Would Universal Healthcare Really Work in the U.S.?
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- čas přidán 21. 01. 2020
- Pretty much every rich, developed nation on the planet has universal healthcare, EXCEPT for the U.S. Should we join them, or does our current healthcare system have advantages that we don’t want to lose?
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**How does healthcare work in the U.S.?
In the U.S., how you want to pay for healthcare is entirely up to you, as long as you have the money. Most people choose to buy health insurance. If you’re low income or over 65, you can get it from the government, but pretty much everyone else has to buy it from companies. You pay a set amount of money every month, and in return, the insurance company pays for most of your medical bills if you get sick or hurt. You can also choose to NOT buy insurance. If you’re young and healthy and never have to go to a doctor or a hospital, you’re gonna save money. But you’re at risk for paying a LOT of money if you DO have a medical emergency, like a car wreck or falling off your bike and breaking your arm. So, it’s a gamble.
*So how does universal healthcare work?*
There are a BUNCH of different ways to get universal healthcare, and every country does it a little bit differently. There’s SOCIALIZED MEDICINE, where the government owns the hospitals, and the doctors and nurses are government employees. There is SINGLE-PAYER, where doctors and hospitals are private businesses, but there is almost no private insurance. Instead, the government provides health insurance for everyone. It can also work with PRIVATE INSURANCE, where people buy it from companies, but it’s HEAVILY regulated by the government, which REQUIRES everyone to have health insurance.
*What are the pros with universal healthcare?*
With universal healthcare, everyone is covered, your insurance isn’t tied to your job, and it would cost less
*What are the cons?*
Taxes would likely go up to pay for it, the quality of care might change, and the individual would have less choice.
SOURCES:
Single payer healthcare: Pluses, minuses, and what it means for you (Harvard Health Publishing)
www.health.harvard.edu/blog/s...
The Virtues and Vices of Single-Payer Health Care (New England Journal of Medicine)
mfprac.com/web2019/07literatu...
International Health Care System Profiles (The Commonwealth Fund)
international.commonwealthfun...
The Case Against Single-Payer Health Care (reason.com)
reason.com/2018/11/14/the-cas...
Why Single-Payer Would Make Health Care Worse for Americans (The Heritage Foundation)
www.heritage.org/health-care-...
Medical Bankruptcy: Still Common Despite the Affordable Care Act (American Journal of Public Health)
ajph.aphapublications.org/doi...
How do US taxes compare internationally? (Tax Policy Center)
www.taxpolicycenter.org/brief...
Health at a Glance: OECD Indicators (OECD)
www.oecd-ilibrary.org/docserv...
Health System Tracker (Peterson-Kaiser Family Foundation)
www.healthsystemtracker.org/c...
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Wait a minute a CZcams channel that talks about American political issues without a clear bias?? Omg amazing!
Of course it has bias, it does not mention that either the UK or Canada have long waiting lines, in fact the NHS in the UK is so financially strapped for resources that a private system has emerged as a result, so now they have 2 systems, because the public can't cope with the demand
@@thomasjust2663 He did mention the wait: Literally months for a surgery.
@@thomasjust2663 I have a co-worker who is from Canada and she says that her parents have never had a problem with getting the healthcare they need. At most, a week long wait. I think it’s the expectation that it should all be immediate. Also, we are actually subsidizing their healthcare. How? Because most of them have a cap on how much they will pay for things but the companies are ok with it because they make us pay the difference. I did my nursing research paper on the pros and cons of Universal healthcare.
@@thomasjust2663 he said CLEAR bias everyone is biased to some extent he was much fairer and he did mention the wait
@@sandywright-leonard5238 czcams.com/video/ZVOV3sU8Ays/video.html
I'm astounded that you were able to not revert to and political biases while making this video. Well-rounded assessment of the pros and cons. Great work!
Thank you! We try!
Above The Noise if I was a rich guy I would be donating thousands to this channel cause this was one of the few video have watched that felt like a PowerPoint of a teacher and not a PowerPoint from a commentator or podcast
Pro : Universal Healthcare...Con : Not having Universal healthcare
@@DarkMustard1337 so true. Everyone with Universal healthcare...prefer it to the CF that is American healthcare.
Thats cuz this shouldn't be a political issue, it is a Human issue.
The thing is that here in the States even if you pay for your health insurance they do everything they possible can to not cover you. It is like one of those bad friends, you are always there for them, but they are no where to be found when you need them the most.
Ya our healthcare is horrible quality in Canada. It's the middle men that are the issue, for us it's politicians, for you it's insurance companies. It's designed to be like this if you look at who lobbies government it's insurance companies big pharma, hospitals, all to screw the patient, for profit. So whoever has the money has the power which is why free markets work
@@bigshoots1181 Nah, I moved to Texas from Canada a few years ago. There's no improvement in quality here. It's just administered differently. Still have long wait times here at times and you pay, pay, pay for everything.
@@bukka6697 America is not free market
@@bigshoots1181 Of course it is. It's free market to the extreme: whatever the market will bear is what you will be charged. There's no humanity in the decisions regarding healthcare here, it's all about how much money can be made. It's a free market economy run amok.
@@bukka6697 it's the farthest thing from free market, a quick Google search will prove you wrong.
“It’s 3AM and you are wide awake”
Me: *looks at clock* Whoops...
The downvotes must be from insurance companies. This video is very informative
Lerkero thanks for watching and glad you found it informative!
Downvotes? This isn't reddit
@@Drikkerbadevand I’d rather wait months than not be able to afford getting it at all
And the government should regulate of drug prices.
czcams.com/video/7DhJ73JuWJY/video.html
In 2015, I had a brain aneurysm rupture at the old age of 27. I was in perfect health (just ran a marathon). The total amount billed was over $7.2M. I'm lucky I had really good health insurance from my work. Medical debt is the leading cause of bankruptcy here in the US. Please vote 💚
Oh my goodness! Glad to hear you're OK now!
@@AboveTheNoise Probably would have ended very tragically if they didn't have insurance.
@@ryanschenk2946 Absolutely. Or they'd be in some SERIOUS debt!
God bless 🙏🏾
@@AboveTheNoise, thanks! 1 in 50 people is walking around with an unruptured brain aneurysm 💚
Good overview, touching on the main issues with reasonable fairness and accuracy. Good job.
Thank you!
@@AboveTheNoise Would you like to move out of the USA due to healthcare?
See, this is a great comprehensive explanatory video on how Universal Healthcare may or may not be better than what we have here in America already. It is NOT saying: "GOP is against the American people", or "Capitalism is bad, socialism is good for healthcare", or "Trump is the cause of why medicare is so expensive!". This video just compares and contrasts, no bias or anything 👍
Trump is the cause of Trump. His actions speak volumes.
Sean Jones are you tone deaf, healthcare has been bad for decades, not because of Trump.
Free healthcare is not free at all, you will pay more in taxes more than if you would just pay it yourself or buy insurance.
Curtis Webber did you even watch the video that’s not true the taxes will cost less than the procedures
Vorschweißflansch has he said it’s great? I haven’t heard anything other than Obamacare and I tend to agree with him Obamacare hasn’t helped much and is ineffective.
You forgot to add the cost of health insurance when you compared the taxes. That would show that Americans already pay more.
It totally depends. If I have good health insurance from my job -- for example -- I'm actually not paying all that much out of pocket. If we then switched to universal healthcare and I lost my employer insurance, I could very well be paying MORE in taxes compared to what I'm paying NOW for taxes and private insurance.
@@AboveTheNoise Of course you are paying. It's part of your pay. That payment of insurance is part of your pay. If your employer didn't pay it to insurance you would get it.
@@Submanca Not sure I'm following you. I'm just saying that if you compare health insurance + taxes in America to countries with universal healthcare where its ALL taxes, you can't say EVERY American pays more. You can't say EVERY American pays less. It totally depends, and that's why there is so much debate about it!
@@AboveTheNoise The point is your employer doesn't pay their portion out of the goodness of their hearts. It's part of your compensation. Your cost to the employer is your pay + whatever benefits (health or otherwise) they pay a part of. Assuming your overall compensation stays the same, that money you now pay in taxes would go towards other parts of your compensation, either other benefits (gym memberships, whatever) or gross pay.
@@joewwilliams I'm not so sure. I don't think you can take it for a given that a company that no longer offers health insurance would just hand that money over to you! I don't have that much faith in companies!
I’m shook. Such class, understanding, smoothness, and fairness in this presentation. I’m subbed, this was an amazing video and really showed how nuanced this question could be, for better or worse. The way you evaluated both ends of the argument was really top notch!
That comment just made our day! Week, maybe. Heck, that will keep us smiling for a good while. Thank you!
Yes it is worth it because if you would ask any one from countries with socialized medicine to move and adopt the US model they would laugh at your face. It may be a simple explanation but it is very telling. Also to rebut the less freedom of choice argument, if the doctor you want to go to is not in network for your insurance then you can’t go to them. In socialized systems you can go to any doctor you want because they are all in network. Now that is true freedom of choice.
It is telling that no country has gone from universal healthcare to something else!
I dont know how the other countries free healthcare works, but in Brazil, where we have an universal healthcare system, you can't just walk in at any public hospital or clinic and choose your doctor. I believe that is also true in other countries. Because the healthcare system is so heavily regulated by the goverment, you have a lot of steps you have to go through in order to maintain order. You usually have a primary care physician thats responsible for your city region. Then he gets you a form authorizing your transfer to a more complex facility or authorizing complementary exams (such as CT scans, X rays, blood tests etc) that you then have to go to either a public laboratory (often crowded and criticized for overworked employees that treat you badly in a hurry) and a private lab that has some sort of goverment partnership. You get what im saying?
It is kinda frustrating at times because if you are unsatisfied with what the government assigns you then you have to pay for a private treatment anyway since the public system has lots of steps you HAVE to go through. Sure, if you walk in at a public hospital literally dying, fainting, having a heart attack etc you are legally obligated to be taken care of. That it awesome! But if you're in for elective exams or treatments (conditions that are not life threatening such as chronic joint/back pains etc) that needs specific exams or procedures, get ready for months/years of paperwork, pre-consults and waiting for your name to be the next one on the huge list.
Source: I am a physician that works in the brazilian primary healthcare. Also, I actually like it. It brings me joy being able to help people in need without billing them. But i need to expose its downsides too.
Many of these comments assume a government run system as opposed to a Medicare model.
You cannot go to any doctor you want in Sweden, you go to the doctor that is available. Often times the doctor is different because doctors are always coming and going. Many Swedes are opting to pay for privatized insurance (on top of the universal insurance they are already paying for) so they can have more selection with healthcare providers and faster service. Simply settling with the state healthcare often means less selection with healthcare providers and longer wait times.
but there is record proof of people leaving those countries to USA because the hospitals had long waiting times less efficiency and less quality also there are also less options for vision and dental.
In Sweden we ha universal health care - but, boy, you will have to waaaaaaait a looooong time for treatment. Sometimes even when you rush to hospital with an ambulance. The system costs a lot - so the Government can not afford to hire more staff. You could say that the health care system is universal - but only on paper.
Patrik Tikkanen exactly I got sick one time and we decided to go to a public hospital that offers free health care but the line was so long and after waiting for an hour I just decided to leave and just go to private hospital instead and even if it’s an emergency you still have to wait a long time cause there still a lot pf people
Ethan Weeter no you pay out of pocket for that private healthcare. So it’s taken out of your check whether you use it or not. Then if you want fast or quality service you get to pay again.
And are your surgeons multi-millionaires making 500K or more a year?
, No, they are not.
@@TikkanenP They are here.
There's a lot to cover here so they won't be able to cover everything, give em a break people. They did a lot of work and a really great job given the amount of time they have. Great job above the noise workers! And your host is really great, everything he says just seems so relaxed and natural, like he's just having a real conversation with us. Congrats
Thanks for the positive feedback! We feel pretty lucky to have Myles as our host.
@@AboveTheNoise seriously though...you missed the mark by a lot. Hence the majority feedback.
The qaulity of care argument against universal healthcare isn't valid, in a country like this one (Australia) we have universal healthcare, everyone is covered, but at the same time those who wish to pay for private healthcare with better qaulity of service simply do so.
just because we have universal healthcare doesn't mean there isn't private healthcare. Everyone is satisfied and taken care of.
The problem with such a system is that it can very easily become two tiered. In Canada, private healthcare is basically only available for the super rich. If the poor and middle class want the privatized, better healthcare (because they already have to pay for universal healthcare thru taxes) they essentially have to pay for two separate insurance plans. The key is to make one system that works for everyone and that is best done by having a private healthcare system with subsidies for low income earners AKA what America already has
@@xenomorphbiologist-xx1214you’ve got to be kidding! 😂 it’s already like that in America. The rich and super wealthy get the best care because they can afford it and the poor and homeless get shitty care or none at all. My mom has the government subsidized insurance you’re talking about, it literally only covers one annual check up and one dental cleaning everything else she’s on her own. I have insurance through my employer which costs $200 a month, my monthly medications come out to $180 a month, I see specialist 3 times a month that’s another $200 and once a year I have to get a round of infusions for my lupus that my amazing insurance refuses to pay for which costs $6.5k, I have medical debt galore!
@@Lighthouse6104 Agreed. That’s why I think a system like Switzerland works the best because the private care is the only tier and if u can’t afford it the government will subsidize it. The US is definitely not the ideal model
@@xenomorphbiologist-xx1214that is not how the system in switzerland works. Yes everybody has private insurance, but all private insurances only pay for basic care. If you want for example choose your doctor or hospital or get special treatments, you need a additional insurance. When you want the best healthcare in switzerland you end up with 3 or more health insurances, like in patient care insurance, dental insurance, out patient insurance, long term care insurance.
The swiss system is definitely a two tier health care system. There will always be hospitals and doctors who are better than others, and therefore charge more which your insurance doesn‘t cover.
The cost of for example a knee surgery is regulated, so every hospital charges the same and the private health insurance only pays the amount the government legally defined, but if you want to pick for example the surgeon, then the hospitals starts charging you extra and that can be in the ten thousands. Not every patient can be treated by the chief of medicine or in the most prestigious hospitals, so it will always be a two tier system.
Man i just love how fair an unbiased this series is! Totally subscribing
Yay! We are so glad you are joining our community of subs!
Any discussion of the cost of taxes for healthcare should compare that cost against the cost of private insurance.
Indeed. Unfortunately, private insurance varies so widely that there isn't one number you can settle on. Private insurance can be you, as an individual, buying your own plan, or it can be a rich tech company offering a top-tier gold plan to it's employees with little out of pocket costs. So it's REALLY hard to do this kind of comparison, and that's why everyone argues about the cost of something like Medicare-for-all as it compares to what we have now.
@@AboveTheNoise sanders Medicare for all plan would be payed for by taxing all taxpayers on all income after 24k at 4%. With the median income of 59039, the average American would be spending $1402 a year in taxes. The median health insurance premium for an individual is $440 a month, or $5280 a year. For a normal American, that saves $3738 a year. This number is almost 5 times greater for families
@@cheybat5390 Sounds good to me! What does it cover? How much are we paying doctors and hospitals? The same? Less? What if the amount of money that additional tax revenue brings in doesn't cover what we need it to cover? Do we raise taxes the next year? Take that money from another government program?
@@AboveTheNoise Shouldn't you have figured all of that out before publishing this video. The Sanders Medicare for all bill is publicly available and it outlined the answers to all of the questions you just posed.
@@AboveTheNoise all things and Completely unrelated to health insurance. That's completely unlikely and absurd lmao.
Love how Universal Health Care only seems to be a "controversial issue" if you live in the good ol' U.S of A..! 😔
I don't know. These other systems seem pretty complicated, too! I had to research them all!
@@AboveTheNoise Poor you..! 😜
And yet I never hear the same fundemental debate from Euopeans, on the net or on the news for instance, like you do in the US! There just is no controversy over the concept that essentially people should have access to free health care, if not a right to it. Sure, there may be grumbles over the decision of how much funding is spent on the system, but arguing - in basic conceptual terms - in favor of revoking their universal health care, let alone replacing it with a private system like they have in the US? It would be political suicide.
@@somecuriosities Totally. It's really telling that ZERO countries with universal healthcare have made the decision to STOP offering it and move to a system that the U.S. has.
@@AboveTheNoise It doesn't have to be complicated, you can have the best of both worlds. In Brazil, we do have universal health care, which has several problems (as you cited), but it isn't mandatory. One can simply pay for private health insurance and deduct the amount you paid from your annual taxes. It's simple and you can offer health care to the poorest part of population whereas the weathier people pay for better treatments
It's not as simple as allowing the government to take over health care and everything will be fine and dandy. Let's not pretend America doesn't lead the world in actual HEALTH CARE. I'm talking skilled doctors, cutting-edge medical treatments and technologies, timely care, etc. No other countries rival the United States. You'll never see a guy from Texas go to Canada or Finland for a medical procedure.
Wow! I’m really impressed. This was awesome! I love how unbiased it was, and how accurate it was across the whole video.
Thank you!!! Your videos explain so many issues in a way that is very clear, concise, down to earth, unbiased and straight forward. I really do appreciate what you contribute here through youtube and this channel.
We appreciate you watching and leaving this encouraging feedback. Thank you!
I love this video because it just lays out the information for each individual to make their own decision
As a Canadian I am satisfied with my health care although it would be nice if it covered dental and vision care. The tiny portion of my income tax that goes toward it is balanced easily by the fact that I have no premiums and no copay for doctor or hospital visits. Heart surgery would cost me no more than a broken arm would. If I lose my job or am unable to work I do not lose my health care. Prescriptions for children, the elderly and those with on social assistance or disability are covered.
I have US high deductible insurance, $150 a month, plus pay $400 for every doctor visit and pay hundreds for every test until I spend $6600. Only then will insurance start to cover things.
@@TowerofAboveandBelow So, unless your revenue is in the 150 000$ range, you are paying 2-3 times more than a person in Canada with that salary is paying through taxes.
@@TowerofAboveandBelow Wow! That sucks. Imagine paying a smaller premium and getting unlimited doctors visits with no deductible or co-pay. That’s what we have in Canada.
@@bcreason That would be great.
@@TowerofAboveandBelow and even after paying $6000 out of pocket.. insurance usually doesn’t cover 100% of subsequent costs until you meet your out of pocket maximum, which can also vary lol
Subscribed for the great effort in getting both sides of the aisles. I hope you get more content like this out.
I do wish you had time to discuss the logistics issue that exists in the US (getting access to rural communities with little access to public transport).
You should do a video on Prepaid Physician Groups and the history of health insurance in USA.
Very well done, I love that it actually seems like you argued well for both cases and included expert information. Thank you!
This is an incredible video! It does not just say that we need universal health care. It also mentions the pros and cons!!! Amazing channel for someone who is moderate. Subscribed!
Phenomenal video, very well put and I appreciate you objectively looking at tough questions. Just got a new subscriber!
Thank you so much! We are glad you are now part of our community here.
Really good video, well thought out, and unbiased. Touched on all the main points without pushing an agenda. Good job!
That's what we aim to do for every video. Thanks!
Great video! I think I understand this topic a little better now. Loved how it was so unbiased
The only argument is focused on costs. No one ever mentions the quality of care or the choices people have to choose their doctors. Not to mention the waits to even get an appointment.
@Nicole Adenegha not my experience. I have multiple life long medical conditions and the nhs has been fantastic. I really don’t give a shit if I wait a few weeks for a non urgent appt because I have always had same day care when I have needed it. Cost has never been mentioned . When I had a seizure in the middle of the night I had a dr arrive on a motorbike within a few minutes ( we live in a rural area) . An ambulance arrived a few minutes later. Before morning I had been assessed by a consultant, had had a cat scan and a lumber puncture. When I broke my wrist, I was triaged within a few minutes but then waited 4 hours to be plastered. The U.K. NHS is not first come first served. The sicker people get served first. Ectopic pregnancy... ambulance, assessment, straight to the operating theatre. Could not have been better.
@@courgette3401 Yeah people complain about wait times but I'm assuming it really only depends. It's not exactly that bad to wait if it's not something urgent that needs to be taken care of right away.
there are no wait times for emergency care. If its life threatening its treated immediately. If its not...yeah you may have to wait.
Im in Australia and its brilliant. I can decline a doctor if I want and my local GP Ive been going to for the last 20 years.
@@jellybee68 So I was right then?
@@JackFoxtrotEDM Yes :-)
This video is well appreciated. Will be a big help at the next Thanksgiving dinner when I have to explain a non bias moderate perspective. Great channel 👍
Glad you find it useful! We try.
Painting a photo of Disaster at any dinner table. Love 💘 it!
The problem is is that Americans want to have timely appointments up to date technology and the best doctors around unfortunately it costs money and I think Americans believe that if we had universal healthcare quality and motivation would go down
I’ve had state healthcare in Oregon for over 3 years now, and it’s been pretty great; prescriptions, office visits, specialist visits (including mental health) and some dental work have all been free. But I’m about to start a big kid job with benefits which will require me to pay for my healthcare again. The question in the video title leads to a enormously complex answer, but I do wonder how it’d play out if the country’s healthcare system was like Oregon’s. With all the wealth in this country it seems that no one should go uncovered.
I live Oregon I don’t have health care insurance;( what insurance did U get
Brian Morales Oregon health plan
Oregon's Medicaid program.?
That's right. We are the richest country in the world and some of our poorest citizens cannot afford healthcare and never will be able to. Look what covid is doing now!
@@karlabritfeld7104 We are not the richest country in the world
The one main reason I can’t afford to live in the US, my cobra payment was $600 a month, now it will be $1400. I had to quit my unstable job and retired early at 62. I had a bad foot infection and had to go to a hospital in Chiang Mai, in and out in 45 minutes, excellent and efficient care. My bill for ER, Doctor, Meds was 930 baht , around $31 dollars. I used to work in a hospital for 28 years. We are short staffed much of the time, our administration cut support staff to bare bones, also don’t get sick on The Weekends, because we are severely short staffed.. hospitals are just another big corporation , profit and cutting labor costs
I'm liking these recent videos before the election. It'll be my first time voting this election so these videos help me understand what the major problems are in the U.S and understanding what each candidate running for President will do about it.
Anyways I think Universal Healthcare would be the way to go. Yeah it would be more expensive, but atleast everyone will have coverage and can go get treatment. That treatment could be for big illnesses spotted in it's earlier stages. And for people wanting higher quality of care, they can get private insurance instead. I'm kinda ignorant to this topic so maybe there's some information I should know about that I'm missing with my thoughts.
Thanks for watching! We're stoked that you're getting informed before you cast your ballot for the first time!
A problem with that that I've heard is that since we have to pay higher taxes for the universal healthcare, low and middle class Americans won't be able to afford private insurance on top of it, only the wealthy would
@@saltyspooner1770 exactly. Taxes will be higher on all classes to pay for universal health care. And then, the "middle class" will most likely want their own private insurance provides, so they would be paying double.
I mean, I think it would be much more expensive than you think. To put it to perspective, the UK has universal healthcare. Their population is 67 million people. Canada also has this healthcare, with a population of 37 million. The United States has a population of 370 million people (if I am correct). That’s MUCH more people payed for (obviously) than in either of those countries. Supply and demand in the US are drastically different than in the UK or Canada.
That would be bad, it’s not about being covered it’s about quality, we should have Swiss or Dutch healthcare system, there’s is private and everyone is insured, it’s threat quality, efficient, and affordable.
i really liked that you did a fair pro and con, that people could see both sides without bias. :)
-- thank you! We aim for showing different perspectives.
Bias isn't always bias by definition...generally speaking left wing politics are based off facts and science so being on the side for the right policies already has a pre built bias.
@@AboveTheNoise Why are you teaching different perspectives...this is one issue no one should be on the fence about...neutral takes on such things is a tad irresponsible.
@@DarkMustard1337 it's a fine line between pro/con debate and false equivalence -- that's true. We are very careful to only select topics where there are strong arguments on both sides of a controversial issue, and by "strong" we mean based on data-driven, peer-reviewed evidence. If that's really not happening on one side of a debate, but there are very strong * feelings* and moral objections to an issue, we will still present those perspectives but point out where they lack real evidence to support their view. We really want to push our viewers to think critically about the misinformation out there AND the persuasive arguments and decide for themselves what makes sense.
@@DarkMustard1337 how can you say left wing politcs are based on facts and right wing is not bias. That's literally the definition of bias.
thank you for the good information im doing a research project on this it really helped. :)
Excellent info delivered with precision and grace. Thank you, Miles
I am canadian waited for over a year to remove my gallbladder. Of course if it was life threatening it would have happened immediately but I just had bad acid reflux that in the end turned to be calcifying gallbladder. Well I still think it's better to have it in Canada free and never worry about bills.
So if it was life-threatening you wouldn't mind anyway because it's free?
@@peakhelliw1509if it was life threatening they would have operated immediately!
I love this. It speaks out for both sides on the major points they argue about.
super informative, not bias, and im able to see both sides of the argument. awesome video
some arguments are invalid though - the choice argument for example is 💩 - you can have choice as a medical doctor - knowing your 💩, but then you would probably not need help in the first place - this is known as Information asymmetry in economics.
great video. Thoughtful and informative. US' health care issue really stems from its lack of transparency. Our service is 2nd to none, however there is no other industry where you have no clue what the cost is until afterwards. Then a few months later they send you an obnoxiously inflated bill which you are negotiate down, like 80%, to the real bill.
My car mechanic always tells me he will have to look at it before he gives me price.
How does this guy not have at least 1 million followers? Underrated channel for sure. Great video!
We ask ourselves this question on the regular. Thanks for the compliment!
To all the fiscal conservatives out there, our government spends 40k PER PERSON per year on health care. Countries like Germany and the UK? They spend about 10-15k. If you care so much about reducing the deficit, why aren't you on board with this?
Very ballanced pros and cons at the end. Thank you 🙏
This was a very fair video that points out all flaws in both of the healthcare systems. Not bias, just spitting facts. Love it!
You left out wait times. It can take 3 months in some cases to get tests and life saving treatments in other countries
sure, thats 💩
if your condition is in critical state you get to go first, if it can wait it will wait.
any amount of money should not decide who gets to live and who does not.
@@nescius2 and the government shouldn't make the choice on if I can live or not
@@peakhelliw1509 then you should have studied very hard to became a doctor of everything.
@@peakhelliw1509 So you would have insurance company executives make that choice instead? Those executives only answer to the shareholders, not to you.
In which countries and what kind of treatments? Source?
Doing a paper on universal health care vs private health insurance and as an individuals where do we stand... wasn't sure at first how clear i was on my decision. however watching this video helped me make up my mind. thank you so much. keep the information coming!!!
That's great! Are you in high school or college? So glad our video was helpful.
Man this was a great video, gave the facts of the topic while staying non partisan!
Thank you, this helped me understand this topic a lot better. I think maybe universal could work in the US if maybe things like common illness, checkups or something that was self induced(?) (you get hurt or become sick because of something you intentionally did or something you did knowing there was a specific risk) you would pay payments over time or cash to be treated, but something you have no control over, like cancer or injury from an accident or disaster, etc. the government could cover.
My Aunt Died of Cancer in California and my Uncle had to Sell the House to Pay for the Medical 🏥 Bills. The United States Needs Universal Healthcare.
I'm so sorry to hear that. That's horrible.
in the U.K. I would have had an ambulance, an operation, got home. Had paid time off work . The only paperwork would have been telling the office my name and address when I got to hospital. Not a single penny would be paid at the time.
In Canada I had to pay for my ambulance ride - which I refused to pay for. Now I have a collection agency trying to collect the 90 dollars or whatever it cost. When I got discharged from the ER I had to pay for my prescription. I think the British do have something to be proud of in their NHS, however we Canadians have nothing to be proud of.
I like how you are looking at both sides. Good job.
Thanks for the explanation about usa healthcare. As international viewer, every time I ask about how usa healthcare works I only get confusing or people who try to defend the usa healthcare system. Now I have a better understanding of how usa healthcare works.
One of the biggest challenges to change is the affect on the US medical industry & jobs.
Right now the industry earns $$$ money for NNN patient hours/benefits. If the number of patients and or benefits increase then either the $$$ has to increase - will come out of somebody's pocket (the only place it can come from) or the $$$/NNN has to decrease (industry get payed less for more work). Increasing efficiency is just another way of stating the same thing. If they could have done this already, they would have and increases their profits. So, Universal Health Care in the US will almost certainly hurt the medical industry and/or increase the costs we pay. Since the industry has some substantial influence, my guess is we will pay or lose benefits (like the long waits for service you mentioned).
Another option is to stop underwriting the rest of the world's health care by allowing Medicare to negotiate drug prices and legalize re-import so we can buy drugs at the lowest international price rather than paying 10x the price in the US our neighbors pay in Canada. This would not be a total fix; but, reducing the cost of health care could free up some $$ to cover the uninsured.
Good video, but I'll go ahead and critique the cons of universal healthcare.
Taxes would likely increase:
- This is a manufactured issue in terms of framing the costs and payments towards a universal healthcare system. It's just as easy for me to adapt this narrative and say americans already pay an "individual tax", that is to say we already pay a certain amount of money (out of our checks or each month) to an institution to ensure we are covered for health insurance. Continuing this narrative, instead of paying money towards a private institution the money would then be paid towards an institution that has your interests at heart (ideally).
Quality of care might change:
- Yes, but that is reductionist in terms of the variations in quality care under the current system. As was already said numerous times throughout the video is that there are millions of Americans without care! So a change from no insurance to having insurance is a increase in quality. Moreover, you have to consider what types of insurance are available and to who. The quality of care is related to the insurance-- if you can afford better insurance, you can have more quality healthcare. Although, there are a lot of loopholes in which insurance companies can say you don't qualify because of preconditions (which won't necessarily happen under a universal system). Let alone the fact that the United states has some of the worst statistics in quality of healthcare such as mortality rates for giving birth.
Less choice for the individual:
- Again, this touches upon the issue being that healthcare coverage is widely variable across the country. There's not much of a choice when your insurance is tied to your work, whether you can afford insurance or not (as well as different types), or even if your insurance will pay for the care that you need.
Thanks for your thorough comment! I'll try to address your points
1. It really comes down to whether or not you'll pay more, regardless of where the money goes. If I currently pay $5,000 a year for my private insurance and $20,000 a year in taxes, that might be better than a universal system where I may not be paying private insurance, but my taxes are now $28,000 a year. In that situation, $3,000 a year MORE is coming out of my paycheck.
2. In a short video, we have to be reductionist some time! The style of healthcare a country has certainly can impact quality. And if America were to switch to a Medicare-for-all type system, there would be winners and losers. There are people right now that pay a lot of money for great health plans, and they might not want to give that up. For them, the quality of insurance would go DOWN, and so could their quality of care.
3. This can be true. But conservatives argue about changing the system to encourage MORE competition so there are MORE quality choices to choose from.
Re: quality of care
From the perspective of someone with no healthcare coverage, anything is better than nothing. From the perspective of anyone with quality healthcare now, it will likely result in a decrease in quality.
@@DrewLonmyPillow Absolutely. If you're part of the 9 percent that can't afford insurance, you're in a REALLY tough situation. The very idea that you could be in a situation where you don't have health insurance makes no sense to most Europeans!
@E KL also its not choice a lay person can make, in economics this is called Information asymmetry.
@E KL less choice thing..
what good is choice to decide between tested medical treatment and scam _alternative_ when one does not know how to recognise which one is the real thing?
I'm glad to see such a grounded take on the issue that doesn't result to straw manning and name calling. One thing I think we can all 100% agree on is, our current system is flawed, and it could be way better. How we make it better is up for debate, but as long as we agree something has to change, we can work something out.
Thanks for the video the first time I thought of this question was when I compared the populations of places that have it vs the US
You could pay for universal healthcare _and_ free (or subsidized) education if you paid even slightly less on the military. ¬_¬
The cons don't matter if you can't get any coverage. Any healthcare is better than none.
Good points!
- This isn’t even remotely true. If we spent the entire military budget on healthcare, we still wouldn’t have nearly enough to afford universal coverage.
@@nicolasleroux5302 ? Can you show me where you're getting those numbers from?
most of the spending goes to welfare and medicare.
That’s completely false and no evidence to back that up
I don’t think Americans will ever have universal healthcare even if they elected a democrat. It takes a lot of cooperation to create the kind of of healthcare bureaucracy needed and the will & cooperation needed for this effort doesn’t seem to be there in such a divided nation. The primary reason being that in the US healthcare is a commodity, not a benefit, and as a commodity a lot of money is being made by a lot of very powerful people. Big medical, big Pharma, and big insurance all make a ton of money from the current system and they will fight tooth and nail to defend their incomes and demonize all single payer healthcare regimes and people will believe them. In countries with single payer systems there is a big incentive to promote preventive medicine and healthy living in order to keep costs down, whereas in the US there is only lip service to these measures because there are zero dollars to be made from healthy people. The biggest problem with healthcare costs in the US is that they are expected to continue to rise. By 2030, 50% of the population is expected to be obese and 25% severely obese. Not a rosy picture but a great forecast for those who have a vested interest in the current state of affairs.
Thats why i have noticed Europeans looking slimmer
*coronavirus enters the chat*
I really appreciate the information provided in this video, you have done an excellent job presenting the issue objectively. The issue of universal healthcare has been the center of ongoing debate for decades and for good reason. The cost of healthcare in the United States is astonishing. As a medical student and a future physician, this does greatly concern me because I care about my patient’s wellbeing including their financial and mental wellbeing. My hope is that my generation will better understand and appreciate the impact of healthcare costs in the US, particularly my fellow healthcare workers. But, at the same time, I am concerned about the quality of healthcare if the United States does switch to a universal healthcare system. I have worked in clinical research with large companies such as Moderna and private healthcare system in this country is, in part, why they are constantly developing new drugs and treatments. Especially because they can patent the drug and dictate the cost for many years, so many companies only need to hit the jackpot on one or a few drugs to make a fortune. This system is obviously flawed, but it’s difficult to argue with its effectiveness in medical research and development. There is absolutely something to be said about medical research in other countries, especially in Europe because they do conduct excellent research and play a pivotal role in drug development and medical research, but I think we can all acknowledge that the United States are the global leaders in this particular arena.
As pointed out in this video, 27 million Americans do not have healthcare, an astonishing number. Most of the countries who critics compare our healthcare system to, hardly have double or triple that number of people in their entire population. For this reason, I really question how difficult it would be to implement a universal healthcare system in the United States. The only country with an even comparable population to the United states which has a solid universal healthcare system is Japan and from my understanding their healthcare workers don’t get paid very well at all. This would obviously be problematic in the United States because the housing market is egregiously expensive.
If you actually read this, bless your heart. it was for a school project.
Here in Brazil we have a very good system, but it's very bad administrated and very bad invested. But it's all people like me have, me and my family can't pay for private healthcare, and it is saving our lives.
Thanks for commenting from Brazil!
I don't understand how this is still a question. Universal healthcare costs less, is the same for everyone, usually still leaves people the choice to go to a private institute with their money if they want to... And about the fact that the government has a greater hold on health choices than people, let's remember that anti-vaxxers are a thing in the U.S. Maybe it's better that the government handles health rather than the uninformed citizen
Great points. The facts behind universal healthcare are VERY strong. I think the U.S. just has a very strong anti-government streak. Maybe people would be more receptive to a Switzerland-style universal healthcare system?
how does it cost less when people dont have to pay for it and by nature people will use it more in general?
Nelcomarproductions I think for health, people using it more (when they need it) is probably a good think for the economic health of a nation. Dead and/or very sick people are the best consumers
It’s taking away choice and money from some people who are unwilling. I see your points but it’s not convincing. The bigger the government, the more you’ll see it go corrupt. People embezzling money, censorship, people getting into positions of power just because they’re related to someone working in a certain field. It has cons. What would be nice is our style of healthcare just at a cheaper cost (regulated by the government) but not mandatory.
@Nicole Adenegha welcome to a world where not everyone might be as lucky as someone who can afford to choose to go to a private institute and where the system tries to give everyone a chance. When you sum it up, there are a few sacrifices for people that can afford them, and it's overall worth it. It does more good than bad
2:34 IS THAT BIDEN SNIFFING A KID 💀
yes that’s exactly what that is
He tends to do that a lot. Corruption, censorship and brainwashing allowed him to become president while getting away with it.
Him on the daily
Good explanation and good visual aid! Thank you!
Thanks for watching!
This was great, completely unbiased. We live in a time that can clearly show the differences. We have uninsured in the states, we also pay more. However, the issue of the pandemic and vaccines really illustrates the importance for profit based competition.
Yes but one of the winners Biontech comes from Germany, with its mostly universal healthcare. ;-)
It says a lot even our own doctors and nurses get screwed in our present health-care system. I have a friend who is a nurse and even she gets mediocre health-care insurance.
I’m very anti left wing, but I do not understand how the Republican Party and most of the influencers can be so anti universal healthcare. It bothers me so much.
Beacuse it's socialism/s
Because people will use it as a walk in clinic
You don’t have to view this as a leftist or conservative issue. Just objectively look to see if it worth implementing.
@@novadust6195 it works! Who cares what’s it called
Good video, only other information missing was about mixed healthcare systems like what is found in Australia for example.
GREAT Video! I appreciate your insight!
interesting to see the ways different countries do things!
Thanks for watching!
i live in the nethelrnads. we have the second best health care in the world. yet americans wont see the benefit of it. point is americans have been brainwashed in that their system is the best. while in reality its not. infect you have literally the worst health care system of any developed nation in the world
Metal Videos I don’t think most Americans and think we have the best system. It is always a hot topic issue. One could also argue that people have been brainwashed into thinking universal healthcare is flawless.
why is it all the Americans living in Britain prefer the NHS.
I hear England’s NHS is a mess. Scotland NHS is much better than England’s.
They go to Britain because they prefer the NHS, among other things.
They just love NHS man. To each his own.
What a well thoughtout video nice job🤗👍🏼
It is so long past due for us to switch to a single payer system here in the US. Insurance companies are bleeding so much money out of the healthcare system, and they are already rationing what healthcare is and isn't covered. I am one of the fortunate ones that has always had a good job with good healthcare coverage, but, I actually care about what happens to others.
Well done on the explanations! I like my insurance, but am employed. I can understand why some people want universal. But with a high deductible plan and an HSA it is much more reasonable for the average person (91%) to just pay it. Tough though because everyone should be given an affordable option.
am I missing something but why is nobody talking about that in all the countries with universal health care there is private insurance and private hospitals for that better quality and shorter waiting time. you can have your uhc + private insurance if you want. you can go to private hospital for a fraction of a price compared to usa. you can get luxury suite if you want. it will be expensive but compared to usa it's pennies
It totally depends on the country. In Canada, it's illegal to have private insurance cover what the national plan covers. You can buy private health insurance for what it DOESN"T cover, however. It's supplemental private insurance.
In Germany, you can choose a private insurance instead of the regular one. It will be cheaper but cover less that the public system.
In France, you can have a private complementary health insurance that will cover better the dental/visual and pay you the small co-pays of the universal system.
@@AboveTheNoise yes, it depends. but you present it in a very black/white way. I think many americans don't know that there is private insurance in countries with UHC.
@@onelungg I totally get where you're coming from. That's why we had that section in the video about the 3 different ways you can have UHC. Hopefully it helped viewers understand that there are a bunch of different ways to get it. Most Americans are familiar with Medicare for all, but that kind of system doesn't really exist in Europe, which is often held up as the gold standard in UHC.
Interesting video. Very informative, but the only topic I wished they touched on more was the mentioned European countries pharmaceutical industry and how it’s intensely regulated. Treatment itself in the US is one expense but the medicine we receive is another huge expense that isn’t regulated, which can drive up medical costs. The video mentioned US pharmaceutical companies’ ability to create new and improved medicine which they stated as a positive, but it would be interesting to see the actual differences between gov. regulated France/ non gov regulated US quality of medicine and see how they measure up.
As a Germanic Frenchman, I can tell you we have (almost) the same medication as in the US.
This is a great video. No bias. Just facts. Thanks for that.
Healthcare is should be a right. Modern societies protect their citizens. Every person should be entitled to the best quality care and every person in a country pays for that right though their tax. People want to choose their doctors not which private company foots the bill, nobody wants to pick that. Or perhaps you would like Fire Hall insurance or Police Insurance? If you get to choose which medical issue you would like to solve why shouldn't you get to choose which fire/crime you want to put out or stop?
Sounds good on paper, but it's much more complicated in reality
I vote for socialized healthcare like the UK. I’m an American but had a close loved one living in England that suffered with multiple myeloma. I went with him through three years of his journey with doctors, tests, hospital visits and literally kept track of all details. His medical care was superb and timely. I don’t feel that his health was compromised at all. For those that balk at the word “socialized”, what do you think medicare is??
@Malik Richards I agree, but surely we could adopt some form of it?
Will you send half your income to the government to pay for it or just add it to the humongous debt our children will have to pay for
@@fritzforsthoefel803150%? In Germany its 14,6% divided between employer and employee. And yes in most European countries you pay higher taxes in general than in America.
So you convinced to continue what we been doing. I do feel bad for those people that can’t afford or not offered insurance but that’s why I work hard/stay clean and am blessed to have a job that provides insurance for a cost.
Pretty good video. Now, you briefly mentioned the complexity of the US healthcare system as a main driver of the cost. I would like to add that insurance companies are businesses (hospitals too?) that have to generate profit for their owners. This factor is obviously completely removed from a government run healthcare system which makes it a lot cheaper.
It looks like the US may be open to a ‘hybrid’ system of healthcare that could be inovative and save costs, with additions but no reductions in healthcare insurance.
what innovation has the private sector created in healthcare?
i hear this about private healthcare all the time "innovation. competition. MuH FrEe MuRkUt" but never seen any evidence of it actually happening
Good review! As for the point about quality and speed of healthcare, rankings have consistently showed that many of those countries with the universal healthcare, rank above the United States in both quality and speed of delivery.
In other words, The only real cons would be taxes going up, and of course people's plans being disrupted. This would have to be a smooth and lengthy transition.
A very balanced video. I was worried about this being very much on the left, but it explained both sides of the argument very well with out attacking either side. I personally don't want UHC, but I would recommend this video, even to someone I don't agree with.
If no UHC, i think the government should regulate the costs of healthcare, so hospitals administration aren't left unchecked and don't abuse anyone
@@Alchemeri if I may make a counter offer, why not make hospitals more transparent? I mean, if we know beforehand what we are paying for and how much it costs, we the customers can choose which hospital is the best choice for us. Might also make hospitals have to compete with each other more. What do you think?
@@00Jaxs013 interesting, that's a good point, BUT, if the hospitals were to make a cartel, or some good old "lobbying", this plan would fall short, if the hospitals were cooperative enough to help with the transparency plan it would work, but right now I think it needs more assertive action
@@Alchemeri I see your point and I'll admit I don't know what to do about that. But I have some concerns with the Government regulating hospital prices. For example, how do you balance making sure that medicine is affordable, but that the scientists and doctors can make profits for inventing new, better, but more expensive medications and treatments?
@@00Jaxs013 well, if you cant trust hospital admnistrations, the government or any third party, what can you do?
Thanks for the unbiased analysis
We should get the system they have in France and Germany the goverment covers your insurance and you have the option to get private insurance but the companies have to be non profits and are heavily regulated.
And get income taxed 40%
@@dragoe7441 France doesn't have a high income tax
As long as people get the life saving care they need without spending an arm and a leg, that is what I would consider good health care.
I was in Shanghai and twisted an ankle, i went to the doctor there and got a free check up and i paid $1...as a tourist...the doctor was super nice to me and the hospital was top notch. These are some of the benefits of a social system...not sure how i feel about it but thank goodness i wasnt in the USA at the time!
I am concerned about the future of universal healthcare systems. Right now in Sweden I have to be on the phone right at 7:30am to get a call back time from the local health clinic, if I wait 10 mins the call back system is usually booked for the entire day and I have to be on the phone again the next day just for an initial phone call! Some Swedes are just going straight to ER to bypass the call wait time, meaning more wait time in ER! There are definitely set backs with universal healthcare systems. Start looking into corruption with govt health departments in countries like Philippines and South Africa where health funds have been pocketed by politicians instead of used for its intended purpose. England's healthcare system seems to be spiraling downward, I have heard Brits in some areas are being told to drive themselves to the hospital rather than call an ambulance because there are ambulance shortages. Food for thought. Main issue in US is cost.
I definitely think there should be universal healthcare in the US
I differ. but we can debate.
2:35 lmao look at the left thi picture isn’t even about Joe
The only way to make universal Healthcare work is to make private insurance illegal.
This makes it so rich people would want the best system possible.
Also giving doctors and nurses free schooling if good grades are met would fill all the necessary positions.
Being that the US is the last industrialized nation on earth to utilize this system we would be able to choose the best form by seeing which of all the systems work best and mix , match the best system.
Good video man !
All I know is: thank goodness I live in Belgium. Neither me or my family needs to wait insanely long to get a treatment & it’s very affordable. We all have our own insurances, which covers even more the possible costs. I don’t mind paying my taxes because at least we get something out of it. We don’t need to file for bankruptcy for wanting to go to college or to get some kind of surgery done. Oh and we also don’t get refused treatment or get sent home “because you don’t have health insurance”
Hal
Funny because we don’t have to pay anything if I break a leg or, if it was to happen that I have to pay something, it would be less than 100 euros.
US is expensive due to government regulation, we don’t wanna pay high taxes (taxes higher than the ones in ur country cause of population size) for health care, Swiss healthcare system is best for America.
@@Ace-uc5cj Exactly
@@Ace-uc5cj The Swiss system is not that different then Obamacare, using competing insurance companies and supplementing the premiums of the poor. Swiss are probably just nicer people when it comes to working together for the common good.
@@SandfordSmythe the swiss system is different from obamacare tho when it comes to price controls, force and regulations on companies. They're two different systems that try to achieve the same goal but are different, one is successful and one is a disaster.
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.
Yeah, a cognitive dissonance in its prime...
The most recent version of the Commonwealth rankings, published in 2017, placed the U.S. last among 11 countries. The United Kingdom ranked first, followed by Australia, the Netherlands, New Zealand and Norway, Sweden and Switzerland, Germany, Canada, and France.16 Jun 2020 with regards to medical research advancement.
I think tho need to also say yes taxes go up but than you don't have the money coming out from you paycheck either, so could they balance each other out, sure I am paying more in taxes but I am no longer paying for insurance from an employer.
But our taxes pay for the research and development of drugs? The same pill in the us cost $200 but in Australia cost $8. This happens bc after after we develop the medicine it gets privatized and sold for way more, but we already payed for it so now we pay for it 20x over again ? I'm just confused how you could say the quality wouldnt be the same 😂
Taxes will increase? But you will not be paying any money to private health insurance.
Quality of care might change? USA rank 40+ in life expectancy. while paying the most. What quality are you talking about.
Less choice? universal healthcare means no matter where u go you are covered. what choice do u want?
The real question is, what would it be like if we treated everything else we purchase the same way as health care.
For example you want to buy a shirt:
You would only be allowed to shop for shirts near where you live ,or else
If you shopped outside your Zone you would have to pay 20% more.
You would need to make an appointment.
You would not be allowed to see the shirt before you bought it,
It would cost about 100 times more , even after you'd been paying monthly for access to the store weather you ever shopped there or not and
No refunds.
Could there be an incentive for US insurance companies to suggest to their contributing companies to 'let their employees go' at say 40+ years of age where the increased possibility of sickness insurance claims could statistically increase thereby reducing profits ?. The probable damage to individuals, families, and the nations economy could be disastrous. A great presentation....thank you.