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Daxx

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5434#msg5434
« Reply #12 on: December 15, 2009, 10:09:56 pm »

Socialized medicine is great- 5 out of 6 medical diagnoses are correct!
http://www.telegraph.co.uk/health/healthnews/6216559/One-in-six-NHS-patients-misdiagnosed.html
Apparently the same as in other developed countries. It seems that the research was done in the USA, according to the evidence I can find. Since I'm currently on holiday I can't access the original article, but it's apparently in the American Journal of Medicine, Volume 121 Issue 5A. However, the Telegraph piece reports:

Quote
The experts drew on research published in the American Journal of Medicine that estimated that up to 15 per cent of all medical cases in developed countries were misdiagnosed.
It's unclear whether this has anything to do with the method of payment for healthcare, whether driven by insurance, single-payer or otherwise, or by any other method. It's also unclear given the similarity between the statistics whether the journalists actually took the number given for all developed countries and simply assumed that it was applicable to the NHS, or whether there was more detail in the actual article.

I guess that's the problem with taking random news stories to use as anecdotal evidence. They don't always hold up to scrutiny. It's not a bad strategy if you're interested in ideological stances though, since it takes much longer to research and critique an opinion piece and it's evidence (or lack thereof) than it does to find one with Google.

Daxx

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5435#msg5435
« Reply #13 on: December 15, 2009, 10:09:56 pm »

The root of the issue is- there is no "healthcare crisis" in the US. This is just a blatant power grab by politicians in washington who want to nationalize 1/6 of the economy and bring it under government control to increase their own personal power. The Constitution says- NO NATIONAL HEALTHCARE. If you disagree- prove me wrong. If a state wants to implement a state-wide healthcare plan it is the states to decide- and some do. If people want the government to provide their healthcare the Constitution gives them the freedom to move to any state they want.
Well, okay, let's break this down. I'll start with the second part since it's a bit simpler. Not being a scholar of the US Constitution, I don't know where in the constitution that it explicitly states that there is to be "NO NATIONAL HEALTHCARE" as you bluntly put it.

I had a quick scan through the constitution and its amendments and it's not clear to me where it is prohibited. Actually, the only even slightly relevant thing which might be related would seem to support it; though I'm not a constitutional lawyer either so I can't make a definitive call:
"The Congress shall have power To [...] provide for the common Defence and general Welfare of the United States".
Now, I'm not suggesting this represents a clear decision either way, but fortunately, since it's logically impossible to prove a negative, the burden of proof rests with you on this one. Where does the constitution say that national healthcare is prohibited, especially given the existence of federal plans like Medicare and Medicaid?

Unfortunately I don't have much time on the internet right now to address the first point, so I'll do that later (or maybe some kind person would do the research for me? A good place to start would be statistics about coverage, expense and knockon economic effects).

Evil Hamster

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5436#msg5436
« Reply #14 on: December 15, 2009, 10:09:56 pm »

I don't know the comparative rates of misdiagnosis in various countries. But if I can't quote a UK news organization for news in the UK....

The root of the issue is- there is no "healthcare crisis" in the US. This is just a blatant power grab by politicians in washington who want to nationalize 1/6 of the economy and bring it under government control to increase their own personal power. The Constitution says- NO NATIONAL HEALTHCARE. If you disagree- prove me wrong. If a state wants to implement a state-wide healthcare plan it is the states to decide- and some do. If people want the government to provide their healthcare the Constitution gives them the freedom to move to any state they want.

Evil Hamster

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5437#msg5437
« Reply #15 on: December 15, 2009, 10:09:56 pm »

This just in (found on drudge report)

Obamacare: buy insurance or go to jail (http://www.politico.com/livepulse/0909/Ensign_receives_handwritten_confirmation_.html?showall)

Hmm.... I can see it now. Here's an Obama quote from a year after his hostile takeover of our medical system: "Sorry, we now need to raise your taxes again to pay for more prison space"

Evil Hamster

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5438#msg5438
« Reply #16 on: December 15, 2009, 10:09:56 pm »

Very simple. Article 1 section 8 lays out the very limited powers the federal government has. The authors specifically and unanimously stated the intent of that section was intended to LIMIT the powers of the federal government. But (as an additional protective measure) they went ahead and put into the bill of rights Ammendment #10 which says those powers not delegated to the federal government by the Constitution are reserved to the states, or the people. Therefore- since nowhere does the constitution give the power to function as a health insurance company- that is PROHIBITED. Your argument that "general welfare" means healthcare falls into the concept of a "living, breathing" constitution. A concept which means that in spite of the clear intent of the authors we just change the definitions of the words to mean whatever we want at any particular point in time. Liberal concepts like interpreting "common defence" as giving us the right to pro-actively invade foriegn countries like we did in Iraq.

And yes that means Social Security, Medicare and Medicaid are all unconstitutional. The government has been ignoring the Constitution since the "New Deal". Seriously- despite constitutional protections allowing us to petition the government for grievances (first ammendment), we the people are not allowed to sue the government for violating the Constitution because the courts have decided "the people" don't have standing to sue.

Daxx

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5693#msg5693
« Reply #17 on: December 15, 2009, 10:09:57 pm »

And yes that means Social Security, Medicare and Medicaid are all unconstitutional. The government has been ignoring the Constitution since the "New Deal". Seriously- despite constitutional protections allowing us to petition the government for grievances (first ammendment), we the people are not allowed to sue the government for violating the Constitution because the courts have decided "the people" don't have standing to sue.
Assuming that your interpretation is the correct one (which I doubt, but we'll go with it for the moment), this leads us to the conclusion that perhaps your constitution is outdated. It's not like it's an inviolate set of laws; there is a provision to create amendments so clearly your founding fathers saw that there may be a need to alter the constitution in the future (and thereby admitting that the document they were creating was not perfect).

But it seems like arguing that something is "unconstitutional" is short-circuiting any debate about the efficacy of the thing in question. As I've outlined before, public healthcare increases social welfare and leads to a higher standard of living. There are few convincing arguments against implementing it at least as part of a mixed market solution. If your only argument against it is that "it's unconstitutional", perhaps the constitution is wrong and needs to be changed (or, perhaps, it's not actually unconstitutional).

Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5761#msg5761
« Reply #18 on: December 15, 2009, 10:10:00 pm »

http://scienceblogs.com/pharyngula/2009/09/as_for_me_i_love_socialism.php (http://scienceblogs.com/pharyngula/2009/09/as_for_me_i_love_socialism.php)

This pretty much sums up my feelings on the debate.

But it seems like arguing that something is "unconstitutional" is short-circuiting any debate about the efficacy of the thing in question. As I've outlined before, public healthcare increases social welfare and leads to a higher standard of living. There are few convincing arguments against implementing it at least as part of a mixed market solution. If your only argument against it is that "it's unconstitutional", perhaps the constitution is wrong and needs to be changed (or, perhaps, it's not actually unconstitutional).
Truth. The fact that the founding fathers included a provision for amendments to their constitution shows that they knew it would need to be changed to meet the needs of society. And lets face it. Society has changed hugely. I'm not saying a constitution is a bad idea, I think it is very important in any democracy. And I'm not saying it should be easy to change or redraft. But when a country is being denied a basic medical service that most other western democratic countries benefit from, something needs to change. Just like it did the other 27 times the constitution was amended.

I take it from your Ayn Rand quote that the views in this thread are disparate enough that this isn't going to be a resolvable argument, but hopefully we've all made each other think.

My two cents (tax-deductible) :)

Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5762#msg5762
« Reply #19 on: December 15, 2009, 10:10:00 pm »

http://scienceblogs.com/pharyngula/2009/09/as_for_me_i_love_socialism.php (http://scienceblogs.com/pharyngula/2009/09/as_for_me_i_love_socialism.php)

This pretty much sums up my feelings on the debate.
Problem is- None of what they are claiming in that list is "socialism" except for Social Security and Medicare/Medicaid and all three of those programs are not only ILLEGAL PONZI SCHEMES but they are also bankrupt (or very close to it). I love how socialists love to claim every good or necessary thing is socialism.
I know this isn't the main part of the debate, but I feel like its pretty important. Actually, almost all those things are socialised benefits provided by the government by using taxpayer funds. Say someone breaks into your home, shoots you and sets your house on fire. You think the government should arrest the perpetrator, douse the fire, and then leave you to die? I don't see campaigns to privatise police forces or fire brigades. This is one of my major problems with libertarian philosophy. It is hugely inconsistent to call for the abolishment of 'socialist' governments which every day spends your money to make sure you don't get mugged, comes to your rescue if you do, saves you from fires, makes sure the cars you drive are within stringent safety regulations, maintains the roads you drive them on, provides you with subsidised public transport, maintains your telecommunications exchanges, bails out the shonky businesses you invested in when they go broke, makes provisions for the preservation of wildlife and national parks, builds and maintains vital infrastructure etc etc. And all with the publicly known motive of what is in the best interests of the people.

The government is held accountable by the people who will not re-elect it if it does not do a good job (i know this is slightly theoretical - look at bush lol). In the privatisation of any public service, such as healthcare, who holds big business accountable? And what is big business' motive? Thats right, as you were so eager to proclaim; profit. It boils down to who you would rather trust; the democratically elected representatives of the people held accountable by the democratic proces, or the greedy big business moneygrubbers who are held accountable by nothing. The profit motive is an extremely unethical motive. Where does the name 'Ponzi Scheme' come from? Was it a government? Or a business tycoon?

Time to catch up!

Assuming that your interpretation is the correct one (which I doubt, but we'll go with it for the moment), this leads us to the conclusion that perhaps your constitution is outdated. It's not like it's an inviolate set of laws; there is a provision to create amendments so clearly your founding fathers saw that there may be a need to alter the constitution in the future (and thereby admitting that the document they were creating was not perfect).
That's the debate that has been raging in this country between liberals who want the "freedom" to change the constitution by changing the meanings of the words clearly to mean the opposite of the intention and conservatives who generally believe the constitution- as a set of principles- means what it says and what the authors intended which can be found by reading some of their other writings.

But it seems like arguing that something is "unconstitutional" is short-circuiting any debate about the efficacy of the thing in question. As I've outlined before, public healthcare increases social welfare and leads to a higher standard of living. There are few convincing arguments against implementing it at least as part of a mixed market solution. If your only argument against it is that "it's unconstitutional", perhaps the constitution is wrong and needs to be changed (or, perhaps, it's not actually unconstitutional).
Actually you've got that backwards. That argument- "arguing that something is "unconstitutional" is short-circuiting any debate" is in itself just a method to short circuit the debate. Kind of like the "global warming" so-called debate. They proclaim without EVER debating it that "the science is in the debate is over" and just blow off the fact that most scientists and research disprooves it. (No please dont start global warming here I was simply citing the standard communist method)

Actually, you've got that backwards. There is a debate to be had, and some attempt to play a trump card by saying that it is unconstitutional. This is an attempt to stop debate. Those wishing to debate are unable to because it falls on deaf ears hiding behind the assumption that unconstitutional=wrong. Do you think it was wrong that women should be permitted the vote? No provisions were made for that by the founding fathers. It wasn't until 1920 that the nineteenth amendment was ratified. That was 133 years that the constitution was used to deny rights to women. Lets not even start on the race issue. The constitution is not gospel. It was written by people who could not possibly envision the society that we live in now, and the challenges we face. No one could have. But the founding fathers were wise enough to make provisions for it to be changed because they knew that it would have to be. If you argue against changing the constitution, then you argue against rights for women, which is simply unconscionable.

Daxx

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5763#msg5763
« Reply #20 on: December 15, 2009, 10:10:00 pm »

There are a number of partly-related points which I'd like to address in different ways there, so I hope you don't mind if I deal with them separately.

However- the second point you made- social welfare leads to a higher standard of living is simply untrue. There is not a SINGLE "social" system that has ever improved anybodies life over what a free market can provide.
This statement isn't quite clear. Strictly speaking you're comparing a hypothetical outcome to a real one, which isn't actually helpful. No free-market healthcare solution has provided what the free market can optimally provide, by definition. Suggesting that a public system hasn't either is disingenuous.

However, I don't think that's quite what you were getting at - I suspect you're claiming that no public healthcare system has outperformed the free market. That, as I have already demonstrated, is not true. In fact, the entire raison d'etre of the public sector is to improve peoples' lives; economically speaking public healthcare provides higher aggregate public welfare, as I outlined in this post earlier (http://elementstheforum.smfforfree3.com/index.php/topic,423.msg4040#msg4040). If you would like me to explain it more plainly, or in more detail, I'd be happy to do that. The upshot is, however, that a public system will almost always outperform a private one in in welfare terms, simply because of what economists call market failures (http://en.wikipedia.org/wiki/Market_failure) which are rife in virtually every market. The free market is in theory an efficient system, but it's far far more complicated than you might expect if you were relatively new to economic theory. If you're interested in the theory just ask and I'll run through it.

It is better than some of the systems that it has replaced in many countries- but still lags FAR behind the standard of living created by a truly free market. Look at the healthcare in the US. More advancements in healthcare have been developed here than in any other country. More technology, more improvements- better healthcare for all.
Well, to start with, healthcare providers do not actually develop most of the innovations that are generated in the health industry. For the most part, private development firms contract with the providers, or generate investment capital in order to develop new technologies which are then bought by the providers. In fact, the method of payment for healthcare doesn't have as much impact on the research and development sector as you're assuming. Governments can contract with development companies just as private firms can, so the profit motive still exists in mixed systems.

Secondly, the proposed system that is in the bill creates what amounts to a publicly funded insurer. Nothing in the bill is going to nationalise the entire healthcare industry, much less even create a mixed system like we have in the UK, for example. The US does not and never had a truly free healthcare market, and it will probably never have a fully-nationalised system, so it's disingenuous to compare the two.

Further, from this page, we have the following statistic (http://en.wikipedia.org/wiki/Health_care_in_the_United_States#Medical_products.2C_research_and_development): In 2004 [...] the vast majority of funding [came] from the Department of Health and Human Services and administered by the National Institutes of Health.[source (http://www.senc.es/uploads/1197875059__emrcwhite_paper.pdf)]. The Wikipedia page is rather contradictory, but this at least indicates that there is a substantial public involvement in healthcare funding already. If you're arguing for a free-market system, using the US as an example isn't very useful.

Thirdly, the standard of living is in fact higher in countries with public healthcare, as outlined in the previously linked post. This is mostly due to the failures in the US system due to market rationing of care and misdirected incentives. In fact, pure R&D throughput isn't all that useful when a significant proportion of the population are uninsured - according to the National Census Bureau around 15% were uninsured in 2008. See this page (http://en.wikipedia.org/wiki/Uninsured_in_the_United_States) for more numbers.

Show me a socialized health system that doesn't have rationing and long waiting lists. That simply doesn't happen here- YET. If the government takes over the system, it will become a necessity when the bottom line becomes more important than the hippocratic oath.
The US does have rationing of care. It's called the free market - 15% of people are uninsured, and so therefore 15% of people are rationed out of healthcare by insurance companies and doctors who refuse to treat the uninsured (outside of an emergency room). That's actually quite a basic principle of economics - supply and demand are actually driven by the principle of rationing according to price. Further, in the US the profit motive leads to overtreatment - these two factors taken together are clear-cut signs of what economists call allocative inefficiency (http://en.wikipedia.org/wiki/Allocative_efficiency).

Daxx

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5764#msg5764
« Reply #21 on: December 15, 2009, 10:10:00 pm »

Whoa, I really don't even know where to start. But let's give this a go, taking this point by point, I think it's just about possible.

If you take out people already eligible for a "government" plan, illegal aliens- who Obama is promising won't be covered anyways, people who could afford insurance but choose to spend their money on iphones and cable TV, and people between jobs- who are only temporarily without coverage the number of people chronically uncovered shrinks considerably to a total of 4-10 million depending on the figures you use.
You're absolutely right that this figure probably represents an overestimate of the actual incidence of the uninsured that will be covered by this plan - the point however remains the same. Whether it's 15% or 5% (and that's a figure which is set to grow as health insurance costs continue to rise, unemployment rises and growth rates slow) I still consider that unacceptable. Especially so since that represents something I haven't even touched on yet - the people who are insured but are paying far over the odds for care which doesn't cover all the bases and still leaves them open for massive financial penalties on claims.

The point is that a public option covers that five percent with very little relative impact on everyone else. It's not like there are suddenly going to be massive waiting lines, huge drops in quality of service or anything else that you are claiming - in fact it is just plain disingenuous to claim so. Paying for a public option on health insurance is a funding-based thing which has very little to do with your actual healthcare provision. I'm not sure how to explain this any more clearly, but the bill presented to congress concerns funding, not provision.

The case is quite clear that a public option will reduce the financial burden on many, provide coverage for many who don't already have it, and potentially require insurance companies to be competitive given a new entrant into their oligopoly (increased competition in a market increasing efficiency). Simple economic theory tells us that this will be more effective in terms of welfare provision than the private sector alone, so what arguments are there actually against this in terms of its efficacy?

That's the point I made earlier. Cost is not the issue here in the US- we have the overall BEST care which naturally costs more. If Obama succeeds in his hostile takeover bid- then cost will become the dominant factor.
For the moment we'll ignore the Daily Mail repost (given that I already pointed out the source is dubious, it relates to provision rather than funding, and regardless of its veracity anecdotal evidence doesn't prove anything) and cut straight to this point.

The US only has the best care in the world if you can afford to pay for complete coverage at the best private hospitals - a situation which does not represent the majority of American citizens. The US's efficiency in terms of cost is massively lacking compared to most other industrialised countries; the US spends 15% of GDP on healthcare, far more than other countries, and doesn't experience a higher quality of life as we have already established. In terms of studies which directly target performance, the WHO ranks the US first in expenditure, but 37th in overall performance.

Furthermore, I don't think you have any evidence at all that the bill will reduce the effectiveness of US healthcare because of "cost becoming a factor". Of course, I'm not entirely sure exactly what point you are trying to make there, so it's possible you could be arguing for or against something else with that statement. If you could clarify that for me, that would be great.

That's the debate that has been raging in this country between liberals who want the "freedom" to change the constitution by changing the meanings of the words clearly to mean the opposite of the intention and conservatives who generally believe the constitution- as a set of principles- means what it says and what the authors intended which can be found by reading some of their other writings.
Personally I find characterising constitutional interpretation as divided on purely partisan lines a little inaccurate given the actions of past "conservative" administrations, but there you go. I think this is a discussion for another thread, however.

Actually you've got that backwards. That argument- "arguing that something is "unconstitutional" is short-circuiting any debate" is in itself just a method to short circuit the debate. Kind of like the "global warming" so-called debate. They proclaim without EVER debating it that "the science is in the debate is over" and just blow off the fact that most scientists and research disprooves it. (No please dont start global warming here I was simply citing the standard communist method)
As captain haddock points out, that is in fact not correct. You see, if the debate is about the effectiveness of public healthcare, talking about constitutionality in the context in which you brought it up is what is known as ignoratio elenchi (http://en.wikipedia.org/wiki/Ignoratio_elenchi), or more colloquially a red herring. The constitutionality or otherwise of the public healthcare option actually has nothing to do with the effectiveness of public healthcare and making the case against public healthcare on the grounds of constitutionality is an attempt to preclude the debate on effectiveness.

We can pass without commenting on that last part, I think. :-\

Problem is- None of what they are claiming in that list is "socialism" [...] I love how socialists love to claim every good or necessary thing is socialism.
It seems captain haddock has dealt with this one already. But to add to his points, I'm not sure (despite our earlier discussion about it) that you really understand what you are talking about when you casually sling the terms "socialist" and "communist" around. By your own definition, the creation of a public insurance system is socialist - however, if you define that expenditure of public funds as socialist you cannot ignore the other publicly funded institutions which are essential to a functioning modern society like the ones that captain haddock lists above.

ElementalGod

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5765#msg5765
« Reply #22 on: December 15, 2009, 10:10:00 pm »

The constitution forbids it thus we are not even allowed to think about it! Baaah baah!

The British constitution allows us to bear arms, but nobody makes use of that clause because we are probably far more sensible than the Americans, at least when it comes to guns. The argument about what the actual will of the founding fathers really was seems pointless and outdated because it does not matter to the USA today. Frankly it did not even matter in the 20th century. All these Americans going insane over the possible health care legislation is entertaining to watch (at a distance) and the cries of this is not what the founding f***s (saints in the american pantheon?) wanted are icing on the cake. Delicious!

Evil Hamster

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Tea Party march on Washington / Single Payer healthcare https://elementscommunity.org/forum/index.php?topic=507.msg5766#msg5766
« Reply #23 on: December 15, 2009, 10:10:00 pm »

Time to catch up!

Assuming that your interpretation is the correct one (which I doubt, but we'll go with it for the moment), this leads us to the conclusion that perhaps your constitution is outdated. It's not like it's an inviolate set of laws; there is a provision to create amendments so clearly your founding fathers saw that there may be a need to alter the constitution in the future (and thereby admitting that the document they were creating was not perfect).
That's the debate that has been raging in this country between liberals who want the "freedom" to change the constitution by changing the meanings of the words clearly to mean the opposite of the intention and conservatives who generally believe the constitution- as a set of principles- means what it says and what the authors intended which can be found by reading some of their other writings.

But it seems like arguing that something is "unconstitutional" is short-circuiting any debate about the efficacy of the thing in question. As I've outlined before, public healthcare increases social welfare and leads to a higher standard of living. There are few convincing arguments against implementing it at least as part of a mixed market solution. If your only argument against it is that "it's unconstitutional", perhaps the constitution is wrong and needs to be changed (or, perhaps, it's not actually unconstitutional).
Actually you've got that backwards. That argument- "arguing that something is "unconstitutional" is short-circuiting any debate" is in itself just a method to short circuit the debate. Kind of like the "global warming" so-called debate. They proclaim without EVER debating it that "the science is in the debate is over" and just blow off the fact that most scientists and research disprooves it. (No please dont start global warming here I was simply citing the standard communist method)


 

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