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#3227 Sep 20 2016 at 2:46 PM Rating: Excellent
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The American healthcare system is an act of God - the old testament God.
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#3228 Sep 20 2016 at 3:20 PM Rating: Decent
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Almalieque wrote:
Gbaji wrote:
It's interesting how we sometimes apply different standards based purely on the assumption that "for profit" means "greed", while "non profit" does not.
I can't say anything about ITT, but there are a number of schools where you are essentially paying for a degree as opposed to earning a degree.


And that's not the case with non-profit schools as well? A state school has as much motivation to bring in customers as a for profit private school. The administrators all want to keep earning their salaries. The professors want to get their grant money. This is part of the point I'm making. Even if the organization itself doesn't produce profits directly for investors/owners, the people involved each have a greed motivation in play. It may manifest differently, but it's still there.

The bigger issue, as I pointed out earlier, is what you get for the cost. And in many cases, a non-profit isn't as focused on maximizing the value to cost ratio for their customers, since they may not actually "gain" by producing a better product. In the case of a school that's subsidized by state funding, for example, their primary customer is the state, not the students (and states may put priorities on things like "diversity education" rather than education that will result in good paying jobs later on). So they may make choices that sacrifice the quality of the education if it maximizes government funding. In a for profit, however, their funding depends on people choosing to pay for the education at their school. This produces competition and (in theory at least) should improve the quality of the education.

Of course, when we lump in government guaranteed student loans, that equation changes somewhat. Which is why we've been seeing education costs increasing across the board, with arguably little corresponding increase in education quality (and in some cases, a decrease).
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#3229 Sep 20 2016 at 3:39 PM Rating: Decent
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Jophiel wrote:
gbaji wrote:
We're never not going to need food, yet that's done via for-profit methods. Seems to work just fine.

Fine for you, you mean. (That's only touching on distribution and ignores issues like cheap additives to 'bulk' up food, the tons of salt and sugar added to food, deceptive labeling, issues with agricultural patents, so on and so forth)


That's a whole different aspect of the issue and is related to poverty. The issue I'm talking about is whether a for-profit food industry does a better job at producing quality and quantity of food for the consumers than a non-profit food industry would do. That some people may still not be able to afford enough food is a completely separate issue.

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In a for-profit environment, the way for the greedy to gain money is to provide the best product they can for the lowest price they can.

Obviously.

To be fair, maybe you're against patent and copyright law. Although most pro-business people aren't and I suspect that you're not either.


Um... You get that this is the result of the very issue I'm talking about. This is a case where the profit is driven by something other than customer choice. And the reason? Because the government mandates passed in the ACA create a "free money" condition. That's the problem. When people have to pay for a product out of their pockets, the forces I spoke of exist in the for-profit world. When the government passes a law requiring insurance companies to pay for a product on behalf of consumers, it should be no surprise that prices will rise. Obviously, this is an extreme example, but it's what one should expect when government steps in and does something this dumb.

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Oh. And the content would suck too. We'd probably only have like one station in each area. No cable, of course.

BBC seems to do okay for itself, including selling its programming globally and having worldwide renown in comedy, drama, children's programming, science fiction and documentary programming. They even manage to have more than one station. This is, of course, politely ignoring the fact that 95% of current television programming already sucks anyway.


It took them a long time to get there though. And frankly it was driven by poor comparisons of BBC content to other for-profit content producers. Talk to people about how BBC content was back in the 70s and 80s if you want a better look at this. The point here is that if all television was state run everywhere, that improvement almost certainly would never have happened. People would not have demanded it because they weren't looking over the fence and seeing it done differently/better elsewhere. They'd have seen one station as normal. They'd have seen the content style as normal. They'd never know they were missing a thing called "cable tv" because it would never have been invented.

We live in a world dominated by competition, so we have a hard time actually imagining what the world would be like if it didn't exist. I'll give you a hint though. Think North Korea.
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#3230 Sep 20 2016 at 3:47 PM Rating: Decent
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Yodabunny wrote:
Except education and health care are required at a high standard. Companies cut corners to gain those efficiencies you talk about and health care and education are not places you should be cutting corners. There is no place for private business in a market where supply IS the demand, everyone needs health care they don't choose it, they need it and they need a specific "it" at any given time unlike food which is full of choice. Don't like the price of apples, buy the oranges, don't like price of MRIs die of a brain tumor..it's a different kind of necessity, you can charge whatever you want for an MRI, I'm going to pay it because I don't want to die, you don't have flavours of MRI there's no choice there you're taking the first one that comes along, every time. That is why health care should be publicly funded, it's bunch of specific procedures you WILL pay for regardless of how fair the pricing is so it may as well just be a communal costs for everyone with little profit motive.


What you're describing actually happens more under non-profit (or heavily government subsidized and regulated) health care though. I think you're missing where the competition is. It's between hospital A and hospital B. They're going to want to bring down the cost of an MRI, or blood test, or whatever, because patients absolutely can choose which to go to for care. In a non-profit (worse, government funded) environment, the hospitals aren't competing against each other. They don't care if you go to their hospital or the one down the street, since they're going to get a piece of the funding either way. Same deal when you create large government run insurance pools. The money is all coming from the same place, and goes out in amount measured just to cover costs to all providers. The provider no longer matters, since from the consumers point of view, they are all identical. All forced to provide the same service for the same price.

Which means no competition, and thus no reason to try to decrease prices, and definitely no reason to improve the product itself (except maybe via public pressure laundered through government regulations, which is very slow and plodding). In that environment, funding comes from following the government's rules, not from providing the goods and services their customers want at a price they can afford. Which lends itself to greater abuse and waste, and less actual improvement in the value of the product.
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#3231 Sep 20 2016 at 5:21 PM Rating: Excellent
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gbaji wrote:
That some people may still not be able to afford enough food is a completely separate issue.

Absolute nonsense. The idea of the government getting involved in healthcare and, for that matter, agribusiness (which it's amusing that you'd use food as an example here) is to ensure that the product or service is available to as many people as possible.

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Um... You get that this is the result of the very issue I'm talking about. This is a case where the profit is driven by something other than customer choice. And the reason? Because the government mandates passed in the ACA create a "free money" condition.

The reason is because of a lock on the market that allowed them to extort money. You realize that pharmaceuticals are a "for-profit" industry right? The kind that, by your definition, gain money by producing the best product for the lowest price? Well, you're wrong. Hilariously, naively, wrong. Like a child is wrong, wrong.

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Talk to people about how BBC content was back in the 70s and 80s if you want a better look at this

Again, American TV during the 70s and 80s sucked. Very, very little of it has held up. For every Fawlty Towers or Cheers you have a bajillion Three's Company or Small Wonders.
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#3232 Sep 20 2016 at 7:52 PM Rating: Decent
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Gbaji wrote:
And that's not the case with non-profit schools as well?
Claiming ignorance here, but I was under the impression that public schools receive public funds and public resources. While that doesn't prevent them from selling degrees, there is much less incentive to do so. I would also like to note that I'm differentiating prestige private schools from the "ITT" type of schools that I'm referring to. The target audience for these types of schools allow the schools to behave in this manner.
#3233 Sep 21 2016 at 1:42 AM Rating: Good
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gbaji wrote:
Talk to people about how BBC content was back in the 70s and 80s if you want a better look at this. The point here is that if all television was state run everywhere, that improvement almost certainly would never have happened.








https://en.wikipedia.org/wiki/Category:1970s_British_television_series
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#3234 Sep 21 2016 at 7:29 AM Rating: Good
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Dr Who can never compare to the quality that is the Star Wars Holiday Special.
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#3235 Sep 21 2016 at 9:32 AM Rating: Excellent
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(In addition to the ones already listed): Are You Being Served?, The Young Ones, The Benny Hill Show, Dave Allen At Large, Life on Earth, Q, Not the Nine O’Clock News, Antiques Roadshow... that's not counting acclaimed dramas and miniseries.

Per capita, there was probably as much good BBC programming being produced in the 70s and 80s as there was from any US network.
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#3236 Sep 21 2016 at 10:01 AM Rating: Good
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Fawlty Towers was BBC, by the by.

But overall probably the worst analogy to ever be used. BBC's programming during the seventies and eighties was amazing, especially compared to today's programming.
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#3237 Sep 21 2016 at 10:28 AM Rating: Excellent
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I know. I meant to list one esteemed UK and one esteemed US show, but then when listing terrible shows I did two US ones. Mainly because terrible UK shows didn't make US shores so I didn't have a handy reference. I could have been clearer though.

Edited, Sep 21st 2016 11:30am by Jophiel
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#3238 Sep 21 2016 at 11:39 AM Rating: Decent
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someproteinguy wrote:
...We're more afraid of death as a whole, and less able to deal with it...
You're less able to deal with it because your financial considerations prevent you from catching those issues early and making preventative changes.

someproteinguy wrote:
Then you have 30 more years to reap the benefits of the costs at least. I'm (without wanting to pry into someone else's medical issues, of course) assuming the information you gained from the MRI/CAT scans was essential in choosing treatment options and not just a "yup you look good" kind of thing.
It determined that I'm having migraines and cluster headaches but they aren't from a tumor. This led to quiting smoking and other changes to limit the headaches which has an overall improvement on my health making my future treatment cheaper.

someproteinguy wrote:
On the contrary we should be doing that anyway. Again this is part of the problem, you have to ask yourself if it's worth the money to roll the dice and try and save yourself. Those expenses end up being a burden on other loved ones in the short term and indirectly drive up medical costs for everyone (again, there's a limited number of doctors, etc). I mean, in the mid-30s it's not really an issue so much, the balance is much closer to the "spend the money" side of the equation, but when you're 72 and retired it's a serious consideration.
Again financial considerations determining your health care. It's financial not cultural. The cultural phenomena you are trying to describe is the result of extended financial hardship from past medical costs and horror stories. We don't have those stories and experiences here so we don't have that wait until it's desperate attitude.
#3239 Sep 21 2016 at 11:57 AM Rating: Decent
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gbaji wrote:
What you're describing actually happens more under non-profit (or heavily government subsidized and regulated) health care though. I think you're missing where the competition is. It's between hospital A and hospital B. They're going to want to bring down the cost of an MRI, or blood test, or whatever, because patients absolutely can choose which to go to for care. In a non-profit (worse, government funded) environment, the hospitals aren't competing against each other. They don't care if you go to their hospital or the one down the street, since they're going to get a piece of the funding either way. Same deal when you create large government run insurance pools. The money is all coming from the same place, and goes out in amount measured just to cover costs to all providers. The provider no longer matters, since from the consumers point of view, they are all identical. All forced to provide the same service for the same price.

Which means no competition, and thus no reason to try to decrease prices, and definitely no reason to improve the product itself (except maybe via public pressure laundered through government regulations, which is very slow and plodding). In that environment, funding comes from following the government's rules, not from providing the goods and services their customers want at a price they can afford. Which lends itself to greater abuse and waste, and less actual improvement in the value of the product.


No it doesn't and no it isn't. People don't choose one hospital over another, if you're going to the hospital you're going to the closest hospital you can get to, or in your case the one your insurance company will pay. Hospitals here don't compete, they share resources. MRI machine too busy? Call the next hospital down the road and send the patient down the road.

Hospitals also don't "bring down the cost of an MRI", anywhere. Companies that make MRI machines do that so they can sell more MRI machines. Funding is based on the number of patients served with a book value for each procedure just like automotive repair. That book value is determined by the medical board based on time and resources required for a given procedure. You'd be hard pressed to find a Canadian that knows what any procedure they've ever had done cost. There are exceptions to this, cosmetic procedures, dental work, essentially most things that are a choice rather than an actual health issue are not covered and rates are set by the doctor and facility, as a result these things tend to be handled by private offices outside of the hospital. I had to pay for circumcision for my sons because it's not medically necessary.

Nobody dies here because they can't get treatment, nobody's family is put into crippling debt because of an accident or sickness, and we pay 10% of what you do for health care. You're doing it wrong. Stop trying to make money off of people's misfortune.
#3240 Sep 21 2016 at 12:03 PM Rating: Excellent
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Yodabunny wrote:
I had to pay for circumcision for my sons because it's not medically necessary.

You monster.

Do they pay for cat declawing?

Don't mind me, just trying to drum up some outrage here.
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#3241 Sep 21 2016 at 12:08 PM Rating: Decent
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No, our cats wear down their claws on the sides of our igloos.
#3242 Sep 21 2016 at 12:09 PM Rating: Good
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I'll outrage against cats. Filthy narcissistic asshole beasts.
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#3243 Sep 21 2016 at 12:15 PM Rating: Decent
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I'm extremely allergic to cats. They send me to the hospital, which is fine because it's free, like all Canadians.
#3244 Sep 21 2016 at 4:36 PM Rating: Excellent
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Holy shit, BBC is doing a television program based on Dirk Gentley starting Oct 22nd. It may very well be terrible but I'll be there to find out.
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#3245 Sep 21 2016 at 4:53 PM Rating: Good
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Yodabunny wrote:
Nobody dies here because they can't get treatment, nobody's family is put into crippling debt because of an accident or sickness, and we pay 10% of what you do for health care. You're doing it wrong. Stop trying to make money off of people's misfortune.
Nobody isn't quite accurate. Very very rare though.
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#3246 Sep 21 2016 at 11:38 PM Rating: Decent
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Agreed.
#3247 Sep 22 2016 at 7:31 AM Rating: Good
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Jophiel wrote:
Holy shit, BBC is doing a television program based on Dirk Gentley starting Oct 22nd. .
With Frodo Baggins.
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#3248 Sep 22 2016 at 8:26 AM Rating: Excellent
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Yeah, Woods doesn't exactly fit the literary description of Gentley (middlingly unattractive, overweight, stupid hat)... as in at all. And Adams' stuff doesn't really translate well to screen as multiple attempts have proven. But the Gentley novels are my favorite Adams works after the original Guide so I need to at least give it a go with fingers crossed that they can capture the general essence of it.

Speaking of, Adams got his start writing for the BBC. Silly government-owned media; it's just like North Korea!
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#3249 Sep 22 2016 at 12:44 PM Rating: Good
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Well, Woods isn't playing Dirk he's playing someone named Todd. Though the guy playing him isn't unattractive or overweight either. Haven't seen the hat, that could go either way.
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#3250 Sep 22 2016 at 2:19 PM Rating: Excellent
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Ah, since Woods was the one I recognized, and no one looked especially Gentley-esque, I just assumed.
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#3251 Sep 22 2016 at 4:29 PM Rating: Decent
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Jophiel wrote:
gbaji wrote:
That some people may still not be able to afford enough food is a completely separate issue.

Absolute nonsense. The idea of the government getting involved in healthcare and, for that matter, agribusiness (which it's amusing that you'd use food as an example here) is to ensure that the product or service is available to as many people as possible.


And by "available to", you don't mean what the term literally means (as in: "is there food available to purchase in the store", but "affordable", and even if affordable, then "provided". The term "available" is horribly misused (in both of those industries). I'll also point out that rates of food insecurity don't seem to change at all based on whether someone receives government assistance though.

But that's really beside the point. I was speaking of the private market that buys food in bulk and packages and sells it in stores. And that industry does a pretty bang up job at making sure we don't have things like shortages and that food is priced as affordably as possible . Which is the primary purpose in this case. There's every likelihood that if the government was in charge of bringing food from the farm to your pantry, the result would be far less selection and far greater total cost.

That's a separate issue from things like farm subsidies to manipulate the supply of certain foods (often to prevent prices dropping so low that farmers can't afford to farm that food anymore). If anything, our private food market is almost too efficient.

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The reason is because of a lock on the market that allowed them to extort money. You realize that pharmaceuticals are a "for-profit" industry right?


Yes. And if they had to sell those pills directly to the customer, no one would pay $700/pill, and they'd make zero profit. Thus, they'd never even attempt it, just as no one tries to charge $100 for a loaf of bread. Same free market forces apply. It's only when the government steps in with some sort of mandate, forcing customers (in this case, the insurance company) to pay for something, that the for-profit guy might just decide to crank up the price.

This is just an extreme example. But tons of other things will also go up in price as a result of this. Just not as much, or as quickly, or as obviously. Which is why those of us who actually understand how markets work have been saying that increased costs will be the result of the individual mandate in the ACA all along. You have to be a complete idiot not to see this obvious outcome.

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The kind that, by your definition, gain money by producing the best product for the lowest price?


Except when the government gets involved and makes it possible to make the most profit in some other manner. Just as in this case. See how this is actually a proof of my point? Never mind. You don't. You're wearing liberal blinders which prevent you from seeing this.

Edited, Sep 22nd 2016 4:45pm by gbaji
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