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MrSkeltertoday at 11:08 AM2 repliesview on HN

Healthcare reform isn’t actually hard. Every advanced country has done it bar the United States.

In every case costs have gone down and outcomes have improved.

You always build on what you have because you can’t pause healthcare for very obvious reasons.

Hence a lot of different systems all with the same aim. Controlled costs and universal coverage.

The idea the US is somehow different and cannot make the change is the result of propaganda and a mistaken belief that the current Us system is the worlds best despite its costs.

Healthcare reform is easy and there is an ocean of prior art.


Replies

tptacektoday at 6:23 PM

Yeah, and they all generally get there by paying practitioners much less than the US does (by integer multiples). Single-payer, which this working paper equates with "universal coverage", is in fact not the norm among universal systems; besides using Medicare to ration the supply of practitioners, the original sin of our system is employer-based coverage, not payer structure.

Health care is an absolutely massive industry (everywhere, not just in the United States), and slashing compensation in a massive industry by top-down fiat is in fact not an especially easy thing to do.

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VirusNewbietoday at 6:54 PM

>In every case costs have gone down and outcomes have improved.

this isn't really true though, if you look at survival rates of many diseases.

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