logoalt Hacker News

Schiendelmantoday at 2:56 PM1 replyview on HN

I struggle with this. Outcomes for our healthcare system are much better than critics want to accept. Most of the negative health outcomes in the United States are mostly about our built environment - people who aren't very poor and live in walkable urban centers in the US have health outcomes similar to Europe. Those reading this website in the US often have outcomes that exceed their peers in Europe - we have much better cancer treatment, for instance. US city air quality is starting to beat European cities because we don't use nearly as much natural gas (NYC is better than Berlin, for instance, at pm2.5).

Most negative US health outcome factors can be traced to suburbanization, which is also where the vast majority of the gun violence is, and systemic racial wealth disparity. We have a pretty good healthcare system, we just need to subsidize it for people who can't afford it.


Replies

microtonaltoday at 3:17 PM

"If we focus on a subset of the population that is lucky, we have a great healthcare system." Got it!

Sorry for the sarcasm, but that's how your comment reads.

Do those lucky people have healthcare insurance tied to their employment? Are they afraid to go to a demonstration or advocate a union, because they could lose their job and thus healthcare?

A good healthcare system treats everyone equally, no matter where they live in a country, their income level, being employed/unemployed, etc.

We have a pretty good healthcare system, we just need to subsidize it for people who can't afford it.

No, it is broken. The US healthcare capita costs twice as much per capita as most West European countries and the 'outcomes per capita' are worse. The problem is, similar to the prison system etc., the privatization of the system. It's run by companies that go for profit maximization, which entails rejecting as many claims as possible, driving up medicine prices, etc.

show 1 reply