Universal Healthcare Pros And Cons

Universal healthcare is a system in which everybody has access to a sufficient level of healthcare, including those who can’t afford it. Universal healthcare is not the same thing as single payer, single payer is a type of universal healthcare where coverage is provided by the government and funded through taxation. Another popular universal healthcare system is a mandatory insurance system, like we see in France and Germany, everybody has to have health insurance, but lots of groups contribute including the government, employer and employees. So if somebody can't pay the government or one of the other groups will make up the difference. In this video we will look at the pros and cons of universal healthcare which I have divided into 3 groups which can be used as a criteria to measure other healthcare systems, You’ve got universality, which represents how much of the population, price the cost of the system and the quality of the healthcare that is provided.
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The biggest pro of universal healthcare is its name- universality. What this means is that everybody gets covered, and no one is left uninsured, something which does not happen in countries like the United States which do not have a universal healthcare system. Universal healthcare systems can be funded through taxation like in the UK and Canada,
or like systems in France and Germany that insist upon each citizen having some sort of insurance plan, paid for by employers, government and people themselves, and if people can’t pay the government makes up the difference. Germany’s system is slightly different from France’s in that the actual provision of healthcare, the doctor’s nurses and hospitals, are fully private, whilst being funded by the state. Regardless of which type of universal healthcare system is used, costs are shared out amongst everybody through a process called pooling, which means all the money is put into a common fund and used according to each person’s need, and not based on how much they can pay. A con of universal healthcare is that although this universality covers everybody, it doesn’t necessarily cover all health conditions or treatments. In the UK for example, which has a single-payer healthcare system dentists and opticians and have to be paid for by people past a certain age,
and certain procedures not considered urgent by the NHS have to come out of pocket.
As well as this, in a universal healthcare system inequality of healthcare provision can still occur- richer people can still pay for better or healthcare that is provided faster.
This can be especially hard on the people left on the government provided or mandatory insurance plans because of the way a lack of competition there can reduce quality, but we’ll find out about that later.
Our next group of arguments concerns the cost of universal healthcare. x
In the French system people can be reimbursed up to 100% of their healthcare costs
and the system is free at the point of use in Canada and the UK. According to the world health organisation Per capita the UK, German and Canadian governments only spent $5000 on healthcare in 2015 whereas the US spent around $10000. So ironically, in the US, for a country in which the government is supposed to have less of a foothold in the healthcare system, it spends around double what universal healthcare systems spend.
Obamacare have led to prices going up on certain insurance plans for the richest, which I think underlines one of the key differences between universal healthcare and free market healthcare. Source (www.forbes.com...)
The final group of arguments concerning universal healthcare provision concerns quality.
Opponents of universal healthcare have argued that as well as the higher taxation,
it leads to healthcare provision needing to be rationed so that everybody gets a piece.
The argument goes that this rationing comes in the form of increased waiting times in universal systems;
Tags:
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[@YangChuan2001]

The last point is misleading. Yes, the US has a poorer life expectancy. However, this has nothing to do with the health system, but with higher obesity, higher homicide rate, etc. The United States leads the way in life expectancy after age 80. The United States is also superior in survival rates for cancer and related diseases. In addition, the vast majority of medical research comes from the United States.

[@thembones1895]

Absolutely correct.

[@chiemelienwanisobi9536]

Was looking for this

[@Itchy__]

But how many people in the us gets diagnosed with cancer compered to other countries?

[@YangChuan2001]

​@@Itchy__ It doesn't matter because I was talking about a "survival rate". That means I was referring to the rate of those diagnosed with cancer. So the number of diagnosed is irrelevant as I was talking about a rate and not a grand total. Edit: I checked it out for you, the US has the 5th highest rate of people diagnosed with cancer in the world. 352.2 from 100,000 people (Source: World Cancer Research Fund)

[@footballingandhistoryenthu8699]

I think it's a mix. Among first world democracies Americans tend not to see a doctor when ill at extremely high rates, and that's a direct consequence of their healthcare system. Further, the claim that America's high obesity rate is solely, or largely responsible for its' lower life expectancy is demonstrably false. For example, Australian males are now the second most obese in the world, behind only the US, and yet live longer on average than males from several countries with lower obesity rates (e.g. France, UK, Netherlands, Belgium, Ireland, Finland). Clearly demonstrating the link between obesity rates and life expectancy is not directly proportional. Lastly, to the point of higher homicide rates in the US contributing to the countries lower life expectancy, those homicide rates are only exacerbated by its' current healthcare system. As lower income Americans are far more likely to in-debt and impoverish themselves to afford medical care than their compatriots in countries with universal healthcare, and are therefore more likely to engage in crime to offset such poverty.

[@benpeeples4265]

American system isn't free market. It's the worst of both worlds. Government creates laws to promote insurance but has very few laws the constrain insurance costs. One important consideration though is that the cost of US healthcare largely subsidizes the creation of new drugs and treatments, which other countries then receive, so converting the US to a similar system might have unintended consequences. Food for thought.

[@ProbablyTe]

That is a very unique way of looking at this

[@EliasRoy]

Yup

[@paulm2467]

You have to be very careful with this, many drugs and treatments are conceived and developed all over the world but are then bought out by US companies (like Pfizer’s vaccine).

[@jjnelson1999]

This video was slightly inaccurate. The problem with obamacare was partly that the people in lower middle class where forced to pay more than they could afford to the point they couldnt afford it, defeating the whole point.

[@jackwilliamsmith8734]

I am from the United Kingdom and I have decided to do some research into healthcare reform and I have looked at alternatives to socialised healthcare like our National Health Service. It annoys because people act as if it is either socialised healthcare or a system similar to what exists in the United States, completely ignoring that other models of universal healthcare do exist! But the NHS is treated like a strict national religion and if you dare speak of reform and private outsourcing, you are treated like a heretic!

[@petermichael7358]

In Australia we have a system where 2% of your income pays for a universal health care for all. The rest is made up by the government's and we also have private health care. Most Australians are happy because you have either system to use depending on your income. Pensioners, unemployed and homeless are covered by Medicare.

[@yahirperales1642]

Thank you, you helped me for my essay

[@winstonc.6951]

And where does government funds come from?

[@anthonyfletcher8053]

@@winstonc.6951 “ThE gOv MiNt ...dUh!”

[@johnybravo5667]

Government pays from its own money?.. or is it tax payers money after all?

[@rdh-daliasjb3796]

The problem for both systems is money. Money will ensure that the US system never improves much. It all goes to the wrong people. Money can help cure most of the problems in the other systems, as their faults can be addressed: More hospitals, doctors and nurses; Better training; Etc.

[@YangChuan2001]

Not correct. Money is a perfect indicator to determine where what is most needed. This is particularly important in the healthcare sector. The problem lies in patent law, as well as the lack of transparency and the associated emergence of monopolies

[@rdh-daliasjb3796]

@@YangChuan2001 If it's going to the right place in the US, I'm wondering why there are millions of people unable to get proper healthcare without bankrupting themselves: 500,000 + every year. Why so many die due to lack of, or inadequate, Heath Insurance: 35,000 + every year. Why, despite spending vastly more than any other nation per capita, US healthcare ranks so poorly compared to other nations, even though, on outcomes of treatment, it ranks so highly. So, I'll accept, money is the perfect indicator that that vitually all of the money going to Healthcare Insurance in the US is misplaced, wasted. If the US government negotiated drugs prices the industry could save $billions. As I said, it's going to the wrong people.

[@YangChuan2001]

@@rdh-daliasjb3796 1. I already said that there is an enormous market distortion caused by patent law in the USA. 2. The US does not do badly when compared to other nations. Life expectancy over 80 years in the US is unmatched, as is the survival rate for cancer and related diseases. The quality is significantly higher, the staff far better paid and the technology is more advanced - As an example: In Germany (where I grew up) a nurse only earns half and can barely make a living from it. And that even though Germany already has the fourth most expensive health system in the world 3. Virtually all medical advances come from the United States. More than from Europe and Asia combined. 4. In other countries people have to wait weeks and even months for treatments, which in the USA are available in a week at the latest. Believe me, I was able to experience it myself! Yes, the US is not perfect. This is not because the system is business-oriented, it is not business-oriented enough!

[@rdh-daliasjb3796]

@@YangChuan2001 Life Expectancy in the US is 79 years. 18 European nations, including Germany have a higher life expectancy, as well as Canada; New Zealand, and even Cuba. A lot of advanced medicine does come from The US, and there is no reason that should change with the amount of money going into the system. In fact, with less money than is currently paid, everyone could get healthcare, and doctors and nurses could still be highly paid, assuming US nurses are highly paid. As for waiting times, I've already stated that not enough money goes into other systems. US healthcare is failing becuse the money is going to the wrong people, unless you think the 35,000 + deaths and 500,000 + bankruptcies is acceptable.

[@YangChuan2001]

@@rdh-daliasjb3796 1. I say: best life expectancy after the age of 80. Not best life expectancy in general. The fact that life expectancy is lower on average is due to the higher murder rate, obesity, etc. Therefore, life expectancy overall is misleading. 2. Another strawman. I didn't say that the high costs are caused by the costs for researching, but rather said that patent law distorts the market and drives prices up 3. In addition, due to the additional regulations and requirements in the USA, the administrative sector in the American health system has also increased massively. Of course, this also distorts the prices upwards. With its introduction, Obamacare has also created a cost distortion upwards

[@theboby2304]

not one mention of personal choices like smoking or lack of exercise. that might be why americans spend so much on healthcare.

[@alleycat3180]

There is no argument on this it works in other countries so USA needs universal health care that’s why we pay taxes to have benefits

[@starsandlightning2472]

You cannot compare the NHS and others to America because our countries are the size of one of your states! We are 10 years behind America in regards to new treatments, tech etc. Also we are getting more and more people come to this country just for the benefits and healthcare and it is putting a strain on it. They cut corners and doctors and nurses get paid ALOT less and there is alot of job cuts....... don't even start me on mental healthcare....... it's an abomination here

[@penny4thought168]

@@starsandlightning2472 It's not much better in the US. It sucks that you either have to choose crippling debt or being alive and healthy. You're pretty much fucked from the beginning if you have an illness from birth and your parents aren't rich.

[@yamahantx7005]

As a Canadian living in the US, I believe in universal urgent care only. Heart attack, no problem. You've been shot or stabbed, no problem. Fell down the stairs, are paralyzed and need surgery, no problem. You need insulin, Banting made that info free over a 100 years ago. Find cheaper insulin. You want a fancy glucose monitor, pay for it yourself. You need glasses? Deliver some newspapers. Had a roommate doing a master's in health administration (aka, hospital director). Came home and he was working on an assignment and asked "Can you put a price on healthcare?". I thought a good 5 seconds before realizing "Define necessary healthcare." His response? "That's the problem." Indeed, that is the problem.

[@thekillers1stfan]

The pharma companies are far stronger than you are giving them credit for. They honestly should be broken up for breaking anti-trust laws. The mark ups on simple things like insulin are unavoidable in the US, there isn't true competition as there is in other industries. You are also ignoring the fact that for profit companies will always charge you to optimize profits, not to help the most people. It should be the government's main duty to save the lives of their people. This is a natural monopoly just as power companies or water suppliers are and should be controlled by the elected officials over corporate opportunists. and while your point on "defining necessary healthcare" may be relevant to niche situations like sex change operations and cosmetic surgery but if you think yearly checkups or testing during a pandemic are "unnecessary" then you should at least acknowledge that regular preventative visits save the entire system more money in the long run. A cancer caught early and solved easily is not as much of a drain as one caught late after it's progressed too far. Not to mention the people who aren't insured and are constantly subjects of emergency room visits (many of which are drug related or related to obesity, situations not regularly changed in the US due to again, lack of preventative measures) are actually driving up your prices because the hospital still has to make up the costs of covering them and that means they're charging you more.

[@LMB222]

How about me, who has a chronic disease that is similar to allergy but not really that; it hasn't been named yet, but a lot of people have it. Also, I am an engineer. Software developer. If your country's healthcare sucks, I'll move to the place that offers better healthcare.

[@dynastywarriorlord07]

Instead of universal Healthcare, why not price transparency

[@SandfordSmythe]

So,you can see what you can't afford?

[@dynastywarriorlord07]

@@SandfordSmythe Not exactly. Right now the problem with the US system is that the same procedure at the same hospital can cost 2 separate patients completely different amounts. In other words, there is wide spread price discrimination. If the Healthcare system was changed to enforce price transparency like in restaurants and grocery stores, this will force hospitals to properly compete against eachother for the best service at the lowest price

[@SandfordSmythe]

@@dynastywarriorlord07 You can't stroll through a healthcare facility picking stuff off the shelves. Great market theory attempt.

[@bold58]

In Indiana U.S.A. we have begun a program where if you make below a certain income you qualify for what's known as the HIP ( healthy Indiana plan ) . This is a teamwork between the state government and the federal government in which the state picks up the initial amount for treatment and if the cost goes beyond what the state is supposed to pay federal medicaid picks up the rest. This way the state bears some of the responsibility and saves the federal government a lot of money. If state plans like this could be expanded it might one day bring universal healthcare to the U.S. . The problem in the U.S. is that the health insurance companies agressively stand in the way. So we need to work with our congressmen to help them to understand that it's time for a change. In the U.S. it would be best if the individual state governments stayed involved in implementing universal health care. The U.S. federal government has too much of a history of error and bribery when it comes things like this . The fed having total control of U.S. health Care is too unnerving and orrwelian for some of us.

[@StephEWaterstram]

Is it better than What New York State has? We have Medicaid & Medicare. The first one only if You're poor.

[@jimba6486]

You spent an entire paragraph pushing for the FED to expand control of healthcare. Yet you end by saying the Fed having control over healthcare is unnerving and Orwellian. You are confused on this

[@LMB222]

All's great until you start looking into the costs. The US had allowed a costs run away. I'm not surprised no states in the US, even try progressive ones, want to implement common healthcare, if a physician earns 500k.

[@sytax1]

both systems are working perfect for its design. universal health care works in the way to to get your life quality back (well, i am from germany and it works that way). and you have many other benefits without paying for. like courses and trainings to prevent ill or sickness. US health care works perfect too. to make profit. greetings

[@blakejanssen1135]

There are also more people in the U.S.

[@penny4thought168]

More people means more money an healthcare professionals.

[@blakejanssen1135]

@@penny4thought168 China and India bro

[@penny4thought168]

@@blakejanssen1135 Your point?

[@9751matt]

@@blakejanssen1135 India has a class system, and China has extremely limited freedoms.

[@EliasRoy]

@@9751matt No India doesn’t. Stop spreading nonsense

[@ajax3070]

I get free healthcare in the military. In my experience it's good for small issues like minor illnesses/injuries but it's not good when it comes to big issues because it can take longer to get treated. That's my personal experience with government healthcare. Former UFC/WWE champion Brock Lesnar referred to Canada healthcare as being "third world" after almost dying from diverticulosis(complex to treat). This was back in 2010. One of the big reasons for expensive healthcare in the US is covering the cost of medical malpractice insurance. Basically if you are victim of medical malpractice you can sue, medical malpractice is not that uncommon (I personally had it happen with a prescription once) and the compensation/fees for those lawsuits tend to be very hefty.

[@BashfulGeekGirlGaming]

Yeah... If we adopted universal healthcare.. And better health education including cooking at home. We could really start to flip things into better shape.. Cant tell you how many people I know who filed bankruptcy just due to medical debt. Which adds and adds more to the big debt ceiling we always talk about.. Prevention is super important. The more healthy educated people. The more able working bodies to help support the system? 🤷 this in my viewpoint goes for all health like physical, mental, Dental and vision/hearing. I hear people dis on welfare and disability so much.. But yet not willing to help build a system that could allow and avoid less of them 🤷 maybe its just me. We need to have classes that truly teach health. Self checks, food nutrition, excercise..

[@alejandrovallejo4330]

It’s so complicated and dependent on circumstance is hard to say which system fits better in witch country. From a humanitarian perspective I think Universal Healthcare is better and I think it’s the one that we should strive for right now. While it’s true that the rich still can pay for better healthcare at least with UHC option the poorer get to live longer too. So in my opinion, at least until the world is in a state where classism has been sufficiently controlled UHC is the better option for the countries that can afford it.

[@jackthebassman1]

Because of Astronomical healthcare costs in America and to some healthcare issues, I cannot visit America anymore as I can’t get insurance. I can however visit any European or Nordic countries who have universal healthcare with carefully controlled costs. Says loads doesn’t it?

[@VishnuMVinay]

Yea not really, I waited 6hrs for an x-ray and paid around 500 euros as a foreigner, there’s some weird criteria you have to meet for treatment, you have to be “sick enough”… just doesn’t happen in a private setting, patient is first not policy…

[@jackthebassman1]

@@VishnuMVinay I suffered multiple injuries as a toddler in an RTA, now at 73, my childhood injuries are taking a toll, my left pelvis as well as my left hip are worn out and I suffer considerable pain as well as needing a zimmer indoors and wheelchair if we go out. A new procedure has been developed whereby my pelvis is repaired and a new hip is fitted. I’m having the operation in 3 weeks, after a delay due to Covid. The cost to me = £0. What would be my chance of having that procedure if I was in America, again ZERO, insurance wouldn’t pay because it’s a previous condition. Give me my dear old NHS any time.

[@VishnuMVinay]

@@jackthebassman1 you are old sir, you are given preference, the american system is the worst of both worlds, in a public system older folks and pregnancies seem to be the only concern, many people are denied surgery if they are not "suicidal", and it doesn't cost you 0, you have probably paid 100s of thousands n taxes....

[@jackthebassman1]

@@VishnuMVinay Of course, nothing is free, but my point is that if I was in America, insurance companies wouldn’t pay for my treatment as they would say it was a pre-existing condition, I’m not poor, having saved all my working life for my retirement, but this operation would wipe out any savings we had leaving my wife with nothing when I die - I’d be absolutely f*cked.

[@VishnuMVinay]

@@jackthebassman1 yea but american medicine is second to none, high chance the surgery you are getting was invented in the US, plus not all insurance are that predatory, definitely gotta be plans where this is covered...

[@esonon5210]

It sounds like it only benefits people who are poor and/or sickly. I don't see it getting passed in the US anytime soon.

[@dzulkifli6608]

So what would you do if you sick and have no money? Honest question

[@thembones1895]

Here in the US, I have worked very hard in my career, placed great investments, and now have more $$ than I need. And I have killer insurance. If I need care I go to the literal best doctors in the world with zero wait. And the fruits of my own labor will pay for it easily. That's the American dream. If you can't keep up, maybe you should go to Europe where the bar is lower.

[@penny4thought168]

You're unfortunately the minority. When I was 18, fresh out of highschool and still working a part time job, I was strapped with medical debt from an infection. I'm still trying to pay it off while attending college. It's great that you got sick at the perfect time when you had a great job, but not all of us are that lucky. Not everyone has rich parents who will cover their asses until they can get a job like yours.

[@anlajones7188]

So if you pay for it privately anyone in pretty much every country can get treatment all over the world. In Germany (most likely everywhere else) you can still purchase additional private insurance on top of your UHC. It all depends on what you want and what you can afford.

[@zakmatew]

In other counties you don’t depend on insurance companies so much as it is in the USA. Universal healthcare is superior to the disjointed USA healthcare.

[@mattheweraci5502]

California’s GDP is 5x bigger than Sweden. Why don’t they do Universal Health Care???? If it is so perfect, let them Canary… if it works, awesome I’ll pay -$500 and it will be adopted on the federal level…

[@jonathanbecker8935]

The US system denies all but emergency healthcare to millions of uninsured people, excludes millions of others who have insurance but can't afford out of pocket costs, and pushes millions more into financial ruin because of chronic or catastrophic conditions that also generate huge, unsustainable out of pocket expenses. Big pharma is also a part of American healthcare that is inaccessible to millions of uninsured and under-insured people. Pharmaceutical companies bribe legislators in Congress to block attempts to regulate their industry and institute price controls. In many cases, these companies lie about having to increase their prices over research and development costs while at the same time they've been spending as much as $50 BILLION on stock buybacks and dividends. Sheer greed explains why the US doesn't have universal healthcare. Health insurers, corporate healthcare groups, as well as big pharma bribe Congress to rig the system for the sake of higher profits. If Congress actually wrote laws based on the needs and choices of a majority of voters, we would have a system like Canada's. But instead, they take payoffs from industry special interests to help corporations and BILLIONAIRES make more money.

[@starsandlightning2472]

Its because you pay by insurance and that means the middle men can charge what they like. HOWEVER people spend thousands going to college and getting thier medical qualifications and over here in the UK most choose to go into the private sector because if you go to the nhs it's less money and people are laid off all the time. What you also have is the fact that the billionaires are the ones who find the research and new tech. We are 10 years behind the USA in terms of treatments. Yeh the NHS is great for basic stuff but not when it comes to mental health care and cancer etc. The thing about capitalism is that it will push the price down and eventually be affordable for everyone, unlike here where they are struggling for funding and it will get to us in a decade or so

[@penny4thought168]

@@starsandlightning2472 How long is it gonna take? How long until I can get treatment without going into debt? How long do I have to keep pushing my physical and mental health to the side because I don't have an extra $400 to spend on mental health care and thousands of dollars laying around for a hospital visit?

[@starsandlightning2472]

@@penny4thought168 I'll be dead honest about mental healthcare here. Its absolutely USELESS, you have to wait up to a year for the real specialists. It's so under funded. I live in county where theres ONE person who actually goes out to patients in thier homes ONE! A gp CANNOT diagnose most mental illness. The most they will do is give you anti depressants then you have to be referred. Its utter crap....... and it's the worst part of the NHS because physical health is put as a priority and the funds are limited. They also have to refuse certain things aswell. I'm not saying I dont appreciate not having to pay a massive bill but our healthcare system is completely flawed and broken. People assume we get everything on it when we really don't. If you need a specialist like mental healthcare, audiologist, and things that are not an emergency then you wait months and months that's just for the first appointment. They are also under paid and under staffed

[@penny4thought168]

@@starsandlightning2472 I know the NHS isn't perfect, but saying that the US will suddenly get affordable is a fat lie. Have you seen that state we're in? Basic necessities are already going up and people are still being paid less than what it takes you live. So many people are living paycheck to paycheck. They can barely afford food and shelter, let alone health insurance or an emergency hospital visit. Break your leg? Guess you're gonna be paying that off for the next two decades. Therapist thinks your unstable? Enjoy your $75,000 2 week stay in a psych ward. You can't afford the insulin you need to literally survive? Guess you'll die, because nobody in America gives a shit about you or your well being.

[@starsandlightning2472]

@@penny4thought168 nowhere did I say the US would suddenly get affordable. I was talking about how private businesses drive prices down..... no mention about it being affordable because you use insurance companies

[@AshNonokPlays]

Singapore healthcare system is much more great than universal healthcare.

[@lu881]

If one has gotten themselves in debt just to pay a hospital bill, then one instinctively proved that cost doesn't matter

[@ursulasmith6402]

Thats what we need! Now! , YESTERDAY!