TruthNotBS
Gold Member
- Mar 20, 2023
- 5,525
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If you want to shut Todd down immediately, just remind him of this:Hilarious
It's like kryptonite.
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If you want to shut Todd down immediately, just remind him of this:Hilarious
Hilarious
If you want to shut Todd down immediately, just remind him of this:
It's like kryptonite.
Reagan was the best thing that ever happened to us. He demonstrated how capitalism doesn't work without socialism. The trickle-down doesn't trickle.Commies make me tired. I thought we were going to sell them the rope.
Then Reagan kicked them onto the ash heap of history.
Now they're tired losers.
That's outrageous!
Off to the gulag with you!
Reagan was the best thing that ever happened to us. He demonstrated how capitalism doesn't work without socialism. The trickle-down doesn't trickle.
I guess you dont believe in private propertyThe people who work in the productive enterprise should own it and decide how it's run.
Sure, see Kansas and brownback fuckup.Reagan was the best thing that ever happened to us
That's what the USSR said.
Are you still sad that the Berlin Wall fell?
That Eastern Europe was freed?
The trickle-down doesn't trickle.
Supply-side economics works every time it's tried.
In another dimension the trickle-down works, but not in this one. The USSR was the first attempt to establish a socialist society on a national scale. A poor, under-industrialized, agrarian society, with over half of its population, completely illiterate. It was invaded in 1918 by the US and 14 other countries a few months after its founding. There were over 200 thousand foreign troops fighting in Soviet Russia against the socialists, including thousands of American Marines and Soldiers.Reagan was the best thing that ever happened to us
That's what the USSR said.
Are you still sad that the Berlin Wall fell?
That Eastern Europe was freed?
The trickle-down doesn't trickle.
Supply-side economics works every time it's tried.
I'm sorry but debate via links without summarizing what is in those links just isn't my cup of tea. And the USA is like no other country and today commemorates how the Founders intended to create a country that was like no other which is what Independence Day is all about. They would risk everything they had including their lives to win our right to be different.The argument presented attributes the rise in healthcare costs primarily to the involvement of the federal government through Medicare and Medicaid, and by extension, the Affordable Care Act (Obamacare). It is imperative to scrutinize this claim with a multi-dimensional lens and consider various factors that contribute to healthcare costs.
In conclusion, while government programs are not without flaws, they play a vital role in ensuring access to healthcare for millions of Americans. The issue of rising healthcare costs is multi-faceted and cannot be solely attributed to government involvement. There is a plethora of evidence suggesting that a more coordinated effort between government and the private sector, with an emphasis on value-based care, price negotiation, and preventive services, can lead to more sustainable healthcare costs and improved outcomes.
- Context and Comparisons: The claim lacks a comparison of the healthcare systems across the world. Almost every developed country, except for the United States, has some form of universal healthcare system, many of which are more heavily government-regulated than the U.S. According to data from the Organization for Economic Co-operation and Development (OECD), these countries often have lower per-capita healthcare expenditures and better health outcomes compared to the United States. This undercuts the notion that government involvement inherently leads to higher costs.
- Administrative Efficiency: Medicare has been found to have lower administrative costs compared to private insurance. A study published in the Annals of Internal Medicine found that in 2017, administrative costs were 34.2% of total health expenditures for private insurers, compared to only 1.4% for traditional Medicare. This challenges the argument that government programs are inherently less efficient.
- Cost Controls and Negotiations: One of the major drivers of increasing healthcare costs is the high prices of services and medications. In most countries with universal healthcare, the government has the power to negotiate prices with providers and pharmaceutical companies. In contrast, Medicare is prohibited from negotiating drug prices due to the Medicare Modernization Act of 2003. This indicates that it’s not the existence of government programs that are driving costs, but specific policy choices within those programs.
- Innovation and Services: The argument presented neglects the fact that the cost of healthcare has also risen due to advancements in medical technology and treatments. The introduction of new, often expensive, medical technologies and drugs has contributed significantly to the increase in healthcare costs. This would have happened irrespective of government involvement.
- Preventive and Comprehensive Care: Government programs like Medicare and Medicaid ensure that more people have access to preventive care which, in the long run, can lead to lower healthcare costs for society as a whole. Many people without access to healthcare end up in emergency rooms for conditions that could have been managed or prevented, which is significantly more expensive.
- Education Costs as a Comparison: The mention of rising college costs is also a simplification of a complex issue. The decrease in state funding for public universities, increase in administrative positions, and the amenities arms race are among the factors contributing to the rise in tuition costs. Moreover, comparing education and healthcare is akin to comparing apples and oranges; both are complex systems influenced by a myriad of factors.
OECD Health Statistics- for comparing healthcare systems and expenditures across the world:- Administrative Efficiency- for information on Medicare having lower administrative costs compared to private insurance:
- Himmelstein, D. U., & Woolhandler, S. (2020). Medical Administrative Costs in the United States and Canada, 2017. Annals of Internal Medicine, 172(2), 134-136. Link to Abstract
- Cost Controls and Negotiations- information on Medicare not being allowed to negotiate drug prices:
- Innovation and Services- for information on how advancements in medical technology and treatments contribute to healthcare costs:
- Newhouse, J. P. (1992). Medical care costs: how much welfare loss?. Journal of Economic perspectives, 6(3), 3-21. Link to Full Text
- Preventive and Comprehensive Care- for the role of preventive care in managing healthcare costs:
- Maciosek, M. V., Coffield, A. B., Edwards, N. M., Goodman, M. J., Flottemesch, T. J., & Solberg, L. I. (2006). Priorities among effective clinical preventive services: results of a systematic review and analysis. American journal of preventive medicine, 31(1), 52-61. Link to Abstract
- Education Costs- for information on factors contributing to the rise in college tuition costs:
We're definitely like "no other":I'm sorry but debate via links without summarizing what is in those links just isn't my cup of tea. And the USA is like no other country and today commemorates how the Founders intended to create a country that was like no other which is what Independence Day is all about. They would risk everything they had including their lives to win our right to be different.
It wasn't a clinic. It was a full service hospital. And being in the business office I saw all the prices and costs involved in providing health benefits. As I did in my next hospital job that was much larger in a much larger city but still costs were still manageable. otto105 wants to believe people were being ruined by healthcare costs but it just wasn't happening in either of those towns. Sure those who had insurance fared better but even insurance was more affordable before the federal government got involved because it didn't have to cover everything but covered only those things most expensive for people. We expected to pay routine health care out of pocket.That's a nice story Foxfyre, I wish there were more clinics like the one you used to work in.
I've seen the charts of healthcare costs, yes , there is a noticeable increase in the market prices since medicare and Medicaid were enacted.
The problem I have with this narrative relates to the following question: who sets the prices in a capitalist system?
Mostly the same question goes for college education. Correct me if I am wrong, but the price of tuition went up long before any government intervention. How can the government be the cause in this specific case?
![]()
Average Cost of College Over Time: Yearly Tuition Since 1970
The average cost of college by year, expressed in current dollars and adjusted for inflation, itemized and broken down by institution type.educationdata.org
Ok Foxfyre.It wasn't a clinic. It was a full service hospital. And being in the business office I saw all the prices and costs involved in providing health benefits. As I did in my next hospital job that was much larger in a much larger city but still costs were still manageable. otto105 wants to believe people were being ruined by healthcare costs but it just wasn't happening in either of those towns. Sure those who had insurance fared better but even insurance was more affordable before the federal government got involved because it didn't have to cover everything but covered only those things most expensive for people. We expected to pay routine health care out of pocket.
By the time I got to my last hospital job, prices were spiraling out of reach for many and insurance was imperative.
Here you are not making things clear.The GI bill didn't raise college rates because the states embraced it and the returning servicemen weren't that large a percentage of the student bodies. But when the government started funding everybody else and guaranteeing loans for college students, tuition and fees and housing costs rapidly rose too and it became almost impossible to work your way through college which I did fairly easily. My kids paid a lot of their own way and we helped as much as we could but they still had hefty student loans by the time they completed their formal educations.
The government has deep pockets and people being who they are, they'll take as much as they can get whether or not it drives prices so high few can afford them without government help.
In the free market system, they have to keep prices affordable for the customers or they can't sell what they have to sell.
You’re living in a dream world.It wasn't a clinic. It was a full service hospital. And being in the business office I saw all the prices and costs involved in providing health benefits. As I did in my next hospital job that was much larger in a much larger city but still costs were still manageable. otto105 wants to believe people were being ruined by healthcare costs but it just wasn't happening in either of those towns. Sure those who had insurance fared better but even insurance was more affordable before the federal government got involved because it didn't have to cover everything but covered only those things most expensive for people. We expected to pay routine health care out of pocket.
By the time I got to my last hospital job, prices were spiraling out of reach for many and insurance was imperative.
The GI bill didn't raise college rates because the states embraced it and the returning servicemen weren't that large a percentage of the student bodies. But when the government started funding everybody else and guaranteeing loans for college students, tuition and fees and housing costs rapidly rose too and it became almost impossible to work your way through college which I did fairly easily. My kids paid a lot of their own way and we helped as much as we could but they still had hefty student loans by the time they completed their formal educations.
The government has deep pockets and people being who they are, they'll take as much as they can get whether or not it drives prices so high few can afford them without government help.
In the free market system, they have to keep prices affordable for the customers or they can't sell what they have to sell.
It wasn't a clinic. It was a full service hospital. And being in the business office I saw all the prices and costs involved in providing health benefits. As I did in my next hospital job that was much larger in a much larger city but still costs were still manageable. otto105 wants to believe people were being ruined by healthcare costs but it just wasn't happening in either of those towns. Sure those who had insurance fared better but even insurance was more affordable before the federal government got involved because it didn't have to cover everything but covered only those things most expensive for people. We expected to pay routine health care out of pocket.
By the time I got to my last hospital job, prices were spiraling out of reach for many and insurance was imperative.
The GI bill didn't raise college rates because the states embraced it and the returning servicemen weren't that large a percentage of the student bodies. But when the government started funding everybody else and guaranteeing loans for college students, tuition and fees and housing costs rapidly rose too and it became almost impossible to work your way through college which I did fairly easily. My kids paid a lot of their own way and we helped as much as we could but they still had hefty student loans by the time they completed their formal educations.
The government has deep pockets and people being who they are, they'll take as much as they can get whether or not it drives prices so high few can afford them without government help.
In the free market system, they have to keep prices affordable for the customers or they can't sell what they have to sell.
If Medicare and Medicaid aren’t the best why does the private market bitch about competing with the programs?Ok Foxfyre.
I'll grant you this on the helthcare part: meidicaid and medicare were not the best solution for providing helathcare for those in need.
Here you are not making things clear.
Let's establish a timeline.
Looking at the chart from the link , prices started spiraling up by 1990.
When did the government "started funding everybody else"?
When did it started "guaranteeing loans for college students"?
Let's be precise about the chain of events.
I will skip the housing part for the time being, that's a separate matter. Different market as well as different factors shaping the market.
If Medicare and Medicaid aren’t the best why does the private market bitch about competing with the programs?
Otto, language please... unless you are a high schooler. If so go ahead and continue displaying your teen-language skills.... ah, youth and hormones.If Medicare and Medicaid aren’t the best why does the private market bitch about competing with the programs?
Socialists never want to make society better.This has nothing to do with profit, so it is not capitalist.
People post here because they are socialist, and want to make society better, at the sacrifice of their time.
Wrong.Capitalism always resorts to force, if allowed.
It always extorts, creates monopolies, destroys alternatives, etc.
Capitalism is the opposite of the inherent social order humans are born with.