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Comments on socialized medicine?

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Re: Comments on socialized medicine?

Unread postby Plantagenet » Thu 12 Jul 2007, 20:32:53

I suggest you try writing fiction for a career. :-D
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Re: Comments on socialized medicine?

Unread postby vision-master » Thu 12 Jul 2007, 23:46:21

Go back to prep school where ya belong!
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Re: Comments on socialized medicine?

Unread postby pea-jay » Fri 13 Jul 2007, 04:24:11

$this->bbcode_second_pass_quote('Plantagenet', '
')Cuba has gone from being the richest country in Latin America to competing for having the lowest per capita income with countries like Haiti, and it took only 50 years of misrule to accomplish this economic disaster. :roll:


Lovely. Revel in statistics. Cuba, as one of the richest countries in Latin America the 1950s? Sure, I'd agree. With 1-2% of the population fabulously wealthy it raises the overall average for everyone else, even the dirt poor. It's like living in the same county as Bill Gates. It raises the average wealth for all, even though the rest dont *actually* share in it.

How about other measures? Like literacy? Access to health care? Infant mortality? Homelessness?
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Re: Comments on socialized medicine?

Unread postby pea-jay » Fri 13 Jul 2007, 05:11:58

There are plenty of places where the "market" fails to provide or make the most beneficial decisions. Falconofury mentioned defense, which is a classical example of a public good. So is universal education. We all benefit if all our children are educated. Another is civic services (police and fire protection).

Can those services be supplied by the private sector? Absolutely. But without a governmental redistribution of services to all, a limited few (the wealthy) would receive top notch protection and education, a few more would receive some, and the majority would see nothing at all. It may be a free-marketer paradise but it wouldnt be particulary good for the citizenry in general, most of which would be poorer nor would it be good for businesses either if they are forced to dedicate more funds to site security, fire protection, and educating their workers only to have a smaller market to sell their goods to since the overall wealth levels would be lower.

Aside from a few hard core types, most people are accepting of this role of government.

Road building is another. I personally dont drive too much. But i do benefit in a well built road system to provide me with my needed goods and services. Relying on the private sector for this results in a more constrained transportation network (and a more limited market for firms to operate in)

I could go on.

But here is another joke of "privatization" or the myth that the private sector can do it cheaper.

Governments provide a lot of needed services, but they also create their own needs, like janitorial services. They could hire help at $15-25hr, including benefits to do the work or they could pay a firm $10-15 an hour for a contract worker. Sounds like the private sector could do it cheaper right? Superficially, yeah. But that $10-15 paid per employee goes to pay 5.25 (min wage) to $8 hr w/no benefits to the employee and $2-5 profit to the employer, less overhead and other company related costs of doing business. The employees doing the same work are obviously poorer. Duh. So where are they and their families getting healthcare from? Either the government via Medicaid or just showing up at the emergency room. How about the taxes they are paying? Hmm, not so much. Lower incomes net lower tax bills, plus they live in less affluent areas that net local governments fewer property tax receipts. They also shop for fewer goods. Then, if the firm supplying the labor is out-of town, the profits more often than not, leave the local economy.

So I ask? How is THIS more efficient. Pay a PRIVATE firm LESS to the SAME JOB that the GOVERNMENT could do for MORE, but PAY MORE IN incedental costs and yield LESS to the local economy. Yup, sounds like another shining example of private sector efficiency.

OKAY this discussion so far has nothing to do with health care. It is my assertion that health care is a public good (overall health of the population is of value to everyone) that does not obey the conventional laws of supply and demand.

If you are in an accident and are broken and bleeding are you going to get fixed up if it cost you a $100. Sure. $1000? Yep. $1,000,000? Still yes. In fact, you dont even know the bill until its done. So how is the "market" going to make this "work".

It cant. A market driven good requires an equal exchange/understanding of information, a reasonable relationship between supply and demand, a set of alternatives and no requirement that a good or service be provided. Health care fails all of these.

It's proof positive that any that offers a "market based solution" to health care is really just full of shit wrapped up in fancy Econodoublespeak to get mindless nitwits to go along against their own needs.

US healthcare is not market driven at the moment and really combines the worst aspects of the "market" with "socialized medicine" that both liberals and conservative types both love to hate. It's unsustainable and will collapse. The only question is what will replace it.
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Re: Comments on socialized medicine?

Unread postby vision-master » Fri 13 Jul 2007, 10:37:29

$this->bbcode_second_pass_quote('', 'G')overnments provide a lot of needed services, but they also create their own needs, like janitorial services. They could hire help at $15-25hr, including benefits to do the work or they could pay a firm $10-15 an hour for a contract worker. Sounds like the private sector could do it cheaper right? Superficially, yeah. But that $10-15 paid per employee goes to pay 5.25 (min wage) to $8 hr w/no benefits to the employee and $2-5 profit to the employer, less overhead and other company related costs of doing business. The employees doing the same work are obviously poorer. Duh. So where are they and their families getting healthcare from? Either the government via Medicaid or just showing up at the emergency room. How about the taxes they are paying? Hmm, not so much. Lower incomes net lower tax bills, plus they live in less affluent areas that net local governments fewer property tax receipts. They also shop for fewer goods. Then, if the firm supplying the labor is out-of town, the profits more often than not, leave the local economy.


For some odd reason, property management likes the power & control they have with "contract cleaning" and to think they go with the lowest bid besides. These "big shots" put no value with "cleaners" jobs & are forever looking for that "cheap" company that can clean the dang toilets right.
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Re: Comments on socialized medicine?

Unread postby Rafa » Fri 13 Jul 2007, 11:21:33

What characterizes private buziness is not competition (there are monopolies, either ones due to only one company providing a given thing, or those monopolies enforced by law, I'm talking about the so called "intellectual property", the copyrights and patents are just law-enforced monopolies granted to a given company); it is profit.

And here is the problem, some activities cannot be done for profit, health, education, army and police for example.

If police is private, it means that you only get protection if you are rich, and if you are poor you can get stolen without the police doing anything.

If health is private, it means you only get proper medical treatment if you are rich, and if you are poor you are left to die.

Some things may work well when handled trough profit and market mechanisms; if you cannot afford to buy a car or a computer, for example, you may be frustrated, but it is not a thing that can endanger your live.
But if you cannot afford proper medical treatment because the market puts it at a too high cost for you, then your life is in danger.
Some things must be handled in a non profit and non market way.
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Re: Comments on socialized medicine?

Unread postby Pretorian » Fri 13 Jul 2007, 13:54:16

$this->bbcode_second_pass_quote('I_Like_Plants', ' ')escape to a non-english-speaking part of Europe would be something I would consider a lifetime accomplishment.


there are a plenty of euro-chicks who will gladly exchange greencards with you. You can get citizenship of Italy without even visiting it, for example. Similar with Spain and Portugal.
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Re: Comments on socialized medicine?

Unread postby Pretorian » Fri 13 Jul 2007, 14:08:13

$this->bbcode_second_pass_quote('pea-jay', '
')US healthcare is not market driven at the moment and really combines the worst aspects of the "market" with "socialized medicine" that both liberals and conservative types both love to hate. It's unsustainable and will collapse. The only question is what will replace it.


Yes I laugh too when US doctors threating everyone with socialized healthcare. Americans pay way more than euros ( or anyone else with public healthcare) through taxes for healthcare they dont get anyway. The question is, why in the world I have to pay a double price for something I dont get anyway?
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Re: Comments on socialized medicine?

Unread postby I_Like_Plants » Fri 13 Jul 2007, 15:18:17

$this->bbcode_second_pass_quote('Rafa', '
')If police is private, it means that you only get protection if you are rich, and if you are poor you can get stolen without the police doing anything.

If health is private, it means you only get proper medical treatment if you are rich, and if you are poor you are left to die.


That's actually what happens in the US.
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Re: Comments on socialized medicine?

Unread postby EnergyUnlimited » Fri 13 Jul 2007, 15:46:45

$this->bbcode_second_pass_quote('I_Like_Plants', '')$this->bbcode_second_pass_quote('Rafa', '
')If police is private, it means that you only get protection if you are rich, and if you are poor you can get stolen without the police doing anything.

If health is private, it means you only get proper medical treatment if you are rich, and if you are poor you are left to die.


That's actually what happens in the US.

That is happening in any country, including Cuba.
Poor have ALWAYS more difficulty to secure adequate healthcare than rich.
Thats life.
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Re: Comments on socialized medicine?

Unread postby Plantagenet » Fri 13 Jul 2007, 16:11:12

$this->bbcode_second_pass_quote('pea-jay', ' ')Cuba, as one of the richest countries in Latin America the 1950s? Sure, I'd agree. With 1-2% of the population fabulously wealthy it raises the overall average for everyone else


There are still wealthy people in Cuba. Forbes estimates Fidel Castro's personal fortune, for instance, in the hundreds of millions of dollars.

There is a class of communist party leaders who live very well in Cuba today, just as party leaders did in the USSR, East Germany, Poland, etc. before the collapse of those socialist states. Unfortunately, the vast majority of people in Cuba are earning less then they did in 1959. The communists seized the homes and businesses and wiped out the wealth of all Cuban business people and those who used to make a good living working for them. They replaced all the business owners with low paid government beaurocrats overseeing low paid government workers. They also impoverished all the professionals who were formerly part of a vigorous middle class in Cuba. Today, the wages of Doctors, Teachers and other highly skilled professionals are set at very low rates by the government (as are essentially all wages except those in the miniscule private sector). The very low wages paid by the government (the only significant employer) make Cubans amoung the poorest people in Latin American.
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Re: Comments on socialized medicine?

Unread postby vision-master » Fri 13 Jul 2007, 16:17:54

All the need to do is; import them wonderful cigars back into the USofA - thanx it the bull-headed US, that ain't gonna happen any time sooon...............
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Re: Comments on socialized medicine?

Unread postby Plantagenet » Fri 13 Jul 2007, 16:21:42

How poor?

So poor a Cuban Taxi driver who has contact with a westerner who gives him hard currency is many times wealthier then a doctor.

"The taxi driver I travelled with during my stay in Havana made about $100 US from me in a week, which translates into about 2,500 pesos. According to the ECPAT Network's study, average Cuban wages are around only 250 to 400 pesos per month, which is worthless in the real economy"......

Cuban government jobs (i.e. essentially all jobs in socialist Cuba) pay WAGES of only 10-16 dollars a MONTH.
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Re: Comments on socialized medicine?

Unread postby EnergyUnlimited » Fri 13 Jul 2007, 16:47:12

$this->bbcode_second_pass_quote('Plantagenet', 'H')ow poor?

So poor a Cuban Taxi driver who has contact with a westerner who gives him hard currency is many times wealthier then a doctor.

"The taxi driver I travelled with during my stay in Havana made about $100 US from me in a week, which translates into about 2,500 pesos. According to the ECPAT Network's study, average Cuban wages are around only 250 to 400 pesos per month, which is worthless in the real economy"......

Cuban government jobs (i.e. essentially all jobs in socialist Cuba) pay WAGES of only 10-16 dollars a MONTH.

I bet, all that is making prostitutes and pimps to be second wealthiest social class in Cuba, just next to Castro clan.
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Re: Comments on socialized medicine?

Unread postby Plantagenet » Fri 13 Jul 2007, 18:26:29

$this->bbcode_second_pass_quote('vision-master', 'A')ll the need to do is; import them wonderful cigars back into the USofA - thanx it the bull-headed US, that ain't gonna happen any time sooon...............


If you want a Cuban cigar, then drive due north to Canada. T-shirt shops etc. in the tourist districts have them....they are popular with American tourists.
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Re: Comments on socialized medicine?

Unread postby I_Like_Plants » Sat 14 Jul 2007, 01:53:30

$this->bbcode_second_pass_quote('EnergyUnlimited', '
')I bet, all that is making prostitutes and pimps to be second wealthiest social class in Cuba, just next to Castro clan.


I'd say prozzies and pimps make well above average income in the US too. In fact, your real heroin addicts who have say a $200 a day habit and hustle to make that, are doing well above average.

I don't doubt that Castro is wealthy, but I think a lot of it is estimated, alleged, insinuated, extrapolated, and so on. And I don't think the guy gets away from his job much. He's not about the money, he's about the Revolution, which may be coming to a decadent imperialist shithole near you, if things keep going the way they are.
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Re: Comments on socialized medicine?

Unread postby Plantagenet » Sat 14 Jul 2007, 02:05:22

$this->bbcode_second_pass_quote('I_Like_Plants', 'I') don't doubt that Castro is wealthy.... He's not about the money, he's about the Revolution



Some revolution. Castro's dictatorship has made the Cubans about the poorest people in Latin American, while Castro himself has become fabulously wealthy.

Average Cubans can't afford to buy anything, while Castro owns multiple beach villas, speedboats, private movie theatres, and multiple cars and dines on fine food and imported wines.

Castro's sybaritic lifestyle proves the old saying....."It is good to be the king."
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Re: Comments on socialized medicine?

Unread postby I_Like_Plants » Sat 14 Jul 2007, 02:45:29

I don't call 3-hour speeches sybaritic.

Cubans have better health care than Americans. Better education too.

Human-ness = ability to buy things to you I know, but not everyone thinks that way.
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Re: Comments on socialized medicine?

Unread postby Pretorian » Sat 14 Jul 2007, 03:04:57

$this->bbcode_second_pass_quote('Plantagenet', '"')The taxi driver I travelled with during my stay in Havana made about $100 US from me in a week, which translates into about 2,500 pesos. According to the ECPAT Network's study, average Cuban wages are around only 250 to 400 pesos per month, which is worthless in the real economy"......

Cuban government jobs (i.e. essentially all jobs in socialist Cuba) pay WAGES of only 10-16 dollars a MONTH.


Dude, we are talking about healthcare dont we? Not a quality of life right? Becouse if you want to talk about quality of life in countries with free healthcare , you'd probably should mention Switzeland and Norway, as USA didnt even sit anywhere near these countries qualityoflife-wise.
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Re: Comments on socialized medicine?

Unread postby Plantagenet » Sat 14 Jul 2007, 03:31:20

$this->bbcode_second_pass_quote('Pretorian', 'B')ecouse if you want to talk about quality of life in countries with free healthcare , you'd probably should mention Switzeland and Norway, as USA didnt even sit anywhere near these countries qualityoflife-wise.


Switzerland and Norway are lovely countries. I've been to Norway once and Switzerland twice. However, neither actually has "free" health care. Both are VERY expensive places to live and visit, and both have very high taxes to pay for their health care system. Norway, for instance, has an income tax rate up to 48% and then an additional regressive VAT of 25% placed on almost every kind of business and professional transactions.

In Norway, VAT is split into levels: 25% is the general VAT, and 14% (formerly 13%, up on January 1, 2007) for foods and restaurant take-out (food eaten in a restaurant has 25%). Buy a car, pay 25% tax. Buy flowers, pay 25% tax. Go to a restaurant...25% tax. You get the picture.

The US is a huge country, and there are wonderful areas of equal beauty to those found in Switzerland and Norway right here in the USA. And, a large majority of Americans also have "free" health care... their health care is paid for by their employers. And, our taxes are much lower then in the EU. 8)
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