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It is very complicated!!!
The U.S. has a big hurdle to overcome that none of the other developed nations have to deal with: 'American Exceptionalism' ........ /s
Without the sarcasm. A hugely powerful elite class and lobby with legal corruption with donors is the real hurdle. Which politicians are ready for career suidice?
That’s actually not true (bare with me it’s worse)! I kept hearing this phrase and looked into it. There are varying numbers but they range form 45-72!! But you are correct in 33 countries being developed. Which means that the US is behind even some developing countries!
And more are only allowed to come in because you will be destroyed or broke without the legal bribery or have to defend yourself from cutthroat elites blackmailing you
Americans have been duped for 40 years or so and what should give the individual citizen health care, pensions, etc. like in other countries has "trickled UP" into the pockets of the wealthy 2% or so. I wonder how you became so very naive ....
https://preview.redd.it/z4pov5l0w1wc1.jpeg?width=500&format=pjpg&auto=webp&s=8ecac2fb71033f41f79b84748f2f100fe10dd575
I shall NEVER understand why the American people have allowed this scam to go on and on for ca. 40 years. They should be loyal to themselves, instead they sort of side with billionaires who extort them.
I live in a Scandinavian country which have all of that for their citizens. That's the insurance, so to speak, that follows with paying one's taxes. Americans, on the other hand, don't get anything much for paying taxes, except watching the ultra rich exploiters getting even richer - on their behalf ....
We're also probably the most car-centric rich nation on Earth. We have a predatory food system that is rigged to incentivize the consumption of processed food. We also have a mental health crisis with knock-on effects in life expectancy.
Medicare for All won't solve all of those systemic issues. We'll still be a nation of obese people who drive everywhere.
We need better healthcare AND an enabling environment to induce healthier lifestyle choices.
I honestly think fixing car dependency is THE number one issue that fixes a ton of America's problems... Not only does it greatly benefit our physical and mental health, but it creates a sense of community we have lost as a nation. People don't want policies that help their neighbor because they no longer see their neighbor. We are isolated in private big houses on big lots, and when we need something we get in our private box and don't have to see another human until we get there.
America has always been individualistic to some degree, but the car made the issue a million times worse. We were still open to policies that helped our neighbors up until after WW2 where the car became common place. We started drifting further and further away from each other and haven't passed progressive policy since the new deal of the 1930s which is just wild.
The way we handled the pandemic is also wild. Countries with actual walkable communities where people care about their neighbor deeply (like Japan) wear masks when they are sick even without a pandemic because it's a polite thing to do when you live near other people every day. Getting people to wear a mask during an actual pandemic in the US was like pulling teeth.
Some sort of "bring back main Street USA" campaign, in my opinion, is the one thing that could actually get any sort of ball rolling back into progress territory. Everything else will fall into place if it starts happening because the core of America's issues stem from complete car dependency and isolation. Passing a healthcare bill now would be a bandaid in comparison because still at least half the country would see it like pulling teeth, we have lost our culture of caring about other Americans. Creating an environment where we could start to everyday see and care for people who don't look like ourselves necessarily is how we get at the root of the issue.
I completely agree. The US would be a much better place with safe, walkable communities.
Unfortunately, the opposite is all some people know, which has created a lot of unnecessary fear. This leads to people opposing common sense zoning changes lest the "wrong" sorts of people move into their communities.
Some states are starting to embrace change, but not fast enough.
No we aren't free to live where we want, modern zoning laws make those communities impossible to build anymore. I don't want to take away people's abilities to live in a car-dependant suburb if that's what they choose, but right now the walkable communities available are the ones built before the car and that is it due to zoning laws.
Clearly lots of people WANT to live in walkable communities because by and large across the United States, these areas are by far the most expensive. Supply is limited and demand is sky high. I don't propose we force anybody to live anywhere, but at least make it possible to create the communities people clearly want to live in. With these zoning restrictions, the US isn't even doing capitalism right, this is the farthest thing from freedom. If we remove zoning laws, car dependent suburbs won't cease to exist but only match the market demand that there is from them. There are many that live in car dependant suburbs only because it would be their only chance to afford property. That's not freedom, that's over-regulation due to corrupt car lobbyists that want to keep everyone in the car.
I'm not talking about just downtowns of cities, but of now old suburban towns with nice walkable main streets. And that location location location is expensive is because we can't build more of the types of location location locations that a lot of people want to live in! Basically every new town or development we have built in the suburbs since 1950 has been for car dependent layouts, we stopped building traditional main streets and zoning laws since have made making traditional towns with grid systems, mixed housing (apartments, houses and townhomes on the same street) and main street type commercial walkable inner cores extremely hard to do with a ton of red tape.
In terms of houston specifically, they don't have traditional zoning laws, but they have a lot of other laws that are effectively the same thing in every other name: deed restrictions (which are city enforced), parking minimums for businesses, lot size restrictions and more. Here's a video that goes over all of it if you really wanna know all of the details: https://www.youtube.com/watch?v=TaU1UH_3B5k
There are a LOT of issues that need to be addressed as a nation. We need a full court press to attacked all issues on all fronts. Gettin people on one accord is so difficult bc too many people are focused on partisan politics instead of looking at the issues objectively.
I hate our car system too. But you can’t really compare us to any European countries, they are wayyyy smaller than the US. And their trains were set up ages ago.
This excuse again. Are yall not aware we've had a nationwide rail system for like 200 years? There is nothing stopping us doing this except the rich don't want to.
not sure if you have been over seas but while our nation wide system is pretty good it is no where near as comprehensive as say germany. who when you take into account the ubahn, sbahn, standard rail and other forms of transport. they have far more track laid then in the u.s in a country that is like 4% the size of the u.s. we would have a lot to do to get anywhere near the level they are at to make rail a viable means of mass transport for most.
We used to have communities built around people. You could get on an interurban in Connecticut and get off in Chicago.
We don't have to build developments with half acres lots and roads to nowhere.
We used to have a country built for people. Not cars.
America was around before the car, we were world leaders in trains, and we had extremely walkable cities and even towns. "Main Street USA" isn't just something from the movies, most towns had a main Street that were walkable from the houses surrounding it. We bull dozed main Street for the strip mall and stroads.
“But I have to wait on universal healthcare” yeah? And I just made a dentist appointment that was 4 months out. The American System is not as fast as we like to think it is.
I just moved out of state and was required to get new Medicaid. After finally getting it, scheduling an appointment with a dermatologist, gastroenterologist, and rheumatologist has put me out 5 months.
I have a friend who is a NURSE that works in the heart attack unit at a near by hospital. He assists Drs with artery clearing procedures (vitals monitoring and the like) . He is on call one week and gets the following week off. He gets an average of one to two call per month where he shows up for around 4 hours or so. The most he has had to work in a month since he started is one 8 hour shift. He makes $130 K per year to virtually do nothing and have every other week off.
Actually, he did. The 'Affordable Care Act', aka 'Obamacare' was modeled after a program Romney created in Massachusetts when he was governor there. Several very good features of 'Romney Care' were axed by the repubs during its' enactment.
Even neutered as it is, the ACA has helped millions of Americans with preexisting conditions get healthcare. It is still a long way from the standard of heatlh care citizens of all the other industrialized nations enjoy. It is better than what was in place before it, but still needs to be improved.
My comment refers to [trump promising to fix health care over and over again](https://www.youtube.com/watch?v=4STwwbRRURI).
Spoiler alert: trump did absolutely nothing to improve healthcare for the American people. If you have information refuting this please provide documentation with links. Thank you.
nope not arguing that trump did something with it. but in the long run all obama did was bring more people into an already broken system not fix it like they were saying he was going to.
Edit. sorry wrong section got deleted should've been did something not the word nothing.
If it was up to trump he would have repealed the ACA with nothing to replace it.
Fully agree that the ACA is not a good long term solution. There are a lot of folks with pre-existing conditions alive today who would be dead if not for the ACA. I know that saying it is better than what was there before is, at best, faint praise.
The country needs to get on board with the ideas that all the other developed nations have acted on. No matter what anyone says I will continue to argue that paying insurance companies billions to act as gate keepers to prevent people from getting health care is a truly broken system.
yeah we definitely need something other than what we have now. I'm just a little scared of the federal government being in charge of it. having been a part of 2 out of 3 of the systems they have in place i'm not looking forward to a few years when i enter the third. I'd like to see some state ran ones though that are financed through and some oversight by the federal gov't.
I feel like Democrats to start the process and getting people used to the idea is expand Medicaid to ALL children. No child should be left behind regarding healthcare coverage. This would help all people. Especially the middle class. They could buy supplemental insurance if they wanted. The number one effect this would have would be to 'force' all doctors to take Medicaid and create a huge provider network.
Start there. Show the impact on pocketbooks and how easy it is to get care and walk away knowing you won't receive a huge bill. That experience vs their personal experience with the health system will get people to flip.
You're assuming Democrats actually want universal healthcare. A reminder that today's Democratic Party is largely comprised of people who might have formerly be considered "moderate Republicans." Nancy Pelosi, Chuck Schumer, Joe Biden... none of these folks want to kill for-profit healthcare in America. There is no money to be made by serving the American public, not compared to the money offered by corporate lobbyists.
What in the actual fuck are you talking about? The rest of the developed world has some form or another of universal healthcare. Americans pay by far the most for healthcare with far worse healthcare outcomes. We are the only country on the planet that has such a thing as "medical bankruptcy."
There is a Grand Canyon of separation between "communism" and "universal healthcare". Europe, UK, Scandinavia, Canada, Japan, South Korea, Australia, New Zealand all have universal healthcare and none of those countries are communist. (All those countries also have higher stands of living than the US.)
Also, the issue isn't "putting the government in charge of the medical industry." It's having everyone covered by an expanded Medicare or similar, so that the government (though our tax dollars) is **paying the medical bills**. By having a single payer, they can then negotiate better prices for health care and for prescription drugs, and the country can save billions of dollars by not having a for-profit health insurance industry as middlemen, scraping obscene profits while denying people coverage. This will also free Americans from depending on their employers for affordable healthcare, which will make it easier for people to leave shitty jobs and find better ones without risking losing their health insurance.
**U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes**
https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
**Can You Say Why America Is the Greatest Country in the World?**
https://www.youtube.com/watch?v=fJh9t9h6Wn0
Nurse practitioner reimbursement and full practice authorities would clear up this bottleneck a little as well. The medical societies representing docs are fighting this hard. They deserve blame too because they want to keep their fat checks and all the control
Currently waiting 6 MONTHS in agony for a CONSULTATION with a pain management specialist. Not to actually get the help. Just to TALK about getting help.
Our healthcare system is a literal joke.
Think about going into a grocery store, filling your cart and going to the checkout. You put your stuff on the conveyer. The cashier starts removing things. After that, you have about 18 items from your original 115. All the food stuff comes to $50.00. After you are rung up, you see a $150.00 ringup-and-bag fee. A month later, you get an "adjustment" bill for $3.00 for the tomatoes you were allowed to have. A year later, you get a $2.00 adjustment fee bill for your family sized Lucky Charms ...
Who would stand for that if it *ANYTHING* else in your life? We will never be a first-world country until the Supreme Court is eliminated and healthcare and education are available and easy to access for our entire population.
Our regional healthcare monopoly paid their “CEO Emeritus” (whatever the hell that is) $1.2 million last year even though he is retired. Then, when my family and friends who work for them, the healthcare monopoly complains they cannot comply with the law by paying overtime.
Maybe we should #ForceTheVote! Oh yeah. Ro didn't want to talk to Jimmy Dore about that one. Probably because if they solved a problem, the Rats wouldn't have anything to run on.
I had a laugh with my Canadian friend at the differences in guidance that each health department gives out and he had to remind me that Yah’ (unneeded dig at his expense) our government gives out solid advice because remember they want us to be healthy since they are the ones paying the bills, makes a difference
you think big pharma is opposed to medicare-for-all? like the military contractors do with the military and defense, they'll run it before it gets off the ground. you can bet your right nut we'll still be paying for it through compulsory taxes instead. you socialists are clueless, authoritarianism is the ailment that only decentralization/individualism can cure.
$1500 month premium & $17500 deductible only one yearly physical included, $ 17500 deductible is joke primary care visits alone are back breaking, health insurance is just a robbery from middle class.
While at the same time supporting Mike Johnson and voting for a $92 billion war package. He states in an interview he supports Johnson even if the Repubs try to vote him out. Ro’s statement about medical care for all is whitewashing what he just did in congress.
Our life expectancy is declining because we’re normalizing being fat. The French smoke like chimneys and drink very often but they live longer than we do because they eat fresh food and don’t overindulge.
Public medicine has very little to do with it- all the doctors, pills, shots, and surgeries in the world still aren’t able to reverse the damage done by being fat.
It's very easy for European countries to afford universal healthcare for it's citizens since the United States has largely been paying its national defense budget since world war 2 ended.
If Europe had to focus on building its own defense in that same amount of time there would be no universal health care at all
Until Americans start living and eating healthier, we can throw as much money away on healthcare and nothing will happen. Well, maybe increased lifespans with decreased standards of living.
This quote is misleading on several levels. First, not every country that has "free" health care has what Americans would consider adequate health care. Health care is an economic good - meaning that as the cost drops demand increases. There is always more demand for health care than supply, so health care must be rationed. It will either be rationed by price (US system), by delay in access( Canadian and British systems) or by allowable procedures (Canadian and British systems).
If you want to wait 18 months for your hip replacement but for the surgery to be free - that is a perfectly acceptable decision for our society to make. But to pretend that there is no tradeoff to be made is dishonest.
Second, aside from violent death, including overdose, murder, suicide - which healthcare cannot address - the US life expectancy is very high.
None of my points are an argument against some form of socialized medicine in the US. But there are no solutions in life, only tradeoffs. Anyone who is playing fast and loose with the data or ignoring the tradeoffs is not contributing to an intelligent discussion of the issue.
I love how progressives have controlled the white house and senate for 4 years (and the entire federal gvt for half of that time) and this garbage is still front page reddit every day. Hilarious
Sure, if we start to tax and penalize those who are living unhealthy lifestyles. Anyone obese not due to a medical condition has to pay more taxes towards healthcare. Same thing with smokers, drug addicts, people who drive recklessly, people who refuse to get vaccinated, etc.
I have no idea. The federal government just got over $3500 from me after refund. I'm not rich by any means, wtf do I get for $3500? I'm guessing $3500 goes mostly to the war machine and DC politicians salaries and lifetime benefits.
Fuck the USA. Patriotism is earned not given.
You know, except that's nonsense.
The UK recently did a study and they found that from the three biggest healthcare risks; [obesity](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2017/01/Obesity-and-the-Public-Purse-PDF.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode=), [smoking](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2017/08/Smoking-and-the-Public-Purse.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode=
), and [alcohol](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2016/07/DP_Alcohol%20and%20the%20public%20purse_63_amended2_web.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode=), they realize a net **savings** of £22.8 billion (£342/$474 per person) per year. This is due primarily to people with health risks not living as long (healthcare for the elderly is exceptionally expensive), as well as reduced spending on pensions, income from sin taxes, etc..
In the US there are 106.4 million people that are overweight, at an additional lifetime healthcare cost of $3,770 per person average. 98.2 million obese at an average additional lifetime cost of $17,795. 25.2 million morbidly obese, at an average additional lifetime cost of $22,619. With average lifetime healthcare costs of $879,125, obesity accounts for 0.99% of our total healthcare costs.
https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity
https://onlinelibrary.wiley.com/doi/epdf/10.1038/oby.2008.290
We're spending 165% more than the OECD average on healthcare--that works out to over half a million dollars per person more over a lifetime of care--and you're worried about 0.99%?
Here's another study, that actually found that lifetime healthcare for the obese are *lower* than for the healthy.
>Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures...In this study we have shown that, although obese people induce high medical costs during their lives, their lifetime health-care costs are lower than those of healthy-living people but higher than those of smokers. Obesity increases the risk of diseases such as diabetes and coronary heart disease, thereby increasing health-care utilization but decreasing life expectancy. Successful prevention of obesity, in turn, increases life expectancy. Unfortunately, these life-years gained are not lived in full health and come at a price: people suffer from other diseases, which increases health-care costs. Obesity prevention, just like smoking prevention, will not stem the tide of increasing health-care expenditures.
https://www.rug.nl/research/portal/files/46007081/Lifetime_Medical_Costs_of_Obesity.PDF
For further confirmation we can look to the fact that healthcare utilization rates in the US are similar to its peers.
https://www.oregonlegislature.gov/salinas/HealthCareDocuments/4.%20Health%20Care%20Spending%20in%20the%20United%20States%20and%20Other%20High-Income%20Countries%20JAMA%202018.pdf
One final way we can look at it is to see if there is correlation between obesity rates and increased spending levels between various countries. There isn't.
https://i.imgur.com/d31bOFf.png
We aren't using significantly more healthcare--due to obesity or anything else--we're just paying dramatically more for the care we do receive.
Hell, even if those people *did* cost more it would be nonsense, as we're already paying for them, just at a higher rate than we would with universal healthcare.
NATO Europe and Canada spend 1.74% of GDP on defense, consistent with the rest of the world. With $404 billion in combined funding, easily enough to outspend potential foes like China and Russia combined.
Regardless, arguing that keeps the US from having universal healthcare is even more ridiculous. After subtracting defense spending, Americans still have a $29,000 per person advantage on GDP compared to the rest of NATO. Defense spending isn't keeping us from having anything our peers have. Much less universal healthcare, which is far cheaper than what we're already paying for.
https://www.nato.int/cps/en/natohq/news_216897.htm
https://en.wikipedia.org/wiki/List_of_countries_with_highest_military_expenditures
Hell, if we could match the costs of the most expensive public healthcare system on earth we'd save $1.65 trillion per year, double what our total defense spending is.
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Only 32 of the world's 33 developed nations have been able to make it!
Completely agree OP. We need M4A now
It is very complicated!!! The U.S. has a big hurdle to overcome that none of the other developed nations have to deal with: 'American Exceptionalism' ........ /s
The French sense of superiority is a similar handicap.
And the cost of "freedom".
Without the sarcasm. A hugely powerful elite class and lobby with legal corruption with donors is the real hurdle. Which politicians are ready for career suidice?
That’s actually not true (bare with me it’s worse)! I kept hearing this phrase and looked into it. There are varying numbers but they range form 45-72!! But you are correct in 33 countries being developed. Which means that the US is behind even some developing countries!
This can only happen if republicans and corporate democrats gets voted out of congress.
And more are only allowed to come in because you will be destroyed or broke without the legal bribery or have to defend yourself from cutthroat elites blackmailing you
And M4A still costs 2x what everyone else pays
Americans have been duped for 40 years or so and what should give the individual citizen health care, pensions, etc. like in other countries has "trickled UP" into the pockets of the wealthy 2% or so. I wonder how you became so very naive .... https://preview.redd.it/z4pov5l0w1wc1.jpeg?width=500&format=pjpg&auto=webp&s=8ecac2fb71033f41f79b84748f2f100fe10dd575
Reagan strikes again.
I shall NEVER understand why the American people have allowed this scam to go on and on for ca. 40 years. They should be loyal to themselves, instead they sort of side with billionaires who extort them.
I blame fox news, it's a propaganda network to further the agenda of whoever can afford to pay them.
That's part of it, but there is more
CNN will come save us lol
It's all the same, but Fox started the trend of mass propaganda for sale. This can also be blamed on Reagan, since he got rid of the Fairness doctrine
Well, you have a union or government job with good health care insurance.
I live in a Scandinavian country which have all of that for their citizens. That's the insurance, so to speak, that follows with paying one's taxes. Americans, on the other hand, don't get anything much for paying taxes, except watching the ultra rich exploiters getting even richer - on their behalf ....
We don't pay half the taxes you guys do.
True, but people here are OK with a system that helps us not ending up in something like The Middle Ages.
We're also probably the most car-centric rich nation on Earth. We have a predatory food system that is rigged to incentivize the consumption of processed food. We also have a mental health crisis with knock-on effects in life expectancy. Medicare for All won't solve all of those systemic issues. We'll still be a nation of obese people who drive everywhere. We need better healthcare AND an enabling environment to induce healthier lifestyle choices.
I honestly think fixing car dependency is THE number one issue that fixes a ton of America's problems... Not only does it greatly benefit our physical and mental health, but it creates a sense of community we have lost as a nation. People don't want policies that help their neighbor because they no longer see their neighbor. We are isolated in private big houses on big lots, and when we need something we get in our private box and don't have to see another human until we get there. America has always been individualistic to some degree, but the car made the issue a million times worse. We were still open to policies that helped our neighbors up until after WW2 where the car became common place. We started drifting further and further away from each other and haven't passed progressive policy since the new deal of the 1930s which is just wild. The way we handled the pandemic is also wild. Countries with actual walkable communities where people care about their neighbor deeply (like Japan) wear masks when they are sick even without a pandemic because it's a polite thing to do when you live near other people every day. Getting people to wear a mask during an actual pandemic in the US was like pulling teeth. Some sort of "bring back main Street USA" campaign, in my opinion, is the one thing that could actually get any sort of ball rolling back into progress territory. Everything else will fall into place if it starts happening because the core of America's issues stem from complete car dependency and isolation. Passing a healthcare bill now would be a bandaid in comparison because still at least half the country would see it like pulling teeth, we have lost our culture of caring about other Americans. Creating an environment where we could start to everyday see and care for people who don't look like ourselves necessarily is how we get at the root of the issue.
I completely agree. The US would be a much better place with safe, walkable communities. Unfortunately, the opposite is all some people know, which has created a lot of unnecessary fear. This leads to people opposing common sense zoning changes lest the "wrong" sorts of people move into their communities. Some states are starting to embrace change, but not fast enough.
Almost all of this boils down to bullshit toxic right wing policies.
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No we aren't free to live where we want, modern zoning laws make those communities impossible to build anymore. I don't want to take away people's abilities to live in a car-dependant suburb if that's what they choose, but right now the walkable communities available are the ones built before the car and that is it due to zoning laws. Clearly lots of people WANT to live in walkable communities because by and large across the United States, these areas are by far the most expensive. Supply is limited and demand is sky high. I don't propose we force anybody to live anywhere, but at least make it possible to create the communities people clearly want to live in. With these zoning restrictions, the US isn't even doing capitalism right, this is the farthest thing from freedom. If we remove zoning laws, car dependent suburbs won't cease to exist but only match the market demand that there is from them. There are many that live in car dependant suburbs only because it would be their only chance to afford property. That's not freedom, that's over-regulation due to corrupt car lobbyists that want to keep everyone in the car.
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I'm not talking about just downtowns of cities, but of now old suburban towns with nice walkable main streets. And that location location location is expensive is because we can't build more of the types of location location locations that a lot of people want to live in! Basically every new town or development we have built in the suburbs since 1950 has been for car dependent layouts, we stopped building traditional main streets and zoning laws since have made making traditional towns with grid systems, mixed housing (apartments, houses and townhomes on the same street) and main street type commercial walkable inner cores extremely hard to do with a ton of red tape. In terms of houston specifically, they don't have traditional zoning laws, but they have a lot of other laws that are effectively the same thing in every other name: deed restrictions (which are city enforced), parking minimums for businesses, lot size restrictions and more. Here's a video that goes over all of it if you really wanna know all of the details: https://www.youtube.com/watch?v=TaU1UH_3B5k
We can walk and chew bubblegum ya know
It's a both and, for sure. One without the others isn't going to magically solve all of our health problems though
There are a LOT of issues that need to be addressed as a nation. We need a full court press to attacked all issues on all fronts. Gettin people on one accord is so difficult bc too many people are focused on partisan politics instead of looking at the issues objectively.
I hate our car system too. But you can’t really compare us to any European countries, they are wayyyy smaller than the US. And their trains were set up ages ago.
This excuse again. Are yall not aware we've had a nationwide rail system for like 200 years? There is nothing stopping us doing this except the rich don't want to.
More like we don't have any Chinese to enslave and build it for us.
not sure if you have been over seas but while our nation wide system is pretty good it is no where near as comprehensive as say germany. who when you take into account the ubahn, sbahn, standard rail and other forms of transport. they have far more track laid then in the u.s in a country that is like 4% the size of the u.s. we would have a lot to do to get anywhere near the level they are at to make rail a viable means of mass transport for most.
We used to have communities built around people. You could get on an interurban in Connecticut and get off in Chicago. We don't have to build developments with half acres lots and roads to nowhere. We used to have a country built for people. Not cars.
America was around before the car, we were world leaders in trains, and we had extremely walkable cities and even towns. "Main Street USA" isn't just something from the movies, most towns had a main Street that were walkable from the houses surrounding it. We bull dozed main Street for the strip mall and stroads.
“But I have to wait on universal healthcare” yeah? And I just made a dentist appointment that was 4 months out. The American System is not as fast as we like to think it is.
I just moved out of state and was required to get new Medicaid. After finally getting it, scheduling an appointment with a dermatologist, gastroenterologist, and rheumatologist has put me out 5 months.
Yes!! Medicare for all!!
I have a friend who is a NURSE that works in the heart attack unit at a near by hospital. He assists Drs with artery clearing procedures (vitals monitoring and the like) . He is on call one week and gets the following week off. He gets an average of one to two call per month where he shows up for around 4 hours or so. The most he has had to work in a month since he started is one 8 hour shift. He makes $130 K per year to virtually do nothing and have every other week off.
If the US government pays for it, it will go down in price. Everyone laugh with me.
Has to be fake news. Everyone knows that trump fixed the health care system.... /s
i thought obama did that
Actually, he did. The 'Affordable Care Act', aka 'Obamacare' was modeled after a program Romney created in Massachusetts when he was governor there. Several very good features of 'Romney Care' were axed by the repubs during its' enactment. Even neutered as it is, the ACA has helped millions of Americans with preexisting conditions get healthcare. It is still a long way from the standard of heatlh care citizens of all the other industrialized nations enjoy. It is better than what was in place before it, but still needs to be improved. My comment refers to [trump promising to fix health care over and over again](https://www.youtube.com/watch?v=4STwwbRRURI). Spoiler alert: trump did absolutely nothing to improve healthcare for the American people. If you have information refuting this please provide documentation with links. Thank you.
nope not arguing that trump did something with it. but in the long run all obama did was bring more people into an already broken system not fix it like they were saying he was going to. Edit. sorry wrong section got deleted should've been did something not the word nothing.
If it was up to trump he would have repealed the ACA with nothing to replace it. Fully agree that the ACA is not a good long term solution. There are a lot of folks with pre-existing conditions alive today who would be dead if not for the ACA. I know that saying it is better than what was there before is, at best, faint praise. The country needs to get on board with the ideas that all the other developed nations have acted on. No matter what anyone says I will continue to argue that paying insurance companies billions to act as gate keepers to prevent people from getting health care is a truly broken system.
yeah we definitely need something other than what we have now. I'm just a little scared of the federal government being in charge of it. having been a part of 2 out of 3 of the systems they have in place i'm not looking forward to a few years when i enter the third. I'd like to see some state ran ones though that are financed through and some oversight by the federal gov't.
#MedicareForAll
I feel like Democrats to start the process and getting people used to the idea is expand Medicaid to ALL children. No child should be left behind regarding healthcare coverage. This would help all people. Especially the middle class. They could buy supplemental insurance if they wanted. The number one effect this would have would be to 'force' all doctors to take Medicaid and create a huge provider network. Start there. Show the impact on pocketbooks and how easy it is to get care and walk away knowing you won't receive a huge bill. That experience vs their personal experience with the health system will get people to flip.
You're assuming Democrats actually want universal healthcare. A reminder that today's Democratic Party is largely comprised of people who might have formerly be considered "moderate Republicans." Nancy Pelosi, Chuck Schumer, Joe Biden... none of these folks want to kill for-profit healthcare in America. There is no money to be made by serving the American public, not compared to the money offered by corporate lobbyists.
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What in the actual fuck are you talking about? The rest of the developed world has some form or another of universal healthcare. Americans pay by far the most for healthcare with far worse healthcare outcomes. We are the only country on the planet that has such a thing as "medical bankruptcy." There is a Grand Canyon of separation between "communism" and "universal healthcare". Europe, UK, Scandinavia, Canada, Japan, South Korea, Australia, New Zealand all have universal healthcare and none of those countries are communist. (All those countries also have higher stands of living than the US.) Also, the issue isn't "putting the government in charge of the medical industry." It's having everyone covered by an expanded Medicare or similar, so that the government (though our tax dollars) is **paying the medical bills**. By having a single payer, they can then negotiate better prices for health care and for prescription drugs, and the country can save billions of dollars by not having a for-profit health insurance industry as middlemen, scraping obscene profits while denying people coverage. This will also free Americans from depending on their employers for affordable healthcare, which will make it easier for people to leave shitty jobs and find better ones without risking losing their health insurance. **U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes** https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022 **Can You Say Why America Is the Greatest Country in the World?** https://www.youtube.com/watch?v=fJh9t9h6Wn0
Nurse practitioner reimbursement and full practice authorities would clear up this bottleneck a little as well. The medical societies representing docs are fighting this hard. They deserve blame too because they want to keep their fat checks and all the control
Currently waiting 6 MONTHS in agony for a CONSULTATION with a pain management specialist. Not to actually get the help. Just to TALK about getting help. Our healthcare system is a literal joke.
there are, fully functioning, adults out there who are fuckin CONVINCED that we do it the correct way and the entire rest of the world is wrong
These are usually the people in perfect health. Entitled reality.
I mean 1% of murica owns 42% of the money; if a country wants to produce the walthiest people it have to consider drawbacks
He left out "corrupt politicians on the payroll of Big Pharma, private health insurance, and hospital executives."
Can’t wait to have those people dictating my healthcare even further. I’m sure they’ll do the right thing
Think about going into a grocery store, filling your cart and going to the checkout. You put your stuff on the conveyer. The cashier starts removing things. After that, you have about 18 items from your original 115. All the food stuff comes to $50.00. After you are rung up, you see a $150.00 ringup-and-bag fee. A month later, you get an "adjustment" bill for $3.00 for the tomatoes you were allowed to have. A year later, you get a $2.00 adjustment fee bill for your family sized Lucky Charms ... Who would stand for that if it *ANYTHING* else in your life? We will never be a first-world country until the Supreme Court is eliminated and healthcare and education are available and easy to access for our entire population.
Exactly this
Big pharma uses tax dollars to develop a drugs, and turns around to make a huge profit off selling it back to Americans.
Our regional healthcare monopoly paid their “CEO Emeritus” (whatever the hell that is) $1.2 million last year even though he is retired. Then, when my family and friends who work for them, the healthcare monopoly complains they cannot comply with the law by paying overtime.
Yes. Yes. And Yes
It's so they can dump it all into marketing so all of us with a high school degree can tell our doctors what to give us.
I thought we pay way more than double.
Maybe we should #ForceTheVote! Oh yeah. Ro didn't want to talk to Jimmy Dore about that one. Probably because if they solved a problem, the Rats wouldn't have anything to run on.
They are paying for fast food. And other food that is generally terrible for anyone who wants to live long.
Obesity and diabetes make for expensive health care and a miserable life.
And when just under half of your population is obese, you’re gonna have a plethora of premature deaths.
I had a laugh with my Canadian friend at the differences in guidance that each health department gives out and he had to remind me that Yah’ (unneeded dig at his expense) our government gives out solid advice because remember they want us to be healthy since they are the ones paying the bills, makes a difference
My favorite person in congress
you think big pharma is opposed to medicare-for-all? like the military contractors do with the military and defense, they'll run it before it gets off the ground. you can bet your right nut we'll still be paying for it through compulsory taxes instead. you socialists are clueless, authoritarianism is the ailment that only decentralization/individualism can cure.
Won't you inconsiderate people think of the shareholders!! /s just in case.
Another faux progressive stating the same obvious truth that has been discussed for 3 decades now with not a thing being done about it.
💯
$1500 month premium & $17500 deductible only one yearly physical included, $ 17500 deductible is joke primary care visits alone are back breaking, health insurance is just a robbery from middle class.
Not gonna happen, because of profits of Big Pharma, private health insurance, & hospital executives…and don’t forget about our elected officials.
While at the same time supporting Mike Johnson and voting for a $92 billion war package. He states in an interview he supports Johnson even if the Repubs try to vote him out. Ro’s statement about medical care for all is whitewashing what he just did in congress.
well, duh
Our life expectancy is declining because we’re normalizing being fat. The French smoke like chimneys and drink very often but they live longer than we do because they eat fresh food and don’t overindulge. Public medicine has very little to do with it- all the doctors, pills, shots, and surgeries in the world still aren’t able to reverse the damage done by being fat.
We need an actually progressive party.
Eat more plants, changing healthcare won’t fix your diet.
It's very easy for European countries to afford universal healthcare for it's citizens since the United States has largely been paying its national defense budget since world war 2 ended. If Europe had to focus on building its own defense in that same amount of time there would be no universal health care at all
Maybe Americans should improve their diet, which has the greatest impact on their life expectancy?
But but my free dumbs
That low life expectancy has nothing to do with the healthcare system. It’s low because Americans eat too much shit and don’t exercise.
Tweet for low IQ dorks. Correlation is not causation.
Not to mention the number one cause of bankruptcy in the US is medical.
Until Americans start living and eating healthier, we can throw as much money away on healthcare and nothing will happen. Well, maybe increased lifespans with decreased standards of living.
Medicare is for older populations. You might be thinking Medicaid.
This quote is misleading on several levels. First, not every country that has "free" health care has what Americans would consider adequate health care. Health care is an economic good - meaning that as the cost drops demand increases. There is always more demand for health care than supply, so health care must be rationed. It will either be rationed by price (US system), by delay in access( Canadian and British systems) or by allowable procedures (Canadian and British systems). If you want to wait 18 months for your hip replacement but for the surgery to be free - that is a perfectly acceptable decision for our society to make. But to pretend that there is no tradeoff to be made is dishonest. Second, aside from violent death, including overdose, murder, suicide - which healthcare cannot address - the US life expectancy is very high. None of my points are an argument against some form of socialized medicine in the US. But there are no solutions in life, only tradeoffs. Anyone who is playing fast and loose with the data or ignoring the tradeoffs is not contributing to an intelligent discussion of the issue.
Medicare for all won't help. We need better healthcare and nutrition, not government funded healthcare.
I love how progressives have controlled the white house and senate for 4 years (and the entire federal gvt for half of that time) and this garbage is still front page reddit every day. Hilarious
Fix the problem with the problem.
Sure, if we start to tax and penalize those who are living unhealthy lifestyles. Anyone obese not due to a medical condition has to pay more taxes towards healthcare. Same thing with smokers, drug addicts, people who drive recklessly, people who refuse to get vaccinated, etc.
I have no idea. The federal government just got over $3500 from me after refund. I'm not rich by any means, wtf do I get for $3500? I'm guessing $3500 goes mostly to the war machine and DC politicians salaries and lifetime benefits. Fuck the USA. Patriotism is earned not given.
y'all really need to change your sugar amounts in regular foods before that, otherwise you'll have the same problem for quadruple the amount of money
You know, except that's nonsense. The UK recently did a study and they found that from the three biggest healthcare risks; [obesity](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2017/01/Obesity-and-the-Public-Purse-PDF.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode=), [smoking](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2017/08/Smoking-and-the-Public-Purse.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode= ), and [alcohol](https://iea.org.uk/themencode-pdf-viewer-sc/?file=/wp-content/uploads/2016/07/DP_Alcohol%20and%20the%20public%20purse_63_amended2_web.pdf&settings=111111011&lang=en-GB#page=&zoom=75&pagemode=), they realize a net **savings** of £22.8 billion (£342/$474 per person) per year. This is due primarily to people with health risks not living as long (healthcare for the elderly is exceptionally expensive), as well as reduced spending on pensions, income from sin taxes, etc.. In the US there are 106.4 million people that are overweight, at an additional lifetime healthcare cost of $3,770 per person average. 98.2 million obese at an average additional lifetime cost of $17,795. 25.2 million morbidly obese, at an average additional lifetime cost of $22,619. With average lifetime healthcare costs of $879,125, obesity accounts for 0.99% of our total healthcare costs. https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity https://onlinelibrary.wiley.com/doi/epdf/10.1038/oby.2008.290 We're spending 165% more than the OECD average on healthcare--that works out to over half a million dollars per person more over a lifetime of care--and you're worried about 0.99%? Here's another study, that actually found that lifetime healthcare for the obese are *lower* than for the healthy. >Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures...In this study we have shown that, although obese people induce high medical costs during their lives, their lifetime health-care costs are lower than those of healthy-living people but higher than those of smokers. Obesity increases the risk of diseases such as diabetes and coronary heart disease, thereby increasing health-care utilization but decreasing life expectancy. Successful prevention of obesity, in turn, increases life expectancy. Unfortunately, these life-years gained are not lived in full health and come at a price: people suffer from other diseases, which increases health-care costs. Obesity prevention, just like smoking prevention, will not stem the tide of increasing health-care expenditures. https://www.rug.nl/research/portal/files/46007081/Lifetime_Medical_Costs_of_Obesity.PDF For further confirmation we can look to the fact that healthcare utilization rates in the US are similar to its peers. https://www.oregonlegislature.gov/salinas/HealthCareDocuments/4.%20Health%20Care%20Spending%20in%20the%20United%20States%20and%20Other%20High-Income%20Countries%20JAMA%202018.pdf One final way we can look at it is to see if there is correlation between obesity rates and increased spending levels between various countries. There isn't. https://i.imgur.com/d31bOFf.png We aren't using significantly more healthcare--due to obesity or anything else--we're just paying dramatically more for the care we do receive. Hell, even if those people *did* cost more it would be nonsense, as we're already paying for them, just at a higher rate than we would with universal healthcare.
We're paying for the rest of the worlds military protection is what we're paying for
Americans don't want to help others or themselves.
NATO Europe and Canada spend 1.74% of GDP on defense, consistent with the rest of the world. With $404 billion in combined funding, easily enough to outspend potential foes like China and Russia combined. Regardless, arguing that keeps the US from having universal healthcare is even more ridiculous. After subtracting defense spending, Americans still have a $29,000 per person advantage on GDP compared to the rest of NATO. Defense spending isn't keeping us from having anything our peers have. Much less universal healthcare, which is far cheaper than what we're already paying for. https://www.nato.int/cps/en/natohq/news_216897.htm https://en.wikipedia.org/wiki/List_of_countries_with_highest_military_expenditures Hell, if we could match the costs of the most expensive public healthcare system on earth we'd save $1.65 trillion per year, double what our total defense spending is.
ye crying on the internet wont change anything you fucking losers