Would it make sense to say that the ideological propensity of American culture which lends itself to individualism, distrust of centralized power, and pro business attitudes left them vulnerable to the corporate or legislative influence that without the ability for government to completely control national healthcare mandates private interest captured the legitimacy of healthcare such that private financing and private delivery became the norm? Without state mandated healthcare the first entities who establish themselves as the logical or trustworthy voices on the subject inevitably shape how the agenda moves forward. I also feel like the post ww2 Breton Woods system reinforced and entrenched this sentiment in the USA since the explosion of the dollars value sustained an unprecedented golden age of prosperity. Yet once the decoupling of the dollar occurred in the Nixon era, the purchasing power of the dollar had to continue if the USAs global economic hegemony were to continue, hence the financialization of the market exploded industries like health insurance in terms of profitability thereby bloating an already privately incentivized system with healthcare institutions so powerful that they begin to control the industry through sheer economic mass. Since there is no ability to implement centralized systems of healthcare, the US is experiencing its crisis of healthcare because as the power of the dollar recedes what’s left is a bloated carcass of a once prosperous system that has since fallen into disrepair.
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>>18110430>Since there is no ability to implement centralized systems of healthcare, the US is experiencing its crisis of healthcareThey aren't. The massive healthcare expenditure is only there because there's noone telling them to stop spending. A boomer will remortgage his house, sell his cars etc. to fund his 36th chemotherapy because he's so afraid to die the price doesn't matter. Maybe he'll survive a month longer maybe he won't but he will spend money. Eurofag is told to wait 18 months for some kind of procedure and dies in the meantime, or even told the state healthcare can't do shit anymore and often doesn't bother to check if it was just an administrative "it doesn't make sense to keep him alive". In the end every country is facing healthcare crisis, with the national healthcare schemes often being financial blackholes and the reason is always the same. A 35 years old dude costs the healthcare system nothing. End if life care, especially for really old patients is what causes the private insurance to raise in price and the public healthcare to be a financial black hole. This is one of these things that I've been thinking about lately. The state should be the unethical being. The principal unavoidable evil. It will not let you extend your life by 3 months by spending all the money you've had and even one that you don't have - you will die as will everyone. It will not let some parents to raise a retarded kid - into the gas chamber it goes. All the people involved can only say to themselves that this is outside of their reach and they did what they could, their morality unviolated. The state is cruel and you hate it but the cruelty it exhibits in such every day fashion to people who fundamentally pose no danger to it is multiplied by 100 against those who try to.
>>18110578That’s kind of what I wanted to hit on. Nobody can tell them to stop because they don’t have the legal nor culturally approved ability to. I agree that every healthcare system is in crisis but to me that’s connected to the world monetary system propped up by the Breton woods system post ww2. Sounds like you are explaining the state as the leviathan in some capacity, you bring up the idea of the state as the final moral arbiter of what constitutes good healthcare versus wasteful redundancy. This I disagree with as I say the state has no place being the decider, they must be the provider. Now this lets open the potential for abuse and misuse/overuse of the system, but there has to be better mechanisms to use than the ones you propose in such a dichotic fashion.
