Universal Health Coverage explained
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- čas přidán 18. 10. 2017
- Universal Health Coverage is about providing healthcare to people without pushing people into poverty. It's an exciting public health and global health tool. Countries that implement universal health coverage provide better healthcare at lower costs (the health economics evidence is clear).
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The USA does not have a health care system. It has a health insurance industry. To say that the health insurance industry is a health care system is akin to saying that your auto insurance is your car care system. The USA needs single payer/universal health care.
It also means that there is a shortage of healthcare services because many now skip seeking care because of cost. Congress could enact universal healthcare tomorrow and their would be a shortage of services because more providers would be needed to meet those who needs were previously ignored.
There’s a trade off we have a higher quality and availability of care than other countries but it costs more
@@trevorkimber7434 You're seeing the result of "Higher Quality" and "Greater Availability" capitalist medecine now. Federal government of both parties sitting on their hands while having a fake impeachment crisis. Not enough hospital beds, not enough ventilators, not enough masks, not enough safety clothing, not enough manufacturing ability for the preceding items, and not enough doctors and nurses. That's because medecine is just another industry set up to make profits with just in time medicine like just in time manufacturing for the rich investors, their insurance companies, their hospital corporations and their drug companies.
Kim O'Brien could you dumb that down for me
@@trevorkimber7434 Medical scientists have known this kind of viral outbreak was coming if not in December than 5 or 25 years from now. It could even have been a bad flu year.
Not a single doctor or nurse in the US had to die. It is the natural workings of capitalism that has allowed this to happen since profits can't be made out of disasters. Outside of military equipment which the capitalists deem essential to the national (International private profit defense) defense nothing for a medical or other disaster is kept in reserve. Instead a few insurance policies are sold. In any large scale disaster the insurance companies get bailed out with the act of god clause and federal money.
Cuba is a small country. The are building a society based on international human solidarity. Not only do they train doctors for their own people their doctors also go to the poor nations to help those that US medecine doesn't even recognize as having a right to exist. They have 10,000 foreign medical students training at no direct cost to the individual student.
it looks to me that the Feds have given themselves universal health care..and a special and separate retirement fund.. that we have to pay for
That’s any government job including the army and the USPS
Congress is in a ACA/Obama care plan. Regular employees pay for various private plans under a contract. Federal employees pay into SS. The federal Pension is being phased out through reduced COLA's.
Its a noble idea .
Implementation of UHC in Africa is my concern. Corrupton is a big problem in the continent. The money will disappear.
Hi there - you are right - implementing UHC isn't easy and political obstacles must be overcome. Where is home to you? I'm from South Africa originally.
@@gregmartin Like the rest of the capitalist world the South African poor live outdoors. While hotel rooms remain empty just like in Las Vegas. Medicine is reserved for those who can pay. Corruption legal and illegal is part of the way capitalism works.
Had to rewatch 2:24-3:00 cause I was more focused on the one guys hand not matching his other. 🤦🏽♀️
Dear Greg: Never heard of DCP before! Thanks for posting! Looking forward to next video! Be well friend. ABC
Thanks ABC - glad you liked the video. More to come.. .:)
Thanks Dr.Greg I been reading a lot about UHC. Thanks a lot for explaining things in a very simple and informative manner.
Glad you liked it Hassan! :)
Only the pros were shared, nothing about the cons. What a too good to be true belief setup.
In the UK. The government raised the tuition fee cap to £9000 from £3500, believing the universities will be competitive and not all charge the maximum. They all ended up charging £9000 a year. 😑
Thanks for the comment Waheed. Your point is well taken and illustrates the problem with leaving certain important issues (like health and education) to market forces.
Universal healthcare would decrease the wages of providers by 13-51%, as evidenced by statistics in other other major countries. This would decrease the supply of providers and increase wait times, etc. How do we provide healthcare for everyone without hurting our providers? Not to say there isn't a solution, but it's going to have to keep the providers in mind. Maybe tax breaks for them?
This may be something except for the fact if you actually look at healthcare wait times by country many countries with UH wait less than Americans.
One solution is to also have a tuition-free college, including, but not limited to, medical school. Not having to go into extreme debt for education will not only encourage more to be educated into these services but also make pay less of an issue too. Especially when we're still talking about a pretty good six-figure salary with UH.
Link the statistics bud
Yep. Many American hospitals would close down.
Canadian wages are really high and they have universal health care.
@@4evahodlingdoge226 how are taxes?
I have a dear friend whose father is eighty years old. Her mother had been taking care of him by herself for years and can't do it anymore. They have gone to Medicaid, Medicare, and various social services and have been told he doesn't qualify. He is on Social Security and his income is too high, She is dead set AGAINST Universal Healthcare and then complains because her parents can't get the help they need.
Thanks Dr. Greg for this video and picking up this type of topic.
I would like to ask about the rang of the services covered through the UHC ?
Thanks for the question Kahtan - its a big question - let me give it some thought and get back to you (I'll try to find a succinct way of capturing the range of services). ]
Very informative.
Marvelous work! The video is brilliant and provides all the necessary information. I like this site. Thanks for sharing this useful post. Thanks for the effective information.
Glad it was helpful! You are welcome
We are all together in this world, breathing, as it were, as one, for each and every life affects those immediately and in the far reaches of the world. Universal Health Coverage (UHC) should be available to everyone.
Well said Janine!
Thief
How the hell does an enstranged college student afford health insurance? I work part-time study computer engineering. Don't qualify for Medicaid what do I do? Seriously other that leaving America.
Some colleges help with health insurance plans
College helps with insurance, or you can stay on your parents until age 26
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Dear Greg Martin,UHC--excellent Idea--this will reduce IMR and MMR--IN DEVELOPING COUNTRIES.ThanksDr.Gyanaranjan Padhy
Agree Dr Padhy!! Thanks for the comment.
It's a very insightful video. Thanks for posting!
Thanks Mitesh - glad you liked it. I'll be creating more shortly (so watch this space). happy day. :)
At 2:04 you mention another video covering the theory about why market-driven healthcare fails. Could you help me find it?
Hi there. I'm still in the thick of creating a video about market failure and health (will be out in the next few months I think). I have created a video about health economics that you might find helpful czcams.com/video/LZZ2gyYSbzI/video.html
John Norland......lol....80% of healthcare is controlled and regulated by the government, and 60% percent of Americans healthcare dollars are spent by the government. There is little to no “market” in healthcare. Lol. When America did have largely market healthcare it was the best in the world, and it was affordable to just about every family and charities did the rest, which there was a lot more of them.
2023 here and globally, universal health care is turning out to be a huge failure. bravo
What makes you say that exactly?
Still didn’t get it
*cough* Yea, but...what's in it for me? *cough cough*
hello Dr. Greg. hope to find you in the best of your health and moods.
iam Dr. Rafaina from pakistan. i am doing a presentation on this coming world health day. i need to ask for your consent to use some of your valuable words in my presentation.
waiting for your kind reply.
regards
Dear Rafaina - thanks for the message and please feel free to use any of this material for your presentation. I'm honoured that you'd consider doing so. Good luck with your presentation.
just got in a heated argument with my mom about universal healthcare and she just kept saying "I don't want to be paying for someone else who should just get a job and pay for it themselves!" it's so ridiculous how so many Americans especially Boomers who are so selfish and not open minded
My supervisor said work for it. I'm a enstranged college student studying computer engineering.. He's ignorant so to speak and probably on his parents health insurance. Lol I am working.
@Robert Heintze You should help your parents after they retire. They helped raise kids for the first 18 years of their lives. It is ungrateful and selfish for not helping them back?
Private healthcare would be unnecessary in a functioning public healthcare system where the workers are well paid and there is a functioning triage system.
Dude, where is the future video you promised me at 2:01?! I want my money back!
I rather be able to pick the best care than just be stuck with someone who may or may not be the best
Pack -A- Punch can you tho? Its not what i heard
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That is better than USA .
U.S.A. Uncle Sam's AmeriCare: healthcare where and when you need, Uncle Sam pays the bills - expanded, enhanced MedicareForAll ✌️👍
Catastrophic health expense can be simply avoided by; doing less dangerous things, and if terminal, french kissing a high-amp electric line...
Ha! Tell that to cancer and heart surgeries!
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Good morning i need to path
A family member of mine payed millions in taxes his whole adult life, but was denied the help he needed by the state when he got sick. He had to pay out of pocket to a hospital in America to save his life. Get the government out of the way, and everyone can afford good, private health care.
Hi Hoss, thanks for the comment. Personally, I would go the other way. Rely less on private health care (because healthcare markets fail, time and time again) and make access to healthcare something that the state ensures, for all citizens.
"Affordable" and "private" cannot be in the same sentence together. Especially because they are the ones deciding prices.
@@goosty17 Maybe it doesn't work too good in the US when it comes to prices and coverage, but in the Netherlands they have everyone covered by the state through insurance, while the whole system is privitized. So a lot like in the US, but cheaper and everyone is covered.
I had a chat with an old friend about healthcare in the US. *We were laughing about a Vietnam and Iraq veteran who had his prosthetic legs repossessed right before Christmas 2019, down in Alabama.* The irony of it all was why we couldn't stop laughing, it simply couldn't get any better. Here in the United States people are so ignorant, that those of us who *genuinely care* and wish well for others have morphed into disdainful observers. From anti-vaxxers, to flat-earthers, to liars, GoFundMe Heathcare beggars, we shake our heads and hate what we have become, but how can we save stupid people from their stupidity? Publicly founded medical research and vaccines take decades, yet some vehemently refuse to submit to vaccinations and are doing everything possible to support politicians who de-fund public health services.
So in other words you're anti American
@@Renovartio I think he’s saying people are stupid... or uneducated about this stuff
>Universal Health Coverage is about providing healthcare to people without pushing people into poverty.
in Ireland, they have universal health care and the 40% tax bracket starts at about $39k to pay for it.
So no more middle class... everyone is broke but gets to live miserably forever!
Wait, what does that mean? They pay 40 percent income and it costs 39k ? Idk how stuff works
Universal Health Care is necessary because it's a human right, as well as food, shelter and education.
And if I am urged to pay for an ambulance I didn't call, the contract is invalid.
So then why isn't Bernie Sanders preaching about universal food?
@@ledzeppelin1212 Because we already have food stamps.
@@ledzeppelin1212 Well, Americans can’t understand the concept of living without a form of money.
@@hiddenperson3696 True. Only poor people can truly understand what it's like to live without money.
How's the income tax in countries with this? Ohband if I don't want to I can't opt out huh? Yea, men with guns will come to my house and lock me away. So basically "give me your money or I will imprison you, resist and we will kill you."
We also don't have guns and no one is threateni
Universal healthcare will fail.. It took me three days just to get a call back time from the nearby health clinic in Sweden. If you call past 8am the call back times are booked, and if you miss the call you have to start over the next day at square one!
Better to wait a little than just being sent home for not having health insurance, or going bankrupt if your insurance doesn't cover all the costs.
@@branc2658 Definitely agree. I'd rather wait a few days than never getting the care I need or struggling with debt I can't pay.
@@penny4thought168 Question is.. how much worse will Swedish healthcare get? Calls only available on Thursdays before 8am? Call days only available a few times a month? The initial phone call is just the starting point, then there is wait time for seeing the primary doctor, then the specialist, then surgery if needed. Wait times for simple surgeries can be over a year. Waiting impacts health, subtle symptoms can become serious illness. These are things to observe with universal healthcare systems, it is not a flawless system and not everyone is adequately cared for. And it just appears to be getting worse.
@@laurenell1112 Again, people need to wait for non-dire situations. I have to do the same in the US. I had to wait 3 weeks to see my PCP about an ear infection.
I'd rather wait then be strapped with debt I can't pay. When I was 18, I was strapped with medical debt. I was barely an adult. I was only working a part time job while attending college. I'm still trying to pay off my debt today.
Not everyone has rich parents that can cover their asses and give them money. Not everyone has the time to work a job. What do you want be to do, throw out all the money I paid for tuition while I get a full time job for years to pay for the medical debt but the student loan debt I have now?
I'd much rather wait then be in a financial crisis right after I became an adult.
@@laurenell1112 i can't believe that all Swedish people have to wait an year to be seen by a doctor.
In the mean time in the US your health can be seriously damaged by a bill of 3000 dollars only for an ambulance's call, or thousands of dollars for a surgery, exams or even for having a baby (your son's birth bill i's around 10.000 dollars and even if you want skin to skin contact with your newborn baby you have to pay 40 dollars)!
Markets work for iPhones? No universal cell service either despite having four national cell providers now becoming three with the merger of T-Mobile and Sprint. Pushing people like the Sacker family into bankruptcy? Couldn't happen to better bunch of healthcare providers. First they sold "Heroin in a pill" Oxycontin and then they profited form the down side by entering the addiction care market. All because capitalist government "leaders" at the FDA found Oxycontin as a safe and effective pain killer. Obliviously being dead means you feel no pain.
dude, there's little capitalism in our healthcare system, if there was capitalism it would be cheaper. There was more capitalism 50 years ago. because you could shop around. Hospitals keep gobbling up hospitals and less private practices are open. That's opposite.
@@jakeg3126 Once again like other supporters of capitalism when it does something anti social well that's not real capitalism with its free markets and non aggression principle. Markets are a source of violence otherwise you wouldn't need to bring in this non aggression principle. Capitalism brought all the recent great empires into existence. The English, The French and the American. None of theses Empires were possible without the capitalist class and the capitalist means and methods of production.
@@kimobrien. we're having the Carnegie Rockefeller Debate. This Universal Socialized Healthcare Model this guy is talking about says lets put our trust into letting the government make the best decisions for us and they know how to spend our money on healthcare better than we do. Then they can fix prices on stuff, control how much doctors make. They can choose how many beds, what machines each hospital gets and types of treatments possible. Although some countries have ownership of hospitals and equipment belongs to people and government just controls prices. If you had 5 companies competing to get your business your more likely to get a better deal. wouldn't you rather have a pick of what car you buy? maybe you'd rather save money and not pay for some stuff, and someone else wants that but not the other. If its harder to get a buyer for your service they got to lower it to get paid. Government doesnt care because they know how to spend your tax dollars best
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@@jakeg3126 That's because the government is a capitalist one where government can't help as the elected President Reagan explained and the workers healthcare is an overhead cost on the books if paid to private insurance or public insurance of the capitalist bosses meaning it cuts into profits. The idea that a market for healthcare would be an improvement is essentially saying by adding additional social costs you can win the health care lottery. It's no different than shifting the tax burden from the rich to the poor with the state lottery.
You are ignorant about the repercussions of UHC for the economy. I suggest you do an austrian economics 101 course to begin with.
California’s GDP is 5x bigger than Sweden. Why don’t they do Universal Health Care???? If it is so perfect, let them Canary… if it works, awesome I’ll pay -$500 and it will be adopted on the federal level…
Too much federal involvement Medicare, Medicaid
There is no such thing as single payer, there is collective payer.....where everyone pays (via taxes) and some receive more than they pay and most receive less than they pay!
Boomers: sOcIaLiSm
Based boomers. They are correct
Healthcare markets fail because there is no competition!
A small Caribbean Island, Cuba, shows that you can have an excellent healthcare system despite being blockaded by the US. A large country China is showing what happens when capitalism becomes the way you do things. They have plenty of half build abandoned buildings while neglecting healthcare. DCP is just a liberal excuse for capitalist under development. Its just Liberal and Conservative Bosses arguing over how much healthcare should be provided to the poor when many of the rich hire Doctors like they hire maids or a butler. The US puts limits on the number of doctors trained while having an unlimited number of engineers educated. Engineers are required to cut labor costs while medicine is a luxury for workers who's death means another worker who can be easily replaced from the army of the unemployed.
surely you are a Cuban
@@pionieresvizzero2224 It obvious to anyone who looks at the facts behind how healthcare systems operate.
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If doctors were allowed to compete in USA ,us healthcare will be the cheapest in the world. Mastectomy cost anywhere from 2000 to 10000 dollars in Miami. Why do some insurance companies pay 10000 while others pay 2000 for same procedure done by similar certified surgeon? No competition!
Imagine a world of cost vs value.
I don't want taxes to increase. I can't save any money as is. I don't want to have to take care of everyone. I can't feed myself. What is health insurance to a hungry man?
health insurance IS paying for other people. every monthly premium you pay without going to the doctor, the insurance company uses on someone else. you're always paying for someone else.
Umm, the healthcare you currently pay for is more expensive than universal healthcare. You do realise that surgery can cost $200000, right? Last time I checked, that’s way more expensive than slightly increasing taxes. Also universal healthcare wouldn’t even need to increase taxes. A simple solution is to just cut corporate subsidies, I mean 1/2 of your taxes go to paying multi-billion dollar corporations.
@@spaghettimeatballs6352 What’s your opinion on high school and colleges teaching chemistry?
@@RALAN-cm4vi What’s your opinion on high school and colleges teaching chemistry?
@@redredred8408 i dont see a problem with it. do you see a problem with it?
american" immigrants"are told that universal healthcare is communist. ... that fine by me communism "ROCKS" even in the uk and europe and the normal world
A lot of Americans have a problem with the concept of UHC because they don’t believe in collectivist ideology. They believe people are individuals who should have every option open to them and not just what the government bureaucrats approve of, they don’t believe people are cogs in a wheel like Marxists do.
In my opinion, UHC/Single payer and American healthcare (as it currently is) both have big problems, so trading one for the other isn’t a real solution. There are many different options and directions we could go to improve what we have without giving control of our healthcare decisions to a bunch of bureaucrats who couldn’t give a rats ass about your specific circumstances. The idiots who push these policies are just ideologues who are more interested in forwarding their ideology than what’s best for individual people. These are the same idiots that believe in MMT. The fact is most Americans are very satisfied with the level of care they get from their health insurance plans, and because of the little bit of freedom America still has left in its healthcare system 75% of all medical innovation comes out of America. When people get really sick they come to America. That’s the standard! Not BS collectivism!
1) universal health and public health are not synonyms, here in Switzerland health is managed through insurance but everyone is guaranteed coverage, even to the poorest, in america or pay or die.
2) For old Americans, the Medicare collectivist program doesn't suck too much.
3) Freedom of choice is illusory if you can only take care of yourself where your insurance wants and you cannot change your insurance when you get sick.
4) even in countries where there is public health you can choose the family doctor and private health costs little because it must keep up with the competition with public health.
5) associating public health with Marxism is only the result of propaganda, in Europe we do not make these stupid connections.
6) In the US, the army and the police are "socialized", no one has ever complained about this.
Pioniere Svizzero
1) guaranteed “coverage” does not equate to care, because it’s a fact under government healthcare bureaucrats decide if you live or die. No one in America is denied if they have insurance to cover it. Even if people don’t have insurance there are lots of other options like charities and organizations, go fund me, and payment plans, etc.. There are a lot of generous people in the US unlike Europe.
2) “doesn’t suck too much” isn’t a shinning endorsement!
3) I’m not defending how the American health insurance system is currently set up. It would be a lot better if health insurance was a free market. Unfortunately, it isn’t! There are a thousand controls and regulations on health insurance that keep insurance prices high. You can’t buy across state lines, employer sponsored insurance has limited options, government makes it nearly impossible for entrepreneurs to start a hospital or insurance company, and the AMA limits how many doctors are certified every year, etc.. So its not as free as it could be, but we still have more freedom of choice by far than total government controlled healthcare. Of course insurance plans don’t cover everything, but I can choose what options I want. Insurance isn’t a healthcare piggy bank dumbass. That’s not the purpose of insurance. You don’t wait until your house burns down before you get fire insurance. So yeah, it’s not gonna cover every situation, that’s why you need to make smart choices about the type of plan you get. But the important thing is YOU get to choose. In single payer healthcare the government chooses what care you receive and how much, and when they think the cost/benefit is not worth it to THEM you are shit out of luck no matter how much money you come up with. The one who pays get to make the decisions. Well I’d rather it be me! So would most of Americans evidently, because when people realize their health insurance will be gone with single payer the support for it drops into the gutter.
4) that’s not the case in some places. And the government doesn’t create competition. The government monopolizes. FYI, there is no such thing as “free”. Someone always pays. The government doesn’t have money, they only have the money they steal from you. Maybe you’re fine with them stealing 60% of your blood, sweat, effort, and time away from your family, but a lot of Americans are not.
5) You may not think UHC is Marxism because you’re brainwashed into collectivist thought, but it is.
6) The military and the justice system are part of the LIMITED legitimate constitutional duties of the US government. Forcing everyone to hand over the responsibility of their healthcare decisions to the government isn’t. Which they are forced to pay for whether they need it or not or want it. Some people don’t want to pay for healthcare insurance because they would rather use that money for something else. That’s their choice and they should be the only one who bares the consequences of that decision. Other people shouldn’t have to pay for them. It’s called responsibility! I know being from Switzerland that may be a foreign concept.
Conclusion: You don’t know shit about America. Lol.
@@pionieresvizzero2224 6) 👍👊
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Sir, I am sorry but you know very little about healthcare in USA.
Being pitched better