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Failure of Socialism in America

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  Quote Parnell Quote  Post ReplyReply Direct Link To This Post Topic: Failure of Socialism in America
    Posted: 02-Nov-2008 at 00:00
Lets be clear - universal healthcare would be impossible without government instruction. A purely capitalist system does not support everyone getting free medical care. Some simply don't. But people need to realise America is not a purely capitalist system, far from it. The military is one of the greatest welfare institutions on the planet. America already runs some of the planets biggest welfare programmes (In terms of actuall £'s, the US spends far more than any single western country.)

Big companies want a national health system, and so do ordinary people. It is good for business, good for patients and it will help cure America's hideously overprices and stretched health service. I have been reading that A & E in US hospitals are literally insane as they are full with people with relatively minor ailments getting treatmeant (As the hospital is legally obliged to treat them, even if they can't pay) With the current system, there is no systematic preventative healthcare system - its just chaos.

And it could be sorted out if Americans would get past semantics and look at what would actually suit them.
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  Quote Blueglasnost Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 10:20
Agreed; there is false meanings which are attached to socialism sometimes. Furthermore, you are absolutely right to point out America is far from being so capitalist a system. The federal government spends around 10 % of GDP on health, much more than many a European country (usually not devoid of a socialized healthcare system). The government impinges on individual rights, and so on. I could quote hundreds of examples of that kind. The fact is, two notions are all too often muddled, meaning capitalism and liberalism. Capitalism being an economic structure based on private property of the means of production, while liberalism is a sophisticated philosophy rather relying on freedom, not necessarily in favor of free markets and capitalism, though it admittedly is the most practical way to promote liberal/libertarian goals.
 
About healthcare: many people still believe it has to be socialized, but some prominent economists - not least Milton Friedman - pushed for a competitive healthcare system, possibly subsidized but not state-run. That is a difficult topic to handle, as a matter of fact, I am split between a desire to say socialized healthcare is harmful to our liberty, and the fact competition has not helped Americans get over daunting prices (also due to other factors). Besides, European systems are known not to be viable in the long run, which poses a threat to the equilibrium of the economy for the coming generations, including mine.  


Edited by Blueglasnost - 02-Nov-2008 at 10:23
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  Quote gcle2003 Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 10:54
Originally posted by Blueglasnost

 
About healthcare: many people still believe it has to be socialized, but some prominent economists - not least Milton Friedman -
Enough said?
pushed for a competitive healthcare system, possibly subsidized but not state-run.
In Luxembourg the health service is run privately but fees are refunded by the government out of funds replenished by taxation. That's generally the west European model, though not in the UK or, I understand, in Denmark. Fees are therefore de facto controlled by the government, but not details of administration.
That is a difficult topic to handle, as a matter of fact, I am split between a desire to say socialized healthcare is harmful to our liberty, and the fact competition has not helped Americans get over daunting prices (also due to other factors). Besides, European systems are known not to be viable in the long run, which poses a threat to the equilibrium of the economy for the coming generations, including mine.  
Why are they 'known to be not viable in the long run'? Other than in the apocalyptic way that nothing is viable in the long run.
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  Quote edgewaters Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 11:52
Originally posted by Blueglasnost

About healthcare: many people still believe it has to be socialized, but some prominent economists - not least Milton Friedman - pushed for a competitive healthcare system 


Oh my ... nobody speaks that name anymore ... MF was like the great flagship of neoliberalism, now looking more like the Titanic or the Hindenburg.

If you do choose to mention him, just make sure you don't utter the words "helicopter" and "money" in the same statement.


Edited by edgewaters - 02-Nov-2008 at 11:57
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  Quote Al Jassas Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 18:19
Hello to you all
 
About health care, the next link is quite interesting:
opencrs.com/rpts/RL34175_20070917.pdf
 
According to it, not only the US spends more per capita on health care than any of the OECD countries, the government itself spends more tax dollars on health care than France or Germany. France spends 2476.67$ per capita from public money on health care while the US spends 2727.6$ and the difference between the two is just astronomical. The US is more socialist than socialist countries themselves yet when you continue reading this interesting paper you would know reason. If the US turns medicare and medicaid into a national insurence system similar to that in France drug companies will lose and will lose big because they benifit the most from Medicaid and medicare which are actually more of a sham.
 
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  Quote Lipovan87 Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 18:37
Socialist health care might be considered viable in the long run insofar as you accept long lines, insanely cursory visits, and a lack of modern medicines.

People in Warsaw Pact countries were getting innoculations with drugs the West phased out in the 70's. I got mine in the late 80's just before the collapse. I still remember the aging and rusty medical equipment in the hospital and the lazy staff just standing and smoking while some patients wandered around in a helpless daze.

That is the quality of care you got under Socialism. The US system is a highly regulated market with massive government subsidies paid both to the companies and attatched to the patients. The result is massive mismanagement due to the unrealistic assessment of costs and the lack of incentive for being careful about what is used.
Human error is a certainty, the location of it is not.
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  Quote Al Jassas Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 19:01

The socialised French system has the luxury to send a doctor to check in every week on elderly patients with certain long term care illnesses and provides a nurse for all the terminally ill patients, so much for socialised medicine eh.

 
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  Quote Lipovan87 Quote  Post ReplyReply Direct Link To This Post Posted: 02-Nov-2008 at 19:11
The French are also the world leaders in anti-depressant consumption. That says little except that the French have a different medical philosophy. They are not as regimented as other systems.The US system is also a bit less regimented except that HMO's are notoriously regimented and insurance rates make it near impossible for smaller medical poviders to attempt the same coverage of care.

It should also be noted that you can get the same treatment in US hospitals and nursing homes. Even individuals living in a regular home can get RNs to visit. The question is one of payment.

The French system is less trying on the overall economy because it is easier to become a doctor there (the medical schools in the US deliberately restrict graduation so as to ensure high pay for those who graduate) and because high-tech treatments are a lower priority. The government can also buy the drugs in bulk whereas US hospitals cannot do the same. The ethnic French also have a higher standard of legal protections that means they make fewer mistakes on a lower level than more paranoid US counterparts.
Human error is a certainty, the location of it is not.
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  Quote Beylerbeyi Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 12:32
French healthcare system is light-years ahead of the US system, does not even compare. US does not have even a health care system, but a 'disease industry'. They spend more money per capita on health than many, but that money goes to company profits. Giving taxes to the rich like this is not 'socialism'. Neither is buying minority shares with taxes in companies. That's corporate welfare, not 'socialism'. If US has socialism, it is for the rich. For the poor, it has the 'free-market'.
 
As to Socialist health care systems, it makes no sense to compare a third world country like Romania to a rich first world state, even a relatively primitive one such as the US.
 
Compare Cuba with Haiti, similar size, similar location, similar population, one capitalist, one socialist. Who has the better system? Compare the socialist Russian system with the capitalist Russian system, same bloody country. Which one has the better system? Let's compare capitalist Turkey's healthcare system to Communist Bulgarian system before they became capitalist... As long as you don't compare a poor country with a rich one, socialist healthcare systems are always better. Nordic countries have socialist healthcare systems, and they are the best in the world.
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  Quote Parnell Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 13:15
The bulk of US government spending on healthcare is on Medicaid and Medicare.
 
And also, I think the benefits of living outside the Soviet Union/Cuba far outweigh the benefits of having a good public health system. It might be good if you want to extend your life, but if day to day life is as grey as under a communist system why even bother??
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  Quote Lipovan87 Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 13:46
Given the lack of order in Haiti, it would be better to say the system is anarchy.
Human error is a certainty, the location of it is not.
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  Quote Beylerbeyi Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 14:15
And also, I think the benefits of living outside the Soviet Union/Cuba far outweigh the benefits of having a good public health system. It might be good if you want to extend your life, but if day to day life is as grey as under a communist system why even bother??
 
Oh, the joys of living in the capitalist Haiti! The wonders of the free-trade paradise of Sub-Saharan Africa! Surely why bother living in grey Cuba?
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  Quote gcle2003 Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 18:01
Originally posted by Lipovan87

Socialist health care might be considered viable in the long run insofar as you accept long lines, insanely cursory visits, and a lack of modern medicines.
 
You quite obviously have no idea what you are talking about. I've had experience under the US, UK, French, German and Luxembourg systems, not just for myself but for relatives and friends, and the French and Luxembourg systems are incomparably better on pretty well all counts. Germany isn't far behind, the UK is pretty dismal nowadays, and the US is the worst I've personally experienced. But the UK is not 'socialised', but 'nationalised' (big, big difference).

People in Warsaw Pact countries were getting innoculations with drugs the West phased out in the 70's. I got mine in the late 80's just before the collapse. I still remember the aging and rusty medical equipment in the hospital and the lazy staff just standing and smoking while some patients wandered around in a helpless daze.
What's that got to do with anything? That was nationalised, not socialised, and what's more was in satellite countries not the USSR itself.

That is the quality of care you got under Socialism.
 
The US system is a highly regulated market with massive government subsidies paid both to the companies and attatched to the patients. The result is massive mismanagement due to the unrealistic assessment of costs and the lack of incentive for being careful about what is used.
The US system is a ripoff by the insurance companies, the pharmaceutical industries, and, sadly, much of the medical staff.
 
When a simple half-hour procedure (stent insertion) with two nights in hospital cost me $33,000 in 2003 in the US, the equivalent cost to to the insurance societies in Luxembourg would have been just over one-tenth that. In particular the US surgeons charged $6,000 where the approved charge in Luxembourg would have been $600 (to the government, not to me - I wouldn't have paid anything, except of course my regular monthly premiums).
 
And I would not have had to wait any longer for the treatment, and I could have had any doctor I chose (in Luxembourg of course).


Edited by gcle2003 - 03-Nov-2008 at 18:05
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  Quote Lipovan87 Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 18:24
Then what is the difference between socialized and nationalized?
Human error is a certainty, the location of it is not.
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  Quote gcle2003 Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 20:32
Nationalised is run by the government. Socialised is paid for by the government. (Either way of course payment actually comes out of taxes, either the general fund or specified ones - i.e. compulsory contributions.)
 
American HMOs, being essentially bureaucracy controlled, are closer to nationalised systems than they are to socialised ones.
 
Thus in the UK's nationalised system, doctors and nurses are employed by the National Health Service (pretty well up there with the Chinese Army and Indian Railways in the number of employees) and hospitals are owned by it. I gâther the Danish system is similar to the UK, and works rather better there probably because it is a much smaller country.
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  Quote Lipovan87 Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 21:59
It is notable that smaller countries tend to manage their systems better due to several factors. A key question is how can a large country handle their medical needs.

The US seems closer to a socialized system then due to HMO's organizing payment instead of handling treatment and the bureaucracy of insurance companies dictating what treatment is warranted is closer to a direct administration of care. Nonetheless, none of it is centralized hence might be better understood as socialized instead of nationalized.

The US is a mix of systems from state to state and city to city. More broadly, the costs are hidden by employers paying for insurance. The quality of care also suffers from the intense bureaucracy of organized life (created through fear of lawsuits) and general stupidity and greed.

Should the bureaucracy fade, treatment would likely improve dramatically for minor illnesses.
Human error is a certainty, the location of it is not.
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  Quote Temujin Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 21:59
Originally posted by gcle2003

You quite obviously have no idea what you are talking about. I've had experience under the US, UK, French, German and Luxembourg systems, not just for myself but for relatives and friends, and the French and Luxembourg systems are incomparably better on pretty well all counts. Germany isn't far behind, the UK is pretty dismal nowadays, and the US is the worst I've personally experienced. But the UK is not 'socialised', but 'nationalised' (big, big difference).


i have no experience with other healthcare systems but i think the German one is pretty solid. in what way is the French one superior?

BTW good count on nationalized vs socialized, never really thought about the difference.
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  Quote beorna Quote  Post ReplyReply Direct Link To This Post Posted: 03-Nov-2008 at 23:17
Originally posted by Temujin


i have no experience with other healthcare systems but i think the German one is pretty solid. in what way is the French one superior?
But our politicians are trying to murder it, perhaps it is still dead or in his last breathing.
It is said before. But I will support it. A medical system for all citizens, a medical system were the strongests support the weakest isn't socialism. what's with ill people? Private assurances don't want old and sick people. what's with disabled persons? America pretends to be a christian country, probably the most christian country. Perhaps you see a medical health system for all as a christian health system! The German health system once worked. But than the thiefs came from all sides. Yes there was a demographic change, yes, the medical science is that of the 60th or 70th. We have the problem that all employees with a monthly wage above 4012,50€ are free, that all self-employed people can be free but that the great rest has to pay into the common health system. And this system wastes the money.
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  Quote edgewaters Quote  Post ReplyReply Direct Link To This Post Posted: 04-Nov-2008 at 04:34
Originally posted by beorna

But our politicians are trying to murder it, perhaps it is still dead or in his last breathing.


That's what's happening here too. The American HMOs have deep pockets for lobbying and framing the issue through media etc.

Still, we have better prognoses, longer lifespan, and spend less of our GDP on health than the Americans do. The saboteurs have alot of work ahead of them.


Edited by edgewaters - 04-Nov-2008 at 04:37
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  Quote gcle2003 Quote  Post ReplyReply Direct Link To This Post Posted: 04-Nov-2008 at 11:41
Originally posted by Temujin

Originally posted by gcle2003

You quite obviously have no idea what you are talking about. I've had experience under the US, UK, French, German and Luxembourg systems, not just for myself but for relatives and friends, and the French and Luxembourg systems are incomparably better on pretty well all counts. Germany isn't far behind, the UK is pretty dismal nowadays, and the US is the worst I've personally experienced. But the UK is not 'socialised', but 'nationalised' (big, big difference).

i have no experience with other healthcare systems but i think the German one is pretty solid. in what way is the French one superior?
The German one is pretty solid - I said it wasn't far behind. However, there is more of a difference between the way (partially) private patients and state-paid are dealt with  in hospitals that cater for both. Some operations (like the sigma2 operation for bladder cancer) are only available for people who have supplementary insurances through companies like DKV (or can foot the bill themselves).
 
Also the percentage of the population covered by insurance in Germany is a little lower than in France. There's an informative study on this at http://www.civitas.org.uk/pdf/cs17.pdf
which, interestingly, shows the French criticising their system more than the Germans criticise theirs. But then the French are always criticising their government more than the Germans Smile

BTW good count on nationalized vs socialized, never really thought about the difference.
It's important because the arguments of critics of 'socialised medicine' are usually based on weaknesses in nationalised systems.
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