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Economy
See other Economy Articles

Title: Healthcare Reality Check
Source: Dissenting Opinions
URL Source: http://jwpegler.blogspot.com/2011/01/healthcare-reality-check.html
Published: Jan 23, 2011
Author: jwpegler
Post Date: 2011-01-23 14:48:24 by jwpegler
Keywords: None
Views: 39350
Comments: 52

The GOP House has voted to overturn the huge mess known as Obamacare. We'll see if it passes the Senate. Regardless, President Obama is not going to sign. So, the GOP is already starting work on replacing Obamacare with their own ideas.

What should the GOP propose? There are two countries that can guide us.

Switzerland undoubtedly has the best healthcare system in Europe. Singapore has the best healthcare system in the world. Switzerland spends about 10.8% of GDP on healthcare. Singapore spends less than 4%. Healthcare expenditures in the U.S. have ballooned to a whopping 16.5% of GDP.

Neither Switzerland or Singapore have "socialist" or "single payer" systems that enchant the know-nothings on the American left. In fact, public expenditures on healthcare as a percentage of the total is about the same in Switzerland and the U.S. The government spends a much lower percentage of the total in Singapore:

Switzerland -- 55% United States -- 50% average, depending on the state Singapore -- 34%

Why do their systems work to control and costs and ours doesn't? Singapore and Switzerland have similar philosophies -- they put people in charge of their own care, but they also require them to take responsibility.

In Singapore you are required to save 8% of you income for healthcare. You can use your health savings to buy insurance and pay for out-of-pocket expenses. The government subsidizes health savings for very low income people.

In Switzerland you are required to spend 8% of your own money on health insurance. The government subsidizes insurance payments for very low income people. Out of pocket expenses are additional.

Switzerland and Singapore have created nation's of healthcare shoppers, who use their own healthcare dollars wisely.

The problem in the U.S. is that Medicare, Medicaid, and employer paid insurance take financial responsibility away from individuals so people don't have any incentive to use medical services in a cost effective way.

I've been to Singapore. They have a great and very cost effective healthcare system. It cheaper than ours. They also have better outcomes than we do. ditto for Switzerland.

The answer to escalating healthcare costs in the U.S. is not to give more control to power hungry politicians and greedy bureaucrats. The answer is personal responsibility and personal control. Singapore and Switzerland have shown us the way. Are American politicians smart enough to follow? We'll see.

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#12. To: Godwinson (#8) (Edited)

And the single payer (socialist) system still outperforms the American system.

Utter nonsense.

Average life expectancy in the European Union is 77.3 years. It's 78.14 years in the U.S.

Singapore has the most free market healthcare system in the world and their life expectancy is 82.07 years.

Take black-on-black crime out of the statistics and life expectancy in the U.S. jumps to over 80 years old.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-23   16:38:56 ET  Reply   Trace   Private Reply  


#13. To: Godwinson (#10)

It's a tax

No, it's mandatory savings. It's still your money. You get to spend it. If you are frugal, it builds up in your account until retirement.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-23   16:46:16 ET  Reply   Trace   Private Reply  


#14. To: jwpegler (#12) (Edited)

Average life expectancy in the European Union is 77.3 years. It's 78.14 years in the U.S.

You are a filthy liar if you know the truth or if you are not a liar on purpose than an idiot who thinks he knows facts but does not.

https://www.cia.gov/library/publications/the-world- factbook/rankorder/2102rank.html

41 European Union 78.82 2010 est.

49 United States 78.24 2010 est.

The United Kingdom is ranked #28 @ 79.92 2010 est. (single payer system aka socilaist)

The Greeks who are poor rank at # 29 Greece @ 79.80 2010 est.

Others on the list:

#12 France 81.09 2010 est

#15 Switzerland 80.97 2010 est.

I post links to my facts - I notice you right wing loser posers post BS with no back ups.

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-23   16:47:17 ET  Reply   Trace   Private Reply  


#15. To: jwpegler (#13)

No, it's mandatory savings. It's still your money. You get to spend it.

Only on govt approved health care.... Sort of like Obama forcing everyone to buy with their own money health insurance.

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-23   16:48:19 ET  Reply   Trace   Private Reply  


#16. To: bayhorse (#2)

"How about the Damn Politicians just get their nose the Hell out of it and let DOCTORS do what they do best..."

Like abortion? No, sometimes doctors and insurance providers are myopic and clued in to only their own vested interest. It is the job of the government to watch out for the best interest of the people and there is a legitimate role in government in regulating health care.

Ferret Mike  posted on  2011-01-23   18:30:15 ET  Reply   Trace   Private Reply  


#17. To: Rudgear (#6)

..we are the only country with zero border enforcement.

That isn't true.

BTW, other countries have penalties for employers that hire illegals.

They consume public services and do not pay tax.

If you believe that corporations don't pay taxes, people do, then you must also believe that everytime an illegal buys a product, food, or service he is paying taxes.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-23   18:57:51 ET  Reply   Trace   Private Reply  


#18. To: jwpegler (#12)

Take black-on-black crime out of the statistics and life expectancy in the U.S. jumps to over 80 years old.

If true, that would change our rank from 36 to 15. Not so wonderful for the greatest country in the world.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-23   19:17:25 ET  Reply   Trace   Private Reply  


#19. To: jwpegler (#13)

No, it's mandatory savings.

How dare the nanny state tell ME I have to save money.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-23   19:18:46 ET  Reply   Trace   Private Reply  


#20. To: Ferret Mike (#16)

No, sometimes doctors and insurance providers are myopic and clued in to only their own vested interest.

Some times a doctors vested interest includes owning the lab were he sends his patients for tests.

How many physicians own interest in medical facilities outside their offices? Health Care Facilities? A comprehensive survey of the State of Florida, reported in 1992 in the Journal of the American Medical Association, revealed that at least 40 percent of practicing Florida physicians have an investment in a health care business to which they refer patients. The researchers who conducted the survey felt the number might be even higher, because those physicians who refused to answer the survey were probably more likely to be investors. Over 90 percent of diagnostic imaging centers (such as MRI facilities) and over 75 percent of ambulatory surgery centers are owned wholly or partially by referring doctors. Referring physicians were investors in half the clinical laboratories and radiation therapy centers and in almost 40 percent of the physical therapy centers. In most of these facilities, the majority of patients are referred by their physician investors.

www.drmccall.com/eyd/eyd20.html

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-23   19:27:57 ET  Reply   Trace   Private Reply  


#21. To: lucysmom (#17)

BTW, other countries have penalties for employers that hire illegals.

Thanks for reminding me. We don't penalize employers who hire illegals. Hell, even elected officials are admitting they hire illegals over Americans. They should be impeached.

If you believe that corporations don't pay taxes, people do, then you must also believe that every time an illegal buys a product, food, or service he is paying taxes.

Corporations pay more in tax than all the illegals put together if you are going to compare tax on convenience store garbage and gasoline then everybody pays tax. Illegals don't pay income tax. Corporations may employ tax attorneys to try and avoid paying as much as possible, but they do pay tax. Let's take a look at the Clinton's return. Better yet, how about Al Gore's? Isn't he the one who tried to make individual charity an issue?

Well, [war's] got to do something for attention, his multiple personalities aren't speaking to him any more, and his imaginary friends keep finding excuses not to come over.

Rudgear  posted on  2011-01-23   19:53:28 ET  Reply   Trace   Private Reply  


#22. To: Rudgear (#21)

Illegals don't pay income tax.

Their incomes are probably to low.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-23   19:58:45 ET  Reply   Trace   Private Reply  


#23. To: jwpegler (#1)

Thanks for the ping - you and I are pretty close in views on healthcare reform, but your views make you a "socialist" in today's current Conservative climate.

Since January 3, 2011, Republicans have controlled the power of the purse.

go65  posted on  2011-01-23   21:14:01 ET  Reply   Trace   Private Reply  


#24. To: lucysmom (#22)

Their incomes are probably to low.

They don't pay ANY income tax BECAUSE they are ILLEGALLY here.

Well, [war's] got to do something for attention, his multiple personalities aren't speaking to him any more, and his imaginary friends keep finding excuses not to come over.

Rudgear  posted on  2011-01-23   21:23:14 ET  Reply   Trace   Private Reply  


#25. To: Rudgear (#24)

RICHMOND, Calif. — Carlos Diaz broke the law when he crossed the border and took a job as an office janitor. But he’s not about to break another by failing to pay his income tax.

“I’ve been talking to other people who’ve done it, and I want to follow the law,” said Diaz, an undocumented immigrant from Guatemala who squirmed in his seat at a neighborhood tax preparer’s office.

Tuesday is Tax Day, when millions of illegal immigrants find themselves collaborating with one federal agency — the Internal Revenue Service — while trying to avoid another — Immigration and Customs Enforcement.

They hope a track record of on-time payments will aid their citizenship applications, but critics who favor tougher enforcement of federal immigration rules say it’s absurd for the government to work with people it should be tracking down and deporting. It legitimizes the presence of immigrants who are here illegally, critics say, and sends a mixed message about the country’s interest in enforcing its own rules.

http://www.msnbc.msn.com/id/18077009/ns/business-tax_tactics/

Many immigrants do pay taxes, whether they are legally or illegally here.

Ferret Mike  posted on  2011-01-23   21:29:49 ET  Reply   Trace   Private Reply  


#26. To: Rudgear, Ferret Mike. Capitalist Eric (#24)

They don't pay ANY income tax BECAUSE they are ILLEGALLY here.

I see that Mike has schooled you in how it works so I don't have to. Thanks Mike.

Further, Capitalist Eric says that "corporations don't pay taxes, people do" (he doesn't exactly say that, its one of those slogans he just repeats), so according to him, everytime an illegal buys something, he is paying the corporations taxes, the income and payroll taxes for the corporations employees because those taxes are embedded in the price of a product or service.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   10:22:16 ET  Reply   Trace   Private Reply  


#27. To: lucysmom (#26)

Lady, you are one crazy bug. I take no schooling from letists since they know nothing worth knowing.

Well, [war's] got to do something for attention, his multiple personalities aren't speaking to him any more, and his imaginary friends keep finding excuses not to come over.

Rudgear  posted on  2011-01-24   10:24:30 ET  Reply   Trace   Private Reply  


#28. To: lucysmom (#26)

BTW, corporations are made up of individuals, crazy.

Well, [war's] got to do something for attention, his multiple personalities aren't speaking to him any more, and his imaginary friends keep finding excuses not to come over.

Rudgear  posted on  2011-01-24   10:25:21 ET  Reply   Trace   Private Reply  


#29. To: go65 (#23) (Edited)

but your views make you a "socialist" in today's current Conservative climate.

No. Conservatives are the biggest supporters of the Singapore healthcare system. The Heritage Foundation consistently rates Singapore as the second freest economy on earth behind Hong Kong. Heritage consistently rates Switzerland as a freer economy than the U.S.

1.) Hong Kong 2.) Singapore 3.) Australia 4.) New Zealand 5.) Switzerland 6.) Canada 7.) Ireland 8.) Denmark 9.) United States 10.) Bahrain

You people listen to your own propaganda too much. Conservatives have been pushing medical savings accounts as a way to reduce healthcare costs for a couple of decades.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   10:56:06 ET  Reply   Trace   Private Reply  


#30. To: Godwinson (#15)

Only on govt approved health care

No, on the healthcare you want.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:03:02 ET  Reply   Trace   Private Reply  


#31. To: jwpegler (#30)

No, on the healthcare you want.

You can't spend it on a car or a vacation. You are restricted in that you have to buy health care with that money. That's almost the same (heck, it is the same) as the Republican health care plan Obama adopted and is now known as Obamacare.

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-24   11:05:52 ET  Reply   Trace   Private Reply  


#32. To: jwpegler, go65 (#29)

You people listen to your own propaganda too much.

Says the guy who stated the USA's life expectancy is better than the EUs....

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-24   11:13:08 ET  Reply   Trace   Private Reply  


#33. To: jwpegler, go65 (#29)

Conservatives are the biggest supporters of the Singapore healthcare system. The Heritage Foundation consistently rates Singapore as the second freest economy on earth behind Hong Kong. Heritage consistently rates Switzerland as a freer economy than the U.S.

Canada scores 80.8 to the US's 77.8 on the Heritage Foundation's Index of Economic Freedom, does that mean the Conservatives like Canada's health care system better than ours?

www.heritage.org/Index/ranking

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   11:16:17 ET  Reply   Trace   Private Reply  


#34. To: Rudgear (#28)

BTW, corporations are made up of individuals, crazy.

Yes that's true; did you just figure it out?

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   11:18:04 ET  Reply   Trace   Private Reply  


#35. To: Godwinson (#32) (Edited)

Says the guy who stated the USA's life expectancy is better than the EUs

It's right here bozo:

Health Statistics > Life expectancy at birth > Total population (most recent) by country

United States: 78.14 years

European Union 77.32 years (look at the bottom of the list for this)

I'm a total numbers guy. When I say something, I have the numbers to prove it. You can't argue you mindless ideology against my numbers. It doesn't work.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:24:21 ET  Reply   Trace   Private Reply  


#36. To: lucysmom (#33)

does that mean the Conservatives like Canada's health care system better than ours?

You should read the article and find out. I'm not here to do your homework for you.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:26:37 ET  Reply   Trace   Private Reply  


#37. To: Godwinson (#31)

That's almost the same as the Obamacare.

It's absoluately not the same at all. Obamacare is a bueacratic nightmare that takes responsibility away from individuals and will escalate costs even more.

In the 1960s both the U.S. and Singapore spent 6% of GDP on healthcare.

The U.S. went the socialist route with Medicare and Medicaid. Singapore went the market route with medical savings accounts.

Today, Singapore spends 3.7% on heathcare and the U.S. spends 16.5%

Case closed.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:31:17 ET  Reply   Trace   Private Reply  


#38. To: jwpegler (#29)

No. Conservatives are the biggest supporters of the Singapore healthcare system.

Singapore's government ensures universal coverage, institutes price controls, and has a mandatory savings program.

Are you really telling me Conservatives support this? Where do you find the constitutional authority for these programs?

Since January 3, 2011, Republicans have controlled the power of the purse.

go65  posted on  2011-01-24   11:32:08 ET  Reply   Trace   Private Reply  


#39. To: jwpegler (#35)

US slips to 49th in life expectancy: study

The United States currently ranks 49th in the world in overall life expectancy, according to a study published in the academic journal Health Affairs, slipping dramatically during the last decade.

"As of September 23, 2010, the United States ranked forty-ninth for both male and female life expectancy combined," concludes the study, conducted by Columbia University health policy professors Peter A. Muennig and Sherry A. Glied, which will appear in the November edition of the influential peer-reviewed journal.

The noteworthy decline is highlighted by the fact that in 1999, the World Health Organization ranked the US as 24th in the world in the same category, life expectancy.

(more in link)

The facts do not support your point.

Ferret Mike  posted on  2011-01-24   11:36:30 ET  Reply   Trace   Private Reply  


#40. To: jwpegler (#35)

CIA trumps your wikipedia like source.

https://www.cia.gov/library/publications/the-world- factbook/rankorder/2102rank.html

41 European Union 78.82 2010 est.

49 United States 78.24 2010 est.

The United Kingdom is ranked #28 @ 79.92 2010 est. (single payer system aka socilaist)

The Greeks who are poor rank at # 29 Greece @ 79.80 2010 est.

Others on the list:

#12 France 81.09 2010 est

#15 Switzerland 80.97 2010 est.

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-24   11:36:41 ET  Reply   Trace   Private Reply  


#41. To: jwpegler (#36)

I'm not here to do your homework for you.

Goldi said that to me when I asked her to back something up - I expected better than that from you.

(no offense, I wouldn't trust you to do my homework.)

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   11:43:19 ET  Reply   Trace   Private Reply  


#42. To: go65 (#38)

"Price controls" in the Singapore healthcare system are akin to the U.S.'s standard reimbursement schedule for Medicare and Medicaid services. There's nothing more to it than this. Of course, ideological leftists in the U.S. grossly misrepresent their system to fit in with their narrow little view of the world.

Yes, conservatives support medical savings accounts. I would make them mandatory, while others would promote them by giving a 100% tax credit for money put into such accounts. Mandatory doesn't mean you are forced to buy insurance. You can use the money to buy insurance, pay for medical expenses out of pocket, or just save the money. It's up to you. However, I would also incent people to buy insurance by making it very easy for medical providers to go after people's assets and garnish their wages if they receive treatment that they can't pay for.

I would also phase out social security over time and replace it with mandatory retirement savings. Singapore does this too and it works very well.

Regardless, we need to move away from what we have today -- Medicare, Medicaid, and private insurance that is tied to an employer -- because this is what's driving up costs because people don't have any incentive to use the system wisely.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:43:51 ET  Reply   Trace   Private Reply  


#43. To: lucysmom (#41)

I expected better than that from you.

(no offense, I wouldn't trust you to do my homework.)

What I expected from you is to be too lazy to do your own research. You have the link to the site. Go read the f*cking article. Jeez...


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   11:45:31 ET  Reply   Trace   Private Reply  


#44. To: jwpegler (#37)

It's absoluately not the same at all. Obamacare is a bueacratic nightmare that takes responsibility away from individuals and will escalate costs even more.

You can see the future?

In any case I find private insurance red tape to be the worse thing in the world.

"Keep Your Goddamn Government Hands Off My Medicare!" - Various Tea Party signs.

Godwinson  posted on  2011-01-24   11:47:43 ET  Reply   Trace   Private Reply  


#45. To: go65 (#38)

Singapore's government ensures universal coverage, institutes price controls, and has a mandatory savings program.

Singapore puts pressure on prices by competing with the private sector as a health care provider (socialism?).

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   11:48:06 ET  Reply   Trace   Private Reply  


#46. To: Godwinson (#44)

In any case I find private insurance red tape to be the worse thing in the world.

Ain't that the truth!

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   11:52:09 ET  Reply   Trace   Private Reply  


#47. To: jwpegler (#1)

The socialists sure came out for THIS article, didn't they?

Friggin' PARASITES.

ME: Thanks for admitting that you ARE trying to spin this (AZ shooting, and terrorism) onto Palin, and conservatives in general.
Brian S(ocialist): I have never hidden that fact...

"There will be no more money when the U.S. dollar has no value, until that time we can keep printing more." -- go65, LF's resident mental giant --

Capitalist Eric  posted on  2011-01-24   14:46:06 ET  Reply   Trace   Private Reply  


#48. To: Capitalist Eric (#47)

Yep, and they came out with zero facts and evidence.

They close their eyes, click their heals together and wish free stuff would fall from the sky. It never does, but here they are. It demonstrates how delusional they really are.


"It's very important to remember the law is not simply what powerful people would want others to believe it is." -- Julian Assange

jwpegler  posted on  2011-01-24   17:32:55 ET  Reply   Trace   Private Reply  


#49. To: jwpegler (#48)

Yep, and they came out with zero facts and evidence.

Says the guy who is in total denial of the socialist features of Singapore's system.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   17:38:17 ET  Reply   Trace   Private Reply  


#50. To: jwpegler (#48)

"Yep, and they came out with zero facts and evidence."

....except for all the links, fact and information we posted.

Ferret Mike  posted on  2011-01-24   17:47:09 ET  Reply   Trace   Private Reply  


#51. To: Ferret Mike (#50)

....except for all the links, fact and information we posted.

You can lead a horse to water but you can't make him drink.

Merchants have no country. The mere spot they stand on does not constitute so strong an attachment as that from which they draw their gains. Thomas Jefferson

lucysmom  posted on  2011-01-24   17:48:58 ET  Reply   Trace   Private Reply  


#52. To: jwpegler (#48)

they came out with zero facts and evidence.

They close their eyes, click their heals together and wish free stuff would fall from the sky. It never does, but here they are. It demonstrates how delusional they really are.

Nice to know that other people get how screwed up they really are.

It seems sometimes, that I'm the only one here, who's willing to call a spade "a spade," or a socialist "a fat friggin' socialist."

The amount of socialist propaganda spinning on this one forum, is truly breathtaking. And the sad part is, most of the posters don't understand they're being played.

Sad. Truly sad...

ME: Thanks for admitting that you ARE trying to spin this (AZ shooting, and terrorism) onto Palin, and conservatives in general.
Brian S(ocialist): I have never hidden that fact...

"There will be no more money when the U.S. dollar has no value, until that time we can keep printing more." -- go65, LF's answer to Ben Bernanke --

Capitalist Eric  posted on  2011-01-24   22:43:21 ET  Reply   Trace   Private Reply  


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