[identity profile] green-man-2010.livejournal.com posting in [community profile] talkpolitics
It has been said that if Socialism ever came to the USA, there would be starvation, rioting in the streets, and the whole fabric of society would collapse. People would literally die as a result of policies.

Well, lets be honest, Americans have been dying of US government policies for a long time now.

Americans died as a result of the wars in Vietnam , Iraq, and Afghanistan.
Americans are dying as a result of the fact that many US citizens are tried for murder and end up on Death Row. Americans die, on average, at a significantly younger ge than people do in Sweden. Oh, and more babies per 1,000 die in America than in 31 other countries.
Fact: a baby has a better chance of reaching the age of 1, and the age of 5 in many European countries than a baby born in the USA. So much for the 'Free Market' saving lives.

http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate

Now, why is this, you may ask? I mean, the USA is the one nation in the developed world where there is no National Health programme. Is this a good thing or not? Let me explain something to you that you might have missed...

Currently, in the UK, there are around 2 deaths a week on average due to women being attacked by their partners or ex partners. So, you may think that there is a real need for hostels, refuges, where women can go seeking shelter and safety. Although volunteers have opened up refuges, there are few places. there are even fewer places for boys between the ages of 14 and 17. None at all for young men aged 17 and over.Now why?

Is it because these people lack the purchasing power?

I think this one question lays bare the impotence of the Free Market in tackling social problems. Sure, if you happen to be a celebrity, a place like The Priory Clinic will take you in and detox you and help you cure your alcoholism. But if you are GI Joe, just come back from a tour of duty in 'Nam or Iraq, and you are having recurring nightmares due to having seen your buddies literally blown to bits right in front of you - well, there is not much help for you and ~your~ drinking problem.

See , when I was young , I read this book by a guy named Adam Smith, who was talking about how governments didn't need to legislate so much, because if people wanted something, the market would supply it - the market, if allowed to operate freely, was like an 'invisible hand', that would solve all people's problems.

And to ~some~ extent this is true. If you have money, and can buy what you want, someone out there will try to meet that need to make a profit. But suppose you are dirt poor? I veture to suggest that , far from falling over themselves to develop a solution to your problems , the free market will not give a damn.

Let's be honest, in the USA , men of a certain age caan get Viagra, no trouble.
But a woman who wants the pill - sometimes on prescription b/coz her physician has prescribed it to cure a hormonal imbalance that causes heavy and painful periods for instance - well, some self appointed guardian of public morals can refuse to let her have her medication because he is a pharmacist who opposes contraception on religious grounds. And, if he happens to be the only Pharmacist in a small , one horse town , what use is this 'invisble hand then?

JK Rowling is the world famous Author of the Harry Potter books.A self made millionairess. yet, she says, she will never vote Conservative or become a tax Exile.
She says that it was the safety net of Social Security that enabled her to survive when times were hard, and now that she can afford to, she has no problem with paying taxes to help women who are struggling now.

http://www.timesonline.co.uk/tol/comment/columnists/guest_contributors/article7096786.ece?token=null&offset=0&page=1

This, to me, is the reason we need socialist policies in some areas.i dunno about the government buying up businesses like the phone system , or steel production - that sort of thing is best done by the private sector, I believe. but education, housing, healthcare - the government has a role here, and governments that can find a way to deliver these services well are doing a great job.

Americans ought to get real, there are lots of counties where the State is handling a lot of stuff, and people are having better outcomes than US citizens as a result. so, to any and all who suggest the Free market as a cure all, I suggest they stick the 'Invisble Hand' of Adam Smith somewhere that the sun don't shine.

Re: Not so fast...

Date: 1/6/10 11:30 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
If you want to use the data from a report to support your argument that the USA is tops, you cannot dismiss that same data when it shows that Australia is doing at least as well.

I'm not dismissing it, I'm saying that I'm not convinced the data truly shows that on a whole as you're asserting.

Re: Not so fast...

Date: 1/6/10 11:56 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
weel , we are seeing that the USA spends far more and achieves less.

No, we're not. We're seeing that the government apparently spends more, but the data does not show less achievement when all areas are otherwise equal.

you may also want to answer the second link on my latest post that shows the UK doing better than the USA , iusing the same yardstick on IMR...

You haven't shown that.

However, could you do me the links on cancer cure rates - the USA leads in this field, mainly due to a policy of rigourous early screening. Every country ought to b e doing this too, and we would certainly do well to emulate American practice in this area.

But other countries cannot do this because the governments run the health care system.

Re: Not so fast...

Date: 1/6/10 15:49 (UTC)
From: [identity profile] torpidai.livejournal.com
However, what the Americans are doing seems to be screening and early diagnosis. no reason why a government initiate could not do this as well.

Mebbee not counting those uninsured types with higher cancer risks though poverty/smoking/work related ailments due to having been dragged up in poverty? (Can't all be white collar ye know) by way of not giving a full post-mortem? hell we all die of either asphyxiation or myocardial infarction right? wouldn't a "Quick and easy system" offer such instead of looking further?

Re: Not so fast...

Date: 1/6/10 18:36 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
a) the UK and the USA use the same system for counting all live births - like the USA, the UK does not cheat by excluding premature births. I forget the exact term , I think it's 'preterm births' in the report, but it means the same thing.
b) Britain, Germany and a lot of other European countries use the same yardstick as the USA - and get better results in terms of IMR.


...but also have fewer premature births, which feed into the whole thing - It's hard to tell where the Euro countries would be if they were counting premature births - the equalization only goes halfway.

I take your point that the USa leads the world on cancer care. However, what the Americans are doing seems to be screening and early diagnosis. no reason why a government initiate could not do this as well.

Then why don't they?

Re: Not so fast...

Date: 1/6/10 20:35 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Well, I ask myself why the USA has so many premature births in the first place - but as the sources show - if we take those out altogether, we still have better outcomes in Europe than the USa for full term babies - more survive their 1st year of life.

We have more premature births because we're more confident in being able to bend that curve. We can save more births, so we're willing to bring a child into the world earlier.

In the USA, I would not mind betting that health insurance is only valid if you take regular healthchecks.

You'd bet wrong.

I am just interested - in the UK, you get lower Life Insurance premiums if you are a non smoker. I wonder if you get lower health premiums too?

Yes, in many cases.

Re: Not so fast...

Date: 1/6/10 21:03 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Ok - you are confident that you can ' bend the curve'
i am not a doctor, but I know that birth is usually induced if the baby is well developed enough , and should have started to be born ,but hasn't.


I'm not a doctor either, but my two cousins were premature births. They were developed enough to survive outside the womb early - that's all it indicates. And why? Because we have the technology and the ability to keep more babies healthy upon early birth, something the countries with socialized medicine largely lack.

I cannot believe that doctors are saying " why wait? Lets do it now." That doesn't make any sense.

At no point was I implying that doctors are trying to change the gestation period, just that they're more willing to avoid other complications for the sake of dealing with premature birth instead.

Re: Not so fast...

Date: 2/6/10 11:39 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
What sort of technology do you think we lack? My wife works in ITU, and this country has CAT scanners, ultrasound, ecgs, incubators, electricity, hot running water...there are even UK hospitals with special units for dealing with premature births. I don't think we lack anything you have stateside, and I would be surprised if Sweden did.

You have them, but in less availability. That's why waiting lists are so damn long for the socialized nations.

Some places with UHC may not be able to afford such stuff, but we have the 4th langest economy in the world. We have the cash and I'm sure we don't lack expertise.

Even Canada's looking at cuts in their NHS now. The problem runs deep.

Re: Not so fast...

Date: 2/6/10 21:31 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
In actual fact, there is nothing to stop you from joining BUPA, or similar.
These are private health schemes. A lot of employers like to offer BUPA membership as a perk, rather like a company car. Werll, it's true in the UK - I dunno about other ' socialised' places like Sweden or Romania


Except, of course, the tax rates in place to pay for the health care you already have.

Only the well off or well employed can get this of course - but tell me again, what do low income/no income people get Stateside these days?

Well, seeing as 90% of citizens are insured, quite a bit more than the poor in your country.

As for waiting lists, yes, there are some , and they are horrendous for hip replacements.
However, I have yet to hear anyone sat to an expectant mother " sorry, we can't fit you in for a birth right now, you will have to wait till we free up some beds and a midwife".


I'm sure the cancer rates have nothing to do with the waiting lists.

Re: Not so fast...

Date: 2/6/10 23:10 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Well, if you want to fly in the fast lane , it costs extra.
in your country, there is the fast lane or no lane - except the one leading to the morgue , it seems.


Again, what the American political left wants you to believe and what actually happens here are very different things.

Wroooong !!! !00% of our citizens are covered by National Insurance. Ok, they may have to wait for hip replacements and stuff, but they do get it.

They may have to wait for, you know, necessary procedures and stuff, but hey. Right? No big deal. People might die waiting, but at least they're guaranteed care...eventually.

But what happens to the 10% who dont have it, don't have anything at all, in fact?
They die, I guess...


No, they still can get care, they simply don't have insurance.

Re: Not so fast...

Date: 2/6/10 23:31 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
people are unlikely to die of arthititis...even in our climate.

So you're into rationing care based on whatever metric you choose. At least you're honest.

If they can get this care without insurance, and you don't have to pay for it, how come 90% do? Like, what's the advantage?

Most people get it through their employer, and insurance here stupidly pays for things like doctor's visits, so it's pretty silly not to.

Yhen maybe you would lik to tell us what actually does happen . in some detail. Taking in the number of Americans who go bankrupt as a result of paying or attempting to pay for medical bills?

Very few on a whole. In the US, it's simple - generally speaking, you're insured in some way, you go to the hospital, you get care. It's pretty simple.

Re: Not so fast...

Date: 3/6/10 00:26 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Er, just how few would 62 % of bankruptcies be, exactly? Sounds quite a lot to me. more than half of thiose going bankrupt do so for medical reasons?

Well, no. 62% of bankrupcties cite medical bills as part of their outstanding bills. By no means does that suggest that the bills are putting them under.

For more on the problems with that study, see this (http://www.theatlantic.com/business/archive/2009/06/elizabeth-warren-and-the-terrible-horrible-no-good-very-bad-utterly-misleading-bankruptcy-study/18826/) and this (http://www.theatlantic.com/business/archive/2009/06/why-warrens-new-bankruptcy-study-is-so-bad/18834/).

And this makes a news story? must be more than a couple of dozen , I guess, so how many would that be , precisely?

Easy - the media wants us to be angry at our health system.

Re: Not so fast...

From: [identity profile] badlydrawnjeff.livejournal.com - Date: 3/6/10 11:36 (UTC) - Expand

Re: Not so fast...

From: [identity profile] badlydrawnjeff.livejournal.com - Date: 3/6/10 16:56 (UTC) - Expand

Re: Not so fast...

From: [identity profile] badlydrawnjeff.livejournal.com - Date: 3/6/10 18:40 (UTC) - Expand

Re: Not so fast...

From: [identity profile] badlydrawnjeff.livejournal.com - Date: 3/6/10 21:11 (UTC) - Expand

Re: Not so fast...

Date: 2/6/10 23:10 (UTC)
From: [identity profile] badlydrawnjeff.livejournal.com
Your numbers are old, but yup, you've generally got the information I'm working off of.

Re: Not so fast...

Date: 2/6/10 12:57 (UTC)
From: [identity profile] policraticus.livejournal.com
babies are usually born at the end of 9 months , and there is a reason for that - it's harder to survive if you are born prematurely.

In addition to our system's aggressive treatment of premature infants, many doctors in the US are unwilling to let a mother come to full term if she shows signs of diabetes, or of some other serious complications, like a breach presentation. They will induce labor a few weeks early both to relieve the pressure on the mother's health and to allow them to better control the infant's health. This counts toward "premature" births, even though the child is fully formed. The US also has very high rates of Caesarian section delivery, mostly due to concerns for the mother and child, some well founded, some not so much. A lot of people in the US think this is a perverse reaction to our tort law, doctors will practice "defensive" medicine to avoid malpractice suits. On the other hand, if the Caesarian option had been available to my mother in the 1960's not only would I have been C-section birth but my older sister wouldn't have died during her delivery four years before.

Re: Not so fast...

Date: 1/6/10 15:44 (UTC)
From: [identity profile] torpidai.livejournal.com
However, could you do me the links on cancer cure rates - the USA leads in this field, mainly due to a policy of rigourous early screening. Every country ought to b e doing this too, and we would certainly do well to emulate American practice in this area.

Remind me once more why exactly Blighty screens every womans breasts (Within age and risk limits of course) when in all reality they benefit little more than if they were better educated to examine themselves regularly and go to the quack if they feel lumps/pain/problems??? yet again it's Political BS, "We are doing this for YOU", remove it, very few would die, lots of votes would be lost, lots of money would be saved, replace it with education needed, lives and money could be saved, but your votes would still be gone!

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