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142 points helloworld | 17 comments | | HN request time: 1.034s | source | bottom
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seibelj ◴[] No.12306806[source]
Can anyone succinctly explain the benefits of having a market for private health insurance companies, rather than a single provider of health insurance (government, aka "public option")? Can a capitalist case be made for their existence? Does the lack of a large private insurance market in countries with government-provided health insurance cause lots of inefficiencies and waste?
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1. njkanjsd ◴[] No.12306825[source]
The healthcare system in countries like France, Canada, Germany is much more efficient and provides better healthcare to most of it's citizens than the US healthcare system pre and post obamacare.

https://www.oecd.org/eco/growth/46508904.pdf

http://www.commonwealthfund.org/publications/press-releases/...

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2. bcohen5055 ◴[] No.12306882[source]
*citations needed
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3. vidarh ◴[] No.12306890[source]
Germany is mixed private/public insurance.

EDIT: So does France.

replies(1): >>12306930 #
4. danielweber ◴[] No.12306930[source]
All those countries are very different.

There's this cartoon understanding the health care system, where the US has system A, and every other country in the world has system B. You will find people on both sides of the aisle believing this. Even though Germany is closer to the US than it is to France.

replies(1): >>12306986 #
5. ◴[] No.12306942[source]
6. vidarh ◴[] No.12306986{3}[source]
The big difference with respect to Germany, though, is that they are not afraid to regulate their health sector. The problem with the US model is not so much private vs. public, but a matter of lobbyists and ideology getting in the way of regulating it in the way that makes sense for people instead of for healthcare providers and insurers.

(France also has a mix of private and public healthcare insurance)

7. X86BSD ◴[] No.12307068[source]
Yeah I'm not buying this and never have. You're going to need to cite some kind of scientific statistics or stats or studies.

When people get sick they come to the US for treatment if they can. You don't see world leaders and those with money going to Canada or Europe for treatment. Not when it's dire. The US is hella expensive for many reasons one is that we have the most bleeding edge medical technology.

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8. marxidad ◴[] No.12307088[source]
http://healthaffairs.org/blog/2011/09/20/medicare-is-more-ef...
9. danielweber ◴[] No.12307107[source]
> You're going to need to cite some kind of scientific statistics or stats or studies.

There are plenty of studies that support his position.

But there are also lots of studies that oppose his position.

And everyone will listen to the studies that support their prior viewpoint and say that the others are bunk.

You could have a good debate about health care if everyone gave up their priors, was willing to listen to opposing evidence, and was willing to accept their preferred system has real honest-to-God not-said-sarcastically tradeoffs. Let us know when that happens.

10. njkanjsd ◴[] No.12307115[source]
Here you go: http://www.commonwealthfund.org/publications/press-releases/...

You can find other articles and studies echoing the same conclusions.

> When people get sick they come to the US for treatment if they can.

No they don't. And many Americans go to other countries for treatment because they can't afford it in the US.

> You don't see world leaders and those with money going to Canada or Europe for treatment.

'Those with money' is a tiny portion of the population, which is why I said 'most citizens' get better healthcare in other countries (developed ones).

> The US is hella expensive for many reasons one is that we have the most bleeding edge medical technology.

Not really, US has some bleeding edge medicine, not the best for every aspect of health, and the bleeding edge stuff is only available to a very tiny portion of the population.

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11. sp332 ◴[] No.12307127[source]
I was going to post this graph https://twitter.com/paulg/status/762920971078627328 but in searching for a source I found the conversation underneath was more interesting. (For reference the source was https://ourworldindata.org/life-expectancy/ and it's interactive.)
12. njkanjsd ◴[] No.12307167[source]
http://www.commonwealthfund.org/publications/press-releases/...
13. X86BSD ◴[] No.12307239{3}[source]
reading those now.
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14. X86BSD ◴[] No.12307291{4}[source]
"Now that millions more of Americans have good coverage..."

This link is full of horse poop.

Good coverage? Have you seen what the new ACA plans cover and don't cover?? And the cost??

Good is not a word I would use to describe their coverage.

They should have said "access to coverage" and it would have been more believable.

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15. njkanjsd ◴[] No.12307389{5}[source]
So your only criticism is that you don't like the adjective they used in the summary? Neat.
16. st3v3r ◴[] No.12308431[source]
David Beckham tore his ACL, and despite playing for Los Angeles at the time, went to Finland for his surgery.

http://news.bbc.co.uk/sport2/hi/football/europe/8567353.stm

17. lenkite ◴[] No.12310609[source]
> When people get sick they come to the US for treatment if they can

I live in Bangalore, India. My local private clinics are filled with American citizens. Medical tourism is all the rage here.