Showing posts with label welfare. Show all posts
Showing posts with label welfare. Show all posts

Saturday, 22 April 2017

6 Reasons Why Healthcare is so Expensive in the USA

- In many states if you want to open a hospital you are obliged to go before an official board and demonstrate that the community needs this hospital and that you are willing and able to fund it all by yourself. The people on the board are going to be the big hospital administrators from already existing institutions who want the competition like a hole in the head.

- Nineteen states are even limited to having only a single medical school! There are only 123 in the US despite thousands of perfectly capable students being turned away every year because they can't find places.

- Not everything a doctor does requires 7 years of training but the law requires everyone to have at least 7 years of training to do it. (In some cases a practitioner will have to do 4 years of undergrad, 4 years of medical school, then 3 years residency by the end of which many are so burned out and seriously debt laden before they even begin their career.) The natural prescription is to allow doctors surgeries, clinics and hospitals to train and certify their own assistants to take responsibilities off the hands of highly specialised staff so that fully fledged professional can focus their time and attention on what they alone are capable of doing. Healthcare costs would plummet.

- In December 2011, the Administrator for the Centres for Medicare & Medicaid Services, Dr. Donald Berwick asserted (as he was leaving his job) that 20-30% of health care spending in the US is going to waste. He listed the five major causes as over-treatment, failure to coordinate care, the administrative complexity of the system, burdensome rules, and outright fraud.

- One study found that per capita prescription drug spending in the United States exceeds that in all other countries, $858 compared with an average of $400 for 19 other industrialized nations, and the most important factor allowing manufacturers to set high drug prices was market exclusivity, protected by monopoly rights awarded upon Food and Drug Administration approval and by patents.

- A Harvard Business Review analysis published in 2013 revealed that while the U.S. healthcare workforce grew by 75 percent between 1990 and 2012 a whopping 95% of the new employees were administrative staff rather than doctors or nurses meaning 19 administrative workers for every doctor. The Annals of Internal Medicine last year, observed 57 physicians found that 29 percent of total work time was spent talking with patients or other staff members and another 49 percent was spent on electronic record keeping and desk work.


I am writing a book called Why is Healthcare in America so Expensive if you want to get notified about it when it's ready download my last book for free.

Thursday, 12 January 2017

Universal Basic Income: For and Against

Talk given by me at event in Glasgow, enjoy.



Writing this book was a lot of fun because it gave me the opportunity to draw upon a wide range of research and writing I had done earlier and pull the strands together like a nebula forming into a star. I think expanding upon my UBI talk made for a far more interesting end product (god, I sound like an economist) than a simple collection of essays would have. I endeavoured to bring my writing (and speaking) together in a Best Of (to continue my “band-on-a-reunion-tour” analogy from the introduction) in one place, before building upon it with unique bonus material. I think the result makes a good stand-alone piece, however, if you can’t get enough of my writing (you’re only human after all), or would like to see where the book all began (as far back as 10 years ago!) here are links to the source material I drew upon.


Think Like an Economist! Presentation given at Scottish Libertarian Students event (2017): https://youtu.be/Y6UpE7LlNrk

Corporatism and Reforming the Welfare State, YouTube Video (2008): https://youtu.be/nAfpGZWJOQQ

3rd World Aid vs. Exploitation of the Third World, YouTube Video (2008): https://www.youtube.com/watch?v=cmVEotnLaTA

Misanthropic Myths about 3rd World Poverty Debunked, Article (2017): http://scottishlibertarians.com/thirdworld/

The Hope of Affordable Housing, Article (2016):
http://scottishlibertarians.com/the-hope-of-affordable-housing/

We Shouldn’t Even Need a Basic Income to Meet Everyone’s Needs!, Article (2016): http://scottishlibertarians.com/basicincome/

What Libetarianism can do for The Poor, Article (2017):
 http://scottishlibertarians.com/poverty/

Living Wage : The Road to Hell… is paved with good intentions., Article (2015): http://scottishlibertarians.com/living-wage-the-road-to-hell/

Why Mechanisation Does Not Cause Unemployment…, Article (2016): http://scottishlibertarians.com/mechanisation/

Labour Laws, Podcast (2017): https://soundcloud.com/scottishliberty/workers-rights

Beauty Salon Economics, Article (2017):
http://seeingnotseen.blogspot.co.uk/2017/01/beauty-saloneconomics.html

Occupational Licensing, Article (2017):
http://seeingnotseen.blogspot.co.uk/2017/

Why Do Markets Work? Public vs. Private, YouTube presentation (2018): https://www.youtube.com/watch?v=kRjwgd2jdIs