Why wouldn't single payer healthcare work in America?
Fat people and smokers.
>>69117848
Because the American lifestyle is so unhealthy it runs up the costs for everyone.
However I still support it because it would legitimize fat shaming on a nation wide basis.
>>69117944
First post best post
>>69117848
because the quality of care is shit.
>>69117944
And niggers
>>69117944
And blacks and Mexicans
>>69117944
Primarily this. People in the US are becoming systemically unhealthy at an exponential rate, and wholly dependent on multiple medications, despite advances in medicine and scientific understanding. Combine that with waiting lists, and lackluster medical treatment, and you're creating fertile breeding grounds for widespread travesty.
>>69117848
As things stand, it would double our debt if implemented.
europe should probably axe it considering the influx of inbreds it is accepting
>>69117848
Way too many people. Also we have lots of welfare queens.
>>69117848
Have you seen what they put in American food? People actually eat corn syrup.
>>69117848
Simple numbers. You have a nation of 320+ million people, some rich, some poor and some in between. Health care is a by the basis affair, a single person could need $600 treatment or a $120,000 treatment and it's examples like the latter that makes socialist medicine in the US impossible.
You would have a nation of young healthy people, working to pay for few % that are heavily and permanently ill. It also sets up the scenario where young people pay out the ass in taxes, like myself, to pay of a demographic that simply cannot work and provide to the burden.
You are already seeing signs that some yuropean nation are collapsing because you let in invaders to reap all the benefits socialism provides while avoiding their share of the burden.
It would cost way too fucking much money. Bernie's income and other tax proposals would raise $10T over ten years at optimistic estimates. He projects that healthcare would cost $1.38T per year. By his own admission that would mean an increase in the deficit.
Canada spends $5,718 per capita on healthcare (US Dollar adjusted, according to the world bank). $5,718 times 318,900,000 people in the US (2014 estimate, world bank) is 1,823,470,200,000 ($1.823T per year). This ignores several differences between Canadian and American healthcare (Americans take more drugs on average, Americans use costly procedures like MRI more often, ease of suing for malpractice in America, etc.). Even though the $5,718 figure is much better than the current US healthcare expenditure per Capita ($9,146), that's largely paid by private parties and their employers, the costs work. Covering the entire population, including many uninsured, does not.
tl;dr Forgetting any opposition on the basis of it being a new system or not free market, single payer cannot work in the US as bernie proposes to pay for it, because his tax increases would bring in about half of the money needed to pay for it.
>>69117848
A large, lazy, and uneducated populace.
>>69117848
We don't have any eugenics programs and euthanasia isn't legal.
Just look at a fucking emergency room sometime, the dregs of society are in there using it as their primary care provider. Last time I was in one there are three morbidly obese women with 6-7 kids running around. They didn't do anything but sit and chat and complain for three hours.
>>69118816
didn't expect responses like this when I made the topic. this is a pretty interesting explanation, I'm always curious as to how it works in UK but not here
>>69120325
In the US emergency room wait times generally mean you will be seen quickly. In the UK, the goal is to see 95% of ER patients in four hours. Reality is that currently 84% of patients meet this (or, 1 in 6 patients wait more than 4 hours for emergency care).
In the US you can see a specialist at the time you want, generally quickly (within a week). You may wait six weeks or more to see a specialist (case of a Business Insider journalist who overall expressed support for single payer system, but was shocked at this wait because he thought he was going deaf and made this clear to the doctors). Same for MRIs - US, you can get one same day if you want. Britain or Canada, you may wait several weeks.
Doctors in the US make far better salaries than those in the UK, this is a huge contributor.
Americans are far more likely to take brand name drugs as well. Part of this is medical advertising. Part of this is that single payer systems generally contain cost and favor generics in all but the rarest of circumstances. (US law in most states mandates filling generically if a generic is available unless the prescriber writes "DAW" [dispense as written"], and if a patient asks for a brand and the doctor is OK with it they will give it).
Socialized medicine generally entails longer wait times to see a doctor, restrictions on who you can see, and cost vs. benefit calculations. I've had a lot of headaches for the last ten years, and my neurologist recommended an MRI. I can get that today in the US. If a neurologist recommended that in the UK or Canada, I would be waiting weeks. Single payer systems also emphasize physician/practice performance as outcome based care, which means doctors care about not giving unnecessary procedures - even if one out of a hundred times, they make a better patient outcome (even saving lives), there has to be an inherent cost efficiency.
American cultural values (best possible care, free market, etc.) are different from single payer values.
