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US: Improvements in healthcare
  • Detroit’s bankruptcy is starting to hit home for 28,500 current and retired city workers who are getting the first glimpse this week at drastic cuts to their health insurance plans.

    City officials began sending notices late last week to about 8,000 retirees under age 65 that Detroit is axing their city-paid $605 per month retiree health insurance coverage ($1,834 for families) and instead giving them a monthly $125 payment to use toward a private plan on the federal health insurance marketplace exchanges.

    Disabled retirees under age 65 will get a $200 monthly payment for their health insurance needs.

    More than 10,500 retirees over 65 will be offered a Medicare Advantage plan with city-funded premiums, but will be responsible for paying their deductibles and secondary insurance coverage, according to the plan.

    Detroit’s 10,000 active city workers will see their individual deductibles nearly quadruple from $200 annually to $750, while employees with families on the city’s insurance will see their maximum annual out-of-pocket costs rise 50 percent from $3,000 to $4,500.

    http://www.detroitnews.com/article/20131015/METRO01/310150035

    As we all know, healthy individuals do not need all this handouts. All others with bad health are not really required by rising economic.

  • 46 Replies sorted by
  • Rich pays for the poor. Healthy pays for the sick. Responsible people pays for irresponsible....it all comes crumbling down.

    http://market-ticker.org/akcs-www?post=225369

  • Rich pays for the poor. Healthy pays for the sick. Responsible people pays for irresponsible

    LOL. And if you get sick you start see all in reverse.

  • @Vitaliy_Kiselev And I'll add ... the working pays for the retired or non-working. Works great...but the balance is fragile. And we are way off balance.

  • Don't you remember "Greed is good." It seems to be the only Hollywood movie line the radical right remembers.

  • All human will get sick at some point in life. That is the nature of the man. And there are more and more younger bodies in sick beds. You will be surprised how many 30s something end up with cancer or a debilitating stroke. In case we have not noticed, over the past few years, the US is one of those rare advanced economies where both men and women actually on the average die earlier.

  • The first one to be that advanced…

  • Most of the sickness in the US are preventable. High blood pressure, diabetes, heart disease, stroke rates have increase and have been largely attributed to poor diet, obesity, smoking, drinking. All of which, in my opinion are life style choices. Seems to me no one takes responsibility for their life and that of their family. We have the best healthcare system in the world, yet our statistics don't pan out.

  • Most of the sickness in the US are preventable. High blood pressure, diabetes, heart disease, stroke rates have increase and have been largely attributed to poor diet, obesity, smoking, drinking.

    Cool, in this case you must like the news. As less available money clearly will improve people health as they couldn't eat sand drink o much :-).

    We have the best healthcare system in the world, yet our statistics don't pan out.

    Where did you get it? I mean "best healthcare system in the world". :-)

  • @Vitaliy_Kiselev There are many ways of looking at any given situation. It is a fact that you don't have to down 20 chicken mcnggets, or that you don't have to sit on your ass after every meal. We are not genetically different than we were a 100 years ago. Yet we're fatter and less healthy. Yes, good health is part genetics, but in large a personal choice. A person from an obese gene line who wants to be healthy is not slave to his genes. He can eat right and exercise a bit more than the average lad.

    To your second point, I define the best healthcare as the most state of the art. We typically drive progress for the world in this field.

  • Sure? The first heart transplant for example was not done in the US. Neither a few other firsts…

    But bad nutrition or lack of sports is closely linked to education and money too. Whenever I come to the US, I notice the poor people's obesity and the wealthy crowd being lean. If fast food and vitamin-free industrialized veggies or fruits are cheaper than the healthy stuff, things get turned around from the old times, when the poor were lean and the rich obese!

  • At the research level, one could argue that the US has a slight lead in the medical field, but on the basis of commercial availability of medical sciences, it is not clear that the US has the best. The same technologies, procedures and medications are equally available in Germany, France, Singapore, Japan, etc. Of course, I could define a set of benchmarks where I can only be the best, but that is not universally accepted by peer reviews. If we take the UN assessment on healthcare, the US is ranked no where near the best, we (US) are not even in the top 20 or 30. What good is research and state of the art if 50% of consumers have no access to them? That is not progress by any definition. And why is it that the exact same state of the art costs so much more (like 10X more) in the US than anywhere else in the world on a larger volume scale. Just look at antibiottics or asthma drugs (as recently exposed in the NYT) and compare US versus EU.

  • If we take the UN assessment on healthcare, the US is ranked no where near the best, we (US) are not even in the top 20 or 30. What good is research and state of the art if 50% of consumers have no access to them?

    This guy got the point. Besides, how would an US citizen call his neighbour who drives a car without any insurance, "a smart guy"? Or owning a house without any insurance? If you just don't desire to crash your car, it still doesn't mean you never will.

    And where is the difference between a car insurance and health insurance?

  • @TheNewDeal

    Watch this and you'll rethink what is meant by "greed".

  • Without a doubt, the US drives medical innovation in the medical field. I'm not saying that it did everything first or that it owns every patent out there. What I'm saying is that it's wide open market and relative lack of restrictions allow for companies to flourish. So many new drugs today are available to the rest of the world because of this open market. Even if the drug is not invented in the US, the potential of a massive market that does not regulate pricing like that in the US drives development from other countries. A drug that sells for $100 in Canada can sell for $500 in the US. And due to this open market policy, the US supplements the cost of the drug for other countries. This is a fact that is lost in all the 'research' crap. Profit drives the industries and and all the innovation that comes with it. Good or bad. Without this open market, innovation will slow down, and we will all suffer.

    I'd be very careful of any 'research' done by the UN. The UN has its own agenda. Most of which promotes socialism in medicine. I do want everyone to have access to healthcare just like all reasonable human being. But if you honestly think the US in not in the top 20-30 in the world, you have to ask why the ultra-rich flies here for their procedures? You can say that the US healthcare accessibility is not in the top 20%, and I'll believe it. But the problem is more complex than you may think. No hospital in the US can deny healthcare to anyone with an acute problem. People know this, look at the ERs in any city. If you have a broken leg, they have to fix it. Even without insurance.

    Another major issue is perception and expectations. Perceptions and expectation are plain silly in this country. I'm a first generation immigrant and I have to say, our generation would be insulted if given a hand out. We are poor, but had dignity and are far from stupid. To say that because we are poor, we are fat and unhealthy. That because we are poor, we are too stupid to realize what is healthy food and what is not. We are poor but we know that we don't have to have cable TV and cell phones and cars to be successful. We got along fine without these 'necessities' that are given out in charity now a days. We are poor, but never demanded that the more wealthy family down the street to have to pay for our 'needs'. We are poor and never demanded that we have access to the same quality of care that the wealthy had. We worked hard and kept our families healthy. Today the poor in the US would be considered rich in much of these countries that ranked higher in the UN 'research'.

    Sad for me to say, but we have become a fat and lazy country. One where fewer and fewer want to work for what they want. There's a sense of entitlement that is palpable. It's someone else's fault that I'm fat and lazy. I deserve the same this and that as my neighbor. That's like me saying I deserve to have access to all the latest movie making equipment that the studios have, just because I'm me. It's just silly. No one is entitled to anything on this earth.

  • @IronFilm There are many ways to look at greed. Greed are the elites hoarding 90% of the world's wealth. Greed is also looking in your neighbor's driveway and saying, I deserve that nice car.

  • I'm saying is that it's wide open market and relative lack of restrictions allow for companies to flourish. So many new drugs today are available to the rest of the world because of this open market. Even if the drug is not invented in the US, the potential of a massive market that does not regulate pricing like that in the US drives development from other countries. A drug that sells for $100 in Canada can sell for $500 in the US. And due to this open market policy, the US supplements the cost of the drug for other countries.

    It is slightly different. If you look at the real numbers US and EU drug producing corporations have nothing to prove that prices are based on research costs. This is just greedy corporate monsters with huge hordes of lawyers and big margins, who are cause of death of many many thousands people a month.

    Btw, one who "stops innovation" is India who have certain laws and rules preventing corporations to use any patents if it goes against health of people. You'll be surprised by the generics prices in India. This guys saved millions of people.

  • Greed are the elites hoarding 90% of the world's wealth.

    Wealth is not a zero-sum game though. They may hold POWER over 90% of the worlds wealth, because of Coroporate-statist takeover and government manipulation of free-markets... but philosophically, one man being rich does not mean another must be poor. People in Aftrica are not poor because people in the west and Asia are wealthy. This is The Zero-Sum Fallacy.

    Looking, at some of your other posts, I think you'd probably agree. I think you were just making an example...

    @IronFilm +1 for the Miltion Friedman video. He has some good stuff. Stefan Molyneux has some great vids as well on these topics...

    What I'm saying is that it's wide open market and relative lack of restrictions allow for companies to flourish. So many new drugs today are available to the rest of the world because of this open market.

    +1

    The wold also needs a few market-based countries to solve the "Cost-Calculation" problem that Socialized-anything can't do. All the working socialized-medical countries healthcare will collapse once there are no longer any free-markets to determine the information "pricing" carries.

  • One man being rich does not mean another must be poor. That's the zero-sum fallacy. Most people I talk to about economics can seem to get past it.

    You mean that resources and equipment available are infinite? As only in such case your assumption can be valid.

    In real world if someone become richer, many become poorer.

    During exponential phase some guys got it wrong as with elite that become extremely rich other people just stayed same. In fact elites just robbed all else, and people will realize it very soon.

  • It seems like the people are so busy listening to the cheerleaders, they never actually realize anything resembling reality...a very desirable status quo for politicians and their corporate bosses

  • @PierreB... not me Pierre. I understand fully that corporations own our politicians. The innate tendency to hoard is a characteristic of just about all human, at all levels. Think about it, if you get a raise from $30k a year to $60k a year, do you give away the $29k/year to your neighbors so that everyone in your neighborhood makes a median of $31k/year? I don't think so. Most people would use that extra money to improve their lives. Is this greed or selfishness? Corporations are just a larger scale of the same process.

    I've been thinking and debating this for a while. What it boils down to is that every organism will do everything to ensure it's DNA is passed to the next generation. Greed is just means to an end. Don't fault it. It's in our DNA.

  • You mean that resources and equipment available are infinite? As only in such case your assumption can be valid.

    No, because wealth is not based on resources alone. Ideas, innovations, creativity are where real "wealth" comes from. Were early human-monkeys in evolution "wealthy" simply because nobody owned the resources of the planet at that time? Not really. They need to be mined and utilized before any resource can improve anybody's life or do anything useful. Better ways of using the Earths finite resources also lead to more wealth (better living/more efficient time)... this is done in our brains. It's the creative/intelligent utilization of resources that allows us to live better, not the resources themselves. If we somehow collectively just had all of earths resources on tap, for free, and they were 100% shared... would we really be "wealthy"? No, they need to be utilized or they are worthless. People need to build machines. Some ideas take longer to develop. Some services are easy and require virtually no intelligence, some require geniuses. This all has to be reflected somewhere.

    The fact that scarcity IS nature, is the whole argument for pricing-mechanisms and free-markets. Human "need" is infinite, resources are not. The complexity of services and resources must be set according to our ability to produce them.

  • It's actually stupidity I fault and I'm not in agreement that greed is in our DNA. The top earners in this world and especially the US seems to live by a philosophy that "only everything" is enough while we, the people, are actually calmly tolerating a system in which our healthcare WHETHER WE LIVE OR DIE) is a business that cheats us out of service we pay dearly for at every opportunity they get, while our leaders tell us how truly exceptional we are (apologies to VK if I'm going off topic):)

  • @PierrB I think that health care = you taking care of yourself + the care you need when you get sick. Our system is broken because of both factors. People are not taking care of themselves, and corporate greed supersedes individual welfare.

  • No, because wealth is not based on resources alone. Ideas, innovations, creativity are where real "wealth" comes from. Were early human-monkeys in evolution "wealthy" simply because nobody owned the resources of the planet at that time? Not really.

    I do not agree with this view. But it is mainstream view that is beamed to us 24 hours each day. So it is absolutely common to think so :-)

    Reality absolutely do not match your claims. As strange as it is, life level is directly related with consumed energy (also can check post with map and numbers I posted). And it is for energy and resources that elites and corporations fight. Are ideas and innovations important? In some areas they are, sometimes very important even. But such areas are fewer each day. Monkeys are good in repeating and making copies. So ideas spread pretty fast.

    Intellect level and geniuses density is really almost the same across nations (due to very high variability that is bigger than racial difference). Yet life level and available goods differ very much.

    I suggest to check few videos I posted not long time ago.

  • Energy is the only commodity. The problem with America, is that most of it is around their waist line.