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• Thread: 54 Goods vs 32 No Goods

1. Economist
   2819
   

   Anyone who has standard employer coverage in the US never has to worry about this.

   https://www.wsj.com/articles/nhs-uk-national-health-service-strike-costs-11675693883

   For more than a decade, the British government has run its National Health Service, the world’s largest government-run healthcare system, on a tight budget. The NHS prided itself on being one of the leanest healthcare systems in the developed world, spending less per head on average than its large European neighbors—and far less than the U.S.

   Now the state-funded service is falling apart. People who suffer heart attacks or strokes wait more than 1½ hours on average for an ambulance. Hospitals are so full they are turning patients away. A record 7.1 million people in England—more than one in 10 people—are stuck on waiting lists for nonemergency hospital treatment like hip replacements. The NHS on Monday faced the biggest strike in its history, with thousands of paramedics and nurses walking out over pay.

   The NHS’s woes are an extreme example of issues playing out across the developed world. Healthcare systems, hit hard by Covid, are under pressure as people live longer and have a wider range of treatment options. Aging populations mean costs will keep growing. The U.K.’s experience is a warning of what happens when supply in healthcare provision can’t keep up with demand.

   “The healthcare system in the U.K. is facing a crisis like no other I have seen in my career,” said Nigel Edwards, the retiring chief executive of the Nuffield Trust, a healthcare think tank, and former chief executive for the NHS. “The U.K. has mistaken cheapness for efficiency in its approach to health, and it’s coming home to roost.”

   1 month ago # QUOTE 4 Volod 3 Vlad !

2. Economist
   0e8b
   

   You must never heard of premiums. US Healthcare is worse than most developing countries.

   1 month ago # QUOTE 5 Volod 2 Vlad !

3. Economist
   bd9c
   

   the problem is immigration not the healthcare system.

   1 month ago # QUOTE 2 Volod 4 Vlad !

4. Economist
   b44c
   

   It's a false dichotomy. Most of the developed world rejects both these extremes and plumps for something based on the German system that provides both reasonable equity and efficiency.

   1 month ago # QUOTE 9 Volod 2 Vlad !

5. Economist
   2819
   

   You must never heard of premiums. US Healthcare is worse than most developing countries.

   LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

   1 month ago # QUOTE 4 Volod 4 Vlad !

6. Economist
   ec2d
   

   It's a false dichotomy. Most of the developed world rejects both these extremes and plumps for something based on the German system that provides both reasonable equity and efficiency.

   This is a good start. Now, let's do some public choice and equilibrium analysis. Suppose you wave a magic wand and American HC system becomes exactly like the German one overnight. what happens in 10 years? Doctor Hayek predicted serfdom

   1 month ago # QUOTE 2 Volod 1 Vlad !

7. Economist
   c11e
   

   You must never heard of premiums. US Healthcare is worse than most developing countries.

   LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

   This might be the worst take ever on this forum

   1 month ago # QUOTE 8 Volod 2 Vlad !

8. Economist
   0e8b
   

   You must never heard of premiums. US Healthcare is worse than most developing countries.

   LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

   https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022

   - The U.S. has the lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, the highest maternal and infant mortality, and among the highest suicide rates.
   - The U.S. has the highest rate of people with multiple chronic conditions and an obesity rate nearly twice the OECD average.
   - Americans see physicians less often than people in most other countries and have among the lowest rate of practicing physicians and hospital beds per 1,000 population.
   - Since 2015, avoidable deaths have been on the rise in the U.S., which had the highest rate in 2020 of all the countries in our analysis.

   And this by spending double the average of OECD countries. Health care in the US is a joke.

   1 month ago # QUOTE 5 Volod 1 Vlad !

9. Economist
   11ef
   

   same with canada. Politicians becoming too gvreedy

   1 month ago # QUOTE 0 Volod 0 Vlad !

10. Economist
    acf6
    

    You must never heard of premiums. US Healthcare is worse than most developing countries.

    LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

    https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
    - The U.S. has the lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, the highest maternal and infant mortality, and among the highest suicide rates.
    - The U.S. has the highest rate of people with multiple chronic conditions and an obesity rate nearly twice the OECD average.
    - Americans see physicians less often than people in most other countries and have among the lowest rate of practicing physicians and hospital beds per 1,000 population.
    - Since 2015, avoidable deaths have been on the rise in the U.S., which had the highest rate in 2020 of all the countries in our analysis.
    And this by spending double the average of OECD countries. Health care in the US is a joke.

    We have lots of disgusting poors relative to other OECD countries who don't take care of themselves or their children. Stuff their faces full of food and never exercise when they aren't ODing on fent. I am sure we would do well if you took these people out of the equation

    1 month ago # QUOTE 2 Volod 3 Vlad !

11. Economist
    0e8b
    

    You must never heard of premiums. US Healthcare is worse than most developing countries.

    LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

    https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
    - The U.S. has the lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, the highest maternal and infant mortality, and among the highest suicide rates.
    - The U.S. has the highest rate of people with multiple chronic conditions and an obesity rate nearly twice the OECD average.
    - Americans see physicians less often than people in most other countries and have among the lowest rate of practicing physicians and hospital beds per 1,000 population.
    - Since 2015, avoidable deaths have been on the rise in the U.S., which had the highest rate in 2020 of all the countries in our analysis.
    And this by spending double the average of OECD countries. Health care in the US is a joke.

    We have lots of disgusting poors relative to other OECD countries who don't take care of themselves or their children. Stuff their faces full of food and never exercise when they aren't ODing on fent. I am sure we would do well if you took these people out of the equation

    Yeah, once you eliminate 2/3s of the population...

    1 month ago # QUOTE 3 Volod 0 Vlad !

12. Economist
    acf6
    

    Yeah, once you eliminate 2/3s of the population...

    If you want to have a conversation about how SES in america leads to bad health habits, that's fine. But this conversation is about healthcare

    1 month ago # QUOTE 0 Volod 2 Vlad !

13. Economist
    0e8b
    

    Yeah, once you eliminate 2/3s of the population...

    If you want to have a conversation about how SES in america leads to bad health habits, that's fine. But this conversation is about healthcare

    And why do these people not go to the doctor?

    1 month ago # QUOTE 1 Volod 0 Vlad !

14. Economist
    45e7
    

    The only thing that should be socialized is dating.

    1 month ago # QUOTE 0 Volod 0 Vlad !

15. Economist
    3c4e
    

    My student’s think Cuba’s health care system is great

    1 month ago # QUOTE 1 Volod 0 Vlad !

16. Economist
    abe4
    

    Yeah, once you eliminate 2/3s of the population...

    If you want to have a conversation about how SES in america leads to bad health habits, that's fine. But this conversation is about healthcare

    And why do these people not go to the doctor?

    They do, that's how they get diagnosed

    1 month ago # QUOTE 0 Volod 1 Vlad !

17. Economist
    2819
    

    You must never heard of premiums. US Healthcare is worse than most developing countries.

    LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

    https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
    - The U.S. has the lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, the highest maternal and infant mortality, and among the highest suicide rates.
    - The U.S. has the highest rate of people with multiple chronic conditions and an obesity rate nearly twice the OECD average.
    - Americans see physicians less often than people in most other countries and have among the lowest rate of practicing physicians and hospital beds per 1,000 population.
    - Since 2015, avoidable deaths have been on the rise in the U.S., which had the highest rate in 2020 of all the countries in our analysis.
    And this by spending double the average of OECD countries. Health care in the US is a joke.

    Wow, a deluded, indoctrinated le eb with zero knowledge of the ground truth.

    First of all, it is well known that the US has a different standard for infant mortality that overcounts deaths. Because the US actually tries to save babies.

    https://twitter.com/lymanstoneky/status/1555923701329264641

    let's discuss item 457 on weirdness with American MMR reporting.

    In the US, in almost every state, MMR reporting uses what's called a "checkbox" system. whenever a woman dies, there's a checkbox asking "was she pregnant in the last X days"

    this is not how the systems in most other countries work. in those countries, they typically used matched administrative records linking mothers reported at birth via hospitals/insurance/public programs to death records. this vital records approach is seen as the gold standard.

    but there's a problem with it.

    What if a woman has a pregnancy which never shows up in the system?

    Say, she conceives, then rapidly gets a medical abortion?

    Or, she conceives, and miscarries at 6 weeks?

    If she is then hit by a car 6 days later, the systems in most countries would *not* count her as maternal mortality, because, without a medical record of a birth (some countries may use records of pregnancies but most only use births), she doesn't count as "maternal"

    But in the US, she *would* count as a maternal mortality if whoever fills out the death certificate is aware of her recent abortion/miscarriage. In many cases, this is a coroner filling it out with questions asked to family members, who may in fact know about the pregnancy.

    The upshot of this is that the US does not report "maternal" mortality data. We report "pregnancy" mortality data. And since live births only account for about half of pregnancies, and since other countries miss large shares of "post-pregnancy non-maternal mortality"....

    ... the result is that our statistics are incomparable.

    A nice rule of thumb tho is, since about 1/3 to 1/2 of pregnancies assessed for the US data would be missed in other countries, you should shrink the US estimate by 33-50%, right up front.

    1 month ago # QUOTE 0 Volod 1 Vlad !

18. Economist
    b868
    

    You must never heard of premiums. US Healthcare is worse than most developing countries.

    LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.

    https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
    - The U.S. has the lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, the highest maternal and infant mortality, and among the highest suicide rates.
    - The U.S. has the highest rate of people with multiple chronic conditions and an obesity rate nearly twice the OECD average.
    - Americans see physicians less often than people in most other countries and have among the lowest rate of practicing physicians and hospital beds per 1,000 population.
    - Since 2015, avoidable deaths have been on the rise in the U.S., which had the highest rate in 2020 of all the countries in our analysis.
    And this by spending double the average of OECD countries. Health care in the US is a joke.

    These things are separate from the healthcare system.

    1 month ago # QUOTE 0 Volod 1 Vlad !

19. Economist
    14a6
    

    Guys, if anyone does anything that's not the American way, it must be inferior. No questions please.

    1 month ago # QUOTE 0 Volod 0 Vlad !

20. Economist
    8ba1
    

    You must never heard of premiums. US Healthcare is worse than most developing countries.

    LOL those developing countries make you share a room with 3 other patients. Even after delivering a baby. No thanks, we Americans get whatever procedure we want, when we want it.
    

    Definitely worth cutting 5 years in life expectancy.

    1 month ago # QUOTE 0 Volod 0 Vlad !

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