On Mon, Feb 16, 2009 at 9:15 PM, Gruss Gott <[email protected]> wrote:
>
>> Judah wrote:
>> You  know that the US is a much bigger country than either the UK or
>> Canada, right?
>
> Fine, let's go per capita

Ok, lets go per capita. What are your numbers?

>> Ane in an academic setting and isn't effected
>> by health insurance.
>
> What do you think pays for those PhDs?  My friend is getting a stipend
> and free tuition at Northwestern for a PhD in physics.  His project is
> to custom build calcium carbonate for bone replacement.  Northwestern
> has their full patent, legal, and business team on the case.  They
> make billions.

Odd you should mention that but I do in fact have a number of friends
at Oregon Health Sciences University who do research. And yes, if they
come up with a new drug, the university stands to make a fair bit of
money. Not billions though. I know that Northwestern has an unusually
large endowment. A quick search puts it at 7 billion with $700 million
having recently come from the sale of patent rights to the drug
Lyrica,  the largest royalty sale in history. The bulk of most basic
research funding still comes from the government however. And
regardless, even in the case of money made from drug development, the
relationship between national health insurance and that drug
development funding is going to be miniscule at best. There will still
be a market for drug research and new drugs will still be sold all
over the world.

>> a thousand.Lets try getting a system where the leading cause of
>> bankruptcy isn't medical care. Lets try for a system where sick people
>> can go see a doctor.
>
> If you don't focus on those questions then all you'll have is
> bankruptcy.  By everyone.  Looked at the entitlement numbers?  Robert
> can tell ya.

You don't think that those questions are going to come into play?
Look, I know the entitlement numbers. I understand the basic market
forces. Hell, I have a degree in applied mathematics and can even
calculate actuarial tables. All of that comes to naught though if we
don't first address the basic question: are we going to do this?
That's it. Are we going to do this?

Lets get to the point where we say "yes, we're going to do this. It is
time for the wealthiest nation in the world to agree that everyone
deserves healthcare". Then we can talk about the details of managing
risk pools, providing efficient payment systems, preventative versus
catastrophic care and all the other nitty gritty details. Other
countries have done this. They've had successes and failures. None of
them, as far as I'm aware, has been bankrupted by it. That's great.
That means we have data to work with. We're smart and we can work this
out. But first we have to have the will to do so. That is the
question.

Judah

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