Comment by ceejayoz
7 hours ago
I don't doubt there are differences.
I doubt they're insurmountable. Again, because the Swiss aren't some genetically superior subspecies. Culture can be changed.
I see Americans talk about how impossible universal healthcare is as if the rest of the developed world hasn't largely figured it out.
Nothing is insurmountable; however each one of us must play within the practical constraints of our local geographies (political, social, financial and physical). The parent comment probably means that Switzerland is in a positive on all axes unlike the rest of the world.
It’s politics. Boil most things down and the technical is inconsequential when compared to the politics.
Look at the political system of Switzerland and you will see a radically different setup.
And I think that’s the horse. The rest is cart. Yes they are rich but why? Yes they are relatively stable socially but why? Decentralised Canton government structure + direct democracy (referendums all the time for things that matter). That, I think, is why all the rest.
I think there's more to it than that.
From a philosophical perspective, I love the cantonal/direct democracy model. But it's supported by a strong culture of awareness of current affairs, and involvement in the political process. (Of course, these two aspects are likely strongly synergistic.)
However, I'm not sure this unique political structure explains the trains running on time, the sensible choices made about the internet structure (per the article), the top-of-the-world healthcare system, the Swiss cheese science institute, or many other aspects of the broader country. It may partly explain the routinely excellent government bureaucracy (say that with a straight face anywhere else!), the convenient and reliable local public transport options, and the local police being well-resourced to the point of apparent boredom.
Heh, you were walking right up to my viewpoint and then turned away. A parliamentary democracy with proportional representation has way more influence IMO, and you'll find another couple of relatively well-run countries that work like that.
For me, this is the point of the article. People fought and the best decision was the result. And I suspect there's a fundamental cultural difference that makes the fight much less fair in America.
Been an American my entire life. 45+ years. I've never heard a single person say that universal healthcare is "impossible".
I'm an American and I've heard it often, usually with a bunch of strange excuses. We're too big, we're too diverse, there's too many states, and on. None of those actually make very much sense, but I've heard it all for why universal healthcare could never work in the US.
https://www.nbcnews.com/politics/donald-trump/trump-says-not...
> President Donald Trump on Wednesday said it’s “not possible” for the federal government to fund Medicare, Medicaid and child care costs, arguing that it should be up to the states to “take care” of those programs while the federal government focuses on military spending.
I guess I'm pretty confused on what your point is here?
Universal Healthcare would be a new program in the US that would see a drastic tax increase, in that our healthcare spending currently going to insurance companies would instead go to a new federal agency. The amount of money companies and citizens spend on it may or may not also increase, but your quote has basically nothing to do with that.
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We must live on opposite sides of US cause I’ve never heard anyone say that it is possible (except few politicans who thought it may be a good way to win an election but also knew that it was not possible and gave up once they got elected)