The US may have put a man on the moon, but Denmark put an entire population on free healthcare.
@randahl and the UK went even back 😉
@randahl Do they include meds?

@jgordon yes. But to create an incentive not to consume unnecessary meds, we normally pay a part of the meds ourselves.

The chronically ill are exempt from this partial payment, and get their meds for free. People in hospital care are exempt too. Poor people can apply to become exempt.

@randahl

That's more generous than most systems!

@jgordon @randahl There are systems that don't include meds?
@randahl @goedelchen @jgordon yes. Here in Ireland you pay for meds unless you have a means tested medical card. Though there is a scheme that caps the monthly amount you have to pay . It doesn’t cover everyone, or all meds. Lots of cracks in the system
@jgordon @randahl It's not generous: if enough people pay into the same pot, there is enough for hospitals, doctors, care professionals and meds.
This is how social insurance in Germany works (not sure if the danish system runs on taxes or insurance).
Of course you can always discuss the amount of input and output, but a healthcare system should people keep or make them again healthy.
@ridscherli the Danish system is tax based to a wide extent.
@jgordon
@randahl @jgordon Tax systems also have their advantages. But the main point is the same: input by everyone > output for everyone. It's not generous, as we as citizens paid our "yearly plan" already in advance.
@randahl @jgordon in Spain this part of the payment depends on rent, so poor people, those with more children or retired people pay less. As the State is the main buyer of those meds, the cost is fixed by the state, not the medical industry.

@randahl @jgordon thats not entirely true.

My wife has epilepsy, and while the system does pay part of it, they do not pay for it all.

But every hospital stint and examination is free for the citizen, yes.

@rasmus91
Thank you for mentioning that. It is certainly more complex than I can describe in a few posts, but I do think that broadly, the Danish system can be characterized as "free healthcare".

Dental care is another exception. So is optometry.

@jgordon

@randahl @jgordon dental care being an exception that does not make a lot of sense.

And for some reason, every time we have a "borgerforslag", it's struck down in Folketing.

@rasmus91 I think dental will be improved at some point. But it is an area where the incentive to take care of yourself is important to the overall economy of the solution.
@jgordon

@randahl
I think opto and dental stuff was kicked out in German system to keep rates in check.

Something that needs mentioning is the hard cutoff rules for a lot of stuff. These discussions are needed in other systems to not always do everything possible but the stuff with maximum outcome in patient benefit. (replacement hip as one of those examples)

And having friends who worked in Kiel hospitals, there is some health tourism to Germany from Danes to speed stuff up.

@rasmus91 @jgordon

@randahl
So yes, the Danish system seems good overall.

But healthcare is complex and some stuff as usual does not play out. Good if you can get it fixed.

Germany I still think health and nursing is a dumpsterfire (and it runs rather good because of worker exploitation)

@rasmus91 @jgordon

@randahl @jgordon But what about profit? What about the economy? Imagine how much money can be made from people who are facing pain, suffering and death! From parents watching their children suffer. People who need an urgent ambulance ride. Mothers ready to give birth…

Actually don’t imagine - observe the costs of healthcare in the U.S. - defined by the Market!

@randahl We put a dozen men on the Moon, in six visits, but they were all over a half a century ago. When we brag about this, it's like the comedy trope of the middle-aged guy still bragging about his high school sports accomplishments. It's glaring admission that we haven't done anything as glorious since then.
@wesdym not entirely true. You did invent Taylor Swift! 😀
@randahl @wesdym No. We don’t give men credit for women’s accomplishments.

@wesdym @randahl

ISS was unthinkable in that time, and newer satellites made many discoveries.
The Mars missions with the rovers have been scientifically important and much efforts have been put into physics concerning gravity waves and black holes.

Of course some steps on the moon are easier to show to the public.
I agree that reproducing the achievements of that time seems still being a challenge, but priorities grew more diverse.

@wesdym @randahl

Furthermore many experiments have been made in space concerning medicine, biology, physics, chemistry and probably more.
Partially I suppose the results could be used for common products on earth, including the materials and design for tools for space.
Regrettable I've no list about those achievements, if someone knows more, or has a link, that would be great.

@DavidBruchmann @wesdym @randahl The point Wes raises isn't simply a matter of whether we're doing anything important at all now; it's the specific genuflection this nation engages in about our past.

And by that one particular metric, the two greatest things the U.S. has done is go over to Europe and to Japan and win World War II (allies? anyone ever hear about the allies, without whom we likely wouldn't have won?) and the Moon Landings.

Our motto might as well be: "Look how great we were!"

@QuarkMaker @wesdym @randahl

Yeah I got that in some kind.
But therefore it might be important to point out other achievements.

The achievements concerning the win of wars get always tainted when people realize how cruel they are won, the firestorm is perhaps only comparable with napalm in Vietnam.

@DavidBruchmann @wesdym @randahl It's awful easy to brag about accomplishment you don't have to put any effort into to be able to claim.

I can easily remember seeing t-shirts for sale in Walmart and elsewhere which read "United States of Awesome". Honestly, it seemed rather disrespectful.

@QuarkMaker @wesdym @randahl

Indeed Americans showing the flag around on clothes and everything else leave probably no good impression internationally -- and seemingly nationally too to some people.

Discussion is getting diffuse now, not even sure about who exactly still mentions the wars and moon landing as accomplishments, of which level we're speaking here? Simple people from the street, politicians, scientists, universities?

@DavidBruchmann @wesdym @randahl Teflon (Pfas), don’t forget that big win.

@jakofields @wesdym @randahl

Right, creating modern world problems 🥴

@wesdym @randahl
We've not finished with the material Apollo and the first (return) Lunokhod brought back, yet.
The Chinese robot return from Farside provides for more work.

@randahl

That is a clear win for team Denmark, I tend to say ;-)

@randahl But we subsidize car ownership, so instead of the happiest children*, we have the happiest old white men in the world, and reducing life expectancy keeps the costs of that program down.

* (oh wait, were the happiest children in the Netherlands because they have the better bike infrastructure)

@enobacon @randahl those are not mutually exclusive. In most European countries we have universal healthcare, AND we subsidize car industry and buying, AND we also subsidize public transportation.
@theklan @randahl only a few European countries are more willing to die for their cars than the US though. https://en.wikipedia.org/wiki/List_of_countries_by_traffic-related_death_rate
List of countries by traffic-related death rate - Wikipedia

@randahl Not sure many nations are prepared to spend that much money on ostentatious posturing like keeping their population healthy...
@randahl Reminds me of Larry Norman's song The Great American Novel (which he oh so tactfully sang at the White House when asked to avoid anything political or religious).
"You say you beat the Russians to the moon,
and I say you starved your children to do it."
https://genius.com/Larry-norman-the-great-american-novel-lyrics
@DMakarios @randahl Such great lyrics and then he blows it with the very last line.

@randahl "free" means that it's financing is done differently as in via the state budget.

  • I do think that's best but as a compromize maybe copy Germany's systemvrir the USA as a transitional option?
@randahl as a trans person, I'd rather not live in Denmark for healthcare reasons, transgender healthcare in nordic countries is awful
@xgebi I have not heard that before. Would you care to elaborate?

@randahl there’s a whole subreddit about it, just an example https://www.reddit.com/r/transnord/comments/1gm3k7n/likely_moving_to_denmark_for_phd_how_difficult/

Or in this one it’s recommended to start transition in Poland and hopefully Danish doctors would honor it https://www.reddit.com/r/transnord/comments/1hcc7sa/i_have_some_questions_about_transitioning_in/

@xgebi thank you for providing more information.

I will need to read some more on this, because the reddit thread has a few challenges. One user is describing how the healthcare system treats a non-citizen, which maybe different from the general population. Another user talks about the healthcare system in Sweden, which has nothing to do with Danish healthcare.

But it is definitely an interesting topic, and I would like to know more.

@randahl At this point I'd take the health care. The moon isn't going to pay my medical bills.

@randahl

Denmark, eh? Do they speak English there?

@BillMcGuire you are talking to a Dane.

86 percent of Danes speak English, because English is a mandatory language from primary school through highschool.

@randahl

good to know, Randahl. Thank you. I am mildly researching a less volatile, safer place to live for us 2 older folks. I appreciate any insights you might be willing to share on that issue. Have a superior day/night. bill

@BillMcGuire do consider Norway too. Their nature is beautiful, and the country is among the wealthiest in the world.

@randahl

just shopping right now, Randahl. Thanks for the tip, though.

@randahl total out of pocket for an organ transplant in Australia: $120 on an optional test. Poor healthcare is only normal in very poor countries and the US.
@randahl The US only put a man on the moon for a few days. Denmark’s free healthcare is longer lasting.
@randahl While putting whales in blood baths.

@MixMistressAlice the country of Denmark has no whaling.

The sovereign country of The Faroe Islands kills 800 whales per year, and yes, The Faroe Islands is formally a part of The Kingdom of Denmark. But politically the whaling is a decision under the Faroese parliament.

The whales killed are pilot whales which are not an endangered species.

From an ethical standpoint, I think those 800 whales are insignificant in comparison to the 130,000,000 pigs slaughtered in the US every year.

Mix Mistress Alice 💄 (@[email protected])

Mansplain me a post. Get blocked. No time to waste.

Todon.eu

@MixMistressAlice @randahl Whataboutism at its best at the same time as you come with accusations of mansplaining when you were corrected.

You should work on your arguments, not your blocking skills.

@randahl Many countries have Free Universal Healthcare see map - in every country this has to be paid for from general Government Revenue and sometimes as in Australia a proportionate contribution according to one’s income level. The American Health system of every person for themselves is only marginally more humane than Cockfighting.
@frankcat you are right, although many of these countries have an endurance based model, whereas the Danish system is entirely state based.
@frankcat @randahl I appreciate your contribution to this already interesting post, but I feel it is an exaggeration to say it is every person for themselves. The only hospital in my rural county in Indiana reports that at 60% of their patients are using Medicare, Medicaid, or some other government funded health insurance. Note that these are not the normal targets of hate used in arguments against welfare programs. My county is >95% white.
@DrJay @randahl Yes you are right it is an exaggeration and clearly the system cannot work for the elderly or the very poor - but why would anyone think that the US health insurance system works for anybody except the insurance companies and the wealthy - the fact that most health insurance is paid by the employer makes people afraid and vulnerable.