'Murica! (220 Viewers)

DAiDEViL

Senior Member
Feb 21, 2015
64,685
For schools, it's obvious really. I mean education is the cornerstone of every person's career, if you make it private and completely dependable on how much money your parents make, that's not only completely unfair by just about any ethical standard imagineable, but also simply dumb from an economical standpoint, as a lot of pretty smart & talented people would simply end up not receiving any adequate education simply because of their family's background (not that this isn't a problem already to some extent), and as the average qualification of a large portion of society would drop dramitically.

It would work alright for the top ~20%, and very well for the top 1%, but also only initially until the economy in general stagnates due to a fucking awful batch of human capital. I'm actually astonished that I have to explain this, I've never heard anyone, not even the most anti-state people I know say that we should privatise the fucking school system.



Now for healthcare, this one is a bit less straightforward, and also more debateable really (mostly because there shouldn't be any debate at all for the educational system). Firstly however, single payer healthcare is the only realistic way to insure virtually everyone in a society, which in a state as affluent as the US or any first world country should be the goal anyways, for purely ethical reasons alone. But that's not what you asked for, so I'd rather point to the fact that the cost/benefit calculations of treatments have actually been shown to work significantly less efficient with private healthcare than with private schemes.
Secondly, health care is one of the prime examples of a merit good (ironically along with education), and I guess you're familiar with positive externalities and such, so I won't have to explain this one.
Thirdly, bureaucracy costs are in reality lower in most cases with singular public providers than with private insurances.
^
what he said. :tup:
 

ALC

Ohaulick
Oct 28, 2010
46,535
The sad thing is that those students would have graduated to become a huge part of the problem as far as the education system down here.

But what I was alluding to is that Mexico has a few of the best universities in the world, but they also have a lot of uneducated and illiterate people. Seems like a model we should emulate.
I hope we don't emulate that. It's not as if the gap between the rich and middle class needs to grow even bigger.
 

DAiDEViL

Senior Member
Feb 21, 2015
64,685
For schools, it's obvious really. I mean education is the cornerstone of every person's career, if you make it private and completely dependable on how much money your parents make, that's not only completely unfair by just about any ethical standard imagineable, but also simply dumb from an economical standpoint, as a lot of pretty smart & talented people would simply end up not receiving any adequate education simply because of their family's background (not that this isn't a problem already to some extent), and as the average qualification of a large portion of society would drop dramitically.
i just read this:

http://www.vice.com/read/talking-to-american-debt-dodgers-who-moved-to-europe-to-avoid-paying-off-their-student-loans-111

as someone wrote in the comments, it feels like a the onion article :lol:

the art school guy :lol: :sergio:

it is kinda sad to read and it shouldnt even come to that, but this education system is what it is, so why not think about some things first before you go get a huge credit? like will i be able to pay it back? how long will it take? do i really have to go to college?...or am i just going because
everybody else seems to go? will i find work after finishing school?

...running away is a great idea. mentality will get you far.
 

Seven

In bocca al lupo, Fabio.
Jun 25, 2003
39,341
What am I reading?
Former students who refuse to pay off their student loans and have resorted to the worst of the worst: living in Germany.

These guys are like poster children for conservatives though. I wouldn't be surprised if the entire thing is fake and it's really about making people resent the idea of free education. The guy who did film studies in particular cannot be for real.
 

Enron

Tickle Me
Moderator
Oct 11, 2005
75,664
Former students who refuse to pay off their student loans and have resorted to the worst of the worst: living in Germany.

These guys are like poster children for conservatives though. I wouldn't be surprised if the entire thing is fake and it's really about making people resent the idea of free education. The guy who did film studies in particular cannot be for real.
None of those people have much debt. They could probably pay the loans off in 10 to 15 years, even if they worked a shitty job.
 

Enron

Tickle Me
Moderator
Oct 11, 2005
75,664
One dude has $160,000 though...
True, that's why I said 10 to 15 years. The rest could probably pay off their loans in 3 years with a decent job, 5 to 7 with a shitty job.

The biggest issue is the lack of exit counseling when you graduate. No one tells you about the different ways you have to actually pay off a student loan. Student loan companies usually push forbearance or deferment, when you're actually entitled to a income based payment plan. That's what happened to me after my first stint in university.
 

Osman

Koul Khara!
Aug 30, 2002
61,501
Some of my friends who are doctors or still in med school who did(doing) longer specialist years finish with around 800 - 1 000 000 swedish crones in loans, thats a minimum of 93k dollars in debt if I did the math right. Its hard, but they pay it off slowly every year. Tho perhaps different with them considering they guranteed jobs afterwards with very good to high salary in some cases. Compared to acquiring this debt and then going to Berlin to work as a waiter.
 

Seven

In bocca al lupo, Fabio.
Jun 25, 2003
39,341
Some of my friends who are doctors or still in med school who did(doing) longer specialist years finish with around 800 - 1 000 000 swedish crones in loans, thats a minimum of 93k dollars in debt if I did the math right. Its hard, but they pay it off slowly every year. Tho perhaps different with them considering they guranteed jobs afterwards with very good to high salary in some cases. Compared to acquiring this debt and then going to Berlin to work as a waiter.
If you become a surgeon in Belgium you have no debt. Except if you take on loans to provide for your housing, food, clothes, etc... But the the actual tuition is around 900 Euros or something.

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Some of my friends who are doctors or still in med school who did(doing) longer specialist years finish with around 800 - 1 000 000 swedish crones in loans, thats a minimum of 93k dollars in debt if I did the math right. Its hard, but they pay it off slowly every year. Tho perhaps different with them considering they guranteed jobs afterwards with very good to high salary in some cases. Compared to acquiring this debt and then going to Berlin to work as a waiter.
If you become a surgeon in Belgium you have no debt. Except if you take on loans to provide for your housing, food, clothes, etc... But the the actual tuition is around 900 Euros or something.
 

Ocelot

Midnight Marauder
Jul 13, 2013
18,943
If you become a surgeon in Belgium you have no debt. Except if you take on loans to provide for your housing, food, clothes, etc... But the the actual tuition is around 900 Euros or something.

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If you become a surgeon in Belgium you have no debt. Except if you take on loans to provide for your housing, food, clothes, etc... But the the actual tuition is around 900 Euros or something.
18,50€ per semester in Austria biatch
 

Enron

Tickle Me
Moderator
Oct 11, 2005
75,664
It seems amazing that people don't realise the income based option.
I think my first payments were $600 a month. And I had just left school, I hadn't graduated so I was working a minimum wage job and I made a little bit more than my loan payment, so I was like "hey guys this payment is a little much, what can I do" they replied "oh don't worry sir you can defer your payments". I'm pretty this is the last loan I have to pay off because it has been around since like 2002.

But yeah there are so many different plans you can chose from, but you really have to do the research on your own. The exit counseling is usually no more than a link to a website and a request to electronically sign once you've "read the information".
 

swag

L'autista
Administrator
Sep 23, 2003
84,776
First of all, the argument that health insurers regularly don't pay is complete nonsense. If you really believe that then go buy shares in an insurance company. I actually own shares in one (GNW) and the stock is down 70% because it turned out they miscalculated the premiums for the long-term care insurance. The business is competitive and the margins are not that big, so as a result of the mistake they are losing money every quarter. They would rather get out of the LTC business, but they can't because they've signed contracts.
So yes, if an insurance company doesn't pay, you sue them and you win.
If they never paid out, they wouldn't exist. Let's steer away from silly debates of nonsense and not waste either of our's time here.

The issue is that they are designed to deny service. Profits rise when they put their own resources towards rejecting claims, not servicing them. That's the antithesis of most service-based businesses in the free market.

This is just complete misunderstanding of the basics of economics. Of course the producers of medical equipment have incentive to make cheaper and better products in a market system, because the hospitals are profit-maximising companies. Take the MRI example, if company A sells an MRI for 2 millions and company B sells the same or similar MRI for 1.8 million, the hospital has incentive to buy from B and pocket the 200k. And A and B have incentive to compete both on price and quality. It's amazing that I even have to explain this to you. I know you haven't studied economics, but it should be obvious.
But it's not how it works. And that's the problem. Third parties (whether Aon actuaries or Medicare) come up with their lists of what procedures are covered and what isn't and how much should the going price be. The hospital isn't incentivized to use cheaper equipment as the cheaper systems either won't be subsidized by the payer or they won't be able to command a superior reimbursable price for the patient. So there are little or no incentives in the marketplace for manufacturers of ultra-low-cost but highly performant MRIs. Thus nobody is working on that, and everybody is working on the latest and greatest that will command the highest price and the highest reimbursements for everyone. (I know this having a PhD in Bioengineering and worked on this stuff.)

Sounds like John le Carre on a bad day. I’ll give you two different proofs why this is wrong because the better one seems to be hard for non-economists to understand. Let’s look at one hypothetical example with HIV.

1. Say company A has the patent on some anti-retroviral drug that you need to take every day for a lifetime to manage the disease. In a monopoly it would have no incentive to invest in R&D of a cure. But in a competitive environment it’s totally different. You also have companies B, C, D, etc. None of them have a good anti-retroviral, so A is a temporary monopolist and can charge whatever price it wants. The competitors have incentive to invent alternative anti-retrovirals (they are earning 0 now). More competition means A is not a monopolist any more so the price goes down. A’s profits go down. Now all companies have incentive to invent a cure because they’ll be a monopolist and charge the optimal (profit-maximising) price. In reality, A should be looking for a cure even when they are a monopolist, if they are rational, because they know their profits will be eroded when alternative antiretrovirals come out or when their patent expires.
But A can't charge any price it wants. The third party payers can simply reject it, saying it costs to much to cover. So unless your patients are paying in cash, they can't exactly charge whatever price whim that strikes them. That caps the profit potential and the interest of competition entering the fold.

In any case, even if A, B, C, and D are in the market, they will all be incentivized to produce drug cocktails to generate lifetime subscriber revenue rather than a once-and-out cure. There's no money in cures. Cures are bad for business. And you can invent scenarios with NPV profits and discount rates on paper, but the reality is to look at the for-profit pharmas out there. They aren't looking for cures. They're looking for the last of the blockbuster drugs, like dick pills and the dying days of statins, where they can manage any illness or affliction you have as chronic care. Because that's where the profits and business sustainability are.

Btw, you do realize the "R&D investment excuse" of pharmaceutical companies is bunk, do you? Look at their balance sheets and you'll see they spend at least twice as much on consumer marketing as they do on research.
 

JuveJay

Senior Signor
Moderator
Mar 6, 2007
74,955
I think my first payments were $600 a month. And I had just left school, I hadn't graduated so I was working a minimum wage job and I made a little bit more than my loan payment, so I was like "hey guys this payment is a little much, what can I do" they replied "oh don't worry sir you can defer your payments". I'm pretty this is the last loan I have to pay off because it has been around since like 2002.

But yeah there are so many different plans you can chose from, but you really have to do the research on your own. The exit counseling is usually no more than a link to a website and a request to electronically sign once you've "read the information".
Here they just bumped the minimum income for student loan payments from about £17,000 to £21,000, and it's a reasonable rate at that low end, staggered based on your further income. I have a feeling that those with doctorates also have further leniency.
 

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