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by AsyncAwait 2791 days ago
If you think putting children in cages and having open borders is the only two positions you can hold, you're delusional.

Bernie wants a stronger social system in the U.S. If you want universal healthcare, you can't have open borders. But you also don't have to put children in cages. You consider each case, provide asylum if they're in danger, deport if not etc.

1 comments

Yeah, "Open borders" is a pretty extreme example of "weasel words" that we would spot if it came in a set of product requirements. Does it refer to residency or just to visiting? What's the opposite of an open border, a closed border? Would a closed border with Mexico really mean no travel across it at all, like the Berlin wall?

People argue about "health tourism" in the UK system of near-universal healthcare(+), and the actual hospitals point out that it would cost them far more to check everyone's immigration status than they would recover from visitors who technically aren't entitled to care. There's nothing to say you can't have a "universal" healthcare system which imposes a residency requirement for non-acute care.

(+) except dental and optician services, $10 prescription co-pay applies outside Scotland

I agree, that "health tourism" isn't really a thing, however my use of the term "open-borders" was in reference to how detractors of universal healthcare, (mostly on the right), in the U.S. straw man it as meaning that it means the entire Latin America moving to the U.S. Putting aside the implied supremacy of the U.S. etc., I just wanted to point out that this is not what people like Bernie are arguing for and is therefore a total strawman.
Health tourism absolutely is a thing. There are even companies that specialize in arranging it. However, my understanding is that it predominantly falls into two categories, neither of which is particularly about exploiting systems like the NHS:

1) People traveling to e.g. the US or Israel to get procedures that aren't available in their home country.

2) People traveling from high-cost to low-cost countries and paying everything out-of-pocket because even forgoing insurance and adding travel costs still leaves it drastically cheaper than their home country.

There are some cases of people scamming government-funded healthcare, but I think those have been sensationalized by the press.

I meant [exploitative] health tourism as that's what the term usually refers to.