America's healthcare system is both an obvious enormous drain on our economy, with far higher per capita costs than anyone else, and a less obvious enormous drain on our economy because every employer, including the self-employed, has to spend a ton of time administering healthcare coverage.

https://www.nytimes.com/2023/07/18/opinion/universal-health-care.html

Opinion | Fixing Health Care Starts With the Already Insured

Guaranteed basic coverage will protect those who have insurance from uncertainty.

The New York Times

@maxkennerly

It's a good piece, we are spending the money yet still allowing Americans to suffer.

@maxkennerly it’s incredible. I have gone between emploment, self-employment and into medicare. It’sa nightmare of “who covers what” and constantly resetting deductibles - even when the provider is same.
Hundreds of pieces of paper.
Each provider with a unique portal (if automated).
Each provider with a separate payment scheme.
@maxkennerly
As a Canadian, I'm always appalled by the bureaucratic nightmares, waste, and duplication of the US healthcare system. Single-payer seems much more efficient to me. I've also never understood why healthcare is paid for by employers in the US, though I can see why employers like it: it prevents people from quitting because they don't want to lose coverage.

@echanda @maxkennerly It goes back to wage controls on World War 2, where employers offered benefits instead.

Somehow health insurance simply stayed untaxed income and so it's significantly subsidized (40+% in states with income tax for incomes below payroll tax maximum).

@mwaters @maxkennerly
Interesting, thanx. I should have known that cornerstone of bootstrap capitalism—subsidies—was involved somehow!
@maxkennerly
There are so many flaws in the piece I've got the sardonic smile of a tetanus sword war victim. Ignoring the glossed over difference between coverage and care, at the end there's a call for low rate 'care' with a market for costly care, as if the only difference would be the number of aids hovering around. But there would be ailments that are too costly. Thousands if not more. Death panels, as we have now.

@maxkennerly
*the triumph of hope over experience*

Obama's ACA "hope" overlaying mega corp parasites on 'care.' No public option and definitely no single payer.

*Mandate*

There to protect ins profit levels forcing healthy young to pay for minimal risk ins corps wanted.

*leaving patients on the hook for large medical costs is contrary to the purpose of insurance*

View from people buying insurance. Exact opposite with ins cos. Having insured 'cover' as much of cost of a need is the profit.

@maxkennerly
Fear of losing health care is how companies keep people in shitty low wage jobs.

@maxkennerly yep. US should switch to MedicareForAll or similar. madness we havent yet

and this point -- and many other social upgrades -- are part of the set of education & influence lessons in my edu-game Slartboz

@maxkennerly
Also a drain on the practitioners resources from all the time they have to spend dealing with the Kafkaesque system for their patients.

@maxkennerly The US healthcare system is a bankruptcy machine. It has little to do with health care, but extracting as much cash from people as possible.

How did we go from the "corner GP who made house calls and the local midwife" to this in a half century?

What did we gain?