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Author Topic: European country Economies?  (Read 19948 times)

John Chiara

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European country Economies?
« on: August 05, 2009, 03:36:32 PM »

I just had a very well respected musician friend recommend Michael Moore's movie..Sicko..and got me wondering. In what shape are the economies of the countries of Europe and also Canada..where there is Gov't supplied Health Care?
Thanks,
John
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Kristian Johnsen

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Re: European country Economies?
« Reply #1 on: August 05, 2009, 04:45:34 PM »

John.

I'll go first.

I'm Norwegian.

The Scandinavian countries are sometimes referred to as "welfare alley" although I believe the peak was reached like 10 years ago.  We are seeing a slow "Amercanization" of the welfare state.  My generation will be the first one since WWII that has to save for their own retirement to supplement what we will receive from the state.  Also, small business owners have to buy more insurance now than we did in the past.

Two reasons that the state can't afford to be as generous any more is that retirees are living longer and a rise in immigration.

That beeing said, we have it very good here.  Nobody will be turned away from a hospital if they need to be there.  Some people might receive cheaper treatment than the very best, for cost reasons - or have to stand in line for some time.  But treatment is generally available - and almost free.  I say almost free, because with every doctor's visit or strong drug purchase you have to cover a small portion yourself, but it's small.  
"Everyday drugs" like Tylenol, etc is not covered by the state in any way.

We do however pay a lot of taxes - on everything, but IMO (sorry if this gets political) it makes for a more fair society.

School (including most colleges) are free (!).  All you buy is books and supplies.  Most people do however get a student loan to cover room and board during their school years:  Cost of living here is high, so you have to work quite a bit outside of school to cover just an apartment and food.  Most people who actually want to have a life during their college years get the loan and work part-time aside from school.

Funnily enough, we have no dental coverage after the teen years.  And you can't really get a dental insurance plan - so that turns out to be expensive for some people.

Is this the kind of information you were looking for?
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Tom Young

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Re: European country Economies?
« Reply #2 on: August 05, 2009, 05:05:13 PM »

John-

I heard (on NPR) or read (in NY Times) a few months back about how comparatively well the Canadian economy is doing. Primarily, the reason given is their consevative attitude towards debt and  with credit cards in particular. This is on the part of the citizens as well as the banking industry up there.

I am no arm-chair economist so I will leave it at that.
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John Chiara

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Re: European country Economies?
« Reply #3 on: August 05, 2009, 11:57:46 PM »

Kristian,
Thanks for the insights. I am just trying to gather info about other country's success/failure with more gov't involvement with health care. All the debate going on over here is mostly yelling and shouting as well as examples for both positions....all while saying that the Congress wants to pass "something" in a few weeks.
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waldo [Casey Williams]

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Re: European country Economies?
« Reply #4 on: August 06, 2009, 06:50:38 AM »

I'm going to be brief and opinionated here. I think it's actually very simple.

Everyone in Europe gets healthcare. Everyone in the USA gets healthcare (one way or another).

The quality of care is about the same in EU and USA.

What's different is the cost. It costs us a lot more per capita to deliver this healthcare than it does in Europe. Simply because we have such a convoluted, duplication-of-effort system.

So, like I said, it's simple. We will devote a smaller percentage of GDP to healthcare with a centralized system. And the argument against that is...what?

waldo
(the guy whose wife works in healthcare policy)
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Charlie Zureki

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Re: European country Economies?
« Reply #5 on: August 06, 2009, 09:27:52 AM »

waldo    [Casey Williams

 wrote on Thu, 06 August 2009 05:50]I'm going to be brief and opinionated here. I think it's actually very simple.

Everyone in Europe gets healthcare. Everyone in the USA gets healthcare (one way or another).

The quality of care is about the same in EU and USA.

What's different is the cost. It costs us a lot more per capita to deliver this healthcare than it does in Europe. Simply because we have such a convoluted, duplication-of-effort system.

So, like I said, it's simple. We will devote a smaller percentage of GDP to healthcare with a centralized system. And the argument against that is...what?

waldo
(the guy whose wife works in healthcare policy)



+1....

 The argument against, is that (we'll be a Socialist Country) it'll take away some of the profit for some certain industries... Rolling Eyes

Cheers,
Hammer
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Andy Zimmerman

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Re: European country Economies?
« Reply #6 on: August 06, 2009, 10:13:48 AM »

waldo    [Casey Williams

 wrote on Thu, 06 August 2009 05:50]I'm going to be brief and opinionated here. I think it's actually very simple.

Everyone in Europe gets healthcare. Everyone in the USA gets healthcare (one way or another).

The quality of care is about the same in EU and USA.

What's different is the cost. It costs us a lot more per capita to deliver this healthcare than it does in Europe. Simply because we have such a convoluted, duplication-of-effort system.

So, like I said, it's simple. We will devote a smaller percentage of GDP to healthcare with a centralized system. And the argument against that is...what?

waldo
(the guy whose wife works in healthcare policy)


I think that you are comparing apples and oranges. The issue is not simple at all. Everyone is the USA does not get health care - this is one of the big talking points of the Obama administration. But how you define "health care" can make a big difference - is it the ability to go to a local hospital with a life threatening condition and be treated?(supposedly, that is what we have now) Or is it the ability to go to the ER every time junior gets the sniffles? Or is it the ability to go to a specialist and get elective surgery?

I can't imagine how it can cost more per person in the US for equivalent care. I'm guessing that either the cost is at least similar, if not better; only passed on more to the recipient instead of lost in the taxes that everyone pays; or the overall quality of the care or the caregiver is higher in the US.

The biggest problem as I see it is that too many people see "health care" as not only a necessity, but a right. It is not a right - it is a service that must be paid for - by someone. Also, too many see health care as a cash cow. If it is so necessary, then there must be a way to make money off of it. Doctors, lawyers, insurance companies, hospitals, patients, drug companies, etc all exploit the current system for their own personal gain, only someone has to pay the bill. Making health care a government entity in this country is only going to add one more hungry pig to the trough. IMO, the one stuck holding the bill is the same one as always, the taxpayer - the common man who doesn't try to beat the system.

So, you can see that it is not simple at all. If you think that it is, you are ignoring the obvious.
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John Roberts {JR}

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Re: European country Economies?
« Reply #7 on: August 06, 2009, 11:38:45 AM »

John Chiara wrote on Wed, 05 August 2009 14:36

I just had a very well respected musician friend recommend Michael Moore's movie..Sicko..and got me wondering. In what shape are the economies of the countries of Europe and also Canada..where there is Gov't supplied Health Care?
Thanks,
John


Healthcare is only one factor impacting a countries economy, and countries need to be looked at based on their specific situation.

Regarding Norway and Canada both are oil exporters. >20% of Norway's economy and Canada is our largest supplier of imported oil.

As I have said several times before, most foreign governments mandate reduced prices for the same drugs that we pay full price for here. We are effectively subsidizing new drug development for the rest of the world with our high prices. We are a wealthy nation and generous but to be fair about this health care cost, it seems this playing field needs to be leveled. It is probably illegal. It sounds a lot like dumping, a trade rule against selling products at lower prices in export markets. In this case the low prices aren't seen as damaging to companies in the export market, and in fact openly managed by foreign governments. In all fairness there should be one world price for drugs. If the rest of the world paid their fair share, our price would go down.

This is just one aspect of healthcare cost, and government control of drug prices is probably irresistible to our new crop of Czars. Of course there will be unintended consequences from tipping over that apple cart. IMO drug companies have already cut back on research and development.

I don't personally find Michael Moore a credible reporter on social issues. I haven't watched any of his films but IIRC he presented Cuba in that movie as an attractive model for healthcare. Opinions vary.

I think the party is just about over for our new administration. All the spending already done in recent months, and even the government budget office's estimate for the cost for what he wants to do, will break the back of American taxpayers.

The Robin Hood tax program, of "We won't raise your taxes. We'll take it from the wealthy" does not compute. The wealthy don't have enough money even if they take it all.

Despite spending like drunk sailors since taking office, tax receipts are way down because of the economic contraction. Nobody expects the economy to recover to housing bubble levels anytime soon. In fairness to drunk sailors, they usually only spend the money in their pockets. We are spending money we don't have.

I am absolutely in favor of reforming healthcare but not by government takeover. We don't need healthcare to be another Fannie Mae, Freddie Mac, AIG, GM, Chrysler, etc. We need to break the insidious cycle of single payer insurance isolating the health care consumer from making economic decisions which would drive competition. We need to reform the drug company marketing that is designed to thwart insurance company attempts to manage costs, and hospitals and care providers are also in bed with, or doing what they have to do to work with these insurance  and drug companies.

I am of the opinion that the government healthcare proposal is exactly the wrong direction to take, and will destroy a little more of makes this country great. Like they have weakened the auto industry by "helping" it. This cash for clunkers program demonstrates how bizarre and flawed our governments approach to manipulate the economy is.

The senate is expected to add another $2B to the program before leaving town this week. I guess they hope to get a better reception from voters in their districts who are getting angry about the spending. Of course the folks who line up to get "free money" from taxpayers to buy new cars are probably happy.

Don't confuse the short term bump to economic numbers (GDP) that this will trigger with actual economic expansion. This one time incentive is mainly pulling future economic activity into the present. The unintended consequence of this is a sales slow down when the program ends, and training consumers to not buy cars until the next multi-thousand dollar deal. A vicious cycle they were already in with ever expanding rebates.

I am optimistic that American voters will eventually catch on and throw a bunch of the bums out in 2010, more in 2012. I wish the Libertarian party had a credible chance. The republicans started this spending orgy and the dems just ramped it up to obscene levels. We've been through harder times before, but we don't need to copy Europe. If anything they have been moving more toward the American model to deal with their issues. Not being allowed to fire people, means business is doubly reluctant to hire, But I don't want to rant about short comings in socialism, we need to embrace what got us to this success.

Don't be seduced by politicians saying we need change... thinking their idea of change is remotely the same as ours. Serious change needs to come from thoughtful deliberation and negotiation with all concerned. Not bills rammed through the system that our legislators don't even read, written by lobbyists.


JR

PS: We have plenty of Canadian citizens posting here so they could comment about their personal experience with nationalized health care. I suspect personal experiences will vary depending on the nature of the individual's health and age. Most reports I read are promoting one agenda or the other so probably not typical.



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Charlie Jeal

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Re: European country Economies?
« Reply #8 on: August 06, 2009, 12:17:51 PM »

Well, here's an opinion from the UK.

We currently pay a levy called national insurance that comes off the top of a wage before tax the idea of this is to pay into the welfare and national health systems in the event that you need their help. Medical services other than dentistry are free at the point of use , any prescriptions are charged at around
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John Chiara

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Re: European country Economies?
« Reply #9 on: August 06, 2009, 01:30:48 PM »

Charlie Jeal wrote on Thu, 06 August 2009 12:17



John(Chiara) to readress your orginal post I guess our economy in the UK is no better and no worse off at the moment as yours but I can at least rest assured than when I'm ill and unable to work the cost of any medical care I need isnt another burden to be worrying about. So I would hazard a guess that whilst neither economy is in the best shape ever, per capita the health of our population is better.

Charlie


thanks Charlie,
I am also curious how the numbers play out. I checked population numbers yesterday and it seems that California has more people than most countries. The US is the 3rd most populated country, with an increasingly older population, low birthrate and high immigration numbers, both legal and illegal. How does the UK deal with aliens for health care? I hear the pros and cons about Canada but again there are 1/10 the population of the US. I am hoping otheres have been able to wade through the numbers on this. I have limited internet access at the moment and appreciate the help.
John
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John A. Chiara aka. Blind Johnny
Albany Audio Associates Inc.
Troy, NY
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