Reply to post: Re: Sorta - Stalinist?

Which country has 2nd largest social welfare system in the world?

Rampant Spaniel

Re: Sorta - Stalinist?

--Any country that does not feed, educate and look after the health of all its people, good or bad, is a failed state in this day and age. It is no surprise that home grown terrorism or susceptibility to radicalisation is a worry in such a country.


The health system here has many flaws, the per capita spending is roughly 3x that of the UK for not much better treatment (comparing experience of two births, one in each country and various other trips to ER for parent related stuff). The litigious nature of society here will play a part, sadly it's always the doctors fault if you don't make a complete recover and there's always some winnet freshly clipped from satans arse to take your case for you and ensure someone is to blame (for a 40% cut). The drugs angle is interesting, there's no single purchasing organisation here like NICE in the UK and I get the feeling that the USA pays a premium on drugs compared to these other countries as whilst they are sold at a profit on the cost of manufacture I think the R&D costs are largely shouldered by countries with large private insurance systems and no central purchasing.

Health insurance costs are frankly insane, mine, for me alone, runs around $600 a month. I'm perfectly fit and healthy, haven't been ill in probably 15 years now. Don't smoke, don't drink, no obesity, no genetic issues etc, work in the open air on an organic farm, yet my premiums pay for people who are less responsible with their health and have near unlimited access to an incredibly expensive 'take a pill' system. Right now there's loads of commercials for this diabetes drug with staggering list of side effects (I love how they say red coloured urine, not pissing blood) when we have a cure for type 2 diabetes that doesn't use drugs and some promising work on curing type 1. There's no incentive to prevent illness or steer people towards anything other than the latest fad pill and 20 different pills to deal with the side effects.

Copays are also dubious, I understand the concept of using them as a method of controlling use but they get high and frequently cover far more as a percentage of the actual cost than they would have you believe.

I'd be curious to see the difference between the amounts of work done, i.e. does higher gunshot injuries and car crashes significantly increase the total cost of healthcare between the usa and uk?

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