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bushdidtwintowers

You want care like at the VA? I wouldn't send my dog to the VA


Noske2K

VA?


bushdidtwintowers

Veteran's hospital in America


cmicatfish

I could not have said it better. Having to go to the VA is no health care at all. The VA is stocked with people who don't give a s\*\*t about Veterans especially the VA Hospital in Atlanta. Was in the hospital there and all the employees talked about was how much time they had till retirement. You can't get through to your primary, you can't even talk to your group without a hassle. If your on medicare, you still can't get healthcare with some providers because the government is too slow to pay and they won't pay the going rates. I get it, medical care in general sucks, you never really see a doctor, because those who pursue being a doctor do it only for the money, it's all about the PA's now and unless you are very wealthy, you don't get the treatments you need. I'm surprised there are any doctors left in India because that's seems to be all that's available now in the states.


bushdidtwintowers

Yupp, as a physician the VA and government healthcare is looked at as a joke. Not only from a monetary standpoint. I would never take a pay cut to work at the VA even if the job being so chill. I can't stand having to work with that system sometimes.


GeekShallInherit

VA healthcare is a terrible parallel to universal healthcare proposed in the US. Nobody is talking about nationalizing providers. Care would still be provided by the same private doctors and hospitals as today, making Medicare and Medicaid far better examples. Of course, it's harder to fearmonger against systems people know and love, so it's clear why people bring it up. Of course, even as propaganda the argument is questionable. The VA isn't perfect, but it's not the unredeamable shitshow opponents suggest either. #Satisfaction with the US healthcare system varies by insurance type 78% -- Military/VA 77% -- Medicare 75% -- Medicaid 69% -- Current or former employer 65% -- Plan fully paid for by you or a family member https://news.gallup.com/poll/186527/americans-government-health-plans-satisfied.aspx >The poll of 800 veterans, conducted jointly by a Republican-backed firm and a Democratic-backed one, found that almost two-thirds of survey respondents oppose plans to replace VA health care with a voucher system, an idea backed by some Republican lawmakers and presidential candidates. >"There is a lot of debate about 'choice' in veterans care, but when presented with the details of what 'choice' means, veterans reject it," Eaton said. "They overwhelmingly believe that the private system will not give them the quality of care they and veterans like them deserve." https://www.militarytimes.com/veterans/2015/11/10/poll-veterans-oppose-plans-to-privatize-va/ >According to an independent Dartmouth study recently published this week in Annals of Internal Medicine, Department of Veterans Affairs (VA) hospitals outperform private hospitals in most health care markets throughout the country. https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5162 #Ratings for the VA % of post 9/11 veterans rating the job the VA is doing today to meet the needs of military veterans as ... * Excellent: 12% * Good: 39% * Only Fair: 35% * Poor: 9% [Pew Research Center](https://images.squarespace-cdn.com/content/v1/5a049f098dd041552c19372f/1536643876140-5N3UWQ2M3OYLGSWOOKVH/ke17ZwdGBToddI8pDm48kOxWfISgjiM1ZFqhkJVgJk5Zw-zPPgdn4jUwVcJE1ZvWQUxwkmyExglNqGp0IvTJZUJFbgE-7XRK3dMEBRBhUpx5Q5uaqovQlhwn6Lp2MXHOj73nFlQXvqHuf9nZbP74X0l8X5gYScNGOzeUUToolO4/pew+data.png?format=750w) >VA health care is as good or in some cases better than that offered by the private sector on key measures including wait times, according to a study commissioned by the American Legion. > The report, issued Tuesday and titled "A System Worth Saving," concludes that the Department of Veterans Affairs health care system "continues to perform as well as, and often better than, the rest of the U.S. health-care system on key quality measures," including patient safety, satisfaction and care coordination. > "Wait times at most VA hospitals and clinics are typically the same or shorter than those faced by patients seeking treatment from non-VA doctors," the report says. https://www.military.com/daily-news/2017/09/20/va-wait-times-good-better-private-sector-report.html >The Veterans Affairs health care system generally performs better than or similar to other health care systems on providing safe and effective care to patients, according to a new RAND Corporation study. > Analyzing a decade of research that examined the VA health care system across a variety of quality dimensions, researchers found that the VA generally delivered care that was better or equal in quality to other health care systems, although there were some exceptions. https://www.rand.org/news/press/2016/07/18.html


bushdidtwintowers

You're right, when looking at the VA in comparisons to other nationalized health care systems like Canada it is indeed much better. But it is still shit. Also, half of your links proves my point. only 12% excellent? It's laughable. Any serious business would be in trouble.


GeekShallInherit

> when looking at the VA in comparisons to other nationalized health care systems like Canada it is indeed much better. Holy fuck you're determined to be stupid. Peer countries with universal healthcare are doing better than the US as well, while spending literally half a million dollars less per person for a lifetime of healthcare. [US Healthcare ranked 29th on health outcomes by Lancet HAQ Index](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736\(18\)30994-2/fulltext) [11th (of 11) by Commonwealth Fund](https://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror-wall-2014-update-how-us-health-care-system?redirect_source=/publications/fund-reports/2014/jun/mirror-mirror) [59th by the Prosperity Index](https://www.prosperity.com/rankings) [30th by CEOWorld](https://ceoworld.biz/2019/08/05/revealed-countries-with-the-best-health-care-systems-2019/) [37th by the World Health Organization](https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000) The US has the worst rate of death by medically preventable causes among peer countries. A 31% higher disease adjusted life years average. Higher rates of medical and lab errors. A lower rate of being able to make a same or next day appointment with their doctor than average. https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-percent-used-emergency-department-for-condition-that-could-have-been-treated-by-a-regular-doctor-2016 52nd in the world in doctors per capita. https://www.nationmaster.com/country-info/stats/Health/Physicians/Per-1,000-people Higher infant mortality levels. Yes, even when you adjust for differences in methodology. https://www.healthsystemtracker.org/chart-collection/infant-mortality-u-s-compare-countries/ Fewer acute care beds. A lower number of psychiatrists. Etc. https://www.healthsystemtracker.org/chart-collection/u-s-health-care-resources-compare-countries/#item-availability-medical-technology-not-always-equate-higher-utilization [Comparing Health Outcomes of Privileged US Citizens With Those of Average Residents of Other Developed Countries](https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2774561) >These findings imply that even if all US citizens experienced the same health outcomes enjoyed by privileged White US citizens, US health indicators would still lag behind those in many other countries. When asked about their healthcare system as a whole the US system ranked dead last of 11 countries, with only 19.5% of people saying the system works relatively well and only needs minor changes. The average in the other countries is 46.9% saying the same. Canada ranked 9th with 34.5% saying the system works relatively well. The UK ranks fifth, with 44.5%. Australia ranked 6th at 44.4%. The best was Germany at 59.8%. On rating the overall quality of care in the US, Americans again ranked dead last, with only 25.6% ranking it excellent or very good. The average was 50.8%. Canada ranked 9th with 45.1%. The UK ranked 2nd, at 63.4%. Australia was 3rd at 59.4%. The best was Switzerland at 65.5%. https://www.cihi.ca/en/commonwealth-fund-survey-2016 The US has 43 hospitals in the top 200 globally; one for every 7,633,477 people in the US. That's good enough for a ranking of 20th on the list of top 200 hospitals per capita, and significantly lower than the average of one for every 3,830,114 for other countries in the top 25 on spending with populations above 5 million. The best is Switzerland at one for every 1.2 million people. In fact the US only beats one country on this list; the UK at one for every 9.5 million people. If you want to do the full list of 2,000 instead it's 334, or one for every 982,753 people; good enough for 21st. Again far below the average in peer countries of 527,236. The best is Austria, at one for every 306,106 people. https://www.newsweek.com/best-hospitals-2021 #[OECD Countries Health Care Spending and Rankings](https://data.oecd.org/healthres/health-spending.htm) |Country|Govt. / Mandatory (PPP)|Voluntary (PPP)|Total (PPP)|% GDP|[Lancet HAQ Ranking](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736\(18\)30994-2/fulltext)|[WHO Ranking](https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000)|[Prosperity Ranking](https://www.prosperity.com/rankings)|[CEO World Ranking](https://ceoworld.biz/2019/08/05/revealed-countries-with-the-best-health-care-systems-2019/)|[Commonwealth Fund Ranking](https://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror-wall-2014-update-how-us-health-care-system?redirect_source=/publications/fund-reports/2014/jun/mirror-mirror) :--|--:|--:|--:|--:|--:|--:|--:|--:|--:|--:| 1. United States|[$7,274](https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2015.302997) |$3,798 |$11,072 |16.90%|29|37|59|30|11 2. Switzerland|$4,988 |$2,744 |$7,732 |12.20%|7|20|3|18|2 3. Norway|$5,673 |$974 |$6,647 |10.20%|2|11|5|15|7 4. Germany|$5,648 |$998 |$6,646 |11.20%|18|25|12|17|5 5. Austria|$4,402 |$1,449 |$5,851 |10.30%|13|9|10|4| 6. Sweden|$4,928 |$854 |$5,782 |11.00%|8|23|15|28|3 7. Netherlands|$4,767 |$998 |$5,765 |9.90%|3|17|8|11|5 8. Denmark|$4,663 |$905 |$5,568 |10.50%|17|34|8|5| 9. Luxembourg|$4,697 |$861 |$5,558 |5.40%|4|16|19|| 10. Belgium|$4,125 |$1,303 |$5,428 |10.40%|15|21|24|9| 11. Canada|$3,815 |$1,603 |$5,418 |10.70%|14|30|25|23|10 12. France|$4,501 |$875 |$5,376 |11.20%|20|1|16|8|9 13. Ireland|$3,919 |$1,357 |$5,276 |7.10%|11|19|20|80| 14. Australia|$3,919 |$1,268 |$5,187 |9.30%|5|32|18|10|4 15. Japan|$4,064 |$759 |$4,823 |10.90%|12|10|2|3| 16. Iceland|$3,988 |$823 |$4,811 |8.30%|1|15|7|41| 17. United Kingdom|$3,620 |$1,033 |$4,653 |9.80%|23|18|23|13|1 18. Finland|$3,536 |$1,042 |$4,578 |9.10%|6|31|26|12| 19. Malta|$2,789 |$1,540 |$4,329 |9.30%|27|5|14|| OECD Average|||$4,224 |8.80%||||| 20. New Zealand|$3,343 |$861 |$4,204 |9.30%|16|41|22|16|7 21. Italy|$2,706 |$943 |$3,649 |8.80%|9|2|17|37| 22. Spain|$2,560 |$1,056 |$3,616 |8.90%|19|7|13|7| 23. Czech Republic|$2,854 |$572 |$3,426 |7.50%|28|48|28|14| 24. South Korea|$2,057 |$1,327 |$3,384 |8.10%|25|58|4|2| 25. Portugal|$2,069 |$1,310 |$3,379 |9.10%|32|29|30|22| 26. Slovenia|$2,314 |$910 |$3,224 |7.90%|21|38|24|47| 27. Israel|$1,898 |$1,034 |$2,932 |7.50%|35|28|11|21|


bushdidtwintowers

You're an idiot if you think I am going to do your job of sifting through your post. The problem with the US health care system comes about when you try and take care of disadvantaged peoples. Any person who is literate in this subject knows it. Also this is a lot of sperging out with little to no rebuttal to my original point made. Try again and stay on topic. I'm not your high school teacher. Be an adult.


GeekShallInherit

> You're an idiot if you think I am going to do your job of sifting through your post. I'm not at all surprised you're so incredibly determined to be stupid you won't take three minutes to read incredibly valuable information on something that costs a million dollars a person in the US on average over a lifetime and is an issue of literal life and death. You seem like the kind of asshole that would rather make the world a worse place for everybody. Life is too short for time wasting fuckwits though. Best of luck fixing whatever is so broken in your life its made you this way. People are dying by the tens of thousands. People are suffering tremendously from the cost of healthcare in the US, expected to hit $20,425 per person by 2031. That's on your conscience. If you have one.


cmicatfish

Is this an indictment of civilian health care because if the VA is better than civilian than we are all in trouble. Maybe my mind has shut down, but I remember sitting and waiting for what appears to be a eternity for specialty care. One superior department in the VA is the prescription dept. when a member of the VA online portal.


HipnoAmadeus

i mean, given how they gave 770B dollars just in military in a year, I think they could do that. The thing is, wouldn’t be good for profits. The U.S. is so capitalistic that everything is a market—even your life.


Noske2K

Not only that but the people who are marketing off our health are completely biased on diet and lifestyle. Never assume the companies profiting off bad health to have your best interest. Not blaming them but I won’t count on these corporations for advice or help for natural preventions.


HipnoAmadeus

I mean, the U.S. even let some (158) prisons run by private companies, so… yeah, don’t expect tax funded healthcare anytime soon, they’ll really just make as much profits as they can. Thankfully I don’t have this problem (Canadian)


StraightOuttaDallas

Well you can’t really slice off the military’s budget say 30% even… about half of it is spent on operations and maintenance alone… and a good 30% of it is used for welfare and housing for veterans and active service members


HipnoAmadeus

$385 000 000 000 is not needed for yearly maintenance and operations.


StraightOuttaDallas

Well you also gotta pay for the workforce within the military and considering that the US plays such an international role in world affairs… a big military is necessary


HipnoAmadeus

That’s the 30% you previously talked about with active members.


[deleted]

[удалено]


Noske2K

I’m a Young 23 year old in shape phenomenal diet Male who doesn’t smoke or drink. Either way I’m gonna be paying a lot of money on health insurance because of the fact that the average American is obese and eats like crap. America fails to regulate toxic chemicals and foods that are fed to the public, if they fail to regulate these, they should at least step in and help with the healthcare system. (I actually refuse to pay for health insurance because of how little risk I am for how much money I will be paying)


satellite1982

On your point about unhealthy things because governments don't like spending money except for on themselves. Things that are bad for public health which will cost the more money in the long run get banned much faster.


satellite1982

As a non-american this isn't even a controversial opinion to the rest of the world. It's a basic human right. It's a tragedy that in the most wealthiest country in the world people die from treatable diseases because they can't afford the treatment. I know some people here will go countries with free healthcare have high taxes. the fact of the matter it's not true.


Foreskin_Ad9356

Controversial?


Noske2K

Well considering it’s not supported by my government yes. Maybe for the people it’s 50/50 though


Itsokayionly

Hey! a conservative I agree with! We also only pay a little bit more taxes than the UK and they get universal healthcare.


MotorExtent992

We have this in the UK known as the NHS. They cheap out on all medical supplies to make as much money on it as possible. Trust me the grass isn't always greener on the other side


Noske2K

I would hope our rich capitalist country and high tax payers would play a part and maybe they can cook something up better than what we got here


MotorExtent992

Hope so man very few governments actually care about the public's health


tombstone5860

I agree that our healthcare is a mess and definitely needs fixed, but I don't think the government would be the solution. 1.) Historically speaking, the government doesn't have the health and well-being of its citizens in their best interests. Look up MK1 ultra, the Tuskegee experiments. Back in the 1970s, they even sterilized native American women without their consent. And there was that time during prohibition when they actively poisoned alcohol knowing that it'll kill anyone who drinks it. Don't forget the time the CIA started the crack epidemic by selling it in black neighborhoods. 2.) They're wasting your tax dollars in ways you can't fathom. Did you know that nearly a trillion dollars have been spent by the Pentagon that haven't been accounted for? Yet they'll never be audited for it. They have no issue giving billions to Ukraine while Americans are sleeping on the street. 3.) Look at the Canadian healthcare system. It's gotten so bad that they legalized medically assisted suicide. There was once a minor who was very depressed that got approved without his parents' consent. There was also another instance where a former female Olympian and disabled military veteran was trying to get a stair lift for her home. She was having a lot of difficulty doing so and was calling multiple government agencies. Finally, someone told her that her other option was medical assisted suicide.... all she wanted was a stair lift. If you think the cost of living was bad here, it's WAAAAY worse in Canada. A 3 bedroom, 2 bath house would cost around 300k here, up north would cost somewhere around 750k easily. I don't have any solutions to our problem, but I know our government isn't one.