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Affordable Care?

The books produced by the major textbooks houses have been pimping socialism for a hundred years now, since the time of John Dewey.

How many textbook publishers representatives have you had discussions with? Textbook publishers are capitalists, through and through, whose primary motivation is to make money. Why do you hate capitalism?
 
How many textbook publishers representatives have you had discussions with? Textbook publishers are capitalists, through and through, whose primary motivation is to make money. Why do you hate capitalism?

"capitalism" is not my belief system. Individual freedom, liberty, and human rights for all mankind is my belief system.

I also hate the Republican National Party, and the Democrat National Party because both are wholly-owned and operated by cartelists.

While I do see the fact of efficiencies achievable by larger-scale operations, if I could influence our legislation I would protect the right of workers to form unions to represent themselves , and I would make it criminal for union officers to cut private inside deals with corporations for their own benefit, such as I have seen in the unionized workplace, where even though I was "management", my compensation package was tied to the union contract, and I saw a secession of union leaders over the years cut deals which were rewarded with cushy management-side jobs for the former union chiefs.

I do not like "capitalists" whose idea of "deregulation" means they can defraud their investors and customers as has happened since Billary Clinton cut the deal to deregulate banking in the nineties. I want to restore the Glass-Steagall provisions of the FDR-era attempt to curb big-time Wall Street thieves in therir strategies to fleece both investors in their own corporations and investors who banked with them.

I could go on. . . . . and on. . . . . .

Our textbook publishers have been owned and operated by the "right people", who have served the designs of the fascist puppeteers who create the language and context of the public play they call "history" and "news". Which I do not believe.

maybe another day.
 
I recently read that came about because of legislation in the middle of the last century. Before that, hospitals were free to turn away anyone who could not pay (although only a few did so).



The history of medicine in the developed world in the 20th century says that government does it more efficiently.



Innovation is a product of basic research, which is mostly government-funded.

And this is what's wrong with it. The money is collected from the taxpayers, and used to promote things deemed "beneficial" by bureaucrats, whose jobs are on the line not in any sense of duty to the public, but to corporate cartelists with their influence on the direction of "progress". Which, somehow, has made the cartelist prosperous and the people unable to afford to live without them. . . . sorta like the "company store" mentality.

Do you think if people had their own money to spend on their own care, that scientists and care providers would not do anything to meet their needs or expectations?

We can argue about the superiority of "managers" of the present system over the managers of a fundamentally different system that was more focused on the patients til the cows come home. We haven't really had a pure system run by the researchers or caregivers because since university research programs began to develop, it was with public funds, which the corporates such as Pharmaceuticals have managed to direct both by donations to university research programs, creating "chairs" dependent on them, and by hiring lobbyists to influence public spending, and by being the 500# gorillas financing election campaigns for "our" representatives".

Just like the way we were cut out of the deal in the ACA, it's never been "our" game at all.
 
I'm sorry, I missed the link. Which post was it in? Will it actually say that medical resources were relatively evenly distributed? Will it say anything at all about elderly poverty?

It concludes that the OAA programs of the New Deal did not improve care, or provide more care. It was looking at specifically the elderly folks who had been, as I have been saying for quite a while, been getting assistance from private charities and community-owned hospitals which already had some taxpayer support, with local management.

The link was in post #141 (assuming nobody deletes a prior post), and for your convenience I'll give a quote here:



https://www.nber.org/papers/w14970

Our results suggest that Old Age Assistance in the 1930s had little impact on the death rate of the elderly. Our sense is that the OAA programs in the 1930s transferred the elderly from general relief programs without necessarily increasing the resources available to them.


I went looking for something specifically because of our exchanges, and in my opinion this organization is not "conservative", but is a first-flight organization of professionals, headed by someone at M.I.T. It might be very much to your taste for an information resource on a lot of public issues.

The NBER appears to be a gold mine of relevant information, research done by some of our leading institutional economic researchers, including some things that are directly relevant to this thread. I will give the link to the specific topic this thread is about, and I'll spend some time reading what I can get out of this site, and see you all later. . . .

https://www.nber.org/programs/hc/hc.html
 
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Babe, I share your view on a system that is clearly hijacked by corporate interests along with legislative authorities advancing their own interest at the expense of everyone else. However, I am having a difficult time precisely understanding your objections as you do not define the terms you're using, making them sound a bit empty. You seem to support the idea of organized labor and other socialist principles, but you use word socialism as if it's a taboo. You keep bringing up freedom and liberty, but you seem to mostly relate it to personal income.

More importantly, you continue to bring up the typical conservative complaints against people abusing the system, or claims of government inefficiency. Both complaints were addressed in this thread several times, including the article that I linked, and which you concluded to be factual.

As the article mentions, government run programs like medicare are far and away the most efficient healthcare programs in the U.S. by any conceivable measure. And fraud is so incredibly rare (compared to private systems) due to the resources invested in fraud prevention, that it's barely worth mentioning. Sure people will sometimes make unneeded visits to doctors and hospitals, but that again seems to relate simply to your central theme of personal control of one's income being the most transcendent moral prerogative.

And remember, the U.S. is not the only country on earth. Government run healthcare works elsewhere. Other countries still manage to advance medicine and provide good care to their citizens. Without bankrupting their economies. There are the typical complaints about supposed long lines and what have you, but I'll take that over millions of people who cannot get healthcare at all, and millions more who are forever enslaved due to their bills. And so should anyone who mentioned humans right as often as you do. How can someone so compassionate be so focused on controlling every last penny earned?
 
Babe, I share your view on a system that is clearly hijacked by corporate interests along with legislative authorities advancing their own interest at the expense of everyone else. However, I am having a difficult time precisely understanding your objections as you do not define the terms you're using, making them sound a bit empty. You seem to support the idea of organized labor and other socialist principles, but you use word socialism as if it's a taboo. You keep bringing up freedom and liberty, but you seem to mostly relate it to personal income.

More importantly, you continue to bring up the typical conservative complaints against people abusing the system, or claims of government inefficiency. Both complaints were addressed in this thread several times, including the article that I linked, and which you concluded to be factual.

As the article mentions, government run programs like medicare are far and away the most efficient healthcare programs in the U.S. by any conceivable measure. And fraud is so incredibly rare (compared to private systems) due to the resources invested in fraud prevention, that it's barely worth mentioning. Sure people will sometimes make unneeded visits to doctors and hospitals, but that again seems to relate simply to your central theme of personal control of one's income being the most transcendent moral prerogative.

And remember, the U.S. is not the only country on earth. Government run healthcare works elsewhere. Other countries still manage to advance medicine and provide good care to their citizens. Without bankrupting their economies. There are the typical complaints about supposed long lines and what have you, but I'll take that over millions of people who cannot get healthcare at all, and millions more who are forever enslaved due to their bills. And so should anyone who mentioned humans right as often as you do. How can someone so compassionate be so focused on controlling every last penny earned?

well, it appears we come from different worlds and speak different languages, and have all our own meanigs for what we say, to the exclusion of being understandable to the chimps. . . . .and a lot of others.

I read your question above as a stylized liberal rant that could be the "reasonable" interpretation of a totally-immersed believer in the fare commonly available in the TIME magazine, and public education as offered today, and our media. OK, fair enough. What should I expect?

It is going to take some effort to bridge the gaps here. . . . and I will work on it in small bits, if possible. . . .

You ask me how someone like me, whom you compliment as "so compassionate", be so focused on controlling every last penny earned?

Well, I was employed for about fifteen years by the government whose hand I am biting now, working as a student and graduate in publicly-funded research. Maybe my views have something to do with the way I saw that money being spent, and how that system works.

My wife is a health care professional in the caregiving side, and a lot of my views come from things she says about the practical effects of insurance policies, litigation, and government mandates and requirements. My list of abuses comes from her. And she has been a compassionate caregiver for all her adult life.

It is my general sense that people, if they have the power of choice, can make decisions that are in their own interests more efficiently than any larger system even one staffed by the best of professionals, and I want people to have that power in their own lives.

Not that I would really want a world where people in need go without care, nor that I really think private charities can or will do it all for the poor or those simply unable to pay for necessary and obviously beneficial care. I pay taxes and I just want the money spent in a way that efficiently provides the care, and does not create a whole caste of fatcats living off the system who don't care about anything but their cash cow.
 
well, it appears we come from different worlds and speak different languages, and have all our own meanigs for what we say, to the exclusion of being understandable to the chimps. . . . .and a lot of others.

I read your question above as a stylized liberal rant that could be the "reasonable" interpretation of a totally-immersed believer in the fare commonly available in the TIME magazine, and public education as offered today, and our media. OK, fair enough. What should I expect?

It is going to take some effort to bridge the gaps here. . . . and I will work on it in small bits, if possible. . . .

You ask me how someone like me, whom you compliment as "so compassionate", be so focused on controlling every last penny earned?

Well, I was employed for about fifteen years by the government whose hand I am biting now, working as a student and graduate in publicly-funded research. Maybe my views have something to do with the way I saw that money being spent, and how that system works.

My wife is a health care professional in the caregiving side, and a lot of my views come from things she says about the practical effects of insurance policies, litigation, and government mandates and requirements. My list of abuses comes from her. And she has been a compassionate caregiver for all her adult life.

It is my general sense that people, if they have the power of choice, can make decisions that are in their own interests more efficiently than any larger system even one staffed by the best of professionals, and I want people to have that power in their own lives.

Not that I would really want a world where people in need go without care, nor that I really think private charities can or will do it all for the poor or those simply unable to pay for necessary and obviously beneficial care. I pay taxes and I just want the money spent in a way that efficiently provides the care, and does not create a whole caste of fatcats living off the system who don't care about anything but their cash cow.

I do not see what is "liberal" about my post. Perhaps the last part about socialized healthcare working fairly well in other countries? I'm simply pointing out that your views on efficiency and abuse is not consistent with reality. Your justification is built upon vague sentiment like liberty and individual rights. So what are we talking about here? Are we talking about the best ways to actually improve healthcare in meaningful and measurable ways? Or about how to change it without violating the deeply ideological personal-income-centric worldview? I am more than willing to engage in a philosophical discussion about The Good and how it related to freedom and its many ephemeral definitions, but that's neither here nor there.

This conversation seems to be about fixing healthcare. Healthcare is astonishingly expensive for everyone involved (private sector, government, individuals). An astounding number of people cannot afford it at all, and those who can are often left bankrupt after a serious illness. In addition, the quality of healthcare does not seem up to the standards of most developed countries. There is a good chance one contracts a worse ailment from hospital care than the one s/he was admitted with. There is no logical reason why any of this should be, and other countries seem to do it better. The system is way too entrenched to borrow someone else's system whole. But like you say, Obamacare fixes nothing, and so we must look into other models and use the data to develop something that works for us.

But that must be based on the best solution to the problem, as long as any demands on the tax payer are reasonable. If there are inherent inefficiencies in large scale solutions, then we must find solution to the solutions. Progress is an on going process. And there is no one-size fits all ideological solution that we should impose on ourselves.
 
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And this is what's wrong with it. The money is collected from the taxpayers, and used to promote things deemed "beneficial" by bureaucrats, whose jobs are on the line not in any sense of duty to the public, but to corporate cartelists with their influence on the direction of "progress".
...
Just like the way we were cut out of the deal in the ACA, it's never been "our" game at all.

The scientists I read say the allocation of funds is done by scientists, not bureaucrats.

However, I do agree with the last sentence.
 
I do not see what is "liberal" about my post. Perhaps the last part about socialized healthcare working fairly well in other countries? I'm simply pointing out that your views on efficiency and abuse is not consistent with reality. Your justification is built upon vague sentiment like liberty and individual rights. So what are we talking about here? Are we talking about the best ways to actually improve healthcare in meaningful and measurable ways? Or about how to change it without violating the deeply ideological personal-income-centric worldview? I am more than willing to engage in a philosophical discussion about The Good and how it related to freedom and its many ephemeral definitions, but that's neither here nor there.

This conversation seems to be about fixing healthcare. Healthcare is astonishingly expensive for everyone involved (private sector, government, individuals). An astounding number of people cannot afford it at all, and those who can are often left bankrupt after a serious illness. In addition, the quality of healthcare does not seem up to the standards of most developed countries. There is a good chance one contracts a worse ailment from hospital care than the one s/he was admitted with. There is no logical reason why any of this should be, and other countries seem to do it better. The system is way too entrenched to borrow someone else's system whole. But like you say, Obamacare fixes nothing, and so we must look into other models and use the data to develop something that works for us.

But that must be based on the best solution to the problem, as long as any demands on the tax payer are reasonable. If there are inherent inefficiencies in large scale solutions, then we must find solution to the solutions. Progress is an on going process. And there is no one-size fits all ideological solution that we should impose on ourselves.

substantial comments here. . . . . not sure I can briefly line up all the things you mention that I feel are actually valid, and to counter the ones I think are not perfectly valid, in a substantiative way, would probably deserve a thirty page research report like the ones NBER produces. We have to subscribe to that service or satisfy ourselves with "abstracts" of the studies. Might be worthwhile to subscribe. If I could just get elected to office somehow, I'd get it for free. . . . .

yes, when you seem to imply that my whole reason for wanting to quibble over the ACA is because I'm simply stingy somehow, I read that as "liberal" takedown of a perceived "conservative". Like Obama saying Republicans want to throw Grandma under the Bus, and such.

No, I felt like the ACA was a huge powergrab by the cartelists and such. I see the rules still being defined, and the whole process going on essentially out of the public view, and I want to question this method of doing public business.
 
The lack of federal numbers is not evidence that the federal numbers were an improvement over numbers seen in various states. It certainly is not an argument regarding distribution of pension sizes and other known retirement incomes.

Gobbledygook.

I don't think you could pull out a percentage high enough that would actually justify the government forcing redistribution on ALL of us in the name of "retirement" income for "the elderly poor."
 
Gobbledygook.

I don't think you could pull out a percentage high enough that would actually justify the government forcing redistribution on ALL of us in the name of "retirement" income for "the elderly poor."

you didn't understand the context of OB comment. It actually made sense to me, and had a valid point. We were talking about the effectiveness of private/local programs to care for the elderly and/or poor before the implementation of OAA under the New Deal, and the effectiveness of federal money spent to "fill in the gaps" for those who needed care after the New Deal program known as OAA. OB is not certain we have valid stats, even with the study we were discussing, on the basis of the short time span in the study.
 
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