Tyyr wrote:Yes, responsible. As in there needs to exist a balance, an actual balance, between protecting the enviornment and the needs of humans. Right now we're perfectly willing to help strangle ourselves in order to not inconvience a few animals. Enviornmental conditions today are far better than they've been in a very long time in the US. How much more enviornmental regulation is needed? How much can you actually influence?
Protecting endangered species doesn't mean halting development, it means ensuring that companies take reasonable precautions not to ruin the environment. The Bush administration worked for
higher levels of arsenic in drinking water, and I think they were too eager
to delist long recognized endangered species. The Republicans did nothing to earn my trust on environmental issues, and the Democrats themselves are a very corporate influenced party that would be considered center-right by European standards.
As for pensions vs. 401ks? I'll take my mobile 401k over a pension that leaves me strapped to a single company for better or worse for my entire career. Mismanaged 401ks can be an issue but in general 401ks are far better for both the employer and employee.
By using uninsured worker savings to finance retirement, they're giving workers much less security. My parents have fared much better with a public pension (as city-employed medical professionals) than some of our relatives have with 401(k)s. But maybe I'm just nostalgic for some era when we had stable employment.
Define no fault of their own? Many of the people lumped into that category choose not to have health insurance.
Some, yes, but for a huge number it's that they can't afford it.
And real pervasive incentives to authorize needed treatment. The US health insurance companies are businesses, first and foremost. If they never provide the service they advertise, health care, they go out of business.
Underinsurance
is a real problem for tens of millions of Americans. A lot of people are just financially unable to get the kind of health insurance that they need, and the nation's health suffers for it. I think the HMO system, as it currently exists in the US,
has failed to provide the level of value and variety that might be used to justify a private system.
Would you pay full sticker price for a car that needed a new engine and transmission? Why would an insurance company take on a client that they know for a fact will cost them money because their medical bills will never come close to their premium payments? They're a business.
Yes, that's the way our system works today. But I believe that a human being is not the same thing as a car, and that as a society, we have a moral duty to ensure that people aren't financially devastated or provided insufficient treatment when they're struck with a life threatening disease. Yes, lifestyle plays some part, but life threatening illnesses are more often the result of shit luck than of irresponsible living.
Yes, I also realize that profits are the reason the system exists. Remove the profits and the businesses go away.
You could still have managed and mandated private insurers like in Switzerland. Less profits don't mean no profits. By neutralizing quantity based competition and only having quality based competition, we would be preserving some of the advantages of competition while satisfying the very clear desire of the American people for universal care.
Do we? I'd honestly like to see the statistics on how many new drugs are developed her, medical procedures, treatment options, compared to other countries that spend far less.
Every study I've seen has placed the United States low in
most categories. As far as I know, the only area where the United States leads is response times.
The old adage you get what you pay for applies here. If you don't pay and have to rely on what's available free then yeah, it's not going to be a wonderful experience.
Okay, but I find that view too inhumane to accept. We don't have tens of millions of uninsured and underinsured people because they're all lazy and irresponsible, it is in large part because they have no realistic prospects of rising out of poverty (I'm not denying that some people can, like you, but it's often prohibitively difficult), and they just can't afford the care that they need. I think we, as a society, have a duty to ensure that everyone can receive decent education and health care so that they can have an
equal opportunity to succeed. Health care is fundamentally different from other needs such as food, clothing and housing because of its catastrophic, luck-based component.
However as someone who has insurance allow me to assure you that there's no prefered insured people line at the Emergency room.
I'm not saying that there is, I'm saying that emergency rooms are overused by people who shouldn't be there, but are because they can't afford insurance.
I'm sorry, not buying it. Not even a little bit. Who's responsible for a child's education? The child and their parents.
And the state. Do you think we should abolish public schools and leave it all to the free market?
If you've got a shitty education the only person to blame is yourself with some of it getting shouldered by your parents.
That is nonsense. It's just as likely to be the fact that you have neglected, under funded public schools and your family has no money.
Sure I'm biased. I worked my ass off in public junior high and high school to get the grades to get into college. Then I busted my ass in college with two jobs and student loans in order to make it through and graduate with a good job at the end. So yeah, I have little sympathy for people who complain about where they're from or the high school they went to just not giving them a chance.
What you've done is really admirable, I'm not kidding. But you can't expect everyone to be able to that - I'm not buying it.
And yet I have health insurance with a reasonible premium that has done an exemplary job of paying for... let's see, 4 ongoing perscriptions, 5 surgeries, too many doctor's visits to count, etc. If they're all doing a crappy job my company is sure screwing the pooch with me.
Yes, we can get good care if we've got the money to pay big premiums. But I think Americans get too little value for the money they pay.
Redundant overhead? What in the name of all that's holy do you think the government IS?
Redundant overhead, in this case, means multiple companies providing the same thing with needless duplication, and corporate profits. Tell me, why are all of the European systems so much cheaper than ours in terms of GDP? Look at the per GDP spending, look at the studies of national health performance, and tell me how we're getting more value under the current system than the other developed nations do under theirs.