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yodel_fewyesterday at 1:21 PM1 replyview on HN

This is terrible reasoning.

Food is, in general, very accessible, cheap, and elastic (People's food decisions are easily changed depending on the price).

Healthcare in America is not accessible, extremely expensive, and inelastic.

We have not had a famine in the developed world in quite a long time, but the healthcare crises continues.

The fact remains clear: The number one cause of bankruptcy is medical debt.

Healthcare is the only service that is life and death, where the money paid by the patient is completely inelastic.

I'm not saying doctors shouldn't be paid well. But what is really clear is that while the rich pay for premium concierge VIP treatment, the poor are regularly turned away for treatment they can't afford. You health insurance here is tied to your job. Lose your job? Pay $2000/month for COBRA or you don't deserve to have healthcare.

Don't act like public healthcare, expanding access to primary care physicians, and reducing medical administrative bloat is some economic degeneration headed for the sickle and hammer. I'm tired of pretending Ayn Rand style libertarianism capitalism is the perfect solution that has worked for everything including healthcare.


Replies

panick21_today at 7:45 AM

> Healthcare in America is not accessible, extremely expensive, and inelastic.

Did I somehow make the argument that the US has a good health care system? I must have missed that.

> Healthcare is the only service that is life and death, where the money paid by the patient is completely inelastic.

Most healthcare spending isn't actually 'life and death' either. And even if it in the medium term is 'life and death' only a very small amount of health care is an emergency where you can not potentially consider different options.

Just as most time when you are going to the store its not 'life and death'. But still if don't do anything eventually you will starve.

> The fact remains clear: The number one cause of bankruptcy is medical debt.

My goal would be to achieve the best overall healthcare outcomes at reasonable cost. That's at least the first stab at a definition, I'm sure we could come up with a better criteria.

If you increase payroll taxes as much as a fully public system would required, you would just have more people default on their houses and cars instead. Because there is no world, no matter how many billionaires you disown, that you can implement a universal system without massive increases of income taxes.

Again I'm not even arguing that a universal system is bad or wrong thing to aim for. The argument that I actually made was that 'some people make profit' isn't actually a good argument against any system.

> Don't act like public healthcare, expanding access to primary care physicians, and reducing medical administrative bloat is some economic degeneration headed for the sickle and hammer. I'm tired of pretending Ayn Rand style libertarianism capitalism is the perfect solution that has worked for everything including healthcare.

You are literally just ranting about shit I have never argued. I guess I must have trigger something.