You do not care how big your assumptions are because you are not listening.
Universal care is just and less expensive. The outcomes are better.
āFools always have certainty and the wise are filled with doubtsā.
Nah, you just did not listen to facts again. Why would you when you quote propagandists?
Sowell is hardly an expert. Heās barely a coherent polemicist, and Peterson is not far behind.
Apparently not. I am more in favor of seeing what works. Since it is reasonable to assume every country began with a āfee for serviceā model (dating likely from ancient times) and has moved to a more generalized model - with many variations on a theme - I am led to believe that āthe free marketā is not the solution which will work when it comes to health care. Given 100 experiments and 100 failures, perhaps itās time for you to consider, you know, āevidence.ā
In 3rd grade we would say āI know you are but what am I?ā I think it still applies, at least in your case. You eschew any hint of anything but āYay! Capitalism!ā Even when it fails, fails, fails.
I am reminded of the people who complained that government should not be in the business of building roads between towns because āthey never did that beforeā or āHenry Ford should build themā or āwe should have a toll booth every two blocks so people can throw a nickel inā or whatever. Yes, you should read about āThe Good Roads Movementā to see how daft some people are. Itās not the only time, and āhealth careā seems to be another. Then, a generation later when things work, people canāt imagine that others were so stupid as to complain about it.
History is a teacher. You could use a large dollop of it.
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Succinct summary:
Some countries, like the United Kingdom, have health systems that are largely publicly funded and operated, while other countries, like Switzerland, have a compulsory private insurance system. Many countriesā health systems include a mix of private and public insurance. Regardless of financing mechanism, the health systems in many countries that are similarly large and wealthy as the U.S. are largely compulsory, resulting in universal or near-universal health coverage.
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Which Ivy League schools did you teach at? Where are are your years of research and body of works published?
These are silly strawman positions. Let me state this as clearly as I can for you. The free markets have demonstrated an ability to create competition and drive down costs over time. The public programs in other countries do show lower costs but those programs may not work the same here. For example, medical school in the US is much more expensive and doctors are paid higher salaries. That cost wonāt change by moving to a public administered program. Also, every one of these countries is now having trouble maintaining these social safety nets and having to raise taxes. Are these approaches really sustainable.
You can ignore those realities but it raises questions for me.
It is an excellent teacher. The reality is I see little track record by our govt in making things better or more efficient. Like I said, the fool has certainty where the wise are filled with doubt.
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Actually, that is a sensible but incorrect assumption. Many (most?) cultures anchored their main āhealthcareā and āhealingā in spiritual and religious practices. Even here in the USA many important hospitals began as religious charitible institutions, and only surrendered to āfee for serviceā inthe 20th century. There was an odd nexus between wealthy folk not wanting to share space with āthe poorā, and world literature gives a dark assessment of the financial and quack bleeding that insued.
Many historic accounts indicate that religious nursing establishments starring peace and quiet, nutritious safe food, and cleanliness had the best results but low status.
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I was raised by a father who did better than Ivy. He was a doctor out of Trinity Dublin. He endlessly pulled apart the āresearchā. If he did not people taking meds were hurt or worse.
The way you talk is superficial at best.
So you are saying prices are dropping now? Is this across all free markets? You certainly follow along well.
Benjamin Franklin began the first hospital in the US. It was free to the poor. It was built for the poor. It reduced costs by centralizing where doctors practice medicine.
If Ivy means much to you, my BIL is an MD and Ph.D. out of Michigan. But his undergrad was Cornell. Heās for socialized medicine, but he comes from the communist state. Thatās right he is Harvard faculity.
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I know youāve mentioned it. Critical reasoning isnāt genetic or inherited, itās a honed skill. Being tangential to smart successful people, itās doesnāt lend credibility to your arguments. They need to stand on their own merits.
You talk like an effete pseudo academic, like your acting like what you think intelligent people would say.
We call that Medicaid today. It doesnāt mean it make sense for the rest of society.
Friend of ours is a cardiologist and a graduate of U of M. His son is top in class , graduated a year early, and rocked the MCAT. Couldnāt get an interview, they said he comes from a position of privilege and the med school wants to leave spots for others from more meager backgrounds.
The only value of a Harvard degree is knowing there is never a need to be impressed by one. Thomas Sowell.
Dad was often using the Socratic method with me.
So you are denying that universal healthcare is just compared to our system?
Are you denying universal healthcare is less costly per capita than our historic and currrent costs?
Are you denying universal healthcare has better outcomes that what the US system has achieved?
Your premise that it needs to be more of a free market is nonsense. Meaning, are you suggesting that in other industries, where costs are not purely free market costs, they are not rising? Are you denying inflation?
Letās see how you do with the Socratic method.
Please discuss the issues without falling back into self-centeredness. You have that habit when you want to talk without having a discussion.
Vacuous.
Stop quoting Sowell. He makes no sense. Petty stuff.
The friendās kid who was top of his class, all As? Do you happen to know his GPA?
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Why does it not make sense for the rest of society? There are titans of industry who bankrupt later. Free markets are boom and bust with no guarantees. We had a very popular trader here who died pretty poor. He had cancer, but his daytrading held him back. What is winning $300 or $500 per day if it is a good day?
Does that mean Medicare makes no sense for the rest of society?
You are using the word society. It applies legally in the US to the rich and at times only the rich. It is an American failure.
No, Iāve said repeatedly there are issues unique to the US that universal healthcare wonāt solve in terms of cost but may simply shift. You mentioned in a prior post your Fatherās comments that med school is far more expensive in the US and Drās are paid much better. How does universal care solve this problem? How do you address that cost of insurance because medical malpractice litigation is so much more costly. Are you going to end patientās ability to sue under universal care?
Acute care and specialty care in the US is are far better but long term outcomes are worse. Is that a function of lifestyle, eating and exercise habits here vs other nations? Could it be that is the long term determinant of life expectancy and cost is not cause but just correlation?
Weāve not tried letting the medical system function by free market rules. I donāt know what the result will be. I do know lasik surgery was incredibly expensive and now the cost is 1/10 and it has nothing to do with universal care.
Long term Inflation exists largely if not solely because of the fiscal irresponsibility of our govt and the printing of money.
There is a great danger in moving from low tax socialism to high tax socialism. It ignores the realities of the world today. Businesses and individuals can and will leave to find more friendly tax areas, which is what is happening in Europe right now.
Straight Aās and I think 95 percentile. Merit is getting replaced as the dominating factor. I know if I need medical care I want the best skilled person working on me. I have lots of family in the medical field both as providers and hospital administrators. I donāt need a lecture on care and costs.
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What are those issues?
US med school more expensive, paid more, but both doctors in the EU and US make a similar income when you consider what the European societies do for each other. Doctors have to educate their own kids. In the US that is expensive.
Uninversal care makes practicing medicine less expensive for doctors. There would be a change in mal pracrice insurance premiums and legal limits. Different countries pay their doctors differently in Europe. The UK is the worst. It is a poor example. Ireland is better, Germany and France better.
Doctors play a role in educating the public on self care as preventive medicine. The US denies such coverage in most ways to the public. It is very wasteful.
The son is probably a victim of grade inflation. Straight As when the tution is so high is now common. It is a bit of a gift for paying for the class.
My niece was an A+ student. She got into Uof Chicago law, Harvard law, and opted for Yale law. A+ grades are on offer, but you have to earn them. They are not part of grade inflation directly. A+ grades are awarded to separate the few best students.
He scored in the top end of the MCAT for admission to Michigan with straight Aās and a year early. He was denied an interview the school specifically said it was because he came from a position of privilege that afforded him opportunities that others donāt have and they intended to hold those spots for others. His denial had nothing to do with grade inflation.
Youāre talking past me and Iāve lost interest in the conversation.
You are quoting someone else and not knowing the difference in how false the other personās statement is. The lawyers would have a field day with such a statement. It never happened that way. The white males that believe that stuff are snivelling.
I said white males, sue me. But it is a reality right now. It needs to stop.
More than likely the son had grade inflation undermine him.
This is what Google Gemini says on that topic aside from my comment on the legal system getting involved.
The University of Michiganāalong with virtually all major U.S. universitiesāwould not send a rejection letter stating they are holding spots for others or denying an applicant specifically due to their privilege. [1]
Colleges use standardized rejection templates to avoid litigation, liability, and controversy. The language is generally impersonal and typically states that the school has more qualified applicants than available space in the entering class. [1, 2, 3]
If someone showed you a letter with those specific reasons, it is highly likely it was either altered or did not actually come from the universityās admissions office.
Would you like to know more about the standard admissions practices at Michigan, or review the typical language found in their first-year application rejection letters?
AI responses may include mistakes.
[1] https://forums.studentdoctor.net/threads/we-all-just-got-rejected-from-umich.490092/
[2] https://www.reddit.com/r/ApplyingToCollege/comments/fq4pe9/is_this_umich_rejection_letter_standard/
[3] https://michigan.law.umich.edu/admissions-a2z-blog/dont-get-too-personal
I feel I am talking directly to you. You do not agree. You do not want to deal in facts. But I am discussing things directly with you. Socratically. I never said it was comfortable where we would let each other tell lies. You wallow in that.
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Did the cardiologist say this? Or did you decide that is what the letter said?
If the cardiologist said this you are not dealing with someone I would trust as a doctor. I doubt he said this. I think this is something you want to believe.
It is up there with your belief that some parts of our society are undeserving.
Human beings are deserving regardless of color, gender, sexual orientation, religion, or disability. Everyone should be able to get medical care under any circumstances.
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Prof. Scott Galloway said that if NYU had based admissions only on SAT score and GPA, about 75% of the entering class would be Asian females.
Universities typically want a diverse student body. Iām pretty sure that no admissions dept official told this student that he was denied a seat in the medical school class due to āhis privilegeā. They just say that āother highly qualified candidates were a better fit for the class.ā
If you want to understand how admissions work at elite schools, this video is instructive.
intercst
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I have know many people from different strata in the upper class, if you call it that, and all of them work.
Here the issue is an advanced degree. That changes the dynamics particularly in medicine.
Even the Ivy grads who go to Wall Street put in far more many hours than the bottom of the class in the local high school.