This is hair-splitting for no reason, to the point of destroying communication. Nobody (because this is HN: yes, apparently at least one person, but you know what I mean by this) means ERs having to eat the cost of stabilizing uninsured dying/in-labor people when they say "socialized medicine". You can draw some parallels, but trying to put that, plus all the things people actually mean by the term, under the same umbrella, is a step toward making it meaningless.
This is like a burger joint telling you they don't serve onion rings, and then you insisting that in fact they do, because they put circle-cut onions on their burgers, and technically those are both rings and onions. Like... OK? So what? Which framing: "this place serves onion rings", or "this place does NOT serve onion rings", is more likely to confuse a diner?
The only times I've seen people really, seriously try to frame this as "socialized medicine" is when they don't understand how very limited the mandated scope of care is. It doesn't amount to much more than "you can't let someone simply die or give birth on the curb right outside your ER". The vast majority of what counts as medical care isn't part of it.
Where I live, in a rural area of a red state with a lot of wealth disparity, giving free medical care to anybody absolutely is seen as "socialized medicine". (Of course, there'll be a healthy dose of divisive racial and class politics mixed in to the argument, too.) The reasons behind that opinion are absolutely motivated by lack of understanding, but there are strong political beliefs there as well.
I'd like to see substantive discussion about how the US healthcare "system" really works. This is a detail that a lot of people don't know about or understand. I think the idea that "we already don't let people who can't pay just die" has a good moral argument behind it.
> Where I live, in a rural area of a red state with a lot of wealth disparity, giving free medical care to anybody absolutely is seen as "socialized medicine". (Of course, there'll be a healthy dose of divisive racial and class politics mixed in to the argument, too.) The reasons behind that opinion are absolutely motivated by lack of understanding, but there are strong political beliefs there as well.
Suburb in a red state here, grew up mostly in rural red America, so I get what you mean. I'm sure there's also a lot of thinking that free ER care is a lot more expansive than it really is, and belief that "welfare types" (ahem, cough, cough, lay-finger-along-side-of-nose) regularly use ERs to get ordinary healthcare for free. As is usually the case, I expect laying out what's actually available and how the mandate actually works tends to soften resistance to it. I'm well aware that the Left does some of this too, but god I wish right-wing media would stop misleading Republicans about how basic things like social-safety-net programs and taxes work. The death of the Fairness Doctrine, however not-entirely-comfortable I may be with the thing, has been a curse on this country, in practice.
> I'd like to see substantive discussion about how the US healthcare "system" really works. This is a detail that a lot of people don't know about or understand. I think the idea that "we already don't let people who can't pay just die" has a good moral argument behind it.
Ugh, tell me about it. I especially think the enormous proportion of medical spending that's already public isn't well-understood enough. Especially since some of those tend to cover some of the most expensive demographics—the elderly, the disabled, soldiers. Failure to grasp how our current system already works leads to those infamous "keep government out of my medicare!" protest signs and, more importantly, failure to appreciate that shifting to cover everyone with one variety or another of government-funded healthcare is actually a far less radical shift than some seem to suppose it is.
Sorry if I pounced on you there, BTW. I could have been less confrontational with that previous post.
> Sorry if I pounced on you there, BTW. I could have been less confrontational with that previous post.
It's good. The nerd pedant in me can't let a mention of EMTALA go by without hammering on it. It's a bit of cognitive dissonance to inflict on the "free healthcare market"-types who have moral qualms about letting people die but aren't about to give an inch on "socialism".
This is like a burger joint telling you they don't serve onion rings, and then you insisting that in fact they do, because they put circle-cut onions on their burgers, and technically those are both rings and onions. Like... OK? So what? Which framing: "this place serves onion rings", or "this place does NOT serve onion rings", is more likely to confuse a diner?
The only times I've seen people really, seriously try to frame this as "socialized medicine" is when they don't understand how very limited the mandated scope of care is. It doesn't amount to much more than "you can't let someone simply die or give birth on the curb right outside your ER". The vast majority of what counts as medical care isn't part of it.