Bay 12 Games Forum

Finally... => General Discussion => Topic started by: Pathos on May 06, 2010, 09:50:55 pm

Title: Why So Anti-State Healthcare, America?
Post by: Pathos on May 06, 2010, 09:50:55 pm
Honestly, I didn't get this. Why was there so much anger towards free healthcare in America? It just left me scratching my head with a "Guh?" coming out of my mouth. Especially since a lot of the anger was from people who would benefit from it most.

I've made this thread after the raging debates because, well, raging anger?
Title: Re: Why So Anti-State Healthcare, America?
Post by: Captain Hat on May 06, 2010, 09:53:08 pm
Some people don't want to pay the extra taxes this would require, nor do they like the growth of government it would cause. Some people are just crazy.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Cthulhu on May 06, 2010, 09:54:05 pm
I'm a healthy bastard, and I don't want to pay a 0 dollar fine for not having health insurance.
Title: Re: Why So Anti-State Healthcare, America?
Post by: C4lv1n on May 06, 2010, 09:56:45 pm
It's all very confusing, even more so because I'm from Canada, and we've had free healthcare here for quite a while.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 06, 2010, 10:00:52 pm
Nothing in life is free (of cost.)  Our government was founded to protect our freedoms, not create laws.  We do not have the same government other folks have, but everyone keeps trying to pigeon hole it into the same tasks.  The Federal government's sole job is protecting our rights and defending the states.  It's up to the states to create laws that govern the people.  It's up to the Feds to keep that in check.

Make sense why I don't want Federal health care?  It should be State based... at the very least, systematically tested in the states until a working system is found that works with our laws and state of life.  If I feel like I'm getting ripped off, I can simply move to another state.  This allows citizens to live by their own means.

Sorry, another edit... take a few minutes to read our Constitution.  It really doesn't take long and you may understand.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 06, 2010, 10:05:43 pm
We've had several threads about the "new" American health-care legislation.  There's always room to discuss things again, but reading those would be a good way to start.  Not that everything won't be repeated ad nauseum anyway.
Title: Re: Why So Anti-State Healthcare, America?
Post by: piecewise on May 06, 2010, 10:52:42 pm
As John Stewart said

The american people don't want cuts or rationing on government run programs, like Medicare 

The american people don't want to pay more taxes, which fund things like Medicare

The American people don't want government run health care, like Medicare



The reality of it is that the american people always push back against things, just like they did against anti-slavery, women's rights, and integration. The things that are hated infringements of our rights become things our country is founded upon after about 50 years.

Nothing in life is free (of cost.)  Our government was founded to protect our freedoms, not create laws.  We do not have the same government other folks have, but everyone keeps trying to pigeon hole it into the same tasks.  The Federal government's sole job is protecting our rights and defending the states.  It's up to the states to create laws that govern the people.  It's up to the Feds to keep that in check.

Make sense why I don't want Federal health care?  It should be State based... at the very least, systematically tested in the states until a working system is found that works with our laws and state of life.  If I feel like I'm getting ripped off, I can simply move to another state.  This allows citizens to live by their own means.

Sorry, another edit... take a few minutes to read our Constitution.  It really doesn't take long and you may understand.

Strict adherence to a system of government rather nebulously defined over 200 years ago is right up there with literal interpretation of scripture. For a government to survive and truly serve it's citizens it must be capable of adapting.
Title: Re: Why So Anti-State Healthcare, America?
Post by: nil on May 06, 2010, 11:02:02 pm
Strict adherence to a system of government rather nebulously defined over 200 years ago is right up there with literal interpretation of scripture. For a government to survive and truly serve it's citizens it must be capable of adapting.
Within reason.  Personally I think it's appropriate for the government to expand to do more things, but not to do so at the expense of individual rights.  The mandate is a shitty idea that I've hated from start to finish; Obama gained my support over HRC in the primary mostly because he opposed it.  If we were a sane county, we'd do no more or less than slowly lower the age for Medicare until we had universal single-payer coverage.  Unfortunately, we're a corrupt country, so the insurance companies had to get a piece of the action with this weak-ass national Romneycare.

Better than nothing I guess but goddamn are we ever corrupt...
Title: Re: Why So Anti-State Healthcare, America?
Post by: Blacken on May 07, 2010, 02:23:35 am
Honestly, I didn't get this. Why was there so much anger towards free healthcare in America? It just left me scratching my head with a "Guh?" coming out of my mouth. Especially since a lot of the anger was from people who would benefit from it most.
Because I can afford good health care and I don't really feel like paying for other people's. It's nothing personal toward them, and if it were magically free I'd be quite happy for them, but my pocket is regularly picked enough.

Every bill pushed forward has been a love song to insurers anyway, so it's not like a good thing is being missed here.
Title: Re: Why So Anti-State Healthcare, America?
Post by: piecewise on May 07, 2010, 03:14:30 am
Honestly, I didn't get this. Why was there so much anger towards free healthcare in America? It just left me scratching my head with a "Guh?" coming out of my mouth. Especially since a lot of the anger was from people who would benefit from it most.
Because I can afford good health care and I don't really feel like paying for other people's. It's nothing personal toward them, and if it were magically free I'd be quite happy for them, but my pocket is regularly picked enough.

Every bill pushed forward has been a love song to insurers anyway, so it's not like a good thing is being missed here.
So you'd rather let kids die of leukemia just because they had the poor fortune not to be born rich rather then give a bit more money? Because that sounds an awful lot like what you're saying.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Muz on May 07, 2010, 05:28:12 am
Heh, it's interesting. America's culture is just radically pro-capitalist, especially since the Cold War. Everything about America is about money. They believe that wealth brings better things. Want to learn? Pay a huge pile of cash. Want to eat? Pay piles of cash (though they have cheap food, thanks to capitalism). Want people to cure your illnesses? More cash.

They believe that all their money was earned from hard work. It's not wrong. They believe that good, rich people will willingly part with their cash to help those who need it the most. Not wrong either, but ironically, rich Americans are more likely to help starving kids in Africa and Haiti than poor people in America.

But giving hard-earned money to help poor people to live is against what America stands for. It seems to make perfect sense to people from most countries, but not so in a heavily capitalist culture.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Blacken on May 07, 2010, 06:05:35 am
Honestly, I didn't get this. Why was there so much anger towards free healthcare in America? It just left me scratching my head with a "Guh?" coming out of my mouth. Especially since a lot of the anger was from people who would benefit from it most.
Because I can afford good health care and I don't really feel like paying for other people's. It's nothing personal toward them, and if it were magically free I'd be quite happy for them, but my pocket is regularly picked enough.

Every bill pushed forward has been a love song to insurers anyway, so it's not like a good thing is being missed here.
So you'd rather let kids die of leukemia just because they had the poor fortune not to be born rich rather then give a bit more money? Because that sounds an awful lot like what you're saying.
Your argument is an appeal to emotion, and that's just silly. If individuals want to spend their money to help them, that's awesome (and, FWIW, I donated a good chunk of a paycheck to the Jimmy Fund at their last major drive; the difference between charity, which is voluntary, and taxation for pet causes, which is certainly not, is quite large). I choose to do so out of my own free will; it is no one's obligation to do so and I wholly reject the idea.

In a practical sense, I would actually be quite alright with UHC for anyone under the age of 18 and anyone currently enrolled in an institution of higher learning; the former allows for some basic protections before they are in a place to root, hog, or die (and yes, it's quite important that everyone do so, you are neither special nor entitled to take money from my pocket just as I am neither special nor entitled to take money from yours, but a fair starting point is certainly of benefit to everyone), and the latter encourages an improvement of our workforce's baseline capabilities in a way that, intuitively, seems to pay dividends greater than the relatively small expense. (UHC for everyone does not intuitively show a likelihood for an economic improvement beyond the expenditure, nor have I seen any numbers to suggest it to be the case.)

But if you find it so important, feel free to spend your money on it. Nobody's stopping you. Just don't presume to spend mine without my consent. (This goes for vote-pandering of all stripes, from UHC to farm subsidies.)


EDIT: Mind you, I entirely agree that most of the people complaining over UHC are ones who would benefit. They are morons. I would not benefit from UHC, and it is not my job, nor anyone else's, to save them from themselves. Stupidity is the only capital crime, and there are no appeals.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 06:41:34 am
In a practical sense, I would actually be quite alright with UHC for anyone under the age of 18 and anyone currently enrolled in an institution of higher learning; the former allows for some basic protections before they are in a place to root, hog, or die (and yes, it's quite important that everyone do so, you are neither special nor entitled to take money from my pocket just as I am neither special nor entitled to take money from yours, but a fair starting point is certainly of benefit to everyone), and the latter encourages an improvement of our workforce's baseline capabilities in a way that, intuitively, seems to pay dividends greater than the relatively small expense. (UHC for everyone does not intuitively show a likelihood for an economic improvement beyond the expenditure, nor have I seen any numbers to suggest it to be the case.)

Well, that's refreshing to hear.  Appeal to emotion or not (and I for one do think emotion has a place in political argument), at least we can all agree that people under 18 have no real control over their health and certainly over their finances, and shouldn't have to suffer for that.  The idea of making paid-healthcare for higher-learning students is one I've never heard before, but that does make a lot of sense.  People in universities are already spending unseemly amounts of money and effort just getting an education, and in doing so are making themselves more productive, so they deserve not having to worry about financing their healthcare on top of that.  I like it.

That being said, this is where we come to the philosophical difference.  I support universal health coverage, and I don't care that it would be a money pit.  I actually think talking about economic improvement and capability is a form of emotional appeal itself - the emotion of smug superiority.  It's a way of saying people who don't make money don't deserve any help, because hey, you worked for your healthcare, they can too, all practical realities be damned.  From where I'm standing, no one deserves to die for lack of money, regardless of who they are or what it "costs", and I'm just not going to budge from that.

Well, okay, I have my limits.  The 1000lbs human-blob guy for instance, fuck him.  But that's the kind of extraordinary circumstance it takes to sway me away from my bleeding-heart principles.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 07, 2010, 06:50:55 am
Blacken: Are you seriously calling health care a "pet cause"? What? It's fundamental to human survival and well-being.

I'm sorry, but I feel like you're extremely confused about how modern society works. People collectively provide for the welfare of those who cannot afford to provide it for themselves.

Wait, that's not even true of modern society, but of all society, really. Hell, that's part of what being a social animal is all about. You take care of your weak, period.



But if you find it so important, feel free to spend your money on it. Nobody's stopping you. Just don't presume to spend mine without my consent. (This goes for vote-pandering of all stripes, from UHC to farm subsidies.)

EDIT: Mind you, I entirely agree that most of the people complaining over UHC are ones who would benefit. They are morons. I would not benefit from UHC, and it is not my job, nor anyone else's, to save them from themselves. Stupidity is the only capital crime, and there are no appeals.

.... What? First off, it makes no sense to say this sort of thing should be voluntary. There's a damn good reason you don't get to choose where your tax money goes to. It's not "vote-pandering" either, it's a fundamental aspect of practically every developed nation except us.

And what does "save them from themselves" mean? If I'm poor and need my appendix taken out, how exactly is that the result of my own stupidity, or my fault in any way? Or do you think that all poor people are poor by choice? I know you know economics better than to think something so foolish.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 07:21:09 am
Strict adherence to a system of government rather nebulously defined over 200 years ago is right up there with literal interpretation of scripture. For a government to survive and truly serve it's citizens it must be capable of adapting.
Except for the fact that it's a rather awesome system that checks and balances the States (that should be the ones testing Healthcare) who better know how to manage the people they govern.  Just because something is old, doesn't make it stupid.  States are perfectly capable of adapting laws to fit the people that live there and the people that live there have two motives of voting power.  One at the polls and the other at their feet.  In a capitalist society, having the states compete with each other over population just makes sense.

If it makes you feel better, think of the Federal Government as the EU and each of the states as countries, but the EU is totally dedicated to allowing freedom of movement of good and people between countries and personal rights.  Also, if the EU had a standing defensive military and your country didn't need one.  Now imagine one of those countries trying to push through agendas that make eating sauerkraut required by law into the EU.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Pwnzerfaust on May 07, 2010, 09:00:04 am
The difference between the US and the EU is that the EU is a supranational organization, whereas the US government is an organization more akin to the German government (if we're taking European examples). As far as I'm concerned, the states are purely an organizational convenience for deferring less important tasks to. The Federal Government should have the power to enforce and create laws, run a military, and, above all, be able to override the states. The states are subordinate to the federation. Period.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Nilocy on May 07, 2010, 09:15:11 am
Welcome America to 1945!
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:18:46 am
The Federal Government should have the power to enforce and create laws personal rights, run a military, and, above all, be able to override the states.
There you go...
Title: Re: Why So Anti-State Healthcare, America?
Post by: Pwnzerfaust on May 07, 2010, 09:29:12 am
The Federal Government should have the power to enforce and create laws personal rights, run a military, and, above all, be able to override the states.
There you go...
If the founders of the US didn't want the US to create laws, they wouldn't have created Congress.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 10:19:02 am
The Federal Government should have the power to enforce and create laws personal rights, run a military, and, above all, be able to override the states.
There you go...
If the founders of the US didn't want the US to create laws, they wouldn't have created Congress.

Quote
Section 8 - Powers of Congress

Spoiler (click to show/hide)

To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof.

It's purpose is to create laws to fulfill it's purpose in meeting the requirements set forth by the Constitution, not to create laws to fulfill whatever purpose they want.  This can be read as: "You can create laws that the States must follow in order to maintain the ability to perform the above tasks ("foregoing": which I spoiler-ed to save space) and to allow other branches to perform their tasks."

Edit:  Essentially, Congress makes laws that the states must follow... not laws which the citizens must follow.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 10:25:54 am
Also, feel free to review the 10th Amendment:

Quote
Amendment 10 - Powers of the States and People. Ratified  12/15/1791.

The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 07, 2010, 11:29:38 am
So... under a literal interpretation of the 10th amendment, the United States government can do LITERALLY nothing at all except change the constitution?  Great.  Although I'm pretty sure this only applies if you don't like what they're doing.

Incidentally, is it just me, or are many Republicans stated opponents of healthcare reform?  As in, they don't want to see it changed at all.  Even if you don't like the idea of state healthcare, it's pretty difficult to see how anyone would think of the current system as perfect...
Title: Re: Why So Anti-State Healthcare, America?
Post by: kuro_suna on May 07, 2010, 11:39:08 am
Incidentally, is it just me, or are many Republicans stated opponents of healthcare reform?  As in, they don't want to see it changed at all.  Even if you don't like the idea of state healthcare, it's pretty difficult to see how anyone would think of the current system as perfect...

I'm pretty sure their just being obstructionist since their all for expanding medicare(actual socialism and not just fox news pretend socialism).
Title: Re: Why So Anti-State Healthcare, America?
Post by: lumin on May 07, 2010, 11:39:32 am
I find the title of this thread amazing in wake of what is happening to Greece right now. The US stock market dived over 1000 points in about 30 minutes yesterday, the highest single drop in over 20 years, because of the chaos going on in Europe right now.

33% of Greece's citizens are employed by the government, including their socialized health care system.  The EU has recommended that Greece begin privatizing their Health Care system to get them out of the disaster that they're in.

To behold the gall of those who still can't understand why Americans are resisting the same mess that Europe has gotten itself into by socialization is simply staggering.  I feel like I'm watching a group of people repeatedly bash their heads in with baseball bats and label it as healthy and not get why others won't do the same.
Title: Re: Why So Anti-State Healthcare, America?
Post by: kuro_suna on May 07, 2010, 11:48:05 am
Except almost all of Europe has public health care including Germany, the country that's bailing out Greece.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 12:11:01 pm
So... under a literal interpretation of the 10th amendment, the United States government can do LITERALLY nothing at all except change the constitution?  Great.
Congress can do lots of stuff, but they've "delegated" their tasks away to the IRS, Treasury, et. al. and now they are sitting around twiddling their thumbs looking for more tasks to take over without monitoring, regulating and controlling these spin-offs.  Just look at the fact that they have to now pass a bill in order to audit the very organization they started to keep our money (the main one I'm thinking of is the Ron Paul led "Audit the Fed")... and some Congress(wo)men would have the gall to prevent that from happening because of who is leading it and because of the little tag in front of his name that says "Republican."

It's easy to create something.  It's hard to maintain it.

Although I'm pretty sure this only applies if you don't like what they're doing.
It applies no matter if you like or dislike what they are doing.  That's their law and the way they MUST run.  Not hand it off to someone else to run while they take vacation.  The founders knew how little power they were giving the government.  They did it on purpose.  This wasn't some decision based on events in the world at the time.  They studied the available documentation on how Rome and other successful nations in history were run and they established a regiment of strict rules that the Federal Government must follow.

If you want something done, get involved in your State.  This is ideal anyway because local government will know better about what is going on than someone 1/4 of the way around the globe, Internet or not.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 07, 2010, 12:11:44 pm
I find the title of this thread amazing in wake of what is happening to Greece right now. The US stock market dived over 1000 points in about 30 minutes yesterday, the highest single drop in over 20 years, because of the chaos going on in Europe right now.

33% of Greece's citizens are employed by the government, including their socialized health care system.  The EU has recommended that Greece begin privatizing their Health Care system to get them out of the disaster that they're in.

To behold the gall of those who still can't understand why Americans are resisting the same mess that Europe has gotten itself into by socialization is simply staggering.  I feel like I'm watching a group of people repeatedly bash their heads in with baseball bats and label it as healthy and not get why others won't do the same.

Ditto on Kuro-suna, Greece and Europe aren't interchangable terms. I was reading an article yesterday about how Greece as a nation is horribly corrupt, with bribes being a huge institutionalized part of daily life. But that's probobly got nothing to do with their health care system failing. Breathe easy though, since you in the US have private for-profit health care there's absolutely no chance of corruption occuring there. ;)

Article about the problems in Greece. (http://www.nytimes.com/2010/05/02/world/europe/02evasion.html)

The US health care system is staggeringly expensive, much more expensive than what we have here in the UK. And here in the UK we have the added bonus of not having to choose between food or medicine when we get our paychecks.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Zangi on May 07, 2010, 12:20:30 pm
Socialism.  C+ America is allergic to it.
Title: Re: Why So Anti-State Healthcare, America?
Post by: DJ on May 07, 2010, 12:36:51 pm
I've never set my house on fire, so I don't want to pay for fire departments. And I most certainly don't want any of my federal tax going to California's fire departments, those assholes can burn, it's their own fault they live in such a flammable state.
Title: Re: Why So Anti-State Healthcare, America?
Post by: lumin on May 07, 2010, 01:36:19 pm
Except almost all of Europe has public health care including Germany, the country that's bailing out Greece.

Socialism.  C+ America is allergic to it.

I've never set my house on fire, so I don't want to pay for fire departments. And I most certainly don't want any of my federal tax going to California's fire departments, those assholes can burn, it's their own fault they live in such a flammable state.


Ahem...

I feel like I'm watching a group of people repeatedly bash their heads in with baseball bats and label it as healthy and not get why others won't do the same.

(http://dl.dropbox.com/u/4106135/bat.gif)

If it makes you feel better...I'm not gonna to try to stop ya!   ;)
Title: Re: Why So Anti-State Healthcare, America?
Post by: kuro_suna on May 07, 2010, 01:42:04 pm

Can we ever have a political thread without you trolling it?
Title: Re: Why So Anti-State Healthcare, America?
Post by: piecewise on May 07, 2010, 01:46:40 pm
The Federal Government should have the power to enforce and create laws personal rights, run a military, and, above all, be able to override the states.
There you go...
If the founders of the US didn't want the US to create laws, they wouldn't have created Congress.

Quote
Section 8 - Powers of Congress

Spoiler (click to show/hide)

To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof.

It's purpose is to create laws to fulfill it's purpose in meeting the requirements set forth by the Constitution, not to create laws to fulfill whatever purpose they want.  This can be read as: "You can create laws that the States must follow in order to maintain the ability to perform the above tasks ("foregoing": which I spoiler-ed to save space) and to allow other branches to perform their tasks."

Edit:  Essentially, Congress makes laws that the states must follow... not laws which the citizens must follow.

The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defense and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

It sure sounds like congress has the power to tax you to pay for health care if it's considered fro the general welfare of the country. And it sure sound like they're constitutionally bound to make it uniform throughout the states.
Title: Re: Why So Anti-State Healthcare, America?
Post by: kuro_suna on May 07, 2010, 01:54:48 pm
Is it just me or does it seem like constitutional literalism always seems to end up like biblical literalism where you can prove any point you want with the right amount of cherry picking and refusing to ever accept sane compromises between two extremes.
Title: Re: Why So Anti-State Healthcare, America?
Post by: lumin on May 07, 2010, 02:01:59 pm
The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defense and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

It sure sounds like congress has the power to tax you to pay for health care if it's considered fro the general welfare of the country. And it sure sound like they're constitutionally bound to make it uniform throughout the states.

I think the main issue that the states have with this piece of legislation is the fact that it imposes fines on those individuals who opt out of the coverage.  In all other "welfare" programs like Medicaid, Medicare and SCHIP, there has been penalty free choice for deciding whether or not you want to join the system.

And no, the fine is not a "tax" based on gross earnings, so it can't fall under the "collect Taxes" part of the Constitution.
Title: Re: Why So Anti-State Healthcare, America?
Post by: piecewise on May 07, 2010, 02:38:46 pm
The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defense and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

It sure sounds like congress has the power to tax you to pay for health care if it's considered fro the general welfare of the country. And it sure sound like they're constitutionally bound to make it uniform throughout the states.

I think the main issue that the states have with this piece of legislation is the fact that it imposes fines on those individuals who opt out of the coverage.  In all other "welfare" programs like Medicaid, Medicare and SCHIP, there has been penalty free choice for deciding whether or not you want to join the system.

And no, the fine is not a "tax" based on gross earnings, so it can't fall under the "collect Taxes" part of the Constitution.
Oh I'm sure they can make it work somehow. The only reason I pointed that part out is to show that you can pretty much make the constitution mean whatever you want if you word it right. Thats why I say we should be flexible because, if not, we'll always be deadlocked by different interpretions.

Your argument is an appeal to emotion, and that's just silly. If individuals want to spend their money to help them, that's awesome (and, FWIW, I donated a good chunk of a paycheck to the Jimmy Fund at their last major drive; the difference between charity, which is voluntary, and taxation for pet causes, which is certainly not, is quite large). I choose to do so out of my own free will; it is no one's obligation to do so and I wholly reject the idea.

In a practical sense, I would actually be quite alright with UHC for anyone under the age of 18 and anyone currently enrolled in an institution of higher learning; the former allows for some basic protections before they are in a place to root, hog, or die (and yes, it's quite important that everyone do so, you are neither special nor entitled to take money from my pocket just as I am neither special nor entitled to take money from yours, but a fair starting point is certainly of benefit to everyone), and the latter encourages an improvement of our workforce's baseline capabilities in a way that, intuitively, seems to pay dividends greater than the relatively small expense. (UHC for everyone does not intuitively show a likelihood for an economic improvement beyond the expenditure, nor have I seen any numbers to suggest it to be the case.)

But if you find it so important, feel free to spend your money on it. Nobody's stopping you. Just don't presume to spend mine without my consent. (This goes for vote-pandering of all stripes, from UHC to farm subsidies.)

EDIT: Mind you, I entirely agree that most of the people complaining over UHC are ones who would benefit. They are morons. I would not benefit from UHC, and it is not my job, nor anyone else's, to save them from themselves. Stupidity is the only capital crime, and there are no appeals.

My example may have been emotionally charged but its an example of what happens under our current system. Personally I think we should extend help to any sick person who needs it, regardless of age, because no matter what you do you can not guarantee that you won't be out of a job tomorrow. Your solution of a fair starting point assumes that from that point everything will go swimmingly and no unavoidable circumstances will intervene. And if we extend help only to those under 18 or in college you're basically saying that "if you're studying to be a lawyer then you're worth that skin graft but if you're just a construction worker getting paid to low to afford health care then your life isn't worth saving." 

At least thats the problem I foresee.
Title: Re: Why So Anti-State Healthcare, America?
Post by: nil on May 07, 2010, 02:45:13 pm
What always got lost in the health care debate is that we already had a form of universal health care.  Emergency rooms didn't turn people away, and low income folks qualified for Medicaid.  So anyone could get health care, they just had to wait until they were sick enough for it to be an emergency or broke enough to get Medicaid.  It was basically the least efficient system possible--in many cases it would be far cheaper to give someone preventive care before their problems became emergencies, and constant medical bankruptcies weren't really doing anyone any favors either.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 07, 2010, 02:49:39 pm
Yeah, and even though the emergency rooms can't turn people away, it still leaves the people in debt.


That is definitely something people don't understand, though. Everyone is already paying for poor people's healthcare. They're still going to go somewhere when they get sick, except, as you said, they can't actually afford it, so they wait until the problem is worse, and go to the ER sporadically instead of having an actual primary care physician (which has a host of problems of its own). Everybody else still absorbs that cost, one way or another, except, like you said, it's extremely inefficient.
Title: Re: Why So Anti-State Healthcare, America?
Post by: bjlong on May 07, 2010, 02:57:42 pm
So, the problem boils down to this:

There is a 60 year old man named Bob. He's worked at a construction site every day he's had a job, which is most of his life since 16. He works hard, because he has two sons and a daughter he wants to have a good education. He budgets so that the family goes without a lot of things--him most of all. He's been recently diagnosed with cancer, and his life savings aren't enough to foot the bill and send his daughter to college. Without college, she'll just be looking at waitressing at a dead-end restaurant for the rest of her life. He stays up late, cutting more and more from the budget, and it comes down to that choice.

There is a 20 year old man named Jimmy. Jimmy's out of college, out of work, and out enjoying life. By "enjoying life" I mean "smoking pot and doing stupid dangerous things." He's recently been cut off from his parents' money, and is living off of his life savings, which are substantial, thanks to generous family members, but are rapidly dwindling. One day, while drunk and high, he jumps off of a moving van and breaks his leg. He doesn't have enough money to fix the leg and continue living like this for another month, so he's trying to bum some money off of his relatives.

90% of people would give money to Bob. 90% of people wouldn't give money to Jimmy. The difference between supporters and opposers of UHC is who they see when they picture the people who will benefit from this. That, and economic reasoning, which is generally in the backseat of these stories.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 03:02:54 pm
The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defense and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

It sure sounds like congress has the power to tax you to pay for health care if it's considered fro the general welfare of the country. And it sure sound like they're constitutionally bound to make it uniform throughout the states.
Don't confuse a stipulation that says they must collect uniform taxes to mean uniform health care.  That line basically says they have the right to collect taxes to pay off debts.  The aspect of "General Welfare" is hotly debated though. (http://en.wikipedia.org/wiki/General_Welfare_clause)
Quote
These clauses in the U.S. Constitution are exceptions to the description above, and are not considered broad grants of a general legislative power to the federal government since the U.S. Supreme Court has held:

    * the Preamble to the U.S. Constitution "has never been regarded as the source of any substantive power conferred on the Government of the United States or on any of its Departments";[3][4] and,
    * that Associate Justice Joseph Story's construction of the Article I, Section 8 General Welfare Clause elaborated in Story's 1833 Commentaries on the Constitution of the United States was the correct interpretation.[5][6] Justice Story concluded that the General Welfare Clause was not an independent grant of power, but a qualification on the taxing power which included within it a power to spend tax revenues on matters of general interest to the federal government.

Thomas Jefferson explained the latter general welfare clause for the United States: “[T]he laying of taxes is the power, and the general welfare the purpose for which the power is to be exercised. They [Congress] are not to lay taxes ad libitum for any purpose they please; but only to pay the debts or provide for the welfare of the Union. In like manner, they are not to do anything they please to provide for the general welfare, but only to lay taxes for that purpose.”[7]

Edit:  Read here for more:  http://www.madisonrecord.com/arguments/220783-was-general-welfare-intended-to-include-health-care

Edit2:  And in case you didn't quite "get" it.  The General Welfare clause relates to the welfare of the union itself, not it's citizens.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Pillow_Killer on May 07, 2010, 03:51:30 pm
Loo, what the problem? USA citizens dont want free healthcare? Okay, their decision ,theirp roblems? Broke a leg but dont have money for healthcare? Too bad, but htat was your choice.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 07, 2010, 03:53:36 pm
Edit2:  And in case you didn't quite "get" it.  The General Welfare clause relates to the welfare of the union itself, not it's citizens.

One requires (and to a degree, implies) the other. You cannot provide for a functioning society without providing for functioning members of that society. It's as much about the nation as it is about the individuals.
Title: Re: Why So Anti-State Healthcare, America?
Post by: lumin on May 07, 2010, 04:01:19 pm
Loo, what the problem? USA citizens dont want free healthcare? Okay, their decision ,theirp roblems? Broke a leg but dont have money for healthcare? Too bad, but htat was your choice.

I really, honestly want to know.  Do people actually believe that health care is "free" under a nationalized system?  I really hope people that say that are just being facetious.  If you are really this naive, please lie and act like you knew this all along, save yourself the embarrassment.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 04:02:52 pm
Edit2:  And in case you didn't quite "get" it.  The General Welfare clause relates to the welfare of the union itself, not it's citizens.

One requires (and to a degree, implies) the other. You cannot provide for a functioning society without providing for functioning members of that society. It's as much about the nation as it is about the individuals.

Did you read the stuff I linked?  The process is this.  General Welfare is a blanket statement.  If you go to the trouble of enumerating powers that someone has then you give them the ability to tax to improve the "general welfare" they can argue it away as total consuming power.  This is why the judge stated that this clause only applies to the welfare of the union but not extending to it's citizens.  If I gave you the ability to provide for the general welfare, you could argue that putting me in chains and making me slave all day long is better for the overall welfare of the union so you should be able to tax the living daylights out of me, then lock me up.

Do you see why this interpretation of "General Welfare" includes the citizens WON'T work?
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 07, 2010, 04:12:15 pm
Lumin - it's not funny.  Please stop trolling.

Andir... You suggest having state funded healthcare on a state level... but healthcare is not something that can be done on that level.  If one state introduces it, sick people from other states are likely to flock their, crippling their finances.  The whole country needs to introduce it or it is useless.

As for chaining you up... No, that'd obviously violate multiple other points of the constitution.  Basically, if you really want to, you can declare ANYTHING unconstitutional by selective quoting.

In terms of cost, I'd say the question is more "Can America afford not to reform it's healthcare system?".  America spends twice as much on its healthcare as, for instance, Great Britain, and generally gets worse results.  I can see the arguments for individualism, but I don't see how you can defend such a horribly inefficient system.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Pillow_Killer on May 07, 2010, 04:15:53 pm
Loo, what the problem? USA citizens dont want free healthcare? Okay, their decision ,theirp roblems? Broke a leg but dont have money for healthcare? Too bad, but htat was your choice.

I really, honestly want to know.  Do people actually believe that health care is "free" under a nationalized system?  I really hope people that say that are just being facetious.  If you are really this naive, please lie and act like you knew this all along, save yourself the embarrassment.
Stop being stupid. Increased taxes are nothing compared to prices of healthcare in USA.
Title: Re: Why So Anti-State Healthcare, America?
Post by: eerr on May 07, 2010, 04:21:39 pm
Loo, what the problem? USA citizens dont want free healthcare? Okay, their decision ,theirp roblems? Broke a leg but dont have money for healthcare? Too bad, but htat was your choice.

I really, honestly want to know.  Do people actually believe that health care is "free" under a nationalized system?  I really hope people that say that are just being facetious.  If you are really this naive, please lie and act like you knew this all along, save yourself the embarrassment.
Stop being stupid. Increased taxes are nothing compared to prices of healthcare in USA.
Exactly, to pay for the healthcare bill as proposed orignally by obama 'Increased taxes' really doesn't come close.
We're talkin such taxes that government will grow noticeably larger.

Quite an accomplishment considering how bloated it is already.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Luke_Prowler on May 07, 2010, 04:35:58 pm
While it's not exactly part of the current conversation, I think part of the complaining is from whiny Conservatives trying to start a huff. It's not really about whether the system works or not, but that the Liberals got their way.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 04:38:12 pm
Andir... You suggest having state funded healthcare on a state level... but healthcare is not something that can be done on that level.  If one state introduces it, sick people from other states are likely to flock their, crippling their finances.  The whole country needs to introduce it or it is useless.
Considering that it's not really that different from today... if someone crosses the border to get care in another state, their major medical insurance is restricted to the state from which they came.  You'll still have to pay for your treatment in California because your insurance is restricted to Nevada by Federal Law... and this system they just voted in doesn't change that!  You can buy Health Insurance in another state, but you'll have to go there for providers (ie: care).  So even if you did go to another state and didn't have your coverage card you'd still get the bill, the collections, etc.

(edit: BTW, I just went through this when I called an ambulance because my Mom was visiting me when I was in Chicago and she had a diabetic fit... she was charged the full amount because she had out of state insurance.)

This would also be no different than someone going to Canada or Mexico to get a treatment.  Do you see a lot of this going on? (edit: struck Mexico... I really don't know what their health care is like.  :-X)

As for chaining you up... No, that'd obviously violate multiple other points of the constitution.  Basically, if you really want to, you can declare ANYTHING unconstitutional by selective quoting.
Sure, chaining might have been a reach, but let's say the "General Welfare" of citizens in Maine included everyone in America buying Lobster for every meal... btw, they sort of already do this with Corn and HFCS indirectly through tariffs and mandates... which I think is wrong as well, but another topic.
Title: Re: Why So Anti-State Healthcare, America?
Post by: MetalSlimeHunt on May 07, 2010, 04:44:19 pm
Hell, that's part of what being a social animal is all about. You take care of your weak, period.

Err.... Not exactly. See, inbetween the stages of "psudo-animalistic tribes" and "modern day" in human history, people were not exactly good to the weak, and even really are not so today. Modern thought encourages that we care for those unable to care for themselves, but it isn't really as ingrained as you claim. Being a social animal means working together to obtain the best compromise of a goal that could never be done alone. This sometimes will involve dropping a bridge on the weakist of your group. On the whole, most people don't really like destroying the few for the good of the group, but it is a simple thing to rationalize. Technological and Philosophical advancements have allowed us, in the past few centuries, to begin moving away from this horrible part of what it is to be a society. Nonetheless, it's a work-in-progress.

And then there are just those that are so filled with hatred, fanatical madness, or just plain insanity that the weak will end up falling prey to them. Once again, we are attemting to move away from this by the use of prisons and mental health institutions, instead of the oft-used "drag to edge of settlement, pelt with stones untill dead" method that has so far been dominant in human history.


But back to the topic: The main issue here is that we have no real way to determine between those who need honest healthcare that they are trying to obtain but have no chance of getting, and dregs of society that wish to either do nothing or become a parasitic to the first person who will support them. Although such distinctions can eventualy be made easly, healthcare presents a problem in that it needs any particular patient's problem to be either solved or turned away fast. There just isn't any solution that I can see here.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 07, 2010, 05:02:52 pm
Quote from: Andir
(edit: BTW, I just went through this when I called an ambulance because my Mom was visiting me when I was in Chicago and she had a diabetic fit... she was charged the full amount because she had out of state insurance.)
Just more evidence of the American healthcare system working.  Although if you're ok with living your entire life in one state I suppose it's fine.

Quote from: Andir
This would also be no different than someone going to Canada or Mexico to get a treatment.  Do you see a lot of this going on? (edit: struck Mexico... I really don't know what their health care is like.  :-X)
It's a lot easier to police borders of countries and check if you're from Canada or not than it is to do the same with states.  Sure, you can illegally emigrate, but it's gonna be hard to get state healthcare in Canada with no paperwork.

Quote from: Andir
Sure, chaining might have been a reach, but let's say the "General Welfare" of citizens in Maine included everyone in America buying Lobster for every meal... btw, they sort of already do this with Corn and HFCS indirectly through tariffs and mandates... which I think is wrong as well, but another topic.
Analogy doesn't work.  People die without basic healthcare.  People do not die without lobster.  Welfare doesn't need to go a long way, but keeping people alive is a fairly basic tenet of it... and having some coverage for the poor makes sense economically.  Britain first began to introduce healthcare reforms because our workforce was crippled and sick (and because, on starting the Boer War, we found that a large number of our young men were actually completely unfit for military service), and we were beginning to fall behind countries like Germany with healthy workers.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Rotten on May 07, 2010, 05:53:23 pm
The reason were got the new healthcare system is that the current one is shit. You can be booted out, even as a paying, honest customer, for filing a claim. For instance, there was an article in TIME (I think it was TIME, could of been a different magazine though) about how the largest health care provider in the US dropped millions of women after the company discovered they had breast cancer. 90% were normal paying customers, but when they got the problem, they were dropped. The company is more willing to let these people die than to pay out for their claims. You can say that the government can make that illegal, but companies find loopholes. They hire lawyers just to pick through these laws and find exploits. When you have companies this fucked up, relying on them for a basic human service is insane. Imagine if the water company shut off your water if you tried to get a drink. It's easier to simply socialize it and provide it reliably then try to write and enforce (the real hard part) laws to regulate one of the largest sectors of the US economy.
Title: Re: Why So Anti-State Healthcare, America?
Post by: LeoLeonardoIII on May 07, 2010, 05:58:05 pm
I'm worried.

I don't care or know anything about the healthcare stuff. I want good things for me and my country. And I hope the citizens we elect to learn about this stuff and serve us above all other interests will do the right thing.

But I'm worried about politics.

Let's say a Conservative doesn't want socialized healthcare. And a Liberal does. Let's just be really basic here.

Ideally, they would come together and argue and present evidence and not lie about anything. And when they found the best plan, the plan that is best for the citizens of their country, they would implement it.

But I'm worried about something that's clearly happening. The Liberal will push his socialized medicine plan through, and the Conservative will fight against it 100% because he is idealogically opposed to it. But let's say the plan is pushed through and it will be attempted. The Conservative will not abandon his resistance. He will continue to fight against the plan, even to the extent of harming his country. He will try his best to make the plan, which might succeed, into a failure. He's willing to sabotage a potential win scenario for all of us just because he's opposed to the plan itself.

An analogy would be two people trying to cross a river, one says they should build a raft and the other says build a bridge. The bridge plan is attempted, but the raft-man saws through the struts so the bridge collapses.

I'd say, what matters is that we get across the river safely and securely. Maybe a raft will do it. But maybe the bridge will too.

I guess I'm going out on a limb and expecting more from politicians than we're used to. What do you guys think about this problem of sabotage? In our current healthcare example, a Conservative may sabotage the plan by inserting things into it that he knows will make it weaker, instead of improving the plan.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 06:04:06 pm
Fear! Paranoia! Taxes! Conspiracy! Parasites! More Fear! Change! Abject Terror! Socialism! Communism! Liberals! Conservitives! More Terror! Misinformation! Backwards Ideals! Exclaimation Marks! ADDITIONAL TERROR!


I think that pretty much sums up everything.
Title: Re: Why So Anti-State Healthcare, America?
Post by: MetalSlimeHunt on May 07, 2010, 06:06:04 pm
Fear! Paranoia! Taxes! Conspiracy! Parasites! More Fear! Change! Abject Terror! Socialism! Communism! Liberals! Conservitives! More Terror! Misinformation! Backwards Ideals! Exclaimation Marks! ADDITIONAL TERROR!


I think that pretty much sums up everything.

Yeah, that seems to be all of it.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 07, 2010, 06:26:29 pm
That's... actually an amazingly good point, which could be applied to a whole load of issues.

It seems to come up quite a lot in politics... anything that's bad for your opponent MUST be good for you, right?  Similarly, if you're not in power, you need to do everything you can to mess it up for the ruling party, riiiight?
Title: Re: Why So Anti-State Healthcare, America?
Post by: o_O[WTFace] on May 07, 2010, 06:28:07 pm
Well, keep in mind that America does have limited state healthcare.  Medicare provides coverage to something like 50 million people over the age of 65.  The people that would benefit most from UHC already have it and they worry that any new UHC program would involve taking a cut out of their benefits.  Retirees also vote at a higher rate then other demographic groups and form a large part of the population, so that right there makes healthcare a huge uphill battle and this is probly the biggest reason UHC just isn't going to happen for a long time. 

Also, most people have health insurance through their employer.  They don't see the X dollars their employer pays them in the form of Health Coverage (that would become wages... or company profit) but they can see the higher taxes they would pay to support a UHC program.  So again, selling people something they already have.  It could realistically end up being better and cheaper for them then their current situation, but its easier (for them) to imagine it ending up worse and more expensive.

Similarly, people can't really see the indirect savings that would come from preventative treatments and screenings.  Things that are treatable with a hundred dollars worth of pills get left untreated until they become life threatening emergencies, then thousands are spent on the intensive care necessary to save them.  These unpaid bills and bankruptcies an are currently just baked into healthcare costs and invisible. 

Really though, the biggest reason is that UHC would mean that people are going to pay more taxes for someone else's benefit.  America is a naturally conservative country and just reflexively doesn't like that sort of thing (unless Roosevelt and friends already did it decades ago) and doesn't like big sudden changes. 

And honestly, I'm being a little generous here.  Probly half America's "liberals" just want more money and some sort of identity politics cause to feel righteous about.  Half America's "conservatives" likewise just want more money and some Socialist/Communist/Atheist enemy to feel good about battling (what Neruz said, basically).  What LeoLeonardoIII is exactly true and the biggest problem with America right now.  The real liberals and the real conservatives could just sit down and hammer out a very modest system thats better for everyone, because the current one is just hilariously awful. 
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 06:44:34 pm
When considering America, it's important to remember that the "American Dream" that pretty much the entire American lifestyle is built upon is that of a man making his own way in the world, building his own fortune with his own work and his own two hands. If you keep that in mind, the fact that so many Americans have some sort of allergy to helping people less fortunate than them and half the country explodes when you suggest UHC suddenly makes sense.
Title: Re: Why So Anti-State Healthcare, America?
Post by: LeoLeonardoIII on May 07, 2010, 06:54:06 pm
Good point. And when the country was expanding, and you could strike it rich in minerals or oil or pelts or just buying land for pennies, I'm sure the American Dream seemed feasible.

Now you have to strive for a Curtailed American Dream, which is "if I work really hard all my life, and don't get sick or injured, and nothing bad happens to my family either, then I might be able to retire to an efficiency apartment at 70 and then into a reasonably priced nursing home".
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 06:57:21 pm
Quote from: Andir
(edit: BTW, I just went through this when I called an ambulance because my Mom was visiting me when I was in Chicago and she had a diabetic fit... she was charged the full amount because she had out of state insurance.)
Just more evidence of the American healthcare system working.  Although if you're ok with living your entire life in one state I suppose it's fine.
I never said it was perfect as it is right now, but I think they are going at it the wrong way.  I don't think centralizing the power (and that's my biggest complaint) is a good thing at all.

All it takes is two forms of ID to cross the border.  (I've been to Windsor Canada quite a bit...) and it would be fairly easy to find a hospital and get care if they didn't ask for ID... but the flaw in your argument is that it wouldn't matter if you had universal healthcare or not... they will still ask for ID.  If you have an out of state license, you obviously don't fall under the the state coverage.  BTW, you are legally required to obtain a new driver's license within 90 days of changing states and we don't have "Government IDs" so it would be pretty obvious.  (We have social security numbers, but it's not considered identification unless it's accompanied with a state issued picture ID.)  Sure there are no police at the borders between states, but that doesn't matter.  It has no relevance to this.

Again, I ask... if you think states establishing their own health care plans is bound to fail, I need another excuse besides the one you gave because it's totally irrelevant.

And this isn't about people dieing (I really don't care, I'm an ass)... this is about misappropriation of power.  The Federal government is NOT like other governments and you CANNOT expect the same attitude, laws, and mentality when dealing with it.  Our Federal Government is a check on the states... by bypassing the states and making law and regulation against the people, you are violating the very construct that put it in place.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 07:01:05 pm
Good point. And when the country was expanding, and you could strike it rich in minerals or oil or pelts or just buying land for pennies, I'm sure the American Dream seemed feasible.

Now you have to strive for a Curtailed American Dream, which is "if I work really hard all my life, and don't get sick or injured, and nothing bad happens to my family either, then I might be able to retire to an efficiency apartment at 70 and then into a reasonably priced nursing home".
Only if you work for someone else all your life...  The American Dream by definition is being able to create your own business, make money, and be successful.  Working for someone else is supposed to be a stopgap and a way to get experience.  The A.D. has nothing to do with time, resources, land grabs and all the crap you spouted.  It's about a single person being able to make success in life without having to rely on someone else for help.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Seraph on May 07, 2010, 07:02:03 pm
An analogy would be two people trying to cross a river, one says they should build a raft and the other says build a bridge. The bridge plan is attempted, but the raft-man saws through the struts so the bridge collapses.

I'd say, what matters is that we get across the river safely and securely. Maybe a raft will do it. But maybe the bridge will too.
But look at it from the raftsman's point of view:
He's a shepherd, and there was a pack of wolves on the other side of the river that was disturbing his flock but was kept at bay to a good degree by the natural barrier the river provides. Now his neighbor came along and said "We're going to deal with the wolves, will you help?". The raftman agrees, and the neighbor then announces that wolf related tourism is important, so they're going to build a bridge to make it easier to get to the wolves. The raftman then compains that'll just make it easier for the wolves to eat his sheep, at which point the neighbor says "but you agreed to do something about the wolf problem" never actually realizing that what he thought of as the "wolf problem" is totally different then what the raftman thought of as the "wolf problem".
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 07:08:09 pm
See? My initial statement was accurate.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 07, 2010, 07:09:13 pm
Well, the other problem is that raising taxes in one states but not in the others will drive richer people away.  Thus any individual state enacting it would lose out.  It's the same as cutting pollution - if it's only you doing it, you suffer, but if everyone's doing it at the same time you'll see benefits.  I suppose you COULD try and get the states to agree to all enact it simultaneously... but how?  If you insist that the federal government do nothing, America is totally fucked on a whole range of issues.

Quote from: Andir
Only if you work for someone else all your life...  The American Dream by definition is being able to create your own business, make money, and be successful.  Working for someone else is supposed to be a stopgap and a way to get experience.  The A.D. has nothing to do with time, resources, land grabs and all the crap you spouted.  It's about a single person being able to make success in life without having to rely on someone else for help.
Get back to me when you've made a successful business without anyone else working for you :/.
Title: Re: Why So Anti-State Healthcare, America?
Post by: LeoLeonardoIII on May 07, 2010, 07:10:00 pm
Quote from: Andir
Quote from: LeoLeonardoIII
Good point. And when the country was expanding, and you could strike it rich in minerals or oil or pelts or just buying land for pennies, I'm sure the American Dream seemed feasible.

Now you have to strive for a Curtailed American Dream, which is "if I work really hard all my life, and don't get sick or injured, and nothing bad happens to my family either, then I might be able to retire to an efficiency apartment at 70 and then into a reasonably priced nursing home".
Only if you work for someone else all your life...  The American Dream by definition is being able to create your own business, make money, and be successful.  Working for someone else is supposed to be a stopgap and a way to get experience.  The A.D. has nothing to do with time, resources, land grabs and all the crap you spouted.  It's about a single person being able to make success in life without having to rely on someone else for help.

That suggests that, despite all evidence to the contrary, any person can succeed if they just work hard enough. It turns lack of success into a moral failure. Blaming the victim and all that.

An analogy would be two people trying to cross a river, one says they should build a raft and the other says build a bridge. The bridge plan is attempted, but the raft-man saws through the struts so the bridge collapses.

I'd say, what matters is that we get across the river safely and securely. Maybe a raft will do it. But maybe the bridge will too.
But look at it from the raftsman's point of view:
He's a shepherd, and there was a pack of wolves on the other side of the river that was disturbing his flock but was kept at bay to a good degree by the natural barrier the river provides. Now his neighbor came along and said "We're going to deal with the wolves, will you help?". The raftman agrees, and the neighbor then announces that wolf related tourism is important, so they're going to build a bridge to make it easier to get to the wolves. The raftman then compains that'll just make it easier for the wolves to eat his sheep, at which point the neighbor says "but you agreed to do something about the wolf problem" never actually realizing that what he thought of as the "wolf problem" is totally different then what the raftman thought of as the "wolf problem".

You are injecting a lot of side junk and making it confusing. The point was that the Conservative is willing to sabotage a plan that MAY work, forcing it to fail. He doesn't care about the success of his country, he cares about things being done exactly his way. Which is petty and, one might argue, treasonous.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 07:14:00 pm
It's about a single person being able to make success in life without having to rely on someone else for help.

You keep saying that like you think it's a realistic option for most people.  "Able to make success if life" means "able", not "will", and most people can't even afford to try to start a business.  A good third or so fail in the first five years, and are the businesses most susceptible to recessions like right now.

That suggests that, despite all evidence to the contrary, any person can succeed if they just work hard enough. It turns lack of success into a moral failure. Blaming the victim and all that.

That's pretty much what I'm hearing.  It's the 18th century all over again - if you're poor, it's because you're a bad person and a drain on society.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 07:22:13 pm
Get back to me when you've made a successful business without anyone else working for you :/.
That's not what I meant and you know it.

That suggests that, despite all evidence to the contrary, any person can succeed if they just work hard enough. It turns lack of success into a moral failure. Blaming the victim and all that.
Hardly.  You can form a business by coming up with something new and productive.  Forming a business isn't overly "difficult" but picking he right type of business might be a chore... you can also do some research, invest into an upcoming company and make money that way as well.  Hell, I have a friend that lived for 5 years trading stocks alone.  I wouldn't call it "hard work."  You can also get an education and get out of the auto line where you insert the same bolt for 8 hours a day.

You keep saying that like you think it's a realistic option for most people.  "Able to make success if life" means "able", not "will", and most people can't even afford to try to start a business.  A good third or so fail in the first five years, and are the businesses most susceptible to recessions like right now.
I only said it once... and I never said "will" but I surely did use "able."
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 07:29:00 pm
Get back to me when you've made a successful business without anyone else working for you :/.
That's not what I meant and you know it.

Not as such no, but it's not much more realistic.  "...without having to rely on someone else for help." is a horribly unrealistic assessment of starting a business, unless you're already independently wealthy enough that you wouldn't have to work anyway.  Every business relies on investors to start with, friends and family being the most common for small businesses.  The very fact that small-business loans exist apart from ordinary loans is that mean old government stepping in to make it easier for you to get money to start.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 07:49:55 pm
Not as such no, but it's not much more realistic.  "...without having to rely on someone else for help." is a horribly unrealistic assessment of starting a business, unless you're already independently wealthy enough that you wouldn't have to work anyway.  Every business relies on investors to start with, friends and family being the most common for small businesses.  The very fact that small-business loans exist apart from ordinary loans is that mean old government stepping in to make it easier for you to get money to start.
And still more assumptions... Anyone can start a business without massive loans.  Are you assuming that I'm saying that anyone can start up the next General Motors?  Businesses do not all require massive capital and footprints to be a success.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 07:52:12 pm
There's also teh fact that it's blatantly not feasible for every man, woman and child in the country to own and operate their own buisness. In fact buisness owners will always be a small minority; the vast majority of the population will always be working for other people.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 07:58:28 pm
And still more assumptions... Anyone can start a business without massive loans.

Good to hear advice from someone who clearly has never attempted what they're advocating.  You're a credit to your philosophy, really.

Okay, I'll be a little less pretensions.  Most people who start "small businesses" are not really in business for themselves, any more than any other worker.  Most "small businesses" are independent contractors, effectively a company of one person, who hires out their service on a semi-permanent basis to an established company that doesn't feel like keeping an internal staff to do the job.  Ironically they're the people in most need of a government provided health-care system (to return to the thread's point), because they don't have employer-provided health-care because they don't have a risk-pool to buy it with.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 07, 2010, 08:17:46 pm
The fact is that, no matter what, you're always relying on someone else. If you own a business, you rely on your employees and customers. And no matter where you fit into the economy, you rely on the economy itself, which cannot be composed solely of business owners and high earners. The low-paying jobs are still jobs that must be done, are they not?
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 08:19:52 pm
Indeed; it's simply not possible to run an entire buisness all by yourself and expect to get anywhere. At some point you're going to need somone to do some drudge work.


How well do you think Walmart would work if nobody stacked the shelves or staffed the cashiers?
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 07, 2010, 08:23:21 pm
Even if you could, you're still relying on several sectors of the economy who are not you. You have your customers, the people who deliver and produce the goods, the guy who sold you the land, etc.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 08:29:42 pm
And still more assumptions... Anyone can start a business without massive loans.

Good to hear advice from someone who clearly has never attempted what they're advocating.  You're a credit to your philosophy, really.

Okay, I'll be a little less pretensions.  Most people who start "small businesses" are not really in business for themselves, any more than any other worker.  Most "small businesses" are independent contractors, effectively a company of one person, who hires out their service on a semi-permanent basis to an established company that doesn't feel like keeping an internal staff to do the job.  Ironically they're the people in most need of a government provided health-care system (to return to the thread's point), because they don't have employer-provided health-care because they don't have a risk-pool to buy it with.
Because everyone that believes that something can happen has obviously tried it. ;)

But seriously,  the American Dream (AD) isn't really something you can define.  There's the goal in mind that you make your own decisions, support your family, raise your kids well and the more you can do yourself, the closer you are to being part of the AD.  It's more of an individualism goal.  Being capable of making it in life without relying on the government to pay for things or "stack the deck" so to speak.  Generally the individuality of it.  Writers have written about rugged individualism in a similar manner.  Going at it on your own and being successful at your own goals.  Failing to do that doesn't make you a drain on society or as someone put it, a moral failure unless your morals are so jacked up that you could never succeed.  There are people that don't strive for that.  They are the same ones that would rather live day to day, feeding off other people and doing as little as possible in order to continue doing whatever it is they want to do.  These are the same ones screaming that they are entitled to this or that and that the government is here to make their life better instead of doing something for themselves.

You guys are thinking on the macro level... the AD doesn't fit that and you are trying to put the square peg in the round hole, per say.

You are also being asinine in making the assumption that I said someone can run an entire business on their own.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 08:35:24 pm
Going at it on your own and being successful at your own goals.  Failing to do that doesn't make you a drain on society or as someone put it, a moral failure unless your morals are so jacked up that you could never succeed.  There are people that don't strive for that.  They are the same ones that would rather live day to day, feeding off other people and doing as little as possible in order to continue doing whatever it is they want to do.  These are the same ones screaming that they are entitled to this or that and that the government is here to make their life better instead of doing something for themselves.

There you go doing it again.  Making appeals to emotion and emotional judgments - that if you aren't out there trying to start your own business or otherwise not live "day to day", whatever the Hell that means, then you're a lazy sack who doesn't deserve any consideration.  You are blaming the disadvantaged for being disadvantaged.  Not everyone who can't afford health care got that way because they were too shiftless to make enough money to pay for it themselves.

Basically, forget "The American Dream" altogether.  It's a bunch of romantic nonsense cooked up by exceptionalist boosters for another time and age, and was myopic bullcrap then too.  The world is not that fucking simple, and you need to stop pretending it is, or that you can make it that simple by insulting people who weren't clever enough to not be rendered poor by circumstances they could never control.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 08:39:02 pm
Basically, you need to forget "The American Dream" altogether.  It's a bunch of romantic nonsense cooked up by exceptionalist boosters for another time and age, and was myopic bullcrap then too.
So you'd rather live your life for the homeland... doing whatever is asked of you all for the sake of "King and Country."  It's either that or you apply to the school that says that we should take our $50 paycheck and give $1 to 50 people no matter how much they contributed.

Which is it?
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 08:42:41 pm
I don't even know what you think you're talking about now, but I'll try to answer.  It's neither.  Again, the world is not a binary choice between slavery and whatever you seem to think communism is.  We can have a world where you're free to succeed and be rich by your own efforts, but if you fail, you won't be completely destitute.  I don't know what's so damn confusing about this.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 08:50:59 pm
I don't even know what you think you're talking about now, but I'll try to answer.  It's neither.  Again, the world is not a binary choice between slavery and whatever you seem to think communism is.  We can have a world where you're free to succeed and be rich by your own efforts, but if you fail, you won't be completely destitute.  I don't know what's so damn confusing about this.

How can everyone have a chance of being successful, declare bankruptcy when that happens and have no worries in life?  That's what you're asking for.  If nobody has to worry about starving to death or being able to afford a lifesaving operation, where's the motivation to continue doing things that you may not like doing but must be done?  I'll tell you right now there are people who, with the knowledge that they can never starve to death would do nothing but play Dwarf Fortress all day long until they got bored of it and go on to the next game... TV show... or what have you.  Also, what's to stop these same people from having 5 kids for whom they don't have to worry about paying for their dentist appointments or having to take responsible choices like ... I don't know... not having another?  What are you going to do if they refuse to work?  Put them in prison?  You couldn't execute them... cause that's inhumane... even if they are draining everyone else.

The fact of the matter is that we don't currently have the technology, the capacity, nor the capability to provide what you ask for.  Yeah, it's not a binary choice, but it's also not a zero sum game.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Cheeetar on May 07, 2010, 08:53:40 pm
What? I think you're overestimating the scope of the UHC, which as far as I can tell only provides healthcare, as opposed to electricity, food, computers, luxury goods etc.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 08:58:08 pm
What? I think you're overestimating the scope of the UHC, which as far as I can tell only provides healthcare, as opposed to electricity, food, computers, luxury goods etc.
No, I'm talking about what Aqizzar said...
We can have a world where you're free to succeed and be rich by your own efforts, but if you fail, you won't be completely destitute.
Being completely destitute would mean having to ask someone for food, a place to live, and what have you... in order to not die.

So what he's petitioning for is a world where someone wouldn't have to ask for help to survive.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 09:00:21 pm
How can everyone have a chance of being successful, declare bankruptcy when that happens and have no worries in life?  That's what you're asking for.  If nobody has to worry about starving to death or being able to afford a lifesaving operation, where's the motivation to continue doing things that you may not like doing but must be done?

The fact of the matter is that we don't currently have the technology, the capacity, nor the capability to provide what you ask for.  Yeah, it's not a binary choice, but it's also not a zero sum game.

You've clearly never heard of the nations of Sweden, Norway, Finland, Switzerland, Denmark, or Japan.  And don't try to tell me that America is different from the rest of the world which has figured this stuff out.  The only real difference is numbers, and America has a lot more money than any of those nations.  Believe it or not, and I know you don't, but guaranteeing people that they will never starve to death, be homeless, or die for lack of ability to pay for care will not turn the majority of the population into robotic slobs.  A subsistence living is just that, and the very same principles of that "American Dream" you keep lionizing is exactly what makes those other nations that insure their populations against being terminally poor among the most industrious in the world.

Just because you're not going to starve, doesn't mean you won't work.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Cheeetar on May 07, 2010, 09:01:31 pm
So what he's petitioning for is a world where someone wouldn't have to ask for help to survive.

That's quite a leap you made.
Title: Re: Why So Anti-State Healthcare, America?
Post by: piecewise on May 07, 2010, 09:12:53 pm
So what he's petitioning for is a world where someone wouldn't have to ask for help to survive.

That's quite a leap you made.

Andir as nice as the dream you're pushing sounds I'd like to just take a moment to remind you of the reality that we're currently living in. A reality where the greed and "capitalism" of one bank has basically crippled the entire economy of half the world. A reality where corporations are treated better then people and get rich by gambling on their own failure as well as on your life. A reality where hard work and perseverance mean pretty much nothing in the grand scheme of things and where the american dream is nothing but a carrot on a stick to keep the abjectly poor loyal to the obscenely rich. Its a world where entire towns, entire cities dry up and die because some guy at the head of a company wanted just a few more million dollars to roll around in. Its not a capitalism any more, its verging on a plutocracy.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:19:00 pm
Just because you're not going to starve, doesn't mean you won't work.
Maybe not you... but I can guarantee that there are people who would see it as an opportunity.

Also, those countries make their living off the efforts of capitalism... the capitalism that's driving our country to the forefront of pretty much every field.  Yes, there are things we've learned from Japan as far as car manufacturing processes are concerned.  Sweden's big exports (machinery, resources) go to fuel this capitalist evil and keeps all those people making an average under $40K/year.  Denmark provides this capitalist machine with machinery, pharmaceuticals and other things as well.  Finland... resources (wood) and even rifles... without our insatiable demand for stuff, the countries you listed would likely be up the creek without a paddle trying to find another "greedy" group of people to send their resources and items to.

Now, I'm not saying that we'd vanish of the face of the Earth, but the fact that they are so successful at exports to the US is because of what happens here.  Without the competition and "greed" put forth on a daily basis, these countries would be at a loss for jobs and would decline both their ability to support that lifestyle and maintain those average salaries.

Also, factor in the fact that none of them really have to have a standing military for fear of someone invading them... not because the world is a better place magically, but because nobody dare try it today (and you know people like Saddam, and recently Russia were trying...) because we'd literally destroy them.  If not by military force, but by tariff and economic woe.

Yes, I'd argue that the countries you listed actually benefit from the way we live in so many ways that's it ridiculous to think that we can do what they are doing without having our own source of major export and protection.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:19:31 pm
So what he's petitioning for is a world where someone wouldn't have to ask for help to survive.
That's quite a leap you made.
Look up the meaning of destitute.  His word not mine.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Vester on May 07, 2010, 09:21:26 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:25:03 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
That is a rather concerning side of it.. yes.  Considering how much you all hate how we are treated in America, China is by far a better model of citizen welfare.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Luke_Prowler on May 07, 2010, 09:32:44 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
That is a rather concerning side of it.. yes.  Considering how much you all hate how we are treated in America, China is by far a better model of citizen welfare.
I don't know where to begin on how wrong that statement is...
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:44:33 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
That is a rather concerning side of it.. yes.  Considering how much you all hate how we are treated in America, China is by far a better model of citizen welfare.
I don't know where to begin on how wrong that statement is...
I'm not talking about social welfare (social services, etc.) I'm talking about work conditions, human rights, and all that.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 07, 2010, 09:50:23 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
That is a rather concerning side of it.. yes.  Considering how much you all hate how we are treated in America, China is by far a better model of citizen welfare.
I don't know where to begin on how wrong that statement is...
I'm not talking about social welfare (social services, etc.) I'm talking about work conditions, human rights, and all that.

You think China is a good example of human rights and work conditions?

Dude...
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 09:51:26 pm
So we all sell to our oppressive Chinese masters instead. I fail to see the problem here.
That is a rather concerning side of it.. yes.  Considering how much you all hate how we are treated in America, China is by far a better model of citizen welfare.
I don't know where to begin on how wrong that statement is...
I'm not talking about social welfare (social services, etc.) I'm talking about work conditions, human rights, and all that.

You think China is a good example of human rights and work conditions?

Dude...
I apparently left my sarcasm tag in my other pants... I figured it was obvious.

Edit: ugh... It's sad that I have to edit this in... because I know someone is going to misinterpret.  By definition, communism has the highest social welfare... because well, everyone is taken care of to the best ability of the government (theoretically) but in practice they usually hide part of their labor force in Siberia some remote part of the mountain country and only show thriving towns through strict controls on publication and censorship.

I didn't want to confuse social welfare with human rights, because although China has the lowest percentage of their population living in the calculated poverty line, they are not treated as well as countries whom have a lower poverty percentage.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Aqizzar on May 07, 2010, 09:53:03 pm
Also, those countries make their living off the efforts of capitalism... the capitalism that's driving our country to the forefront of pretty much every field.  Yes, there are things we've learned from Japan as far as car manufacturing processes are concerned.  Sweden's big exports (machinery, resources) go to fuel this capitalist evil and keeps all those people making an average under $40K/year.  Denmark provides this capitalist machine with machinery, pharmaceuticals and other things as well.  Finland... resources (wood) and even rifles... without our insatiable demand for stuff, the countries you listed would likely be up the creek without a paddle trying to find another "greedy" group of people to send their resources and items to.

Let's try this again.  You're conflating "capitalism" on a national scale with "social welfare" on the internal scale.  You have both, and they are two different things.  Every nation with a functioning economy exports stuff to other markets.  Nobody is arguing against that or calling it a bad thing.  It's not even "capitalism" because there is no formal international economy.  It's just trade.

As for reliance on exports, Germany is actually the largest exporting nation in the world, ahead of China and then the U.S.  And they take famously good care of their people.  So there you go, the world's three largest exporters by a very close margin have three different social welfare systems.  I'd rather see America more like Germany than China, because that is in fact a real option.

For the record, America is the largest importer of goods, at about three times that of the #2, Germany ironically.  If no-holds-barred American capitalism weren't outsourcing our entire industrial economy to China, we might actually be able to afford "socialism" like a guaranteed health system.  Interesting dichotomy that.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 07, 2010, 10:40:54 pm
Let's try this again.  You're conflating "capitalism" on a national scale with "social welfare" on the internal scale.  You have both, and they are two different things.  Every nation with a functioning economy exports stuff to other markets.  Nobody is arguing against that or calling it a bad thing.  It's not even "capitalism" because there is no formal international economy.  It's just trade.

As for reliance on exports, Germany is actually the largest exporting nation in the world, ahead of China and then the U.S.  And they take famously good care of their people.  So there you go, the world's three largest exporters by a very close margin have three different social welfare systems.  I'd rather see America more like Germany than China, because that is in fact a real option.

For the record, America is the largest importer of goods, at about three times that of the #2, Germany ironically.  If no-holds-barred American capitalism weren't outsourcing our entire industrial economy to China, we might actually be able to afford "socialism" like a guaranteed health system.  Interesting dichotomy that.

I believe I said that "our evil capitalist" society was providing an outlet for all those country's exports... maybe something was lost in the length of the post(?)  (I mainly mentioned that because piecewise brought up capitalism as something evil.)  Also, last I checked, it was China/Germany/US (exports) and US/China/Germany (imports)... but it may flip flop from time to time.  (also, last I checked was a couple hours ago... and just now to verify ;))

There are a lot of things we could do to allow more money for social benefit, but I'm not really convinced that it's needed.  We have quite possibly the best (albeit expensive) health care in the world.  I'm personally not averse to having a health care system, but I want choices and responsibility in life and if it were done I want it to be done properly.  Right now, I don't think that our current state of affairs can handle it.  The politicians are too wrapped up in hanging on emotional strings to get re-elected they'll promise the world.  With Social Security deficiencies, Welfare deficiencies, and pretty much everything started by Congress in serious dire straits... I seriously don't think they can manage health care especially when they continue to fight and bicker over political party lines simply because of the line.  Heck, they don't even manage stuff now.  As I stated earlier, they just create and delegate it off.  It's like being the kid in a dysfunctional family who have a psychopathic nanny.

I don't think it proper to "Robin Hood" the country either.  Personally, I think our Congress can do more to promote competition and control "overly successful" (anti-competitive) companies better but they are too busy trying to please the lobbyists.  Competition would bring lower wages for top execs and possibly the elimination of some of them.  One personal example I know of from a friend... UPS has been eliminating a lot of redundant and middle management jobs because of competition form FedEx.  They've offered early retirement for as many as possible and relocate others into positions where they could be used.  They've been streamlining a lot of the processes and giving lower level employees better compensation because of it...because they are losing employees to competition.  I think they could provide better services to unemployed to help them find jobs and generally a lot of things that don't involve general takeovers.  Hell, I'm getting off topic again... and it's late so I'm going to bed.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 11:01:45 pm
I'm just going to sit here in stunned silence at the sheer magnitude of what Andir has just posted.

I mean, Religion and whatnot is one thing, but how the- wha- huh- i don't even?....


How, how in the name of all that is holy can someone, born and educated in this age, have such a medieval perception of reality? Even China as a better understanding of socioeconomics than Andir is showing, and that is goddamn terrifying.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 07, 2010, 11:04:28 pm
We have quite possibly the best (albeit expensive) health care in the world.

Noone is arguing with how expensive it is, but you definatly don't have the best in the world.

http://www.photius.com/rankings/healthranks.html (http://www.photius.com/rankings/healthranks.html) Ten years ago the US was ranked 37th by the World Health Orginization.

http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons (http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons) Three years ago the Commonwealth Fund did a comparison of the US, UK, Australia, Canada, New Zealand, and Germany. Lets just say you didn't come first.

Yeah you have good hospitals for the rich and famous, but they aren't representative of your entire health care system.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Luke_Prowler on May 07, 2010, 11:06:21 pm
I'm pretty sure Andir is getting all his information second hand from someone who's full of crap.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 07, 2010, 11:08:57 pm
Yeah, America's health care is an utter joke for a 1st world country. Considering how heavily skewed it is, you could probably argue that it's pretty poor for a third world country. How anyone could think it's good, albiet the best in the world is mindboggling.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Pathos on May 07, 2010, 11:09:27 pm
Can I just say that in a completely capitalist system, EVERY true capitalist (i.e. fundamentalist) would count as lawful evil / neutral evil / true neutral. It's just the nature of making cash.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Luke_Prowler on May 07, 2010, 11:17:24 pm
Actually I'd say a completely capitalist system would be more chaotic evil/ chaotic neutral, since it's without regulation.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Heron TSG on May 08, 2010, 01:04:35 am
Lassez-faire capitalism is pretty ugly, as shown by The Jungle, but that may be the author's socialism speaking. I do know that being an immigrant sucked back when there was no minimum wage or health regulation.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 08, 2010, 01:27:18 am
We have quite possibly the best (albeit expensive) health care in the world.

Noone is arguing with how expensive it is, but you definatly don't have the best in the world.

http://www.photius.com/rankings/healthranks.html (http://www.photius.com/rankings/healthranks.html) Ten years ago the US was ranked 37th by the World Health Orginization.

http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons (http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons) Three years ago the Commonwealth Fund did a comparison of the US, UK, Australia, Canada, New Zealand, and Germany. Lets just say you didn't come first.

Yeah you have good hospitals for the rich and famous, but they aren't representative of your entire health care system.

See, that's the thing. The US does have very good healthcare. You just can't afford it (and neither can I).
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 08, 2010, 01:30:56 am
We have quite possibly the best (albeit expensive) health care in the world.

Noone is arguing with how expensive it is, but you definatly don't have the best in the world.

http://www.photius.com/rankings/healthranks.html (http://www.photius.com/rankings/healthranks.html) Ten years ago the US was ranked 37th by the World Health Orginization.

http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons (http://www.commonwealthfund.org/Maps-and-Data/Performance-Snapshots/View-All.aspx?pscollection=International+Comparisons) Three years ago the Commonwealth Fund did a comparison of the US, UK, Australia, Canada, New Zealand, and Germany. Lets just say you didn't come first.

Yeah you have good hospitals for the rich and famous, but they aren't representative of your entire health care system.

See, that's the thing. The US does have very good healthcare. You just can't afford it (and neither can I).

Which, when you think about it, isn't very good healthcare at all.
Title: Re: Why So Anti-State Healthcare, America?
Post by: sneakey pete on May 08, 2010, 01:41:34 am

See, that's the thing. The US does have very good healthcare. You just can't afford it (and neither can I).

So does every african dictator's country. as long as your him and get flown to your choice of university research hospitals in europe.
Title: Re: Why So Anti-State Healthcare, America?
Post by: DJ on May 08, 2010, 05:58:06 am
Free healthcare and free education leads to higher productivity per capita, which means everyone is better off.

Free basic necessities for the unemployed reduces crime rates, which again means everyone is better off.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 08, 2010, 06:24:47 am
Andir - stop whining.  You failed to prevent a "socialist" government from coming to power, therefore you deserve everything you get from them.  If you're annoyed about it, go and become president.  If you don't, you're just lazy and shiftless.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 08:59:20 am
Andir - stop whining.  You failed to prevent a "socialist" government from coming to power, therefore you deserve everything you get from them.  If you're annoyed about it, go and become president.  If you don't, you're just lazy and shiftless.
I'd never get elected because I'm an atheist and I'd also never get a Democrat or Republican nomination.  I've covered that in the other thread.  Our country is so screwed up when it comes to that.  When religion trumps education as far as issues are concerned there's not much you are going to be able to do.  Also, I didn't "fail" to prevent it.  I voted and did everything in my power to stop it.  I even voted, just this week, in the primaries for the local and government officials that best fit my ideals.  Also, it's funny that you consider this conversation whining... no, it's sad really.  You are so diametrically set in your way that any alternative view is considered whining.

And thanks G-Flex for seeing what I was really talking about.  We are on the leading edge of health care technology.  We most likely have the best trained doctors and well equipped hospitals, but it's coming at a heavy cost.  Think of it like this.  Our healthcare industry is the early adopter type of video gamers.  The ones that go out and buy the top of the line equipment, but drain their pockets doing it.  The WHO Stats cover availability/cost in the rankings and I noted it's expense as a downside.  If I were able to pay whatever I needed, I wouldn't want to go anywhere else for care.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 08, 2010, 09:28:29 am
The purpose of the healthcare industry is to, get this, provide healthcare. If it cannot actually do this, it's a pretty shitty healthcare industry.

The American healthcare system cannot actually provide healthcare to the majority of it's citizens. Why? Because it's too expensive. It doesn't matter if you have a doctor who can literally cure cancer by waving his fingers at people, if he only cures cancer in 10 rich people because noone else can afford his services, he's a shitty doctor. He's an amazing researcher; he's cured cancer! He's probably also an incredible scientist, because he's worked out how to cure cancer. But he's a really crap doctor, because he's not actually curing cancer.


Being on the leading edge in health care technology that noone can afford is not something to boast about. It is something to be ashamed of; you're proving you can have world class health care, if you actually got around to providing some.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 09:37:11 am
Being on the leading edge in health care technology that noone can afford is not something to boast about. It is something to be ashamed of; you're proving you can have world class health care, if you actually got around to providing some.
I wasn't boasting.  I was stating (what I think to be pretty good) fact.  And I'm not disagreeing with you... I already said that expense was a problem.  (How many more times do I need to repeat this?)
Title: Re: Why So Anti-State Healthcare, America?
Post by: calrogman on May 08, 2010, 09:44:33 am
Quote from: Ben 'Yahtzee' Croshaw
Speaking as a foreigner, who the f#$% would want to take over the United States?  It'd be like trying to keep a giant diseased ape in your apartment, that eats money and suffers from life threatening obesity and constant diarrhoea but viciously savages you every time you try to give it free healthcare.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 08, 2010, 09:48:15 am
And thanks G-Flex for seeing what I was really talking about.  We are on the leading edge of health care technology.  We most likely have the best trained doctors and well equipped hospitals, but it's coming at a heavy cost.  Think of it like this.  Our healthcare industry is the early adopter type of video gamers.  The ones that go out and buy the top of the line equipment, but drain their pockets doing it.  The WHO Stats cover availability/cost in the rankings and I noted it's expense as a downside.  If I were able to pay whatever I needed, I wouldn't want to go anywhere else for care.

The WHO and commonwealth fund comparisons also factor in things like efficiency, effectiveness, timelines, safety, and other things. You don't come top on those either. It's not just expense that's the problem.

Having a handfull of excellent hospitals doesn't matter if the other hundred or so are terrible.

The point being that you don't have the best healthcare in the world. But you do have one of the most expensive healthcare systems. Other countries have all the same advances and treatments you do, but instead of only being available in the top 10 hospitals, and at extreme cost, they're available to everyone, and much cheaper.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 09:55:00 am
The point being that you don't have the best healthcare in the world. But you do have one of the most expensive healthcare systems. Other countries have all the same advances and treatments you do, but instead of only being available in the top 10 hospitals, and at extreme cost, they're available to everyone, and much cheaper.
I already said that expense was a problem.  (How many more times do I need to repeat this?)
Title: Re: Why So Anti-State Healthcare, America?
Post by: 3 on May 08, 2010, 10:00:04 am
And while you keep stating that it is a problem, you don't appear to be realising that the issue is absolutely fundamental to the system working properly. It's not a problem, it's an utterly fatal flaw.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 08, 2010, 10:06:55 am
The point being that you don't have the best healthcare in the world. But you do have one of the most expensive healthcare systems. Other countries have all the same advances and treatments you do, but instead of only being available in the top 10 hospitals, and at extreme cost, they're available to everyone, and much cheaper.
I already said that expense was a problem.  (How many more times do I need to repeat this?)

So you don't think the fact that your prohibitivly expensive system also being comparably innefficient, inneffective, unsafe is a problem either?

See i know you said expense was a problem, but what I did was I pointed out that the reason you don't have the best healthcare in the world (as you seem to think) is more because it's not as good as other countries in many other areas. The fact that it's expensive too just makes it more ridiculous.

(Note, I know i said the word expensive in this comment, please try to read all the other words too and not just post a reply to that one word, thanks)
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 10:39:17 am
The point being that you don't have the best healthcare in the world. But you do have one of the most expensive healthcare systems. Other countries have all the same advances and treatments you do, but instead of only being available in the top 10 hospitals, and at extreme cost, they're available to everyone, and much cheaper.
I already said that expense was a problem.  (How many more times do I need to repeat this?)

So you don't think the fact that your prohibitivly expensive system also being comparably innefficient, inneffective, unsafe is a problem either?

See i know you said expense was a problem, but what I did was I pointed out that the reason you don't have the best healthcare in the world (as you seem to think) is more because it's not as good as other countries in many other areas. The fact that it's expensive too just makes it more ridiculous.

(Note, I know i said the word expensive in this comment, please try to read all the other words too and not just post a reply to that one word, thanks)

Here:  http://hospitals.webometrics.info/top1000.asp

America has the top 25 hospitals in the world... now don't lose me here... it might be expensive to get yourself to one of them... and it might be expensive to have the procedure you need done... but it doesn't mean that those 25 hospitals don't do the best damn work in the world.  Are you following along here?  If you are fatally ill and you need treatment... and expense is no issue... where would you go?  Would you go to the hospital ranked number 1 or the one ranked number 42 because France happens to top the list you provided?

The US has the top 118 of the top 200 hospitals in the world... As I said earlier... it's expensive, but it's the best.

Are you still following along?

Now, I'm not opposed to giving as many people access to this care as possible and I never said it wasn't a problem.  I get the idea that you think that's where I'm coming from... and you are blanket attacking me because you think I'm somehow totally opposed to giving people access to this...
Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 10:43:22 am
And while you keep stating that it is a problem, you don't appear to be realising that the issue is absolutely fundamental to the system working properly. It's not a problem, it's an utterly fatal flaw.
It is a flaw, but I don't think Federalizing it is the solution.  I think each of our States can approach this problem with a solution and work out all the kinks to find a solution that works for the greater benefit of everyone...

Are we all on the same page here or is everyone going to keep attacking me because they think I said something they are diametrically opposed to?
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 08, 2010, 10:52:14 am
Here:  http://hospitals.webometrics.info/top1000.asp

America has the top 25 hospitals in the world... now don't lose me here... it might be expensive to get yourself to one of them... and it might be expensive to have the procedure you need done... but it doesn't mean that those 25 hospitals don't do the best damn work in the world.  Are you following along here?  If you are fatally ill and you need treatment... and expense is no issue... where would you go?  Would you go to the hospital ranked number 1 or the one ranked number 42 because France happens to top the list you provided?

The US has the top 118 of the top 200 hospitals in the world... As I said earlier... it's expensive, but it's the best.

Are you still following along?

Now, I'm not opposed to giving as many people access to this care as possible and I never said it wasn't a problem.  I get the idea that you think that's where I'm coming from... and you are blanket attacking me because you think I'm somehow totally opposed to giving people access to this...

Lol you didn't read what that web-page was about did you? Did it take you long to find? Because that ranking page you linked too ranks hospital web pages, not their quality of service, efficiency, safety, or anything else to do with how good a hospital is. Thats what the WHO and commonwealth fund rankings look at. Remember how the US didn't come first in either of those? But don't let me get in the way of you being a patronizing ass.

If I was fatally ill, and expense was no issue, I'd build my own damn hospital. I'd be the only patient, and every doctor in the world would work there working on finding me and me alone a cure.

See, we're talking about the US healthcare system, not the top 25 hospitals. Even if those rankings you linked too were concerned with hospital quality, and not their webpage rankings it lists over 5000 hospitals as being in the US. Do you think having 25 good ones is a good ratio?

I'm not attacking you (well maybe a little, but only because you just copy-pasted a reply to one word of my comment without adressing the rest :P), I'm pointing out that the USA doesn't have the best healthcare system in the world. Not that its expensive, thats a moot point, but that it just isn't the best. Top ten maybe, yeah, but not the best.

Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 10:59:37 am
Lol you didn't read what that web-page was about did you? Did it take you long to find? Because that ranking page you linked too ranks hospital web pages, not their quality of service, efficiency, safety, or anything else to do with how good a hospital is. Thats what the WHO and commonwealth fund rankings look at. Remember how the US didn't come first in either of those? But don't let me get in the way of you being a patronizing ass.

If I was fatally ill, and expense was no issue, I'd build my own damn hospital. I'd be the only patient, and every doctor in the world would work there working on finding me and me alone a cure.

See, we're talking about the US healthcare system, not the top 25 hospitals. Even if those rankings you linked too were concerned with hospital quality, and not their webpage rankings it lists over 5000 hospitals as being in the US. Do you think having 25 good ones is a good ratio?

I'm not attacking you (well maybe a little, but only because you just copy-pasted a reply to one word of my comment without adressing the rest :P), I'm pointing out that the USA doesn't have the best healthcare system in the world. Not that its expensive, thats a moot point, but that it just isn't the best. Top ten maybe, yeah, but not the best.
I see that... I'm still looking for a free resource for top hospitals that's a little better resource... sorry.

I'm not talking about "health care system" here.  I'm talking about health care, period.  Technologically, and statisitically you are better off in our country if you have no worry about expense.  That's my point and you seem to be missing it.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 08, 2010, 11:01:35 am
No, I see your point, I just think you're wrong.

And since you can't seem to come up with any resource to support your opinion (and disagree with the World Health Orginization and the Commonwealth fund) I'm inclined to keep on thinking you're wrong. You just admitted you have no evidence for what you're saying.

You have allready reached a conclusion, and are ignoring evidence to the contrary while desperatly trying to find something that agrees with you.

Title: Re: Why So Anti-State Healthcare, America?
Post by: Andir on May 08, 2010, 11:17:30 am
(and disagree with the World Health Orginization and the Commonwealth fund)
I disagree with it because it evaluates coverage and expense.  It basically ranks countries by the health care system as a whole, to which I say it is probably true... but I fully believe that it's the expense and distribution factors alone that push it down as far as it is... I did see a list at one time ranking hospitals by mortality rates and such, but I can't seem to find it now.  The US was top in that list as well.  I mis-interpreted the above link as this same report before I went in to read the methodology of the list... so I admit to being wrong on that... but I do know for a fact that our hospitals rank above the rest in treatment success and mortality rates.

Edit: Gah... running out of time.  I have to travel today so I'm going to have to pick this up later.
Title: Re: Why So Anti-State Healthcare, America?
Post by: fenrif on May 08, 2010, 12:13:35 pm
(and disagree with the World Health Orginization and the Commonwealth fund)
I disagree with it because it evaluates coverage and expense.  It basically ranks countries by the health care system as a whole, to which I say it is probably true... but I fully believe that it's the expense and distribution factors alone that push it down as far as it is... I did see a list at one time ranking hospitals by mortality rates and such, but I can't seem to find it now.  The US was top in that list as well.  I mis-interpreted the above link as this same report before I went in to read the methodology of the list... so I admit to being wrong on that... but I do know for a fact that our hospitals rank above the rest in treatment success and mortality rates.

Edit: Gah... running out of time.  I have to travel today so I'm going to have to pick this up later.

It evaluates expense AND all the other things I keep repeating. The Commonwealth fund scores in 5 categories... each seperate. Expense isn't even one of them. Each of those categories are sub-divided by other categories.
Title: Re: Why So Anti-State Healthcare, America?
Post by: G-Flex on May 08, 2010, 02:20:44 pm
I personally have no idea why leaving this up to the states is a good idea. I see no significant reason why this stuff should vary so much from state to state, and I can see it leading to problematic regionalism, and issues with poorer states not being able to afford to take care of their own citizens. Healthcare is an issue of basic needs; this is something that we know every state needs, and that everyone in every state needs to roughly the same degree.
Title: Re: Why So Anti-State Healthcare, America?
Post by: RedKing on May 08, 2010, 03:07:12 pm
My main problem with leaving it to the states, is that some states are just downright retarded. I could see Mississippi passing some kind of "faith-based healthcare" wherein when you got sick, a Pentecostal preacher would slap you in the head and yell "BE HEALED!"

As to this:
Now, I'm not opposed to giving as many people access to this care as possible and I never said it wasn't a problem.  I get the idea that you think that's where I'm coming from... and you are blanket attacking me because you think I'm somehow totally opposed to giving people access to this...

I think maybe it has something to do with this:
How can everyone have a chance of being successful, declare bankruptcy when that happens and have no worries in life?  That's what you're asking for.  If nobody has to worry about starving to death or being able to afford a lifesaving operation, where's the motivation to continue doing things that you may not like doing but must be done? 

You certainly seemed to think that the utter lack of a social safety net was a good cattle prod to keep those lazy plebians working. BTW, despite what you've said, I think you'd love modern-day China. Cause they've pretty much thrown that whole Communism thing out the window. Yeah, the government still runs everything, but now if you're a worker and get your hands chopped off in a factory accident, there's none of this pinko worker's compensation crap. Your ass better learn to beg really good, Stumpy, otherwise you're going to starve. But if you can start a B2B facilitator to help ship cheap plastic crap to American retailers? Oh yeah, we're talking McMansion, Maserati, Gucci suit, live-in maid, maybe a vacation house in another country.

Go to Shanghai. You will see what REAL capitalism looks like. 5% of the population live like rock stars, maybe 20% live a "middle-class" life, and the rest are scraping s**t off the streets. And that's not counting the carnival sideshow of cripples who litter the subways, the waterfront, the shopping districts.

See, America has already been there and done that, about 130 years ago. We had a handful of guys who pretty much owned everything. A small "middle class" of clerks, doctors and other educated citizens, and then a big old mass of coal miners, steel mill workers, factory workers, etc. who just squeaked by and tried not to die too early. And as a society, we pretty much said that's not acceptable. That's why we have things like OSHA and the FDA now. So that we won't have to go through things that China is going through, like poisoned milk, tainted cough medicine and incredibly hazardous coal mines and fireworks factories.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Leafsnail on May 08, 2010, 04:12:31 pm
Andir - stop whining.  You failed to prevent a "socialist" government from coming to power, therefore you deserve everything you get from them.  If you're annoyed about it, go and become president.  If you don't, you're just lazy and shiftless.
I'd never get elected because I'm an atheist and I'd also never get a Democrat or Republican nomination.  I've covered that in the other thread.  Our country is so screwed up when it comes to that.  When religion trumps education as far as issues are concerned there's not much you are going to be able to do.  Also, I didn't "fail" to prevent it.  I voted and did everything in my power to stop it.  I even voted, just this week, in the primaries for the local and government officials that best fit my ideals.  Also, it's funny that you consider this conversation whining... no, it's sad really.  You are so diametrically set in your way that any alternative view is considered whining.
Well, you missed the sarcasm... basically, if factory workers can manipulate the world economy in order to keep themselves employed all the time, you can surely do something simple like become president.  Many of these people did everyone they could to avoid unemployment, but became unemployed anyway, and are gonna suffer due to America's current healthcare system.  But it HAS to be their fault, right?  And they deserve to die for whatever it is they did wrong.

Also, saying "America has the best if money is no object" is useless.  I mean, if money is no object, you could just hire a personal team of doctors to give you round the clock care whenever you wanted it.  Money is, and will always be, a factor.
Title: Re: Why So Anti-State Healthcare, America?
Post by: Neruz on May 08, 2010, 07:33:35 pm
Andir - stop whining.  You failed to prevent a "socialist" government from coming to power, therefore you deserve everything you get from them.  If you're annoyed about it, go and become president.  If you don't, you're just lazy and shiftless.
I'd never get elected because I'm an atheist and I'd also never get a Democrat or Republican nomination.  I've covered that in the other thread.  Our country is so screwed up when it comes to that.  When religion trumps education as far as issues are concerned there's not much you are going to be able to do.  Also, I didn't "fail" to prevent it.  I voted and did everything in my power to stop it.  I even voted, just this week, in the primaries for the local and government officials that best fit my ideals.  Also, it's funny that you consider this conversation whining... no, it's sad really.  You are so diametrically set in your way that any alternative view is considered whining.
Well, you missed the sarcasm... basically, if factory workers can manipulate the world economy in order to keep themselves employed all the time, you can surely do something simple like become president.  Many of these people did everyone they could to avoid unemployment, but became unemployed anyway, and are gonna suffer due to America's current healthcare system.  But it HAS to be their fault, right?  And they deserve to die for whatever it is they did wrong.

Also, saying "America has the best if money is no object" is useless.  I mean, if money is no object, you could just hire a personal team of doctors to give you round the clock care whenever you wanted it.  Money is, and will always be, a factor.

The thing is, as fenrif has been saying, America doesn't have the best, even if money is no object. The American healthcare system is also less efficient, less effective and more unsafe than other first-world healthcare systems.