top | item 46807514

(no title)

danmaz74 | 1 month ago

Just two quick answers before we agree to disagree :)

* Life on Earth will survive any human-made change, even a full nuclear war. It's our society which won't survive if changes are too quick.

* Publicly ran healthcare systems in Europe and elsewhere are MUCH more cost efficient than the US private system, it's very easy to compare cost/performance, so the "government operated systems invariably balloon costs" is just false in this case. This isn't to say that private enterprises aren't more efficient in most cases, and the issue with private healthcare isn't that they're not efficient in terms of resources used - it’s just that maximizing profits and shareholder value when people’s lives are on the line means that you, as a health care customer, will be gouged for every penny they can get.

discuss

order

somenameforme|1 month ago

Brevity is a skill. Like Mark Twain wrote - I apologize for such a lengthy letter, I hadn't the time to write a short one!

In general I agree with you on both fronts - our disagreement is mostly going to be in the details and forecasts. For instance the impacts of climate change are already happening. Sea levels in parts of Florida have already risen more than 8 inches since the 50s. Yet beach front property is still selling for a premium. The point is that I expect it's going to be gradual enough that society will have time to adapt, even if the change over an extended period of time may be quite significant.

And I also completely agree that the healthcare systems pretty much anywhere in the world, government or privately operated, are dramatically more efficient than the US private system. But I don't think you can expect that to change if the government starts operating it. Medicaid's savings requires studies to measure since it's nominally more expensive/person than private healthcare. What savings there are, after a bunch of adjustments and assumptions, seem mostly explained by paying healthcare providers less per service, which is why a sizable chunk of places don't accept it. It doesn't really scream 'yeah, let's make this global and mandated' to me.

That said, I had a Norwegian friend visiting me over here in the other side of the world. He ended up getting an ear infection and went to the most premium local hospital to get it sorted out. Final charge to him = $0, even internationally. Enough to make anybody absolutely jealous, but I'm going to have a hard time believing America might be able to land on this Moon. Cheap and efficient just isn't the American way.