Comment by nickpp

15 hours ago

State run (or heavily regulated) services around here in Eastern Europe: health care, education and housing. All incredibly bad and expensive, I pay huge chunks of my monthly salary for them and I try to avoid them at all costs. They get worse and more expensive with time too.

All the other services and products I use in my life, from the car I drive to the clothes on my back, the food I eat and the device I write this on are provided by private enterprise and they have become much better and cheaper in my life time.

Health care, education and housing have been getting worse and more expensive in the US over the decade also. Must be all that nationalization.

  • I can buy "more expensive", but as far as "worse", can you provide the relevant metrics?

    I don't think that your chance of survival of a heart attack or lymphoma got worse since 2016.

    • If you can afford less (lesser treatment, drugs, procedures, quality of doctors and hospitals you can pay for), then your chances of survival also got WAY worse.

      Doesn't matter if the 1% has now access to better versions.

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    • I don't have concrete metrics/sources to give right now, but my general perception from reading the news is that there's been staffing issues pushing healthcare systems in the US towards increasing workloads in individual providers, leading to less time/attention given to individual patients, lower availability of appointment slots, and offloading of patients onto alternative app-based telehealth platforms, which have been trending up alongside aquisition/consolidation of independent private practices.

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  • > Must be all that nationalization.

    No, it’s the regulations. In less regulated, freer markets like vision correction eye surgery the costs went down and quality up. Even in health care.

    • You'll forgive me if perhaps I want something as important as eye surgery to be well regulated. Have a look at health outcomes for literally any industry where regulation is lax, like Brazilian plastic surgery. It's not great.

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State-run all those things used to be way cheaper and better here than after privatization. So much more, it's not even funny.