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RE: US Health Care Costs - 12/4/2014 1:07:54 PM   
freedomdwarf1


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quote:

ORIGINAL: mnottertail

Again, our nominal tax rates are meaningless. For example, they get to write off lobbyists by example.

Do you have heavy lobbying costs in the UK and are they deductible from your income?

Anything conceivably and remotely considered as a company cost can get written off against tax.
Any good accountant will use some creative explanations as to why some costs can be written off.
If the tax man doesn't contest it, it counts.

If the cost of a lobbyist could be argued that a success in the lobbying means greater trade and/or profits or expansion of company in some way, it's a legitimate company cost; therefore, can be written-off against tax.


_____________________________

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George Orwell, 1903-1950


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Profile   Post #: 321
RE: US Health Care Costs - 12/4/2014 1:12:51 PM   
MrRodgers


Posts: 10540
Joined: 7/30/2005
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How many times do I have to say this.

[It] is not about healthcare, it is not about outcomes it is not about society at large...IT IS ABOUT FUCKING MONEY !!

It always has been and it always will be. We are here...to make some fucking money and EVERYBODY in the process of ANY business is out to make as much fucking money as they think they fucking can.

How much will you and everybody in the process pay...to stay alive ?

So this issue like all issues, is about the true red, white and blue business culture and creed of greed.

It IS that fucking simple.

(in reply to DesideriScuri)
Profile   Post #: 322
RE: US Health Care Costs - 12/4/2014 3:04:14 PM   
NorthernGent


Posts: 8730
Joined: 7/10/2006
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quote:

ORIGINAL: freedomdwarf1


quote:

ORIGINAL: mnottertail

Again, our nominal tax rates are meaningless. For example, they get to write off lobbyists by example.

Do you have heavy lobbying costs in the UK and are they deductible from your income?

Anything conceivably and remotely considered as a company cost can get written off against tax.
Any good accountant will use some creative explanations as to why some costs can be written off.
If the tax man doesn't contest it, it counts.

If the cost of a lobbyist could be argued that a success in the lobbying means greater trade and/or profits or expansion of company in some way, it's a legitimate company cost; therefore, can be written-off against tax.



Not really sure what's being argued, here, but a business expense is a business expense - regardless of whether you're making a profit or a loss.

Clearly, the advantage is that you save yourself 25% of the cost (or whatever the CT rate is) because it's deducted from your revenue to arrive at the final profit value, and you are taxed on your profits.

Not sure what you mean by "written-off"; they're not "written off", you simply save yourself 25% of its value by putting it through the company's books. Useful for someone self-employed as they can save themselves a few quid by declaring the expense as business as opposed to non business (providing you can put some reason together that the expense is for the business and not personal).

In terms of a "lobbyist". If I'm following Ron, I think this is some sort of bribe/inducement thing, and these things do go on in England, probably as much as the US, but I think it's kept behind closed doors.

And, no, you can not, ever, treat 'lobbying' as a tax deductible expense - for obvious reasons. There is such a thing as Corporate Governance which is intended to encourage ethics rather than back handed deals.

In addition, FD, the tax man isn't an idiot. The definition of a business expense is more or less an expense necessarily and exclusively incurred in the course of your business. Lobbying costs are not part of the day to day operational costs of your business and you'd be hard pressed to argue that the business receives any benefit for this. It's not like a marketing expense which is part of your operations.

There's not really any such thing as 'creative accounting', and there's no one on this planet who is more like a dog with a bone than the tax man - he'll sniff it out if there's a problem.


< Message edited by NorthernGent -- 12/4/2014 3:22:38 PM >


_____________________________

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Sooner or later, the man who wins is the man who thinks he can.

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Profile   Post #: 323
RE: US Health Care Costs - 12/4/2014 8:29:50 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
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quote:

ORIGINAL: bounty44
i am curious by what metric is the usa having "lower quality healthcare for its $, than those countries with 'socialised healthcare' determined?


Usually the stats have to do with life expectancy, infant mortality, etc. Many of the metrics have other things that impact them, likely more than quality of health care, which tends to skew things towards those that support socialized health care's arguments.

quote:

im also pretty skeptical of this: "It is interesting to note that, as far as I can tell, irrespective of their location on the left-right political spectrum, all of the people posting here residing in countries that have universal health care systems (aka socialised healthcare) are enthusiastic supporters of the system"...if that is indeed true, why are so many people coming to the usa for treatments they cannot get, or have to wait excessively long for, or expertise they cannot find in the countries they left?


People don't come to the US for cheap care, that's for sure. As far as the US having "the best care in the world," that might depend on whether you're talking about the level of expertise or technological things, as compared to an overall "top to bottom" picture.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to bounty44)
Profile   Post #: 324
RE: US Health Care Costs - 12/7/2014 10:10:07 AM   
invisibleroomate


Posts: 4
Joined: 12/7/2014
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quote:

ORIGINAL: DomKen


Historically corporate profits were acceptable in the 2 to 3% range.


Total bullshit as always

(in reply to DomKen)
Profile   Post #: 325
RE: US Health Care Costs - 12/7/2014 10:28:35 AM   
dcnovice


Posts: 37282
Joined: 8/2/2006
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quote:

ORIGINAL: invisibleroomate

quote:

ORIGINAL: DomKen

Historically corporate profits were acceptable in the 2 to 3% range.


Total bullshit as always


Wow! Someone made a sock for just four words.

_____________________________

No matter how cynical you become,
it's never enough to keep up.

JANE WAGNER, THE SEARCH FOR SIGNS OF
INTELLIGENT LIFE IN THE UNIVERSE

(in reply to invisibleroomate)
Profile   Post #: 326
RE: US Health Care Costs - 12/7/2014 10:38:29 AM   
invisibleroomate


Posts: 4
Joined: 12/7/2014
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quote:

ORIGINAL: dcnovice


quote:

ORIGINAL: invisibleroomate

quote:

ORIGINAL: DomKen

Historically corporate profits were acceptable in the 2 to 3% range.


Total bullshit as always


Wow! Someone made a sock for just four words.

4 words are more than the lying fuck is worth.

(in reply to dcnovice)
Profile   Post #: 327
RE: US Health Care Costs - 12/7/2014 11:00:40 AM   
freedomdwarf1


Posts: 6845
Joined: 10/23/2012
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quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: bounty44
i am curious by what metric is the usa having "lower quality healthcare for its $, than those countries with 'socialised healthcare' determined?


Usually the stats have to do with life expectancy, infant mortality, etc. Many of the metrics have other things that impact them, likely more than quality of health care, which tends to skew things towards those that support socialized health care's arguments.

Where do you get this from Desi??
Do you have any proof that all the stats out there are skewed to favour social healthcare results??

quote:

ORIGINAL: DesideriScuri
quote:

im also pretty skeptical of this: "It is interesting to note that, as far as I can tell, irrespective of their location on the left-right political spectrum, all of the people posting here residing in countries that have universal health care systems (aka socialised healthcare) are enthusiastic supporters of the system"...if that is indeed true, why are so many people coming to the usa for treatments they cannot get, or have to wait excessively long for, or expertise they cannot find in the countries they left?


People don't come to the US for cheap care, that's for sure. As far as the US having "the best care in the world," that might depend on whether you're talking about the level of expertise or technological things, as compared to an overall "top to bottom" picture.

Surely, unless you have a particular axe to grind, an overall picture is the best one to use for comparison?
And certainly the US is far from the top.
I don't know where Bounty is getting figures from but because of the costs, most don't go to the US for any procedures.


_____________________________

If liberty means anything at all, it means the right to tell people what they do not want to hear.
George Orwell, 1903-1950


(in reply to DesideriScuri)
Profile   Post #: 328
RE: US Health Care Costs - 12/7/2014 11:43:01 AM   
tj444


Posts: 7574
Joined: 3/7/2010
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quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: tj444
You are from Canada. I assume you are here legally. How did you do that, if we don't have a way to do so (unless you;re saying you have $1M)?

You cant compare me to immigrants as I wont be staying, I am here temporarily and never intended to make this my permanent home.. I was somewhat open to that at the start but this country is such a cesspool of regulations and roadblocks and gotchas that make doing things as difficult as possible (not just immigration).. just the other day I was reading about third party companies that do non-clinical work for dentists (billing, administration, etc) that, with the stroke of a pen, will be put out of business.. The US may have been "can do" at one time but now its all "can't do" this, "can't do that", can't do, can't do, can't do..


quote:

ORIGINAL: DesideriScuri
Sure, I can compare you to other immigrants, regardless of whether you're staying here or not. Are you here legally or illegally? If you're here legally (which is my assumption), how did you do that when you have stated that it's not possible to do so?

As to the bold and italic portion: You realize that this is one area you are definitely siding with the GOP?


quote:

With immigration, well, I have read more than enough to know that immigration to the US is complicated with too many roadblocks and gotchas.. and plenty of scammers taking advantage of those wanting to immigrate.. Of course the website you looked at doesn't tell you all that it takes to actually immigrate..


quote:

ORIGINAL: DesideriScuri
True. Why would the US Immigration website that details how you immigrate actually list everything you need to do to immigrate? How stupid would that be?


quote:

as far as you being for immigration reform goes,.. don't hold your breath.. the reason this country is stagnant and the middle class is disappearing is cuz of the idiots (both parties) you keep electing... Take the topic of health care costs, in Canada its all pretty simple, you fill out a short form to sign up and that's it, then you just pay a small monthly fee (or nothing if you are low/no income) and you can go to any doctor you want.. here, my gawd, this country has made it so freakin' difficult..
Saverin had the right idea to move to a country where things are easier and he eventually gave up his US citizenship too (his biggest mistake was becoming a US citizen in the first place)..


quote:

ORIGINAL: DesideriScuri
The problem with passing immigration reform is that the Democrats and the Republicans don't agree on what those reforms should be. If the elected representatives are accurately representing their constituents and can't agree on what reforms are proper and necessary, then, that means American Citizens can't agree on what reforms are proper and necessary, and there shouldn't be any reforms without that agreement.



Dude, your problem is that you actually believe your govt.. here is an example of something you should be able to do (according to the govt website) but yet.. this is what happens-
https://www.yahoo.com/tech/the-u-s-government-has-a-secret-system-for-104249688314.html The U.S. Government Has a Secret System for Stalling Patents

You Americans don't get it.. you supported (& still do) outsourcing to other countries by buying their products instead of paying more and supporting each other's jobs.. You are now outsourcing small business and entrepreneurship to other countries too..
Here is an article of an American entrepreneur that moved to another country (on a visitors visa as many immigrants to the US do, btw) instead of starting her business here and creating jobs here.. Spain has an unemployment rate of 27% (considerably higher than the US) and yet it has brought in 5 categories of visas for attracting immigrants to create jobs there (not just the rich) and with very minimal financial investment (just enough to show you can support yourself), incredibly fast visa & residence permits, no limits on the number of immigrants, unsecured loans for entrepreneurs which can be applied for..

Quite frankly, I was going to learn to speak Spanish anyway and now that I see how easy it is and how open to immigration they are, I will be looking into this myself.. who knows, I might find myself a gorgeous, hot blooded Spanish sweetie there to boot!..

Its not the only country either, Chile has a start-up visa where they give entrepreneur immigrants a $34,000 grant in addition to their visa/residency..

At Spain’s Door, a Welcome Mat for Entrepreneurs
Visa decisions are promised within 10 working days, and residence permit decisions in 20.
And there are no limits on the number of foreigners who can take advantage of each category.
The policy goes further than laws in some other countries in that it offers speedy residency to different types of immigrants, not just the wealthy, said Josep Herrero and José Manuel Novo, lawyers at Roca Junyent in Barcelona, a firm that guides foreign entrepreneurs and investors through the process.
Vivek Wadhwa, an academic with positions at Stanford, Duke and Singularity University who advised the Chilean and Spanish efforts, bemoaned the United States for failing to pass similar legislation. “We don’t have a start-up visa,” he said. “We’re forcing people to leave this country and go to other countries.”
He emphasized that businesses in Spain could now easily hire foreign nationals, bring in employees from overseas and train clients in Spain.
A sweetener that the Spanish government should highlight, he said, is its unsecured lending program, which has about €100 million, or $125 million, to lend to innovative small and midsize companies annually. The loans, from €25,000 to €1.5 million, are available to all entrepreneurs, regardless of nationality, who have a business based in Spain (except for those running real estate or financial ventures).

http://www.nytimes.com/2014/11/23/business/international/at-spains-door-a-welcome-mat-for-entrepreneurs-.html

eta- As you can tell, I don't have the time to come here often to discuss stuff like this, since I am downloading "Learn How to Speak Spanish" I will have even less time in the future..

Btw, you claim that the gop and dems disagree on immigration reform but the US start-up visa law has been brought forward several times over the last few years and even Obama says he supports it, yet your politicians continue to sit on their hands..

< Message edited by tj444 -- 12/7/2014 12:01:47 PM >


_____________________________

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Profile   Post #: 329
RE: US Health Care Costs - 12/7/2014 11:55:20 AM   
Musicmystery


Posts: 30259
Joined: 3/14/2005
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quote:

ORIGINAL: invisibleroomate


quote:

ORIGINAL: dcnovice


quote:

ORIGINAL: invisibleroomate

quote:

ORIGINAL: DomKen

Historically corporate profits were acceptable in the 2 to 3% range.


Total bullshit as always


Wow! Someone made a sock for just four words.

4 words are more than the lying fuck is worth.

Apparently not.

(in reply to invisibleroomate)
Profile   Post #: 330
RE: US Health Care Costs - 12/7/2014 12:19:57 PM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: mnottertail

Again, our nominal tax rates are meaningless. For example, they get to write off lobbyists by example.

Do you have heavy lobbying costs in the UK and are they deductible from your income?

I think that is mostly true of large corporations (Microsoft, google, apple, etc) but small business cant usually afford to pay for lobbyists or the high priced lawyers needed to get advance pricing agreements from the IRS.. I have posted about the IRS's advance pricing agreements before and one article showed a large corporation was paying I think 13.5% so almost half.. but corps that can afford those things are not most companies and its another way the playing field in the US is skewed to benefit the rich/richest.. to me, those things are more gotchas against starting a small business in this country.. you pay twice in tax as what the big boys pay so you are at a very severe disadvantage.. you cant tell me that doesn't stifle the economy and job creation, etc..

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

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Profile   Post #: 331
RE: US Health Care Costs - 12/8/2014 12:46:22 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
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quote:

ORIGINAL: tj444
Dude, your problem is that you actually believe your govt..


Apparently,. you don't read my posts much. I don't believe my government all that much. That's why I'm all for keeping it's authorities limited. It can do less damage that way.

quote:

Btw, you claim that the gop and dems disagree on immigration reform but the US start-up visa law has been brought forward several times over the last few years and even Obama says he supports it, yet your politicians continue to sit on their hands..


I'm not sure how this example refutes my claim.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tj444)
Profile   Post #: 332
RE: US Health Care Costs - 12/8/2014 12:59:15 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: bounty44
i am curious by what metric is the usa having "lower quality healthcare for its $, than those countries with 'socialised healthcare' determined?

Usually the stats have to do with life expectancy, infant mortality, etc. Many of the metrics have other things that impact them, likely more than quality of health care, which tends to skew things towards those that support socialized health care's arguments.

Where do you get this from Desi??
Do you have any proof that all the stats out there are skewed to favour social healthcare results??


At no point in time did I say "all the stats."

Life expectancy in the US is impacted not only by the health care received, but also by the lifestyle lived, doesn't it? It also contains the murder rates, and things like that, too. So, a fat, lazy nation where people kill each other more would tend to have a lower life expectancy, health care aside, no?

quote:

quote:

ORIGINAL: DesideriScuri
quote:

im also pretty skeptical of this: "It is interesting to note that, as far as I can tell, irrespective of their location on the left-right political spectrum, all of the people posting here residing in countries that have universal health care systems (aka socialised healthcare) are enthusiastic supporters of the system"...if that is indeed true, why are so many people coming to the usa for treatments they cannot get, or have to wait excessively long for, or expertise they cannot find in the countries they left?

People don't come to the US for cheap care, that's for sure. As far as the US having "the best care in the world," that might depend on whether you're talking about the level of expertise or technological things, as compared to an overall "top to bottom" picture.

Surely, unless you have a particular axe to grind, an overall picture is the best one to use for comparison?
And certainly the US is far from the top.
I don't know where Bounty is getting figures from but because of the costs, most don't go to the US for any procedures.


The thing is, the word "best" isn't necessarily a good descriptor (or it is, if you have an axe to grind). It's subjective.

If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care. If you include the cost, the US falls to the bottom, or nearly so. So, how you define "best" is going to determine how the nations stack up, and that's a purely subjective thing.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to freedomdwarf1)
Profile   Post #: 333
RE: US Health Care Costs - 12/8/2014 6:19:05 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline
You bet means you actually don't know for sure but you think it's more likely, so what kind of information are you using to build your belief?

(in reply to DesideriScuri)
Profile   Post #: 334
RE: US Health Care Costs - 12/8/2014 8:23:49 AM   
freedomdwarf1


Posts: 6845
Joined: 10/23/2012
Status: offline

quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: bounty44
i am curious by what metric is the usa having "lower quality healthcare for its $, than those countries with 'socialised healthcare' determined?

Usually the stats have to do with life expectancy, infant mortality, etc. Many of the metrics have other things that impact them, likely more than quality of health care, which tends to skew things towards those that support socialized health care's arguments.

Where do you get this from Desi??
Do you have any proof that all the stats out there are skewed to favour social healthcare results??


At no point in time did I say "all the stats."

Life expectancy in the US is impacted not only by the health care received, but also by the lifestyle lived, doesn't it?

No, it doesn't.
And when you state "which tends to skew things towards those that support socialized health care's arguments" with no qualifier, that would usually be taken as 'all' or most.

quote:

ORIGINAL: DesideriScuri
It also contains the murder rates, and things like that, too. So, a fat, lazy nation where people kill each other more would tend to have a lower life expectancy, health care aside, no?

Most of the stats dealing with healthcare and life expectancy are dealing with deaths and mishaps within the healthcare industry, not other shootings etc.
So when these stats are published, it generally doesn't include general deaths or serious injuries due to external influences unless it says as much.

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
quote:

im also pretty skeptical of this: "It is interesting to note that, as far as I can tell, irrespective of their location on the left-right political spectrum, all of the people posting here residing in countries that have universal health care systems (aka socialised healthcare) are enthusiastic supporters of the system"...if that is indeed true, why are so many people coming to the usa for treatments they cannot get, or have to wait excessively long for, or expertise they cannot find in the countries they left?

People don't come to the US for cheap care, that's for sure. As far as the US having "the best care in the world," that might depend on whether you're talking about the level of expertise or technological things, as compared to an overall "top to bottom" picture.

Surely, unless you have a particular axe to grind, an overall picture is the best one to use for comparison?
And certainly the US is far from the top.
I don't know where Bounty is getting figures from but because of the costs, most don't go to the US for any procedures.


The thing is, the word "best" isn't necessarily a good descriptor (or it is, if you have an axe to grind). It's subjective.

If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care. If you include the cost, the US falls to the bottom, or nearly so. So, how you define "best" is going to determine how the nations stack up, and that's a purely subjective thing.

If you apply the same criteria across your sample, the same is being applied so the outcome has the same skew or equality, depending how you do it.
So the definition of 'best' could mean the number of people who survive certain procedures or treatment.
It could also mean birth survival or actually living longer.
If country A has 10% higher survival rate than country B for bowel cancer, it would be fair to say that country A is better, no?
Apply that logic across the board of everything, and that's how they arrive at those stats.
Now, if two countries are roughly equal but one is costing 2 or 3 times more to achieve those stats, then it would be fair to state the more expensive one is not as efficient in delivering that same healthcare.


Lets take a look at some stats -

Figure 1.10.1 Prevalence estimates of diabetes, adults aged 20-79 years, 2011

US is worse than UK.

Figure 1.7.1 Infant mortality rates, 2011 (or nearest year)

US is worse than UK.

Figure 1.6.1 Suicide mortality rates, 2011 (or nearest year)

US is worse than UK.

Figure 1.5.1 Transport accident mortality rates, 2011 (or nearest year)

US is worse than UK.

Figure 1.4.1 All cancer mortality rates, total and by gender, 2011 (or nearest year)

US is, for once, better than UK.

Figure 1.3.1 Ischemic heart disease mortality, 2011 and change between 1990 and 2011 (or nearest year)

US is worse than UK.

Figure 1.1.1 Life expectancy at birth, 1970 and 2011 (or nearest year)

US is worse than UK.

Figure 2.2.1 Overweight (including obesity) among children, 2010 (or latest year)

US is worse than UK.
Interestingly, Greece and Italy, renown for its 'healthy' olive oil diet, are the worst of all.

Figure 2.7.1 Obesity among adults, 2011 (or nearest year)

US is worse than UK.

Figure 6.1.1 Health insurance coverage for a core set of services, 2011

US is worse than UK.The US is the worst by a very long margin.

Figure 6.2.1 Out-of-pocket medical spending as a share of final household consumption, 2011 (or nearest year)

US is worse than UK.

Figure 7.1.1 Health expenditure per capita, 2011 (or nearest year)

US is worse than UK.

Figure 7.4.1 Expenditure on pharmaceuticals per capita and as a share of GDP, 2011 (or nearest year)

US is worse than UK.
In fact, the UK is sooo low, it doesn't even feature on this graph.

Figure 8.2.1 Life expectancy at age 65, 2011 and years gained since 1960 (or nearest year)

US is worse than UK.


All taken from "Health at a Glance 2013"
Source: http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2013_health_glance-2013-en

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.


To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.

Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?

Jeeezz.... The figures speak for themselves.


_____________________________

If liberty means anything at all, it means the right to tell people what they do not want to hear.
George Orwell, 1903-1950


(in reply to DesideriScuri)
Profile   Post #: 335
RE: US Health Care Costs - 12/8/2014 9:02:11 AM   
NorthernGent


Posts: 8730
Joined: 7/10/2006
Status: offline
Just looking at the stats for the Germans there.

Seems when they're born it's all looking rosy. But then they get caught in the trap of eating more sausages than they could possibly cope with and they pretty much keel over and die before they're 65.



_____________________________

I have the courage to be a coward - but not beyond my limits.

Sooner or later, the man who wins is the man who thinks he can.

(in reply to freedomdwarf1)
Profile   Post #: 336
RE: US Health Care Costs - 12/8/2014 11:06:01 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: bounty44
i am curious by what metric is the usa having "lower quality healthcare for its $, than those countries with 'socialised healthcare' determined?

Usually the stats have to do with life expectancy, infant mortality, etc. Many of the metrics have other things that impact them, likely more than quality of health care, which tends to skew things towards those that support socialized health care's arguments.

Where do you get this from Desi??
Do you have any proof that all the stats out there are skewed to favour social healthcare results??

At no point in time did I say "all the stats."
Life expectancy in the US is impacted not only by the health care received, but also by the lifestyle lived, doesn't it?

No, it doesn't.
And when you state "which tends to skew things towards those that support socialized health care's arguments" with no qualifier, that would usually be taken as 'all' or most.


While that is true, apparently, you missed the "Many of the metrics" qualifier at the beginning of that sentence.

quote:

quote:

ORIGINAL: DesideriScuri
It also contains the murder rates, and things like that, too. So, a fat, lazy nation where people kill each other more would tend to have a lower life expectancy, health care aside, no?

Most of the stats dealing with healthcare and life expectancy are dealing with deaths and mishaps within the healthcare industry, not other shootings etc.
So when these stats are published, it generally doesn't include general deaths or serious injuries due to external influences unless it says as much.


So, life expectancy doesn't have anything to do with the risk of premature death? Really?

quote:

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
quote:

im also pretty skeptical of this: "It is interesting to note that, as far as I can tell, irrespective of their location on the left-right political spectrum, all of the people posting here residing in countries that have universal health care systems (aka socialised healthcare) are enthusiastic supporters of the system"...if that is indeed true, why are so many people coming to the usa for treatments they cannot get, or have to wait excessively long for, or expertise they cannot find in the countries they left?

People don't come to the US for cheap care, that's for sure. As far as the US having "the best care in the world," that might depend on whether you're talking about the level of expertise or technological things, as compared to an overall "top to bottom" picture.

Surely, unless you have a particular axe to grind, an overall picture is the best one to use for comparison?
And certainly the US is far from the top.
I don't know where Bounty is getting figures from but because of the costs, most don't go to the US for any procedures.

The thing is, the word "best" isn't necessarily a good descriptor (or it is, if you have an axe to grind). It's subjective.
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care. If you include the cost, the US falls to the bottom, or nearly so. So, how you define "best" is going to determine how the nations stack up, and that's a purely subjective thing.

If you apply the same criteria across your sample, the same is being applied so the outcome has the same skew or equality, depending how you do it.
So the definition of 'best' could mean the number of people who survive certain procedures or treatment.
It could also mean birth survival or actually living longer.
If country A has 10% higher survival rate than country B for bowel cancer, it would be fair to say that country A is better, no?


For bowel cancer outcomes, sure.

quote:

Apply that logic across the board of everything, and that's how they arrive at those stats.
Now, if two countries are roughly equal but one is costing 2 or 3 times more to achieve those stats, then it would be fair to state the more expensive one is not as efficient in delivering that same healthcare.


I don't disagree with that. But, that's why I don't like using subjective criteria for stuff like that. From a cost perspective, the US yields worse results per dollar spent than, probably any country in the world, industrialized or not. And, that speaks to how much our care costs, not the talent or quality of the caregivers or care.

quote:

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.


We are already expending more public dollars than most countries spend total, with only Norway spending more public dollars than the US.

http://www.nationalcenter.org/NPA547ComparativeHealth.html

Is obesity due to health care, or lifestyle choices?

Do heart attack deaths (per 100k population) really define how good a health system is?

The US has a high obesity rate. The US has a high rate of diabetes. The US has a high rate of heart disease. None of those are strictly due to the health care system at all. I'm fat. I have insurance. I don't see a physician about it. I don't take medications for it. None of my health care spending has anything to do with my obesity. I also do not have, as technically defined, high blood pressure. Again, that has nothing to do with any health care spending or system in the US. I don't have diabetes. Has my health care system prevented diabetes in my case? Of course not.

My grandmother passed away from complications of diabetes. She was on insulin, so she was using the US health care system. She also didn't really take care of herself, and wasn't really all that interested in managing her diabetes (as told to me by an Aunt that's a nurse, and an Aunt that's a Physician's Assistant). Was her death to diabetes somehow not prevented by the medical system in the US, or by her own decision to not manage her disease properly?

quote:

To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.
Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?
Jeeezz.... The figures speak for themselves.


You just jumped the shark. The private insurance health care system and the public insurance health care system accesses the same providers. The source of payment is different, but the caregivers are the same. So, in the US, private insurance health care and "social" health care are the same care.


< Message edited by DesideriScuri -- 12/8/2014 11:07:30 AM >


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to freedomdwarf1)
Profile   Post #: 337
RE: US Health Care Costs - 12/8/2014 11:57:52 AM   
freedomdwarf1


Posts: 6845
Joined: 10/23/2012
Status: offline

quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: DesideriScuri
It also contains the murder rates, and things like that, too. So, a fat, lazy nation where people kill each other more would tend to have a lower life expectancy, health care aside, no?
quote:

ORIGINAL: freedomdwarf1
Most of the stats dealing with healthcare and life expectancy are dealing with deaths and mishaps within the healthcare industry, not other shootings etc.
So when these stats are published, it generally doesn't include general deaths or serious injuries due to external influences unless it says as much.


So, life expectancy doesn't have anything to do with the risk of premature death? Really?

Two different sets of stats, mostly unrelated. So, no.

quote:

ORIGINAL: DesideriScuri
For bowel cancer outcomes, sure.

That was just one example from many.
Are you really being deliberately obtuse?? Or just nit-picking for the sake of it?

quote:

ORIGINAL: DesideriScuri
I don't disagree with that. But, that's why I don't like using subjective criteria for stuff like that. From a cost perspective, the US yields worse results per dollar spent than, probably any country in the world, industrialized or not. And, that speaks to how much our care costs, not the talent or quality of the caregivers or care.

But when you compare other stats, like birth mortality rates and others, that would certainly determine the quality of the healthcare given, not the cost (that is a separate issue).

quote:

ORIGINAL: DesideriScuri
quote:

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.


We are already expending more public dollars than most countries spend total, with only Norway spending more public dollars than the US.

Not according to the graphs I cited.
The US is by far the most expensive for healthcare AND pharmaceuticals, per capita and per GDP.

quote:

ORIGINAL: DesideriScuri
Is obesity due to health care, or lifestyle choices?

Do heart attack deaths (per 100k population) really define how good a health system is?

The US has a high obesity rate. The US has a high rate of diabetes. The US has a high rate of heart disease. None of those are strictly due to the health care system at all. I'm fat. I have insurance. I don't see a physician about it. I don't take medications for it. None of my health care spending has anything to do with my obesity. I also do not have, as technically defined, high blood pressure. Again, that has nothing to do with any health care spending or system in the US. I don't have diabetes. Has my health care system prevented diabetes in my case? Of course not.

The graphs I showed were mortality rates for those conditions.
That would indicate both A) lifestyle choices, and B) the healthcare provided for those conditions in preventing mortality.
The criteria applied is the same for all. So if the US comes out worse, it's because it is worse, and for no other reason.

No, anything of anything doesn't stop any particular individual from suffering those things.
To make any sort of comparison is ridiculous.

quote:

ORIGINAL: DesideriScuri
My grandmother passed away from complications of diabetes. She was on insulin, so she was using the US health care system. She also didn't really take care of herself, and wasn't really all that interested in managing her diabetes (as told to me by an Aunt that's a nurse, and an Aunt that's a Physician's Assistant). Was her death to diabetes somehow not prevented by the medical system in the US, or by her own decision to not manage her disease properly?

But... if the healthcare in general (not your particular circumstances or your mom's) are not providing the same level of care as other countries in preventing mortality, that makes it worse than others.
It's no good picking out individual cases because we can all do that.
These stats are general and comparable to each other; that's the point.

quote:

ORIGINAL: DesideriScuri
quote:

To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.
Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?
Jeeezz.... The figures speak for themselves.

You just jumped the shark. The private insurance health care system and the public insurance health care system accesses the same providers. The source of payment is different, but the caregivers are the same. So, in the US, private insurance health care and "social" health care are the same care.

And that is why the US system is all fucked up - as I have said many times in these debates.

Social healthcare needs to kick out the insurance companies completely. Otherwise, as you said, it is just shifting the paymaster, not the attacking the root of the problem - the profiteering all along the line by private insurance companies.

Again, no matter how you want to slice the cake, every other OECD country that is not majorly ruled by insurance companies and has social healthcare, beats the US hands down in just about every major healthcare indicator - regardless of costs. Add the ridiculous costs for inferior US healthcare and that is just a slap across the face with a stale fish - it really stinks.



_____________________________

If liberty means anything at all, it means the right to tell people what they do not want to hear.
George Orwell, 1903-1950


(in reply to DesideriScuri)
Profile   Post #: 338
RE: US Health Care Costs - 12/8/2014 12:38:00 PM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: tj444
Dude, your problem is that you actually believe your govt..


Apparently,. you don't read my posts much. I don't believe my government all that much. That's why I'm all for keeping it's authorities limited. It can do less damage that way.

quote:

Btw, you claim that the gop and dems disagree on immigration reform but the US start-up visa law has been brought forward several times over the last few years and even Obama says he supports it, yet your politicians continue to sit on their hands..


I'm not sure how this example refutes my claim.

You said you believed the govt website, that is what I was referring to about believing yer govt.. no, I don't read your posts much cuz as I said, I am not here much anymore, just don't have the time and quite frankly, since the whole CM-CS war its been pretty damn boring here and few interesting threads (imo) started..

You claimed that the 2 parties couldn't agree on immigration yet the start-up visa law is bi-partisan support so why doesn't it (at least) get passed? That would be a major step (the best and only one that matters to most immigrant entrepreneurs) as far as immigration reform goes, imo..

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

(in reply to DesideriScuri)
Profile   Post #: 339
RE: US Health Care Costs - 12/8/2014 2:08:14 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: DesideriScuri
It also contains the murder rates, and things like that, too. So, a fat, lazy nation where people kill each other more would tend to have a lower life expectancy, health care aside, no?
quote:

ORIGINAL: freedomdwarf1
Most of the stats dealing with healthcare and life expectancy are dealing with deaths and mishaps within the healthcare industry, not other shootings etc.
So when these stats are published, it generally doesn't include general deaths or serious injuries due to external influences unless it says as much.

So, life expectancy doesn't have anything to do with the risk of premature death? Really?

Two different sets of stats, mostly unrelated. So, no.


Really? Premature death doesn't impact life expectancy? You're going with that?

quote:

quote:

ORIGINAL: DesideriScuri
For bowel cancer outcomes, sure.

That was just one example from many.
Are you really being deliberately obtuse?? Or just nit-picking for the sake of it?


That's all you asked about. I wouldn't claim any one health care system is better overall than any other one based on one metric. I have no issue claiming one health care system is better in a category than any other based on the metric of that category.

quote:

quote:

ORIGINAL: DesideriScuri
I don't disagree with that. But, that's why I don't like using subjective criteria for stuff like that. From a cost perspective, the US yields worse results per dollar spent than, probably any country in the world, industrialized or not. And, that speaks to how much our care costs, not the talent or quality of the caregivers or care.

But when you compare other stats, like birth mortality rates and others, that would certainly determine the quality of the healthcare given, not the cost (that is a separate issue).
quote:

ORIGINAL: DesideriScuri
quote:

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.

We are already expending more public dollars than most countries spend total, with only Norway spending more public dollars than the US.

Not according to the graphs I cited.
The US is by far the most expensive for healthcare AND pharmaceuticals, per capita and per GDP.


Really?



Oh, wait. You might be right. The Netherlands might have higher public dollar spending than the US, too. The white band in their graph makes it difficult to tell, though.

I know we have the most expensive costs. That was the point of this whole thread! Way to catch up, Capt. Obvious!

quote:

quote:

ORIGINAL: DesideriScuri
Is obesity due to health care, or lifestyle choices?
Do heart attack deaths (per 100k population) really define how good a health system is?
The US has a high obesity rate. The US has a high rate of diabetes. The US has a high rate of heart disease. None of those are strictly due to the health care system at all. I'm fat. I have insurance. I don't see a physician about it. I don't take medications for it. None of my health care spending has anything to do with my obesity. I also do not have, as technically defined, high blood pressure. Again, that has nothing to do with any health care spending or system in the US. I don't have diabetes. Has my health care system prevented diabetes in my case? Of course not.

The graphs I showed were mortality rates for those conditions.
That would indicate both A) lifestyle choices, and B) the healthcare provided for those conditions in preventing mortality.
The criteria applied is the same for all. So if the US comes out worse, it's because it is worse, and for no other reason.
No, anything of anything doesn't stop any particular individual from suffering those things.
To make any sort of comparison is ridiculous.


Then, why did you do that? If there are more cases of something in one country, wouldn't it stand to reason that there would be more deaths from that something, too?

US has 7th Highest Cancer Rate in the World
    quote:

    Experts Say Lifestyle Changes Needed to Reduce Nation's Cancer Rates


Cancer Survival Rates Improving Across Europe, But Still Lagging Behind United States
    quote:

    One of the reports compares the statistics from Europe with those from the United States and shows that for most solid tumors, survival rates were significantly higher in US patients than in European patients.


So, we have the 7th highest rate of cancer (the UK, I believe, was somewhere in the 20's), but have survival rates significantly higher. Now, that might say something about the quality of cancer care in the US, compared the UK, no?

quote:

quote:

ORIGINAL: DesideriScuri
My grandmother passed away from complications of diabetes. She was on insulin, so she was using the US health care system. She also didn't really take care of herself, and wasn't really all that interested in managing her diabetes (as told to me by an Aunt that's a nurse, and an Aunt that's a Physician's Assistant). Was her death to diabetes somehow not prevented by the medical system in the US, or by her own decision to not manage her disease properly?

But... if the healthcare in general (not your particular circumstances or your mom's) are not providing the same level of care as other countries in preventing mortality, that makes it worse than others.
It's no good picking out individual cases because we can all do that.
These stats are general and comparable to each other; that's the point.


Except they aren't due to the health care system, but to personal choices. Unless a system forces a person to comply with care advice, things like diabetes deaths aren't necessarily impacted by health care services. It's not like my grandmother didn't know better. She still chose the path she took. But, she died from diabetes complications (specifically, heart disease secondary to the diabetes, so she may have hit more than one category!), not lack of a quality medical care system.

quote:

quote:

ORIGINAL: DesideriScuri
quote:

To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.
Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?
Jeeezz.... The figures speak for themselves.

You just jumped the shark. The private insurance health care system and the public insurance health care system accesses the same providers. The source of payment is different, but the caregivers are the same. So, in the US, private insurance health care and "social" health care are the same care.

And that is why the US system is all fucked up - as I have said many times in these debates.
Social healthcare needs to kick out the insurance companies completely. Otherwise, as you said, it is just shifting the paymaster, not the attacking the root of the problem - the profiteering all along the line by private insurance companies.
Again, no matter how you want to slice the cake, every other OECD country that is not majorly ruled by insurance companies and has social healthcare, beats the US hands down in just about every major healthcare indicator - regardless of costs. Add the ridiculous costs for inferior US healthcare and that is just a slap across the face with a stale fish - it really stinks.


Yep, and those indicators aren't necessarily indicative of the health care system involved.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to freedomdwarf1)
Profile   Post #: 340
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