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Bernie Sanders unveils universal healthcare bill: 'We will win this struggle'

Lafayette

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From the Guardian newspaper: Bernie Sanders unveils universal healthcare bill: 'We will win this struggle' - excerpt:
Battle lines have been drawn as Bernie Sanders launches his latest attempt to establish a healthcare system that covers all 323 million Americans.

Standing in opposition to Sanders’ plan are what he calls the “most powerful and greedy forces in American society”: the pharmaceutical industry, insurance companies, Wall Street and the Republican party.
“The opposition to this will be extraordinary,” Sanders said in an interview in his Capitol Hill office, prior to the launch of his universal healthcare bill, known as “Medicare for All”.

“They will spend an enormous amount of money fighting us. They will lie about what is in the program. They will frighten the American people,” he said.

Sanders has no illusions about the bill’s fate in a Republican-controlled Congress, where it has little chance of passing. But he says the time has arrived to have a debate he believes is fundamental: is healthcare a right or a privilege in America?

Sanders will formally unveil the bill at a press conference on Wednesday, with the backing of nearly a third of the Democratic caucus in the Senate – a record level of support for a bill he introduced just four years ago with only one signature, his own.

The Sanders plan would radically reform the American healthcare system, transitioning it over the course of four years to a federally administered insurance program. The new system would be underwritten by an increase in taxes.

Sanders’ “single-payer” bill would provide comprehensive coverage for everything from the cost of hospital services, prescription drugs, mental health, maternity and newborn care and dental health.

The proposal would gradually expand Medicare – the federal health insurance program for people who are 65 or older and some younger Americans with disabilities and other illnesses – until it covers everyone.

I write from France, in the European Union (EU). Where 735 million souls - living in 28 countries (so, demographically comparable to the US) - are covered by National HealthCare Insurance because it is a condition for joining the EU. That number (735M) is more than double the US-population, and far, far more than the percentage of Americans with bonafide low-cost HealthCare Insurance. (Note that I am not saying that National Health Coverage is 100% free, gratis and for nothing throughout the EU. Some EU-countries do have private insurance that compensates the National Healthcare coverage - but that family insurance costs rarely more than 150/200€ a month - the dollar and euro being at about parity nowadays).

The average GP in the US earns more than $200K per year. (Verify that fact by looking it up at the Bureau of Labor Statistics, Code 29-1060, "Physicians & Surgeons" here.) The average EU physician earns about half as much - see that fact demonstrated here. Why?

Because Healthcare in the EU is not a "free market". The profession is considered so important to well-being that it must be managed by a National HealthCare System.

PS1: Which is also the reason why pharmaceutical companies barely break-even in Europe, and go off to the US to gouge their clients ...

PS2: NB: Which is why lifespan and total healthcare costs are so remarkably different between the EU and the US. See that fact infographically here.
 
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Bernie needs to go bend the knee to Trump.
















*MIC DROP*
 
Also from Bernie and worth a read: Most Americans want universal healthcare. What are we waiting for?

Excerpt:
First, do we consider healthcare to be a right of all people, or a commodity made available based on income and wealth? Today, people in the highest-income counties in America live, on average, 20 years longer than people residing in the poorest counties. There are a number of reasons for that disgraceful reality, but one of them has to do with grossly unequal access to quality healthcare.
 
Medicare for all. If it saves out of pocket money and provides basic health care in exchange for a small tax increase, then why not?
 

The problem with the idea of comparing what the richest have that the poorest don't have is where (if anywhere) does it stop? As we keep placing "just one more thing" into the right to receive from the government at no charge column it soon turns out that few things are left in the what folks have the responsibility to provide for themselves and their dependents column. At some point we have to say that there is a limit as to how much the top 50% must contribute to the government so that the bottom 50% can get free goods and services.
 
The problem with the idea of comparing what the richest have that the poorest don't have is where (if anywhere) does it stop? As we keep placing "just one more thing" into the right to receive from the government at no charge column it soon turns out that few things are left in the what folks have the responsibility to provide for themselves and their dependents column. At some point we have to say that there is a limit as to how much the top 50% must contribute to the government so that the bottom 50% can get free goods and services.

You're glazing over the fact that the cost per capita of most EU UHCs costs less than half what our terrible system in the US costs. In Germany on an engineer's salary I pay 300 euro a month for full medical and dental for me and my entire family, and that won't increase with age. If I don't feel like participating in the public system I can take 100% of those 300 euro and go to the private insurance system. The healthcare cost problem in the US is systemic and has to be addressed, it can't just be fixed by "Oh you moochers just earn more money so you can afford it!"

For sure.....according to the immoral treasonous elite lots of people are disposable.
"The sooner they die the better"...now where have I heard that..

Likely you read that in the GOP healthcare plan. One of the dozens of dumb ideas that costs more, covers less people and provides worse coverage than that of EU nations.
 
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Likely you read that in the GOP healthcare plan. One of the dozens of dumb ideas that costs more, covers less people and provides worse coverage than that of EU nations.

No.....pretty sure it was city folk talking about those in the back country, the "backwards People".
 
Bernie needs to go bend the knee to Trump.

*MIC DROP*

Unless he develops a strange case of Parkinson's before the next dinner, I don't see that happening.

This whole new healthcare bill is stupid, because I bet he hasn't changed it since his last pitch.. or even reworded the damn thing.

People are already praising this move on twitter, but for some reason.
 
Unless he develops a strange case of Parkinson's before the next dinner, I don't see that happening.

This whole new healthcare bill is stupid, because I bet he hasn't changed it since his last pitch.. or even reworded the damn thing.

People are already praising this move on twitter, but for some reason.

Well then again Bernie does not exactly have a recipe for success.
 
Well then again Bernie does not exactly have a recipe for success.

Oh he does, its just the same thing as "Everything must be free" and "The government has to be the ones to pay for it."
 
The problem with the idea of comparing what the richest have that the poorest don't have is where (if anywhere) does it stop? As we keep placing "just one more thing" into the right to receive from the government at no charge column it soon turns out that few things are left in the what folks have the responsibility to provide for themselves and their dependents column.

I gather that from the above (idiocy) you think it unimportant that Americans live 4 years longer than they do today and that they pay twice as much per capita as we do here in France - and the coverage is not even universal (as it is in France).

If you think that the present rip-off of privatized HealthCare insurance is OK and need to be changed in America, then there is no further means of debate.

You've gone myopically off the deep end.

At some point we have to say that there is a limit as to how much the top 50% must contribute to the government so that the bottom 50% can get free goods and services.

What "free goods 'n services"? Where?

Come to Europe - talk to any European. Ask them if they wouldn't prefer the "better" American HealthCare system.

Watch them laugh in your face ...
 
For sure.....according to the immoral treasonous elite lots of people are disposable.

"The sooner they die the better"...now where have I heard that.

When a country's sole point-of-reference has become money, money, money then people, people, people become disposable ...
 
From the Guardian newspaper: Bernie Sanders unveils universal healthcare bill: 'We will win this struggle' - excerpt:


I write from France, in the European Union (EU). Where 735 million souls - living in 28 countries (so, demographically comparable to the US) - are covered by National HealthCare Insurance because it is a condition for joining the EU. That number (735M) is more than double the US-population, and far, far more than the percentage of Americans with bonafide low-cost HealthCare Insurance. (Note that I am not saying that National Health Coverage is 100% free, gratis and for nothing throughout the EU. Some EU-countries do have private insurance that compensates the National Healthcare coverage - but that family insurance costs rarely more than 150/200€ a month - the dollar and euro being at about parity nowadays).

The average GP in the US earns more than $200K per year. (Verify that fact by looking it up at the Bureau of Labor Statistics, Code 29-1060, "Physicians & Surgeons" here.) The average EU physician earns about half as much - see that fact demonstrated here. Why?

Because Healthcare in the EU is not a "free market". The profession is considered so important to well-being that it must be managed by a National HealthCare System.

PS1: Which is also the reason why pharmaceutical companies barely break-even in Europe, and go off to the US to gouge their clients ...

PS2: NB: Which is why lifespan and total healthcare costs are so remarkably different between the EU and the US. See that fact infographically here.

As you say, you right from France. But it is false to imply that the French system is like the ones covering 700 plus million people. As a matter of fact it is so far from the truth that I can hardly believe you don't know it. I don't know how often you visited a Romanian hospital and paid a bribe to get the doctor to attend you or whether you talked with anyone but the wealthy in Greece about not being treated for cancer. I haven't looked into it recently, but a year and a half ago the poor couldn't get even painkillers unless they had cash. So don't give us this 700 million plus story. The European is not as homogenous even as the American and tooting otherwise is the same populism as Senator BS is prone to.

France, Holland and other rich countries have medical care and finance systems among each other and that are very different to others in Europe.

As to the nasty pharma, hospital or Wall Street companies argument one might want to point out that it is much more complex than simplifiers like to talk about. They do not want to have the greater focus of companies on r&d for treatment on markets that are lucrative. They try to help Americans more, look for drugs and techniques that can be sold in the premium market, that the trickle down is to Germany or France that in effect is a kind of free ride. This is true for European companies too. They research more for the large and high margined market more than for countries that ration the goods.
 
Medicare for all. If it saves out of pocket money and provides basic health care in exchange for a small tax increase, then why not?

Medicare for all will not REDUCE the cost per capita of HealthCare. In fact, Bernie does not address that point at all.

Because, the cost of education for a Medical School degree is tremendous - $278,455 for private schools, and $207,866 for public schools. So, practicing doctors simply think they are recuperating their "investment costs". (The average revenue of a GP today in the US is a bit more than $200K per year.)

Bernie then Hillary had the right idea - also borrowed from Europe as is National Health Care - that of schooling-grants to all families earning less than the median wage ($100K per child, per family) at state run institutions of higher learning. Meaning vocational, 2 & 4-year degrees and beyond.

Education and HealthCare are priority objectives in all developed nations. The more educated and the more healthy is the nation, the better off its members become in terms of well-being.

And that WILL NOT HAPPEN if the country does not make the necessary investment. Meaning what?

Meaning that we are confronted with the Guns-or-Butter trade-off riddle. Whazzat?

This:
In macroeconomics, the guns-versus-butter model is an example of a simple production–possibility frontier. It demonstrates the (tradeoff) relationship between a nation's investment in defense and civilian goods. In this example, a nation has to choose between two options when spending its finite resources
- as shown here:
220px-Production_Possibilities_Frontier_Curve.svg.png


And this IS the very nature of the question. In a country where 54% of its Discretionary Budget is spent upon the DoD, America must answer the question, "Given other priorities, namely HealthCare, should we be spending soooo much money on the DoD?"

NB: The Federal Discretionary Budget Pie.
 
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As you say, you right from France. But it is false to imply that the French system is like the ones covering 700 plus million people. As a matter of fact it is so far from the truth that I can hardly believe you don't know it. I don't know how often you visited a Romanian hospital and paid a brib

Goodness, how spurious can a person get to rebut an argument?

Let's allow, shall we, the investigation results of numerous other entities that asked the same question, "What is the value, given certain key criteria, of comparative HealthCare systems".

This is the answer*:
TCFchart.jpg


Give it up, will you ... ?

*The higher the Overall Ranking number, the lower in rank of the healthcare system!
 
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France, Holland and other rich countries have medical care and finance systems among each other and that are very different to others in Europe.

Pure drivel.

The EU employs a universal healthcare system based mostly upon nationally subsidized healthcare reimbursements of cost. Said reimbursements are NOT THE LEAST BIT LIKE THAT IN THE US where private insurance sets the pricing. (With the sole exception of Medicare for which the reimbursement rates are specified by the government.)

For your edification (since you don't want to believe me) from the Guardian (July, 2017): How does the US healthcare system compare with other countries?. Excerpt:

Despite US legislation in 2010 that moved the country closer to achieving universal healthcare, costs have continued to rise and nearly 26 million Americans are still uninsured according to the Congressional Budget Office*.

As Republicans decide whether to repeal or replace the struggling healthcare policy, how does the existing US healthcare system compare with those in other countries?

Broadly speaking, the World Health Organization (WHO) defines universal health coverage as a system where everyone has access to quality health services and is protected against financial risk incurred while accessing care.

The US was comparable to other developed countries until the early 80s, when healthcare expenditure accelerated and life expectancy rates fell behind ...

*That makes for 8% of the population! Down from 16% before ObamaCare!
 
As to the nasty pharma, hospital or Wall Street companies argument one might want to point out that it is much more complex than simplifiers like to talk about. They do not want to have the greater focus of companies on r&d for treatment on markets that are lucrative. They try to help Americans more, look for drugs and techniques that can be sold in the premium market, that the trickle down is to Germany or France that in effect is a kind of free ride. This is true for European companies too. They research more for the large and high margined market more than for countries that ration the goods.

Another false-start.

From Reuters (October, 2015): Exclusive - Transatlantic divide: how U.S. pays three times more for drugs. Excerpt:
LONDON (Reuters) - U.S. prices for the world’s 20 top-selling medicines are, on average, three times higher than in Britain, according to an analysis carried out for Reuters.

The finding underscores a transatlantic gulf between the price of treatments for a range of diseases and follows demands for lower drug costs in America from industry critics such as Democratic presidential candidate Hillary Clinton.

The 20 medicines, which together accounted for 15 percent of global pharmaceuticals spending in 2014, are a major source of profits for companies ...

The United States, which leaves pricing to market competition, has higher drug prices than other countries where governments directly or indirectly control medicine costs.

That makes it by far the most profitable market for pharmaceutical companies, leading to complaints that Americans are effectively subsidizing health systems elsewhere.

Manufacturers say decent returns are needed to reward high-risk research and prices reflect the economic value provided by medicines. They also point to higher U.S. survival rates for diseases such as cancer and the availability of industry-backed access schemes for poorer citizens.

In recent years, the price differential has been exacerbated by above-inflation annual increases in U.S. drug prices at a time when governments in Europe have capped costs or even pushed prices down.

In fact, U.S. prices for top brand-name drugs jumped 127 percent between 2008 and 2014, compared with an 11 percent rise in a basket of common household goods, according to Express Scripts (ESRX.O), the largest U.S. manager of drug plans.

And, here: The Economist explains - Why drug prices in America are so high - excerpt:
“DRUGS have been marketed at such extraordinarily high prices that many people will simply not be able to afford them,” wrote a top cancer doctor in a scathing editorial in the Washington Post. That was in 2004. More than a decade later, the cost of drugs in America is still soaring—the most recent uproar was sparked by the price of Mylan’s EpiPen allergy medicine, which has jumped by about 600% since 2007. Despite the furore, drug companies continue to charge exorbitant prices in America. Why?

The simple answer is because they can. European governments control prices in various ways—Britain has the strictest system, refusing to pay for medicines that fail to meet a threshold of cost-effectiveness. But in America companies set whatever official price they like. Insurers and the government then whittle down that price using methods that vary from one type of patient to the next. (Like so much of American health care, this system is hard to understand, to the delight of the firms that profit from it.) Private customers—usually employers—hire third parties to negotiate discounts. Medicaid, the government’s programme for the poor, receives a mandated discount. But drug firms’ single biggest customer is Medicare, which in 2014 spent $112 billion on medicines for the old.

Rather than lower prices, rules for Medicare help raise them. Medicare rewards doctors for prescribing costly intravenous drugs—medicines that can account for up to 30% of an oncologist’s revenue. Medicare’s rules for pills, inhalers and so on are equally nonsensical. And it is illegal for Medicare to negotiate with drug companies. Private insurers do so instead, but the government binds their hands, for example by requiring them to pay for six broad categories of drugs, without exception. This suits pharmaceutical firms. Their biggest client is required to buy their products and prohibited from negotiating the price. These high prices support innovation, they argue—not just for America, but for the world. But it is unclear if firms’ profits need be so high to sustain research.

'Nuff said. More than enough said.

Over-and-out ...
 
What "free goods 'n services"? Where?

Come to Europe - talk to any European. Ask them if they wouldn't prefer the "better" American HealthCare system.

Watch them laugh in your face ...


I'm not European, or even French.....I'm an American, and I like my current health care that I pay for here in America, and do not expect the government or the tax payers ( which are one and the same in case many forgot) to finance my healthcare. I don't even need to laugh in anyone's face to prove my point.


"If you are French, and you like your French healthcare and French doctor, you can keep it".

Vive la France
 
Goodness, how spurious can a person get to rebut an argument?

Let's allow, shall we, the investigation results of numerous other entities that asked the same question, "What is the value, given certain key criteria, of comparative HealthCare systems".

This is the answer*:
TCFchart.jpg


Give it up, will you ... ?

*The higher the Overall Ranking number, the lower in rank of the healthcare system!

Why use cherry picked (those particular nations and the year 2010) data? Well, because that is what you need to show what you say are the facts. Why were Italy, Greece and other EU nations left out?

You have already pointed out that US doctors get paid 2X what French doctors do and now wish to amaze us that their services cost about 2X more - why am I (not) shocked that is the case?
 
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Medicare for all will not REDUCE the cost per capita of HealthCare. In fact, Bernie does not address that point at all.

Because, the cost of education for a Medical School degree is tremendous - $278,455 for private schools, and $207,866 for public schools. So, practicing doctors simply think they are recuperating their "investment costs". (The average revenue of a GP today in the US is a bit more than $200K per year.)

Bernie then Hillary had the right idea - also borrowed from Europe as is National Health Care - that of schooling-grants to all families earning less than the median wage ($100K per child, per family) at state run institutions of higher learning. Meaning vocational, 2 & 4-year degrees and beyond.

Education and HealthCare are priority objectives in all developed nations. The more educated and the more healthy is the nation, the better off its members become in terms of well-being.

And that WILL NOT HAPPEN if the country does not make the necessary investment. Meaning what?

Meaning that we are confronted with the Guns-or-Butter trade-off riddle. Whazzat?

This:
- as shown here:
220px-Production_Possibilities_Frontier_Curve.svg.png


And this IS the very nature of the question. In a country where 54% of its Discretionary Budget is spent upon the DoD, America must answer the question, "Given other priorities, namely HealthCare, should we be spending soooo much money on the DoD?"

NB: The Federal Discretionary Budget Pie.

OK, Skippy, why use only the US discretionary budget? Well, because that excludes the medical care spending which is in the US mandatory budget and far, far exceeds military spending. Dishonesty in one presentation of "just the unbiased facts" leads one to see that this cherry picking of facts is likely used to carefully select "just the relevant facts" used support other arguments.
 
I view this as a step. The GOP has their plan - sort of.... kind of .... more or less ..... and they cannot get it passed through Congress. The progressive Dems have their plan now and they will not be able to get it passed through Congress either.

Here is a unique idea - maybe the solution is somewhere in between those two opposites? Maybe the answer is to STOP saying you are going to repeal Obamacare because you hate Obama and want to erase as much of his legacy as you can - and start by saying how can members of both parties improve and fix the Obamacare problems with needed legislation keeping the people on the program and shoring it up financially and dealing with its shortcomings?

If they do that, I have no doubt many Dems will come on board and there will be ample votes in Congress to do this.
 
I'm not European, or even French.....I'm an American, and I like my current health care that I pay for here in America, and do not expect the government or the tax payers ( which are one and the same in case many forgot) to finance my healthcare

Good for you!

When the fit-hits-the-shan and you are out of work, and you become really sick, we'll see how you feel about the "America Option" of healthcare.

From here, the Guardian (June, 2017): Will losing health insurance mean more US deaths? Experts say yes - excerpt:
Measuring the potential impact of the 142-page Republican bill on people’s actual health is difficult. Those who could afford to keep their health insurance under the bill, for example, could nonetheless find that rising costs force them to choose cheaper options or forego certain treatments altogether.

Understanding the likely impact of the Republican bill on the availability of health insurance itself is much easier. In part, that’s because there is strong evidence that the target of the Republican bill, the Affordable Care Act (ACA), has reduced the number of Americans without health insurance.

The Congressional Budget Office (CBO), a nonpartisan federal agency, estimated last month that 23 million people would lose their health insurance over the next decade if the Republican bill that passed the House made it into law. The CBO is yet to score the Senate version.

Various studies have looked at whether uninsured people have a higher risk of death. The most cited was published by the American Journal of Public Health in 2009 and found that nearly 45,000 Americans die each year as a direct result of being uninsured.

Built-in automatic population regulator! Wow! Only in Amurika ... !
 
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