Are you sure of this? Just after my off the cuff perusal, I saw that even the study you quoted didn't make that level of a claim: "For many years, Americans have had a shorter life expectancy than people in almost all of the peer countries."
Something flipped since Reagan.
We know costs were in line till then, and soared afterwards.
I don't have details from a credible source (not political think tanks) for all outcomes, but here is the life expectancy data from a government source:
https://www.ncbi.nlm.nih.gov/books/NBK62373/table/ch1.t1/?report=objectonlyLonger report:
https://www.ncbi.nlm.nih.gov/books/NBK62373/You will notice that in 1950's, for both men and women, US was higher middle of the pack.
By 1980, it was a laggerd. Men live longer everywhere else by now, only women in Denmark seem to have it worse than women in US.
In 2007, the trend persisted and the gap has widened. (Women in Denmark are the only exception again).
From 1980 to now, it is 40ish years.
Does this substantiate the claim that "For many years, Americans have had a shorter life expectancy than people in almost all of the peer countries."?
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You have further questioned if things *will* improve just because they *can*. I did not quite respond to it so far because I don't know how to respond logically to hypothetical situations.
Can you substantiate why you feel there is a unique fear of US somehow failing to not only mimic, but learn from other Single Payer systems and do something at least similar (but quite possible significantly better)?
We have many socialized constructs in the US that have sometimes operated for centuries:
1. US Military. Does it perform worse in your opinion compared to other countries that have socialized military? When you focus strictly on the military operations (and not stupid political decisions to wage war), they seem to be doing a reasonable job so far.
2. Does FDA perform worse compared to other countries? We seem to be one of the standard bearers in this AFAIK.
3. Does US Electricity transmission ISO's perform worse compared to other countries? From what I hear, it is quite the other way around, and my lights seem to stay on (when my stupid AFC switch does not randomly decide to trip, that is).
4. Does medicare, despite having one hand tied behind it's back (in terms of not being able to properly negotiate etc) fare worse compared to just the insurance/financing aspect of other countries healthcare?
5. Does social security not do it's job?
6. Does USPS uniquely underperform other countries postal systems? I seem to never have lost mail pieces, including critical ones - seemingly a regular complaint in some other countries. They certainly "over-deliver" in terms of junk mail - but seem to not lose critical ones, which is my bottom-line.
7. Did US Fed's response to 2008 fall short of other countries? To me it seems to be the other way around compared with the EU.
So can you please give me some reasonable realistic scenario why you are worried that any new healthcare construct in US will underperform, say, Canada, and why? So far, this "fear" seems to be purely ideology driven.
And supposing you had a reasonable fear in this regard, is that a good enough reason to:
1. (not you specifically, but other right wing people) Question observations at every step citing the 2X cost and worse outcome?
2. Deciding we are okay with the situation as is and doing nothing?
Because that is what the rightwing response boils down to.
At least I have not heard anything from the right that makes a reasonable case of how we can re-align ourselves with other OECD peers. Have you?