<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto"><div>On Mar 28, 2017, at 8:24 AM, John Clark <<a href="mailto:johnkclark@gmail.com">johnkclark@gmail.com</a>> wrote:</div><div><br></div><blockquote type="cite"><div><div dir="ltr"><div class="gmail_default" style="font-family:arial,helvetica,sans-serif"><span style="font-family:arial,sans-serif">On Tue, Mar 28, 2017 at 10:56 AM, Dylan Distasio </span><span dir="ltr" style="font-family:arial,sans-serif"><<a href="mailto:interzone@gmail.com" target="_blank">interzone@gmail.com</a>></span><span style="font-family:arial,sans-serif"> wrote:</span><br></div><div class="gmail_extra"><div class="gmail_quote"><div> </div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left-width:1px;border-left-color:rgb(204,204,204);border-left-style:solid;padding-left:1ex"><div dir="ltr"><div class="gmail_default" style="font-family:arial,helvetica,sans-serif;display:inline">> </div>but I do not think it is a fact that single payer healthcare systems "work great." </div></blockquote><div><br></div><div><font size="4"><div class="gmail_default" style="font-family:arial,helvetica,sans-serif;display:inline">30 countries spend about half what the USA does on healthcare and they live longer, a logical person with no ax to grind would have to admit that's pretty great compared with the USA. </div> </font></div><div> </div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left-width:1px;border-left-color:rgb(204,204,204);border-left-style:solid;padding-left:1ex"><div dir="ltr"><div class="gmail_default" style="font-family:arial,helvetica,sans-serif;display:inline">> </div>Do you think that the UK's single payer system is working great? </div></blockquote><div><br></div><div><div class="gmail_default" style="font-family:arial,helvetica,sans-serif"><font size="4">Yes.</font></div></div><div><br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left-width:1px;border-left-color:rgb(204,204,204);border-left-style:solid;padding-left:1ex"><div dir="ltr"> <div class="gmail_default" style="font-family:arial,helvetica,sans-serif;display:inline">> </div>If so, what dispassionate metrics are you basing this on?<br></div></blockquote><div><br></div><div><div class="gmail_default" style="font-family:arial,helvetica,sans-serif"><font size="4">The average UK citizen lives to be 81.2 years old and spends $4003 a year on healthcare, the average USA citizen lives to be 79.3 years old and <span style="font-family:arial,sans-serif">spends $9451 on healthcare.</span></font></div><div class="gmail_default" style="font-family:arial,helvetica,sans-serif"><span style="font-family:arial,sans-serif"><br></span></div><blockquote style="margin:0px 0px 0px 0.8ex;border-left-width:1px;border-left-color:rgb(204,204,204);border-left-style:solid;padding-left:1ex" class="gmail_quote"><span style="font-family:arial,sans-serif">I think you are heavily discounting the rationing effect that is part and parcel of any single payer plan. </span></blockquote><div><br></div><div><div class="gmail_default" style="font-family:arial,helvetica,sans-serif;display:inline"><font size="4">Rationing be damned. The bottom line is they spend less than half as much and live longer. If a theory doesn't fit the facts it must be abandoned. No exceptions.</font></div></div></div></div></div></div></div></blockquote><br><div>Wouldn't one approach to teasing out causation here to be to ask about how life expectancy changed and differed between these nations over time? It might be, for example, that nation X has always had a longer life expectancy than nation Y -- regardless of adopting different healthcare policies. (You'd probably have to factor in the two world wars, which definitely had an impact on life expectancy in many nations, so data from the 01910s and 01940s would have to be handled with care. Maybe start with 01950. UK's NHS only came into play in the late 1940s, so it seems a natural place to start, no? Well, for UK-US comparisons.)</div><div><br></div><div>If you don't do historical trend, then you run the risk of comparing unlike to unlike.</div><div><br></div><div>Also, what about nations that have lower life expectancy than the US? Do they all lack single payer systems? </div><div><br></div><div><div style="line-height: normal;"><span style="line-height: 20px; background-color: rgba(255, 255, 255, 0);">Regards,</span></div><div style="line-height: normal;"><span style="line-height: 20px; background-color: rgba(255, 255, 255, 0);"><br></span></div><div><div style="line-height: normal;"><span style="line-height: 20px; background-color: rgba(255, 255, 255, 0);">Dan</span></div><div style="line-height: normal;"><span style="background-color: rgba(255, 255, 255, 0);"> Sample my Kindle books via:</span></div><div style="line-height: normal;"><font color="#000000" style="background-color: rgba(255, 255, 255, 0);"><a href="http://author.to/DanUst" style="background-color: rgba(255, 255, 255, 0);">http://author.to/DanUst</a></font></div></div></div></body></html>