@goldfinger
"Okay JY, let's have it your way.
"Let's have everyone's family cover their own healthcare costs, or rely on charities."
or let their loved ones die.
"Where does that leave us after one generation? Two?"
essentially the 19th century. i don't see healthcare as a necessity, i see it as a benefit that you can have added. if i can afford, i can improve my health. if we discover a trillion dollar cost for an extra 100 years of life, will everyone has a right to it? or is it and added factor?
"What state will the economy be in then? With probably 70-80% of the country in personal bankruptcy?"
you're assuming the population will ALL go into debt.
we just need cheaper healthcare
there's a way to get cheap health insurance in a purely competitive market, and the ACA went exactly in the opposite direction.
insurance companies aren't the problem: in Germany and Switzerland they RELY off of competitive insurance companies.
our insurance companies make about a 2.2% return on revenue, they're about 35th on the most profitable businesses. meanwhile, pharmaceutical companies are at number 3, with a 19.9% return, and medical products and equipment industry was right behind it, with a 16.3 percent return
In the U.S., insurers negotiate with hospitals and drug companies on their own - and they pay more as a result. In fact, because of their weak negotiating position they frequently use whatever price Medicare is paying as a baseline and then, because they lack the power to strike a similar deal, add a percentage on top.
in single payer systems i other countries, the gov't sets the price.
in our country: neither the free market NOR the gov't sets the price. this is BAAAAD for costs
so the solution? ask a Trump supporter!
a VERY common response by Trump supporters (if you don't call them nazis, racists, bigots, homophobes right off the back) is that we need to stop giving monopolies to these out of control pharmaceutical companies, while butchering insurance companies. and who do they blame? Hillary, the woman who accepted millions in campaign donations from pharmaceutical companies #ClintonFoundationFunFacts look at how much money was pulled out after she lost.
If we lower costs enough, then we won't have to restrict people's freedom, and we'll be better off with healthcare costs than countries with smaller, more homogeneous populations.
of course, this only addresses symptoms of problems. it costs up to 2.6 billion dollars to get a new drug onto the market!
http://csdd.tufts.edu/news/complete_story/tufts_csdd_rd_cost_study_now_published
clearly we need to address the fact that this is not just inflation driven, and regulations are making these investments expensive.
most pharma-companies are massive internationals and patent laws on drugs don’t apply overseas, PLUS they get smaller profits due to lower prices as set by foreign governments.
The USA with a 20% return is why investing in pharmaceuticals is so lucrative. but imagine if the USA also capped prices, and your 1.2 billion dollar investment (out of pocket cost) only yields 2% return instead of 20%? who is taking that risk???
nobody smart: i.e. the gov’t. the gov’t MUST subsidize, and eventually, nationalize. this is because of massive overregulation.
it used to be “buyer beware” but now it’s “we’re from the gov’t and we’re here to help” (Reagan rolling over in his grave).
Of course this wouldn’t be a problem if it weren’t for bankruptcy loopholes and the like to get out of lawsuits. I propose two markets, and FDA regulated, and a completely unregulated, free, buyer beware market. now you can still sue if a family member dies, and they can’t weasel out of money (we’ll have to change some statutes) but this way, drugs get put out on the market quickly and cheaply.
furthermore (i like that word a lot) nationalization stops competition, which will stifle creativity in drug creation.
with these 2 markets, i think we’ll very quickly see which one starts succeeding: turns out “freedom” is a pretty good thing. who knew?
furthermore,
"What will life look like for the poor? The rich? Is that fair?"
actually, that IS fair. we live as long as we can, as long as we are able, and as long as we have the will to continue. anything we can fairly obtain to extend our lives we reach for.
but it is unfair to force others to help extend your life. force is the key factor here