Sunday, November 4, 2018

Is There a Need for Universal Healthcare?

     I can't remember when, but I saw a post on IG saying something along the lines of "I believe in your right to insurance, but I don't believe it's your right to make me pay for it." I don't agree with this principle in concept or practice, and here's why: as a group, doctors already make an oath to - essentially - heal those that need it. So regardless of anybody else's opinion, they've essentially committed themselves to a line of action - if someone needs it, they'll fix it (this is pretty much what the emergency department is for - urgent care that requires treatment). Furthermore, they cannot turn folks away whether they are rich, homeless, or anything in between. This creates a situation where "consumers" receive a service regardless of their ability to pay (I put "consumers" in quotes because I think it's a really callous way of viewing people), creating some debt. How's this debt covered?
     Well, either the staff provide the service without charge (which they usually don't, nor would I expect them to) or everyone else gets a little bit added to the top of their bill to take care of it. Situation remedied, right? Completely. If you can't tell, though, that means we are all (already) collectively paying for that service (emergency services). As the saying goes, though, an ounce of prevention is worth a pound of cure. Let's take it literally (just for the sake of the blog, there's literally no economic or medical data I am citing for this) and say that $1 in preventive care is worth $16 (16 oz. to a pound) in later, emergency costs. For 137 million emergency department visits in 2015, that cost ends up being quite hefty. Let's say the average visit costs $1,000 for scans and other treatment for some simple math - this ends up being $137,000,000,000, or 137 BILLION dollars. According to the CDC, 14% of emergency department visits (in 2012) were by people with no insurance. If the percent from 2012 applied to the number and cost of visits in 2015, then 19.18 billion dollars (14% of 137 billion dollars)  worth of care is administered to those without insurance - which is a figure that must be bore by some other entity. Lastly, if we take this figure and take 1/16th of it as the hypothetical figure for preventive care, the cost would end up being 1.2 billion dollars. So, the health care system (and by extension, all its customers) could save some ~18 billion dollars by focusing treatment on preventive care rather than emergency services. Now, is my number off? Yes, most certainly. I (admittedly) oversimplified the issue and am missing a host of considerations.
     HOWEVER, the point still stands, and hopefully you understand these ideas better:

  • Everyone ends up paying for everyone else's health because hospitals cannot refuse to administer emergency services. Hopefully, you're made of the moral substance that says this is the right thing to do. If you're not, then this really isn't for you, but you don't get to go around pretending like you care about anyone else. You don't, because denying anyone emergency services is cruel and about as far from caring as you can get.
  • It is more expensive to treat health when it gets to the point of being an emergency (scans, surgeries, etc. etc.) than it is to enact preventive measures (medicine, lifestyle changes, etc. etc.).
  • If we are all going to pay for it when people end up being in poor health, then we might as well be cheap about it by ensuring universal access to healthcare that is preventive so as to ensure as many health problems as possible are dealt with as early as possible (before they snowball into major health issues).
  • It might be counter-intuitive, but by being willing to look out for everyone else, you also serve yourself by reducing your financial burden.

Thursday, November 1, 2018

My 2018 Ballot

I just submitted my ballot earlier today. I wanted to share my vote because I think it's important to have an opinion and stand by it. The teachers union has a set of recommendations that they share, so for those votes, I just put a (U) by them for Union. Otherwise, I'll have a sentence or 2 on my thinking.

Gov: Gavin Newsom (U)
Lt. Gov: Ed Hernandez (U)
Sec. of State: Alex Padilla (U)
Controller: Betty Yee (U)
Treasurer: Fiona Ma (U)
Attorney General: Xavier Becerra (U)
Insurance Commish: Ricardo Lara (U)
State Board of Equalization: Malia Cohen (U)
US House of Reps: Ro Khanna - Same goes for Ro
State Senator: Bob Wieckowski (U)
State Assembly: Kansen Chu - Is there anyone in 95132 not voting for Kansen Chu...? This vote was seriously just a name recognition one.

Superintendent of Public Instruction: Tony Thurmond (U)
ESUHSD School Board: Kristin Rivers, Frank Biehl, Manuel Herrera (U)
Berryessa USD School Board: Long Nguyen - He just had "Retired Engineer" going for him. I think public schools need a diverse set of board members and not just all former school teachers or similar. Sometimes you just need a fresh eye.
County Sherriff: John Hirokawa. Laurie Smith's been in for 20 years and seriously has no ringing endorsements. If someone worked a job for 20 years and their best quality is mediocrity, that's not saying much.


Prop 1-4: Yes; I'm just all about spending on things I like. The federal gov. already spends a ton of my taxes on things I don't believe in, I might as well authorize spending for things I can get behind.
Prop 5: No; I am for spending taxes, and to spend taxes we need taxes. All the wealth is tied up by old people, soooo I'm not tryna cut them any slack.
6: No; people who buy gas are using the roads. They are wearing down the roads. Those roads need repairing. Gas taxes repair those. Makes sense.
7: Yes; from what I've come to understand, shifting that hour back and forth causes unnecessary accidents/other bad things without even saving energy. So what the heck.
8: Yes; caps profits on dialysis centers and forces higher standards. It kills me that people seek to obscenely profit from others' maladies. It's just absolutely disgusting.
10: No; rent control doesn't help renters. Only building more housing does.
11: No; just gives breaks to corporations and not employees. Sucks.
12: Yes; just some PETA type stuff. Honestly not that invested in this measure.
Measure
A: Yes; taxes.
S: Yes; modifies procedures for city construction contracts. I think it opens up bidding?
T: Yes; funds emergency and disaster responses, infrastructure, and roads.
U: Yes; city council and mayor don't get to approve their own salaries. Duh??
V: Yes; funds housing. I'm young, poor, and need housing. Yes.