You can't totally kill off the working poor. They're the ones that have the largest debts to income. Just make it expensive enough that they'll end up paying far more in interest. Wouldn't want all those needless shareholders, doctor's lobbyist firms, drug reps, private hospitals and corporate officers in health funds to go without their fat stacks, would you?
U.S. government funding alone by GDP (and per capita) outstrips all Australian funded medical care ...
If you include out of pocket expenses and private financing, that's triple. The average American, whether they have healthcare or not, spends more taxmoney on healthcare and isn't even covered for the privilege ... and if they get sick, can spend upwards of 4 times as much as a person who is covered on a simple procedure.
The reason is pretty simple. It's a bit hard to be wheeled into a hospital and start bargaining about prices. More often than not you're unable to barter... and it's not like the uncovered can then dispute their bill after it's been done. Despite, you know, the fact that hospitals and doctors routinely caught giving substandard service (because it's not like anyone will complain) as well as make up expenses.
Just look at pointless drug prescriptions and U.S. doctors. I mean, my solution would be stripping doctors of their licence to practice if they perform knowingly (or criminally negligent) immoral actions. But hey, it's not like basic accountability and fair trading practices brings in fat lobbying cheques for politicians.
If a lawyer gave criminally negligent advice to a client, they'd lose their right to practice.
Turns out pretending like doctors, hospitals and 'health' funds need lobbyists turns into a shittier system with shittier outcomes and far more indebted people.
When you're talking about doctor malpractice in the realms of millions of people each year ... with costs of prescriptions ranging from $11,000+ on average, often to the lowest two quintiles of the American people who cannot afford second opinions or seeing multiple doctors ... it's fucking ridiculous.
And these aren't procedures that 'might help' ... these are procedures and medications for which there is no benefit and perhaps even harmful. We're talking multiple millions of perceivable malpractice. U.S. doctors are the biggest (should be) criminal distributors of recreational drugs alone.
Bigger than the Sinoloa cartel. That's just drugs.
They should be raiding doctor's offices with DEA personnel if they really want to deal with the heroin and meth crisis alone.
If I was living in the U.S. ... I wouldn't give up my Australian citizenship for the world. If I felt sicker than your average flu ... I would book a flight back to Sydney, stay in a great hotel, get myself checked out, fly back if given the all clear, and it would cost me less than half of the sick people who go in to a hospital in the U.S.
That's how fucked up U.S. medical 'care' is. It's absurd. I would not only find it cheaper, I would have better patient outcomes.
When it gets to the point that wasted heathcare costs--not out of pocket expenses, not 'oooh, maybe it might theoretically help'--just openly wasted money dwarves the entire costs of educating all Americans aged 4 to 18, you have a serious fucking problem.
And this isn't just a cost thing. This impacts on innocent people's lives. Bad medicine is often outrightly more harmful than no medicine at all.
Not just on your bank balance, but on your living quality and life expectancy. So much so,thatdespite the massively overblown costs to American taxpayer alone, not including their out of pocket expenses, many of the poorest Americans will go into a hospital ... and simply come out worse for spending that money. And when it gets to that stage of the entire medical establishment having this malpractice cancer, perhaps you need to start storming offices with very angry investigators. Make an example of these people who do it.
Handcuffs, paddy wagons, put it on public television ... because it's malicious assault with a deadly weapon at this point.
When you're talking about just shy of 50% of U.S. doctors engaging in routine malpractice, perhaps you should start looking at it in termsof a criminal syndicate. Mafiosi with scalpels rather than guns. Go in there with Spanish Inquisitors if you must, but when you're talking of 4% of national GDP squandered on corruption in one industry alone ... yeah, maybe the Medical Inquisition ain't a bad idea.
I am utterly fucking shocked when I look at the U.S. healthcare system. Fucking flabbergasted. How on Earth do people put up with something so atrocious on so many counts, in so many ways, and not have rioting in the fucking streets? It makes Sicilian crime families look like fucking saints ... Sicilian crime families in theirmost awful gang wars imaginable couldn't even begin to fucking touch the sides of the U.S. death toll in the medical establishment.
How ... why ... ? The system isn't good for anyone barring itself. This isn't even a socialized medicine vs. private-funded argument anymore ... it's just blatantly corrupt on so many counts.
Surely this is why Americans pack guns, right?
When it gets to the point where the medical establishment is reaching into your pocket and those of your children, extracting a dollar for every twenty they'll have to pay in taxes every year, eventually, and tells you they'll provide you fuck all ... when a nation like France or Australia says; "For that dollar, you and your child get all of this... and statistically it will save you and your family a lot of money..."
I would be livid. As you can probably tell. I am fucking livid on behalf of Americans.
Why aren't you all rioting? Every politician that gets medical lobbyist or drug rep money, threaten to burn them at the fucking stake.
They are literally charging you for that one-oar boat up Shit Creek without your say in the matter. And if you do get sick, they fucking throw stones at you from the shoreline. After they sold you up it at your expense. And 30% of the time, the people that sold you up Shit Creek without your say in the matter will hit you with said stones and then sell you up yet another Shit Creek with yet another one-oar boat you had no choice being in.
And not just you--your children, your parents, your siblings, your friends, your neighbours...
Why aren't people angry? Tell them you have no desire to be in one of their bullshit boats.
U.S. "healthcare" is the biggest Ponzi scheme in financial history. It charges people merely to charge them even more, and then injures them for the sake of charging them once again... and after all of that, it then double bills the taxpayer for the privilege.
It's fucking grotesque. See, when my government taxes me it doesn't have a 5% hole in the budget entitled; "LOL, Fuck You." Paying so much taxes on something that allows a neonatal infant mortality rate twice as high than anywhere else in the Western world for fuck sake. Christ...
Why are you paying taxes to emulate third world countries? See, this is how it works ... your government taxes you to provide services that stop you being a third world country. That's how taxes work. You pay in order to use collective bargaining of the people, to increase opportunities and provide access to services cheaper than paying for them yourself.
Like garbage collection. Or schools. Or hospitals...
You don't pay taxes to get worse treatment. Shouldn't have to point this out. See, when you spend money, you hope that it will provide you some equivalent or greater happiness longterm.
Ain't a mystery.