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	<title>Comments on: The Pros and Cons of Universal Health Care in the United States </title>
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	<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/</link>
	<description>Everything That&#039;s Wrong With You And Your Money</description>
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		<title>By: flowerlady</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2930</link>
		<dc:creator>flowerlady</dc:creator>
		<pubDate>Thu, 03 Sep 2009 17:49:35 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2930</guid>
		<description>I just finished reading the book by T.R. Reid, a Wash Post reporter, called The Healing of America.  It provided insight into other developed countries universal health care plans.  It was fairly objective sharing many anecdotal opinions, statistics, reports by the WHO(world health organization) and interviews with doctors, nurses and the public.  It was very readable, not dry, simplified a very complex problem and introduced one to buzz words that are commonly used in this debate.  The premise of the book describes four basic systems that work in developed countries, comparing the pros and cons of each.  It really is a convincing read...we need a program to cover everyone.  It asks the question&quot;is health care a basic right for everyone?&quot; We in the US say one thing, a resounding &quot;yes&quot; and yet leave it to market forces to accomplish the deed.  And it isn&#039;t. I have read many of the previous comments which echo many of the arguments put forth in this book.  Almost all, if not all, countries have a payor system which is &quot;not for profit&quot;.  That amount alone (the profit component) can pay for those that are uninsured currently. Do you want your money in expensive premiums going to an insurance exployee&#039;s bonus or stockholder dividend, or do you want it to give some basic care to the millions(47) who are uninsured?  Please try this book and at least have some very convincing arguments on why we need to trust our government...the majority of developed contries do.  Now, I need to read a very convincing book on why we should not have univeral health care.  Any thoughts?</description>
		<content:encoded><![CDATA[<p>I just finished reading the book by T.R. Reid, a Wash Post reporter, called The Healing of America.  It provided insight into other developed countries universal health care plans.  It was fairly objective sharing many anecdotal opinions, statistics, reports by the WHO(world health organization) and interviews with doctors, nurses and the public.  It was very readable, not dry, simplified a very complex problem and introduced one to buzz words that are commonly used in this debate.  The premise of the book describes four basic systems that work in developed countries, comparing the pros and cons of each.  It really is a convincing read&#8230;we need a program to cover everyone.  It asks the question&#8221;is health care a basic right for everyone?&#8221; We in the US say one thing, a resounding &#8220;yes&#8221; and yet leave it to market forces to accomplish the deed.  And it isn&#8217;t. I have read many of the previous comments which echo many of the arguments put forth in this book.  Almost all, if not all, countries have a payor system which is &#8220;not for profit&#8221;.  That amount alone (the profit component) can pay for those that are uninsured currently. Do you want your money in expensive premiums going to an insurance exployee&#8217;s bonus or stockholder dividend, or do you want it to give some basic care to the millions(47) who are uninsured?  Please try this book and at least have some very convincing arguments on why we need to trust our government&#8230;the majority of developed contries do.  Now, I need to read a very convincing book on why we should not have univeral health care.  Any thoughts?</p>
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		<title>By: weighing it out in MN</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2725</link>
		<dc:creator>weighing it out in MN</dc:creator>
		<pubDate>Wed, 29 Jul 2009 02:43:03 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2725</guid>
		<description>JUST WANT TO THANK THE CANADIAN POSTERS FOR THEIR INPUT; I THINK THAT FACTS ON EACH SIDE ARE SO GENERALIZED TO MAKE A POINT THAT NO ONE IS TRULY GETTING ACCURATE INFO. (IE. 22 MONTHS FOR AN MRI, VERSES IT COULD TAKE UP TO 22 MONTHS IF YOUR AILMENT IS NOT SERIOUS OR LIFE THREATENING)

I WISH THERE WERE INFO SITES THAT ACTUALLY UNBIASLY WEIGHED THE PROS AND CONS.  EVERY SITE THAT I HAVE VISITED SEEMS TO TRY TO CONVINCE ME BY GENERALIZATIONS VERSES JUST PROVIDING THE TOTALLY ACCURATE INFO. 

THIS SITE WAS VERY INTERESTING AND I KNOW THAT BLOGS ARE PERSONAL OPINION, BUT I AM IN SEARCH OF THE SITE THE I DESCRIBED. ANY IDEAS WHERE AND IF THIS SITE EXISTS?</description>
		<content:encoded><![CDATA[<p>JUST WANT TO THANK THE CANADIAN POSTERS FOR THEIR INPUT; I THINK THAT FACTS ON EACH SIDE ARE SO GENERALIZED TO MAKE A POINT THAT NO ONE IS TRULY GETTING ACCURATE INFO. (IE. 22 MONTHS FOR AN MRI, VERSES IT COULD TAKE UP TO 22 MONTHS IF YOUR AILMENT IS NOT SERIOUS OR LIFE THREATENING)</p>
<p>I WISH THERE WERE INFO SITES THAT ACTUALLY UNBIASLY WEIGHED THE PROS AND CONS.  EVERY SITE THAT I HAVE VISITED SEEMS TO TRY TO CONVINCE ME BY GENERALIZATIONS VERSES JUST PROVIDING THE TOTALLY ACCURATE INFO. </p>
<p>THIS SITE WAS VERY INTERESTING AND I KNOW THAT BLOGS ARE PERSONAL OPINION, BUT I AM IN SEARCH OF THE SITE THE I DESCRIBED. ANY IDEAS WHERE AND IF THIS SITE EXISTS?</p>
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		<title>By: watersdc</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2678</link>
		<dc:creator>watersdc</dc:creator>
		<pubDate>Mon, 20 Jul 2009 15:29:07 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2678</guid>
		<description>Is this (Furthermore we already have laws in the US that require emergency rooms to see patients even if they don’t have any insurance.  This costs the hospital money which they pass on to consumers and insurance companies.) what is called an unfunded Federal mandate?

SInce you say the hospital (emergency rooms) pass this on to their paying customers and insurance companies (raise their prices from what the actual cost is), do they do the same with MediCare and MediCaid costs above the allowable?

Whether it will be called universal health care or socialized medicine, our Federal government is not who should implement it, as they have the Postal Service, the Federal Reserve, Social Security and aid to local education.</description>
		<content:encoded><![CDATA[<p>Is this (Furthermore we already have laws in the US that require emergency rooms to see patients even if they don’t have any insurance.  This costs the hospital money which they pass on to consumers and insurance companies.) what is called an unfunded Federal mandate?</p>
<p>SInce you say the hospital (emergency rooms) pass this on to their paying customers and insurance companies (raise their prices from what the actual cost is), do they do the same with MediCare and MediCaid costs above the allowable?</p>
<p>Whether it will be called universal health care or socialized medicine, our Federal government is not who should implement it, as they have the Postal Service, the Federal Reserve, Social Security and aid to local education.</p>
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		<title>By: Blogger Meetup, Top Referrers and LinkStuff For June 15</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2652</link>
		<dc:creator>Blogger Meetup, Top Referrers and LinkStuff For June 15</dc:creator>
		<pubDate>Wed, 15 Jul 2009 15:50:47 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2652</guid>
		<description>[...] The Weakonomist had a pretty good post about universal health care in the United States. [...]</description>
		<content:encoded><![CDATA[<p>[...] The Weakonomist had a pretty good post about universal health care in the United States. [...]</p>
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		<title>By: MLR</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2443</link>
		<dc:creator>MLR</dc:creator>
		<pubDate>Mon, 15 Jun 2009 23:53:39 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2443</guid>
		<description>As someone already pointed out, it is the pharma companies fostering innovation. So health insurance companies can b#$# me. And they have pretty absurd profit margins, they would only exit the market when they start losing money. Even if the government cut their profits down to a few percent, they would not exit the market. (I don&#039;t agree with doing that, just saying...)

My best friends mom is in medical sales and was talking about how a large part of health insurance $$ goes towards processing and paying claims. Organizational bloat, in other words. If everyone was guaranteed access, you would be cutting that from the cost immediately. This isn&#039;t just anecdotal, either. I have seen the statistic elsewhere and it is a large reason Indian hospitals have started to do the processing on their night shift. (US hospitals outsource it to them)
.-= MLR&#180;s last blog ..&lt;a href=&quot;http://feedproxy.google.com/~r/MyLifeROI/~3/xnQqYZwSmUE/&quot; rel=&quot;nofollow&quot;&gt;Winner Announced for Global Giving Gift Card Giveaway&lt;/a&gt; =-.</description>
		<content:encoded><![CDATA[<p>As someone already pointed out, it is the pharma companies fostering innovation. So health insurance companies can b#$# me. And they have pretty absurd profit margins, they would only exit the market when they start losing money. Even if the government cut their profits down to a few percent, they would not exit the market. (I don&#8217;t agree with doing that, just saying&#8230;)</p>
<p>My best friends mom is in medical sales and was talking about how a large part of health insurance $$ goes towards processing and paying claims. Organizational bloat, in other words. If everyone was guaranteed access, you would be cutting that from the cost immediately. This isn&#8217;t just anecdotal, either. I have seen the statistic elsewhere and it is a large reason Indian hospitals have started to do the processing on their night shift. (US hospitals outsource it to them)<br />
<span class="cluv"> MLR&#180;s last blog ..<a href="http://feedproxy.google.com/~r/MyLifeROI/~3/xnQqYZwSmUE/" rel="nofollow">Winner Announced for Global Giving Gift Card Giveaway</a> <span class="heart_tip_box"><img class="heart_tip" alt="My ComLuv Profile" border="0" width="16" height="14" src="http://weakonomics.com/wp-content/plugins/commentluv/images/littleheart.gif"/></span></span></p>
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		<title>By: Everything Students Should Know about Medical Insurance &#124; Health Insurance</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2372</link>
		<dc:creator>Everything Students Should Know about Medical Insurance &#124; Health Insurance</dc:creator>
		<pubDate>Tue, 09 Jun 2009 20:48:44 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2372</guid>
		<description>[...] Everything You Want To Know About Universal Health Care &#124; Weakonomi¢s [...]</description>
		<content:encoded><![CDATA[<p>[...] Everything You Want To Know About Universal Health Care | Weakonomi¢s [...]</p>
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		<title>By: Weekly Links: Emerging Markets on Fire Edition &#124; Darwin's Finance</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2361</link>
		<dc:creator>Weekly Links: Emerging Markets on Fire Edition &#124; Darwin's Finance</dc:creator>
		<pubDate>Tue, 09 Jun 2009 03:34:29 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2361</guid>
		<description>[...] Universal Health Care Pros and Cons [...]</description>
		<content:encoded><![CDATA[<p>[...] Universal Health Care Pros and Cons [...]</p>
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		<title>By: Thicken My Wallet</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2360</link>
		<dc:creator>Thicken My Wallet</dc:creator>
		<pubDate>Tue, 09 Jun 2009 01:57:58 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2360</guid>
		<description>Great post. Just some random thoughts. 

There&#039;s one great myth about Canadian health- its all socialized. It is not. In fact, there are many private providers who work in parallel with the government- usually specialists with their license to provide private services issued by the government. For example, MRI clinics can be both run by the government and private providers. Granted, the number of licenses granted are pretty small but it is not an either or situation in Canada (the myth is used by governments as a means to claim they are defending the average Canadian and garner votes when the reality is a little different).

As a non-American, I do find it strange that entitlements attach to jobs- an area with no security and with laws that, in many jurisdictions, favor the employer. If you took out the insurance expense from employers and off-set that with a payroll tax which allowed the taxpayer complete portability to use their health care dollars, I am not sure anyone is better or worse off because...

I have always thought that health care reform meant picking between the tyranny of the insurance company and the tyranny of government bureaucrats. All you are doing is picking what type of problems you want (government inefficiency or greater opportunity for denial of coverage). 

There is no perfect reform and anyone who thinks the status quo is perfect or the proposed reform is perfect is drinking the crazy Kool-Aid.

Keep up the good work.</description>
		<content:encoded><![CDATA[<p>Great post. Just some random thoughts. </p>
<p>There&#8217;s one great myth about Canadian health- its all socialized. It is not. In fact, there are many private providers who work in parallel with the government- usually specialists with their license to provide private services issued by the government. For example, MRI clinics can be both run by the government and private providers. Granted, the number of licenses granted are pretty small but it is not an either or situation in Canada (the myth is used by governments as a means to claim they are defending the average Canadian and garner votes when the reality is a little different).</p>
<p>As a non-American, I do find it strange that entitlements attach to jobs- an area with no security and with laws that, in many jurisdictions, favor the employer. If you took out the insurance expense from employers and off-set that with a payroll tax which allowed the taxpayer complete portability to use their health care dollars, I am not sure anyone is better or worse off because&#8230;</p>
<p>I have always thought that health care reform meant picking between the tyranny of the insurance company and the tyranny of government bureaucrats. All you are doing is picking what type of problems you want (government inefficiency or greater opportunity for denial of coverage). </p>
<p>There is no perfect reform and anyone who thinks the status quo is perfect or the proposed reform is perfect is drinking the crazy Kool-Aid.</p>
<p>Keep up the good work.</p>
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		<title>By: the weakonomist</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2359</link>
		<dc:creator>the weakonomist</dc:creator>
		<pubDate>Mon, 08 Jun 2009 23:43:54 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2359</guid>
		<description>Economist, that&#039;s a great point.  Demographics play an important role in the problems with medicare and social security.  I&#039;ve added some clarification to the post to make that more visible.  Also readers take note in this comment that opinions on government are sometimes opinions.  However the lack of a profit motive could potentially lead to a bloated system.  MyJourney makes a good comment as well.

Millionaire and other Canada defenders, another cause of the long wait lines is a lack of doctors. They have 2.1 doctors per 1000 people whereas the average for other countries (US included) is 3.1 http://en.wikipedia.org/wiki/Health_care_in_Canada#Medical_professional_shortage.  One of the reasons is low pay relative to other countries.  Canadian doctors come to the states to make more money, both my GP and chiropractor are Canadian.  I did want to make sure that y&#039;all knew that I&#039;d still take what you&#039;ve got over what I&#039;ve got currently.  Other systems work better than Canada, but I used my neighbors to the north in order to illustrate what could go wrong.  Thanks for the input.</description>
		<content:encoded><![CDATA[<p>Economist, that&#8217;s a great point.  Demographics play an important role in the problems with medicare and social security.  I&#8217;ve added some clarification to the post to make that more visible.  Also readers take note in this comment that opinions on government are sometimes opinions.  However the lack of a profit motive could potentially lead to a bloated system.  MyJourney makes a good comment as well.</p>
<p>Millionaire and other Canada defenders, another cause of the long wait lines is a lack of doctors. They have 2.1 doctors per 1000 people whereas the average for other countries (US included) is 3.1 <a href="http://en.wikipedia.org/wiki/Health_care_in_Canada#Medical_professional_shortage" rel="nofollow">http://en.wikipedia.org/wiki/Health_care_in_Canada#Medical_professional_shortage</a>.  One of the reasons is low pay relative to other countries.  Canadian doctors come to the states to make more money, both my GP and chiropractor are Canadian.  I did want to make sure that y&#8217;all knew that I&#8217;d still take what you&#8217;ve got over what I&#8217;ve got currently.  Other systems work better than Canada, but I used my neighbors to the north in order to illustrate what could go wrong.  Thanks for the input.</p>
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		<title>By: Mike</title>
		<link>http://weakonomics.com/2009/06/08/the-pros-and-cons-of-universal-health-care-in-the-united-states%c2%a0/comment-page-1/#comment-2357</link>
		<dc:creator>Mike</dc:creator>
		<pubDate>Mon, 08 Jun 2009 21:54:29 +0000</pubDate>
		<guid isPermaLink="false">http://weakonomics.com/?p=2177#comment-2357</guid>
		<description>It&#039;s nice to read a balanced post on health care - most articles I&#039;ve read are either 100% for or 100% against and neither can be believed.

A couple of thoughts:

1)  Universal health care doesn&#039;t mean that everything is free - but rather than the costs are the same for everyone.  In Canada for example:  drugs, dental, eye exams and hospital rooms (oddly enough) are not paid for by the government.  Canadian either have health insurance (same deal as the US) or pay out of pocket when needed.  Probably the biggest difference is things like major operations which can be a financial disaster for an uninsured American but not for a Canadian.

2)  Wait times - it&#039;s easy to pull single stats to support your argument so I&#039;ll pull one of my own...my Dad has (unfortunately) been a major beneficiary of our healthcare system in the last couple of years and I can tell you that he hasn&#039;t had to wait 22 months for anything.  MRIs, CAT scans, you name it and he&#039;s done it.  He&#039;s also had pretty good access to various specialists.

I can&#039;t dispute the 22 month MRI in Saskatoon stat (although I am very skeptical) but don&#039;t forget that there are other factors at play.

A) Access to specialists and equipment is often determined (in theory) by need - if you get your family doctor to refer you for a MRI because of a light knee &quot;twinge&quot; then you might have a longer wait than someone who fell out of bed and can&#039;t walk.

B)  Bigger cities have more medical equipment and doctors/specialists per person than smaller cities.  I don&#039;t know if this is true in the US as well but it&#039;s definitely true in Canada.  The population of Saskatchewan is around 1 million (I just looked it up) and the largest city has only 233,000 people.  Without even reading your article I could have told you that access to medical care in Saskatchewan is not as good as in Toronto.  If you live in a small city and need a specialist/test then you have to travel.  I don&#039;t think the type of health care funding affects this.</description>
		<content:encoded><![CDATA[<p>It&#8217;s nice to read a balanced post on health care &#8211; most articles I&#8217;ve read are either 100% for or 100% against and neither can be believed.</p>
<p>A couple of thoughts:</p>
<p>1)  Universal health care doesn&#8217;t mean that everything is free &#8211; but rather than the costs are the same for everyone.  In Canada for example:  drugs, dental, eye exams and hospital rooms (oddly enough) are not paid for by the government.  Canadian either have health insurance (same deal as the US) or pay out of pocket when needed.  Probably the biggest difference is things like major operations which can be a financial disaster for an uninsured American but not for a Canadian.</p>
<p>2)  Wait times &#8211; it&#8217;s easy to pull single stats to support your argument so I&#8217;ll pull one of my own&#8230;my Dad has (unfortunately) been a major beneficiary of our healthcare system in the last couple of years and I can tell you that he hasn&#8217;t had to wait 22 months for anything.  MRIs, CAT scans, you name it and he&#8217;s done it.  He&#8217;s also had pretty good access to various specialists.</p>
<p>I can&#8217;t dispute the 22 month MRI in Saskatoon stat (although I am very skeptical) but don&#8217;t forget that there are other factors at play.</p>
<p>A) Access to specialists and equipment is often determined (in theory) by need &#8211; if you get your family doctor to refer you for a MRI because of a light knee &#8220;twinge&#8221; then you might have a longer wait than someone who fell out of bed and can&#8217;t walk.</p>
<p>B)  Bigger cities have more medical equipment and doctors/specialists per person than smaller cities.  I don&#8217;t know if this is true in the US as well but it&#8217;s definitely true in Canada.  The population of Saskatchewan is around 1 million (I just looked it up) and the largest city has only 233,000 people.  Without even reading your article I could have told you that access to medical care in Saskatchewan is not as good as in Toronto.  If you live in a small city and need a specialist/test then you have to travel.  I don&#8217;t think the type of health care funding affects this.</p>
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