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Barry CarolEric NovackPeterelliottg Recent comment authors
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elliottg
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elliottg

Eric, only death and taxes, but since I see no counterexamples, I’m willing to try it. Remember Stein’s Law and it’s clear that US healthcare will change to control costs. I cannot convince you of my gut feel (remember the gut has more nerve endings than the head), but it seems blindingly obvious to me that adding universal coverage is cheap especially when you consider that government administration is often more cost effective. Of course, I’m guessing you’re of the opinion that we have too few doctors where I think we have way too many so we don’t even agree… Read more »

Barry Carol
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Barry Carol

Matthew, I agree with your conclusion at the end of our article that there is little or no connection between the healthcare system and the health of the people, but people who lack health insurance are likely to suffer worse health outcomes than the adequately insured. That said, there are a lot of complexities in attempting to compare health status and outcomes among people from different countries and culture, even after controlling for ethnicity and socioeconomic status. The U.S., for example, has a population at least five times that of the most populous Western European country and about ten times… Read more »

Eric Novack
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Matthew- best thing you have written in quite some time! I fear this may put you at pretty serious odds with many of your political compadres, however. elliotg cannot claim with any degree of certainty that national healthcare in the us will decrease costs. Peter is simply not honest when he refers to the ‘so called free enterprise model’ with regards to the us healthcare sysetm. 50% of the spending comes from the government- it is not a free market. Doctors do not promote junk food, bad diets, and sedentary lifestyles (or smoking)… all things over which people actually have… Read more »

Peter
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Peter

I think that might be a good point elliottg. Economics is a zero sum game. Last year we spent $6000 extra in out of pocket expenses for healthcare, none of it tax deductible. That money went to one industry and did not go to any other sector in the economy, including the government sector. Americans are deluded when they rely on a so called free enterprise model to solve all their problems all the time. It usually means someone is benefiting from their loss. Promoting the feeding of junk food to children, high fat/high sugar diets and no exercise, while… Read more »

elliottg
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elliottg

I think that you failed to consider something when you stated that there was not a link between universal access and health outcomes. Universal access drives down expenditures on healthcare. Sure I’m willing to spend an outrageous amount of someone else’s money on my health whether it be 3rd party insurer or govt., but when everyone gets the same baseline then resources exhaust too fast so rationing is instituted (the good kind – standards and EBM). The second effect is that the money is freed up and the cost/benefit analysis for public health/welfare initiatives becomes easier. So maybe Canadians have… Read more »