Socialism is worse for your health and well-being than the "evil rich" can ever be.
I live in the UK where we have a national health service paid for by direct taxation. If I get ill I will be taken care of, by a government provided service, at no cost to me. If I don't get ill then I'll end up with a bit less money, but all the people around me who do get ill will be cared for free of any direct charge whether they're rich or poor. I literally cannot understand how you can think that's worse than any alternative for healthcare provision.
> Not everyone equals public healthcare with socialism.
I don't understand your assertion. Why would anyone do that, and what would they call public healthcare instead? Even social-democracy has socialism as one of its components.
Socialism is about distribution of wealth. This is mainly about distribution of risk. It is also a more fundamental thing than creating a more equal society.
It is also simply a fact that many people outside US don't call their country socialist just because they have a public healthcare system. So this might cause confusion.
Because for fifty-ish years the narrative in the US has been Communism is the enemy, and Socialism is the path to Communism, therefore Socialism is the enemy too.
We're going to have to wait until the baby boomers die off to have any reasonable chance of getting a proper safety net in place.
I've got some bad news for you. My generation (gen-X) seem to have a strong affinity for Gordon Gekko types. It might actually get worse once people in my cohort start assuming more positions of power.
I don't think the Boomers are the major impediment there--for decades it's been all about one generation and they have done nothing but suck the life out of everyone else while at the same time pulling up all the ladders.
Why do you think high taxes and "safety nets" are the way to go? Why can't we just be free? How many times must collectivism be exposed for the fraud that it is before we stop re-visiting that waste of time?
The problem is when we were totally and completely free within a few decades the entire means of production was owned by a few insanely large companies, and due to the relative laxness of their regulations, they operated with near total impunity. It was only after the uprising of labor and organization into unions that the real "golden age" of America arrived for someone besides the ultra-rich. Since then the media narratives and corporate propaganda have steadily demonized all collective bargaining entities, brought forth the scourge of the "gig economy" where businesses get to have multitudes of low-skill workers competing for a small fixed pool of work, all of whom jump at the chance to earn $20 because they'll starve otherwise, and carry none of the expenses of real employees (those annoyances like "a living wage" and "healthcare" and "retirement savings."
And that's just the actual jobs, with automation eating more jobs ever faster, fewer workers are now producing more than ever meaning there are fewer salaries doled out and even less money making it away from the wealthy.
Communism did fail, but I think it arrived too early. I really think there's some merit to the idea that once the machines have eaten all the jobs, and once we're free to our own time, that there's no reason to keep up the illusion that we must remain employed for seemingly little reason other than "that's the way it's always been done."
I don't know. We've been doing a 40 hour workweek because that's the way it's always been. We're more efficient now, but still cling to this idea. I mean, look at how many people are on this thread instead of work...
The term has several meanings. Scandinavian countries consider themselves socialist for their high levels of government support of education and healthcare, but so did the Soviet Union and similar countries with a state-run centralized command economy. When people in the US rally against "socialism" they are either thinking that what people in favor of socialism want is a centralized command economy or think that it is a slippery slope and that government support of health care will eventually lead to a Bolshevik insurrection or something.
Thanks, that explanation is helpful. In the future when I discuss about socialism with US people, I'll take into account the likeliness that they're attacking a boogeyman, and that a precise definition of the term will be needed to advance the discussion.
Thanks for the read. I intuitively try to avoid loaded words and think in terms of the properties they define; though this thread was about the term "socialism" in particular, not just the general concepts covered by it.
That's Marxism, and that definition is over 100 years old. Politics has moved on. Modern socialism is simply a larger central government providing more public services than a typical conservative government.
It's also worth noting that Marx included things like national infrastructure in his definition of "means of production", and I haven't noticed that many privately owned roads in the USA... Maybe you're not quite as far from socialism as you'd like to believe.
> I live in the UK where we have a national health service paid for by direct taxation. If I get ill I will be taken care of, by a government provided service, at no cost to me
The waiting lines in the UK for surgeries make it more likely you die before you get it in time if you have anything remotely serious. Yeah, socialist health care works really, really well.
I don't understand these comments. I lived in Italy for a long time, with high quality public healthcare for everyone even in a country which is not doing so well economically after the financial crisis. Yes, if you have something not risky you have wait-times for exams of 1-3 weeks (even here you can go private if you want and I assure you costs are BY FAR lower than in the US... like a full low abd eco costed me 40e to have it done in the next hour, just because I had to travel), but if you have ANYTHING risky there is no wait time, you get your exams and surgeries asap the same day if needed. The system works that well exactly because is not the amount you pay that put you in the front of the list, but the seriousness of your condition after the first medical evaluations.
It's cognitive dissonance. They have not experienced a quality public health care first hand, so they cannot admit that it works without contradicting their core economical beliefs.
I get sick; I go to my doctor today and get treated. A system that makes me wait for weeks for something 'not serious' meaning almost everything, is a broken system. Sure it costs less in Europe etc; its not doing anything useful. Id've gotten better (or died) on my own by the time I got seen with wait times like that.
It's not cognitive dissonance (unless on the part of public-health-is-better folks). Its a different metric. If cost is the only measure, then sure, 3 week wait for a free aspirin is 'good'. If its timeliness, then other systems win hands down.
I should point out that the private option exists in the UK as well, if you have money and don't want to wait. And of course there's a normal range of OTC drugs including aspirin - unless you're in Scotland it's cheaper to buy it yourself than pay the £7 flat prescription charge.
NHS triage is pretty effective: stuff that might actually kill you gets seen to immediately. Chronic conditions get managed long-term. The vast majority of the long waits are for things like hip operations, which will improve quality of life but aren't particularly urgent.
What is more broken: a system where everyone has to wait some weeks and get attended, or one where some can be atended in a day, and others will never be attended?
> What is more broken: a system where everyone has to wait some weeks and get attended, or one where some can be atended in a day, and others will never be attended?
If you were to live the rest of your life with a new healthcare system, which of the following would you prefer?
- a) one where you would be randomly assigned to one of two groups: one which gets timely attendance for urgent and non-urgent needs; and the other one which gets no attendance at all, of any kind.
- b) one where all users get attended with an equal 3 weeks delay for non-urgent needs, and 0 delay for urgent needs.
But with 'private health' I can pay and go to a doctor today. For a cold or whatever. Its a curious fact the 'public health' equates to 'rationed medicine'.
...and that's an interesting problem. I maintain the solution is not to try to give it away free to everybody. Because that fails in major ways, as we've discussed.
It works quite well in most countries in Europe. I've heard that it's way better than the US system for a majority of people, except for some revolutionary treatments that reach only a really small amount of uber-rich users.
Considering that France has the best healthcare in the world and is very much socialised, I think it really does work very well.
Also, in the UK, you won't die waiting. Someone else who doesn't have a serious illness will just have to wait a little longer. They do understand how to triage you know. In fact, they probably do it better since people get treating according to need rather than what kind of insurance they have.
Because french people believe everything is best about France, including the healthcare system :) I wished my comment was just sarcasm, but it's not. Even newspapers in France always entertain the idea "le systeme de sante que le monde nous envie". No facts needed.
1. Good insurance is unavailable to many, many people in the US.
2. Good insurance is extremely expensive. If your premiums for good insurance are low, that just means your employer is paying a lot. I don't see much substantive difference between paying high premiums and paying high taxes.
Anecdata: most of my employers have offered good (but not the best) insurance. If you didn't use it, the employer and employee contributions together were probably something like $10k-$15k. If you did use it, the employee contribution would be capped at something like $20k-$30k, but the employer contribution would be uncapped. Somewhat famously, the CEO of AOL (?) talked about spending $1,000,000+ on an employee's neonatal care.
...except when it kicks you to the curb, and forces you to fight over what they'll cover while your family's in the middle of the hardest time of their life and has negative energy to spare.
Our healthcare/insurance system is miles better than nothing, but that's no reason to stick our heads in the sand and insist that it's especially good by modern standards.
How about if you had the bad luck of having pre existing conditions which no insurer will touch. Here you still get all the help you need. What happens over there? I ask as I do not know, however, if I see comments here I think you are screwed. Which is not fair Imho.
That still seems like a problem that the market can solve somehow without nationalizing an obscene amount of the US economy. We need to look at the insurance industry from the standpoint of how they are growing profits, who is getting the big paydays for it, and how much lobbying is done on their behalf. Because I recall as a kid growing up in the 1980s that health insurance was not that big of a deal to my parents who were of modest income and so there must be a reason why. I think that reason is that insurance, like every place a big pot of money exists, was "financialized" by the usual suspects.
But how can insurance not be perverse? If it is not nationalized then it is a private company that needs to make profits. And when you have that incentive, it is all about stats and risk. I find it a difficult problem to mix with capitalism. I have been raised in Europe and for me it is natural that one can go to the doctor 'for free' (if you cannot pay for it); I am trying to reason how insurance would ever work unless (like in NL) insurers must accept everyone no matter what happened before. How would that work? Is it not better for the insurance company to have people without money die? How can that fit?
That has nothing to do with that question at all. Lifestyle diseases do a lot more damage than access to treatment. Obesity for example can make your life expectancy take a dive, and it's not like the US and the UK are comparable at all in that sense.
That article doesn't actually back up your claim. ("The waiting lines in the UK for surgeries make it more likely you die before you get it in time if you have anything remotely serious.")
Here's a little tip, when trying to find a source for some BS about the NHS, try not linking to the daily fail, who are well known for printing mistruths and on occasion, outright made up stories about things like the NHS.
