The New UncleB wrote:
The question is why is it so expensive to get healthcare in America.
And the answer is the Healthcare Insurers, for profit Hospitals, and Big Pharma.
Yet dupes like you try to put it onto Unions.
You are a quisling.
Listen Dopey, have you read anything I've ever said on this matter? I've said all along that I'd like to break the insurance cartel, the agricultural/petrochemical lobby that creates government subsidies for high fructose corn syrup and soybean oil cheaper, which finds its way into junk food, and to create a system of incentives/disincentives to establish some personal accountability, not to mention tort reform, which would mitigate insurance cost for doctors. Obamacare does none of these things. And you conveniently forget that it was the government who put the onus of providing healthcare on employers to begin with.
We need open markets for insurance, where insurers can compete to make it more affordable, we need to break the agricultural/ethanol lobby (which can be done through serious tax reform), and we need to address the DEMAND side of the equation. The reason why "nationalized" healthcare works in much of the Western world (only it doesn't as you see Europe breaking apart before your very eyes on the back of this same union-oriented entitlement attitude) is because the highest obesity rate is in France at about 10%. In America, it's 30%+ and climbing, and those with an unhealthy BMI account for over half.
Preventable type II diabetes and heart disease eat up roughly 55% of the cost of medicare, a full 1/3 attributable to diabetes alone.
Until people make better choices and have less fat and more skin in the game, there's no incentive for it to change. So the demand for medicine goes up, forcing price inflation. 60 years ago, the co-pay was half. Now, some don't even have a co-pay. Let someone else take care of my $100,000 angioplasty. I mean, when I get on a plane next to a fat person who outweighs me by 3x (but not quite big enough to have to pay for two seats), no doubt totes heavier luggage, and smokes to boot, is it fair to me that we are paying the same price for our ticket, when he/she undoubtedly causes the plane to use more fuel, not to mention the level of discomfort I have to put up with?
You don't never change your oil, watch your engine breakdown, and then take it to a mechanic, only expecting to pay a $20 co-pay to get it fixed? Some procedures, no doubt, can't be "shopped" around for, but many (most?) can. As far as Big Pharma, I'm not a huge fan, as I think allopathic medicine has severe limitations and built-in incentives to push meds, many of them unnecessary, but a full 2/3 of their top line either goes to taxes or back into R&D, from which much of the rest of the world benefits. Then they lose patent protection eventually. And why should we be subsidizing cheaper medicines in the rest of the world, because that's what we do?
Healthcare is an entirely different argument, but unions are of, for, and by themselves. Good, duped, faithful employees pay their bloated, mandatory union dues when they could probably negotiate a better deal for themselves AS A WHOLE if we would LET them, instead of having a proxy of just a few employees and union bosses.
There was certainly a time when workers had a need for unions (but there was also a time of American economic hegemony that's long gone, which is why comparisons to 1950 or even 1990 are such a ruse), and there are certainly industries that need more protections, but there are already more workers' rights than ever before. When I used to interview employees, I was always told to "give more leeway to certain groups of people" by upper management, even if they lacked a basic skillset, which most did. Think that's a way to improve productivity in a company?
I remember a friend who spent fully 50% of his time "coaching" an employee who had no business being there and eventually lost his job when he brought it to the attention of upper management. And to think I used to be liberal until I got an advanced degree in financial math and econometrics and worked in the private sector, where at least there's SOME accountability. I was able to create jobs by fostering productivity. Meanwhile, only now is government morass being scrutinized.
My wife used to work on behalf of unions, but saw that they simply created a regulatory albatross, sucked up time and money, and were truly in it for themselves, and companies were suffering, unable to hire more workers as a result of the bureaucratic constipation. Her current company is a great case in point. And we are broke. Get it? BROKE. You could tax the top 1%, 10%, or 20% who do most of the job creating and are responsible for most of the demand, and you would make a mere dent in the national debt while killing even more jobs, to say nothing of our massive off-balance sheet, "entitlement" problem. Amazing that pensions are still able to get away with north of 8% assumptions to make their plans look whole.
Why do you suppose companies are trying to flee to right to work states? South Carolina and Alabama are becoming efficient, low cost producers that can compete, but I fear that we, with the best intentions of course, will start enacting trade barriers, taxing capital and encouraging more of it to go offshore, and the "other 99%" will be left fighting for crumbs.
I don't know how old you are UncleBS, but if you are in your 50s or older, you are part of the generation that left this mess in your wake over the last three decades built on leverage. You're the group that needs to take a serious haircut. We could get back in the business of creating jobs RIGHT now, blue-collar and white collar but currently we have no interest in doing so, because you intellectual progressives have a vastly different agenda.
As far as teachers, they are terribly important, because one of the biggest issues challenging us as a country is not producing enough skilled workers. Michael Dell summed it up when he said that they had to comb the globe to find specialized skillsets but had 50,000 applications for an assembly position. It's just sad. We used to import high-skilled immigrants to obtain their PhDs and set up shop in America, providing a great many jobs. But now, we do the same thing, and 80% of them flee for the greener pastures of Malaysia, Singapore, and the like. Meanwhile, we do nothing about the illegal, low-skilled labor problem that has been burgeoning for years and sucking on the government tit.
And the unionized grid that protects some undeserving teachers while not paying the great teachers enough is a huge part of the problem. There are many teachers that are probably worth $90,000 per year, even with two months and holidays off, but there are equally many who are worth far less or undeserving of a position altogether.
Whether charter schools deliver better results or not (in our case, it's been a phenomenal success, despite a wide demographic makeup) is kind of missing the point. There's a reason why so much demand has cropped up for them. It's called competition. But America is so soft that all we care about are "rights," not competing in this new world of tax and wage arbitrage.
The invisible hand works, if we'd only let it. To think that the last 30 years has, in any way, resembled a free, competitive market is sheer ignorance. Curiously, as we've been cutting more bloat out of government, private sector jobs have been on the rise. We've also insourced a lot of companies, so this entire "Buy America," especially when it comes to cars, is silly. Honda and Toyota are the most American car companies now when you look at it in totality (manufacturing, assembly, sales).
But we're far more interested in equality of outcome rather than equality of opportunity. Greece went down the same path. Italy too. Trickle-up poverty...