Posts Tagged ‘French Healthcare’

US Healthcare Is Too Corrupt And Too Drunk, To Fight This Epidemic Optimally

July 14, 2020

Right now the epidemic is under control in Europe (except England). Yet Europeans have to test and track more, as in South Korea… And as Germany has been somewhat doing.
Part of the problem in the USA: it’s an UNION of STATES, which do as they please. Compare with Europe: the UK, or more exactly England, has been doing terribly, with a death rate more than 50% higher than the USA. Reason? The scientific council in charge, as in Sweden, believed, all too long, in “herd immunity”. The results were even worse than Sweden. By contrast a strict Germany has been doing way better, with a death rate less than a fifth that of England.

Then there is the problem of US for-profit healthcare. A characteristic of this is that healthcare is viewed in the USA, but for the old, as one more privilege from employment (instead of a human right, as in all other advanced countries). The idea, apparently, is that employers will not just give you the pursuit of happiness, but also will provide you with life itself.

Doctors can do a lot against COVID. Problem: in the US, people do not have the habit of going to see their doctors… until it’s too late. And that has to do with the greedy, lawyery, private insurance dominated nature of the US medical system…

The for-profit aspect has been going from very bad to even worse in recent years (18% of GDP in healthcare; Europeans don’t go over 12%; the difference between 18% and 12% is all corruption, for want of a better word.) Conclusion: in this crisis, US patients have been reluctant to see doctors. It’s not just the “co-pays”, and “deductibles”. Now there are “facility charges” (even while seeing your old doctor)… which can be hundreds of dollars.

Inconvenient truth? The US vision of healthcare is too greedy, and too drunk, to fight this epidemy optimally.

Patrice Ayme

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P/S 1: The preceding was a comment sent to NYT Krugman (who had written an essay with some of the usual “Trump = Devil” stuff). To my surprise, the comment escaped the censorship terrorists ate the NYT and was published fast (not the usual 24 hours plus delay; my recent comments to Krugman were all censored… This was recommended by 43…)

JPH
USA

@Patrice Ayme US health care quality is ranked number 38th. But its cost is number 1 in the world. As comparison French health care’s cost is 34th world ranking but quality is number one.

Reply23 Recommend
Answer: Patrice Ayme
Berkeley | Pending Approval
@JPH So we agree. I actually had a very difficult pregnancy with my daughter. After finding French doctors in an Alpine hospital very disponible and helpful by phone (whereas Californian doctors couldn’t be reached!). We flew there and then directly, three hours after landing, to the hospital. A young doctor (who was Italian) looked at the US file, and gave a clear and precise conclusion: although this hospital was proud of its very low C section rate, in this particular case, a C section was extremely likely (that was news to us). Then he proceeded to examine the patient. The expert delivery was made by a lady surgeon. I have no doubt the baby would have been lost in the US. Besides the (public) hospital was like Club Med, with great Alpine scenery, a huge private room and bathroom, and a stay of nine days… And it cost much less than a normal delivery in the US… People who can fly to France buy their US prescribed drugs there, as they cost less than US copays (French pharmacists, who are private owners with doctorates, both by law: pharmacy monopolies are illegal in France have the freedom to prescribe, and accept US prescriptions as if they were written in France). The French healthcare system is a mix of private and public, and the US healthcare could be morphed into it (that is, differently from the UK, Sweden or Canada, the French system is not 100% socialist; what happens is that fundamental healthcare is 100% covered; private health insurance supplements services).
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P/S 2: The New York Times, a private media company, is the newspaper of record of the USA. New York Times opinion columnist and editor Bari Weiss published the resignation letter she sent to Times publisher A.G. Sulzberger on her personal website. The Sulzberger family has controlled the New York Times since the nineteenth century (through a special share arrangement). The preceding Sulzberger had banned, apparently from my opposition to the Bush-Biden Iraq invasion (which NYT encouraged).

Bari said:, “Showing up for work as a centrist at an American newspaper should not require bravery.” She wrote she was bullied by colleagues in an “illiberal environment,” “Stories are chosen and told in a way to satisfy the narrowest of audiences” and “intellectual curiosity” is a liability at the Times, among a variety of other devastating feedback.

 

Progressive Medicare For All, Or How And Why To Morph US Healthcare Into French Healthcare

April 22, 2019

European universal health care systems vary, from fully socialized (UK, Sweden) to mixed (France) to rather peculiar (Germany, universal health care from Bismarck, before 1880). The best and most expensive systems (Germany, Italy, France) amount to 12% of GDP, UK only 8%.

As the achievements of the US are objectively inferior (say relative to the UK NHS, and all other European systems), one can deduce that more than half of the US healthcare system is profits.

The European health care systems all have this in common: they are not profit centers. instead, they center around care. In the USA, in 48 states out of 50, the wealthiest profession is Medical Doctors. The naive will think that brings the best. In truth, it tempts those who are the greediest to become MDs.

 

Life Expectancy peaked in the USA in 2015 (above). Since then, it has been going down, demonstrating Obama’s Affordable Care Act didn’t work.[1]

The US system as it exists, with HMOs, was organized by president Nixon, under the guidance of his good friend, plutocrat Kaiser. (who founded the eponymous HMO, thanks to Dick’s help: dicks help dicks). Some US contemporary tycoons, such as Warren Buffet, one of the world’s wealthiest men, have made billions, personally, by investing in US healthcare. Buffet is revered in Democratic circles, but his advice may not be beyond any suspicion, as he and his ilk can only be grateful of the rewards US “care” brought them.

The French system provides a universal coverage of basic healthcare. The US equivalent would be Medicare For All, completed by private insurance for elective services and procedures. Average French doctors attached to public hospitals have often a private practice attached to a private clinic (say for a surgeon). When publicly serving. Fees are limited by law. In private practice, payments can be much higher (and are then paid with a mix of public reimbursement and private insurance, or more often, “mutual” insurance… The French are always comparing those “mutuelles”).

A progressive instauration of Medicare For All (as an elective in the beginning) would allow to morph the US healthcare system into the French one… without the dramatic, hence impossible, change that going to a socialist system like the Canadian, British or Swedish system would force.  

All this is current and hot. Nancy Pelosi, the quasi-Prime Minister of the USA (she decides the US budget, Trump proposes it) recently was claiming that Obama’s ACA was much better than Medicare For All. Sure. For her and her class of the .01%.

Medicare For All is the only reasonable solution for the USA. The beauty is that it can be introduced progressively, without economic disruption, a bit like better mileage for cars…

Patrice Ayme

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The preceding was a comment sent to NYT which had compared US healthcare with Singapore’s. Singapore’s population is mentally enslaved, obedient, and 1.7% of the size of the USA. It’s a mix of disciplined Han Chinese, grateful to exist thanks to their government, considering the enormous alien countries around, and foreigners also grateful to have been allowed in to enrich themselves… Plus 1.7 million quasi slaves for underclass work…

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[1] Obama’s ACA was supposed to have a Public Option offered, the prospect of which handily enabled to dodge the threat to the plutocracy presented by Medicare For All. Once socialist Medicare For All was safely taken care of, profits for professional politicians, lobbyists and plutocrats turned out to be more important than the health of citizens. Overall, ACA is disastrous: a member of my family died from it, he was 45. What the pseudo-“Democrats” will not tell you, is that doctors, or their groups, or organizations, will refuse to see you, when on the local version of ACA, like “Covered California”. So Obama covers you with words, while he drinks martinis on a yacht, watching the sun set among the paradise tax haven islands he loves. My brother-in-law, a proud, but somewhat destitute artist, who refused my personal financial assistance got a complication of heart disease, and got minor treatment after a second major heart attack, then was sent back home. When he started to die, the hospital rejected him, because he was no juicy profit center, but a drain, after a few more stents. He died at 2 am, in a parking lot, in his car, close to another hospital he tried to drive himself to.

Mention any of this to pseudo-Democrats, and they will bleat, as the good Sheeple they are. None of them is on Obama’s ACA. Their leaders, the great pseudo-Democrats, is immensely wealthy (more than 60 million dollars admitted), while her colleague great pseudo-“Democrat” Feinstein is outright a billionaire (she made it so that her husband was a go-between with China, while she oversaw business with the PRC, from the Senate…)


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