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A healthcare system based on maximizing profits is unethical

metta

metta

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I'm watching Painkiller on Netflix.


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“And Purdue treated these reps to parties and, you know, Florida vacations. And they were incentivized extremely well to sell higher-milligram doses of OxyContin.”

https://www.npr.org/2023/08/10/1193...e-will-take-netflix-series-message-personally

Just sickening! So many people have died and more continue to die. This is the type of stuff that keeps happening when you base everything on maximizing profits. Healthcare should NOT be based on maximizing profits! The blame is not entirely on the people who are addicted.
 
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It is tempting to say it is immoral, but it's not. Our society has accepted it and structured its social prestige, its educational system, and its business practices to not only support the profiteering, but to revere it.

We went from having doctors who made housecalls and lived similarly to successful merchants in our midst to those who increasingly demand short work weeks, elite clothes/toys/homes/cars and defend it all with excuses about education and litigation exposure. Smoke and mirrors.

Because it is the accepted moral standard of our culture, it is not immoral.

That makes our society amoral in the consideration of healtcare and its exploitation for profit.

The same is true as we refuse to regulate the speculation in housing.

And it is increasingly true of "universal" education.
 
Profit is the almost always the product of someone else's privation and misery somewhere in the chain.

In countries with universal healthcare, it is considered a critical investment in a productive, equitable society as much as it is driven by altruism.
 
But profit is what made American Healthcare the shining star it is today. Merck, Pfizer, GlaxoSmithKline, Bristol Myers-Squibb, Johnson & Johnson and the rest would never have developed new drugs without the hope iof a profit.

on the other hand...the USA is the only country with a significant number of bankruptcies due to medical bills.
 
^
The US Government financed that research for the vaccines.

68,000 Americans die every year from being either uninsured or under-insured (unable to afford to use their insurance). We have the most expensive healthcare system in the World, and the results are often lower than other industrialized countries.
 
I would note that those drug companies are also developing new drugs in countries with socialized medicine.

And we must more than cover their costs or they would have exited our market.

One horrific example of the immorality of profit.

Banting and Best sold the patent on insulin for a dollar.

Effectively making it free. To see US diabetic patients getting ripped off is shameful.
 
Healthcare in the US is certainly not cheap and is not equitable. But it's still where most innovation is taking place. The biggest expense comes in the final months of life as we as a society often see death as failure. Thus, we spend huge amounts of money to forestall the inevitable. And since it is Medicare is paying the bill, we keep spending- other people's money. And due to the innovations, we can do this. And the wealthy from close by Canada or far away Israel come to the US for treatment as their own healthcare systems limit the possibilities in the name of prudence.

Drug companies continue to roll out new pharmaceuticals, and we gladly demand more- and insist they be cheap. Can we have it both ways?

I also abhor the drug companies constant advertising- "ask your doctor about Kumbaya (or any other of the plethora of these ridiculous made up names).

And no, drugs that have been out and on which the patent has long expired should not be prohibitively expensive.

In the final analysis, rationing both healthcare and experimental drugs may reduce costs and make the system more equitable.
 
^ This is not really so.

People cross the border in both directions to receive treatment at quaternary care facilities or if they can get it done faster.

I know our healthcare system very well and have also worked within the US systems as well in the past.

In some cases, there are specialists at the teaching hospitals both in the US and Canada that are not easily accessed based on location of patients, particularly in the border states.

Our university hospitals are equally as innovative as those in the US and Europe, research is an international and integrated system. It is why, for instance as many Americans will come for oncology and paediatric procedures to UHN or McGill as canadians will be going to Sloan Kettering or the Mayo which are used by those in geographically proximal regions in Canada.

The US system also is not as open as you imply. Unless your insurance company and the medical practitioners approve a procedure or treatment in US hospitals, it is no more available to 99% of Americans than it would be here.

My partner has one med for a genetic issue that is $25,000 per year and our MoH covers the cost because it is a lot cheaper to treat this way than with visits to the hospital or debilitating pain and eventual death.

In the US, the charge is $26,000 every two months.

And why?

Because there is a vast, bloated insurance industry that has so wildly inflated the cost of treatments and drugs and everyone along the line is taking a big fat cut, from the docs who prescribe to the CEO's of the insurance Companies and all the people that handle the drug and the claim along the way.
 
Just a further word on the above.

The producer of the meds above is Janssen Pharmaceuticals is based in Beerse, Belgium although owned by J&J as part of their multi-national operations.

Americans have to get over the idea that the absurd cost you pay is for R&D because America. It is a crock of shit that the pharma industry has fed you for years.

On 27 March 2020, the U.S. Biomedical Advanced Research and Development Authority (BARDA) allocated $456 million for J&J (Janssen) to develop a vaccine against the novel coronavirus
Click to expand...

And full disclosure. I am all for Americans not rising up and overthrowing the pharma oligarchs. I am invested across the board in international pharma. I like the dividends and capital growth.
 
It is indeed all too obvious that health care based on profit(s) is a conflict of interest, likewise health insurance can only survive if it takes in more money than it pays out. Add to this a pharmaceutical industry that is out for making money and it would seem that the average person is out of luck, who is on his/her side?

Maybe public health care on a state level rather than federal would work, what we have now is ineffective.
 
Kulindahr said:
Click to expand...
Over in CE&P there are a lot more comments and memes...but honestly, this seems like the situation that led to the reduction in numbers of the French nobility.

So yeah. Maybe it is fucking time that Americans stopped being such pussies about getting ripped off and started making some fucking noise.

The US insurance industry is one of my no-go investment areas (like Tesla or GazPromneft), so I am all for the bourgeoisie rising up...getting Madame deFarge to knit them a scarf and to bring down the blade.
 
I was a temporary clerk for Regence Blue Shield of Washington, for about six weeks.

Blue Cross/Blue Shield is an awful medical insurance provider - the worse I've ever experienced.

 
Just a reminder from Robert Reich:

A recent report found that the for-profit US healthcare system ranks last among peer nations.
We spend twice as much on healthcare and have the worst health outcomes.
Reminder that Medicare For All would save $450B in health care costs and 68,000 lives per year.
 
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