President Donald Trump - J.D. Vance Administration

What’s utopian is the very pretty picture of how this Universal system is going to work here. Especially when we actually know how it works in many other parts of the world.

No one is saying there isn’t profiteering in the system. There is.
And if you remove all profit incentive, you will eliminate the opportunity for profiteering.

But it is naive (and more than a bit utopian) to believe that by removing the profit motive you will accrue all the positives you hope for, while sidestepping any negatives that would naturally come with.
My logic is sound and articulated well on the innovation front I believe. It is not utopian as it is utilized all over the developed world and not a case study. That is not utopian. The chicken-little stance toward removing profiteering is unfounded, on the other hand.
 
Our independent don’t take BS attitude.

Sadly it’s not as prevalent anymore
Maybe so, but when it comes to how we conduct healthcare, I see a lot of fingers in the ears skipping down the street singing “La la la la, can’t hear you.” It’s enormously frustrating.
 
My logic is sound and articulated well on the innovation front I believe. It is not utopian as it is utilized all over the developed world and not a case study. That is not utopian. The chicken-little stance toward removing profiteering is unfounded, on the other hand.

The world that contributes significantly less both per capita and per gdp than we do to pharmaceutical innovation?

That’s not a good example to use
 
Quintessentially American

We’ve been saying that for 250 years. I wouldn’t have it any other way.
It is, and I kind of agree… but we haven’t survived alone.

What made Rome so successful for so long was taking the best ideas from around their expanding empire and applying it, then improving on it. American isolationism and exceptionalism will be part of our downfall.
 
My logic is sound and articulated well on the innovation front I believe. It is not utopian as it is utilized all over the developed world and not a case study. That is not utopian. The chicken-little stance toward removing profiteering is unfounded, on the other hand.
Your opinion on it is well stated.

Yes, it is “utilized” in many places, to varying effect.
What is utopian is your opinion on how it will function here (given what we already know).

Are you conflating profit with profiteering?

History provides us with myriad examples of what happens when we remove profit motive. There is an entire economic system that leans into that concept pretty good.
 
It is, and I kind of agree… but we haven’t survived alone.
Is it true that we haven’t survived alone…

What made Rome so successful for so long was taking the best ideas from around their expanding empire and applying it, then improving on it. American isolationism and exceptionalism will be part of our downfall.
Or that we’ve been strictly isolationist?

I believe we both know the answer.
 
You’re literally too indoctrinated for this conversation.

For over 15 years leading up to my picking a private school to educate my children the public schools in my area were never in the top 5 of sat and act scores.

Health care industry and average lifestyle choice are 2 completely different things

You’re a better example of the failure of public education than than your made up trumpism.
My 3 kids all did exceedingly well in public schools. Much better than most all of the local private school kids.

If you look at the numbers.
 
How is it utopian when the rest of the developed world already uses it in some form or another? American exceptionalism has seeped into the conversation about healthcare to our detriment. Do you think pharmaceuticals will cease to innovate if we join the rest of the world in single payor? No. Will profit margins shrink, probably. Should they be allowed to price-gouge Americans like they currently do? I’ll let you answer that one.

I have worked in healthcare my entire adult life and seen it from many aspects. The system we have causes undue financial harm to millions while non-medical capitalists get filthy rich. That is not what healthcare is meant to be. If you do good for people on the clinical front you deserve to make a very comfortable living. If you run a private equity firm and buy a hospital/healthcare system, rack up debt in the name of that system to pour money back into your firm and let the hospitals die on the vine (especially in underserved communities), you deserve to be hung by your toes and tarred/feathered. Our system is sick, and it’s due to profiteering. Sorry.

1. Would a complete overhaul of the current new drug approval process by the FDA lower prescription drug prices? 10-12 years of research and development adds a lot costs.

2. How would single payer healthcare care be funded? Would a new tax be added like Medicare? Would a young healthy person that may only need to see a doctor once or twice a year be taxes at the same rate as someone who has chronic health conditions?
 
Your opinion on it is well stated.

Yes, it is “utilized” in many places, to varying effect.
What is utopian is your opinion on how it will function here (given what we already know).

Are you conflating profit with profiteering?

History provides us with myriad examples of what happens when we remove profit motive. There is an entire economic system that leans into that concept pretty good.
What is the number one purpose of the healthcare industry, in your opinion?
 
Our healthcare is broken. It’s reactionary instead of proactive, it is financially burring people, priorities have shifted from care first to profit first, insurance overriding medical decisions, rural access closing, workforce crisis, and on and on.

I don’t disagree with you on any of this. We do have problems.

Question- how do you suggest we transition from reactionary to proactive?
 
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