“Where do you come up with that? In what dictionary does it say that incentives are non-governmental tools?”
None that I know of. Perhaps you should re-read my criticism of government incentives more carefully, in which I make the point that use of government to incentivize is highly problematic and inefficient, if not morally dubious.
“Governments do use incentivization. The term incentive is defined as “something that incites or has a tendency to incite to determination or action”. You can call it something else because the word doesn’t fit your political views but that doesn’t change what it is.”
Again, perhaps you should re-read more carefully?
“You should really do a bit more research on these issue before you make claims that are apparently based entirely on personal experience.”
Im contradicting the perceived notion among US democrats that universal health care is some magical panacea, just as you keep inferring that if something’s reported
as true in Fox News, it must be false. At least my experiences involve everyone directly around me.
One more recent example. My brother was just diagnosed with a hernia yesterday. He was told he could see ‘Dr Chen in a few weeks’, or try a private walk in clinic
(Shouldice) for more immediate results. (The Shouldice clinic is a highly respected hernia center where I live, that has generated much controversy when used by
politicians in the past for its private associations)
“Medicare is by far the most efficient health insurance plan we have in the U.S. Its administrative costs as a percentage of total expenditures are in the low single digits while the private insurance industries own supporters admit their administrative costs are about 17% of expenditures. In addition medicare costs have risen at a slower rate than private insurance. “
Super. Care to explain why administrative costs are so high in the ‘private’ insurance industry?
Care to explain why Medicare financial model is spiralling into insolvency?
Care to explain why the rate of Danes, Swedes, Brits etc switching to private insurance is growing dramatically?
Care to explain why there is a growing medical tourism industry, even in places with universal health care such as where I live?
“As a physician who has worked in both systems for more than 23 years I can also tell you that all of this has happened despite that fact that medicare restricts care far less than most current private insurers do. “
And they are experiencing dire financial problems as admitted by both Democrats + Republicans.
Using other people’s resources to fund your operation with a mandated customer base isn’t exactly hard to do for a specific length of time.
If you believe your experience as a doctor is not anecdotal, unlike my experience as a patient, then explain why there is a growing number of doctors speaking out against the legal regulatory burden imposed by insurance providers?
“When i need to send a medicare patient for a CT scan I just order it and it gets done. If I need to send a patient with private insurance for the same scan I have to waste valuable time convincing some high school drop out at the insurance company that I know more than he does about medicine and that the patient does indeed need a CT scan.
Why do you think universal health care won’t scrutinize requests either?
Both are dealing with a limited resource. You’re trading immediacy with rationing as I’ve noted with several examples from my immediate family.
And for the record, your ideologic argument against for profit organizations would also apply to the production of other essential items such as food no?
“These sorts of personal anecdotes are the type of misdirection that people often use as a reason to dispute the benefits of universal health care but they are misleading and miss the big picture.”
Perhaps I should go online and rail against ‘Faux News’ and ignore underlying cost pressures inherent in the current health insurance regulatory scheme.
Why do you fail to look at the self-imposed legal regulatory burden currently imposed by private US health insurance interests?
If anyone’s not presenting a complete picture..
“I can provide you with many examples of Americans who not only had care delayed but never got care at all because they did not have the insurance nor the personal finances to cover it.”
But sadly I predict you will completely fail to analyse the governmental role in those costs and smugly declare them as ‘for profit’.
“Anecdotes are meaningless unless you are a politician or a TV pundit trying to manipulate your audience. The numbers are what you need to look at. The U.S. is currently the number one per capita spender on health care in the entire world at $8,300 per person. The number two country is Norway and they spend only $5,300 yet we are ranked 37th in overall quality of care by the latest WHO rankings. Canada was 30th, seven places higher than us and spent only half of what we did. “
Why not compare number of pirates to global warming?
Or in other words, Canada which has had universal health care for decades ranks *only* 7 points above the US, which are both outranked by 30 countries which provide both public and private health insurance options.
“I sympathize with your friends and family who had to wait for care that they felt they needed but at least they got it. Millions of Americans have no access to care at all despite the huge sum we spend on health care.”
Again, if you believe your health care is market driven, you need to back up that astonishing claim.
“If you want to discuss this issue intelligently you need to do your homework. Come here with facts not ideology.”
My “ideology” is that someone has an inherent right to decide for themselves where and how to spend their resources in order that they or their loved ones can receive the best medical attention they can find. My “ideology” is to look at underlying causes that restrict choice and increase costs through involuntary regulatory burden.
Radical isn’t it?