Hint: single-payer won’t fix America’s health care spending.
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Americans don't drive up the price by consuming more health care. They don't visit the doctor more than other developed countries:
But the price we pay for that visit - for a procedure - it costs way more:
The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US.
That's because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans.
There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription.
Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price.
For more health care policy content, check out The Impact, a podcast about the human consequences of policy-making.
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This video is very wrong. Single payer system actually made it more expensive for those countries...The price to visit doctors for these countries was already very low before any single payer system was introduced. It's like if you paid $10 average to visit doctors before public health care system was introduced, then you pay $20 average now. You can't say that it's the public health care system of those countries that makes medical expense cheap comparing to US. It was already cheaper in the first place.
We spend about the same amount as other countries on the public healthcare which for Americans only includes 65+ and poor people... The problem with America is not public vs private. The problem is insurance itself. If we saved our own money for health care and paid our own money we would seek out the places with better rates which would force competition and lower prices. We would then have to have things like co-ops to help the rare, extremely unfortunate. If we paid cash for all our care it would also cause more people to care about their health and be proactive. None of this happens because insurance dictates what care we get and how much we pay in premiums, they are also the ones setting the super high cost of the care we receive. Then when it comes time to pay they will deny care. This happens in both public insurance and private. The answer is not to make all insurance public because that has negative consequences as well. The answer is to eliminate insurance and make Americans save money from 16 years old and on. Then give them better education on their health and teach them how to take care of themselves and when to go to the correct doctor and how to look for the best rates.
The Republican Party makes its living by denigrating government and portraying the private "for profit" sector and the nebulous capitalist "market" as the miracle solution for every problem. That serves Republicans well because their political campaigns are being funded by rich capitalists and corporations who benefit from their dogma.
The trouble is capitalism and "the market" is a lie as far as being the one solution for everything. Some things are too important and/or dangerous to entrust to a profit motive. That's why we maintain a national defense force rather than hiring private armies.
Likewise, the average person doesn't understand risk management. And that's what the insurance industry is. They manage risk. And one truth about risk pools is that the larger the risk pool, the greater the overall benefit to the total population in that risk pool. Break it apart into 300 different risk pools and every one will result in an outcome that is worse than the single large pool.
If a doctor or hospital can get by charging Medicare $100 for a service, why is a private company with private insurance paying $1,000? Why is another smaller company paying $2,000? Because healthcare providers can get away with it!
And while these private insurance companies and pharmacy benefit managers (PBMs) can negotiate drug prices for hundreds of different risk pools, Medicare and Medicaid are forbidden by law from negotiating drug prices on behalf of taxpayers. Why?
Also, foreign suppliers of drugs are forbidden to sell into the US market. OK, we may not want Russian or Chinese made drugs in the US market but why wouldn't we want Canada, Germany, the UK, France, Australia, Japan, or South Korea to participate in our prescription drug market? Why is a free market and capitalism bad in this case? Because US drug companies have paid off Congress to make this a monopoly.
And that's the real reason US healthcare is so expensive. Special interests have a vested interest in limiting competition and buying power in the marketplace and they have the money to bribe Congress to keep healthcare in the US a rigged game that benefits them.
The real problem is the price of drugs. Pharmaceutical companies here in the US have monopolies that don't exist elsewhere. For example, an Epipen costs $600 without insurance here in the US. The same drug costs $48 in Spain without insurance (for a tourist for example).
Had to stay at the hospital for a week, and a friend who was studying to be a doctor came to visit. Lunch time came around and I mentioned about how terrible the food was, and why could they not do just a bit better.
“Well, they have to make money SOMEHOW” was her reply.
I told her she is brainwashed. I was having to pay $1000 per day just for laying in the hospital bed, they could definitely afford better food.
I debate wether a drive to Florida for vacation for a week is worth it, if it will cost us $700 for the trip total, for the family. And a med student telling me the hospital makes awful food because they need to scrape by somehow? Lol
I think the healthcare in this country is one of the biggest issue as well. But watching this video for a third time, it just came to me, maybe this is the reason why most of the medical advancements were made here, simply because the pharmaceuticals have resources and intention to renovate?
We're going to ignore better cancr survival rates and such as usual? Or the medical advancements we've had? Or the fact that government regulation here also influences those prices? And, no we don't know the government can do it cheaper or better, you just want to also ignore the countries where socialized medicine has begun to gobble up ever increasing portions of budgets. Oh, and no actual explanation beyond the usual, "Capitalism bad, Socialism good" we usually get from Vox.
The reason that private insurance is so high in the United states is because it is not fully free market. If you dont believe me look into how many laws their are that regulate health insurance and healthcare in the United states. That and the fact that private and socialized healthcare prices spiked after the affordable health care act was passed. So yea..... healthcare in America is expensive because doctors need to higher lawyers to keep the government at bay. (And FYI I know I am a biased source in this case because my mother would have likely died 2 years ago if we lived in a country with socialized healthcare, because the surgery that removed a tumor from her body was declared elective, so in a socialized healthcare system we couldn't have gotten it done)
Why do socialists keep doing this?
"Why is the free market so bad at controlling the cost of health care in the United States?"
"All that money they make, that becomes political power. And after years and years and years of overpaying, those are huge industries now, and they have a lot influence in congress."
Bruh, that's not a free-market. The U.S. healthcare system _is not a free market._ Stop lying to people. Stop literally making things up.
We have 2 times as many people as Germany or Britain. Do you all realize that's why America spends twice as much as other countries Germany's population 82 million America's population is 132 million. I think I made my point
The very first point he made, The US government pays about the same amount (% of GDP) to cover about HALF the health care in America as other nations do to cover all the people in their countries. The brain trust at Vox is astounding. The argument is only good if you can't do math. The fact that this is the lead in and they feel it's the best way to show the government run health care is better, which he goes on to explain just shows how intellectually dishonest or blissfully ignorant the people making the video are.
Just as an example, there is a stat that if people put the money into government treasury bonds instead of Social Security (equal to just the retirement benefit portion of social security, so no other SS benefits would be affected), they would receive a .5% increased interest rate as a return (which translates to almost a 50% higher return on investment). To expect the government to be less inefficient that this would be incredible. So yes, they do often, even usually get the lowest prices from providers, but they lose all of that and more in increased bureaucracy costs.
I'm not opposed to universal health care, government already pays for about half the health care in this country. It's not a silver bullet for the cost of heath care. People should expect universal healthcare to be more expensive and/or worse care though. It might be the worst solution except all of the others.
An incomplete comparison. Our speed of service is insanely faster, hip replacement in weeks not months. Those who can afford it in the single payer systems mentioned, purchase supplements to bring their quality of service up toward ours, not superior to. We don’t have committees deciding who gets care and who doesn’t, except in the public sector (VA, Medicare). He’s mostly right on why our cost are higher, but totally wrong on the fix.
United States subsidized the world there for United States citizens get stuck with high cost of health care.The government of the United States is over health care but because of big business lobbying our government United States citizens can't afford health care.I say let the world pay the same and our health care would come down. Just like our tax money goes to college but yet American taxpayers still foot the bill for big tuition.
It seems clear that a big part of why America's Healthcare is so expensive is because many of us have to pay twice. As an illustration of the broken arm, you pay once for your broken arm and a second time for somebody else's broken arm. Countries that have socialized Healthcare just get hit hard with tax money, but don't have to worry so much about money out of pocket when they utilize Healthcare. In America unless you're of very low income, retired, or a government worker, you pay for your health care, or insurance, and then you pay through tax money to fund all those Co. Have health insurance, or those with government subsidized insurance. If they would leave the government subsidies out of the market, we would only have to pay once. This would reduce our individual costs, but would also reduce the growth and inflation of healthcare costs because Uncle Sam is paying for it (with my money).
Saying that uninsured people pay a lot more is not necessarily true. Often and uninsured person that's paying cash can actually get a discount. Especially if they negotiate up front. I've heard of places that will charge a person paying cash half or less what would be charged to an insurance company.
Being a consumer and negotiating or selecting Medical Care based on cost would work fine if it was left alone, without government intervention. One of the big areas where consumerism actually makes a huge difference in healthcare is when people have the options of health savings accounts and getting rewarded for minimizing their health Care spending. When programs like this have been allowed, they have shown 30 to 40% reduction in healthcare insurance and cost for the individual. When the cost is irrelevant because either your insurance, Medicare, or the taxpayer is picking up your tab oh, you think nothing of going to the emergency room to get treatment, instead of making an appointment with your doctor's office to have him check to see if you've got the flu. If I'm not paying the bill why should I care if it's $2,000 instead of $200?
Anyone who has worked in health care would KNOW that there is NO free-market in private health care or private insurance; the amount of regulation in this market raises the problem to the level of fascism.
Eh... The US healthcare system is not capitalist. Neither has it been before Obama. Capitalism is a system in which private participants decide how goods (or means of production) will be distributed across the economy by engaging in countless free transactions.
Socialism on the other hand is a system where the government makes these decision. Now... There are 2 basic types of socialism (that competed heavily in the first half of the 20th century):
a) Communism (bolshevik idea of socialism) - The government controls the distribution of means of production because it owns them
b) Fascism (originally national socialism) - The governmet doesn't own the means of production but tells their owners what they can and cannot do. And eventually always supports cartels who want to gain different kinds of priviliges.
If you want to say the US system is worse than most systems, then so be it. Just bear in mind, you're not saying capitalism works worse for healthcare than socialism. You're saying fascism works worse than communism.
A more insightful comparison would be: How did healthcare cost increase (or fall) for countries which nationalised medicine vs those who made it fascist.
As a Brit, living in France I can say categorically PRIVATE HEALTH CARE IS THE ONLY WAY FORWARD!
I've needed the NHS twice in the last 3 years, neither time would they help. I was unable to walk but I wasn't an arterial blood splurting cancer patient expecting death in 9 minutes - Basically I wasn't sick enough, so had to go Private, both times. £800, brilliant. Way more than health insurance!
Plus I've been to a US Hospital (only 1 I admit) and it was like a health spa compared to the UK.
France has nice heathcare but tax is enormous, so to think it's cheaper is just being a dumbass.
Thanks lefty Vox, you've confirmed my beliefs that going the fully Bernie Sanders on healthcare (or any issue really) is stupidity itself.
Universal / Quality / Affordable - You can have 2 out of 3 when it comes to Healthcare.
If you say Universal it MUST be Governement based.
But I optt for Quality and Affordable.
nice video, and i get your point i really do. but my main question is this, what happens when we dont have anymore doctors? what happens when no one wants to be a doctor anymore? the government steps in and drops healthcare costs, great, but then 20 years from now we face a shortage of doctors. why? well lets be honest, no one wants to go to school for 8 years to make the same amount of money as someone who goes for 4 years. whole get and to an extent, agree with your point, you need to think about the WHOLE PICTURE. doing this is going to drive the people and innovation away from the medical field. not to mention the taxes, which, conveniently were not covered in this video, that the countries with socialized medicine pays. they're tax rates are ridiculous compared to ours. they have to pay for the medical insurance someway. it comes from us, the people, it'll come out as taxes and the taxes will be more because now your paying for the healthcare of 315 million people in your country.
aj barnard doctors will be some of the first to go when automation gets in there. Garbage collectors will be some of the last(the garbage trucks go so slow the people in this brave new world might use them for transportation, so they will continue to have drivers.).
The US has become a ridiculous country, in almost every way: no safety, no gun control, no universal medical, huge wealth gap, bad public service, bad infrastructure, high tax for huge military... you name it. Founding fathers lives in 18century when America was an immigrant ghetto, do people really want that?
not a fan of gov. controlled health care. not a fan of our current system either. I have used the VA health system. (government run) and was horrified at the mistakes. I was stung by a bee which I found out I was allergic to. I went to an ER for life-saving treatment. But the VA would not help with the bills. I didn't ask permission beforehand. I was told that it takes 24 hours to process a request for a non-VA hospital visit. So by the government-run health care thinking, I needed to die waiting for permission to get help. Now with that being said. We need a better system, we need a system built by people who are going to use it. not the Politicians who have health care that is the best in the country, who don't pay bills and don't have to wait to be seen.
Why doesn't anything ever get done about it though?! Healthcare in the US just keeps getting worse, and worse, and worse... It's the biggest scam in all of the world and yet nothing ever changes to help fix it and reverse it?!?! I thought the people, meaning the citizens, had the power???? And I don't mean the top 1%. Obviously the US healthcare system favors the millionaires & billionaires just like everything else in the US benefits them. I don't get it... why do people just accept it?!
American healthcare system needs serious reform; its simply inhumane to see so many working class/hard working Americans (and non- Americans) pay exorbitant amounts of money and become bankrupt. Personally, I am happier in the UK.
I think it is great that America pays so much for health care, makes it free for everyone else in the world. The real kicker is that the USA probably has the worst doctors and medical staff, medical errors 3rd leading cause of death in USA. Ha Ha Ha Ha Ha Ha
Please read Chapter 9 of Book 1 of 'The Wealth of Nations' titled 'Of the Profits of Stock.'
In a free market, competition will drive down prices, which will reduce the profits of stock (net revenue of the company).
The only way to counter this and allow for an increase in profits are to lobby for an enormous number of regulations which will allow for the creation of monopolies, no competition/free market. So yes, USA is just for profit, because it lacks free market and little regulation (in the health industry).
It is precisely Keynesianism that allows for greater profit.
You have been enlightened by the Scotsman.
2 things. Healthcare here economically will not work and it's not morally right. And thanks to Obama's health care act deductibles have risen tremendously. And at least here if you have a good job you can afford healthcare and don't have to wait. In Canada for example you're more likely to die from cancer or a disease than the us because of the extended wait times. And 2 why should I (someone who worked hard and got a good paying job) have to get less of my money because of high taxes to pay for healthcare of someone who slacked off and got a gender studies degree and cant find a job. And another reason why it won't work here is because the us has to spend a large sum of money on our military to protect the peace of the rest of the world and having single payer health care will add around 30 trillion dollars to our national debt
Germany has also a "splittet" system with "private" insurances and "public" once, you are forced to have an insurance - but the private ones only accept people earning above 50k€ before taxes, freelancers or officials - then you mostly pay less and get better service. These private insurances make their own deals with the providers - but as they only pick "the good part" of the pie they don't care. The public providers have such list called "Leistungskatalog". But is it hard to get new drugs or devices into this list - my son is diabetic and i had to fight a'lot for a solution "near" to CGM (Abbott Freestyle Libre). If you are employee your boss pays ca 7% and you pay also 7% of your salary before taxes, kids and married partners are covered by your insurance - the private ones charges you extra for your family. Once you go to the private ones it is hard to get back.
+Alan Roberts not a total suicide attempt. I thought god might be telling me not to eat because if I did I would die (I know its wild) so I thought god was testing me. I didnt wanna die but I thought either way I would die. So I wanted to do "the right thing" but yeah thats what happened. And the U.S. hospital I was in locked me up and also abused me and I was still stuck with a 10,000 bill
The real reason Medical treatment in the States is so expensive?1. Malpractice insurance that doctors are required to carry is expensive and rises in cost every year.2. Part of your hospital bill goes to cover the costs of those that cannot or will not pay their own medical expenses, such as homeless or the poor. Everyone gets the same level of care despite their ability to pay.3. There is no standard costs for procedures from one hospital to the next.4. Whatever the cost of treatment, the insurance company simply pays without negotiating cost with the hospital. Cost overruns are simply passed off to the patient through premium hikes and copay increases.Didn't Vox send producers out to Trump rallies during the 2016 campaign to coach antifa goons on assaulting Trump supporters?Yes! Yes they did! Does the name Emmett Rensin ring a bell?
Something I'd like to add - I don't like controling industries but our medical companies charge ridiculous amounts for a lot of medicaments. Its really outrages ( production cost and reasearch are obviouly ok but making millions of people who are dying without your medicament, thats and I have to say it like that inhuman and should be restricted in every possible way ), if you read this just google the issue and you'll find all informations you'll need to understand why I am so upset about this.
Think about this: In order for a medical company to get money, there have to be people who are sick, injured or dying. Capitalism is generally about maximizing profit, so it actually makes financial sense for the medical industry to serve those whose medical condition is most dire and treatments are the most expensive. Preventative medicine actually is anti-capitalistic. We've reached a point where this economic model has created a system where companies are profiting off suffering, and somehow are wondering why healthcare costs are rising?
I am an epileptic living in Australia. One of my drugs is not used in the US because it is too expensive. People are using drugs that are not used anywhere else because they are old and not effective but still used in the US because they are cheap. My drugs cost $5 US and when I have taken 60 scripts they are free. I also broke both arms having a seizure and spent 6 weeks in hospital which cost me the price of a newspaper to read each day. Catch up with the world USA.
Ask a USA doctor or a USA hospital admin if we should go into a one payment system and they would s#!@ their pants. Doctors will give you the BS... "I've put in my time...I've done the Doctors w/ borders...my med school loans are a lot", yet they don't think they are a contributing factor into the cost of medical care skyrocketing. Look at the first part of the video, the pvt cost is just as high as the govt cost.
The logic in this video is abhorrent.
A: Almost 70% of the US is on a private insurance program. So yes, a lot of the money being spent is going to be by private insurance. There is no logical connection to saying that this is the driver of prices. The other countries have full socialized healthcare, so naturally there is going to be little private sector spending. THERE IS NO CONNECTION MADE THAT SAYS THAT THE PRIVATE SECTOR SPENDING IS MAKING PRICES HIGH.
B: Acting as though the free market is failing us now is assuming that the market for healthcare is truly free which it emphatically is not. There is an absurd number of rules around how, where, and what healthcare operators and providers cover, so much so that there is little true competition among them to drive down prices meaningfully. Removing many of these regulations would allow for true competition, forcing prices down. If we maintained the current level of government spending, we could have a more than adequate safety net for those truly in trouble, and be able to offer free coverage to a far greater portion of the population.
You are mistaken. Single payer health mean single payer healthcare plans, whereby all receiving care are paying for the care. It means that there are no freeloading parasites who do not pay into the plan and receive their benefits for free. Those people receive support through charity and not government enforced entitlement. Hope this helps.
Conscientious American citizens in general hold off on having children until they can provide for them. This doesn't seem to be the case with many immigrants. And with the cost of living going up due to the welfare hand-outs paid to immigrants with large families, these conscientious Americans are being penalized for being conscientious, and not being able to afford having children. Parents, communities, counties, states, governments are responsible for the welfare of their OWN children. It is ludicrous and ridiculous (not to mention economic suicide), to expect one country to provide for the whole of humanity.
My story is like so many others. This August, I had an accident and broke 8 bones in my left leg and arm. It was the worst pain I had ever experienced but the majority of my focus was on how I would be financially crippled for life. In moments of crises; those awful moments that you can’t predict but that rock your whole world, you need to be giving all of your attention to getting better. Instead I found myself wrought with anxiety and dread, thinking of the bills I would be unable to pay and how they would destroy my future.
I later learned that the bill for my surgery would be $123,000. For the insurance company, with their contracts, it would be $13,000.
Something is wrong here. And now that I’ve lived through it I see just how bad the system really is.
0:19 You see how MUCH money MEdical industry and HOSPITAL have? now...WHY THEY get our DONOR BLOOD for free? I would say it would cost at least 1000$ a POP thinking that you could lose a patient otherwise meaning insurance+lawyer cost over!? what? 1 million?
The flaw in your argument is the fallacy of false equivalence. You can't compare a homogenous country like, say...Sweden with a GDP of Oklahoma, with a country of 320M like the United States. In fact, if Sweden were to become the 51st state by some miracle, it would be one of the worst states for GDP. The Swedes spend next to nothing on defense and any of their immigration issues are self inflicted meaning that they imported them voluntarily decades ago. The US has over 1M immigrants coming here LEGALLY every year and over 25M illegally currently here. When you factor in our diversity (being an MD in Anchorage vs. NYC), different economic strata, all kinds of diverse cultures and races, our military budget, our geographic size, etc. a system like that would be next to impossible. If you look at many of the national health care systems in other countries, they are consuming more and more of their respective budgets and in some cases, they are beginning to break under the weight. The final nail in the coffin for this argument is that CA and VT both tried to implement this and both gave up. If it's too pricey for CA, and they have a huge GDP, how will this be a success for the whole country? It won't.
+Dado You kept using the word, " free" in your reply, but you know nothing is free. Your programs are paid for with the monies made from capitalism. Markets fund your socialism. Without taxation, and a thriving market, you'd be Venezuela. But also keep in mind that you don't have 1M non swedish speaking immigrants coming into your country. You don't spend a lot on defense because if Russia ever got aggressive, you'd have NATO and the US to help you out. You're like children able to spend your allowance on fun things while the adults pay the mortgage.
The Gross Domestic Product per capita in Sweden was last recorded at 56935.19 US dollars in 2017. The GDP per capita of United States in 2017 was $59,792. So Sweden is close to US, but healthcare is free, college cost nothing. Young people when finishing their schooling have zero debt. If you loose your job you dont loose your house, country is helping you pay the rent, not forever, for some period only, but it help. Until you find a new job and start paying tax wich will help someone in need. And people are OK with this system.For children , classes and books at school are free, each child is provided with a child allowance. All residents of Sweden have health care, even unemployed. Been working for 15 years now, paying tax, healthcare, retirement money from my brutto income. Been twice in hospital, had two surgeries, going to dentist once a month and paying nothing. Have 30 paid vacation days per year,sick leave is paid 70 percent of wage.People are working 10 months per year and get 12 salaries, plus 13. salary- Christmas money and vacation money. This is how contry should manage budget, instead of deploying military all over the world. Comparing Sweden with Oklahoma is a insult. And yes, Sweden have zero aircraft carriers and last 200 years had zero wars. US on the other side is always in war with someone, military budget is bigger than combine budgets of 10 next big countries- Russia,China, France,UK.......... in there is money you need to make healthcare cheaper
It is a fallacy to state that we have a free market in health care. The opposite is true. It is pure corporatism, using the political means (laws and regulations) to narrow the field of competitors. When was the last time you could go to the doctor and they actually knew what they would charge for the procedure if you paid cash? (Check out LASIK if you want to see more clearly.)
Single payer system is long for Communism. Meaning a few persons will control all of healthcare for everyone. 2nd, the reason why private insurance pays more is to cover the cost of services that Medicare and Medicaid don't. Also, why do single payer systems in other countries also have private payers? Hmmm, it's because if you don't want to wait months for a doctor's visit, or don't want to hear that you've been denied a procedure by the government, you have to reach for your own pocketbook for decent medical care. Viola.
+Ace Diamonds It's always that rebuttal, isn't it? "Oh, I think this way might be better." "YOU HATE PEOPLE AND WANT THEM TO DIE." Try an actual argument rather than zealously vilifying your dissenters: http://leeconomics.com/01-Sowell-EconomicsMedicalCare.html
+Ace Diamonds Have you been looking at what Trump has done with stripping regulations? He's stripped hundreds of regulations and the economy has done way better than under Obama. The free market works because company's and hospitals will compete for customers and to provide the best prices and services.
yeah everyone pays for their own healthcare, no one has ever relied on medicare/medicaid to pay the bills. other countries have put regulations in place to keep prices low which seems to be a much better strategy than trusting the invisible hand of the free market. the government should be taking steps to fix healthcare, we should not just rip away regulations and wait for things to get better.
+Ace Diamonds I hope you realize that was the stupidest reply I've ever received. Did i ever say that stuff? The government should not mess with such things as healthcare. The government was created to operate an army and defend the states together. Also are you telling me before Obama care old people and cripples died? No, their children took care of them and those who didn't could afford healthcare because the lack of spending money on children. I don't think you understand how a free market works.
Implement Dutch healthcare system in the US NOW! It means healthcare insurance is obligatory and everyone needs to pay although not sick. If you agree on that heaven will open up for you guys! https://youtu.be/DHeZJS4K6J0
Shout out to my fellow limited government homies in the comment section. You guys are the real ones for spreading facts; while Vox is using common leftist rhetoric to pander to their audience that doesn’t care enough to fact check anything.
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