Maybe you can afford Universal Health Care after all...
Maybe you can afford Universal Health Care after all...
I'm convinced that the federal government doing more and more things is the root cause if the increasing toxicity of American politics. The further removed a populace is from their representatives the less control they have and the worse they feel. Everything should always be done at the most local level that it is possible to do it. Some things have to be done at a relatively high level, but Americans have increasingly been jumping straight to "this is a job for the federal government" when very often state, or even city governments in some cases, would be perfectly capable.
However, the feds already siphon about as much tax as the populace can bear just on accomplishing what it is allowed to do, so there is basically nothing left for the states to implement these kind of measures.
You couldn't just have the states take over these responsibilities and have nothing else change. My suggestion is in fact a pretty radical change in how the US federal government works. I'm not under any illusion that this is likely to happen. The ratchet of power unfortunately only goes in one direction.
What do you mean that the countries are poorer? Are you just thinking about the gross salary people get per month, or is there something else in this calculation?
The fact that people get health care, parental leave, can freely move between countries, able to afford having a child, have emergency services that arrive relatively quick and all those things mean that a country is not poor, and the countries that don't have those, are "poorer", at least in my mind. When I think "poor country" I don't think about the GDP, but how well the citizens and residents are protected by ills.
I'd say its uncomparable directly, or very, very hard. You can say visit both places and walk around and see the general state of the country and its people, compare capitals. This is where money is spent (or not).
Not going into happiness, stress levels, depression/anxiety and meds consumption, obesity levels or longevity, that would be too easy I agree. Although this is also money related, more than anything else.
This pales in comparison to some of the elephant in the room ways most common ways to go broke, which is to say get something like a child support judgement against you (20% pretax, like 26+% post-tax in middle income brackets) or have an alimony payment (these conveniently don't generally show up in bankruptcy statistics because they are not dischargeable). Medical debt can at least be discharged in bankruptcy.
Adding the rest of the population to the existing public insurance system would not cost much financially, but it would be a political catastrophe for whatever party implemented it if it didn't go well.
In short, I don't think anyone seriously argues the US can't afford universal health care, but the real and perceived risk of change is seen as too great politically.
Example: https://worldpopulationreview.com/country-rankings/cost-of-i...
And why, in free market land, is a buyer of services and medication, not allowed to negotiate prices?
Because W Bush decided to forbid that while simultaneously forcing the fed'gov to pay for it
"we need to pay face value because big companies need the money for their R&D" was the discussion years ago IIRC. it's BS, but that was the narrative.