ACA Repeal/Replace: Progressives Face Moral Dilemma

[Odin]

(03-13-2017, 10:21 AM)Kinser79 Wrote: Actually Odin the NHS and Health Canada do not work great.  Sure you can get cheap drugs, and if you're deathly ill you're shoved to the front of the line.  However both suffer from near constant doctor shortages and both also have private practices and hospitals that deal with those who can afford it.

Canadians vacation down here and many given the choice get treatment here rather than Canada--so that should tell you something.

Furthermore we must examine the material realities of places like Canada, Germany, and the UK.

1.  Germany and the UK are small geographically which makes unitary rule. They are also both far more homogeneous than the US.  Canada is large but its population is small, and also more homogeneous than the US.

2.  Given that the vast majority of the countries with these various forms of universal health coverage are smaller than the US and more homogeneous than the US it might be more prudent to tackle this problem on a state level.  This would mean that California and Vermont could try an NHS type model, Florida could try a Swiss model, and Texas a German model.

3.  Trying to implement a model on a national level will result in the whole health care system being flipped over once every 4 to 8 years.  You have to take into consideration that we are not Britain or Canada--we have a presidential system rather than a Westminster system.

This constant change in a sector that comprises about 1/5th of the entire economy (we're talking trillions of dollars) every year will cause not only chaos in health care but in the economy and politics.  Which for me is an other reason to send it to the states.

4.  If we're going to have a welfare state at all like Europe we also have to shut down immigration totally.  It is my firm belief that one can have a welfare state, or one can have open boarders but one cannot have both.

Thanks for proving my point with regards to excuses.