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by redwoolf 761 days ago
> I think the benefits of a capitalist healthcare system are underappreciated

What benefits? The benefit of mortgaging your home to pay for cancer treatment? The benefit of having your access to healthcare directly tied to your employment (especially considering that many wage workers are kept from working more than 35 hours a week lest they become eligible for employee sponsored health plans)? The benefit of having folks like Martin Shkreli corner the market on generic drugs and raise the prices, not because manufacturing costs have risen but because they are seeking windfall profits?

Seriously, what benefits? We have this silly notion that capitalism provides us with choice, and that this choice is a desirable good in itself. Choice is overrated. Health care is a commodity. You walk into any doctor with a broken arm, diabetes, COVID, pneumonia, depression, or any one of hundreds of other maladies, and the treatment for those will be the same regardless of the physician or the hospital or the clinic.

1 comments

It's not just choice but access. The access to see a specialist without waiting months. The access to see a different provider if you don't like your care. The access to pay cash for services. Choice is also underrated.

Those same people you say can't afford healthcare are the ones that are heavily subsidized by others through ACA, free community health plans, or Medicaid.

Healthcare is not a commodity despite your claim. It requires labor.

It seems most people are generally satisfied with their health insurance in the USA as opposed to the UK (see links below). In fact, the satisfaction from employer provided healthcare was much higher pre-ACA than it is currently. The middle class got shafted with increased premiums and deductibles to help subsidize those with low income. This has led to lower healthcare utilization rates in the middle class. The rich don't care since it's a marginal cost relative to their income/wealth. And, the biggest spenders (elderly) don't care since they are mostly on Medicare.

Most of the countries that report high satisfaction with their socialized medicine are both rich and have a low population count.

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https://www.kff.org/private-insurance/poll-finding/kff-surve... Most insured adults (81%) give their health insurance an overall rating of “excellent” or “good,” though ratings vary based on health status.

https://www.nuffieldtrust.org.uk/news-item/public-satisfacti... Overall public satisfaction with how the NHS runs now stands at 24%