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Comment by fakename | Hacker News Reader

"America's awesome healthcare and insurance system" Huh?

Sorry sarcasm wasn't apparent. I despise the costs associated with healthcare in US. Often, outsourcing happens because healthcare costs of an aging department shoots up and company cannot fire the employees because of higher insurance costs.

Hence, outsource --> downsize --> feign realization that "oh outsourcing sucks" --> hire younger team with less costs for insurance.

Its pretty awesome if you have a good employer provided plans and can afford to buy the best plans. Sucks if you can't.

We have some of the best healthcare in the world. Many of the rich elite from around the world fly into the US for treatment.

We do however have a problem with accessing that healthcare. How do you allocate limited resources? We chose capitalism to decide.

True. Healthcare quality is "probably" great, if one can afford it. And that indirectly means if the employer can afford to subsidize your health insurance premiums so that you can afford that amazing healthcare.

"How do you access limited resources?" Why are the resources limited? How about making medical education free (paid by US taxpayer), so that only those who want to serve in the field of medicine will become doctors, and go on to earn a good living if they are good doctors?

Why not generate 100x medicine graduates than current number?

Problem is with crony capitalism. Doctors dont want over supply of doctors. Insurers are happy with constrained supply of healthcare. Richer people are happy with what they can afford.

Not rich and aging population gets screwed!

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