Milton Friedman - Socialized Medicine

Discussion in 'Health Care' started by Robert, Nov 5, 2017.

  1. Robert

    Robert Well-Known Member Past Donor

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    Insurance is just a service or in truth, the product of an industry. They do not provide health care. A few however, such as Kaiser are confused with insurance firms. Kaiser is a full service medical care facility that patients pay monthly fees to. They will pay copays when checking in. They have your doctor on staff and the hospital will handle in house medical problems.

    But I speak of insurance firms.

    Obama did not provide government hospital care. All Obama did was force you to pay for your own insurance. And the program started poorly and slowly and never had a chance had it not forced you to buy insurance.
     
  2. Hoosier8

    Hoosier8 Well-Known Member Past Donor

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    Gosh, hate to point this out but 100% of people with insurance die.
     
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  3. Robert

    Robert Well-Known Member Past Donor

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    That in no way proves a thing you said.
     
  4. james M

    james M Banned

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    if so why so afraid to tell us what holocaust?
     
  5. james M

    james M Banned

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    for 3rd time: so then why is the liberal so afraid no give us his best example of Friedman talking out of both sides of his mouth? Is name calling all a liberal can do?
     
  6. Fenton Lum

    Fenton Lum Banned

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    You mean do I wish to switch what we call it? Irrelevant. Soviet style communism and american style capitalism for instance are nothing but divergent paths to the same ultimate destination wherein all the power and concentrated wealth over time wind up in the hands of a privileged few. All else is semantics.
     
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  7. Fenton Lum

    Fenton Lum Banned

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    It's all any of you do, hence your labels.
     
  8. Old Man Fred

    Old Man Fred Well-Known Member

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    So you're telling me that if we guarantee health care and education, which to a great deal we already do in the United States, no one would complain?
     
  9. Old Man Fred

    Old Man Fred Well-Known Member

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    Which is why the Veterans Health Administration is the shinning light of quality health care.
     
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  10. james M

    james M Banned

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    for 4th time: so then why is the liberal so afraid no give us his best example of Friedman talking out of both sides of his mouth? Is name calling all a liberal can do?
     
  11. Fenton Lum

    Fenton Lum Banned

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    I don't know, why don't you go find one?
     
  12. james M

    james M Banned

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    exactly!! quality is guaranteed to go down in true soviet fashion because survival in the health care industry would not be based on Republican price and quality competition.
     
  13. Fenton Lum

    Fenton Lum Banned

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    New York, N.Y., October 8, 2015 — The U.S. spent more per person on health care than 12 other high-income nations in 2013, while seeing the lowest life expectancy and some of the worst health outcomes among this group, according to a Commonwealth Fund report out today. The analysis shows that in the U.S., which spent an average of $9,086 per person annually, life expectancy was 78.8 years. Switzerland, the second-highest-spending country, spent $6,325 per person and had a life expectancy of 82.9 years. Mortality rates for cancer were among the lowest in the U.S., but rates of chronic conditions, obesity, and infant mortality were higher than those abroad.

    “Time and again, we see evidence that the amount of money we spend on health care in this country is not gaining us comparable health benefits,” said Commonwealth Fund President David Blumenthal, M.D. “We have to look at the root causes of this disconnect and invest our health care dollars in ways that will allow us to live longer while enjoying better health and greater productivity.”

    http://www.commonwealthfund.org/pub...spends-more-on-health-care-than-other-nations


    U.S. Healthcare Ranked Dead Last Compared To 10 Other Countries

    https://www.forbes.com/sites/danmun...-compared-to-10-other-countries/#486bbd6f576f


    Major Findings
    · Quality: The indicators of quality were grouped into four categories: effective care, safe care, coordinated care, and patient-centered care. Compared with the other 10 countries, the U.S. fares best on provision and receipt of preventive and patient-centered care. While there has been some improvement in recent years, lower scores on safe and coordinated care pull the overall U.S. quality score down. Continued adoption of health information technology should enhance the ability of U.S. physicians to identify, monitor, and coordinate care for their patients, particularly those with chronic conditions.

    · Access: Not surprisingly—given the absence of universal coverage—people in the U.S. go without needed health care because of cost more often than people do in the other countries. Americans were the most likely to say they had access problems related to cost. Patients in the U.S. have rapid access to specialized health care services; however, they are less likely to report rapid access to primary care than people in leading countries in the study. In other countries, like Canada, patients have little to no financial burden, but experience wait times for such specialized services. There is a frequent misperception that trade-offs between universal coverage and timely access to specialized services are inevitable; however, the Netherlands, U.K., and Germany provide universal coverage with low out-of-pocket costs while maintaining quick access to specialty services.

    · Efficiency: On indicators of efficiency, the U.S. ranks last among the 11 countries, with the U.K. and Sweden ranking first and second, respectively. The U.S. has poor performance on measures of national health expenditures and administrative costs as well as on measures of administrative hassles, avoidable emergency room use, and duplicative medical testing. Sicker survey respondents in the U.K. and France are less likely to visit the emergency room for a condition that could have been treated by a regular doctor, had one been available.

    · Equity: The U.S. ranks a clear last on measures of equity. Americans with below-average incomes were much more likely than their counterparts in other countries to report not visiting a physician when sick; not getting a recommended test, treatment, or follow-up care; or not filling a prescription or skipping doses when needed because of costs. On each of these indicators, one-third or more lower-income adults in the U.S. said they went without needed care because of costs in the past year.

    · Healthy lives: The U.S. ranks last overall with poor scores on all three indicators of healthy lives—mortality amenable to medical care, infant mortality, and healthy life expectancy at age 60. The U.S. and U.K. had much higher death rates in 2007 from conditions amenable to medical care than some of the other countries, e.g., rates 25 percent to 50 percent higher than Australia and Sweden. Overall, France, Sweden, and Switzerland rank highest on healthy lives.

    http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror


    No other advanced country even comes close to the United States in annual spending on health care, but plenty of those other countries see much better outcomes in their citizens' actual health overall.

    A new Commonwealth Fund report released Thursday underscored that point — yet again — with an analysis that ranks 13 high-income nations on their overall health spending, use of medical services, prices and health outcomes.

    The study data, which is from 2013, predates the full implementation of Obamacare, which took place in 2014. Obamacare is designed to increase health coverage for Americans and stem the rise in health-care costs.

    The findings indicate that despite spending well in excess of the rate of any other of those countries in 2013, the United States achieved worse outcomes when it comes to rates of chronic conditions, obesity and infant mortality.

    One rare bright spot for the U.S., however, is that its mortality rate for cancer is among the lowest out of the 13 countries, and that cancer rates fell faster between 1995 and 2007 than in other countries.

    "Time and again, we see evidence that the amount of money we spend on health care in this country is not gaining us comparable health benefits," said Dr. David Blumenthal, president of the Commonwealth Fund. "We have to look at the root causes of this disconnect and invest our health-care dollars in ways that will allow us to live longer while enjoying better health and greater productivity."

    http://www.cnbc.com/2015/10/08/us-health-care-spending-is-high-results-arenot-so-good.html


    Ranking 37th — Measuring the Performance of the U.S. Health Care System
    http://www.nejm.org/doi/full/10.1056/NEJMp0910064#t=article


    Health Care Outcomes in States Influenced by Coverage, Disparities
    https://www.usnews.com/news/best-st...-in-states-influenced-by-coverage-disparities


    One explanation for the health disadvantage of the United States relative to other high-income countries might be deficiencies in health services. Although the United States is renowned for its leadership in biomedical research, its cutting-edge medical technology, and its hospitals and specialists, problems with ensuring Americans’ access to the system and providing quality care have been a long-standing concern of policy makers and the public (Berwick et al., 2008; Brook, 2011b; Fineberg, 2012). Higher mortality rates from diseases, and even from transportation-related injuries and homicides, may be traceable in part to failings in the health care system.

    The United States stands out from many other countries in not offering universal health insurance coverage. In 2010, 50 million people (16 percent of the U.S. population) were uninsured (DeNavas-Walt et al., 2011). Access to health care services, particularly in rural and frontier communities or disadvantaged urban centers, is often limited. The United States has a relatively weak foundation for primary care and a shortage of family physicians (American Academy of Family Physicians, 2009; Grumbach et al., 2009; Macinko et al., 2007; Sandy et al., 2009). Many Americans rely on emergency departments for acute, chronic, and even preventive care (Institute of Medicine, 2007a; Schoen et al., 2009b, 2011). Cost sharing is common in the United States, and high out-of-pocket expenses make health care services, pharmaceuticals, and medical supplies increasingly unaffordable (Commonwealth Fund Commission on a High Performance System, 2011; Karaca-Mandic et al., 2012). In 2011, one-third of American households reported problems paying medical bills (Cohen et al., 2012), a problem that seems to have worsened in recent years (Himmelstein et al., 2009). Health insurance premiums are consuming an increasing proportion of U.S. household income (Commonwealth Fund Commission on a High Performance System, 2011).

    https://www.ncbi.nlm.nih.gov/books/NBK154484/


    Once again, U.S. has most expensive, least effective health care system in survey

    A report released Monday by a respected think tank ranks the United States dead last in the quality of its health-care system when compared with 10 other western, industrialized nations, the same spot it occupied in four previous studies by the same organization. Not only did the U.S. fail to move up between 2004 and 2014 -- as other nations did with concerted effort and significant reforms -- it also has maintained this dubious distinction while spending far more per capita ($8,508) on health care than Norway ($5,669), which has the second most expensive system.

    "Although the U.S. spends more on health care than any other country and has the highest proportion of specialist physicians, survey findings indicate that from the patients’ perspective, and based on outcome indicators, the performance of American health care is severely lacking," the Commonwealth Fund, a New York-based foundation that promotes improved health care, concluded in its extensive analysis. The charts in this post are from the report.

    [​IMG]

    https://www.washingtonpost.com/news...care-system-in-survey/?utm_term=.3bea55276072


    US healthcare system ranks 50th out of 55 countries for efficiency
    http://www.beckershospitalreview.co...-50th-out-of-55-countries-for-efficiency.html


    he U.S. healthcare system notched another dubious honor in a new comparison of its quality to the systems of 10 other developed countries: its rank was dead last.

    The new study by the Commonwealth Fund ranks the U.S. against seven wealthy European countries and Canada, Australia and New Zealand. It's a follow-up of previous surveys published in 2010, 2007, 2006 and 2004, in all of which the U.S. also ranked last.

    Although the U.S. ranked in the middle of the pack on measures of effectiveness, safety and coordination of care, it ranked dead last on access and cost, by a sufficient margin to rank dead last overall. The breakdowns are in the chart above.

    Conservative pundits hastened to explain away these results after the report was published. See Aaron Carroll for a gloss on the "zombie arguments" put forth against the clear evidence that the U.S. system falls short.

    http://www.latimes.com/business/hiltzik/la-fi-mh-the-us-healthcare-system-20140617-column.html

    U.S. Health Care Ranked Worst in the Developed World
    http://time.com/2888403/u-s-health-care-ranked-worst-in-the-developed-world/
     
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  14. james M

    james M Banned

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    so does that mean you want to switch to Republican capitalism?
     
  15. Fenton Lum

    Fenton Lum Banned

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    You, if american, enjoy the shittiest and most expensive and inefficient health"care" system on the planet among advanced post industrial nations. Just so's ya know. You're welcome.
     
  16. james M

    james M Banned

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    so does that mean you want to switch to capitalism?
     
  17. Fenton Lum

    Fenton Lum Banned

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    What do you refer to as what america has now?
     
  18. james M

    james M Banned

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    Actually VA Medicare Mediaid Schip Tricare etc are far far far from Republican capitalism. Amazing you don't know that but we find this is typical of liberalism.
     
  19. Fenton Lum

    Fenton Lum Banned

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    And that is the totality of your system? The entire thing?
     
  20. Diuretic

    Diuretic Well-Known Member

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    It seems that in the US everything is a commodity, to be offered for sale and to be purchased. In a lot of other countries there isn't as much commodification of what are seen to be human services. I think that's the key. If you think buying healthcare is a good thing then bully for you. I think it's stupid but what the hell, you're entitled to do it your way.
     
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  21. Reiver

    Reiver Well-Known Member

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    His ideas have certainly been pivotal in harming our National Health Service and encouraging the dismantling of the public good. A destructive economic contribution...
     
  22. Robert

    Robert Well-Known Member Past Donor

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    WOW, talk of words used to identify the posters ideology. Sorry sir, my bet remains on Friedman and his economics.
     
  23. Reiver

    Reiver Well-Known Member

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    Like monetarism- based on a false debate with neo-Keynesians- which artificially created the 1980s recession? In terms of enforced deindustrialisation, Friedman's output is untouchable!
     
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  24. Mr_Truth

    Mr_Truth Well-Known Member

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    OK. Then take away subsidized health care for the rich and give it to the poor. Let's see how that pans out.
     
  25. Mr_Truth

    Mr_Truth Well-Known Member

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    I suggest you take that argument to Harvard University. Good luck with that.
     
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