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Reply 20
Captain Crash
In order to drag the debate out of the 'Anti-Obama' Thread, I thought I'd start this one.

So, as we all know, Obama plans for Healthcare reform in the US have been met with, at times, vitriolic debate. The fact that the US spends twice as much per capita on healthcare, without equivalent additional healthcare benefits whilst leaving 75 million people without insurance or underinsured, the system is clearly in need of reform of some sort.

What should America do to fix it's healthcare system?


I'd be interested to hear defenders of the US system respond to the arguments mentioned in the New Scientist video that Captain Crash has linked to. They were all statistical and there were only about half a dozen so it shouldn't require too much effort to do so.

They all seemed to mainly focus on the fact that (even for those who are covered) despite spending huge amounts more than other systems, life expectancy and other indicators show they are not benefiting from the extra expenditure. It also refers to the profit-motive in the US system which results in the use of expensive, unproven treatments with profit in mind rather than the best interests of the patient or cost-effectiveness. They also show that one indicator - deaths after heart attack - had little relation to expenditure - i.e. despite spending more money treatment of this problem in some areas - there was little or no improvement.
sulpicia
Speaking as someone who has extensive experience of MEDICAID provision - I find it shocking how little is understood by Europeans about the American healthcare system. It does approach the standard of the NHS. The fact that millions of Americans are uninsured is clearly true - however it does not tell the full story. Many of these recieve basic emergency care under the MEDICARE and the MEDICAID systems.

Paid insurance schemes, though expensive, and not available to many Americans provide an appreciable higher level of service than the NHS.



I speak as a Socialist and a supporter of European style medical provision. We must not however view the American system in simplistic terms.


I also have a lot of experience with Medicaid, and what has always struck me is that even if you have Medicaid, you normally get stuck with the inferior doctors. It is also difficult to get in to see good specialists. This stems from the fact that Medicaid pays a lot less for services than other insurance, and so many doctors are reluctant to accept Medicaid. Sure, Medicaid does help. But the people on Medicaid don't get the standard of service that people with good insurance get.
Reply 22
Captain Crash
In order to drag the debate out of the 'Anti-Obama' Thread, I thought I'd start this one.

So, as we all know, Obama plans for Healthcare reform in the US have been met with, at times, vitriolic debate. The fact that the US spends twice as much per capita on healthcare, without equivalent additional healthcare benefits whilst leaving 75 million people without insurance or underinsured, the system is clearly in need of reform of some sort.

What should America do to fix it's healthcare system?


Well first of all I think you need to stop reading whatever you're reading as it's bull****.
Reply 23
sulpicia
Speaking as someone who has extensive experience of MEDICAID provision - I find it shocking how little is understood by Europeans about the American healthcare system. It does approach the standard of the NHS. The fact that millions of Americans are uninsured is clearly true - however it does not tell the full story. Many of these recieve basic emergency care under the MEDICARE and the MEDICAID systems.

Paid insurance schemes, though expensive, and not available to many Americans provide an appreciable higher level of service than the NHS.


The standard of care provided by the NHS is very high.
JW92
The standard of care provided by the NHS is very high.

Why then to we have very poor cancer survuval rates?
Reply 25
JW92
The standard of care provided by the NHS is very high.


Most of the developed countries in the world have nationalised health-care so it's wrong for proponents of the status quo in the US to just focus on the NHS.
Reply 26
I hate it when Americans criticise the NHS and use the argument of it diminishing responsibility of one's own health. When a person has payed taxes all their life, their diet and lifestyle is irrelevant when they have paid for it. People should look after themselves for their own good of course, but you can't criticise "socialism" for allowing people to be a burden on the service when most people are contributing to it.
Reply 27
usainlightning
Why then to we have very poor cancer survuval rates?


Cancer survival rate statistics spouted by the American right are often outdated. In the nineties our rates were low, but this is due to the chronic underfunding by Thatcher and Major.
steed999
how is it not broken. It runs on who can afford it basis, not a need basis leaving 70 million people without healthcare. Plus those with insurance still dont always recieve there rights while the executives get millions in bonuses for doing nothing! Its a disgrace that th richest country in the world, a 1st world nation has people living in 3rd world standards!


It's a myth that only poor people are uninsured. The largest group of uninsured people (18 million people) are wealthy enough to afford insurance and choose to pay out of pocket.


I can

Many of those 45 million are illegal immigrants and no country in the world (please correct me if I'm wrong) provides anything other than emergency medical care to people who shouldn't be there.

Reply 31
British people live longer than Americans on average so if you want to die quicker, move to America.
Made in the USA
I can

Many of those 45 million are illegal immigrants and no country in the world (please correct me if I'm wrong) provides anything other than emergency medical care to people who shouldn't be there.


Have you got a source for that other than a cartoon?

Some of those numbers look pretty dodgy. I mean, according to my source, there are 7.2 million 18-25 year olds uninsured. The cartoon suggests there's a million more, all of whom think they're invincible.
Reply 33
JW92
Cancer survival rate statistics spouted by the American right are often outdated. In the nineties our rates were low, but this is due to the chronic underfunding by Thatcher and Major.

Since NHS spending rose continuously under both Thatcher and Major, was it also chronically underfunded under Callaghan, Wilson, Atlee &c.?

favh
Since NHS spending rose continuously under both Thatcher and Major, was it also chronically underfunded under Callaghan, Wilson, Atlee &c.?


Medicine was cheap (ish) in the NHS's formative years. The price of medicine exploded the early 80s with technology like CTs, MRIs, new cancer drugs etc fuelling the price boom worldwide.

(also the graph doesn't take into account inflation)
TheJudge
America has excellent health care for rich people. These same people think a health care plan for everyone will hurt their level of healthcare in the end its selfishness.

75 million people without healthcare, these same people are left to die but then America has the balls to quote statistics that britain has a 77 percent survival rate for prostate cancer treatment whereas they have 100 percent ignoring those who get no treatment.

Britain is ranked 18th in the world for healthcare and America is ranked 36th. America spends double Britain does.

Cuba has a superior healthcare system to America that says it all.


Spot on! My mate was telling me how Cuba has one the best healthcare system in the world:biggrin: for the rich Obama's plan is a disaster but in what way is it? they still have money and can opt for private treatment like we have in the UK e.g. bupa
Captain Crash
Medicine was cheap (ish) in the NHS's formative years. The price of medicine exploded the early 80s with technology like CTs, MRIs, new cancer drugs etc fuelling the price boom worldwide.

(also the graph doesn't take into account inflation)


very unprofessional for somoene to slam a statistics graph on people without indicating its source
so every can have a look at it to verify its validity.
JW92
The standard of care provided by the NHS is very high.


So true! NHS is amazing! I love how everyone is treated equally. We all have our thanks to the brave people who have defended our NHS over the years.
Captain Crash
Have you got a source for that other than a cartoon?

Some of those numbers look pretty dodgy. I mean, according to my source, there are 7.2 million 18-25 year olds uninsured. The cartoon suggests there's a million more, all of whom think they're invincible.


Read the fine print at the bottom and you'll see why the numbers are different than some of the stats you posted before.

If you add all the groups together in the cartoon you get something like 60 million because the groups overlap. For example, you could be a very rich, under 25 year old who is in between jobs and you will add to the tally of 3 different groups. I guess it's all about how you collect and group the data.
Reply 39
Afcwimbledon2
First of all - my position on American citizens criticising our healthcare system - is that they are stupid. Do they not realise they have a 3rd world healthcare system. Obama needs to put everyone on Medicare, for free, but with the option of paying for a private insurance premium.


We have exactly that in Canada. We have hospitals and private clinics.

If you go to a hospital, you wait a lot, before you get taken care of, but eventually you have quality doctors looking at you and giving you good medical care.

If you go to a private clinic, you pay thousands of dollars for everything you want (nothing if you have private insurance) and you get the same treatment immediately.

I think that most Americans who oppose this fail to understand that they will be getting something for free, but that they will still be able to pay for it as they are doing today and continue to receive the same treatment they are getting today.

Edit: Status quo remains for everyone bar the insurance giants (who have too much money anyway)

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