Rebane's Ruminations
July 2017
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George Rebane

Union columnist Terry McLaughlin writes an excellent expose of nationalized healthcare in the newspaper’s 6jul17 edition – ‘Government run healthcare wouldn’t be cheaper; more efficient’.  In there she includes a detailed report from New Zealand, one of the countries often cited by socialists of how a healthcare system should work.  As you might expect, the revelation isn’t a pretty picture, but it is one of which RR readers are very familiar.

SinglePayerHealthcareThe bottom line of all this push toward a (horribly misnamed) “single payer system” (SSS) is that, for all the reasons known to thinking people everywhere, no country has a laudable and/or sustainable government run healthcare system.  All of them are ragged bureaucracies, delivering already bad services for a very high price.  And all of them are looking for ways to deliver even less at a higher cost in ways that are difficult to discover while you’re healthy, and that immediately obvious but too late to fix once you become a victim (aka ‘patient’).

I recommend Ms McLaughlin’s review of why we should do everything possible to avoid a SSS, and at the same time open up the delivery of healthcare products and services to the widest array of competent suppliers.  To argue that our pre-Ocare system already did that demonstrates a gross ignorance of our national economy, existing healthcare systems, and current affairs.

Finally, let’s dwell for a moment on the almost hysterical push for SSS we hear in the lamestream and in the exhortations of leftwing politicians, to remind us again of the seminal differences between people devoted to all things collectivist, and those who promote freedom, entrepreneurship, and market-driven solutions.

When in a social setting, peel back the daisy talking veneer of a collectivist, and you are instantly flooded with a monologue detailing the evils of selfish individualism and greedy capitalism, the remedies for which are government, and yet more government.  By definition, the collectivist sees a fulfilled human as one drawing all things good from being a compliant member of a politically legitimized collective.  By himself, the individual is nothing but a suffering derelict cast adrift on a sea of socially destructive competition that worships raw merit which inevitably gives rise to inequality and injustice.  It is the establishment, expansion, and submission to a comprehensive collective which gives rise to a society that provides succor to all of our ‘legitimate needs’ through a correct redistribution from those who can and must, to those who can’t or won’t – “From each according to his ability, to each …” (Marx, et al).  Examples of such collectives still abound.  

[update]  For those true believers in government healthcare, we draw examples of ‘healthcare from hell’ right here in the good ol’ USofA.  Everyone by now has heard, save perhaps the devotees of the lamestream media, of what the Veterans’ Administration has done in caring for the health of our veterans.  To this we can add the atrocity that is the system of, yes, federal hospitals charged with providing healthcare to Native Americans (pc for American Indians).  To get a snootful of what we can expect from SSS, and others around the world are already getting, you can read ‘‘People Are Dying Here’: Federal Hospitals Are Failing Native Americans’ in which we find that – In some of the nation’s poorest places, the government health service charged with treating Native Americans failed to meet minimum U.S. standards for medical facilities, turned away gravely ill patients and caused unnecessary deaths, according to federal regulators, agency documents and interviews. … The IHS, a unit of the Department of Health and Human Services, operates a network of hospitals and clinics, much like the Veterans Health Administration. Under U.S. treaties that date back generations, the service is legally responsible for providing medical care to about 2.2 million tribal members.

[8jul17 update]  I couldn’t figure out where to post the tragic story of little Charlie Gard – the lamestream had no problem with just judiciously ignoring it – whether it is an example of hellish healthcare or of yellow (aka progressive) journalism.  Charlie suffers from a rare genetic disorder that gives him a very small chance of surviving, and that small chance is being reduced to zero by the National Healthcare System of the British government whose death panel has ruled that the state 1) will not let Charlie’s parents, at no cost to the UK government, take Charlie to the US for treatment, 2) deemed Charlie’s case too expensive to treat under their NHS ‘single payer’ system (which is financially on its ass), and 3) have taken Charlie away from his parents and made him a ward of the state whose life will be officially terminated (they will ‘pull the plug’) so that “he can die with dignity” and fulfill his state determined “duty to die”.  UK’s socialist controllers cannot afford the precedent of returning the decision for an ailing person’s fate to his family.  Our progressives are purposely blind to these goings on, but the rest of us should pay close attention to how this plays out so that we can correctly evaluate the Left’s Single Payer Über Alles that is coming down the pike. (more here)  For a wider and deeper understanding of what’s in store for us, explore the widespread advent of state promoted ‘duty to die’ euthanasia across Europe.  I suppose ordering your premature death is probably the most direct way for governments to reduce the extent and cost of services of their socialized healthcare systems.

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278 responses to “Healthcare from Hell (updated 8jul17)”

  1. George Rebane Avatar

    PaulE 939am – That is not true. Great Britain, the governing power, recognized them all as their legal subjects, and that’s what made their disloyalty and rebellion treasonous. So what’s your point?

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  2. Paul Emery Avatar
    Paul Emery

    My point is that our population is the result of a rather disorderly mish mash of people looking for a better life and a new home and the process was not necessarily neat and tidy. My grandfather came to this country prior to WW1 and didn’t become a citizen till 1964. I believe we need to protect our boarders but also we need to take a humane and just look at what to do with the millions who have been law abiding decent human beings who have made this their home and have no place to go.

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  3. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: GeorgeR@9:36AM
    “PaulE 911am – I note again that you followed the Left’s storyline in your response ”
    The typical story line is to find an extreme example and use that as the average one. You aren’t allowed to internally enforce citizenship law because there’s an 18 year old honors student, well on their way to curing cancer, who came here at age 6 months. It’s rather like news crews scouring the southern European beaches for the occasional dead child.
    “Scenes 626am – My 1019pm was not meant to be a full healthcare system design. ”
    I appreciate that. My favorite part about healthcare policy is that the folks who want to redesign the whole deal, using (let’s say) Europe as an example, never have any freaking idea what the details are in those countries, their history of health policy adoption, and how wildly those countries can vary.

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  4. George Rebane Avatar

    PaulE 951am – Not good enough. When you are sinking and all you can do is either bail or plug the leak, then plug the leak. Until the borders are secure, no other solution will save us. And trying to equivocate the policies of yesteryear, when our land was sparsely populated and assimilation was the norm, to today’s world is a fool’s exercise. Since you are a globalist, why don’t you cut to the chase and just argue the benefits of post-American globalism?

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  5. Bill Tozer Avatar
    Bill Tozer

    An illegal alien is by definition not a law abiding resident. By definition all illegals are law breakers.

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  6. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: PaulE@9:51
    “I believe we need to protect our borders but also we need to take a humane and just look at what to do with the millions …etc.”
    So we’ll pencil you down as someone who is in favor of The Wall, but wants some of the DREAMers to be given a citizenship path.

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  7. Paul Emery Avatar
    Paul Emery

    Not sure the Wall is the best way to go. Mexico is not going to pay for it despite Trumps bravado.

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  8. Paul Emery Avatar
    Paul Emery

    Scenes
    Here are some alternatives to the Wall that may accomplish the desired purpose and be a lot cheaper. There are so many problems with the Wall besides expense including the vast amount of property that has to be taken by eminent domain from unwilling sellers.
    https://readwrite.com/2017/02/07/mexican-border-wall-il1/

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  9. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: PaulE@11:16AM
    OK, just view The Wall as a rhetorical device. There’s already a ton of physical barrier out there that people didn’t seem to march and burn cars about in the pre-Trump era.
    Plus, a defense in depth is probably the way to go. Border Patrol inspections already exist on obvious chokepoints. Modern remote surveillance is much better. Merely beefing up the number of boots on the ground would make a huge difference, although I’m no expert on securing an area, even with Google.
    But…this is just more Whac-a-mole. You can’t build a wall because it’s too expensive or interferes with wildlife, you can’t aggressively police because it’s a human rights issue, you can’t inspect employers because of some sort of privacy issue, you can’t require IDs for anything at all just because. The only thing holding back a secure border is will and and politics, not means. In the final analysis, most people on Team Blue have decided that you get to live permanently in the US the moment your foot is dry. Any real enforcement will result in marches, riots, destruction of property. Arguing about just how you do it is BS when it’s just an endless delaying action.
    In any case, this was about healthcare. Should uninsured illegal aliens receive free healthcare? Do you get to deport them once out of the hospital? Why not?

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  10. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    As a side note, modern rules of engagement in the West (along with a Team-Blue-on-Steroids legal system) result in absolutely ridiculous situations.
    A few pics of Spain’s real southern wall:
    https://d.ibtimes.co.uk/en/full/1404828/melilla-migrants.jpg
    https://cdn-images-1.medium.com/max/1500/1*ZFlsI2UBvlrqGsFWm6rt0w.jpeg
    https://www.youtube.com/watch?v=1WeyzE96oxE
    No wonder zombie movies are so popular.

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  11. George Rebane Avatar

    What I notice that continues to be absent in the discussion of secure borders is the notion of porosity, which after all is the main metric of a secure border. Zero porosity is impractical to achieve. My threshold of acceptable porosity continues to be 15K illegals per year sneak through – to be apprehended later or not. With a porosity threshold established, discussions of the ways to achieve it could be productive; else the aimless circumlocutions we have witnessed here for years will continue. (BTW, it appears that we have stopped talking about healthcare and how/whether to repeal and replace Obamacare or let it collapse and start over.)

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  12. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    “notion of porosity”, which really is no different than any other acceptable engineering solution. It’s funny how common the rhetorical trick is of stating that since somebody will get through the border, there’s no point in any measures at all.
    It’s hard to tell how Obamacare is going to play out. On the insurance-receiving side, we’re talking about a minority of the US (the self insured who were well and truly screwed with the new rules, the self insured who make out like bandits, the chronically ill who were well and truly screwed by the old system) who directly have this fall in their laps. Actually paying for the subsidies is another issue, of course. I’d say there’s less urgency than first meets the eye until a flat-out failure occurs, like a complete withdrawal of insurers in a state exchange.
    If the Pauls of the world were smart, they’d see the difficulty in a complete legislative shutdown of the system, pick some way to shore it up (perhaps even a logical one), and put their eggs in that basket. Instead, we’ll just get hand waving about how the US system should magically be just like Denmark.

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  13. Bill Tozer Avatar
    Bill Tozer

    Obamacare works for those that don’t.

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  14. fish Avatar
    fish

    Posted by: ScenesFromTheApocalypse | 11 July 2017 at 01:07 PM
    If the Pauls of the world were smart, they’d see the difficulty in a complete legislative shutdown of the system, pick some way to shore it up (perhaps even a logical one), and put their eggs in that basket. Instead, we’ll just get hand waving about how the US system should magically be just like Denmark.

    Isn’t that what the permanent ruling class seems to be doing……keeping hands off while bleating “we have to mend it, not end it”, and remaining willing to throw sacks full of tax money at the insurance companies to keep up appearances for just a bit longer.

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  15. fish Avatar
    fish

    Posted by: George Rebane | 11 July 2017 at 12:46 PM
    The porosity problem is solved by drastically curtailing the freebies!

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  16. George Rebane Avatar

    fish 132pm – Now there’s a great thought! Why don’t you publish?
    (BTW, re your 107pm, the notion of a threshold porosity unfortunately is a metric for evaluating competing engineering solutions to border security, and not an engineering solution itself. Perhaps that is what you meant.)

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  17. fish Avatar
    fish

    Posted by: George Rebane | 11 July 2017 at 02:06 PM
    Now there’s a great thought! Why don’t you publish?

    Sarcasm? My Sarc-o-Meter has been on the fritz as of late!
    The 1:07p was “Scenes”.

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  18. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    “Perhaps that is what you meant.”
    Yes.
    “The porosity problem is solved by drastically curtailing the freebies!”
    I rather doubt it. Given the increase in wealth gradient between the first and third worlds, and increasing knowledge of it (via modern communications), the economic value is it’s own reward. Just imagine the result if you backed up a bunch of 767s in Lagos along with free tickets and some snacks. Destination: Europe or the US. The gradient isn’t so large between the US and Latin America, but I think it’s enough…especially once the habit becomes ingrained and the early colonizers are in place.

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  19. fish Avatar
    fish

    Posted by: ScenesFromTheApocalypse | 11 July 2017 at 02:39 PM
    Tough to be broke in a first world nation when there isn’t much government cheese to go around. It’s why the Africans who get sent to Latvia bitch and moan to go to Germany where the “Gibs” are so much better.

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  20. George Boardman Avatar

    Now that I’ve been educated on what’s wrong with our health care system, I await the principled, market-based, freedom-loving solution from the conservatives who control the White House, Senate and House.

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  21. fish Avatar
    fish

    Posted by: George Boardman | 11 July 2017 at 02:57 PM

    Might be better to discuss that after Obamacare “augers in” in about 18 months.

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  22. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: GeorgeBoardman@2:57
    “Now that I’ve been educated on what’s wrong with our health care system,”
    All I’ve learned is that what’s wrong with our health care system is that it isn’t the same as France (or was it Germany? or was it Denmark? Spain?) however that actually works.

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  23. Paul Emery Avatar
    Paul Emery

    George Boardman writes “I await the principled, market-based, freedom-loving solution from the conservatives who control the White House, Senate and House.”
    I’ve been waiting for that for the past 7 years since the Repubs committed to replacing Obamacare. I wish there was just one free market health care system anywhere in the world that was up and running so we could take a look at it.

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  24. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    ” I wish there was just one free market health care system anywhere in the world that was up and running so we could take a look at it.”
    US dentistry.

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  25. George Rebane Avatar

    PaulE 416pm – Since none of the nationalized healthcare systems for smaller countries are sustainable for all the reasons covered here over and over and over and … , I’m waiting for someone to point out a nationalized healthcare system that works for an ethnically diverse and divided country with a population over 300M, and one which we would want to emulate.

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  26. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: Me@5:09PM
    Having said that, I don’t know if dentists manage to limit their numbers like the Guild of Doctors manages to do, so it might not be as pure a free market as I might think.

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  27. ScenesFromTheApocalypse Avatar
    ScenesFromTheApocalypse

    re: GeorgeR@5:23PM
    Just make 50 different systems, although they’d have to deal with the ironic problem of citizenship. It’s managed for college tuition, so I guess you could do the same thing with health insurance or care.

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  28. Bill Tozer Avatar
    Bill Tozer

    Healthcare from Hell.
    Pretty much sums it up. I do fill sorry for the indivual or small business owner that used to pay $500/month for health coverage and now since Obamacare pays $2,000/month.
    https://www.facebook.com/PatriotPost/photos/a.82108390913.80726.51560645913/10154884331285914/?type=3&theater

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