Hacker News new | ask | show | jobs
by arcticbull 1637 days ago
> Hmm, is that why the Build Back Better Act got killed in part by House Democrats wanting a SALT cap repeal?

This could not be less relevant, but yes, I do think this likely represented the majority position. I think as much as we grumble Manchin represents his people. By the way 70% of Americans support Medicare for All so I'm not really worried about the popularity of the position. [1]

> "Small business owner dying because they got sick without insurance" just doesn't happen. This is a strawman.

18,000 Americans die each year due to insufficient medical coverage. You willing to bet not a single one is a small business owner? [2]

> Average house price in Frankfurt is 7200 euro/sqm [2]. Tell me again how you can pay for a 200sqm house (=1.4M euro) when European software engineers make less than half of what American engineers make and get taxed more?

Speaking of straw men, this is all attributable to the fact the Germans manage to cover 100% of their population for $5,595 per capita, vs America's covering 40% via a socialized program and 60% via private cover for $11,000 per capita?

> A new grad in the US at any big name tech company makes more in the range of $180-200k. So your pay is more than double and you get taxed less, meaning you build wealth in the range of 3x as quickly.

This argument doesn't hold water. You won't get that salary, broadly speaking, unless you live in SF, NY or SEA. There, your cost of living is so high your net take-home pay may well be lower than the German engineer. Certainly not after you adjust for PPP. But of course this has nothing to do with healthcare.

[1] https://www.cnbc.com/2018/08/28/most-americans-now-support-m...

[2] https://policyadvice.net/insurance/insights/how-many-uninsur...

2 comments

At this point much of your argument has devolved into Gish gallop, so let's take a step back.

If private cover is so good - so clearly superior - would you advocate for eliminating Medicare and Medicaid? If not, why not? Why is socialized medicine the bees knees once you turn 65 but utterly unworkable if you're younger? Why do 75% of those covered by Medicare think the system is working very well - significantly more than those with private cover - and why would that not extend to everyone?

My argument is simple: Medicare for All entails higher taxes on high earners, which stunts wealth building and economic mobility, especially for high earners who grew up in poverty. This can be easily seen by comparing, for example, salaries of software engineers in Europe and the United States. Medicare and Medicaid are intended to take care of those that _can't work_, but Medicare for All is intended to take care of people that _choose not to work in a higher paying field they dislike_.

> private cover is so good

I would pay for a single payer option if everyone paid a flat fee for insurance that wasn't income based. I'm against the income redistribution part of Medicare for All, for aforementioned reasons.

> Why do 75% of those covered by Medicare think the system is working very well

Once again, polls are incredibly misleading and dependent on the wording used in the survey. You need only look at surveys of Obamacare vs. the ACA to see this effect.

You continually try to engage in asking the same questions by claiming to not understand all the statistics I've given you and I don't believe you're conversing in good faith anymore. Goodbye.

> My argument is simple: Medicare for All entails higher taxes on high earners, which stunts wealth building and economic mobility, especially for high earners who grew up in poverty.

This is an absolutely tiny fraction because most poor people can't afford the healthcare necessary to actually thrive in the economy. Ditto the education. What we need is equality of opportunity, and that requires social services.

> I'm against the income redistribution part of Medicare for All, for aforementioned reasons.

I'm completely uninterested in this. Unless tied to income it's a regressive tax that punishes the poor disproportionately along the axis of marginal utility of money.

> Once again, polls are incredibly misleading and dependent on the wording used in the survey. You need only look at surveys of Obamacare vs. the ACA to see this effect.

This is a different subject and so not relevant. Everyone knows what Medicare is. The only thing most right-wingers know about Obamacare is that Obama created Obamacare. Really it's more like Romneycare for All as it's essentially a Republican policy. There's not a single left-leaning thing about making every individual pay a private company for healthcare. You're not showing a skew in reality, just marketing.

I suspect Americans would feel differently if they knew that Obamacare single handedly dropped the rate of people dying from lack of cover by almost 50% per annum.

> You continually try to engage in asking the same questions by claiming to not understand all the statistics I've given you and I don't believe you're conversing in good faith anymore. Goodbye.

Respectfully disagree. I've successfully refuted every concrete point you've made up to and including whether "the left can pass such a bill" and whether you really need cataract surgery tomorrow.

I wish you the best. Medicare for all is coming. It's just a matter of time.

However, you have failed to answer my core question. Do you think that Medicare should be abolished? Should Medicaid? If so, why? And in what concrete ways do you think that would make America a better place? More efficient? And why is 65 the magic age at which "socialism" finally starts to make sense?

According to your profile, you're not even a U.S. citizen, how can you purport to understand anything in the U.S. when you don't vote here? When you repeatedly post in favor of one political slant as a foreign national that's no different from Russian troll farms getting paid 50 cents a post to spam politics online.

> I'm completely uninterested in this. Unless tied to income it's a regressive tax that punishes the poor disproportionately along the axis of marginal utility of money.

Nobody asked your opinion. I was simply stating mine.

> However, you have failed to answer my core question

I don't feel a need to prove to you I've answered anything. Like I said, you are conversing in bad faith.

> Medicare for all is coming

Is that why Democrats lost elections in swing states in 2021 by double digit shifts compared to 2020?

> This could not be less relevant

It shows you that the "rich" you're discounting wield substantial political influence. Manchin wasn't the only one that killed the bill, House democrats also said they'd kill the bill during the merging of Senate/House versions if there wasn't a SALT repeal.

> By the way 70% of Americans support Medicare for All so I'm not really worried about the popularity of the position

Do you know how these surveys work? They literally just ask people how much they support "Medicare for All". They don't present any concrete policy or implications of implementing M4A. That's why "Obamacare" got way less support than "Affordable Care Act" in polls. Please understand the stats you're quoting at the very least.

> 26,000 Americans die each year due to insufficient medical coverage. You willing to bet not a single one is a small business owner?

And hundreds of thousands of people die from benign illnesses like the common cold and the flu each year. What's your point? I bet we can find someone in Germany who died because of wait times too, that doesn't mean we can use that to generalize to everyone.

> Speaking of straw men, this is all attributable to the fact the Germans manage to cover 100% of their population for $5,595 per capita, vs America's covering 40% via a socialized program and 60% via private cover for $11,000 per capita?

This has no relation to the impact of universal healthcare's higher taxes on wealth building. It is a fact that it is harder for working professionals in Europe to build wealth compared to the US.

> This argument doesn't hold water

Cost of living is not so high in NY and SEA. You can rent a luxury apartment in SEA for less than $2000/mo, which is comparable to Frankfurt. Only SF is insane. And German cost of goods is around the same or more than US, so I don't know where you're going with your PPP idea. You need only look at the cost of electronics, gasoline, food, etc. to see they are about the same.

> But of course this has nothing to do with healthcare

Yes it does. Implementing M4A would require heavily taxing high earners. I'm giving you an example of how a high earner would be unable to build wealth under European-like taxation. But it seems like you are unable to understand the idea that high taxes unfairly penalize high earners who came from poor families. I.e. implementing M4A's taxes would penalize economic mobility. Perhaps you came from a family with wealth already.