inGame footage of various games. In the future I hope to add reviews. ^_^

While some conservatives claim that Obama wants to kill your granny I hesitate to accept that as Obamas sole reason for pushing the health care reform.

From the private insurers point of view it makes perfect sense to oppose the reform ... if they didn't, they'd face an immense decline in profits if either the government option provides better care or if regulations bar insurers from avoiding costs by their current methods.

But it's a bit too simplicistic to merely claim that one party acts out of altruism (or a loathing of old ladies) and the other out of greed.

So, what do you think are the driving motives in this dispute ?

(Note that I don't ask you what you think is the better solution.)

 

Pro (Motives of the health care reform advocates):

  • The Believe that health care is a right, not a privilege (file under altruism).
  • Desire for more government control.
  • An excuse to raise taxes (no one wants to pay more taxes without a good reason).
  • Desperation (they can't get private insurance and hope for the public option).

Con (Motives of the health care reform opponents):

  • Greed / seeking profits (Insurance companies will lose money if forced to provide care to sick)
  • Selfishness ("Why should I pay for your surgery?").
  • Government shouldn't do health care because they are incompetent ().
  • Poor people should die sooner than later.
  • It is not clear how the reform can be financed.
  • A deal with drug companies prohibiting the government to negotiate drug prices can't lower costs.

 

Two key issues that make the health care reform necessary in the eyes of the proponents are quailty and cost.

Quality has been discussed to death and information (and misinformation) is freely available.

Cost is harder to estimate - one simply can't understand what estimated costs of trillions of dollars over decades means for your paycheck. So I started a different thread where I want to compare the personal average cost of health care in different countries.

The personal Cost of Health Care - An international comparison

For example: German average gross income is about €2,500. After deductions (including health insurance) a single person without kids gets to keep about €1,500.

And what can germans do with that money in germany? Why, buy beer, of course. €1,500 get you 1,200 litre of high quality Pilsener beer - twice as much if you don't care about quality and go for the cheap labels.

Health care costs: €185 per month (currently $264)

 

Cheers!


Comments (Page 15)
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on Aug 21, 2009

edit: either way, I never claimed to be an 'average conservative.'  I don't know what point you are trying to make by continually saying that the people posting here against HR3200 and the idea of a public option are "the fringe".
My point is that an argument about the virtues of paying to help other people isn't necessarily productive if you're trying to promote actual change. Not that a post on the demigod forums is going to change the world, but take last night for example. I get insurance from Blue Cross Blue Shield and they paid for a number of focus groups to gauge opinions on health care reform.

My group clearly wasn't indicative of the entire political perspective, but I did find the objectivist everyone-fend-for-themselves perspective conspicuously absent. The thing most people were concerned about wasn't abstractly ideological, it was practical. Can we actually afford to provide health care to everyone? Will a public option actually bankrupt the insurance companies? Can the government run a health care plan?

Only one guy out of 13 said that under no circumstances did he want to have to pay for his neighbor's cancer treatment, and he was clearly befuddled when I pointed out that the whole concept of private insurance is to pay into a pot from which people who have emergencies can draw, so the private system already does entail paying for other people's illnesses, or them paying for yours depending on what hand you draw in life. The important part was that all other twelve people expressed disagreement with his 'fuck everyone else' opinion. Everyone in that room seemed to believe in the moral imperative to provide at least basic health care.

So if I were a politician opposing health care I would most certainly not dig up the arguments presented on this forum. I would not quote Rand or Ron Paul. The conversation has its own merits, but I just wanted to point out that I think it's largely tangential with respect to the national debate.

on Aug 21, 2009

Primal Zed
@ Aroddo

If a person felt the moral obligation to provide goods and services to the less fortunate, there are plenty of avenues available for this that are not controlled by the government.  People being morally obliged to aid others has absolutely nothing to do with whether or not such aid is a 'right' to those who cannot provide it for themselves.

In short, it should not be up to the government to force the people into performing health/moral/good behavior - it should be to protect the rights of the people.  A basic human right cannot be something that another must provide.

You guys are taking this Christian thing too far. I think Aroddo is mostly pointing out how a predominantly Christian nation doesn't uphold Christian values in certain cases.

The notion that the United States can't force people to give to charity in the form of taxes is to ignore any form of foreign aid. Did you know that the Bush administration sent aid to Africa with your tax dollars?

 

Primal Zed

You do know that many conservatives, including pre-policitian Ronald Reagan, opposed Medicare when it was first instated? http://www.youtube.com/watch?v=fRdLpem-AAs

This is an argument that Jon Stewart used in his interview with McCaughey. Medicare obviously didn't turn America socialist and seniors are the happiest with their health care in the United States, so why should this current bill, whose aim is to provide a public option, be shot down?

on Aug 21, 2009

cuckaroucha

The notion that the United States can't force people to give to charity in the form of taxes is to ignore any form of foreign aid. Did you know that the Bush administration sent aid to Africa with your tax dollars?

 

To assume that foreign aid is selfless charity is to be ignorant of the persuit of international self-interest. See: The Marshall Plan.

on Aug 21, 2009

To assume that foreign aid is selfless charity is to be ignorant of the persuit of international self-interest. See: The Marshall Plan.
Food stamps, unemployment insurance, etc. can all be viewed as domestic investments, I view health care that way too.

on Aug 21, 2009

Obscenitor

Food stamps, unemployment insurance, etc. can all be viewed as domestic investments, I view health care that way too.

We are talking an entirely different magnitude of cost. Food stamps are issued to a small minority of the population, and even so, many Americans disagree with their existence. Additionally, unemployment insurance is similar in concept to social security: we pay into our own accounts as part of our federal income tax. Public health insurance will not use the same conceptual 1:1 revenue model. With a projected 10-year deficit now at $9 trillion, how exactly will increased taxation and new federal spending offer any hope to our young generations?

on Aug 21, 2009

Melchiz

To assume that foreign aid is selfless charity is to be ignorant of the persuit of international self-interest. See: The Marshall Plan.

so having a healthy workforce isn't in pursuit of domestic self-interest?

on Aug 21, 2009

cuckaroucha

so having a healthy workforce isn't in pursuit of domestic self-interest?

I wasn't aware that the American workforce was stricken by some sort of plague as of late.

on Aug 21, 2009

Melchiz
I wasn't aware that the American workforce was stricken by some sort of plague as of late.

You're avoiding the point. My point was that if, as you say, the government pursues its goals in pursuit of self interest, why isn't it actively pushing for a healthier public?

And by the way, we have more of most diseases than other Western countries. I don't have the statistics right next to me, I think it was from the BBC though.

EDIT: nevermind, it's from the Journal of the AMA: (emphasis mine)

"The US population in late middle age is less healthy than the equivalent British population for diabetes, hypertension, heart disease, myocardial infarction, stroke, lung disease, and cancer. Within each country, there exists a pronounced negative socioeconomic status (SES) gradient with self-reported disease so that health disparities are largest at the bottom of the education or income variants of the SES hierarchy. This conclusion is generally robust to control for a standard set of behavioral risk factors, including smoking, overweight, obesity, and alcohol drinking, which explain very little of these health differences… Level differences between countries are sufficiently large that individuals in the top of the education and income strata in the United States have comparable rates of diabetes and heart disease as those in the bottom of the income and education strata in England." (See also Table 1 - for example, prevalence of diabetes among high-income Americans is 8.2 per thousand, while it's 7.3 among low-income Brits.) Banks, Marmot et al., "Disease and Disadvantage in the United States and in England," Journal of the American Medical Association, 2006;295:2037-2045.

on Aug 21, 2009

I'm just going to ignore this whole good Christian crap.  If you haven't read the bible, don't bother telling someone else what it says.  Christians that haven't read it should follow the same philosophy.

 

At the beginning of the Part 1 at the top, Stewart reads the controversial passage, lets McCaughey respond, and then says she has it completely misinterpreted. After relistening to the passage (Stewart reads it a little fast) I realized that McCaughy interpretation is fairly unrelated. The passage relates to the secretary's relation to the data of measures such as "orders and adherence to life-sustaining measures."

How can she then talk about forcing doctors to put pressure on patients? What?

 

Your analysis would have a point.  However, massive government beaurocracies that directly and indirectly deprive you of guaranteed rights have been pulled from thin air out of a single line in the Constitution.  The commerce clause says quite simply that Congress is empowered to make trade regular.  That means they have the authority to prevent tarrifs, perhaps improve interstate infrastructure.  Free and fair.  Instead, incandescent lightbulbs have been banned.

 

The second amendment says that the right to bear arms shall not be infringed, a license requirement with restrictions to access is infringement.  A ban on carrying in banks and bars is an infringement.  A ban on carrying concealed is an infringement.  A ban on carrying openly is an infringement.  They couldn't have known what would come to pass, but according to the constitution, I should be able to buy a nuclear warhead and there's not a damn thing the government could do.  Instead, there are numerous infringements from top to bottom.

 

The commerce clause backs so many things it clearly doesn't provide for, and a clear cut right to be a lunatic with a machine gun walking past the White House flat doesn't exist.  Is it blatant sensationalism or something lawyers have told the poor bastard they could get away with in our current legal morass?  I can think of plenty of bigger stretches than that, ones with Supreme Court rulings giving them the official stamp.

 

Edit:  Cuca... er... fuck, I already forgot how to spell it.  Whatever your name is, sorry.

 

Those are all life style attributed diseases.  Dietary choices, drug use, and state of activity.  If we ate, drank, smoked and exercised like the brits, we'd have similar symptoms to go with our choice.  You are vouching for a dictatorial government that tells you how to live if you want the government to fix the results of your lifestyle.

on Aug 21, 2009

Someone is seriously quoting JAMA in a political discussion? It's not like the AMA has a political agenda, right? And it has nothing to do with the majority of physicians in the US, either, or the AMA would be pushing harder for tort reform. If you want less BS, consult the American College of Surgeons or other specialist-based agencies.

on Aug 22, 2009

Those are all life style attributed diseases.  Dietary choices, drug use, and state of activity.  If we ate, drank, smoked and exercised like the brits, we'd have similar symptoms to go with our choice.  You are vouching for a dictatorial government that tells you how to live if you want the government to fix the results of your lifestyle.
I understand the fear, but private insurers are already charging smokers extra, giving or covering memberships to gyms, and trying to force other lifestyle choices on you via pricing. I honestly believe that we have more power to beat back the government with elections than we do corporations with dollar voting, especially since many people won't rise to your defense and cancel their subscriptions just because you don't want to be punished for leading a lifestyle that hits their pocket book.

Also while it wouldn't be easy to get rid of it completely, any plan that were put into place could and would still be as subject to change according to public opinion as anything else is. I know that probably isn't too comforting, but public outcry has curtailed a fair number of military projects and operations.

on Aug 22, 2009

Here's a con you can add to the list that came up in the other thread.

The reason proponents support health care reform is so that they can sneak in legislation that will allow underage women to receive abortions without parental approval paid for by the taxpayer. You can file this under paranoid delusions.

on Aug 22, 2009

If I can't afford my insurance because I'm a fat, sedintary slob that smokes two packs a day, the solution is to get off my ass, cut down on the donuts, and stop smoking.  The solution is not to force everyone else to pay for my lack of discipline.  After you force everyone else to pay for it whether they want to or not, there are only two ways to control costs.  Let me die, or force me to behave.  There is no third option unless you want to do exactly what the private sector already does.  Charge me more for my being a lardass with lung cancer and heart disease by 50.

 

Edit:  Mumble, you're a tard.  We already have tax dollars going towards under age abortions without consent.  Planned Parenthood currently recieves quite a bit of public funding, and they've been caught numerous times doing just that.  The only paranoid delusion here is the one where you pretend you have a clue and we're just out to get you.

on Aug 22, 2009

Mumblefratz
Here's a con you can add to the list that came up in the other thread.

The reason proponents support health care reform is so that they can sneak in legislation that will allow underage women to receive abortions without parental approval paid for by the taxpayer. You can file this under paranoid delusions.

Oh look at you, trying to spread this around in multiple threads in order to tar your opponents with views they may or may not hold. Bad boy!

on Aug 22, 2009

There's multiple differences between the United States Constitution and a Health Care bill.

  1. The health care bill is longer.
  2. The constitution was written over 200 years before the health care bill.

let's look at number one. The constitution covers more topics with less page space. Of course it's not going to include every single detail about how the government is supposed to be run, that's why it delegates the powers out to the legislative, executive, and judicial bodies. On the other hand, bill by congress is supposed to be a lot more specific. That's why it's over 1,000 pages long.

As for number two, opinions and interpretations change over time. The jucial branch essentially exists to interpret the constitution, and obviously interpretations are going to change just as guns transform from muzzle loaded muskets to something you can conceal in your pocket.

 

And finally, the point that McCaughey makes is completely unrelated.

Stewart (reading):IN GENERAL- For purposes of reporting data on quality measures for covered professional services furnished during 2011 and any subsequent year, to the extent that measures are available, the Secretary shall include quality measures on end of life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life-sustaining treatment.

McCaughey: Putting pressure on doctors to require patients to go through a consultation that's prescribed by the government, and then penalizing them if the patient or family changes their mind about their living will in a moment of crisis, that's really wrong.

Stewart: That would be really wrong if that was in any way what this really said.

 

the reporting data is known as PQRI. A blogger who's a physician puts it best: (emphasis mine)

"Medicare has a program called PQRI in which they collect data on quality of care and reimburse physicians who track these measures (many physicians, myself included, believe this really means that we will only be given full payment for tracking PQRI). For example, if I track data on whether my diabetics are offered certain tests, have their blood pressure checked, etc., I get a bonus payment (supposedly). At this point, I don't get penalized for bad blood pressures, or rewarded for good ones. The only reward is in the tracking."

 

the blog entry: http://scienceblogs.com/whitecoatunderground/2009/08/stewart_v_mccaughey---more_to.php?utm_source=sbhomepage&utm_medium=link&utm_content=channellink

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