Re:Show HN: Compare prices that US hospitals charge patients...
by ews on Monday January 18, 2021 @12:36PM
(#25824230)
This is how progressive taxation works. For some reason, US people happily pay for police, firemen, infrastructure or the military as a necessity of a functioning society but have serious problems considering healthcare in the same group.
Re:Show HN: Compare prices that US hospitals charge patients...
by tyoma on Monday January 18, 2021 @12:50PM
(#25824416)
Police and fire are paid for by local or state taxes, with some federal outlays via matching grant programs. Cities and states are free to start their own local and state tax funded programs. The only thing getting in the way is the enormous cost!
Because the US does provide for tax funded healthcare for the old (Medicare) and the pregnant/poor/disabled (Medicaid). The [cost of these programs](https://www.kff.org/medicare/issue-brief/the-facts-on-medica...) is greater than US military spending.
Re:Show HN: Compare prices that US hospitals charge patients...
by xyzzyz on Monday January 18, 2021 @01:28PM
(#25824849)
Taxation in the US is significantly more progressive than in most (if not all) of Europe. In Europe, bulk of tax revenues come from high tax rates on middle class, while in the US, most of the tax revenue is paid by the wealthy. In concrete terms, Americans in top 1% of income distribution pay nearly 40% of all federal income tax, and top 10% pays 70% of all federal income tax. That’s significantly more progressive than all large European countries.
Re:Show HN: Compare prices that US hospitals charge patients...
by leetcrew on Monday January 18, 2021 @01:08PM
(#25824638)
one could make the argument than the benefits of police, firemen, and military scale somewhat proportionately with wealth. people with meaningful assets have a lot to lose if the police stop protecting their property or the US navy can't guarantee relatively safe trade by sea. their house is probably worth more too. a homeless person probably gets hassled by police much more often than protected by them. socialized healthcare mostly benefits people who don't have and/or can't easily afford good insurance.
Re:Show HN: Compare prices that US hospitals charge patients...
by Daniel_sk on Monday January 18, 2021 @01:33PM
(#25824898)
That's a very American way of thinking. I am totally fine that I contribute with a bigger part and it's used for people that would not be able to afford it.
Re:Show HN: Compare prices that US hospitals charge patients...
by whiddershins on Monday January 18, 2021 @02:13PM
(#25825344)
I don’t know if you realize this, but when you write it this way it seems that you are implying an ‘American way of thinking’ is a morally inferior one.
Re:Show HN: Compare prices that US hospitals charge patients...
by ep103 on Monday January 18, 2021 @12:43PM
(#25824301)
County level vs national level
Re:Show HN: Compare prices that US hospitals charge patients...
by kazen44 on Monday January 18, 2021 @01:01PM
(#25824547)
which in a lot of european countries, doesn't even exist as a differentiator.
Re:Show HN: Compare prices that US hospitals charge patients...
by msandford on Monday January 18, 2021 @01:21PM
(#25824775)
Right but the biggest country in the EU isn't ~330 million people from about a half-dozen fairly distinct cultures. Remember that the US has cultural representation from many European countries and also quite a few non-European countries.
I'm not suggesting that Italy or Greece or Germany are actually homogeneous culturally but with smaller populations and significantly less immigration than the US I suspect that the variances are smaller and perhaps more surmountable.
Germany's population (83 million) is only about 1/4 of the US and as you go down the list the countries only get smaller.
I believe this is a completely different way of looking at things than in the US. The average EU citizen doesn't really think that the monthly medical deduction from his salary is just for his use or it's his own insurance, it's only a contribution to the whole system.