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Culture War Roundup for the week of June 16, 2025

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Medical insurance companies extracting wealth

It's interesting to note that on this specific question, obamacare was an attempt to reach a continental European style universal healthcare system. It just doesn't work. It has the same bones- strictly mandatory employer provided health insurance, welfare-funded healthcare for the poor and old, a subsidized exchange system for everyone else. It just doesn't work as well. There's a lot of reasons for this, but the median Frenchman or German pays for health insurance- and spends less than the US consumer does.

A private system could work as well. Holland, Switzerland and Japan also have private systems. The difference is that their prices aren't abhorrent. Regardless of who pays the US medical system has a cost problem. This problem will not get solved because the vested interests want delivering a baby to cost 40000 dollars.

I find it somewhat amusing that the US has state-run education, and we regularly talk about how the $17k spent annually on the median K-12 student is too low (but is still higher than peer nations). But healthcare is (mostly) privately run, and we spend more than peer countries and in this case it's obvious that we should save by switching to a more centrally-run model. I'm not sure those positions really square with each other.

I'm not sure those positions really square with each other.

They don't really have to. Public and private solutions can fail for different reasons (though worth noting that both education and healthcare in the US are, like most developed countries, hybrid systems).