Quote from trefoil:
A little reason in the midst of the usual libertarian nuttiness:
Saying it's not a right doesn't really mean anything.
Correct. It means absolutely nothing in the face of a government which constantly stomps on the constitution that limits its power. But, saying that healthcare (or any good) is a right is equally meaningless because saying it doesn't make it so.
Quote from trefoil:
Electricity isn't a right, but it is highly regulated, because in a modern society it's a necessity.
That sentence makes as much sense as any random collection of words. Electricity is not a necessity for survival and your arbitrary declaration that it is does not make it so.
Besides that, it is not regulated because it is deemed to be a necessity and regulation and socialized medicine have absolutely nothing to do with each other.
No wonder Thunderass loves your comment so much. You make less sense than he does.
Quote from trefoil:
EDitto for water and heat.
Also not provided by via single-payer system and completely irrelevant to the discussion.
Quote from trefoil:
Other things are treated by society as a public good: roads, police, and fire protection, all of which were, at one time, private enterprises.
Great. Let's take your logic to its final conclusion: if everything can be seen as a public good, why not start treating EVERYTHING as a public good and make the government provide EVERYTHING. We did that in Russia and it worked so well.
Quote from trefoil:
Arguing that it should be that way again will get you nowhere, because it simply isn't going to happen.
Where on this thread did you see anyone argue for a private police force? Mowing down straw men is sort of fruitless.
Quote from trefoil:
Healthcare in every other industrialized country is treated as a public good.
Yes. They pay huge sums for the shittiest health service on earth. I've sampled several European countries and you wouldn't be able to recognize what passes for healthcare in most European countries and Canada. ALL European countries are moving toward privatization but when you combine both public and private expenditures, they pay more and get less. Their healtchare costs are also skyrocketing and the health services are responding by cutting service. However, they are also not as fat as Americans and that Obesity problem is a huge driver for healthcare costs. So, we can expect to be worse off.
Quote from trefoil:
From a financial POV, it makes the most sense by a wide margin, because of the economies of scale involved in covering everyone, so cherry-picking healthy folk isn't a problem.
Any economies of scale and the elimination of adverse selection (which exists in ALL forms insurance including fire, life, etc. and they somehow manage to get on) would be vastly outweighed by the over-use problem, which tends to happen when there is no incremental cost to the user. The solution? Rationing. So, the promise of single payer - access - is the first thing to go under single payer.
Quote from trefoil:
The current USA system, such as it is, is socialism for the covered corporate/government employee, and a free market for small business workers and owners and self-employed people. The result, of course, is that small business folks and self-employed people massively subsidize corporate and government employees. The result of that is that most sane people with an economic choice decide to work for large corporations or the government.
This is the least optimal outcome. You want a system where people make a choice to start a business or be an employee based on their inclinations and abilities. What you have is a system where large numbers of the most intelligent and able wind up working for years for other people, and only strike out on their own when they know they won't endanger the lives, quite literally, of themselves or their family by exposing them to the dysfunctional "market" for healthcare the USA has, which is rife with cherry-picking.
The solution to this problem is to treat healthcare as a public good. A mixed socialist/free market "system" - really a mess - is the worst possible choice, but it's the choice the US has fallen into, by historical happenstance.
It's completely indefensible. It delivers the worst care at the highest price.
The hold conclusion and analysis is a hot mess. Health insurance didn't stop me from leaving the I-bank and starting my own company. I got insurance right away. Never stopped anyone I know from starting their own business.
The problem is that there IS no market for health care. States mandates raise the cost of insurance by limiting choice. This means that if in NY you want just catastrophic coverage, you can't get it. State by state regulation means that moving from one state to another constitutes a break in coverage and a circumstance to deny further insurance for that arbitrary reason. The system is so screwed up because it already operates VERY much like socialized medicine and every single one of these screwed up, cost raising, coverage denying measures is made possible by the very government that you want to entrust to provide you and your family with better healthcare. I can only laugh - but that's only because I can afford to buy my medical care privately and the majority of you guys screaming for socialized medicine can't.