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Re:Costco now offering virtual medical care for $29 by troupo on Tuesday September 26, 2023 @12:21AM (#37654306)
> a competitive retail healthcare market

What's a "competitive healthcare market" for diabetes? Or cancer? Or childbirth?

> Anyone who thinks the universal model standard in Canada and the UK is actually working has a hole in their head.

The UK has a population of 67 million. There are half a billion patient contacts in any given year. I've yet to hear stories like "I can't afford my insulin" or "we had a child, the bill was 200k and we were also charged for holding the baby"

Re:Costco now offering virtual medical care for $29 by astrange on Tuesday September 26, 2023 @12:44AM (#37654491)
One thing I've noticed about the UK is that I've had to stop reading every British author I've read in my life because they've all died young.

Some of them did manage to release statements about how much they support the NHS before dying. I'd be more impressed if they lived though.

Re:Costco now offering virtual medical care for $29 by defrost on Tuesday September 26, 2023 @01:02AM (#37654643)

    The United Nations World Population Prospects suggests current life expectancy in Australia in 2022 to be 83.79.

    In fact, Australia enjoys one of the highest life expectancies in the world, ranking 8th out of 60 developed countries. That’s higher than the UK (81.65) and the US (79.05).
[ quote source ] https://www.hcf.com.au/health-agenda/health-care/research-an...

[ raw data source ] https://population.un.org/wpp/

So it appears that both Australia and the UK with National Health services (named differently in AU) have greater life expectancies than the US.

Perhaps it's the authors you read?

Bertrand Russell was 97 when he died.

Re:Costco now offering virtual medical care for $29 by astrange on Tuesday September 26, 2023 @01:14AM (#37654730)
Medicare isn't the same type of system as the NHS. My understanding is the NHS is actually fairly rare among healthcare systems, but aside from that it has the bad luck to be run by UK politicians.

US's lifespan is not caused by lack of access to healthcare though, that is fentanyl.

Re:Costco now offering virtual medical care for $29 by defrost on Tuesday September 26, 2023 @02:40AM (#37655285)
> Medicare isn't the same type of system as the NHS.

True, however Australia has a tiered health care system with a very low gap to ensure that practically the entire population has access to healthcare that they can afford in addition to national bulk pharmacy deals to cap generics for the bulk of ailments that require prescription.

For all it's warts the Australian system delivers a kind of healthcare that the US system does not .. widely available affordable treatment for the bulk of medical issues.

US (general mean both sexes) life expectancy sharply dropped as COVID spread, the most that fentanyl can be accused of is the flattening of the general slow increase between 2012 and 2018 .. even that ended and was on the increase until the USofA foot gunned its handling of COVID.

[ Historic USofA ] https://population.un.org/wpp/Graphs/Probabilistic/EX/BothSe...

[ Historic Australia ] https://population.un.org/wpp/Graphs/Probabilistic/EX/BothSe...

Re:Costco now offering virtual medical care for $29 by DanBC on Tuesday September 26, 2023 @03:46AM (#37655850)
> US's lifespan is not caused by lack of access to healthcare though, that is fentanyl.

How do people with substance use disorders stop using substances? They use healthcare, unless they're in the US where they'll using some quasi-religious abstinence-only residential programme.

Re:Costco now offering virtual medical care for $29 by TylerE on Tuesday September 26, 2023 @12:57AM (#37654588)
Tolkien lived to 81. Agatha Christie 86. John La Carre 91. Jackie Collins 77. Ken Follet is 74 and still very active. Anthony Burgess 76. PD James 94.

If you're talking about Douglas Adams, he died of a massive heart attack...in California, where he'd lived for years.

So, in summary, uh wot mate?

Re:Costco now offering virtual medical care for $29 by astrange on Tuesday September 26, 2023 @01:08AM (#37654694)
Iain Banks (59), Pratchett (66), and I'm not letting them off for Douglas Adams yet.

Though everyone in my family in Glasgow seems to live well into their 90s.

Re:Costco now offering virtual medical care for $29 by TylerE on Tuesday September 26, 2023 @01:10AM (#37654707)
Both Banks and Pratchett died from untreatable illnesses. Feels a bit unfair to blame the NHS.
Re:Costco now offering virtual medical care for $29 by BurningFrog on Tuesday September 26, 2023 @12:59AM (#37654611)
The horror stories from the UK type system are more like "I had to wait 8 months for treatment" or "my medication wasn't available".
Re:Costco now offering virtual medical care for $29 by troupo on Tuesday September 26, 2023 @01:24AM (#37654795)
"I had to wait X times for treatment" is a very common complaint in the US on top of "I can't get treatment because my insurance doesn't cover it".

Same for "medication wasn't available": "my insurance doesn't cover the medication required".

The US literally has a video genre of "rationing of insulin to survive".

Re:Costco now offering virtual medical care for $29 by hello1234567 on Tuesday September 26, 2023 @02:53AM (#37655413)
in uk, good thing is, if you do get to see the doctor, you don't have to pay anything but the tricky thing is "getting some one to see you".

on average, system is good for bottom half but system is pathetic in terms of services after paying such high taxes.

Re:Costco now offering virtual medical care for $29 by monero-xmr on Tuesday September 26, 2023 @01:07AM (#37654686)
You can definitely have a competitive market for any procedure that can be scheduled. Amazon will often negotiate on behalf of their employees in order to shop around procedures (see Oklahoma Surgery Center).

The difficulty is for sudden situations like heart attacks. For these you need savings accounts and a baseline catastrophic plan.

Re:Costco now offering virtual medical care for $29 by troupo on Tuesday September 26, 2023 @03:40AM (#37655795)
> You can definitely have a competitive market for any procedure that can be scheduled.

You don't have unlimited fully equipped hospitals and operating rooms. You don't have unlimited heart surgeons. You don't have unlimited MRT scanners or labs doing blood tests.

In healthcare both the supply and the demand are inelastic. Market forces here work only for the most common and the most simple cases like nasal sprays and eye drops.

Re:Costco now offering virtual medical care for $29 by monero-xmr on Tuesday September 26, 2023 @08:42AM (#37658455)
Hard disagree. The market exists for healthcare. The government may artificially restrict certain aspects of it but the market does respond to signals by building more facilities.

Furthermore a lot of innovation goes to increasing bandwidth of the existing doctors. See tele health.

I think you have a very limited view of what is possible.

Re:Costco now offering virtual medical care for $29 by troupo on Wednesday September 27, 2023 @05:08AM (#37672086)
I think you have a very rosy view of the market. And you also overestimate the supply and demand in healthcare.