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Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by jccalhoun on Saturday February 23, 2019 @12:11PM (#19234235)
I'm reminded of the Breaking Bad Canada comic. "You have cancer. Treatment starts next week. The End."

When I see "heartwarming" stories on tv about people donating to people that need help I can't help but think it would be more "heartwarming" to have a government that tried to make sure people wouldn't need to depend on the kindness of strangers for health care.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by robert_foss on Saturday February 23, 2019 @12:23PM (#19234297)
That to me is one of the most striking observations from spending time in the US. Good outcomes are singled out and praised, but there isn't a system in place to make sure that good outcomes can be expected.

This applies to health-care, funding for universities/hospitals/libraries/etc., or just making sure people have food on the table. To exemplify this, aren't food donation campaigns sort of missing the mark. Yes they provide a valuable service, but the service it self shouldn't be required.

And in return for having you most basic needs like healtcare/education/food covered, why aren't people fine with paying some taxes for this? I thought I've had is that the nature of having states 'compete' against each other with lower taxes plays a part in this vilification of taxes. But surely this would only explain a small part of this problem.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by chooseaname on Saturday February 23, 2019 @12:48PM (#19234471)
> And in return for having you most basic needs like healtcare/education/food covered, why aren't people fine with paying some taxes for this? I thought I've had is that the nature of having states 'compete' against each other with lower taxes plays a part in this vilification of taxes. But surely this would only explain a small part of this problem.

Because certain people in government convince people that citizens can manage their money better than the government can. Forget about the purchasing power of pooling your money (by way of taxes). Then you have people like Mitch McConnell who calls programs for the less fortunate as "entitlements". The people who need these services don't feel "entitled". Not one bit.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by orangecat on Saturday February 23, 2019 @01:20PM (#19234660)
Because certain people in government convince people that citizens can manage their money better than the government can.

And this is wrong? Look at the absurd high speed rail costs, or the bloated military budget, or SLS vs SpaceX.

Then you have people like Mitch McConnell who calls programs for the less fortunate as "entitlements".

"Entitlements" is a standard term used to distinguish those programs from discretionary spending.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by danmaz74 on Saturday February 23, 2019 @01:34PM (#19234758)
As a counterexample, look at the cost of socialized healthcare in Europe vs the privately managed one in the US.

Very simply, there are many sectors where the market works best. Healthcare isn't one of them.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by leereeves on Saturday February 23, 2019 @06:22PM (#19236048)
US healthcare isn't a free market. How much of our costs are due to government rules limiting the number of doctors and hospitals? Perhaps healthcare could be cheaper if the government was less involved.

But let's compare the two systems as they are, both dictated by the government. The US is actually rather heavy handed, imposing regulations on healthcare and pharma that most of the world doesn't share. For example, in most countries medical education doesn't require a previous non-medical degree. Pharmacists are often allowed to provide basic medical advice. And medicines are often approved more quickly and less expensively in Europe.[1] How much of the extra cost is due to over-regulation?

Also, how much of our costs are due to our unhealthy lifestyle? If we lived as healthfully as Europeans, we'd surely have lower medical costs.

We can't honestly compare the cost of medicine without controlling for factors like those.

1: https://www.sciencedirect.com/science/article/pii/S2452302X1...

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by zanny on Saturday February 23, 2019 @02:01PM (#19234910)
Yea it is wrong.

High speed rail cost overruns are almost always due to how expensive eminent domain is more than anything. The estimations given to state officials are often an order of magnitude off how much land they would need to buy. Its also the kind of project beyond the scope of anyone but the largest companies to even attempt, so even if an investment firm could do the math to recognize the economic benefit of having high speed rail and thus they could capitalize on investing in it through other investments in other industries that would grow substantially in the presence of better transit they can't raise the capital to do it and the time frame to realize those returns is too long for any investor to consider reasonable. So we don't get public or private trains.

> the bloated military budget

Its not a money mismanagement at all though. The money allocated to the military that is squandered on hundred thousand dollar toilets and billions on fighter jets that don't even work and will never see practical application in aerial combat were all budgeted intentionally to make private defense contractors rich. Those contractors paid the bribe money to see the budget allocated to them and get a tremendous return on investment.

Something like comparing NASA and SpaceX can be reasonable, but you have to be nuanced about it. A large part of the SLS overrun, for example, was due to their contract with Boeing which was budgeted for 4B but overran time and money up to 9B. Thats "private enterprise" at work wasting tax money because they knew the oversight wasn't there to hold them accountable, as is the case with many government projects mired in corruption.

But you know what? If your government is corrupt, the solution is not to give private enterprise - those that corrupted said government - control over the functions government was supposed to fulfill. You fix your government. If NASA is unable to budget or deliver projects on time, you fire those given the responsibility of managing said projects, do independent investigations of why they failed, and if some party is culpable for the intentional sabotage or deception of the proposals arrest them. If theres a revolving door in Washington of defense contractors lining the pockets of congressmen for taxpayer money via the defense budget investigate and impeach the corrupt politicians. When you contract with a third party to budget infrastructure expansion make them culpable for failure to deliver or for budget overruns.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by ouid on Thursday February 28, 2019 @04:21PM (#19275326)
Except that they are entitled to it, calling them entitlements is not wrong. "Entitlements" is just another word for "rights".
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by ianai on Saturday February 23, 2019 @01:04PM (#19234573)
The whole libertarian and conservative sales pitch is just a sales pitch for business practices that hurt the many at the betterment of the corporations or rich few. They clamp divisive stances onto it to pull single issue voters into their pool. Whether any of their actual enacted laws decrease deficits or increase personal freedoms isn’t even discussed routinely. (The last time the US ran a budget surplus a D was in the White House. Deregulating is always pitched as a positive but winds up in selling people less than they had before - relaxation of banking regulations leading to recessions, etc)
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by tmoertel on Saturday February 23, 2019 @01:30PM (#19234736)
I don't think you've accurately represented the libertarian pitch, which is that government bureaucrats, even if they are well meaning and better planners than you are, are not likely to understand your needs, wants, and preferences nearly as well as you are and, further, are likely to have incentives other than your welfare – careerism, political winds, and the pleadings of special interests, to name a few.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by ianai on Saturday February 23, 2019 @01:41PM (#19234799)
I don’t need to represent what is already widely marketed. In 2019 everyone knows the libertarian pitch.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by mikeq101101 on Saturday February 23, 2019 @12:31PM (#19234342)
People being forced to pay for someone's healthcare is more heartwarming to you than people voluntarily paying for someone's healthcare?
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by pcbro141 on Saturday February 23, 2019 @12:36PM (#19234389)
I would say so. It's very sad to think of someone dying from a treatable condition because their GoFundMe campaign wasn't popular enough.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dnautics on Saturday February 23, 2019 @12:43PM (#19234430)
The thing is that government doesn't reach everyone either. Often homeless vets don't seek VA help because why would you trust the government, which injured you and put you in the place you're in now (not to mention that the VA has a terrible track record of actually helping). The government also has a very terrifying incidents in it's history relative to providing healthcare, from the Tuskegee siphilis experiments, to offering healthcare in exchange for sterilization, and more recently, using a polio vaccination program as a cover to spy on bin laden.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by yardie on Saturday February 23, 2019 @01:31PM (#19234738)
> VA has a terrible track record of actually helping

Is this a fact? Would private industry do it better?

I ask because the VA is the closest thing we have to a single-payer experience in the US. Active or inactive, the VA is willing to treat you the only requirement being that you served.

Yet, when people bring up the failing VA they always pass along the Walter Reed VA hospital horror stories. I looked into it and you know what, Walter Reed is a huge military hospital base. It's so big there are multiple hospitals on site. And that site has government run VA hospitals and contractor run VA hospitals. And they are all called Walter Reed. But guess what? All the VA horror stories from Walter Reed come from the same contractor ran hospitals.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dnautics on Saturday February 23, 2019 @01:38PM (#19234782)
My dad was a hospital administrator at the VA. He complained about several issues and was rubber-roomed (dad was in the Navy, used to delivering products on time and in budget and was appalled at the treatment of his fellow vets). This was not at Walter Reed. The organization simply doesn't have a culture of taking care of veterans, or anything really, beyond CYA and job security for career bureaucrats.

> the VA is willing to treat you the only requirement being that you served.

They will make it very hard for you to qualify for VA disability by throwing bureaucracy at you.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by mikeq101101 on Saturday February 23, 2019 @12:42PM (#19234424)
I just can't see using violence against peaceful people, for whatever cause, as heartwarming.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by whatislovecraft on Saturday February 23, 2019 @12:43PM (#19234428)
Are you suggesting that taxation is equal to violence?

I'm confused.

If these are the opinions of Americans, then I think I have found out why the "US is a Rich Country with Symptoms of a Developing Nation". Viewing taxation as direct threat of violence 10000% will result in a crumbling society that is built on democracy and taxation.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by DanBC on Saturday February 23, 2019 @01:49PM (#19234841)
> Are you suggesting that taxation is equal to violence?

It's a frequent comment on HN and it's fucking stupid everytime.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by mikeq101101 on Saturday February 23, 2019 @12:51PM (#19234494)
You are forced to pay taxes under the threat of violence.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dmode on Saturday February 23, 2019 @01:21PM (#19234661)
I don’t understand this argument. We comply to every law “under the threat of violence”. Are you advocating for a lawless society ?
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by whatislovecraft on Saturday February 23, 2019 @12:54PM (#19234514)
Wait, in what country? Not in the USA! You ain't forced to pay shit here if you don't want. Don't want to pay taxes? Go work minimum wage job then, don't pay taxes okay? Or be megarich and still don't pay taxes. Nobody's forcing you by threat of violence to make a ton of money in your salary and pay taxes on it.

The laws are clear, and you agree to them by living here. A taxation-related arrest will be done non-violently anyway, what on Earth are you talking about here?

Where is this threat of violence coming from?

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by krapp on Saturday February 23, 2019 @01:29PM (#19234729)
What's being referred to here is the premise of the monopoly on violence[0]. Essentially that a state can be defined as an entity which claims for itself a monopoly on the legitimate use of force, often violent force, denying the same right to the public. That legitimacy, in free societies is granted by the people, while in nonfree societies, it's often simply taken though further violence. The enforcement of laws and collecting of taxes are backed up by the threat of the state executing on its monopoly on violence against its citizens.

The opposite of the monopoly on violence would be anarchy, which could be interpreted as a free market of violence.

[0]https://en.wikipedia.org/wiki/Monopoly_on_violence

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by whatislovecraft on Saturday February 23, 2019 @05:34PM (#19235874)
100 years ago, maybe, as cited in your wiki link, that could have some interesting discussion behind it. But that model of the world quite clearly does not fit today, and viewing modern society like that is exactly the kind of attitude that results in our infrastructure - and morals - crumbling.

I can't find anything in that article that has any relevance to today.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by krapp on Sunday February 24, 2019 @06:51AM (#19238224)
The monopoly on violence is the way all civil societies work, even in the present day. It's why the police are legally allowed to beat someone, kidnap them against their will and throw them in a cage, and you aren't. It's why the social contract isn't a literal contract you needed to sign first before being subject to your government's authority.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by fucking_tragedy on Saturday February 23, 2019 @12:56PM (#19234528)
Tax liens and wage garnishments are violence, apparently.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dnautics on Saturday February 23, 2019 @12:44PM (#19234439)
What happens if you fail to pay your taxes?
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by whatislovecraft on Saturday February 23, 2019 @12:46PM (#19234457)
Oh, you've committed violence against your peers by depriving them of the money that would have been used to save them in the healthcare system? By not paying taxes, you're being violent to your fellow Americans? Is that the take here? Confused still.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dnautics on Saturday February 23, 2019 @12:53PM (#19234513)
No, if you fail to pay taxes, you will be carted off to jail, violently, if necessary. The point is that whatever you feel government should or should not do, government is the entity that as a society we collectively decide should be allowed to violate your individual consent in favor of some sort of partial group consent (if you're in a democracy). Thus, if you think consent is important, a system where private charity provides adequate healthcare should be preferable to one where the government provides adequate healthcare.

Healthcare in the us is seriously fucked up. It's highly regulated and prices are set in an incredibly corrupt fashion. Insurance is misunderstood by politicians as a magic trove of money and then gets the blame when it falls short. We get quite honestly the worst of a privatized and the worst of a public system.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by whatislovecraft on Saturday February 23, 2019 @12:58PM (#19234540)
> No, if you fail to pay taxes, you will be carted off to jail, violently, if necessary.

That is simply false. You will not be "carted off to jail, violently, if necessary". If you refuse to obey the laws of the country of course you will be arrested. They will not be violent! If you choose to pull out a gun or something and fight them, then you have initiated the violence and they will defend themselves. This is all fucking insane anyway, why are we even talking about this? You don't have a clear understanding of how the laws or modern society works.

You're not living under a threat of violence with taxation, my god. I can't imagine what kind of misconceptions you have that result in you thinking that a result of you not paying taxes could end violently. We have looooong surpassed that, and in fact, our Constitution written hundreds of years ago, while flawed, absolutely prevents the scenario you are describing.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dnautics on Saturday February 23, 2019 @01:18PM (#19234648)
"If you refuse to obey the laws of the country of course you will be arrested. They will not be violent!"

Are we talking about the US? Perhaps you're not a person of color, so you don't understand what it's really like here.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by asark on Saturday February 23, 2019 @12:59PM (#19234551)
Careful or you'll let a libertarian define a term very broadly then start making bad syllogisms at you with it.

[edit] actually may be an Objectivist, I guess. They argue the same.

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by pbourke on Saturday February 23, 2019 @02:05PM (#19234934)
I find it telling that this particular argument is only trotted out against the idea of universal health care. It’s not used in disagreement with military spending, subsidizing religious institutions, agricultural and land-use supports, etc.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by jccalhoun on Saturday February 23, 2019 @06:01PM (#19235975)
I would rather we didn't have to have "heartwarming" stories like this at all.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by dmitriid on Saturday February 23, 2019 @12:51PM (#19234493)
People pay for other people’s roads, fire fighters, police force...

When you buy car insurance, you’re not buying it for yourself, you’re buying it for everyone who has car insurance

Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by lotsofpulp on Saturday February 23, 2019 @12:26PM (#19234312)
The people that need the help are overwhelmingly declaring that they don’t want the government’s help.
Re:U.S. Is a Rich Country with Symptoms of a Developing Nation by aaronbrethorst on Saturday February 23, 2019 @12:42PM (#19234420)
This is demonstrably false. Here's one person's story (who I happen to know):

https://www.king5.com/article/news/local/one-womans-ultimate...

And then here's the data on improved access to health care: https://www.kff.org/slideshow/public-opinion-on-single-payer...