Tutte le discussioni > Discussioni di Steam > Off Topic > Dettagli della discussione
Privatized or Universal Healthcare?
When we think about Universal Healthcare some of us may think it's free when it's truly not as it comes through more taxes in order of achieving everyone that would be insured for health, but there may be need to be a dramatic increase of taxes for better quality healthcare like Denmark as it's more than 40%.

Privatized Healthcare on the other hand, Is a optional choice for people to choose as the quality may be better without government involvement as it can be less taxes and not paying for someone else's insurance. Also it may come quicker when in emergency rooms than a single payer healthcare system that takes a long time in other developed countries.

Which would you prefer? Quality or a Right?
Ultima modifica da Ȃ̷̛́͌̚͝r̵c̸̛̒͐̅̇; 1 ago 2023, ore 16:38
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Messaggio originale di Professor:
Messaggio originale di crunchyfrog:

Again I can only speak from experience here in Britain to any degree and it's not the case.

What you miss is that by offering a government regulated health service it means that the cutting edge doesn't cost that much as they control pricing and therefore those of us on the NHS get the best stuff.

You get top notch surgery, as Ozzy Osbourne has often commented on. In his biography he mentions a situation where he, when living in the US had some (of his many) accidents and the doctor asks where he had some previous surgery done as it was top notch according to the scar tissue and so on. He pointed out this is basic NHS treament and he was rather shocked.

The only thing we do tend to get is a waiting list, which needs to be prioritized, but again this is pretty unavoidable.

But your claim about lacking access to cutting edge is just plain wrong.

I';m not saying it can't happen as it entirely depends on the quality of the health service generally in whatever country you're talking about.

So can you tell me whether the UK-NHS pays & fully covers Gene Therapy for cancer patients? After some research I have not been able to find any statistics with people receiving Gene Therapy for free or with very little to no personal insurance & that includes NIS, Medicare, Medicade schemes, where the tax payers foot the bill. If you can find some data that is not a medical trial or research related, I would be interested.

In Australia we have disability NDIS & Medicare that does provide GENERIC services, it includes GP Consultation & basic surgery. However it doesn't include Specialist Referrals, Imaging or complicated advanced cutting edge surgery, as that is specific & would require massive out of pocket expenses. Sure one can fund it themselves, as the government certainly wont

Universal Healthcare in my country is basically generic medical services that the government pays with taxpayer dollars, for everyone, regardless of an individuals, private insurance or wealth. Private Healthcare is a very different structure & depending on the levels of insurance one can afford, it dictates the level of access to services they receive. Eventhough they can still opt to receive the generic care from the public system for free.

It is why many people here have low to mid private health insurance, but in general they still opt for the public system as the generic option. We tend to use private health insurance to receive a tax discount on the governments levy for Medicare. Which here, every tax payer funds Medicare via annual income taxes as a levy of 2% of personal income, if we dont hold private health insurance & 1.7% if we do hold private health insurance.

Where we do well is the PBS (Pharmaceutical Benefit Scheme) where our government funds almost all generic prescriptions as well as a limited amount of top shelf specific medicines. Like the ones that cost $30,000 to $300,000 per annum, but this is very limited & as far as I know there are only a handful of them listed on the PBS.

What you said may be correct for the UK but it is not correct for Australia. As I have mentioned to you before their is relative perspective, that certainly provides for different experiences, beliefs & realities.

Messaggio originale di crunchyfrog:
it was top notch according to the scar tissue and so on. He pointed out this is basic NHS treament

I was talking about access to advanced medical technologies, not scars & aspirin

Messaggio originale di Professor:
To me it is the level of access to advanced, cutting edge treatment & medications.

I do agree with you as I too would prefer Universal Healthcare, but it has to be better funded & further reduce the gap with private health care.

Messaggio originale di crunchyfrog:
What you miss is that by offering a government regulated health service it means that the cutting edge doesn't cost that much as they control pricing and therefore those of us on the NHS get the best stuff. Your claim about lacking access to cutting edge is just plain wrong.

I didn't say that Universal Healthcare wasn't good quality only that it is generic. The observation I made was the gap or 2 tier system of access to advanced medical technology between private & public patients. Also a public hospital would never refuse treatment to anyone but on the other hand a private hospital would refuse treatment to all non paying customers. Maybe not for emergencies put certainly for scheduled procedures & that is a big maybe.

Messaggio originale di Professor:
How many Cancer patients with little or no insurance have ever been treated by Gene Therapy? I would suspect the number to be zero.

One of many existing examples of gaps & a 2 tier system is the highly advanced, cutting edge treatment for cancer being Gene Therapy. And as far as I know there isn't a public Universal Healthcare system on the planet that funds GT personal treatment in full or even in part. So the rest of us relying on taxpayer funded schemes are treated with generic Chemo & Radio Therapy. And this simply highlights the different levels of access between private & public patients to many advanced medical technologies for all sorts of conditions not just cancer.
I'm afraid that's not the point and a dodge.

I nclearly said that it ain't perfect by any means.

I'm pointing out YOUR claim that across the board you don't get cutting edge stuff on free healthcare is demosntrably wrong.
Messaggio originale di crunchyfrog:
I'm afraid that's not the point and a dodge.

I nclearly said that it ain't perfect by any means.

I'm pointing out YOUR claim that across the board you don't get cutting edge stuff on free healthcare is demosntrably wrong.

You still clearly, cant answer the questions I asked & yet you call it a dodge LOL

Messaggio originale di Originally posted by Professor:
How many Cancer patients with little or no insurance have ever been treated by Gene Therapy? Can you tell me whether the UK-NHS pays & fully covers Gene Therapy for cancer patients?

The opinion of Universal Healthcare being generic & default is certainly open to interpretation. However I consider it to be that way because not all procedures are freely available through public health care. And if advanced medical technology is called for & not available generically, they come with huge out of pocket expenses, making it far from universal to all.

Messaggio originale di Originally posted by Professor:
As far as I know there isn't a public Universal Healthcare system on the planet that funds GT personal treatment in full or even in part. This simply highlights the different levels of access between private & public patients to many advanced medical technologies for all sorts of conditions, not just cancer.

It seems you may not be fully appreciating the difference between private & public healthcare, as it would be very difficult to argue that they are the same. Universal means the same treatment for all, but it certainly stops when one has top level private health insurance.

Yes it is Universal regardless of insurance or wealth, however the health care they provide, usually does not extend as far as the private system. The public system tends to fall short when it comes to high end advanced medications & procedures. And yes they may also be available through the public system but it comes with huge out of pocket expenses, meaning that it is no longer universal.

What is probably true in many countries is that the public universal healthcare system reserves & charges a portion of all their rooms, facilities & services to the private system. In Australia 25% of our public hospitals are reserved for highly insured private patients, which certainly doesn't sound universal to me.

It creates a gap or a 2 tier system, where it is not the same for all, where universal should mean a single tier with no gap that is the same for all. The public health care system will always aim to be universal, however the entire health care industry is certainly not universal.

Anyway I am tiered of this merry-go-round & will only say that I am happy to respectfully disagree with you. As I dont think you are wrong, just perhaps, only seeing things from your own perspective that is very dismissive of other possible perspectives.
Ultima modifica da Professor; 8 set 2023, ore 0:01
Messaggio originale di Professor:
Messaggio originale di crunchyfrog:
I'm afraid that's not the point and a dodge.

I nclearly said that it ain't perfect by any means.

I'm pointing out YOUR claim that across the board you don't get cutting edge stuff on free healthcare is demosntrably wrong.

You still clearly, cant answer the questions I asked & yet you call it a dodge LOL

Messaggio originale di Originally posted by Professor:
How many Cancer patients with little or no insurance have ever been treated by Gene Therapy? Can you tell me whether the UK-NHS pays & fully covers Gene Therapy for cancer patients?

The opinion of Universal Healthcare being generic & default is certainly open to interpretation. However I consider it to be that way because not all procedures are freely available through public health care. And if advanced medical technology is called for & not available generically, they come with huge out of pocket expenses, making it far from universal to all.

Messaggio originale di Originally posted by Professor:
As far as I know there isn't a public Universal Healthcare system on the planet that funds GT personal treatment in full or even in part. This simply highlights the different levels of access between private & public patients to many advanced medical technologies for all sorts of conditions, not just cancer.

It seems you may not be fully appreciating the difference between private & public healthcare, as it would be very difficult to argue that they are the same. Universal means the same treatment for all, but it certainly stops when one has top level private health insurance.

Yes it is Universal regardless of insurance or wealth, however the health care they provide, usually does not extend as far as the private system. The public system tends to fall short when it comes to high end advanced medications & procedures. And yes they may also be available through the public system but it comes with huge out of pocket expenses, meaning that it is no longer universal.

What is probably true in many countries is that the public universal healthcare system reserves & charges a portion of all their rooms, facilities & services to the private system. In Australia 25% of our public hospitals are reserved for highly insured private patients, which certainly doesn't sound universal to me.

It creates a gap or a 2 tier system, where it is not the same for all, where universal should mean a single tier with no gap that is the same for all. The public health care system will always aim to be universal, however the entire health care industry is certainly not universal.

Anyway I am tiered of this merry-go-round & will only say that I am happy to respectfully disagree with you. As I dont think you are wrong, just perhaps, only seeing things from your own perspective that is very dismissive of other possible perspectives.
Except I did answer your questions.

Stop being dishonest.

please demonstrate WHERE I didn't answer your question and why it isn't answering. Because I pointed out you were wrong - you claimed that you CANNOT get top level acess to the best treament in free healthcare.


The mere fact I can in Britain demonstrates you're wrong.

End of.

I'm sorry you can't understand that basic logic, but that's on you.

If you're talking about something else I don't care because that wasn't a point I made. I tackled THAT SINGLE POINT only.
Messaggio originale di crunchyfrog:
Except I did answer your questions.

Stop being dishonest.

please demonstrate WHERE I didn't answer your question and why it isn't answering. Because I pointed out you were wrong - you claimed that you CANNOT get top level acess to the best treament in free healthcare.


The mere fact I can in Britain demonstrates you're wrong.

End of.

I'm sorry you can't understand that basic logic, but that's on you.

If you're talking about something else I don't care because that wasn't a point I made. I tackled THAT SINGLE POINT only.

Show me where you answered the question?

Messaggio originale di Originally posted by Originally posted by Professor:
How many Cancer patients with little or no insurance have ever been treated by Gene Therapy? Can you tell me whether the UK-NHS pays & fully covers Gene Therapy for cancer patients?

Its a simple yes or no question, it is a point, because it demonstrates that Universal Healthcare doesn't pay for all procedures & falls short, becoming generic & default. It's OK if you dont want to answer because we both know it will prove the point of the 2 tier system. What you are not admitting is that even in the UK, not all procedures are freely available through the NIS, or are they?

Messaggio originale di Originally posted by crunchyfrog:
you claimed that you CANNOT get top level acess to the best treament in free healthcare.

It is relevant & proves the point by you not wanting or able to answer the question LOL

Its like i'm writing in Martian & reading in Venusian LOL it is extremely amusing & very funny. Crunch I respect your opinion, but I am not wrong either, as you prove that by continually dismissing & ignoring other sensible perspectives.

Anyway old mate, as I said previously I am tiered of this merry-go-round, we are pedalling on the same spot, getting nowhere LOL. its becoming monotonous & lacking any constructive discussion or criticism.
Ultima modifica da Professor; 8 set 2023, ore 19:01
"B-But Canada has free healthcare."

Yeah but it sucks.... at least compared to other countries.
Messaggio originale di Xero_Daxter:
"B-But Canada has free healthcare."

Yeah but it sucks.... at least compared to other countries.
Maybe it sucks compared to most countries but what do life expectancy and want to change the system say about how it compares to its southern neighbor?
Messaggio originale di jargon:
safety nets are alright as long as i dont have to pay for smokers, alcoholics, the obese, and those who partake in unprotected intercourse with strangers
You act like you aren't already paying for those people when you pay premiums to privatized insurers.
Messaggio originale di jargon:
safety nets are alright as long as i dont have to pay for smokers, alcoholics, the obese, and those who partake in unprotected intercourse with strangers

What about, sun bakers, roller skaters, fitness fanatics, gamer's, the incarcerated etc. The problem when we start to get specific is the list could become endless.
Ultima modifica da Professor; 8 set 2023, ore 20:40
Messaggio originale di ARGH!!:
Most places don't have universal healthcare. Taxpayer healthcare is restricted and limited.

That seems to be true as universal healthcare usually doesn't freely provide for all known procedures & medications. There is an alternative, but it comes with massive out of pocket expenses.
In the developed world, universal health care is the norm rather than the exception. Such countries may also allow private health care to exist in a two tiered system.

Obviously such care is not free, and this is paid either indirectly through taxes, or directly as a forced legislation requiring people to buy insurance.

Universal health care is also common in industralizing countries, though the gap in quality of care between both is significantly larger than in the developed world - not surprising since the economic gap between rich and poor is much larger in everything in such countries.

Note that universal health care institutions and doctors are often still private institutions, but more tightly regulated, and/or receving set public fund amounts. Because of this, universal health care in general tends to be much much cost effective to the public. It also tends to keep emphasis on profits down - private health care workers in general tend to gain a lot more dough private than in public/publicly regulated private care.

The down side is that it makes it highly vulnerable to cost cutting measures. Governments everywhere want to cut costs because it looks good on them, and public services suffer as result.

Some rights should be universal to all citizens, and one such is health care.

Messaggio originale di Xero_Daxter:
"B-But Canada has free healthcare."

Yeah but it sucks.... at least compared to other countries.

Is not free. Is paid by taxes. Of course, if the occasion does arise when you need it, you do not need to worry a bit about the cost of surgery or hospital treatment. Such an occasion is already very stressful due to the disease itself, you do not need an added challenge or stress.

Out of hospital drugs unfortunately are not covered, and require private insurance or out of pocket costs, until you turn out 65 or so anyway and get eligible to significant deductions.

Health care is decent and overall of good quality.

Of course, years of cost cutting measures have made a toll on it, but it still works well, in the grand scheme of things. Of course, you can get better care in many private institutions outside, but of course, you may need to pay top $ for it.
I think people mean free as in, no out of pocket expenses or very minimal, as I would hope everybody understands that it is paid for by the government purse as in taxes.
Ultima modifica da Professor; 8 set 2023, ore 21:38
Messaggio originale di Professor:
Messaggio originale di crunchyfrog:
Except I did answer your questions.

Stop being dishonest.

please demonstrate WHERE I didn't answer your question and why it isn't answering. Because I pointed out you were wrong - you claimed that you CANNOT get top level acess to the best treament in free healthcare.


The mere fact I can in Britain demonstrates you're wrong.

End of.

I'm sorry you can't understand that basic logic, but that's on you.

If you're talking about something else I don't care because that wasn't a point I made. I tackled THAT SINGLE POINT only.

Show me where you answered the question?

Messaggio originale di Originally posted by Originally posted by Professor:
How many Cancer patients with little or no insurance have ever been treated by Gene Therapy? Can you tell me whether the UK-NHS pays & fully covers Gene Therapy for cancer patients?

Its a simple yes or no question, it is a point, because it demonstrates that Universal Healthcare doesn't pay for all procedures & falls short, becoming generic & default. It's OK if you dont want to answer because we both know it will prove the point of the 2 tier system. What you are not admitting is that even in the UK, not all procedures are freely available through the NIS, or are they?

Messaggio originale di Originally posted by crunchyfrog:
you claimed that you CANNOT get top level acess to the best treament in free healthcare.

It is relevant & proves the point by you not wanting or able to answer the question LOL

Its like i'm writing in Martian & reading in Venusian LOL it is extremely amusing & very funny. Crunch I respect your opinion, but I am not wrong either, as you prove that by continually dismissing & ignoring other sensible perspectives.

Anyway old mate, as I said previously I am tiered of this merry-go-round, we are pedalling on the same spot, getting nowhere LOL. its becoming monotonous & lacking any constructive discussion or criticism.

I told you that question was a non sequitur as it's irrelevant to the point I made. So no I can't answer it any more than you should answer how many fish make 5.

Gene may or may not be on the NHS, as I haven't checked.

YOU made the claim that tit wasn't cutting edge on free healthcare, so YOU bring the data to back that up.
Messaggio originale di crunchyfrog:


I told you that question was a non sequitur as it's irrelevant to the point I made. So no I can't answer it any more than you should answer how many fish make 5.

Gene may or may not be on the NHS, as I haven't checked.

YOU made the claim that tit wasn't cutting edge on free healthcare, so YOU bring the data to back that up.

I made the claim of "access" that not all advanced medical technology nor all procedures nor all medications are freely available, and yet you still cant understand that fact. We can all see it is relevant & it is only you who continues to pretend that all possible procedures, medications & technologies are available freely or with very little cost in regard to NIS & Universal Healthcare.

Sorry old mate but many people here have already stated that not everything is available freely through public healthcare. I am not going to continue explaining or participating in a discussion that refuses to acknowledge well know established facts.
Ultima modifica da Professor; 8 set 2023, ore 23:26
People are quick to throw crap on universal healthcare but if it were as bad as some people claim, then why the approval rating for universal healthcare is very high in countries that have it? I mean, in Nordic countries over 95% of the population support welfare state system. And people approve this model with extraordinarily high percentage.

Do 95% of Americans approve the current healthcare model of America?

Maybe those numbers tell a bigger story - which one has more general problems, overall.
Ultima modifica da Dom; 9 set 2023, ore 0:05
public healthcare: oh you need life-saving medical care? don't worry, society will take care of you
private healthcare: oh you need life-saving medical care? that will be fifty thousand dollars, chuddy :)
dame i wonder which ones better. its a real head scratcher. it really makes me scratch my head while im thinkin casue its such a hard choide to make maaaaaan *scratches head until it bleeds profusely* dame maaaaaaaan i really wonda
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Tutte le discussioni > Discussioni di Steam > Off Topic > Dettagli della discussione
Data di pubblicazione: 29 lug 2023, ore 18:52
Messaggi: 587