Comment by vkou
3 days ago
Whether or not non-productive individuals who don't do any work can own the means of production and reap the majority of the economic surplus from it is somewhat tangential to the question of who pays for whose healthcare.
There are plenty of capitalist nations that provide public healthcare on a large spectrum of coverage and quality.
With 2 month long plus waits for basic scans in countries like Canada
In terms of waiting times to see a doctor or specialist (the only cases where stats for the US seem to be available), the US looks a touch better than average in waiting times for healthcare within comparable countries: https://www.oecd.org/en/publications/health-at-a-glance-2025....
Ahead of Canada, sure (they come worst here in both scenarios) but behind countries like the UK, Germany & the Netherlands that do have universal health care.
I prefer that over people having to start a GoFundme whenever they get sick. My relatives in Germany get necessary treatment as needed. There is the myth of no wait times in the US but from my experience there are also of wait times here.
Still better than months long fundraisers that aren't even certain to raise enough to cover the cost.
The boy with cancer who is a main subject of the article and was scammed out of desperation to raise funds to cover his healthcare is in The Philippines.
"Aljin says treatment at their local hospital in the city of Cebu was slow, and she had messaged everyone she could think of for help."
The Philippines' constitution says access to healthcare is a human right. They have universal healthcare insurance, and public hospitals and medical centers.
The next one is the girl from Colombia. Colombia has a mostly public (with regulated private) healthcare system with universal health insurance.
The next one is from Ukraine. Ukraine has a government run universal healthcare system. Wikipedia tells me "Ukrainian healthcare should be free to citizens according to law," fantastic, but then it goes on, "but in practice patients contribute to the cost of most aspects of healthcare."
In first world countries with social healthcare systems like Canada and Germany and Australia, people with complex illnesses do not get coverage for unlimited treatments either, or general costs of being sick (travel, family carers, etc). There are many cases of fundraisers for, and charities which try to help, sick people in need in these countries.
Capitalism is not the reason not everyone with cancer is being cured and not chasing expensive treatments. Healthcare is something that you can throw unlimited money into. You'll get diminishing returns, but there will always be more machines and scans and tests and drugs and surgical teams and devices you can pay for. It doesn't matter the economic system, at some point more people will get more good from spending money on other things, and those unfortunate and desperate ones who fall through the cracks might have to resort to raising money themselves.
In the US, twenty day wait list for a broken toe, seven month wait list for a neurologist, five month wait list for a deviated septum surgery, and good luck finding a PCP taking new patients.
This quality of service costs me and my wife ~$23,000/year.
Sure, we can walk into urgent care and get seen. I've also never had a problem walking into a walk-in clinic in Canada, either. The clinic's lobby and the doctor's car in the parking lot isn't as nice over there, though.
If you think there aren't long waits for non-emergency treatment in the US, you are lucky or a moron.
I needed a sleep study. An inpatient sleep study is booked 3 years out here. Good insurance.
Seeing that sleep study doctor in the first place just to get sent a $150 gadget that listens to me sleep? I waited two months. The follow up appointment? 3 months.
Do you know why non-emergency care waits that long? Efficiency. Turns out, hospitals want to not spend extra money on doctors they don't need whether they get paid by the government or this weird industry called "insurance" we have developed.
Go head, tell me about how you can get any treatment or any scan in a week without fail in our wonderful overpriced system.
Any system needs a resource allocation algorithm.
In capitalism it is easy and transparent: price, with the side effect of aligning society interests with those of the selfish individual.
Of course the strange and heavily regulated US health-care system is obviously far far away from a free market.
In socialism it's much more random: black markets, lists, lotteries, friends and network of connections. The side effect is that the most productive individuals are discouraged and punished, with the whole society lagging in effect.
Case in point: the EU that started lagging the USA so much in growth that ended up having to beg for basic defense when a blood-thirsty neighbor came hungry for land.
When I'm unconscious in an ambulance, I'm definitely in a position to appreciate all that price transparency the free market has provided, so I can rationally weigh up all my options calmly and objectively while my organs are shutting down.
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Calling the american healthcare system easy and transparent is insane.
Theory:
> In socialism it's much more random: black markets, lists, lotteries, friends and network of connections. The side effect is that the most productive individuals are discouraged and punished, with the whole society lagging in effect.
Evidence: the vast majority of European countries who have socialized medicine and seem to be doing fine.
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That's the difference between a corrupt and non-corrupt system rather than a capitalist vs socialist one. Nearly all European countries have an at least somewhat socialist healthcare system but in most you don't have to resort to those tactics.
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Can't think of a socialist country, but invite you to visit the German system. Significantly less costly for society and objectively better for the people falling ill (or just having a baby born).
And no, no lists, no lotteries or any of that other lies the conservative US media is spewing out to keep the masses pacified.
I strongly believe, that if US citizens were to experience German healthcare for a year and having to go back to the US system, that there would be riots. Because I don’t think anyone with first hand experience of both systems would ever want to return to the US system.
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