universal healthcare can be affordable

Author: n8nrgmi ,

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  • n8nrgmi
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    n8nrgmi


    here is some information on how to provide affordable universal healthcare 

    here is a quick and dirty overview of why universal care can be affordable

    healthcare currently costs 3.5 trillion annually in the usa
    the federal government spends 1.1 trillion on healthcare currently annually
    state governments spend 600 billion annually
    private sector insurance covers half the cost currently annually, 1.75 trillion

    we currently have only ten percent of people uninsured. isn't it at worst case reasonable to assume that covering them would only cost ten percent more? that means worst case, maybe 350 billion. but if we do the cost savings in the link above, we should very well be able to cover everyone for the current cost. in fact, we should be able to drive costs down even less than we currently spend, while covering everybody. this is because every other developed country spends half of what we do per capita, yet they all cover everyone. you can also look at is from a bigger perspective, that they all spend around or less than ten percent of their GDP on healthcare. we spend 18 percent of GDP. the difference here is over a trillion dollars, or in other words it would be like cutting taxes more than half, given income taxes are less than two trillion in revenue to the federal government. 

    what if we increased taxes ten percent? that means if you pay six grand a year in taxes, your tax bill would only go up ten percent, or six hundred dollars. this is probably an average tax payer here. 

    so tell me again why universal healthcare is unaffordable? 


  • Snoopy
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    Universal Healthcare is simply not the same as mandatory health insurance coverage though naturally one might imagine that universal insurance of some sort is practically necessary to unpredictable elements.  The United States has universal healthcare, meaning that every citizen has some basic access to healthcare services.  Healthcare is not universally "affordable" in the United States from an individual standpoint.  What is happening in a general sense is that people are skipping important services because they haven't met deductible and going into enormous amounts of debt until they die or their credit is run out. This is being afforded, as someone is always picking up the tab, and we are paying through the nose for it at this time as a nation.  Some say we are also subsidizing countries where government officials are authorizing restrictions on the healthcare industry as a means of cutting costs on mismanaged liabilities.  I think the best a government can be expected to do is to subsidize critical supply side elements (to ensure the ready supply of doctors, facilities and quality labor) in a manner which is conducive to a market with an acceptable amount of risk with preference to relatively smaller start ups, particularly specialists, that can compete more conventionally as opposed to say, pooling assets taking what they can get and coming up with asinine administrative formulas/policies for survival. This is something that needs to be approached with vision over a length of time.  Perhaps some places to start a conversation up are ways to simplify how healthcare businesses negotiate with insurance, increasing/easing numerous insurance pools across low population and low income areas, ways to make services relatively consistent and predictable, and critically analyzing copious amounts of risks being accounted for from irregular payments and costs, including how complications are dealt with, legal costs, emergencies, certification/schooling etc...  There is also the aspect of "raising the bar" so to speak, meaning that we need not only to think about the quantity of people serviced, but thinking societally about raising our standard of services commonly available.  Currently we are dealing with the consequences of "Obamacare" which is well known to have been flawed and pushed through expediently with political reasoning, but beyond that I'm not sure how much depth the average American would have on the subject.




  • Snoopy
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     I would suspect that the idea that food, shelter, healthcare, water, and other essentials could not be afforded within a given jurisdiction is most likely predicated to a topic of entrusting vast degrees of resources into the hands of a few, or situations where 40% or more of the population is living off seized expenditure on "welfare", without respect to relevant productivity.