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	<title>Comments on: ObamaCare is National Socialism</title>
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	<description>Blogging about liberty, anarchy, economics and politics</description>
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		<title>By: nothirdsolution</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8343</link>
		<dc:creator>nothirdsolution</dc:creator>
		<pubDate>Fri, 26 Jun 2009 18:58:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8343</guid>
		<description>No, I really meant &quot;fail.&quot;  
  
Some of my other posts on the topic, that I\&#039;ve linked to here in the comments, address this idea.  
  
The CoyoteBlog&#039;s &lt;a href=&quot;http://www.coyoteblog.com/coyote_blog/2008/01/uncovering-some.html&quot; rel=&quot;nofollow&quot;&gt;Uncovering some really bad science&lt;/a&gt; debunks some of the recent methodology used to arrive at the low life expectancy figures.  
  
He&#039;s also discussed infant mortality rates, which are not uniformly measured across the world, there are no rules about how to count live vs. stillborn, etc. Many infants that die shortly after birth in the U.S. would have been counted as stillborn in other parts of the world. One idea is that the success of our system allows many infants to survive childbirth that otherwise wouldn&#039;t have. Also, many infants die in utero in other countries, which our system would&#039;ve given at least a &lt;em&gt;chance&lt;/em&gt; at life. Some of them eventually die outside the womb. </description>
		<content:encoded><![CDATA[<p>No, I really meant &quot;fail.&quot;  </p>
<p>Some of my other posts on the topic, that I\&#39;ve linked to here in the comments, address this idea.  </p>
<p>The CoyoteBlog&#39;s <a href="http://www.coyoteblog.com/coyote_blog/2008/01/uncovering-some.html" rel="nofollow">Uncovering some really bad science</a> debunks some of the recent methodology used to arrive at the low life expectancy figures.  </p>
<p>He&#39;s also discussed infant mortality rates, which are not uniformly measured across the world, there are no rules about how to count live vs. stillborn, etc. Many infants that die shortly after birth in the U.S. would have been counted as stillborn in other parts of the world. One idea is that the success of our system allows many infants to survive childbirth that otherwise wouldn&#39;t have. Also, many infants die in utero in other countries, which our system would&#39;ve given at least a <em>chance</em> at life. Some of them eventually die outside the womb.</p>
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		<title>By: nothirdsolution</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8359</link>
		<dc:creator>nothirdsolution</dc:creator>
		<pubDate>Fri, 26 Jun 2009 16:51:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8359</guid>
		<description>Major Medical polices have been around for a while, it&#039;s not like I invented them yesterday. They are hands-down the cheapest of all health insurance policies. 

And I wasn&#039;t accusing you of making the same lifestyle choices as the young Canadian with whom I spoke, just using him as an example.
 
&lt;blockquote&gt; 
Obviously your mind is closed on the single payer option ... so to each his own.  
&lt;/blockquote&gt; 
Now, &lt;em&gt;this&lt;/em&gt; is insulting. The problem with a single-payer system is that it &lt;em&gt;doesn&#039;t&lt;/em&gt; allow &quot;each&quot; to have &quot;his own.&quot; That essential point, that&#039;s the locus of my entire argument set forth in the post above (and reiterated in comments, etc.). So yes, my mind is &quot;closed&quot; to the single payer option in the exact same manner that my mind is &quot;closed&quot; to the slavery option. 
 
Look, don&#039;t berate me for using the anecdotal evidence at my disposal. You say &quot;I have anecdotal evidence that Canadian system works&quot; and &lt;em&gt;I&lt;/em&gt; have anecdotal evidence that it doesn&#039;t work. Anyone who spends his money on $5 beers while complaining about how he can&#039;t afford insurance is flat-out ripping you off (and the rest of taxpaying Canadians). He&#039;s not the only one, I can guarantee it. 

&lt;a href=&quot;http://www.ncpa.org/sub/dpd/index.php?Article_ID=14043&quot; rel=&quot;nofollow&quot;&gt;How Good Is Canadian Health Care?&lt;/a&gt; This good: 
&lt;blockquote&gt; 
When compared to other Organization for Economic Co-Operation and Development (OECD) countries that have publicly funded, universal access health care systems, evidence suggests that the Canadian model is inferior, say the authors of a new Fraser Institute study. 
 
Consider: 
 
 * Estimates indicate that Canada spends more on health care than all OECD nations with &quot;universal access&quot; health care systems save Iceland. 
 * Canada does not rank first in any of the seven health care outcome categories or in any of the comparisons of access to care, supply of technologies, or supply of physicians. 
 * Canada is the only country in the industrialized world that outlaws a parallel private health care system for its citizens. 
 
On an age-adjusted basis, Canada has among the fewest number of physicians in the OECD: 
 
 * Canada ranks 24th out of 28 countries with 2.3 doctors per 1,000 people for a total of 66,583 doctors; only Turkey, Japan, the United Kingdom and Finland have fewer doctors. 
 * To be comparable to first-place Iceland, Canada would need 57,071 more doctors than it had in 2003. 
 * In 1970, when public insurance first fully applied to physician services, Canada placed second among the countries that could be ranked in that year. 
 
The overwhelming evidence is that, in comparative terms, the Canadian system produces longer waiting times, and is less successful in preventing death from preventable causes, and costs more than almost all of the other systems that have comparable objectives. To improve on this underperformance, say the authors, the system needs to emulate the more successful models of universal care -- such as allowing privately funded purchases and private medicine. 
 
Source: Nadeem Esmail and Michael Walker, &quot;How Good Is Canadian Health Care? 2006 Report,&quot; Fraser Institute, December 2006. 
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		<content:encoded><![CDATA[<p>Major Medical polices have been around for a while, it&#8217;s not like I invented them yesterday. They are hands-down the cheapest of all health insurance policies. </p>
<p>And I wasn&#8217;t accusing you of making the same lifestyle choices as the young Canadian with whom I spoke, just using him as an example.</p>
<blockquote><p>
Obviously your mind is closed on the single payer option &#8230; so to each his own.
</p></blockquote>
<p>Now, <em>this</em> is insulting. The problem with a single-payer system is that it <em>doesn&#8217;t</em> allow &#8220;each&#8221; to have &#8220;his own.&#8221; That essential point, that&#8217;s the locus of my entire argument set forth in the post above (and reiterated in comments, etc.). So yes, my mind is &#8220;closed&#8221; to the single payer option in the exact same manner that my mind is &#8220;closed&#8221; to the slavery option. </p>
<p>Look, don&#8217;t berate me for using the anecdotal evidence at my disposal. You say &#8220;I have anecdotal evidence that Canadian system works&#8221; and <em>I</em> have anecdotal evidence that it doesn&#8217;t work. Anyone who spends his money on $5 beers while complaining about how he can&#8217;t afford insurance is flat-out ripping you off (and the rest of taxpaying Canadians). He&#8217;s not the only one, I can guarantee it. </p>
<p><a href="http://www.ncpa.org/sub/dpd/index.php?Article_ID=14043" rel="nofollow">How Good Is Canadian Health Care?</a> This good: </p>
<blockquote><p>
When compared to other Organization for Economic Co-Operation and Development (OECD) countries that have publicly funded, universal access health care systems, evidence suggests that the Canadian model is inferior, say the authors of a new Fraser Institute study. </p>
<p>Consider: </p>
<p> * Estimates indicate that Canada spends more on health care than all OECD nations with &#8220;universal access&#8221; health care systems save Iceland.<br />
 * Canada does not rank first in any of the seven health care outcome categories or in any of the comparisons of access to care, supply of technologies, or supply of physicians.<br />
 * Canada is the only country in the industrialized world that outlaws a parallel private health care system for its citizens. </p>
<p>On an age-adjusted basis, Canada has among the fewest number of physicians in the OECD: </p>
<p> * Canada ranks 24th out of 28 countries with 2.3 doctors per 1,000 people for a total of 66,583 doctors; only Turkey, Japan, the United Kingdom and Finland have fewer doctors.<br />
 * To be comparable to first-place Iceland, Canada would need 57,071 more doctors than it had in 2003.<br />
 * In 1970, when public insurance first fully applied to physician services, Canada placed second among the countries that could be ranked in that year. </p>
<p>The overwhelming evidence is that, in comparative terms, the Canadian system produces longer waiting times, and is less successful in preventing death from preventable causes, and costs more than almost all of the other systems that have comparable objectives. To improve on this underperformance, say the authors, the system needs to emulate the more successful models of universal care &#8212; such as allowing privately funded purchases and private medicine. </p>
<p>Source: Nadeem Esmail and Michael Walker, &#8220;How Good Is Canadian Health Care? 2006 Report,&#8221; Fraser Institute, December 2006.</p></blockquote>
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		<title>By: nothirdsolution</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8365</link>
		<dc:creator>nothirdsolution</dc:creator>
		<pubDate>Fri, 26 Jun 2009 14:16:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8365</guid>
		<description>I&#039;m having some trouble with IDC today.  Some comments (to which I replied) have disappeared after I tried to edit broken hyperlinks.  The comments still appear on my Admin dashboard, so I expect them to return eventually.  Just an FYI so nobody accuses me of trying to silence them. </description>
		<content:encoded><![CDATA[<p>I&#039;m having some trouble with IDC today.  Some comments (to which I replied) have disappeared after I tried to edit broken hyperlinks.  The comments still appear on my Admin dashboard, so I expect them to return eventually.  Just an FYI so nobody accuses me of trying to silence them.</p>
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		<title>By: M. Rocks</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8355</link>
		<dc:creator>M. Rocks</dc:creator>
		<pubDate>Fri, 26 Jun 2009 07:19:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8355</guid>
		<description>Okay that&#039;s downright insulting. We did research health insurance and the so-called catastrophic insurance was not a viable option for us. As for $5 Molsons and music festivals ... forget about it. While experiencing our American &quot;dream&quot; we did not waste our money on drinking (still don&#039;t) and only attended free concerts in the park whenever we could get away from work. You and that one Canadian you talked to obviously enjoy a different lifestyle. And what part of we were NOT young and NOT wealthy didn&#039;t you get? BTW, having worked in Canadian hospitals for many years I&#039;m satisfied that there is no need for us to seek health care outside this country. Obviously your mind is closed on the single payer option ... so to each his own.   </description>
		<content:encoded><![CDATA[<p>Okay that&#039;s downright insulting. We did research health insurance and the so-called catastrophic insurance was not a viable option for us. As for $5 Molsons and music festivals &#8230; forget about it. While experiencing our American &quot;dream&quot; we did not waste our money on drinking (still don&#039;t) and only attended free concerts in the park whenever we could get away from work. You and that one Canadian you talked to obviously enjoy a different lifestyle. And what part of we were NOT young and NOT wealthy didn&#039;t you get? BTW, having worked in Canadian hospitals for many years I&#039;m satisfied that there is no need for us to seek health care outside this country. Obviously your mind is closed on the single payer option &#8230; so to each his own.</p>
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		<title>By: Zach S.</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8350</link>
		<dc:creator>Zach S.</dc:creator>
		<pubDate>Fri, 26 Jun 2009 02:57:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8350</guid>
		<description>I find it odd that individuals believe if the government did not provide &quot;public&quot; services with TAX money (people remember, taxes come from YOUR pocket) that the private industry would not.  Not only would the private industry provide everything the government provides, they would provide it cheaper and better.  Yes we would all have to pay for it, but I&#039;d get to keep my tax money and pay for it myself.   
 
You&#039;re probably the same people who think if we run out of oil, the world will end.  People will find a way to make it work.   </description>
		<content:encoded><![CDATA[<p>I find it odd that individuals believe if the government did not provide &quot;public&quot; services with TAX money (people remember, taxes come from YOUR pocket) that the private industry would not.  Not only would the private industry provide everything the government provides, they would provide it cheaper and better.  Yes we would all have to pay for it, but I&#039;d get to keep my tax money and pay for it myself.   </p>
<p>You&#039;re probably the same people who think if we run out of oil, the world will end.  People will find a way to make it work.</p>
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		<title>By: Zach S.</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8348</link>
		<dc:creator>Zach S.</dc:creator>
		<pubDate>Fri, 26 Jun 2009 02:39:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8348</guid>
		<description>I don&#039;t think anyone says it doesn&#039;t work per se, but it certainly is not the answer.  </description>
		<content:encoded><![CDATA[<p>I don&#039;t think anyone says it doesn&#039;t work per se, but it certainly is not the answer.</p>
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		<title>By: Zach S.</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8347</link>
		<dc:creator>Zach S.</dc:creator>
		<pubDate>Fri, 26 Jun 2009 02:38:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8347</guid>
		<description>Brad- we are by far the fattest country.  During my MBA program, I did an in depth study on childhood obesity and in the past 20 years, it has at least TRIPLED in the US!!  And thats just the children.  Obesity is one of the major causes of death in the U.S. Geez, I wonder why our life expectancy isnt so high.   
 
Another interesting thing I concluded; obesity rates in children had a high (more than 70%) correlation with family income.  THe lower the income, the more likely the children were to be obese and the more likely the parents were obese.  I wonder why they need to see a doctor so much?   
 
Basically, the answer isn&#039;t universal healthcare.  If anything, it should be universal PREVENTATIVE care which costs practically nothing except time &amp; education.  You kill weeds at the root, not at the surface. </description>
		<content:encoded><![CDATA[<p>Brad- we are by far the fattest country.  During my MBA program, I did an in depth study on childhood obesity and in the past 20 years, it has at least TRIPLED in the US!!  And thats just the children.  Obesity is one of the major causes of death in the U.S. Geez, I wonder why our life expectancy isnt so high.   </p>
<p>Another interesting thing I concluded; obesity rates in children had a high (more than 70%) correlation with family income.  THe lower the income, the more likely the children were to be obese and the more likely the parents were obese.  I wonder why they need to see a doctor so much?   </p>
<p>Basically, the answer isn&#039;t universal healthcare.  If anything, it should be universal PREVENTATIVE care which costs practically nothing except time &amp; education.  You kill weeds at the root, not at the surface.</p>
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		<title>By: Zach S.</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8346</link>
		<dc:creator>Zach S.</dc:creator>
		<pubDate>Fri, 26 Jun 2009 02:32:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8346</guid>
		<description>I think this is the biggest part people fail to see. It costs socialist countries nearly half their income (more if you count all the other taxes you talked about) to support this &quot;free healthcare&quot;  
 
A very small percentage of people end up with diseases/issues/etc that require significant amounts of funding...hence the relatively cheap cost of catastrophe insurance that Brad is so fond of.  Other than that, let me toss my &quot;tax money that goes to the national healthcare&quot; in an interest bearing account for all those little trips to the doc for the sniffles...and if i get cancer, etc, hey i have the $50-$100 bucks a month i&#039;m paying towards catastrophe insurance. 
 
Just b/c people can&#039;t seem to budget their money properly to fund their basic needs doesn&#039;t mean the answer is the government should horde my money for me.   </description>
		<content:encoded><![CDATA[<p>I think this is the biggest part people fail to see. It costs socialist countries nearly half their income (more if you count all the other taxes you talked about) to support this &quot;free healthcare&quot;  </p>
<p>A very small percentage of people end up with diseases/issues/etc that require significant amounts of funding&#8230;hence the relatively cheap cost of catastrophe insurance that Brad is so fond of.  Other than that, let me toss my &quot;tax money that goes to the national healthcare&quot; in an interest bearing account for all those little trips to the doc for the sniffles&#8230;and if i get cancer, etc, hey i have the $50-$100 bucks a month i&#039;m paying towards catastrophe insurance. </p>
<p>Just b/c people can&#039;t seem to budget their money properly to fund their basic needs doesn&#039;t mean the answer is the government should horde my money for me.</p>
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		<title>By: David Z</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8342</link>
		<dc:creator>David Z</dc:creator>
		<pubDate>Fri, 26 Jun 2009 01:05:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8342</guid>
		<description>You must not have done your research.  A friend of mine is 29 years old, healthy, and self-employed.  He maintains a catastrophic loss policy for under $100/month.  He doesn&#039;t use &quot;health insurance&quot; to pay for doctor&#039;s visits or the occasional flu medication, any more than you use &quot;car insurance&quot; to pay for oil changes and tire rotations.  A cat-policy, and some money in the bank, is adequate if you&#039;re young and in good health.

I talked to a Canadian about their health care system a few months ago.  He couldn&#039;t afford private insurance.  But he could afford to sit at the bar next to me and drink $5 Molsons.  And he could afford to go to the Burning Man Festival, halfway across the continent.  He said in a nutshell, that the Canadian system was &quot;better than nothing&quot; but that if you have any money, and you really need a procedure, you go somewhere else where you don&#039;t have to wait for it.

But don&#039;t take my word for it.  Read David Gratzer&#039;s &lt;a href=&quot;http://www.city-journal.org/html/17_3_canadian_healthcare.html&quot; rel=&quot;nofollow&quot;&gt;The Ugly Truth About Canadian Health Care&lt;/a&gt;.  (He&#039;s also a Canadian).</description>
		<content:encoded><![CDATA[<p>You must not have done your research.  A friend of mine is 29 years old, healthy, and self-employed.  He maintains a catastrophic loss policy for under $100/month.  He doesn&#8217;t use &#8220;health insurance&#8221; to pay for doctor&#8217;s visits or the occasional flu medication, any more than you use &#8220;car insurance&#8221; to pay for oil changes and tire rotations.  A cat-policy, and some money in the bank, is adequate if you&#8217;re young and in good health.</p>
<p>I talked to a Canadian about their health care system a few months ago.  He couldn&#8217;t afford private insurance.  But he could afford to sit at the bar next to me and drink $5 Molsons.  And he could afford to go to the Burning Man Festival, halfway across the continent.  He said in a nutshell, that the Canadian system was &#8220;better than nothing&#8221; but that if you have any money, and you really need a procedure, you go somewhere else where you don&#8217;t have to wait for it.</p>
<p>But don&#8217;t take my word for it.  Read David Gratzer&#8217;s <a href="http://www.city-journal.org/html/17_3_canadian_healthcare.html" rel="nofollow">The Ugly Truth About Canadian Health Care</a>.  (He&#8217;s also a Canadian).</p>
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		<title>By: David Z</title>
		<link>http://www.nothirdsolution.com/2009/06/24/obamacare-is-national-socialism/comment-page-1/#comment-8341</link>
		<dc:creator>David Z</dc:creator>
		<pubDate>Fri, 26 Jun 2009 00:54:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.nothirdsolution.com/?p=2422#comment-8341</guid>
		<description>You&#039;re right about education, but flat wrong on insurance.  Insurance - mutual associations, fraternal orders, voluntary charities - these things all arose in a more-or-less natural manner because people didn&#039;t like the prospect of bearing a catastrophic loss, and they learned that, since others were also risk-averse, they could pool their risk together, and for a small, small fraction of the cost, be much more secure in the event that one did suffer a loss.

It&#039;s &lt;em&gt;not&lt;/em&gt; socialism, because it&#039;s &lt;em&gt;voluntary&lt;/em&gt;.  I don&#039;t understand why this part is so hard for people to get through their thick skulls.

In any event, there are a number of contributing factors to the high cost of health care, not the least of which is the AMA which functions as a cartel to artificially restrict the supply of MDs, and to keep the price of primary care service artificially high.  Since they are a state-licensed cartel, it is illegal to compete with them.  The net result is that they get nice salaries and relatively easy working hours, and we pay more, and receive less.</description>
		<content:encoded><![CDATA[<p>You&#8217;re right about education, but flat wrong on insurance.  Insurance &#8211; mutual associations, fraternal orders, voluntary charities &#8211; these things all arose in a more-or-less natural manner because people didn&#8217;t like the prospect of bearing a catastrophic loss, and they learned that, since others were also risk-averse, they could pool their risk together, and for a small, small fraction of the cost, be much more secure in the event that one did suffer a loss.</p>
<p>It&#8217;s <em>not</em> socialism, because it&#8217;s <em>voluntary</em>.  I don&#8217;t understand why this part is so hard for people to get through their thick skulls.</p>
<p>In any event, there are a number of contributing factors to the high cost of health care, not the least of which is the AMA which functions as a cartel to artificially restrict the supply of MDs, and to keep the price of primary care service artificially high.  Since they are a state-licensed cartel, it is illegal to compete with them.  The net result is that they get nice salaries and relatively easy working hours, and we pay more, and receive less.</p>
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