[ExI] Single Payer Healthcare

Stathis Papaioannou stathisp at gmail.com
Sun Apr 2 01:10:34 UTC 2017


On Sat, 1 Apr 2017 at 12:08 pm, spike <spike66 at att.net> wrote:

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> *From:* extropy-chat [mailto:extropy-chat-bounces at lists.extropy.org] *On
> Behalf Of *Jason Resch
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> *>…*The Swiss model is not single payer but is consumer driven, with
> individuals purchasing insurance directly.
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> >…Clearly their model is cheaper than ours, since they also spend a much
> smaller fraction of their GDP than the US.
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> >…But the US also subsidizes medical research for the rest of the world
> and tolerates monopolistic price fixing which leads to much greater costs.
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> >…Jason
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> Cost comparisons between US doctors and most of the rest of the world are
> invalid unless we agree on how to compare doctors who go to medical school
> right out of high school vs how we do it here: Americans usually need a
> college degree before they can get into medical school.  Those
> undergraduate degrees take a big investment in time and money; of course
> US-trained doctors will cost more, a lot more.  It might make them better
> doctors, but we don’t really know for sure, ja?
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The straight-out-of-school medical courses are long, usually 6 years with
an extra year of internship and then another 4-5 years in order to
specialise.

Alternative: make Health Science a college major, where the graduates come
> out of a three year or four year training course knowing a lot about what
> you can do with over the counter meds, how to recognize the common stuff,
> stop claiming they are practicing medicine without a license, make them
> immune from lawsuit if they screw up and so forth.  Their services should
> be affordable, guessing about a quarter the price for half the
> effectiveness.
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> spike
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-- 
Stathis Papaioannou
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