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by inglor_cz 1725 days ago
"whereas in Europe those same institutions have to get by on the public funds only."

Europe isn't a homogeneous place and you have a lot of private healthcare and educational institutions here. They might not form a majority, but richer people will often make use of them, if they dislike the public option or consider it subpar.

Sometimes not even richer people. I know a lady in Madrid who does not make much money, but gives about half of her income for her son's schooling. He visits a semiprivate school where he gets reasonable education. In her own words, a fully public option would mean that he might not even learn proper Spanish, as only kids of the poorest immigrants frequent it.

1 comments

Yes, this is a good point. Everything is messier in real life than a few paragraphs can properly portray.

But my main point is that the difference between the national healthcare you see in Europe versus the U.S. is not the level of public spending, but the universal nature of service delivery achieved for roughly the same total public spending. The same thing for university education.

In both cases, the government spends an enormous amount and in Europe that covers a baseline of service (with private spending optional to supplement it) but in the US that covers maybe 1/2-1/3 of your bill, leaving private citizens to still face huge costs for things that are fully covered in Europe. The natural solution -- to cut employment and wages on the part of US healthcare or education workers so that they make do with the public funds they are already receiving -- is rarely advocated by those who want a more european-style system of social insurance.