I know the topic of this thread isn’t necessarily healthcare, but here’s what good social healthcare would look like (not this affordable care act garbage):
The whole thing with treatment costing some arbitrary amount as determined by a war of paperwork ensuing between hospitals, insurance companies, and pharm companies needs to end. Social health insurance would pay out to doctors, hospitals, and pharm companies based on an assessment of costs/materials/labor required for treatment as determined by a third party government agency that would be subject to regulations to remain as objective and unbiased in their assessment as possible.
Also, if you still want commercial medicine with only theoretical/experimental efficacy, that’s fine, but you’ll have to pay for it yourself, and you’ll have to have a doctor’s approval.
To keep doctors and pharmaceutical representatives separated, doctors would prescribe medicine and provide treatment provided by a list of treatments and types of treatments approved as safe and effective by the government agency; this does not mean the agency limits selections based on cost - expensive forms of treatment, when determined by a doctor to be the best considering the conditions, would not be restricted. If the doctor believes a different experimental form of treatment (or any treatment not otherwise approved by the agency) to be the best option, the doctor’s office contacts the agency for approval, who would then approve the treatment if they deemed the doctor had legitimate reasoning for it. Doctors working in emergency rooms as well as operating room surgeons during surgery (in the event of having to make a life-saving decision) would not be subject to this latency.
Concerning intellectual property and research and development: if there’s something we should have learned in the past few decades, it is that the research and development of new medical technology by commercial medical companies very rarely leads to the development of a new viable form of treatment; they often cause more harm than good and have caused a large amount of grief, death, and injury over the years - as such, they should not receive federal funding. In the scenario that a viable new form of treatment is determined as only capable of being developed by having interaction with the market economy, then those forms of treatment will be deemed a form of ‘experimental treatment’ with certain perks granted by the government agency to aid development of said technology until the technology is sufficiently developed so that it can be made widely available with social healthcare, at which point it will cease to be classed as experimental. This is considering new technology (in vivo micro-tech, etc.) that have high costs yet unproven efficacy/viability. If efficacy/viability becomes reasonably proven through usage, the agency will find routes of reducing the cost of the treatment so that it can be made widely available (such ‘routes’ would typically be innovating production techniques for mass-production, and things of that nature).
Universal healthcare and for-profit medical companies can co-exist; its just that for-profit medical companies would not get ridiculous sums of money from the government. If they want large profits, they’ll have to get it out of the market economy themselves. It is not the governments job to help people become obscenely rich by keeping loopholes in the system held open for people to exploit them at the expense of others’ health. The government does not prohibit becoming rich either; if an individual finds a way to earn money and become wealthy, no one is discouraging them. It is however the government’s job to protect people, which includes protecting them from illegitimate medical practice.
Everyone would have universal healthcare for free as a basic right of a human being. A person could request not to have it if for whatever reason they did not want it (in the event that such a system were to become corrupt, people might need to be able to opt out of being enrolled in the system. If that happens however, it would likely mean that the country was experiencing a load of other major problems, and would not necessarily be a fault of the decision itself to provide universal healthcare).
Private insurance companies would also still exist; privately owned clinics would also still exist - I do not think one or the other, private or public, would necessarily end up becoming dominant over the other - they would simply have slight differences in how they operate. This diversity would be a good thing, for if some reason major faults were to arise in one or the other, people could resort to the other until hopefully the fault became fixed. This is just hypothetically considering, ‘the event of’ something bad happening. I don’t think that anything would lead to it however; I was thinking that one or the other might end up using only one form of treatment for a certain disease, which turned out later on to be dangerous and cause unforeseen injuries, but I don’t know why that would happen since there would always be multiple forms of treatment to choose from, and a doctor would choose the best one for the circumstances.
Some might say that doctors would end up getting irritated by being told what to do by the government, but honestly I think right now they’re far more irritated having to deal with private insurance companies than they would be having to deal with the government.
Simple, right? Why isn’t something like that put into place?
Because a lot of the people you’ve elected whose job it is to actually put it in place care more about money. Those who do care, however, have to compromise with the people who don’t so that everyone gets fucked instead of just one small part of the economy getting fucked - and losing that small part of the economy (for-profit medical companies) would be of no loss to anyone anyways, as it consists of businesses which revolve entirely around exploiting consumers to make large profits - if they couldn’t swindle the consumer by buying out doctors and flooding your TV with advertisements, they wouldn’t be profitable. Medical companies with good business practices would actually see their business improve (that doesn’t mean your business would turn into a gravy train all of a sudden, but your business would steadily improve).
“Whose going to pay for all of this free healthcare? Our taxes?? Why should I have to pay for Joe’s new lung, I don’t even like Joe, and if he hadn’t been a smoker he wouldn’t need a new lung”. Alright, but have you thought about where your tax money actually goes? A small fraction of it would go towards free healthcare, and it would probably be so small that it would be unnoticeable. You should be more concerned about your tax money that goes towards blowing up villages in countries you don’t know or care about (which takes up a much larger chunk of the federal budget I might add) instead of worrying about Joe’s lung.
So, after covering all of that, I think we’ve covered all of the reasons for and against universal healthcare. Time to do it?