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#277 Jun 29 2009 at 5:21 PM Rating: Default
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LMAO are you guys kidding me ? You are actually posting how great and wonderful govt programs are.

Can any of you please tell me 1 Government funded program that is more efficent and less wasteful than a private sector business that does the same thing?




Quote:
You know, it seems the reason that government run programs have sucked *** so bad in the US is because conservatives take them over and @#%^ them up. The VA seems to be an egregious example of this.

It probably will take liberals in charge to get the job done right. We'll see
.

Your so right cat it will take liberals to run govt programs the right way......just look at the wonderfull job they have done with running things like California and Louisiana and Washington, medicare, social security, welfare programs, the war on poverty, the school system.......

Edited, Jun 29th 2009 9:58pm by ThiefX
#278 Jun 29 2009 at 5:24 PM Rating: Good
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ThiefX wrote:
LMAO are you guys kidding me ? You are actually posting how great and wonderful govt programs are.

Can any of you please tell me 1 Government funded program that is more efficent and less wasteful than a private sector business that does the same thing?
And here I thought I had. Multiple times.
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#279 Jun 29 2009 at 5:58 PM Rating: Decent
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Jophiel wrote:
With private insurance, I represent nothing more than an opportunity for the cmpany to try to squeeze the maximum amount of profit from me while providing the absolute least amount of service without me hitting a breaking point of leaving the insurance plan. Because most people's insurance is pooled through their place of employment, the insurance company knows that I can not easily select another plan thus they can squeeze me even harder and provide even less service. I am nothing more than dollar signs to them and every penny they have to spend on keeping me healthy represents a penny lost to them. Therefore, they will do everything in their power to not spend a single penny on me unless they absolutely have to.


Except that they still have to keep the business, right? They're going to provide the minimum service which wont result in their customers canceling their contracts and moving elsewhere. That's the part you kinda skipped over. The profit motive also ensures that they do enough to keep their customers.

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A public option would give people an affordable place to go when the private insurance company is busy trying to **** me over on whether or not they believe I need that gastric scan (never mind the doctor called for it) because, ya know, those things aren't cheap and it's their opinion that maybe I should just take some medication for six months and see how that goes (never mind the doctor already dismissing that option as not going to work).


The exact same pressures to reduce costs exist in public systems Joph. It's naive to think otherwise. The difference is that while the private company wants to maximize profits by providing the minimum service for the highest price, it has to provide sufficient service to be worth paying for. The government is under no such obligation at all. It's cost pressures are going to be purely political in origin. Everyone wants free health care. No one wants to pay higher taxes for it. You don't think this results in cost/service issues?


The one key difference is that with a purely private system, if the customer is dissatisfied, he can take his business elsewhere. He doesn't have the option of not paying the share of his taxes which are paying into a public health insurance system. The threshold at which he'll switch is much higher, meaning he'll "make do" with much lower quality service before he's willing to pay for an alternative. And the cut-off financially for those who can afford to do so is higher as well. Many people who would be able to make such choices today, will simply not be able to if there's some form of government mandated insurance system. The opportunity cost is higher, and the real total cost is as well. It'll leave most middle and working class people 'stuck' with the government provided health care, and only the wealthy with options to go elsewhere.



For me, this still just comes back to what I was talking about earlier. The resources available to provide any/all services for the people are finite. They are a function of total productivity. A system which provides access to those services (including health care) as some function of individual productivity (ie: ability to pay), while not perfect, is always going to be better than an alternative which makes that determination based on some other political pressures. Instead of people "competing" for those services with their personal dollars, they're still competing, but it's about voting blocks and lobbyists.


I just don't see how that can ever be "better". It reduces the motivation to be more productive, while increasing the apparent advantages of simply forming into large blocks of voters. It makes the people slaves to the political process, deriving benefits based not on their own personal accomplishments, but rather on which party or political platform they support. It provides motivation to political parties to keep as many people poor and needy as possible, so that those people will have to vote based on filling those needs rather than other possibly more important things.


It's just a bad thing.
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#280 Jun 29 2009 at 7:05 PM Rating: Excellent
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It can never be better, it's an absurd idea
I see you haven't bothered to read the thread.

Your argument is predicated on the fact that the government will deal sh*tty service. This is not always the case. It's the case where programs are run half assed. In situations where the government truly invests into a system, it will often out perform other private systems. Sure there can be corruption, waste, etc, but the government has the potential to provide far better service.

And for goodness sake, reduces the motivation of an individual to be productive? We're not talking about a communist state here, we're talking about ensuring the essentials in life are provided for. There are a ton of other reasons to be productive, because even with health care, not having a job or any disposable income really sucks.

Government ensuring essential services is a great idea. Just do it properly, and not half assed, like you can't make up your mind between funding something or not.

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Except that they still have to keep the business, right? They're going to provide the minimum service which wont result in their customers canceling their contracts and moving elsewhere. That's the part you kinda skipped over. The profit motive also ensures that they do enough to keep their customers.
This sounds great until you realize that these are fucking huge companies that a) don't care about the individual consumer, and b) are all being fairly careful to make sure that while they are competing there are still huge profits. You don't see companies aiming to make 0 profit, to break even, you see them maximizing profit. The quality of service is going to be very very consistent. But there is so much choice!!

Edited, Jun 29th 2009 10:10pm by Xsarus
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#281 Jun 29 2009 at 8:05 PM Rating: Good
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I have had both private insurance and government. I have had the same doctors with both, however my payments for the government one are far FAR less.

What some people who have Tricare don't realize, is that you can see private physicians. Are there bad doctors? Well duh. But, it isn't exclusive to government care.

I don't believe that this is a black and white topic. Private insurance can function alongside government healthcare. The issue is that there are far too many people who don't qualify for state health insurance policies like medicaid yet cant afford health insurance through their jobs. (My UHC was going to go from 54 a paycheck to over 400 after I had my daughter) - those uninsured people have uninsured children and when they use the E.R. for their medical care, it's the rest of us that cover the bill.
#282 Jun 29 2009 at 9:17 PM Rating: Excellent
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gbaji wrote:
Jophiel wrote:
With private insurance, I represent nothing more than an opportunity for the cmpany to try to squeeze the maximum amount of profit from me while providing the absolute least amount of service without me hitting a breaking point of leaving the insurance plan. Because most people's insurance is pooled through their place of employment, the insurance company knows that I can not easily select another plan thus they can squeeze me even harder and provide even less service. I am nothing more than dollar signs to them and every penny they have to spend on keeping me healthy represents a penny lost to them. Therefore, they will do everything in their power to not spend a single penny on me unless they absolutely have to.
Except that they still have to keep the business, right? They're going to provide the minimum service which wont result in their customers canceling their contracts and moving elsewhere. That's the part you kinda skipped over. The profit motive also ensures that they do enough to keep their customers.
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The exact same pressures to reduce costs exist in public systems Joph. It's naive to think otherwise.
Actually, no. The pressure in the private sector is to drive profits.
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The one key difference is that with a purely private system, if the customer is dissatisfied, he can take his business elsewhere.
Not easily, no. And the insurance companies know this. The cost for leaving a shitty employee pool program and going to an individual plan is enough that few people will do so. It's not like switching from Coke to Pepsi or McDonald's to Burger King -- it's like saying "Kia gave me a bad deal so now I'm going to try to buy a BMW with the same $15,000". Except, in this case, the BMW isn't really a much better car, it just costs 5x more.
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It'll leave most middle and working class people 'stuck' with the government provided health care, and only the wealthy with options to go elsewhere.
So your worst case scenario is the exact same scenario people find themselves in now, replacing "government provided" with "private employee provided"? Or, for the unemployed, replacing "government provided" with "a lack of any affordable".

You're not making much of a case here.

Edited, Jun 30th 2009 8:13am by Jophiel
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#283 Jun 29 2009 at 10:58 PM Rating: Good
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gbaji

You know that state funding doesn't mean 1 hospital for the whole country, right?

In UK and other 21st century healthcare systems, hospitals receive funding based on volume and quality and thereby have to compete. If you're not happy with the care (or reputation) of a hospital, you go elsewhere. The incentive for improvement is huge.

Idiot.
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#284 Jun 30 2009 at 5:33 AM Rating: Default
Nobby,

Quote:
In UK and other 21st century healthcare systems, hospitals receive funding based on volume and quality and thereby have to compete. If you're not happy with the care (or reputation) of a hospital, you go elsewhere. The incentive for improvement is huge.


So you think hospitals won't make efforts to increase volume, whether a patient needs it or not, simply to receive more funding? Sounds like public education to me. You know where teachers had to spend certain amounts just to receive the same amount the next year, whether or not the money needed to be spent.

And I challenge any of you that have children in public schools to go to that school and take a poll of how many teachers actually have their children enrolled in public schools. Let me tell you when I taught high school easily 90% of the teachers had their students going to private schools.

#285 Jun 30 2009 at 5:37 AM Rating: Decent
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And I challenge any of you that have children in public schools to go to that school and take a poll of how many teachers actually have their children enrolled in public schools. Let me tell you when I taught high school easily 90% of the teachers had their students going to private schools.


Most of my high school teachers were:


Old enough that their kids' kids were in high school in some other city
Not Parents
Having their kids go to the school they teach at.

Considering the salary of an average high school teacher(assuming that they're about as underpaid in most places as they are in Canada), I don't see how very many could easily afford to send their kids to private schools.

Also, no matter how rich I got, my kids would still go to public schools. Private schools are expensive, and tend to turn people into conceited pricks who think they're better than everyone else. Plus, I hear a lot of them are single gender schools, which is just terrible.
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#286 Jun 30 2009 at 5:42 AM Rating: Excellent
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publiusvarus wrote:
So you think hospitals won't make efforts to increase volume, whether a patient needs it or not, simply to receive more funding? Sounds like public education to me. You know where teachers had to spend certain amounts just to receive the same amount the next year, whether or not the money needed to be spent.
It's called Clinical Governance darling.

Our Royal Colleges have pathways evidencing appropriate interventions. Procedures that fall outside of the medical evidence base or that are not necessary are not paid for.

It's not that difficult you know.
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#287 Jun 30 2009 at 5:44 AM Rating: Decent
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Quote:
And I challenge any of you that have children in public schools to go to that school and take a poll of how many teachers actually have their children enrolled in public schools. Let me tell you when I taught high school easily 90% of the teachers had their students going to private schools.


On a public HS teacher's salary?
#288 Jun 30 2009 at 5:52 AM Rating: Default
Nobby,

Quote:
It's not that difficult you know


Well it is here. Anytime you have politicians involved in anything there are always complications and massive abuses. Do we really the govn deciding who gets care and who doesn't? I've heard horror stories about the UK system so don't pretend like UK healthcare is a perfect system for us to model.

#289REDACTED, Posted: Jun 30 2009 at 5:52 AM, Rating: Sub-Default, (Expand Post) Pensive,
#290REDACTED, Posted: Jun 30 2009 at 6:06 AM, Rating: Sub-Default, (Expand Post) Drift,
#291 Jun 30 2009 at 6:12 AM Rating: Excellent
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publiusvarus wrote:
Nobby,

Quote:
It's not that difficult you know


Well it is here. Anytime you have politicians involved in anything there are always complications and massive abuses. Do we really the govn deciding who gets care and who doesn't? I've heard horror stories about the UK system so don't pretend like UK healthcare is a perfect system for us to model.



Do you know what Nobby does for a living?

Have you not heard any horror stories about people waiting for care here? Or going into massive debt or bankruptcy, because if you can't afford health insurance, you sure as **** can't afford catastrophic illness.

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#292 Jun 30 2009 at 6:14 AM Rating: Excellent
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publiusvarus wrote:
And I challenge any of you that have children in public schools to go to that school and take a poll of how many teachers actually have their children enrolled in public schools.
I can say with confidence that three of my son's teachers so far have had children enrolled in my son's school as does his principal. Coincidentally, his principal and I also share a daycare provider.

Well, I guess you showed me.
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And I can tell you didn't attend a high school like I did.
Guess not. Although I did attend a public high school and I'm guessing not all that many years different from when you did. I guess you went to a shitty school and I went to a good one. Sorry for your loss.

Edited, Jun 30th 2009 9:16am by Jophiel
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#293REDACTED, Posted: Jun 30 2009 at 6:21 AM, Rating: Sub-Default, (Expand Post) Jophiel,
#294 Jun 30 2009 at 6:21 AM Rating: Decent
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Your kids education would suffer. And I can tell you didn't attend a high school like I did. Over 2500 population class sizes usually around 40 per class. We're talking mexican mafia wannabees, gangsta rapper wannabees, skinhead **** wannabees. I was fortunate in that I was a great athlete and everyone loves a winner. And even that didn't stop at least a couple of kids a year from trying to take me on because their girlfriend couldn't take their eyes of me. Ever watched someone get their head literally smashed through a locker? How about a knife being pulled on a security guard? Not to mention fights on a daily basis. These are common public school experiences. Granted when you get into rural communities this doesn't take place. On the bright side I did learn how to beat the sh*t out of someone and take a punch.



Hmm, about 900 during the most heavily populated year, 20-40/class, mostly gangsta rapper wannabes and stoners(guess which I tended to hang with due to higher average intelligence) I've HAD my head literally smashed through a locker, we don't have sevurity guards at our schools in Northwestern Ontario, there were probably two fights/day, many of them in my first two years involving me getting my *** handed to me by bigger guys who decided it was an awesome idea to seal my locker shut, twice/week, with caulk, after I decided it would be a good idea to pick a fight afterwards. I think 108000~ people isn't quite a rural community. I learned how to look after myself instead of having others look after me, I learned how to do amazingly good research with limited, low-budget, resources, I learned how to make friends in the real world, and I learned to look at both sides of an issue instead of being told what side to take.

Public schools are bad if you haven't taught your kids the basics of life yet..or if you're one of those people who has spoiled their kids rotten since the day they were born.

Besides, there are these things called books. Anything the schools don't teach my kids that I feel is important, I can through intelligent conversation, encouraging reading, and by giving them access to anything they want to learn about via books or (unlike my childhood) the internet.

Schools can only educate so far. If I don't have time or will to teach my kids about **** myself sometimes, I won't deserve to be a parent.
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#295 Jun 30 2009 at 6:31 AM Rating: Default
Drift,

Quote:
Schools can only educate so far. If I don't have time or will to teach my kids about sh*t myself sometimes, I won't deserve to be a parent.


I agree. Also by the time I was a senior I was taking nothing but ap honors classes so I was able to basically get away from that thug element. My whole point was that a kids shouldn't have to endure that and generally don't in private schools.

#296 Jun 30 2009 at 6:36 AM Rating: Excellent
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publiusvarus wrote:
And that's why public anything doesn't work.
Except that my public education worked swimmingly. My son's is going along just fine as well.

You're going to have to come up with something better than that to argue against my own experiences and state that "public anything doesn't work". My own experiences show that "public something" can work.
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#297 Jun 30 2009 at 6:37 AM Rating: Decent
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publiusvarus wrote:

And I challenge any of you that have children in public schools to go to that school and take a poll of how many teachers actually have their children enrolled in public schools. Let me tell you when I taught high school easily 90% of the teachers had their students going to private schools.
My kids went to public school. We also had a high-buck private high school nearby. I personally knew two teachers at the private school that lived in town. Both these teachers could send their kids to the private school tuition free. They both gave the kids the option. In one family the oldest boy went to the private school and the younger to the public - he was a budding musician and the public system offered up WAY more opportunity. In the other family, both boys ended up graduating from the public school and both are now in ivy league colleges.

My experience is not normal however. I choose the town to raise my kids in because of the exceptional school systems - which pretty consistently given higher ratings than any local private schools.

If parents make education a priority - they can get their kids a good education via public schools. And I truly believe its family values more than the institution that determine the success of a kids education.
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#298 Jun 30 2009 at 6:39 AM Rating: Good
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I went to a "traditional" school for elementary school, a private school for middle school, and a public school for high school, and I can tell you with 100% assurance that those 3 years in private school were a complete waste of my father's money. I didn't have near the educational opportunities that I would have had if I had went to a public middle school. But hey, that's just one gal's experience.
#299 Jun 30 2009 at 6:43 AM Rating: Decent
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Quote:
I agree. Also by the time I was a senior I was taking nothing but ap honors classes so I was able to basically get away from that thug element. My whole point was that a kids shouldn't have to endure that and generally don't in private schools.


We didn't have AP honors classes at our school, and even if we did, I wouldn't have been able to get into them as I have a hard time putting my knowledge and what I've found through research into writing and always ended up with marks just a few % lower than what was needed for honor roll.


Point is, I'd rather see my kids come out of a public school with both book smarts and street smarts, than come out of a private school with a whole pile of book smarts, but absolutely no street smarts.
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Eske wrote:
I've always read Driftwood as the straight man in varus' double act. It helps if you read all of his posts in the voice of Droopy Dog.
#300 Jun 30 2009 at 7:01 AM Rating: Default
Jophed,

Quote:
You're going to have to come up with something better than that to argue against my own experiences and state that "public anything doesn't work". My own experiences show that "public something" can work.


Public education doesn't work for MOST kids. So yes while your own experience may have worked for you it's not the norm.

Look at public school literacy/graduation rates. It's amazing that you think public schools work because of your experience. H*ll not long ago I remember an article showing 50% of public NY high school kids weren't graduating.
#301 Jun 30 2009 at 7:02 AM Rating: Good
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Private schools are often smaller, and don't have the population or the demographics to offer any education that will help people doing trades. they often won't be able to offer as many AP courses. There are often way more options and choices at public schools, just because they are big enough to be able to offer them and still have full classrooms. There's nothing wrong with private schools, but they are hardly the end all and be all. In many cases they would be the wrong choice.

Quote:
H*ll not long ago I remember an article showing 50% of public NY high school kids weren't graduating.
See, they wouldn't graduate from private schools either. You're confusing problems with causes.

How common are private schools in the states anyway? In Canada the vast majority of people went to public schools and they seem to be fine. There are fantastic programs in public high schools like the international baccalaureate, that let motivated people get absolutely fantastic education.

Edited, Jun 30th 2009 10:05am by Xsarus
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