This was originally a comment at Peter Grant's blog. Go check him out. He's a very good writer of science fiction, western, and fantasy novels. https://bayourenaissanceman.blogspot.com/
Regarding health care - That which can not continue indefinitely, must
eventually stop. The predicted stop date is between 2032 and 2034. By
that time, social security expenses will occupy 100% of the federal
budget. Medicare/aid expenses will occupy 100% of the federal budget.
Debt payments will occupy 100% of the federal budget.
That's a lot of 100 percents there.
care expenses are driven by various factors - the relative paucity of
trained doctors, ridiculous regulations (did you know that medicare
forced over half of all hospitals in America to close?), ridiculous
lawsuit, and the corrupt death spiral of the insurance industry.
not an opponent of insurance. I think it's pure, free market
capitalism. What I'm upset about is the rampant corruption that the
health insurance industry, and this most definitely includes
medicare/aid, forces on the health providers. Over half of all medical
spending is simply insurance processing/compliance. Prices are
artificially inflated (massively, in some cases) so that insurance
companies (remember, this includes the government) can show that they
negotiated huge price concessions.
Large hospitals, pharma
companies, etc. can afford the kickbacks and bribery to play the game
and win. The traditional neighborhood practice can not - that's why so
many of them have closed. Doctors don't have individual practices now -
they've organised to share administrative expenses. There is a reason
why you can't get an estimate of how much a procedure will cost - the
doctors simply don't know, because so much billing is tied up in red
tape corruption. They doctors don't generally like this, but it is how
the game is played, if they want to survive.
This is one of the
reasons that America isn't training more doctors now than we were in the
1960's. Another is the AMA, which like all unions wants to keep the
supply of skilled labor low so that wages can be kept high. Did you
know that the US has added exactly one new medical school in the last 50
With all the expenses that doctors have, which includes
student loans, general practitioners simply don't make enough money.
Most of them would be better off as plumbers. "Rich doctor" is a myth
these days, unless you're an in-demand specialist or practicing in
So many problems, no simple solutions. Everything
goes to hell in a hand basket within the next 15 years or so, and we
can not count on the current quality of politicians to do a single
blessed thing about it until it is far too late to make any positive
difference. We can assuredly count on our "friends" on the left to make
everything worse, though.