Monday, August 29, 2016

MP Mediation Frustration: Again

MP Obamacare and Gridlock


I know I owe Sean some wise words regarding healthcare policy, and my subconscious is still chewing on it...  But right now I am going to vent about inconsistency...


So Paul is going on and on about how great Single Payer would be. (ie high quality, low cost, excellent availability, even more R&D, etc) And how the Healthcare Experts are incompetent and should be as smart as he is.....


And I can not even post this simple response:


Here are 4 near monopolistic government run entities that should serve as a warning of why Single Payer will not deliver as promised:
  • US Military: Good Quality, but Incredibly Expensive
  • US Veteran Services: Good Cost but significant quality and availability concerns
  • US Public Education System: Expensive, Good Availability, but 100's of thousands of children are left behind every year and likely to propagate generational poverty.
  • US Welfare System: Good Availability, A Bit Expensive, but Is Making almost no progress on decreasing the number of Financially Dependent Americans. 
Ironically, Paul and I were having a similar discussion on MP Exceptionalism.
"The primary objective of single payer is universal and unrestricted availability for everyone; cost containment is just a natural feature of single payer. Quality also improves because resources and priorities are directed and driven by best practices rather than ability to pay or marketing. Colonoscopies in the US aren't "better" than colonoscopies in Germany despite being twice as expensive for example.

You're higher insurance premiums for instance don't buy better quality health care, they just buy more coverage for health care. In fact even expensive health insurance in the US can actually trap you in a mediocre provider system depending on the network you're restricted to. We used to call the old Group Health "Group Death" when I worked in a hospital for instance. At any rate it's much much much easier for a nation to focus on best practices in health care once you move all this other garbage out of the way. It's a basic principle of engineering: KISS- Keep It Simple Stupid.

The US ranks at the bottom of every health care metric (i.e. cost, availability, quality, etc.) among our group of peers and one basic reason for that is our system is ridiculously and needlessly complex compared to our peers. Medicare for all would be the simplest, best, and easiest way to bring our system up to par." Paul

"The goals for the Public School System is to ensure unrestricted availability for everyone; cost containment is just a natural feature of single payer. Quality also improves because resources and priorities are directed and driven by best practices rather than ability to pay or marketing.

And yet a large portion of our young adults can not pass a basic academic test... And continue the cycle of generational poverty... Even though we have one of the most expensive education systems in the world....

I'll say it again single payer has some upsides and a lot of downsides.
Single vs Multi payer

I always wonder who is going to encourage companies to spend on R&D if not us?" G2A

"There are many causal factors that have nothing to do with the Healthcare systems that one needs to take into account.

Checkout this regarding single parent household differences between here and the OECD countries.  Internation Single Parent Families  Or obesity. World map obesity" G2A
Well, maybe someday I will figure out what they use as moderation rules.

1 comment:

jerrye92002 said...

You know, there is a simple way to provide Universal Health Care for everybody, at no cost? Government simply mandates that every health care provider must provide it to anybody that asks, at no charge. Problem solved. It's a right, right? Any other proposal for UHC is just a partial step-- a half-measure-- in that direction.