Re: Re: Single payer health care
By: anthk to All on Tue Apr 08 2025 01:05 am

In serious life threatening cases, it's kinda the opposite. But, yes, on non-covered
public healthcare issues such as teeth, these are sent to the private dentints. Someting that should have been socialized since the childhood, because tons of illnesses (soon maybe Alzheimer?) are related to teeth infections.

I am talking specifically about consitions that are covered by socialized healthcare and the social security system just pumps it out to private healthcare via subcontracts because they outright can't deal with all of it.

The point is if a given autonomy is pumping 50% of their TAC studies (for example) into private healthcare, you can bet they are pumping specifically the cases they don't want to deal with. You know, autistic children that are going to put out a show in the radiodiagnosis unit, or outright fucked up cases. No body wants to deal with a worse than average case so social healthcare workers who get paid no productivity aren't going to care much for those.

And then there is the pool of really fucked up fuckups that are nominally covered by socialized healthcare but nobody at social health services will take the case. We recently had a case of a young gal that cannot eat because her digestive tract is all messed up. At first she tried social services as everybody else but she was told what, in essence, was "Yeah you are covered, but nobody has time for your case, so get lost."

It depends on the particular unit, but socialized healthcare units that see a lot of use are usually very badly managed. If you show up at a rural consultory in a lot of places you will be lucky to find the Doctor within the official schedule, because half the time he won't show up at all. Orthopedia units are cronically overloaded - they kind of are too in the private sector, but the difference is that the private sector will go deep in debt in order to hire more people and build new installations to cope.

As much as I hate the private hospital we are contractors for, you have to concceed they are hell bent on providing service, to the point they have taken loans using nearly 100% of their equipment as guarantee. Compare that to socialized systems, in which they will take loans using YOUR assets as a guarantee, and then still fail to deliver.


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Re: Re: Single payer health care
By: anthk to All on Tue Apr 08 2025 01:05 am

BTW, I live up in the North, and if you are from Madrid... Madrid it's a damn disaster
because the right wing party destroyed it to put its private minions so everyone
has to get a private insurance. They are a damn mafia.

Thanks for bringing up this point, because it is a recurrent issue:

Have you noticed that most of the people who want a strong socialized healthcare system in Spain can't stop complaining that socialized healthcare is underfunded, badly managed, and can't guarantee adecuate services?

It is Schroedinger's healthcare. It is awesome when we need to argue social healthcare is the best healthcare model, but it is awful the rest of the time.

Also, it is often argued that socialized healthcare is awful only because politicians have partnered with private healthcare investors in order to make it so. Considering Oscar Puente was caught driving an official vehicle from an hospital group before he was minister I can totally buy he had a shady deal with them (my suspicion is the hospital group was bribing Oscar Puente with that car as a way to ease some healthcare licensing deals that were going on up North back then). What others consider an argument in defense of socialized healthcare is actually a deep argument against it: how trustworthy could a social system be if the likes of Pedro Sanchez or Feijoo can trash it with no accountability in exchange for under-the-counter deals?

And in the end that is precisely the point. If social healthcare is corrupt (which it is) then nobody is giving you the option to opt-out unless you happen to be a government agent. That is so screwed up.



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Re: Re: Single payer health care
By: Arelor to anthk on Tue Apr 08 2025 05:15:29


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