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Oh look, another Trump/Musk policy that screws rural Americans

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And yet there are people who wish all healthcare was provided by politically funded bureaucracies.
As if 'single payer' meant 'unlimited payer', instead of 'somebody else payer' and 'somebody else decides if you get it'.

The Canadians have banned private health insurance for anything deemed medically necessary by the state. That has not resulted in a socialist paradise, where no medical claim is ever denied. The state keeps a lid on spending by forcing Canadians to wait—and wait and wait—for care.

This year, the median wait for care from a specialist following referral by a general practitioner was 30 weeks, according to research published this month by the Vancouver-based Fraser Institute. That's up from 27.7 weeks just last year. And it's more than triple the median wait of 9.3 weeks in 1993, when Fraser started keeping track.

They wait for access to advanced technology, too. The median wait for an MRI was over 16 weeks this year; for a CT scan, it was more than eight weeks.

Canada's single-payer health plan effectively denies claims for novel prescription drugs in advance—by refusing to cover them at all. Of the 460 new medicines launched worldwide between January 2012 and December 2021, just 45 percent were available in Canada as of October 2022.

Americans, by contrast, had access to 85 percent of those new medicines.

The story is similar in Britain. Private insurance is legal across the Atlantic; around 1 in 8 Britons has it. They buy it because wait times for care in the publicly run health care system are interminable.

About 7.5 million people were on waiting lists for National Health Service (NHS) treatment in England when the current Labor government took office earlier this year—an increase of 66 percent since before the pandemic.

Just over two-thirds of people in England who received a cancer diagnosis started treatment within two months of an urgent referral in October 2024. So thousands of people are waiting longer than is clinically advisable for cancer care. One literature review published in the BMJ, a medical journal, found that a four-week delay in cancer surgery was associated with a 6-8 percent increase in mortality risk.

More than 420,000 Britons were on wait lists for heart care as of October 2024. Forty percent of them had been waiting for time-sensitive cardiac care for more than 18 weeks.

The British government also rations access to cutting-edge medicines. Less than 6 in 10 new medicines that hit the market between 2012 and 2021 were available in Britain as of October 2022.
 
And yet there are people who wish all healthcare was provided by politically funded bureaucracies.
As if 'single payer' meant 'unlimited payer', instead of 'somebody else payer' and 'somebody else decides if you get it'.

The Canadians have banned private health insurance for anything deemed medically necessary by the state. That has not resulted in a socialist paradise, where no medical claim is ever denied. The state keeps a lid on spending by forcing Canadians to wait—and wait and wait—for care.

This year, the median wait for care from a specialist following referral by a general practitioner was 30 weeks, according to research published this month by the Vancouver-based Fraser Institute. That's up from 27.7 weeks just last year. And it's more than triple the median wait of 9.3 weeks in 1993, when Fraser started keeping track.

They wait for access to advanced technology, too. The median wait for an MRI was over 16 weeks this year; for a CT scan, it was more than eight weeks.

Canada's single-payer health plan effectively denies claims for novel prescription drugs in advance—by refusing to cover them at all. Of the 460 new medicines launched worldwide between January 2012 and December 2021, just 45 percent were available in Canada as of October 2022.

Americans, by contrast, had access to 85 percent of those new medicines.

The story is similar in Britain. Private insurance is legal across the Atlantic; around 1 in 8 Britons has it. They buy it because wait times for care in the publicly run health care system are interminable.

About 7.5 million people were on waiting lists for National Health Service (NHS) treatment in England when the current Labor government took office earlier this year—an increase of 66 percent since before the pandemic.

Just over two-thirds of people in England who received a cancer diagnosis started treatment within two months of an urgent referral in October 2024. So thousands of people are waiting longer than is clinically advisable for cancer care. One literature review published in the BMJ, a medical journal, found that a four-week delay in cancer surgery was associated with a 6-8 percent increase in mortality risk.

More than 420,000 Britons were on wait lists for heart care as of October 2024. Forty percent of them had been waiting for time-sensitive cardiac care for more than 18 weeks.

The British government also rations access to cutting-edge medicines. Less than 6 in 10 new medicines that hit the market between 2012 and 2021 were available in Britain as of October 2022.

And yet they still prefer their socialized healthcare systems over ours just like every other advanced country does.
 
And yet there are people who wish all healthcare was provided by politically funded bureaucracies.
As if 'single payer' meant 'unlimited payer', instead of 'somebody else payer' and 'somebody else decides if you get it'.

The Canadians have banned private health insurance for anything deemed medically necessary by the state. That has not resulted in a socialist paradise, where no medical claim is ever denied. The state keeps a lid on spending by forcing Canadians to wait—and wait and wait—for care.

This year, the median wait for care from a specialist following referral by a general practitioner was 30 weeks, according to research published this month by the Vancouver-based Fraser Institute. That's up from 27.7 weeks just last year. And it's more than triple the median wait of 9.3 weeks in 1993, when Fraser started keeping track.

They wait for access to advanced technology, too. The median wait for an MRI was over 16 weeks this year; for a CT scan, it was more than eight weeks.

Canada's single-payer health plan effectively denies claims for novel prescription drugs in advance—by refusing to cover them at all. Of the 460 new medicines launched worldwide between January 2012 and December 2021, just 45 percent were available in Canada as of October 2022.

Americans, by contrast, had access to 85 percent of those new medicines.

The story is similar in Britain. Private insurance is legal across the Atlantic; around 1 in 8 Britons has it. They buy it because wait times for care in the publicly run health care system are interminable.

About 7.5 million people were on waiting lists for National Health Service (NHS) treatment in England when the current Labor government took office earlier this year—an increase of 66 percent since before the pandemic.

Just over two-thirds of people in England who received a cancer diagnosis started treatment within two months of an urgent referral in October 2024. So thousands of people are waiting longer than is clinically advisable for cancer care. One literature review published in the BMJ, a medical journal, found that a four-week delay in cancer surgery was associated with a 6-8 percent increase in mortality risk.

More than 420,000 Britons were on wait lists for heart care as of October 2024. Forty percent of them had been waiting for time-sensitive cardiac care for more than 18 weeks.

The British government also rations access to cutting-edge medicines. Less than 6 in 10 new medicines that hit the market between 2012 and 2021 were available in Britain as of October 2022.

So much this.

These single-pay or advocates always seem to see it as a fix for private insurer claim denials.

Well, how free with money do you think an “insurance company” that is $36 Trillion in debt is going to be? It will be denial city!
 
And yet they still prefer their socialized healthcare systems over ours just like every other advanced country does.
That explains why the wealthy come to the US for procedures lol
So much this.

These single-pay or advocates always seem to see it as a fix for private insurer claim denials.

Well, how free with money do you think an “insurance company” that is $36 Trillion in debt is going to be? It will be denial city!
Canada encourages medically assisted suicide for a reason. Weird that they can speed walk you through that process but take 6 months plus for basic health screenings.
 
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It’s raining dildo’s of consequences and our boy is not even president yet.
I for one have loved watching the left scramble and "but trump!" Everything in politics for the last years. They won't acknowledge that biden is a dementia patient who should have been 25th'd at least 2 years ago and instead have to blame their boogeyman bc they're incapable of accepting responsibility for their actions.
 
Cool? The wealthy have more options and get a higher level of care in our system as well. Still doesn't negate the fact that average person in those countries would rather have socialized healthcare than our system.
Yeah, bc our healthcare is better. Unless you want to wait 6 months to get your stomach ulcers even looked at. Canada suicide line is 24/7 though..
 
So much this.

These single-pay or advocates always seem to see it as a fix for private insurer claim denials.

Well, how free with money do you think an “insurance company” that is $36 Trillion in debt is going to be? It will be denial city!

Insurance companies are actually denying and effectively killing Americans in reality. It isn't disputable. But yeah let's be afraid of the hypothetical of debt creating a denial city under single payer.
 
Insurance companies are actually denying and effectively killing Americans in reality. It isn't disputable. But yeah let's be afraid of the hypothetical of debt creating a denial city under single payer.
Thanks Obama (unironically)
 
So much this.

These single-pay or advocates always seem to see it as a fix for private insurer claim denials.

Well, how free with money do you think an “insurance company” that is $36 Trillion in debt is going to be? It will be denial city!
That makes no sense. A government not making profit and willing to overspend vs a corporation making 6 billion dollars of net income every three months and you think the corporation is going to deny less claims. Truly laughable.
 
I'm sure they'll get their funding in the next spending bill. Unfortunately, to trim the fat of the extremely bloated government we have, some hard choices have to be made.
I know! Let's cut the fat by reducing revenues.

The best way to do that is to cut taxes.

But don't worry, tariffs will act like a federal sales tax and everything will be fine.
 
That makes no sense. A government not making profit and willing to overspend vs a corporation making 6 billion dollars of net income every three months and you think the corporation is going to deny less claims. Truly laughable.
Shame how obamacare removed competition from the markets and allowed big insurance to get away with this. Democrats literally gave them this power.
 
Insurance companies are actually denying and effectively killing Americans in reality. It isn't disputable. But yeah let's be afraid of the hypothetical of debt creating a denial city under single payer.
I’ve gradually come to the opinion that healthcare shouldn’t be guided by profit considerations.

You want healthcare/insurance for optional care? Be my guest. If it’s the choice between someone living or dying, that shouldn’t be guided by whether the insurance company will make money.
 
I’ve gradually come to the opinion that healthcare shouldn’t be guided by profit considerations.

You want healthcare/insurance for optional care? Be my guest. If it’s the choice between someone living or dying, that shouldn’t be guided by whether the insurance company will make money.
What should it be guided by and how do you propose funding it?
 
Not gonna lie, these news stories bring a smile to my face. Yes, I’m an asshole and I hope every single dumb fvck Trump voter feels pain and suffering for their idiotic views. Fvcking morons lol.
Yep both the MAGAs and the Democrat idiots that crossed over or sat it out such as Latinos, Muslims, Black Men, White Women, Union Workers and really voted / abstained against their self interests.
 
Not gonna lie, these news stories bring a smile to my face. Yes, I’m an asshole and I hope every single dumb fvck Trump voter feels pain and suffering for their idiotic views. Fvcking morons lol.
Yep, i have the VA and love it, screw the cons that voted for the brain dead CON idiots. I CAN'T FEEL YOUR PAIN.
 
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I’ve gradually come to the opinion that healthcare shouldn’t be guided by profit considerations.

You want healthcare/insurance for optional care? Be my guest. If it’s the choice between someone living or dying, that shouldn’t be guided by whether the insurance company will make money.
No. Corporations are the only way bro. Look at the mess these other first world countries compared to us, spending far less and living longer. Disaster. Corporate for profit insurance is the only way. The US is doing great spending by far the most and having life expectancies slightly better than South American countries.

 
No. Corporations are the only way bro. Look at the mess these other first world countries compared to us, spending far less and living longer. Disaster. Public for profit insurance is the only way. The US is doing great spending by far the most and having life expectancies slightly better than South American countries.


Long life expectancy just increases the deficit. @markfromj probably
 
And yet there are people who wish all healthcare was provided by politically funded bureaucracies.
As if 'single payer' meant 'unlimited payer', instead of 'somebody else payer' and 'somebody else decides if you get it'.

The Canadians have banned private health insurance for anything deemed medically necessary by the state. That has not resulted in a socialist paradise, where no medical claim is ever denied. The state keeps a lid on spending by forcing Canadians to wait—and wait and wait—for care.

This year, the median wait for care from a specialist following referral by a general practitioner was 30 weeks, according to research published this month by the Vancouver-based Fraser Institute. That's up from 27.7 weeks just last year. And it's more than triple the median wait of 9.3 weeks in 1993, when Fraser started keeping track.

They wait for access to advanced technology, too. The median wait for an MRI was over 16 weeks this year; for a CT scan, it was more than eight weeks.

Canada's single-payer health plan effectively denies claims for novel prescription drugs in advance—by refusing to cover them at all. Of the 460 new medicines launched worldwide between January 2012 and December 2021, just 45 percent were available in Canada as of October 2022.

Americans, by contrast, had access to 85 percent of those new medicines.

The story is similar in Britain. Private insurance is legal across the Atlantic; around 1 in 8 Britons has it. They buy it because wait times for care in the publicly run health care system are interminable.

About 7.5 million people were on waiting lists for National Health Service (NHS) treatment in England when the current Labor government took office earlier this year—an increase of 66 percent since before the pandemic.

Just over two-thirds of people in England who received a cancer diagnosis started treatment within two months of an urgent referral in October 2024. So thousands of people are waiting longer than is clinically advisable for cancer care. One literature review published in the BMJ, a medical journal, found that a four-week delay in cancer surgery was associated with a 6-8 percent increase in mortality risk.

More than 420,000 Britons were on wait lists for heart care as of October 2024. Forty percent of them had been waiting for time-sensitive cardiac care for more than 18 weeks.

The British government also rations access to cutting-edge medicines. Less than 6 in 10 new medicines that hit the market between 2012 and 2021 were available in Britain as of October 2022.
Canada has better health outcomes than the US.
 
No. Corporations are the only way bro. Look at the mess these other first world countries compared to us, spending far less and living longer. Disaster. Corporate for profit insurance is the only way. The US is doing great spending by far the most and having life expectancies slightly better than South American countries.

That only works if insurance is affordable for all imo. Because people still receive emergency care who don’t have insurance and can’t pay for it themselves , those costs are getting passed on to everyone else, which helps drive up the cost of everything else.

I’m all ears if you can come up with something better than the ACA; we know the republicans don’t. What we had before didn’t work, just little things like insurance companies being able to deny insurance coverage if someone had a preexisting condition.
 
But besides that, everything else is great with our system. I mean, as anyone who has had or had a family member have serious health issues, look how easy our system is to navigate and get approvals for everything. Very streamlined and efficient. 😂
 
Canada has better health outcomes than the US.
How do you reckon 50% higher obesity rates factor into that?


To justify his claims that government medicine would be a social panacea, Krugman cites “a recent study” which claims “that private insurance companies spend 11.7 cents of every health care dollar on administrative costs, mainly advertising and underwriting, compared with 3.6 cents for Medicare and 1.3 cents for Canada’s government-run system.” (Of course, Krugman does not tell us who authored the study, or the criteria used to arrive at such conclusions, but we can be assured that whoever wrote it is not an advocate of private medical care.)

From there, Krugman’s reasoning is quite simple. If we were to go to socialist medicine, it would be cheaper than what exists right now and nothing else would change. All of us would receive the same care we do now—or perhaps even superior care.

In economics, we call this the ceteris paribus assumption, that is, “everything else being equal.” Unfortunately, Krugman’s assertion that the only thing that would change if government took over the entire medical apparatus here would be lower costs is more reminiscent of the many economists’ jokes that appear on Internet sites. (An economist and two others were stranded on a deserted island when a case of canned goods washed up on shore. While the others fretted about how to open the cans, the economist declared, “That’s easy. Just assume that we have a can opener.”)

Indeed, the Krugman “solution”—socialization and price controls (no doubt, he also would later advocate that the government seize drug companies as well) would almost certainly propel us to receive the same “high quality” medical care given to the nation’s prisoners. For example, after an earlier article on medical care on the Mises page, I received some emails from Canadians who had their own horror stories to tell.

One person told me about a friend whose diagnosis required removal of her gall bladder. According to the writer, she had to wait for 18 months before she could have surgery because of the long lines ahead of her. (Her “as soon as possible” case was not considered “urgent” enough for immediate care.)

The writer added:

There is one glitch in this, “as soon as possible” in Saskatchewan’s Medicare system means 18 months. So this 35-year-old mother of one had to put her life on hold, endure several trips to the emergency room whenever she had an attack. She could not afford the ambulance (not covered by Medicare) so she had to take a cab every time she had one, then she sat in emergency for several hours until they gave her a bunch of powerful painkillers and sent her home. All of this severely curtailed her enjoyment of life, as you can well imagine. After 18 months of this she was operated on.
The writer also added another anecdote that is very telling about the combination of modern culture and government:

My sister and her husband own and operate a cattle ranch in southwest Saskatchewan. On this ranch they have several saddle horses. About three years ago one of her horses became ill and was in obvious distress. She took it into the nearest vet clinic where it was diagnosed with gallstones, apparently a very painful condition for horses as well as people. The vet recommended that the horse be operated on as soon as possible. My sister left the animal with the vet, who operated on him that night. My sister picked up the horse four days later, and took it home. After a couple of weeks of rest the horse was as good as new.
My sister pointed out if she had made her horse wait 18 months she would have found herself in front of a judge, answering charges of cruelty to animals, and rightfully so. No one would do that to an animal but apparently it is acceptable to do it to humans in Canada.
On paper, the government of Canada “saved money” by forcing this woman to wait for “free” surgery. In reality, the government abused her, and should the Krugman medical state be implemented here in full (as this most-likely future Nobel Prize winner advocates), one can be sure that Americans would face the same kind of treatment that people in other countries with similar setups have received.

The reason is that for all his rhetoric, Krugman’s ceteris paribus standard cannot hold in this case. If Krugman were correct, then it would make sense for government to supply all scarce goods, since it would be able to deliver them at lower costs (using Krugman’s calculus) and, thus, save consumers money. Product quality would not change and everyone would be better off.

However, no one but the most diehard socialist would make the argument I have made. Not even Krugman will advocate something akin to what we see in North Korea of the former Soviet Union or China before it began to cast off its Maoist “heritage.” Yet, we are now left with a perplexing question: If socialism does not deliver the goods like bread and automobiles in large numbers and in high quality, why does anyone believe that the practice of medicine is an exception?
 
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