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[-] Bye@lemmy.world 100 points 1 year ago

Our taxes fund more public health dollars per capita than almost anywhere else in the world. Medicare and Medicaid spending is higher than DOD budget, and that’s before you include medical research funded by NIH and DOD or VA spending.

The issue is that our prices are out of control because of regulatory capture and downstream inability of the government to negotiate lower prices.

What we need are price controls.

[-] Stupidmanager@lemmy.world 10 points 1 year ago

look, your argument is fair but inaccurate. When the Insurance company’s negotiated rate on a heart attack is 14k, but the hospital bills you 300k, then the problem is we’ve allowed for private healthcare to make more sense and forced government funded healthcare to be overly complex.

Let me repeat this but in capitalism, we have DONE THIS PURPOSELY so that private healthcare companies can make money.

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[-] captainlezbian@lemmy.world 87 points 1 year ago

I don’t like paying taxes, but holy hell not having the things they’re supposed to pay for sucks. You ever use a toll road or get caught in an intentional speed trap? Holy hell it sucks. And also we’re only kinda sure our food is safe and our medicine works. But the cops have tanks and the beef and gas are subsidized

[-] force@lemmy.world 32 points 1 year ago* (last edited 1 year ago)

I mean toll roads make sense, I'm not sure why we're expected to pay to use public transport but not roads, when roads are far more expensive to maintain and us driving literally causes them to be damaged.

If roads and parking are free then public transit should be free. Otherwise toll roads are fine by me, although they're technically a regressive charge in the US and Canada since you're kind of forced to use a car in most areas... I mean car dependence itself is a giant regressive charge so that's just one part of it.

But assuming we had actual functional transportation infrastructure, toll roads would actually be preferrable near more densely populated areas since it makes you think twice about using your car instead of taking a train or biking.

[-] rainynight65@feddit.de 39 points 1 year ago

The way toll roads work in a lot of places is that they are built with public funds, then a private operator gets a lease for a set amount of time and gets the lion's share of the revenue.

And yes, public transport should be free.

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[-] Spaghetti_Hitchens@kbin.social 58 points 1 year ago

[Slaps hood]

This baby can bomb soooo many third world countries

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[-] HawlSera@lemm.ee 41 points 1 year ago

Notice that taxes don't have the same vile vitrol against them outside of America? They get something for their money.

[-] Obi@sopuli.xyz 36 points 1 year ago* (last edited 1 year ago)

One of my theories is that not only is it about how these taxes get used (as in the OP), but also in the US you have these constant reminders, it's not added to your restaurant bills or supermarket prices until the end, you have to calculate it yourself all the time and that keeps it front of mind. I never used to even think about tax until I started my own business (since now I don't have to pay it for business expenses). When something costs 100€ it costs 100€, you don't think about the fact 20 of them are tax because you, as a consumer, pay 100 and that's that. Same with salary, it gets taken at the source and once a year you just need to verify, and usually you get some money back making it a positive experience.

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[-] DrQuickbeam@lemmy.world 13 points 1 year ago

A society requires governance. Staff to set and enforce rules, staff and supplies to execute services which provide social and physical infrastructure.

Certain things every community needs: Healthcare, education, transportation, utilities, support services for special needs, safety, rehabilitation for rule breakers, etc.

A government can figure out how to provide these services (with in-house or out-sourced expertise) and provide you with one bill (taxes). Or they can privatize a service, meaning you still need it and they may regulate it, but you'll be paying someone else for that service.

The value of taxes should be considered in this light. How much do I pay for all the services me and my community needs, and what portion of that is taxes. Then compare to other countries to see how well our governance system is functioning.

Does privatization save cost? What balance of regulation keeps things affordable vs driving up expenses? What balance of in-house expertise vs outsourcing is the most functional? What is the cost to quality of life having to pay bills to 15 organizations vs one? Where is there an extra heavy burden of cost and what can we do through regulation to fix it? These are the questions we should be interested in when it comes to governance, an elected official's personality or opinions should be negligible factors.

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[-] lolcatnip@reddthat.com 11 points 1 year ago

We also have a constant drumbeat about how taxes are evil coming from politicians and pundits that represent half the political spectrum, all because they've discovered it's a good way to turn people against the other half.

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[-] Rooskie91@discuss.online 40 points 1 year ago

It's not even a nice military though! Failed audit after failed audit showing billions of dollars not accounted for. When you enlist, one of the trainings you get is how to sign up for WIC, because they don't even pay you enough to feed a family (at first) if you lay down your life. This country is a joke from the outside, and a nightmare to live in.

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[-] notaviking@lemmy.world 31 points 1 year ago

Me here in a third world country, you guys are getting stuff for your taxes.

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[-] Kolanaki@yiffit.net 30 points 1 year ago

I would have joked that at least everyone can join the military but they said I was too fat to join back when I was 19 when I was only 25lbs overweight. Isn't it your job to whip my fat ass into shape? What the fuck am I paying you for?!

[-] lolcatnip@reddthat.com 28 points 1 year ago

I've seen how veterans are treated. There's no way I'd join the military even if I didn't find it ethically unacceptable.

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[-] Leviathan@lemmy.world 28 points 1 year ago

I always find it amusing when Americans can only come up with paying less taxes as the answer, then they don't understand why they get less services. It's almost like you should expect more from the tax dollars you already spend. But I guess that's the point of this post and I'm just beating a dead horse.

[-] Stupidmanager@lemmy.world 14 points 1 year ago* (last edited 1 year ago)

what you’re missing is the fact that most of us pay for healthcare through our employer. Clearly a win, yes? no. no it is not.

For those of us “lucky” americans that did the FUKCING MATH, i pay more in healthcare + taxes when you account for the $12,000 deductibles annually and (AND!!!!) the cost of the privilege for having insurance of anywhere 600-1600 per month. Nevermind the fact the stupid private party insurance gets to decide if “I” am allowed to get a procedure. So i pay for someone else to make a decision that my doctor determines is necessary, which is declined (of course), then appealed (and denied), and now somehow i’m hooked on some fucking opiate because the pain is so great while I wait for Jim at statefarm to approve my necessary procedure. Oh, somewhere in there lets throw in a termination from my employer for showing up high on synthetically prescribed heroin (dilaudid) and now i’ve lost said insurance that i’ve paid 12000 into.

Or I could pay less in taxes by just hoping I will live longer that the conservative (and even some democrats) party dies a horrible death. All without the needed medication and coverage that is keeping me alive… am I winning yet?

So there you have it, those not paying for insurance are winning the war against… fuck, i don’t know anymore, what are we fighting? Right, right, the evils of socialized healthcare and “higher taxes”.

yes, i am ok. no the dilaudid story is true but it is not me, it was someone i knew… guy voted trump until he took care of his own mental issues permanently and fought you all the way.

[-] Froyn@kbin.social 22 points 1 year ago

For future reference:
Have your doctor write the literal phrase "medically necessary" on the order. If denied, contact the insurer and ask for the License Number of the Doctor who refuted the necessity. Keep in mind, if they're NOT a doctor it is ILLEGAL for them to make a medical decision.
If they actually get back to you with a license number, you can use that to pull the credentials of the person denying the claim. Present that information to your doctor and I'm sure they'll help write you up a nice paper to send into the medical review board of the state they're licensed in.

I've had to use this method twice with my wife's healthcare. Approvals came within an hour of requesting the license number of the person on their end making medical decisions. The key being the phrase. A doctor's order, or prescription, is a legal document. Your doc putting that phrase means "I believe in this treatment so much, I'm willing to bet my license that they need it."

YMMV as I've only had to deal with BlueCross and they hate when I call.

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[-] rdy97@lemmy.ml 26 points 1 year ago

The irony is that western free nations owe their safety to America’s military, and by extension this sacrifice of the American people, if you follow the post’s logic

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[-] Avg@lemm.ee 22 points 1 year ago

We don't pay taxes to the UK so it's not all bad.

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[-] reverendsteveii@lemm.ee 20 points 1 year ago

nice military

is it? they're never home, so we don't really know

[-] Chakravanti@sh.itjust.works 11 points 1 year ago* (last edited 1 year ago)

Literally, in that most soldiers at "home" are homeless...in America anyway.

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[-] gearheart@lemm.ee 16 points 1 year ago

I mean if the 1% paid their share of taxes proportionate to their income we could live in a utopia :)... But nah... That one polical side that should not be named will continue making the poor poorer and pocketing the money for themselves.

[-] LemmyKnowsBest@lemmy.world 14 points 1 year ago

How high are the taxes in Scotland?

[-] AngryCommieKender@lemmy.world 25 points 1 year ago* (last edited 1 year ago)

Looks like they're lower than The US, for the lower income me brackets, and comparable to the higher brackets

https://www.mygov.scot/income-tax-rates-and-personal-allowances

[-] pigup@lemmy.world 13 points 1 year ago

Same as US + health insurance premium

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[-] whome@discuss.tchncs.de 13 points 1 year ago

That are the reasons why I like paying taxes. Because a functioning society is a great thing.

[-] DreBeast@lemmy.world 13 points 1 year ago

Americans have accepted this idea. To our detriment. And to the detriment of the underdeveloped world. It's a wicked system. God damn it we're foul.

[-] Chestnut@lemmy.world 12 points 1 year ago

The problem here is that no one knows what the government does because government agencies, with one exception, aren't allowed to toot their own horn. That one government agency is NASA and everyone loves them

If you're interested you can read the book The Fifth Risk. The government isn't perfect but it does so much being the scenes that people just don't appreciate

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[-] 100_percent_a_bot@lemmy.world 11 points 1 year ago

Isn't the military like 3% of the gdp and Healthcare somewhere around 20% in the US?

[-] Pipoca@lemmy.world 24 points 1 year ago

Keep in mind, 80% of that is private spending on insurance premiums and out of pocket expenses.

Americans spend a lot on mediocre healthcare because we have to line the pockets of insurance companies and drug companies.

[-] TheMongoose@kbin.social 18 points 1 year ago

And yet you'll still go into debt forever to pay for your own healthcare.

But at least basically anyone can own a gun, so yay freedom, I guess.

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this post was submitted on 04 Dec 2023
1703 points (100.0% liked)

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