Hacker News Reader

Comment by luckylion | Hacker News Reader

> The EU and Japan, South Korea, Hong Kong, Bahrain, Brunei, Australia, and New Zealand. It works all over the world.

Not necessarily at the same price though. The US healthcare system is crazy expensive because US salaries for high-skill individuals are crazy high (because tuition is crazy high?....). To fund an expansion might be more expensive.

I'm sure it's possible, but if you need more funding, you need more taxes. I'm not at all sure Americans would be okay with that. Remember that you have very low taxes compared to Europe or Japan.

View on HN

Not qualified to have an opinion on that, though of course that doesn't prevent me from a back-of-the-envelope calculation:

* A third of US healthcare cost is assumed to be administrative overhead just caused by the current system. "Cutting U.S. administrative costs to the $550 per capita (in 2017 U.S. dollars) level in Canada could save more than $600 billion, the researchers say." [0]

* Median wage level for healthcare workers (everyone directly care-related, i.e. including nurses, technicians and MDs) is $68k, about 5.5M people alltogether. [1]

* With the efficency gain of $600B one could double the headcount of medical practitioners and still be better off as a society.

[0] = https://www.reuters.com/article/us-health-costs-administrati...

[1] = https://www.bls.gov/oes/current/oes290000.htm

I'm sure there are large cost savings possible, Canada seems to spend about half as much on administration (17% vs 34%) [1]. While not quite four times as much, that'd still be significant, though whether it's guaranteed to have the same effect in the US is uncertain. Canada and the US may be neighbors, but they're quite different in culture.

[1] https://www.acpjournals.org/doi/10.7326/M19-2818

> Not necessarily at the same price though. The US healthcare system is crazy expensive because US salaries for high-skill individuals are crazy high (because tuition is crazy high?....). To fund an expansion might be more expensive.

Cut new grad salaries in return for halfing their student loan, otherwise the outrageous cost of education is being subsidised by the sick and elderly.

Reply on news.ycombinator.com