I always see this come up during discussions about how the US compares to other developed countries. I think the mentality is slightly different in the EU. If you were raised knowing that your income was going to be taxed at 50% but you also got free healthcare, education, welfare assistance, etc., you’d probably learn to value those things over buying a bigger TV or whatever. The only reason we complain about how they have less disposable income is due to the fact that we spend so much of ours on healthcare and education so it looks like a scarce resource that we need to hoard.
This is also where the basic argument to "tax the rich" comes from. For the price of a yacht, you could feed and house multiple families for a year in some cities.
Then I was asked to do the math on how long it would take to spend 1 billion - the minimum amount to qualify as a billionaire - at that rate.
IIRC, ignoring interest and inflation, it worked out to 216 years.
Now billionaires dont have a bill sitting around in liquid cash, this is just a thought experiment to try a grasp how much a billion is, but it is an effective one. (Also cool as a party trick, as people tend to always pick a power of ten, so based on their answer you can whip out 2161 years or 21.6 years or whatever)
Someone earning a second Master's degree in Russian literature is not a productive use of taxpayer money.
In the US by contrast, people are able to make decisions for themselves about how to educate themselves because loans are widely available and are just a tax on their future income. If they want to pursue a high income career, they will take out a loan to cover educational expenses since it makes financial sense to do so. If their desired career is less lucrative, they will not take out more loans than absolutely necessary, freeing that money up to be put towards more profitable projects in the broader economy.
The fantasy that the US system is someone leveraging market forces to optimize efficiency is ludicrous. 18-year-old kids have no idea of the impact of 5 or 6 figure loans at various interest rates and their expected ROI. Even many of their parents, who had good post-war working class union jobs with a nice pension and affordable homes they could buy in their early 20s have a blind spot around this because all they know is that the career paths they enjoyed are dead and gone and just some vague ideal that "college-educated" is still a meaningful adjective.
Frankly, it's an embarrassment to even try to sell the idea that the US system is better. The only significant difference in outcomes is that a huge portion of young Americans are destroying their lives with unmanageable debt, where EU citizens may get an inflated degree but they won't be an indentured servant for the rest of their lives.
You're trying to argue that forcing the entire population to pay for college education for everyone is justifiable even when the people going to college may study subjects or intend to enter fields that have very poor financial prospects or lack productive value for the society as a whole.
As opposed to....
A system in which people have the freedom to decide for themselves how to allocate their own financial resources based on their career goals and not use other people's money to fund 4 years of useless study (if they study a useless subject)?
You have a very skewed understanding of what is fair and justifiable.
If people make poor financial and educational decisions, that's on them. Don't punish the rest of society by forcing it to foot the bill for someone else's foolishness.
The sad thing is, Europeans will be the indentured servants for the rest of their lives because of the depressed wages they'll have to endure and the high taxes they'll have to pay.
How could you possibly know if this is a productive use of taxpayer money or not? Someone with a master's in Russian literature could potentially be very valuable as a spy, a diplomat, a business leader, etc. No matter the degree, having an educated population is incredibly valuable to society as a whole. Government should encourage education and provide it for as low a cost as possible or free. The idea that liberal arts, foreign language, fine arts, etc. majors do not contribute to society that I see mentioned often is frankly ludicrous and insulting to the people who work hard to achieve their education.
This is not in fact what is actually happening. Lots of people take out loans whey they are first starting college, when they are young, inexperienced and by definition uneducated. Few of them even try to calculate the expected value of college for their future income, and the ones who try don't have high quality information.
That's one of the major philsophical differences between the US and Europe: people must take responsibility for themselves and their own lives.
The solution to the problem is getting people to be realistic about their prospects. Guidance counselors play a role in this solution. So do parents. And the students themselves.
But the solution absolutely does not involve raising taxes to pay for everyone to go to college.
This assumes that the only value of education is the signaling value. I strongly disagree with that assumption.
So if education is undervalued in the European model, and overvalued in the U.S. system, perhaps it just a matter of finding out which system properly values education? Currently, the U.S. system is seeing runaway inflation in education costs, isn't it? How does it serve America to have such education this expensive? In the 1970's, its possible their model was sustainable but once demand was cut by subsequent, smaller generation size, and the supply of colleges stayed the same, its pretty easy to see how unsustainable this is. The European model simply remove education from the job qualification equation, much as the developed world has done for health care, for instance. You certainly need to be at a certain level of health if you're going to be employed, so developing countries at the start of the 20th century made great investment in public health to cut the communicability of disease with public health infrastructure around inoculations and early detection of epidemics, etc. Think of the impact of diseases such as Spanish Flu and later, polio. Much of this public health investment was done to preserve the stability of the workforce, and less so out of humanitarianism. But, of course, the workforce support society and humanity at large, too.
The only hope for many Americans paying student debt in their mid-twenties (and beyond) is the inheritance they will receive from their boomer parents. While I am not quite that young, I do know many that are factoring inheritance into their retirement planning.
That's only true if money is the only criteria for going to college. Just because it's free, it doesn't mean it's open for everyone.
As for the middle and upper middle class, taking home more of your income is only part of the story. I don't have statistics on this, but I am sure that much of that take-home pay is offset by higher medical costs and the need for more retirement savings. Not to mention the fact that the American work week is longer and vacation days are rarer.
This is not true. Those same workers get most or all of their insurance costs covered by the company. Same goes for retirement with 401k plans, etc.
> Not to mention the fact that the American work week is longer and vacation days are rarer.
This is true.
Same with 401(k). Employer match is a nice bonus but it is not enough.
Not enough for what? It's clearly enough for millions to live very comfortably.
Also a completely bizarre use of 401(k)’s which are not available to most citizens and are highly volatile.
Compared to the rest of the world the US spends more individually on healthcare & gets less. It’s average retirement savings are amongst the lowest in the developed world!
Hand waving away like you’re doing is not supported by the facts.
It’s a shame because that attitude is what is keeping America from doing better.
Anecdote, not data, but it has come up enough and this background detail isnt the author TRYING to persuade me, so it has been very effective at doing so nonetheless.
The most important thing to change is stopping illegal immigration. Either allow more people in and give them equal standing in the job market to citizens or don't allow them in at all.
And of course doing that would reduce the incentive to come here and work illegally...
Anecdotally, I have lived in both the United States and United Kingdom. My tax rate was similar and in the UK I largely paid less for rent, healthcare and public transportation while paying more for staples like food. All in all costs were largely equaled out, although in the UK I enjoyed more vacation and worker protections I did not have as a US employee.
Also, healthcare is a problem in the US for people who don't get it from their employer. For those who do, it's often relatively inexpensive. I pay ~$100/month for really good coverage.
It's the lower to lower-middle class that has it difficult in the US.
Workers are not better off, there are way worse off in the US. They get less money due to the minimum wage being very low and the cost of medical care, they work more in average, they have less holidays and less social mobility than in Europe.
Big businesses however are better off so I agree in part with your first paragraph.
I also get 11 days of public holidays, 20 days of normal leave, and 10 days of sick leave.
I'm pretty happy with what I've got, to be honest.
If only that greater portion wasn't immediately being eaten up by rapidly rising healthcare, college, etc. costs.
Between premiums, copays, and non-covered stuff like compounded medications and dental, I spent $33k last year for a family of four on healthcare. The college I went to - $36k in 2001 - is now $60k/year. I'll take the higher taxes...
Your inflated health care bills helped pay for the 280k average salary of physicians (source: https://www.medscape.com/slideshow/2018-compensation-overvie...), which is over 2x as high as Western european doctors' salary. You can thank the aggressive occupational licensing that the AMA engages in that prevents more potential doctors from joining the workforce and keeps salaries high. For instance: Western european doctors do not need a 4-year bachelors degree just to _enter_ medical school.
You are also sponsoring drug discovery. United States pays for the drug research, eats the high drug costs, and then Western Europe mooches off our R&D spending.
And guess what? Western Europe's free health care is not free: The 50% higher taxes in Western Europe are required to pay for all this.
I doubt that's the majority of the massive cost difference.
> For instance: Western european doctors do not need a 4-year bachelors degree just to _enter_ medical school.
Don't know where you are basing this but in France, Pharmacist is High School Diploma + 6 years or + 9 year depending on the specialty. So you get out at 24 or 27 year old (best scenario), I doubt that's longer in the US or otherwise there's a big problem there.
https://www.healthcareers.nhs.uk/explore-roles/doctors/lengt...
UK: Start getting paid year 5
USA: Start getting paid year 9
Big difference
Just because our government does a shitty half-assed job of it doesn't mean all governments have to.
That graph is not even accurate.
This says Canada's health care spending is $6600 per person: https://www.ctvnews.ca/health/canada-to-spend-more-than-6-60... while your graph says its $4500. Those numbers aren't even in the same ballpark.
Find any source - any reputable source - that indicate US healthcare costs are anywhere near the rest of the OECD.
My actual findings (2017): United States: $9250 Canada: $6600 Ratio: 1.40
I think your graph is fake news.
Sources: https://www.npr.org/sections/goatsandsoda/2017/04/20/5247741... https://www.ctvnews.ca/health/canada-to-spend-more-than-6-60...
The NPR link you cite has Canada at 4576 and the US at 9237, for a ratio of 2.02. The CTV link (citing a different organization; perhaps one considers dental/eyeware and the other doesn't, or something along those lines) doesn't offer US numbers to compare against.
Wikipedia has a consistently-sourced list you can peruse, too, for multiple years: https://en.wikipedia.org/wiki/List_of_countries_by_total_hea...
Our system of government involvement, where it’s neither a free market, nor a single payer system, is indeed an example of the worst way government can be involved.
And, in Western Europe, you must wait over a month for your non-urgent surgery, and much longer to be admitted into the ER. https://www.nytimes.com/2018/01/03/world/europe/uk-national-.... And you might die while waiting for your medical care: https://www.huffingtonpost.ca/bacchus-barua-/wait-times-cana...
And guess what, your taxes are 50% higher to pay for all this.
Private insurance is also a death panel, they decide who deserves medical care and who deserves to die.
> And guess what, your taxes are 50% higher to pay for all this.
The US health-care is not tax-free, you already pay more in the US for health-care with just the taxes than Western Europe. It's just that you also pay insurance on top of those taxes as well.
In the US, we just call them "insurance companies".
> And, in Western Europe, you must wait over a month for your non-urgent surgery
Have you ever tried to get non-urgent surgery in the US?
https://www.beckershospitalreview.com/hospital-physician-rel...
> In a survey of 15 large U.S. metropolitan areas conducted by national physician search firm Merritt Hawkins, researchers found the average patient waited approximately 29.3 days to see a family medicine practitioner in 2016, an increase of approximately 50 percent since 2014.
> And guess what, your taxes are 50% higher to pay for all this.
Europeans pay half what the US does for their healthcare, including taxes.
https://en.wikipedia.org/wiki/List_of_countries_by_total_hea...
Whatever you say on this does not line up with reality.
The UK, a nation of 60 million, has 120,000 people waiting over 6 months for surgery: https://www.independent.co.uk/news/health/nhs-patients-waiti...
That would be equivilant to over 640,000 people waiting over 6 months for surgery in a country with 320 million people.
The wait times do not compare. They are 10x, 20x worse in Europe.
This sounds like you refuse to consider that you could be wrong. Is there evidence that would convince you, or will you simply decide any evidence is wrong and find a new justification?
I could be wrong (feel free to prove me so! ;) ) and there is nothing wrong with being convicable-but-unconvinced (as I currently am about the superiority of the US healthcare system) but that is not the impression I have taken from your comment.
The US is very different from its founding principles, priorities, and government structure. Comparing on just the basis of healthcare costs reduces these complex differences to simple sound bytes and obliterates any nuance.
This is not healthy for discussion.
That does not mean that some systems can't be objectively worse than a collection of others. I also never brought up costs - healthcare outcomes matter, because...health.
I never made it a quest for superiority - I insisted that everyone participating in a discussion should be in a place where they CAN be convinced of some points - arguing from a place of facts, not unshakeable emotion.
To do otherwise is unhealthy for discussion.
What's the surgical wait time for an uninsured American?
That's 12.2% of America, or forty million people. http://money.cnn.com/2018/01/16/news/economy/uninsured-ameri...
In some cases, this winds up being an infinite wait time: http://www.washingtonpost.com/wp-dyn/content/article/2007/02...
Side-note: I'm citing a whole bunch of sources in my replies to you. Maybe you could do so for your "10x, 20x" numbers?
For the 88% of Americans who are insured, their wait times are lower than in rich Western European countries and Canada, and far lower than poorer Western European countries like Italy.
Here's an article about people in Canada paying for surgery in the U.S. to avoid waiting forever for their surgery: http://www.calgaryherald.com/news/calgary/Long+Canadian+wait...
Have you ever seen an article about people going to Canada for superior medical care? No. Canadian medical care is clearly cheaper but also inferior.
No, we're talking about wait times for people in the respective countries. If you think wait times of six months are excessive, you should be incensed about "forever".
> Have you ever seen an article about people going to Canada for superior medical care?
I would suspect the citizenship/residency requirements make this difficult in practice, as does their legal ban on a parallel private system.
Meanwhile, if going overseas for care is a bad sign, as you allege, the US sees the same thing:
https://www.motherjones.com/kevin-drum/2017/02/americans-fle...
"Lots of people are pointing out that this isn’t really true, but I want to point out something different: Americans flee the US in pretty similar numbers to Canadians fleeing Canada. The best numbers we have suggest that about 45,000 Canadians left the country for medical care in 2015. (That’s all destinations, not just the US.) Meanwhile, about 250,000 Americans left the US for medical care abroad. And these numbers don’t even count the number of Americans who get their prescription drugs from overseas."
If you are not in the very high income range this gets eaten up by health care and education.
Example: get scorned at by your GP doctor for seeing them for a bad cold. Get billed $20.
Receive open heart surgery and triple by-pass. Get billed $20.
This is completely incorrect.
What do you mean with more dynamic?
It doesn't have any meaning other than to invoke this common US belief. It's part of the American exceptionalism story.
Those things are how dynamic the economy is. It's hard to measure in a rigourous way, but in the US it is distinctly easier for a business to start/expand than it is in the EU.
Digression, so I can get shot at from all sides: This dropped under Obama. Again, it's hard to put concrete numbers on it, but things started happening more slowly - I suspect because regulation became more onerous.
Generally we talk about less taxes, cheaper health care and a higher or similar income.
Understanding the 30 year Decline in Business Dynamism
https://ideas.repec.org/p/red/sed015/1333.html
"Recent empirical work has drawn attention to an unmistakable shift in U.S. firm dynamics since the late 1970s. Principally, the entry rate, measured as the share of new employer firms out of all employer firms, declined by nearly 40 percent from 1977 to 2007, even before the impact of the Great Recession. Remarkably, this steady decline occurred relatively uniformly within geographic areas and within relatively narrow industry aggregations. Taking this trend decline or startup deficit as given, Pugsley and Sahin (2014) show that both its direct effect on business formation and its indirect cumulative effect through a shift in the employer age distribution partly explain the emergence of slower employment recoveries with each business cycle."
Declining investment since the early 1960s:
http://www.smashcompany.com/business/the-decline-of-usa-inve...
Many workers are much better off in the US than in Europe as well. They get to keep a greater portion of their income, their income goes farther in the US than it would in Europe, and they have more opportunities to change jobs and careers because the flip side of weaker worker protections means businesses can hire with greater agility than in Europe.