit) - legally mandated creation of more primary care training programs - better utilization of end of life care - government negociated and controled drug prices and pharma/insurance profits - and death of the republican party who oppose everything related to sensible reform. | ||
Sadist
United States7228 Posts
On November 13 2009 12:33 aRod wrote: Ranting of political ideology = nothing. Biggest problems in health care in the USA = overutilization due to profit motive and defensive medicine (Docs funcitoning as co-investors for private hospitals, taking payments in return for admitting patients. Doctors are 4x more likely to order services if they offer these services in their offices (profit motive yay!)... etc). Lack of readily available primary and preventative care (An estimated 52% of hospital visits occur because individuals cannot get a timely appointment wtih a primary care doc, and our feeble 33% of primary care docs is too weak compared to the 52 percent seen in other countries). Overspecialization (Specialist cost more, and more specialist does NOT correlate with better health care outcomes. More PRIMARY CARE doctors do). The cost of drugs is greater than anywhere else (Don't give me the B.S. pharma needs the money for research. Anyone whose actually looked at how the average pharma co. manages their funds knows this is horseshit. And don't even forget the BILLIONS of annual federal investments into orphan drug programs and scientific research that pharma benefits from) Excessive spending on end of life care (Other countries are much better at utilizing hospice facilities for end of life care). Lack of responsible laws governing the sale of pharmaceuticals and medical equipment (I get free lunch from a visiting pharm rep every time I go to a preceptor. Why the fuck do these people exist but to leech of our current system?). Lack of legisilation controling health care profits (Many countries limit the profit margins of drug and private insurance companies to 0.5-1% while they remain unbounded in the USA encouraging one thing, screwing as many people over as legally viable). Also we need to remove the influence of pharma and hospitals on Washington. These groups should not be able to make politcal contributions and legislators should not be allowed to invest in these institutions. This is illegal in most European countries. Why not the US you ask? Because we are retarded here if you haven't noticed. Honestly health care is soo screwed up in the United States expanding it will only feed into a broken system that needs to be rebuilt from the bottom up. This is why I don't support the current legislation and neither does the AMA. Specifically we need completely restructured access, removal of the profit motive (like they do in the Mayo Clinic paying all docs a salary and remaining non-profit) - legally mandated creation of more primary care training programs - better utilization of end of life care - government negociated and controled drug prices and pharma/insurance profits - and death of the republican party who oppose everything related to sensible reform. Problem is this still doesnt help people getting raped by health insurance currently. Why cant we have some sort of temporary fix while gradually shit gets put together. | ||
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Mystlord
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United States10264 Posts
On November 13 2009 12:33 aRod wrote: Ranting of political ideology = nothing. Biggest problems in health care in the USA = overutilization due to profit motive and defensive medicine (Docs funcitoning as co-investors for private hospitals, taking payments in return for admitting patients. Doctors are 4x more likely to order services if they offer these services in their offices (profit motive yay!)... etc). Lack of readily available primary and preventative care (An estimated 52% of hospital visits occur because individuals cannot get a timely appointment wtih a primary care doc, and our feeble 33% of primary care docs is too weak compared to the 52 percent seen in other countries). Overspecialization (Specialist cost more, and more specialist does NOT correlate with better health care outcomes. More PRIMARY CARE doctors do). The cost of drugs is greater than anywhere else (Don't give me the B.S. pharma needs the money for research. Anyone whose actually looked at how the average pharma co. manages their funds knows this is horseshit. And don't even forget the BILLIONS of annual federal investments into orphan drug programs and scientific research that pharma benefits from) Excessive spending on end of life care (Other countries are much better at utilizing hospice facilities for end of life care). Lack of responsible laws governing the sale of pharmaceuticals and medical equipment (I get free lunch from a visiting pharm rep every time I go to a preceptor. Why the fuck do these people exist but to leech of our current system?). Lack of legisilation controling health care profits (Many countries limit the profit margins of drug and private insurance companies to 0.5-1% while they remain unbounded in the USA encouraging one thing, screwing as many people over as legally viable). Also we need to remove the influence of pharma and hospitals on Washington. These groups should not be able to make politcal contributions and legislators should not be allowed to invest in these institutions. This is illegal in most European countries. Why not the US you ask? Because we are retarded here if you haven't noticed. Honestly health care is soo screwed up in the United States expanding it will only feed into a broken system that needs to be rebuilt from the bottom up. This is why I don't support the current legislation and neither does the AMA. Specifically we need completely restructured access, removal of the profit motive (like they do in the Mayo Clinic paying all docs a salary and remaining non-profit) - legally mandated creation of more primary care training programs - better utilization of end of life care - government negociated and controled drug prices and pharma/insurance profits - and death of the republican party who oppose everything related to sensible reform. Yeah you hit most of the big ones, but I would condense your points down to five (six in my eyes) overreaching principles: 1. Incentives - Doctors are given more money for more tests or to prescribe certain drugs. This leads to unnecessary tests and examinations and doesn't lead to proper doctor-patient care as doctors now work on a test basis rather than a care basis. 2. Malpractice - They're costly, ruin reputations, aren't fair, and exact too much money for the stupidest things. 3. Drug costs - I don't think I need to explain this one. I would include drug patenting as a major cause of these high prices. Drug companies basically get a monopoly over a certain sector of drugs. 4. Specialization - Goes hand in hand with the incentives point. Primary care doctors are paid by the sheer number of patients they see. They have an upper limit to their profits depending on the (limited) number of patients they can see every day. Specialists also work off of this principle, but they also earn a higher wage because they're more valuable than primary care doctors and they aren't caught in a flood of external work like primary care doctors are (see next point). Thus people are attracted to becoming specialists rather than primary care doctors. 5. Paperwork - Too much paperwork. We don't have all patient information centralized like we should. Everytime you go to a new doctor, you have to get a new medical history, and stuff can get lost in transit. Plus, primary care doctors are inundated with paperwork as they have a ton to go through. (6. Employer based health insurance - The most contentious of these problems, and views may vary, but I would argue that this destroys whatever semblance of "free market" there is in the health insurance industry. Consumers have no choice, thus health insurance companies have to incentive to attract new costumers.) If we fix these problems, the rest would fall into place much, much more smoothly. | ||
Velr
Switzerland10704 Posts
On November 13 2009 07:10 Foucault wrote: Yeah that's fine but what about the people who actually worked hard to get their money? Sounds like you are assuming that everyone that's rich is a douchebag Just how hard exactly do you have to work to earn 10-200 times more than another hard working person? Sorry, i'm all for getting good pays for good work, but if someone is working his ass off for let's say 3000 credits and another one is working his ass off but has made some *smarter* decisions when choosing his carreer and is now earning 100'000 credits while not being better at his job as the other dude, something is wrong. I'm all for better earnings for higher qualified people, but no one can tell me that there is any sane reasoning in any job on this entire world that justifies someone earning 15-1XX times more than the average employee of the same firm. | ||
gchan
United States654 Posts
On November 13 2009 13:20 Sadist wrote: Problem is this still doesnt help people getting raped by health insurance currently. Why cant we have some sort of temporary fix while gradually shit gets put together. Because very few things the government does is temporary. Especially something as big as this overhaul. | ||
Piretes
Netherlands218 Posts
On November 13 2009 07:32 TanGeng wrote: Do you know who gets hardest hit by these kind of wealth redistribution policies? The middle class, especially the upper middle class earning about twice the average income. The rich can easily vote with their feet and leave the country or hide their income if the tax rates go too high. The upper middle class is just at that threshold where they can't just up and leave but earn enough to pay significantly more. There's only so much "soak the rich" you can do. It also has a way of coming back to bite you in that capital investments tends to leave the country. This is what happened to manufacturing jobs. All that capital left the country. I can assure you that universal health-care will not scare very many rich people out of the country. Yes, it will hit the upper-middle class relatively harder, but it's in their interest on the long run. Especially the middle class, which earns much more than the threshold for social policies (Medicare etc) but not enough to shrug medical costs off, will benefit from fairer health-care. For the middle class, financial security is detereorating, as astronomical health-care costs are always around the corner, and job-loss/bankruptcy can happen fast when one finds himself very sick. At the moment, insurance is bad and expensive, and the state-option will break open the monopoly of local insurers, which doesn't solve everything, but at least helps. On November 13 2009 07:32 TanGeng wrote: And what are these other things you are talking about? How does the new law streamline health insurance? It's still health insurance. In fact it's even worse because there is an individual mandate. That's exactly what the insurance agencies wanted in a health care reform bill - a bait and switch for the ages. They got it in Massachusetts and it's an overwhelming boon for those insurance companies and their executives. Who's the person helping to balloon executive pay in this instance? I wasn't specifically talking about the bill itself, but about your snobbish assumption that everyone who seeks help is a grabby, selfish child. I'm not a big proponent of the bill, and to be fair I don't know many of the details, but I think change is needed. On November 13 2009 07:32 TanGeng wrote: Blue collar work has lagged behind white collar work because there is no more capital investure in the US. When was the last time manufacturing plants were built or refitted with latest technology? White collar work is paying well because there is at least sufficient capital there. The disparity can be entirely explain by capital expenditures, but it looks like blue collar workers were too busy consuming to save or create capital. And what is this about "rich" loading the consumers with debt? Consumers in their blissful ignorance did most of that themselves, thank you very much. People who earn more usually are better human beings than those that earn less. And there are two kinds of scum in the world - those who leech off of others at the top through their political connections and those who leech off of others at the bottom and live as ungrateful beggars on the kindness of others - silently wishing a pox on the houses of their benefactors. Take your schadenfreude and shove it. The US is hurtling down a road to bankruptcy, partly because of the sick american consumerist ideal (always wanting more, even if it is above your means) that is prodded along by buisness elites, and because of the ever widening gap between the lower-class and the elites. What happens when the consumer is totally overloaded with debt? Everything crashes, after a while a new cycle begins (with even more debt). I know that this seems hopeless, and it actually gets close to being so, thanks to the stubbornness of people like you. The system of corporation-dominated quasi free-market capitalism is not going to last long like this, but it'll first ruin alot of American lives. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 13 2009 17:00 Velr wrote: Just how hard exactly do you have to work to earn 10-200 times more than another hard working person? Sorry, i'm all for getting good pays for good work, but if someone is working his ass off for let's say 3000 credits and another one is working his ass off but has made some *smarter* decisions when choosing his carreer and is now earning 100'000 credits while not being better at his job as the other dude, something is wrong. I'm all for better earnings for higher qualified people, but no one can tell me that there is any sane reasoning in any job on this entire world that justifies someone earning 15-1XX times more than the average employee of the same firm. I have to concur. I am often bemused by the continuing insistence by some that there is a systematic link between "hard work" and "remuneration". Even a cursory glance at societies and economies shows this to be complete nonsense. Now it is obviously the case that some people work very hard and earn a lot money yet there are innumerably more who slave their entire working life for very little, even in the wealthiest countries just as there is a significant number who do very little work and yet who receive massive monetary rewards due to simple good fortune. As far as I can see the "reward for hard work" framework is an ideological weapon, the main aim of which is to justify massive and morally dubious inequalities in wealth. Unfortunately, it has been internalised to such an extent that many people cannot really see what is in fact right in front of their eyes. To my mind, anyone who truly believes in appropriate reward for hard work and effort should despise the American (and British) economic systems. | ||
Choros
Australia530 Posts
Obama's health bill was written by the Health industry themselves. This is why Business will get fined for not purchasing over priced health care (thus making demand more price inelastic allowing insurance providers to jack up prices). This is also why Obama is taxing Business who provide coverage that is 'too good'. Sure Obama is making it illegal to refuse insurance coverage to people with preexisting conditions but all Insurance companies will do is increase prices so people cant afford it anyway thus while being 'legal' there is no effective difference as far as coverage is concerned. Obama recently accepted $80 Billion from Drug companies to use for advertising in exchange for him not doing nothing to reduce drug prices http://www.huffingtonpost.com/2009/11/11/pharma-deal-with-white-ho_n_353499.html. It would be nice if the Obama administration had the best interests of the people at heart. It is not difficult to create workable policies to solve the problems America has, the only problem is that his administration is completely corrupt and in the pocket of the corporations. The best that can be hoped for at this point is gridlock. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 13 2009 19:40 Choros wrote: That public health care (or a public insurance option which is a scaled back version) is useful and appropriate is self evident as any person from a nation with such a system will tell you. Public health care reduces the cost of private health insurance my making the market more competitive, this is not a theory but a fact. Public health care is the only solution to Americas health care woes that are bankrupting the country the only problem is that Obama's plan will make things worse. Obama's health bill was written by the Health industry themselves. This is why Business will get fined for not purchasing over priced health care (thus making demand more price inelastic allowing insurance providers to jack up prices). This is also why Obama is taxing Business who provide coverage that is 'too good'. Sure Obama is making it illegal to refuse insurance coverage to people with preexisting conditions but all Insurance companies will do is increase prices so people cant afford it anyway thus while being 'legal' there is no effective difference as far as coverage is concerned. Obama recently accepted $80 Billion from Drug companies to use for advertising in exchange for him not doing nothing to reduce drug prices http://www.huffingtonpost.com/2009/11/11/pharma-deal-with-white-ho_n_353499.html. It would be nice if the Obama administration had the best interests of the people at heart. It is not difficult to create workable policies to solve the problems America has, the only problem is that his administration is completely corrupt and in the pocket of the corporations. The best that can be hoped for at this point is gridlock. Precisely why Kucinich voted against it, as I alluded to earlier in the thread. I am afraid the private health insurance industry is going to be screwing even more money out of the American populace in the near future. | ||
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TanGeng
Sanya12364 Posts
On November 13 2009 17:00 Velr wrote: Just how hard exactly do you have to work to earn 10-200 times more than another hard working person? Sorry, i'm all for getting good pays for good work, but if someone is working his ass off for let's say 3000 credits and another one is working his ass off but has made some *smarter* decisions when choosing his carreer and is now earning 100'000 credits while not being better at his job as the other dude, something is wrong. I'm all for better earnings for higher qualified people, but no one can tell me that there is any sane reasoning in any job on this entire world that justifies someone earning 15-1XX times more than the average employee of the same firm. Let's divide the economic world into two spheres. There are tangible goods, real goods and services. There are intangible goods, sense of well-being, connections, marketing, token value, etc. In the world of producing tangible goods, it's hard for anyone to be 100 time more effective than someone else using the same tools and putting in the same hours. But in the world of intangible goods, the best can easily be millions of times more productive than than the average entry level worker. The best example for this effect is in sales and marketing where the marketeer has to get the attention of the target audience and the salesman has to get the audience sit down and take out their wallets. Someone like a Hollywood celebrity would be hundreds of millions times better than the average individuals in generating name recognition. Same goes for the top FDA liaison at a drug development company that has private connections with members of the FDA drug approval board. Same goes for lobbyists that has worked with many members of congress in the past. Fame, trust, brand-value, and connections are all forms of human capital (as opposed to technological capital). Education and training likewise are forms of human capital. Human easily explains the income disparity in all economies. | ||
XoXiDe
United States620 Posts
On November 13 2009 19:40 Choros wrote: That public health care (or a public insurance option which is a scaled back version) is useful and appropriate is self evident as any person from a nation with such a system will tell you. Public health care reduces the cost of private health insurance my making the market more competitive, this is not a theory but a fact. Public health care is the only solution to Americas health care woes that are bankrupting the country the only problem is that Obama's plan will make things worse. Obama's health bill was written by the Health industry themselves. This is why Business will get fined for not purchasing over priced health care (thus making demand more price inelastic allowing insurance providers to jack up prices). This is also why Obama is taxing Business who provide coverage that is 'too good'. Sure Obama is making it illegal to refuse insurance coverage to people with preexisting conditions but all Insurance companies will do is increase prices so people cant afford it anyway thus while being 'legal' there is no effective difference as far as coverage is concerned. Obama recently accepted $80 Billion from Drug companies to use for advertising in exchange for him not doing nothing to reduce drug prices http://www.huffingtonpost.com/2009/11/11/pharma-deal-with-white-ho_n_353499.html. It would be nice if the Obama administration had the best interests of the people at heart. It is not difficult to create workable policies to solve the problems America has, the only problem is that his administration is completely corrupt and in the pocket of the corporations. The best that can be hoped for at this point is gridlock. I agree with some of what you said, but I wouldn't go as far and say the administration is completely corrupt and that its easy to create workable policies here. The Congress is writing these bills, of course the president has influence but it has a limit, especially in the senate, governing is tedious and ideologies clash, not to mention political gain/loss by individual congressional members, it is not so simple. Incrementalism has been the rule not the exception in the U.S., big change does not come quickly. | ||
MoltkeWarding
5195 Posts
Fame, trust, brand-value, and connections are all forms of human capital (as opposed to technological capital). Education and training likewise are forms of human capital. Human easily explains the income disparity in all economies. In short, income is not a function of labour, but of productivity. I hesitate to say productivity to society, since much, if not most, of the production demanded by the free consumer is wasteful, and the consequence of mindless fads induced by advertising and social manipulation. I hasten to say that modern government suffers from the same shortcomings. | ||
Stratos_speAr
United States6959 Posts
On November 13 2009 07:32 TanGeng wrote: People who earn more usually are better human beings than those that earn less. Where the fuck do you get off with this kind of bullshit? It sickens me that there are human beings out there that are this spoiled and ignorant. | ||
Caller
Poland8075 Posts
On November 13 2009 19:17 Piretes wrote: I can assure you that universal health-care will not scare very many rich people out of the country. Yes, it will hit the upper-middle class relatively harder, but it's in their interest on the long run. Especially the middle class, which earns much more than the threshold for social policies (Medicare etc) but not enough to shrug medical costs off, will benefit from fairer health-care. For the middle class, financial security is detereorating, as astronomical health-care costs are always around the corner, and job-loss/bankruptcy can happen fast when one finds himself very sick. At the moment, insurance is bad and expensive, and the state-option will break open the monopoly of local insurers, which doesn't solve everything, but at least helps. So was the Cultural Revolution and the Great Leap Forward. I wasn't specifically talking about the bill itself, but about your snobbish assumption that everyone who seeks help is a grabby, selfish child. I'm not a big proponent of the bill, and to be fair I don't know many of the details, but I think change is needed. im not sure if its more oxymoronic that your tone is significantly more snobbish than the person that you criticize, or that you don't know many of the details but think its a good thing. The US is hurtling down a road to bankruptcy, partly because of the sick american consumerist ideal (always wanting more, even if it is above your means) that is prodded along by buisness elites, and because of the ever widening gap between the lower-class and the elites. What happens when the consumer is totally overloaded with debt? Everything crashes, after a while a new cycle begins (with even more debt). I know that this seems hopeless, and it actually gets close to being so, thanks to the stubbornness of people like you. The system of corporation-dominated quasi free-market capitalism is not going to last long like this, but it'll first ruin alot of American lives. the main flaw about your argument is that you assume that its the business elites against the poor. To be honest I would agree with you if that was truly the case. But it's not class against class, nor is it rich vs. poor. It's the middle class that will ultimately get hurt, the middle-class that produces most things and gets taxed the most. Yet you assume that they don't exist and that it's rich vs poor instead. | ||
Caller
Poland8075 Posts
I have already addressed the roots of the healthcare crisis here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=2#35 And here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=3#59 And my arguments have remained unrefuted and even unaddressed. This leads me to conclude that my above position, that you're just a bunch of trolls, is valid. It's really surprising how people tend to ignore basic principles of supply and demand and instead blame everything on abstract elements of human morality rather than what the math tells us. | ||
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Arbiter[frolix]
United Kingdom2674 Posts
On November 14 2009 01:08 Caller wrote: im not sure if its more oxymoronic that your tone is significantly more snobbish than the person that you criticize, or that you don't know many of the details but think its a good thing. Normally I wouldn't interfere in such a spat but I feel bound to point out that you do not know what "oxymoronic" means. I always think it is particularly important not to make such errors in a post in which you are criticising someone else's lack of knowledge. | ||
Caller
Poland8075 Posts
On November 14 2009 01:15 Arbiter[frolix] wrote: Normally I wouldn't interfere in such a spat but I feel bound to point out that you do not know what "oxymoronic" means. I always think it is particularly important not to make such errors in a post in which you are criticising someone else's lack of knowledge. you're right. I apologize, but I meant to use the word hypocritical. Sorry, it is early. | ||
Velr
Switzerland10704 Posts
On November 14 2009 00:19 TanGeng wrote: Let's divide the economic world into two spheres. There are tangible goods, real goods and services. There are intangible goods, sense of well-being, connections, marketing, token value, etc. In the world of producing tangible goods, it's hard for anyone to be 100 time more effective than someone else using the same tools and putting in the same hours. But in the world of intangible goods, the best can easily be millions of times more productive than than the average entry level worker. The best example for this effect is in sales and marketing where the marketeer has to get the attention of the target audience and the salesman has to get the audience sit down and take out their wallets. Someone like a Hollywood celebrity would be hundreds of millions times better than the average individuals in generating name recognition. Same goes for the top FDA liaison at a drug development company that has private connections with members of the FDA drug approval board. Same goes for lobbyists that has worked with many members of congress in the past. Fame, trust, brand-value, and connections are all forms of human capital (as opposed to technological capital). Education and training likewise are forms of human capital. Human easily explains the income disparity in all economies. I know how it works and what is the reasoning behind it. I still think it's totally out of bounds and should be stopped. The people that came out with these reasons are the people that earn that much money. If someone would really be worth that much, he would need to be irreplaceable. Almost... Or... No.. Everyone is replaceable. I'm not against high loans, but they need to be in some relation to the low ones that actually makes at least a little sense. | ||
Sadist
United States7228 Posts
On November 14 2009 01:13 Caller wrote: There is a reason that I have not really posted in this thread. I am very passionate about this field and love to argue, and have posted in similar threads in the past. Yet I have given up simply because people tend to ignore reason and instead go simply after the flame, leading me to conclude that you couldn't really give a flying fuck about whatever, you just want to use straw man and ad hominem attacks to justify whatever point you're trying to make. I have already addressed the roots of the healthcare crisis here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=2#35 And here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=3#59 And my arguments have remained unrefuted and even unaddressed. This leads me to conclude that my above position, that you're just a bunch of trolls, is valid. It's really surprising how people tend to ignore basic principles of supply and demand and instead blame everything on abstract elements of human morality rather than what the math tells us. Ok Ive read your posts and they make sense but one part you are neglecting people with chronic conditions. You also neglected to address the cost of prescription drugs. My mother caught one of those super bugs MERSA 2 years ago. The medication cost $90 a pilll. She had to take several pills a day for several weeks. As far as I know unless there is a generic version of a drug the price is essentially set. So its not like if you didnt have insurance the cost of the medication would be any less than if you had insurance. I mean I understand the argument for insurance for extreme cases like heart attacks/cancer/etc. But what about simple bone breaks? Or You get injured in a fall or something? What if you need a ride in an ambulance (several thousand dollars wtf?) I get that these costs will go down with your idea of competition from those who dont have insurance but how much would it go down? How much is reasonable? There are loads of questions you have to ask its not just a simple supply/demand when we are talking about health. edit: To sum up how would the option of no insurance reflect the cost of prescription drugs and or treatments/physical therapy? Especially those that are non generic that have that window of profitability or whatever the hell its called where the company owns the patent exclusively im assuming? | ||
Caller
Poland8075 Posts
On November 14 2009 01:29 Sadist wrote: Ok Ive read your posts and they make sense but one part you are neglecting people with chronic conditions. You also neglected to address the cost of prescription drugs. My mother caught one of those super bugs MERSA 2 years ago. The medication cost $90 a pilll. She had to take several pills a day for several weeks. As far as I know unless there is a generic version of a drug the price is essentially set. So its not like if you didnt have insurance the cost of the medication would be any less than if you had insurance. I mean I understand the argument for insurance for extreme cases like heart attacks/cancer/etc. But what about simple bone breaks? Or You get injured in a fall or something? What if you need a ride in an ambulance (several thousand dollars wtf?) I get that these costs will go down with your idea of competition from those who dont have insurance but how much would it go down? How much is reasonable? There are loads of questions you have to ask its not just a simple supply/demand when we are talking about health. edit: To some up how would the option of no insurance reflect the cost of prescription drugs and or treatments/physical therapy? Especially those that are non generic that have that window of profitability or whatever the hell its called where the company owns the patent exclusively im assuming? The treatment of people with chronic conditions that are incurable is always a hard question to answer when it comes to insurance or anything. We have the following possible solutions in the current scenario: A) The insurance company is forced to bear the burden of the person with the chronic condition. This is akin to taking on debt for the insurance company, which is business suicide. Obviously, they will not take on these people. This is the market failure that I mentioned earlier. B) We have the government collect taxes to provide a safenet for those people with chronic conditions. This is the best current solution, as it eliminates market failure (such as what Medicare does) that would prevent people from being unable to participate in the market. C) We let the people pay for their own costs (which are usually unaffordable). This is of course probably the least moral thing to do, mostly because people will be unable to pay for treatment and will end up dying. However, I did address that the reason this situation is currently in existence is because there is no incentive, with the current US patent system, to want to cure these diseases. Why would one make a drug to cure a disease when it is more profitable to make money from a chronic drug? I think I talked about the reasons of why prescription drugs cost so much money in my second post, but I actually didn't, so I will go into this a little more detail. It again, has to do with the patent system, and the regulation system. Consider, for instance, that a specific regulation requires 500,000$ to enforce. For companies like Pfizer and Merck, whom are worth billions and billions, they can easily pay this cost. For smaller companies, however, this regulation may drive them out of the market. Not so surprisingly, it is often larger companies that pass this kind of regulation "to protect the consumer." It also drives smaller companies out of the market. At its core, capitalism is a struggle between two kinds of companies: small ones and big ones. Big companies have the following advantages: Large presence Brand name (i.e. goodwill) Large amount of capital Ability to raise capital Ability to survive failures Generally cheaper Small companies have the following advantages: Better products More innovation Generally less administrative costs More able to cater to its target consumers Now normally this is a fairly equivalent battle: When you choose between going to your local store vs. the chain store, you usually pick based on your current needs, i.e. if you want to save money, you go to the chain store, if you want better service and product help, you go to the local store. Whenever certain types of government regulation appear, however, it tends to inhibit the ability of the smaller companies to compete in the market. In the case of healthcare, this can especially be seen in how smaller companies are often heavily disadvantaged. These smaller companies tend to be carrying the innovation, but often are unable to carry it out in full because of the exoibrant start up fees. Now the larger companies do absorb the smaller companies by buying them out. But the main reason for this is to purchase their ideas to prevent them from being used against their current money-makers in the market. The patent system is flawed here because it allows these companies to prevent competitors from even desigining a drug that may impact the profits of say, coumadin. This in turn allows them to jack up the price because there is no effective competition from external sources. The solution to this problem is way too hard for me to even think about, let alone attempt to explain, as I am not too familiar with patent law nor many other factors that would be required to fix this. It's mainly the result of incentives that don't work well. Is this greed? Of course. Nobody said that capitalism isn't about greed. Is it free-market? Not at all, because the only reason these perverse incentives exist is because of government intervention. TLDR version: Patent system is bad because it prevents competition in healthcare from reducing costs. | ||
Sadist
United States7228 Posts
I like many have had issues like this effect me personally (a previous insurance company not wanting to cover my vitiligo treatment). Theres really no simple solution and its disheartening. The populace as a whole would have to become "better people" for things like this to be fixed. Unfortunately that isnt going to be happening anytime soon =(. | ||
Caller
Poland8075 Posts
On November 14 2009 02:02 Sadist wrote: So it seems health insurance or insurance in general is a problem at the heart of the isms (capitalism, socialism, communism etc) themselves. Insurance is a corrupt system in itself in my opinion. If its run for profit obviously anytime someone is paid out the company is taking a loss so there is motivation not to cover things but if everything is covered is it really considered insurance? =-) I like many have had issues like this effect me personally (a previous insurance company not wanting to cover my vitiligo treatment). Theres really no simple solution and its disheartening. The populace as a whole would have to become "better people" for things like this to be fixed. Unfortunately that isnt going to be happening anytime soon =(. For a better idea of what insurance does see moral hazard. Moral hazard is pretty much responsible for a lot of shit, including the financial crisis, and it never seems to be accounted for by anybody. http://en.wikipedia.org/wiki/Moral_hazard | ||
Sadist
United States7228 Posts
On November 14 2009 02:10 Caller wrote: For a better idea of what insurance does see moral hazard. Moral hazard is pretty much responsible for a lot of shit, including the financial crisis, and it never seems to be accounted for by anybody. http://en.wikipedia.org/wiki/Moral_hazard I disagree that health insurance is a Moral Hazard according to this article. Some insurances yes....but not health. If you could have your body completely rebuilt or something along those lines id agree it would be comparable with say auto theft insurance....but theres always the realization that anything involving health can be permanent. | ||
Undisputed-
United States379 Posts
On November 14 2009 02:18 Sadist wrote: I disagree that health insurance is a Moral Hazard according to this article. Some insurances yes....but not health. If you could have your body completely rebuilt or something along those lines id agree it would be comparable with say auto theft insurance....but theres always the realization that anything involving health can be permanent. You're saying if you don't health insurance you wouldn't take better care of yourself/avoid more dangerous or risky situations then if you did? | ||
Sadist
United States7228 Posts
On November 14 2009 02:23 Undisputed- wrote: You're saying if you don't health insurance you wouldn't take better care of yourself/avoid more dangerous or risky situations then if you did? I understand what you are getting in terms of things like common colds etc but I was thinking more along the lines of physical activity. The article made it sound like someone taking idiotic risks. I pictured someone jumping off of a building and then saying oh shit its ok I have health insurance my spine can be rebuilt. Of course theres inherent risks to anything you do. Fuck walking outside could get you killed. Are you saying its someones fault if they engage in the "risky" behavior of pickup basketball? How about jogging? | ||
Undisputed-
United States379 Posts
On November 14 2009 02:30 Sadist wrote: I understand what you are getting in terms of things like common colds etc but I was thinking more along the lines of physical activity. The article made it sound like someone taking idiotic risks. I pictured someone jumping off of a building and then saying oh shit its ok I have health insurance my spine can be rebuilt. Of course theres inherent risks to anything you do. Fuck walking outside could get you killed. Are you saying its someones fault if they engage in the "risky" behavior of pickup basketball? How about jogging? I would imagine people have different levels of risk they are willing to take. I have a bad knee from playing football so my level of risk is probably different from someone who hasn't had joints popped out of sockets. | ||
MMAspec
20 Posts
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TanGeng
Sanya12364 Posts
On November 14 2009 01:13 Caller wrote: There is a reason that I have not really posted in this thread. I am very passionate about this field and love to argue, and have posted in similar threads in the past. Yet I have given up simply because people tend to ignore reason and instead go simply after the flame, leading me to conclude that you couldn't really give a flying fuck about whatever, you just want to use straw man and ad hominem attacks to justify whatever point you're trying to make. I have already addressed the roots of the healthcare crisis here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=2#35 And here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=102184¤tpage=3#59 And my arguments have remained unrefuted and even unaddressed. This leads me to conclude that my above position, that you're just a bunch of trolls, is valid. It's really surprising how people tend to ignore basic principles of supply and demand and instead blame everything on abstract elements of human morality rather than what the math tells us. Yes!!! NO Insurance!! What a brilliant idea. OMG. A student of microeconomics in the field of health insurance would recognize that there are multiple factors that make the insurance a horrible model for delivery. - moral hazard - asymmetrical information - non-uniform risk vs. uniform pricing What health insurance reform has always been is about how to patch up the insurance system so that it doesn't come crashing down. But what if the insurance system fell apart?? The health care industry would adapt to function without. We would just be moving away from an insurance and risk model of delivering health care. Health care would thrive without a parasitic insurance agencies trying to manage this risk and that risk. The government has been trying to patch up the health insurance industry for decades. We got some "fix" in the 70's and 80's. Individual states patched up holes in the 80's and 90's. They tried to get another fix in the 90's under Clinton, but yet insurance is still too expensive. I mean just stop!! | ||
Undisputed-
United States379 Posts
On November 14 2009 02:57 MMAspec wrote: Somewhere in this thread, theres Aegraen. who/what? | ||
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TanGeng
Sanya12364 Posts
On November 14 2009 00:55 MoltkeWarding wrote: In short, income is not a function of labour, but of productivity. I hesitate to say productivity to society, since much, if not most, of the production demanded by the free consumer is wasteful, and the consequence of mindless fads induced by advertising and social manipulation. I hasten to say that modern government suffers from the same shortcomings. I call it human capital because like you said productivity might be a misnomer. A lot of the "inefficiencies" are actually non-tangible values like wanting the latest fashion. It isn't that the object of desire is truly useful but rather that it has status and recognition value (intangible). Usually this status and recognition value is imbued on these objects through advertising. The entire advertising industry is a business of creating intangible goods - imbuing brands and goods with badge and status values. A lot of people associate productivity with the production of tangible goods. Clearly applying that idea to industries like advertising would be result in an oxymoron. Advertising isn't really inefficient. If humans weren't occupied with intangible goods, we wouldn't be as happy with what we have, and the whole world would be far more efficient in despoiling all the natural resources on the planet. | ||
Southlight
United States11767 Posts
On November 14 2009 01:54 Caller wrote: TLDR version: Patent system is bad because it prevents competition in healthcare from reducing costs. Welcome to my line of work, actually. The patent system is a requirement for companies to have any financial incentive to continue research and development, especially with regard to modern medicine. The most lucrative business right now for medical drugs is protein therapeutics, the most famous being erythropoietin (EPO. Yes, that EPO that is often used by cyclists.) It is now a hundred-million-dollar product (albeit a declining one because of health issues), and Amgen got really lucky with this one. However, RND for protein biotherapeutics is extremely costly. It takes millions of dollars to theorize, craft, and then test a candidate, along with time and labour (top-end science labour costs a LOT, as does the legal/bureaucratic people you need for FDA testing etc.), with no guarantees your drug is even attractive enough to get people willing to run themselves into your clinical trial buzzsaw. All for, depending on which market report you read, like a 1/1000 chance of the drug actually, you know, hitting the market. And most of these drugs don't actually rake in THAT much money. < Edit > This is incidentally actually why larger drug companies buy smaller ones. The cost of buying a small company with a promising candidate is smaller than the cost of researching a candidate from scratch, in the hopes of reaching a similar level of promise. Most of these promising drugs don't pan out, but it's still cheaper. And you'll notice most of these "assimilations" go for millions upon millions of dollars. The timing at which you buy a small, promising idea is up for grabs, obviously, as the further along with development process the drug is, the more expensive it becomes, so large companies try to buy companies earlier on in the process (when there's a higher chance of failure) to keep it less expensive... but obviously you're going to need to hit on at least one, and then if you do hit on one, you're going to need that hit to recuperate the costs of however many times you whiffed, as well as provide the incentive to go through the whiffing process again for the next drug. For a smaller company, that's the business model you're most likely shooting for, because the drug you're researching isn't very likely to make it. So you want to get it as far as you can and then sell the idea, so you get 1) better facilities for research 2) better financial backing for research 3) and if it doesn't pan out, you already got paid. < / Edit > The sheer amount of costs invested into bringing these products to the market is why there's further product protection on top of patents, called market exclusivity. EPO was developed around 1986, so you'd think the patent would have expired 3 years ago, and it did, but Amgen received the 14 year market exclusivity in around 1999, so they've still got a stranglehold on the market until 2013. Which is a shame because it means the Europeans have access to safer, more effective, and cheaper EPO than the USA, but that's part of the reason why Congress has been arguing over dealing with biogenerics, which would imply cutting down the market exclusivity duration (Europe already passed a biogenerics act a few years ago, so the costs of their drugs actually went down even more. GG). We'll see what happens; whether the big-money lobbyists win or whether common good wins. What I'm getting at, though, is that for healthcare, the patent system has actually been deemed insufficient for recuperating company costs and providing them enough market possession to give incentive for developing new drugs. The problem is more that market exclusivity seems to be inordinately long on top of the patents. By the way biogenerics isn't as simple as the duration; a major part of government concern is that you can never manufacture the same drug. Changing factories, changing one ingredient results in a wildly different drug with unpredictable side-effects, and that's another one of the big hang-ups for introducing generics and lowering overall drug costs. | ||
QibingZero
2611 Posts
I mean, I can see why proponents of the free market would fight against insurance. Health insurance is a largely social idea in the first place, only often controlled by a private corporation rather than the government. The idea is that the healthy part of the population at any given time will end up paying for the unlucky portion who gets sick. Of course, due to the profit motive involved, private corporations do their best to subvert that social contract. This leaves us with the situation the US is currently in - one where tons of money is being thrown around, but nothing is getting accomplished. Let's be reasonable here - all of human relations cannot be relegated into business agreements. Health care is one of those such relations. I mean, do you really consider a good doctor one who is largely motivated by providing a service for profit? America is so in love with this idea of a House-like doctor that can deal with his profession without looking 'weak' in the process. A self-absorbed misanthrope who is out for a diagnosis and nothing else. The difference is that real-life doctors are never that 'good' at getting things right. While it does make for an entertaining TV show, it's a disturbing trend back in reality, where many doctors are more worried about their own correct diagnosis than they are about their patients' health (I speak from personal experience here). | ||
Undisputed-
United States379 Posts
On November 13 2009 06:39 Piretes wrote: Yep, so the buisness elite with their so-called 'jobs' keeps earning exorbiant amounts, while the average working-class wage stagnates. Average blue-collar income has fallen far behind white-collar earnings, CEOs makes thousands of times more money than hard-working employees. Income balance is totally skewered in the U.S. People with normal jobs, working their asses of every day, can only just get by. But should one accident happen, they are fucked. Losing your job + some illness that requires drugs (fucking jacked up prices to pay executives) can bankrupt a family. Don't tell me the working class is going to suffer from a better, fairer health-care system. The rich and ultra-rich will. Spoiled brats as they are, thinking they are better because they earn more. Consuming the wealth created by the common worker, loading the consumer with debt, and ruining the american economy in the process. Scum of the earth. There seems to be a lot of misconception by non-US citizens about what goes on in the US as far as healthcare. I believe part of that is due to the propaganda campaign put on by our leftists. Just to clear things up, poor people are covered via medicaid. Old people are covered through medicare. Everyone with health insurance through work has 30% of their plan paid for by the government. Universal coverage through the government is silly in my opinion, there is no reason taxpayers should have to pay for my doctors visits as I'm able to pay for them myself. There is no reason I should pay for Donald Trump's heart medication or for Paris Hilton's crabs through my tax dollars. Right now a doctors visit costs me $20. Why? You'd pay more than that for someone to cut your lawn. Government subsidies and really bad policies are driving our costs up, but the same old propaganda is at work...government makes a problem, blames it on capitalism, and prescribes more government as the solution. And the rubes fall for it every time, and then wonder why things don't "Get better". | ||
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TanGeng
Sanya12364 Posts
On November 14 2009 04:08 QibingZero wrote: The funny thing about this 'free market anti-insurance' position is that it neglects all of the government regulations and subsidies required to break our dependence on insurance and still maintain the allusion of competition. After all, insurance was a child of the free market in the first place - a way to ease the harsh nature of the market on individuals, especially. The consumer does not buy into health insurance to cover the costs of their regular checkups. They buy into it in order to protect themselves if ever something truly grave does happen, which would normally cause them to go under if they had to pay for their medical costs themselves at that point in time. The medical professionals like this as well, for a plethora of reasons. How are you going to fight that kind of support without heavy government regulation and investment? Insurance as creature of the free market? WTF? Health insurance came about during WWII as a way to get around government imposed wage controls. Before WWII, US barely ever had any health insurance at all. Then after that as a give away to the insurance companies, congress gave them a tax-exempt status for employer provided plans. The government prop up of health insurance has been going on for 60 years. On November 14 2009 04:08 QibingZero wrote: I mean, I can see why proponents of the free market would fight against insurance. Health insurance is a largely social idea in the first place, only often controlled by a private corporation rather than the government. The idea is that the healthy part of the population at any given time will end up paying for the unlucky portion who gets sick. Of course, due to the profit motive involved, private corporations do their best to subvert that social contract. This leaves us with the situation the US is currently in - one where tons of money is being thrown around, but nothing is getting accomplished. The legal mandates for uniform group insurance rates is a form of socialism. Risk distribution through insurance is not. Look at life insurance - no problems there. On November 14 2009 04:08 QibingZero wrote: Let's be reasonable here - all of human relations cannot be relegated into business agreements. Health care is one of those such relations. I mean, do you really consider a good doctor one who is largely motivated by providing a service for profit? America is so in love with this idea of a House-like doctor that can deal with his profession without looking 'weak' in the process. A self-absorbed misanthrope who is out for a diagnosis and nothing else. The difference is that real-life doctors are never that 'good' at getting things right. While it does make for an entertaining TV show, it's a disturbing trend back in reality, where many doctors are more worried about their own correct diagnosis than they are about their patients' health (I speak from personal experience here). NO, you are making empty groundless assertions at your own convenience. | ||
Caller
Poland8075 Posts
On November 14 2009 04:08 QibingZero wrote: The funny thing about this 'free market anti-insurance' position is that it neglects all of the government regulations and subsidies required to break our dependence on insurance and still maintain the allusion of competition. After all, insurance was a child of the free market in the first place - a way to ease the harsh nature of the market on individuals, especially. The consumer does not buy into health insurance to cover the costs of their regular checkups. They buy into it in order to protect themselves if ever something truly grave does happen, which would normally cause them to go under if they had to pay for their medical costs themselves at that point in time. The medical professionals like this as well, for a plethora of reasons. How are you going to fight that kind of support without heavy government regulation and investment? I mean, I can see why proponents of the free market would fight against insurance. Health insurance is a largely social idea in the first place, only often controlled by a private corporation rather than the government. The idea is that the healthy part of the population at any given time will end up paying for the unlucky portion who gets sick. Of course, due to the profit motive involved, private corporations do their best to subvert that social contract. This leaves us with the situation the US is currently in - one where tons of money is being thrown around, but nothing is getting accomplished. Let's be reasonable here - all of human relations cannot be relegated into business agreements. Health care is one of those such relations. I mean, do you really consider a good doctor one who is largely motivated by providing a service for profit? America is so in love with this idea of a House-like doctor that can deal with his profession without looking 'weak' in the process. A self-absorbed misanthrope who is out for a diagnosis and nothing else. The difference is that real-life doctors are never that 'good' at getting things right. While it does make for an entertaining TV show, it's a disturbing trend back in reality, where many doctors are more worried about their own correct diagnosis than they are about their patients' health (I speak from personal experience here). http://en.wikipedia.org/wiki/Straw_man | ||
Hans-Titan
Denmark1711 Posts
Lol, untill you said 20 or so pages ago that you opposed the very idea of an army I could've sworn you were Aegraen coming back to troll us all. Aegraen was, like you, a right-wing nut-jub, who had a very hard time backing his ridicoulus claims with fact. With the mindset of 'GOVT BAD, FRE MARKET GOOD' he put on his logic armor of awesome I trolled us all to the stone age. You're not as bad though. At least you respond to most people who oppose your arguments. IIRC you went up against Syntax Lost, props for that, Aegraen didn't have the balls to even quote the post. | ||
Sadist
United States7228 Posts
On November 14 2009 05:42 TanGeng wrote: Insurance as creature of the free market? WTF? Health insurance came about during WWII as a way to get around government imposed wage controls. Before WWII, US barely ever had any health insurance at all. Then after that as a give away to the insurance companies, congress gave them a tax-exempt status for employer provided plans. The government prop up of health insurance has been going on for 60 years. The legal mandates for uniform group insurance rates is a form of socialism. Risk distribution through insurance is not. Look at life insurance - no problems there. NO, you are making empty groundless assertions at your own convenience. I was under the impression that Nixon was the one who started ok'd the health insurance for profit industry. | ||
Sadist
United States7228 Posts
On November 14 2009 05:11 Undisputed- wrote: There seems to be a lot of misconception by non-US citizens about what goes on in the US as far as healthcare. I believe part of that is due to the propaganda campaign put on by our leftists. Just to clear things up, poor people are covered via medicaid. Old people are covered through medicare. Everyone with health insurance through work has 30% of their plan paid for by the government. Universal coverage through the government is silly in my opinion, there is no reason taxpayers should have to pay for my doctors visits as I'm able to pay for them myself. There is no reason I should pay for Donald Trump's heart medication or for Paris Hilton's crabs through my tax dollars. Right now a doctors visit costs me $20. Why? You'd pay more than that for someone to cut your lawn. Government subsidies and really bad policies are driving our costs up, but the same old propaganda is at work...government makes a problem, blames it on capitalism, and prescribes more government as the solution. And the rubes fall for it every time, and then wonder why things don't "Get better". Just FYI medicare and medicaid dont cover everything. I have a grandmother who has been in and out of the hospital for about 2 years and medicare does not cover things that an insurance company would cover (like say extended visits in 24 hr care facilities) Medicare covered something like the first 20 days or something. After that you were SOL and had to pay for it yourself. Something like 800$ a day roughly. The costs were insane. | ||
Undisputed-
United States379 Posts
On November 14 2009 09:59 Hans-Titan wrote: Lol, untill you said 20 or so pages ago that you opposed the very idea of an army I could've sworn you were Aegraen coming back to troll us all. Aegraen was, like you, a right-wing nut-jub, who had a very hard time backing his ridicoulus claims with fact. With the mindset of 'GOVT BAD, FRE MARKET GOOD' he put on his logic armor of awesome I trolled us all to the stone age. You're not as bad though. At least you respond to most people who oppose your arguments. IIRC you went up against Syntax Lost, props for that, Aegraen didn't have the balls to even quote the post. agorist is who opposed the idea of an army. Seeing as this is a computer game forum most of the people posting here are probably on the younger end of the spectrum so most likely on the left. Just trying to get it right! ![]() "If you're not a liberal when you're 25, you have no heart. If you're not a conservative by the time you're 35, you have no brain." I'm a heartless bastard ![]() | ||
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Mystlord
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United States10264 Posts
On November 14 2009 05:11 Undisputed- wrote: There seems to be a lot of misconception by non-US citizens about what goes on in the US as far as healthcare. I believe part of that is due to the propaganda campaign put on by our leftists. Just to clear things up, poor people are covered via medicaid. Old people are covered through medicare. Everyone with health insurance through work has 30% of their plan paid for by the government. Universal coverage through the government is silly in my opinion, there is no reason taxpayers should have to pay for my doctors visits as I'm able to pay for them myself. There is no reason I should pay for Donald Trump's heart medication or for Paris Hilton's crabs through my tax dollars. Right now a doctors visit costs me $20. Why? You'd pay more than that for someone to cut your lawn. Government subsidies and really bad policies are driving our costs up, but the same old propaganda is at work...government makes a problem, blames it on capitalism, and prescribes more government as the solution. And the rubes fall for it every time, and then wonder why things don't "Get better". They're not fully covered, just covered enough. Yet you know, the life expectancy of people above 65 is pretty damn good. I wonder why... I partially agree. Universal coverage through the government as the health care system stands RIGHT NOW is silly. There's no way we can cover everyone if health care ends up at 30% of our GDP. At that point the government would literally go bankrupt. Let's fix costs before getting universal health care. | ||
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TanGeng
Sanya12364 Posts
On November 14 2009 10:05 Sadist wrote: I was under the impression that Nixon was the one who started ok'd the health insurance for profit industry. That's HMOs. Here's a brief bit about its early history: So at first, health insurance was like most ordinary insurance. Ordinary Insurance: Suffer a loss, pay for service, get reimbursed. Customers could go to any physician, report the bill to insurance agency and get reimbursed. Insurance agencies don't come into contact with doctors. Early years Insurance has been around since Great Depression thanks to FDR's wage controls, health insurance was a way around it. Imagine that? Businesses trying to pay their workers more than legally allowed!! (FDR started some really crazy shit in this country!!!!) Given tax exempt status sometime around 1941. Really took off after the war. Dominated by Blue Shield (non-profit) After 1950, popularity is huge. For-profit companies segment the market into risk tranches. Non-profits get stuck with the high risk ones. They raise prices and start discriminating base on risk, too. Costs spiral up and it becomes unaffordable for the poor, old, or really sick. Between 1950 and 1970 the government takes over these really expensive segments of the insurance market through national government programs. Government mandates hospitals have to accept the uninsured and poor, and most charity hospitals close shortly thereafter. 1964 Medicare, Medicaid 1970 Healthcare Crisis (lol) 1973 - Nixon introduces managed care which start as non-profit but transition to for-profit. Managed Care Get serviced by a network of doctors. HMOs deal with the doctors directly. The patient sees very little of the transaction cost. HMOs also get to give doctors guidelines and can haggle with doctors or what is proper and what isn't proper. 1995 Managed Care becomes dominant in the health care industry. HMOs' ability to cost control for lower premiums by directly interacting with the doctor is the driving competitive advantage. Doctors really start to hate the system. 2005+ Almost all managed care. Maybe(!?) there's still some still operating on the ordinary insurance model. The cash for service model is becoming very popular especially among the uninsured. Cash-for-service model is not very popular with the insurance companies and the AMA. They are lobbying to make it illegal all states. ------ today ------- Personally, I think that a contributor to the problem is that certain kinds of health care are extravagances. In the past, people faced the moral dilemma of bankrupting their family and mortgaging their children's future for these extravagances. Sometimes, people chose to go without because that offered the rest of their family the best prospects for the future. Today, people just don't want to face up to these serious moral dilemmas. The other problem is that people with pre-existing conditions are being rejected. Sometimes this is because the individual was forced to change jobs. This is a problem of health insurance being tied to job compensation. Sometimes this is because the individual chose to take on the risk of getting severely sick, lost out on that bet, but wants to get bailed out by an insurance company. This is a problem of dishonest people. But it's not that health insurance doesn't ever make sense. For example, workers at remote work sites, where health care demand might not be very predictable, might have a prepaid policy with a doctor so that they can attract a doctor with the prospects of a more predictable income. Likewise medical insurance for accidents and subsequent emergency service would make sense to smooth over risks for the individual. about Syntax_Lost. He's that guy that thread bombs with giant walls of text, right?? Yeah, I would argue with him, but his posts are too long and he quotes tons of aggregate statistics. I just don't see how to argue about health care systems at the national level. | ||
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TanGeng
Sanya12364 Posts
Please don't take my head off. | ||
Syntax Lost
Finland86 Posts
On November 14 2009 12:18 TanGeng wrote: about Syntax_Lost. He's that guy that thread bombs with giant walls of text, right?? Yeah, I would argue with him, but his posts are too long and he quotes tons of aggregate statistics. I just don't see how to argue about health care systems at the national level. Because they're devastating to your position? Because when you make the comparisons, the differences are huge and not easy to hand-wave away? The sad fact is that people like yourself, Undisputed, Caller and probably a couple others in this thread, is that you never--not even once--provide any credible evidence to support your positions. I cite peer-reviewed studies and the best you can do perform research at the acadamy of pulling stuff out of your arse. Hell, earlier in this thread you claimed: Once upon a time TanGeng wrote: What are these indicators and metrics that you speak of??? Is it controlled for external factors like racial distribution, pre-mature birth rates, dietary quality or indulgences, and lifestyle factors, etc. I've never seen any metrics that have shown US health care to be worse when adjusted for external factors. In most cases, it's shown to be better. I think this quote really illustrates your dishonesty, especially after I show that if you account for pre-term births, the differences between infant mortality between the US and Canada is even worse. Later on, you claim: Later on TanGeng wrote: There are plenty of reasons why US health care system sucks a lot. In another post: if I only had a choice between a pure socialistic health care system and the health care system of the US as it is going right now, I would choose a socialist one. It would be a tough decision, but the future of the US health care system looks really really bleak. Which is completely at odds with your claim above. First the healthcare in the US is better, now it sucks a lot with a bleak future? Which is it? Oh right, since the statistics started showing just how ridiculous your earlier claims actually are, you've had to change you argument. What? You think I wouldn't notice? There are plenty of reasons why US health care system sucks a lot. Not being socialist or regulated isn't one of them. As far as a "real" debate with tons of cited articles and the such, it takes too much time and I'm lazy. Which is another way of saying that you have no evidence and we should give as much credence to your statements as the claim that there's an floating, invisible, incorporeal, heatless fire-breathing dragon in my garage. I find this funny because earlier in this thread you claimed that you took a microeconomics course on healthcare, and in spite of this, you still can't cite a reference to save your life. In essense, your arguments can be simplified to the incessant bleating that government is bad and aggregate statistics are bad. The former claim has absolutely no evidence to support that its a universal truth. The latter is just utterly laughable considering the magnitude of the differences involved and that you don't have a single shred of evidence to actually support your position. It also belies your weaselly attitude that you would rather ignore statistics which paint your argument as particularly wrong. And that you suck at mathematics. | ||
gchan
United States654 Posts
Edit: Yes, I know everybody else is sidetracking the thread, but I was just curious. | ||
Caller
Poland8075 Posts
On November 14 2009 16:58 Syntax Lost wrote: Because they're devastating to your position? Because when you make the comparisons, the differences are huge and not easy to hand-wave away? The sad fact is that people like yourself, Undisputed, Caller and probably a couple others in this thread, is that you never--not even once--provide any credible evidence to support your positions. I cite peer-reviewed studies and the best you can do perform research at the acadamy of pulling stuff out of your arse. Hell, earlier in this thread you claimed: I think this quote really illustrates your dishonesty, especially after I show that if you account for pre-term births, the differences between infant mortality between the US and Canada is even worse. Later on, you claim: Which is completely at odds with your claim above. First the healthcare in the US is better, now it sucks a lot with a bleak future? Which is it? Oh right, since the statistics started showing just how ridiculous your earlier claims actually are, you've had to change you argument. What? You think I wouldn't notice? Which is another way of saying that you have no evidence and we should give as much credence to your statements as the claim that there's an floating, invisible, incorporeal, heatless fire-breathing dragon in my garage. I find this funny because earlier in this thread you claimed that you took a microeconomics course on healthcare, and in spite of this, you still can't cite a reference to save your life. In essense, your arguments can be simplified to the incessant bleating that government is bad and aggregate statistics are bad. The former claim has absolutely no evidence to support that its a universal truth. The latter is just utterly laughable considering the magnitude of the differences involved and that you don't have a single shred of evidence to actually support your position. It also belies your weaselly attitude that you would rather ignore statistics which paint your argument as particularly wrong. And that you suck at mathematics. the reason i didn't need sources to back up my argument of market failure is because you can find that reasoning in high school/college level economics textbooks. More importantly, there wasn't any need for me to consult sources to refute points that were derived from even more basic generalizations than I have in my posts. Fight fire with fire, as I say. But if you really want sources, for instance, where I say how the number of medical students has stayed constant against increasing demand for healthcare, then "Educational Programs in US Medical Schools, 2004-2005 (Barbara Barzansky; Sylvia I. Etzel) (JAMA. 2005;294:1068-1074.") (cannot provide link due to copyright) (actually see if it works: http://jama.ama-assn.org.proxy.uchicago.edu/cgi/reprint/294/9/1068) which states that: The number of full-time faculty members increased from 90 016 in 1994- 1995 to 119 025 in 2004-2005 (a 32% increase) while the number of medical students remained constant at about 67 000 which suggests (although does not prove) that there is some artificial control of labor supply in the US medical field. I really didn't intend to embroil myself in the debate-all I really wanted to do was stop some of the trolling that was going on. However, I find that your complete dismissal of all my arguments and lumping them together with the pile of die-hard Republicans is a bit of a straw man argument, which is pretty upsetting considering you were the one that initially used that fallacy on me in the first place ![]() My argument is that insurance is a whole is flawed because of asymmetrical information. This has been shown through this rather famous paper: http://www.econ.ox.ac.uk/members/christopher.bowdler/akerlof.pdf which states that insurance as a market is flawed because of this information unbalance. My ideal solution, which is to have no insurance as a viable alternative, would remove this informational asymmetry, because let's think: If you hide a condition from an insurance company, you may get denied or sued, but you may benefit by having insurance to pay for your condition. If you hide a condition from your doctor, you don't really benefit at all-in fact, it may and will hurt you in the long run. It's not like I'm saying government is bad. I'm saying that the government's solution isn't the best one and it will have problems, old and new. edit: oh and in regards to the other issue I brought up, of the mass acquisition of smaller companies: this consulting firm published a report here: www.nerac.com/download.php?id=175 which (although the source is certainly questionable) states pretty succinctly the acquisition trend. | ||
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TanGeng
Sanya12364 Posts
On November 14 2009 16:58 Syntax Lost wrote: Because they're devastating to your position? Because when you make the comparisons, the differences are huge and not easy to hand-wave away? The sad fact is that people like yourself, Undisputed, Caller and probably a couple others in this thread, is that you never--not even once--provide any credible evidence to support your positions. I cite peer-reviewed studies and the best you can do perform research at the acadamy of pulling stuff out of your arse. Hell, earlier in this thread you claimed: ... seriously let's look on a smaller scale, how about Massachusetts or Washington - maybe even Boston or Seattle. See, if we can control for income disparity. Then we can see exactly what is happening. which is by the way that the rich are really healthy and the poor are really not. The ones under public coverage like Medicaid are in truly putrid shape. The way you lump the wide social, economic, and geographical variations in the US hides a lot of the features that you want to ignore - like the worst performing areas are those already administered by the national government. It prevents you from reaching a conclusion of any detail. It's far more important to figure out what is actually telling data to look at than to provide some analysis of statistics. These peer reviewed articles are nice, but if they aren't addressing the issue at the right granularity, then their conclusions aren't that helpful. It'd be entirely a waste of time. If you want to argue about what is actually the correct granularity for examining the health care system, I think we are having that argument in sort of an indirect way. BTW, if we aren't going to agree on the granularity, then let's not have an argument. You can declare your empty victory like you already have and I will declare mine. On November 14 2009 16:58 Syntax Lost wrote: I think this quote really illustrates your dishonesty, especially after I show that if you account for pre-term births, the differences between infant mortality between the US and Canada is even worse. Later on, you claim: This is your turf. You should have plenty of data. My experience with looking at this was 5 years ago reading retrospective case studies of comparable populations in Massachusetts, in UK, and in France. It's all very dated data. I'll have to dig all that back up, but I don't particularly care to right now. But most importantly, this is a retrospective view of the health care system. As for the metrics I would prefer to emphasize, that would be customer satisfaction, available choices, accessibility, waiting times, etc on city/county level. Again, I don't deal with national statistics because I think that they are BS. This a retrospective view of the health care system. As for aggregate quantified results, the state of Washington is probably on par or better with all of Canada with a lot less time wasted and a lot more happy customers. Canada's been having an upswing in infant mortality recently, but I'm not going to make any judgements that Canada's health system is somehow declining. BTW Canada does not use as much high fructose as in the US in their foods... How do you get away with claiming that stuff!? It's not ubiquitous like it is in the US. Right notice, this is a predictive view of the healthcare system. First of all, it sucks a lot compared to what could be. It's also unsustainable and deteriorating - especially the pharmaceutical business, so the pharmaceutical lobby is going to get ever more desperate about how to get the public to pay for their products. We will probably pass some kind of health insurance "reform" in the next few years again to prop up a failing insurance mode - just like they have done for the last 60 years. | ||
L
Canada4732 Posts
It's not ubiquitous like it is in the US. Yes it is. | ||
Nosmo
Canada210 Posts
On November 14 2009 16:58 Syntax Lost wrote: Which is another way of saying that you have no evidence and we should give as much credence to your statements as the claim that there's an floating, invisible, incorporeal, heatless fire-breathing dragon in my garage. I find this funny because earlier in this thread you claimed that you took a microeconomics course on healthcare, and in spite of this, you still can't cite a reference to save your life. Isn't this from the Demon-Haunted World? ![]() | ||
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TanGeng
Sanya12364 Posts
On November 15 2009 01:56 L wrote: Yes it is. All the data I have seen (fao) (usda) show about 42 kg per capita per year vs 30kg / capita per year on High Fructose corn syrup. That's nearly like 60% all sweetener consumption vs 45% - 33% more ubiquitous. Those numbers also show Americans consuming more sweets overall 70 kg vs 65 kg. That said high fructose corn syrup corn syrup doesn't tell the whole story. Inverted can sugar is the same thing - without the corn starch spores. | ||
L
Canada4732 Posts
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TanGeng
Sanya12364 Posts
Supposely, it's trending down in the recent two years so I'll check back on where I got 42 kg. Canada is supposedly 15 kg of "Sweetener, Other" but that's probably understated due to inverted-sugar being nearly equivalent. Or it could be just reporting from soft drinks and sports drinks. Aside from soft drinks, they're energy drinks, sports drinks, pan cakes, cereals, ice cream, and a host of other foods that use it. HFCS probably isn't that much worse for a person than plain table sugar, but it correlates well with total sweetener consumption. FAO stats again has 70 kg vs 65 kg worth of sweetener consumption (will have to check on the statistical methodology) which are far higher than in Europe where France, Belgium, and UK have 55 kg, 40 kg, and 41 kg respectively. In the end, it is an observation from aggregate (and probably flawed) statistics. It's not predictive without an understanding of the distribution of consumption and all the other individual to individual variations. | ||
L
Canada4732 Posts
HFCS probably isn't that much worse for a person than plain table sugar Sucrose metabolism is highly regulated, whereas fructose metabolism is not.![]() Sucrose is a glucose/fructose dimer, whereas HFCS is essentially 100% fructose. Note the series of regulating steps in sucrose metabolism which are all absent from fructose metabolism. HFCS hasn't been causally linked to obesity trends yet because the research is relatively new, but the evidence thusfar suggests that the recent explosion in obesity stems from the adoption of HFCS in foods; the switch to HFCS happened during the 80s, and the obesity 'epidemic' if you'll call it that has a roughly similar start point. http://www.cdc.gov/obesity/data/trends.html There are other factors which are involved, but I wouldn't discount this one as minimal. | ||
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TanGeng
Sanya12364 Posts
Corn Syrup as produced by depolymerisation of corn starch is nearly pure glucose. Fructose is created from that glucose by enzyme isomerisation in industrial fermentation vast. In the end the High-Fructose Corn Syrup is a blend of the fructose and glucose. HFCS generally comes in 45% fructose, 55% fructose, and 90% fructose. The 90% is would be bad for you for the reasons you stated, but the 45% and 55% kinds (in soda and other processed foods) aren't that much different from sugar which has equal parts fructose and glucose or 50% fructose. The difference between HFCS and table sugar would be that HFCS has mono-saccharides that can be directly absorbed in the intestines that sugar has di-saccharides that requires sucrase for hydrolysis cleaving. Like all passive enzymes that lowers the activation energy, sucrase works in both directions. So unless glucose and fructose were abosrbed out of the intestines, a chemical equilibrium would be reached and the sucrase would effectively cease to function. Eating sugar as opposed to HFCS would mean be that the fructose uptake would be partially limited by glucose uptake (glucose-sodium intestinal transport pathways) and would incidentally trigger glucose regulatory mechanisms (insulin + leptin). Although I haven't seen a definitive controlled scientific study, I would venture to guess that table sugar would have a more gradual uptake and would trigger dietary suppression signals faster. Inverted sugar is the same thing (mono-saccharides - less the corn starch impurities) so not much difference there. | ||
gchan
United States654 Posts
And now it has passed the Senate. 60-39 vote. | ||
BuGzlToOnl
United States5918 Posts
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{CC}StealthBlue
United States41117 Posts
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Mykill
Canada3402 Posts
dont get scared ppl! i bet something ridiculous will happen and its gonna come up as 51-49 does not pass | ||
keV.
United States3214 Posts
On November 22 2009 10:29 gchan wrote: http://online.wsj.com/article/SB125882206089559155.html And now it has passed the Senate. 60-39 vote. On November 22 2009 10:34 BuGzlToOnl wrote: Sorry for my ignorance, but does this mean it is finally "approved" or does it have to pass through more voting through some other house for it to be able to actually come into play? It has only moved to debate, plenty of republicans would pass it just to feign partisanship (or perhaps actually mean it - "We want reform, but not with this particular legislation"). It was only put up for a vote to move to debate as a quick and dirty way for republicans to strangle it. As much as I want it to pass, there is no way it is going to. If all goes well, it would pass some time in January. | ||
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TanGeng
Sanya12364 Posts
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VorcePA
United States1102 Posts
On November 22 2009 10:29 gchan wrote: http://online.wsj.com/article/SB125882206089559155.html And now it has passed the Senate. 60-39 vote. Fucking fan-tastic. God I hate Harry Reid and I'm ashamed he's one of my state senators. Now that I can vote, I damn well am going to when it's senate election time. These people who think free healthcare disgust me. Doesn't work in any country that has it. | ||
jalstar
United States8198 Posts
On November 22 2009 11:44 VorcePA wrote: Fucking fan-tastic. God I hate Harry Reid and I'm ashamed he's one of my state senators. Now that I can vote, I damn well am going to when it's senate election time. These people who think free healthcare disgust me. Doesn't work in any country that has it. what countries don't? besides america. | ||
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TanGeng
Sanya12364 Posts
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jalstar
United States8198 Posts
On November 22 2009 14:02 TanGeng wrote: free healthcare???? Is there even a discussion about free healthcare??? Not very many countries have free healthcare. well nothing is "free" but my question stands, what countries besides america have no government insurance plan? | ||
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TanGeng
Sanya12364 Posts
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gchan
United States654 Posts
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NovaTheFeared
United States7222 Posts
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jalstar
United States8198 Posts
On November 22 2009 14:31 gchan wrote: Plus, US does have government insurance plans. They're called Medicare and Medicaid. They're also a disaster. for whom? | ||
Velr
Switzerland10704 Posts
On November 22 2009 14:17 TanGeng wrote: no government sponsored plans? Switzerland has no government insurance plans. There is an individual mandate and tight regulations on basic coverage, but Switzerland doesn't have 300 million people nor the kind of political lobbies in the US. Uhhh... slow a bit down there. The Pharma-Industire has a VERY strong lobby in switzerland, a way to strong lobby in fact. We still pay more than germany, france, italy or austria for almost every medicament because the Pharmalobby is strong enough to block changes and puts insanely much money (scaled to swiss population size ![]() And these "tight" regulations are more "tight" then you might think. The basic care (which cares for everything). My whole family work for an insurance companies and none of us got additional more than the *basic* healthh care plan). The insurance companys also HAVE TO take EVERYONE, no matter how ill he is or what risks he has and pay for eveything after he signed up. Someone has Cancer/Aids/MS whatever? You have to take him, for the same cost as a completly fine person in the same age class. We could as well only have one big or goverment run company, wouldn't change much, not for the good and not for the bad - if done properly). | ||
stk01001
United States786 Posts
On November 22 2009 14:47 NovaTheFeared wrote: This vote was only to start debate on the Health Care Bill, not the all-important vote to end debate (60 votes also). As long as Lieberman is still steadfastly claiming to filibuster a bill with the public option, I don't see where the bill can go. Lieberman said, and did, vote to start debate but also claimed he will not vote to end it. Without his vote or a Republican pick up, the Bill will stall in the Senate by one vote. The game now is all about finding that ONE vote. I pray they are able to get the votes they need... Liberman is such a douchebag for refusing to vote to end debate.. I'm from CT and there's no way I'll ever vote for the guy again, he's such a traitor I've never liked him.. and did you hear that evil prick Mitch McConnel pleading for a dem to vote "no" against cloture and represent the "american people".. LOL I think he means "insurance industry".. what reality is that guy living in? It's scary how immoral and ass backwards some of our lawmakers are.. | ||
L
Canada4732 Posts
On November 17 2009 04:50 TanGeng wrote: Hmm we're getting into chemistry and biology here... Corn Syrup as produced by depolymerisation of corn starch is nearly pure glucose. Fructose is created from that glucose by enzyme isomerisation in industrial fermentation vast. In the end the High-Fructose Corn Syrup is a blend of the fructose and glucose. HFCS generally comes in 45% fructose, 55% fructose, and 90% fructose. The 90% is would be bad for you for the reasons you stated, but the 45% and 55% kinds (in soda and other processed foods) aren't that much different from sugar which has equal parts fructose and glucose or 50% fructose. The difference between HFCS and table sugar would be that HFCS has mono-saccharides that can be directly absorbed in the intestines that sugar has di-saccharides that requires sucrase for hydrolysis cleaving. Like all passive enzymes that lowers the activation energy, sucrase works in both directions. So unless glucose and fructose were abosrbed out of the intestines, a chemical equilibrium would be reached and the sucrase would effectively cease to function. Eating sugar as opposed to HFCS would mean be that the fructose uptake would be partially limited by glucose uptake (glucose-sodium intestinal transport pathways) and would incidentally trigger glucose regulatory mechanisms (insulin + leptin). Although I haven't seen a definitive controlled scientific study, I would venture to guess that table sugar would have a more gradual uptake and would trigger dietary suppression signals faster. Inverted sugar is the same thing (mono-saccharides - less the corn starch impurities) so not much difference there. That's relatively correct, but the effect of the 55/45 solution shouldn't be underestimated; If most of the body's response to sugar intake happens with respect to the glucose monomer, there's a full 10% of the stimuli missing. With regards to the speed of sugar uptake, generally the GI scale is used. The glycemic index is a measure of the relative rates in which glucose are delivered into the blood, and is used to look at the 'timing' of sugar delivery to the blood. Pure fructose generally has a GI of 20, and glucose is used as the standard with a maximum value of 100. The problem with the GI measurement system, however, is that it measures blood glucose levels, not blood sugar levels. Here's where the problem starts: Fructose is taken up by the liver pretty much always. Glucose is not. There's no need for insulin or any other 'potentiation' factor for fructose to get taken up. In the liver, fructose is basically tossed down the chemical pathways I mentioned above and turned into energy and triglycerides. Glucose, by contrast, will generally be processed by the liver to form glycogen which starts to break down when insulin levels drop to provide a steady stream of blood sugar after meals. After the triglycerides are made, there's a bunch of other factors that influence how they'll be used, etc. There have been isolated studies with mice, however, comparing the effects of being fed a fructose solution compared to a sucrose solution. The mice eating fructose ate more on average, indicating that there's an suppression of satiation associated with high fructose concentrations (a study from a corn company showed equal satiation between fructose and glucose, though). Another study showed that a similar fructose imbibing group developed leptin resistance, which led to them getting fat very quickly once their diet was changed to something more normal than liquid sugar. There's also the issue of contaminants brought into HFCS containing foods because of the chemical processes involved, but that's another story entirely. (Mercury, for starters). All of this is made rather perversely because there are trade tariffs against sugar in north america and huge subsidies towards corn. | ||
{CC}StealthBlue
United States41117 Posts
On November 22 2009 15:37 stk01001 wrote: I pray they are able to get the votes they need... Liberman is such a douchebag for refusing to vote to end debate.. I'm from CT and there's no way I'll ever vote for the guy again, he's such a traitor I've never liked him.. and did you hear that evil prick Mitch McConnel pleading for a dem to vote "no" against cloture and represent the "american people".. LOL I think he means "insurance industry".. what reality is that guy living in? It's scary how immoral and ass backwards some of our lawmakers are.. http://www.facebook.com/StopJoe?ref=mf | ||
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TanGeng
Sanya12364 Posts
That's your sugar and corn lobby in collusion in the North America agricultural markets. | ||
GGTeMpLaR
United States7226 Posts
burma | ||
gchan
United States654 Posts
How about the American tax payers who were lied to? When Medicare was created in 1965, LBJ promised that it would not add one dollar to the federal deficit. According to 1965 estimates, Medicare would cost $12 billion dollars in 1990; the reality was it cost $98 billion dollars. The US is notoriously bad at cost estimates (Amtrak, Social Security, farm subsidies, and the list goes on). Taking this into consideration, do you really believe that health care reform in the United States is going to cost less than a trillion dollars? Source | ||
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TanGeng
Sanya12364 Posts
The unfunded promises made by Medicare will certainly become a disaster. If anything about the health care bill deserves applause, it's the cuts and cost controls to be added to Medicare. That might also be the most unpopular provision. | ||
jalstar
United States8198 Posts
On November 22 2009 17:13 gchan wrote: How about the American tax payers who were lied to? When Medicare was created in 1965, LBJ promised that it would not add one dollar to the federal deficit. According to 1965 estimates, Medicare would cost $12 billion dollars in 1990; the reality was it cost $98 billion dollars. The US is notoriously bad at cost estimates (Amtrak, Social Security, farm subsidies, and the list goes on). Taking this into consideration, do you really believe that health care reform in the United States is going to cost less than a trillion dollars? Source yet taxes have gone down since medicare was implemented, so we were able to pay for it then, but not now | ||
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