Where the hell are you from "as a European"? In Germany you can get a take-out almost anywhere they sell coffee. Vending machines are ubiquitous. It's not just for "Americans".
Having a coffee takes more than three minutes, especially if it's still hot. People don't necessarily have that kind of time in the morning. Or maybe they prefer to drink their coffee at a different place than where they purchased it.
> ...dead brown grass a foot either side of every row of vines, from insecticide which is applied every 6 weeks.
You must be talking about herbicide, not insecticide. Herbicide kills unwanted plants, that's the whole point. It generally doesn't kill insects or "everything around it". Numerous unsuccessful attempts were made to show that Roundup/Glyphosate was harmful to bees, for example.
> I do not want to eat fruit or plant byproducts from roots which are constantly exposed to weedkiller or insecticide so strong that it kills all around it (except the root itself).
You should be aware then that there is such a thing as organic pesticides/herbicides which are no less "harmful" than their non-organic counterparts. The difference between organic/non-organic is generally whether a compound is synthetic or not, which is a completely nonsensical distinction from a health/environmental standpoint.
Herbicides/Pesticides are indispensable tools for modern agriculture. They generally have been tested to be safe to use on produce for human consumption. You should probably be more worried about the natural chemicals that some of these plants contain.
These are two different kinds of cases. In this case, the substance was known to be harmful but the court ruled it was not properly labeled.
In the case of Roundup/Glyphosate, it isn't known to be harmful, at least not in the sense that it causes cancer. It was a kangaroo court case.
One can argue that the risks of Glyphosate are unknown, but that's true of a lot of chemicals that farming/industry relies on. For what we do know, Glyphosate is relatively harmless. It's the most common herbicide in use and it's produced by several other companies besides Monsanto.
This is one of those examples on why healthcare/insurance in the US is so much more expensive.
When a French court awards you damages, it's peanuts: One million euros plus 50,000€ in legal fees. In the US, one million probably wouldn't even cover the legal fees.
> In your view of the world, people like me essentially wouldn’t have access to opportunity that would be reserved for the wealthy folks.
That is just not true. Historically, working your way through college was completely feasible. It still is feasible, unless you need one of those fancy 50,000$-100,000$ degrees, in which case you need a loan.
In Germany, a lot of students are working and living modestly through college. You don't have to rush your degree, employers do value actual work experience.
> You shouldn’t have to care about me individually, but if there are enough people like me, it takes a huge toll on society. You won’t be able to hide from it.
Look at it this way: In society, not everybody can or needs to be an academic. If you're not willing to work your way through college, or get a loan, or get one of these ISAs, then society isn't worse off if your place is taken by someone else.
Just look at the situation right now, there are tons of Americans with advanced degrees that are bartending and they're deeply in debt. Clearly society didn't need them to get that education, so it's better off not having paid for it.
What do you mean by "the college"? Community colleges are already affordable. Other institutions only charge that much because of price inflation caused by reckless lending.
> Join the rest of the developed world.
Let me tell you about the situation in Germany with its "free" universities: First of all, there's a three-tier school system with the lowest tier barred from higher education altogether, the middle tier requiring further schooling to access second-rate colleges only and only the high tier allowing university access. Usually, children are separated into these tiers by their teachers, at the end of primary school. While it's technically possible get back on the higher track when they're 16 or so, it is rare. Parental income/education and race is a huge predictor on which bucket a child ends up.
So let's say you were a "good child" and are allowed to the universities, prepare for long waiting times (years) unless you have a near-perfect grade average, in case you want to study something "popular" like medicine, business administration or law. Don't expect to get a seat at one of those crowded auditoriums, prepare to sit on the stairs. Also prepare to be "weeded out" early, especially in the technical fields. Fail a test in a course three times and you will not only be thrown out of your degree program, you are permanently barred from getting any degree that has that course in it. Failed your law degree? Maybe try computer science then!
Okay, let's say you went through all those filters, you finally get a degree. If you're got one of those "popular" degrees, it turns out that job competition is actually quite tough, because far more people have a degree than what the job market actually can absorb. It's still better than in Spain, Italy, Greece etc, where degrees are handed out like candy but actual jobs are as rare as gemstones.
Bottom Line: "Free College" just produces over-education, because most people choose popular degrees beyond what the market actually needs. With ISAs, at least there's an incentive to only support those degrees that are actually in-demand.
> Wasn't that one of the major points of Obamacare, to make strides in that direction? And it did pass Supreme Court scrutiny, who decided yes it is a tax, and yes the government is allowed to tax us.
It decided that the penalty was constitutional "as a tax", not a compulsion to purchase insurance. The problem is that the penalty was too low. If you know you can buy insurance with a pre-existing condition and the penalty is far cheaper than the insurance, it makes sense to just pay the penalty.
Also, unlike with a compulsory purchase, the penalty didn't go into the funds of the insurers, so prices had to go up regardless.
> So an intelligent "Medicare for All" system could be designed to incentivize innovation and cost cutting and overall patient health, if implemented intelligently.
What are the odds of an intelligent solution coming out of the political process?
> It’s tied to your job because health ins through your employer gets an effective tax discount compared to that bought through the ACA market.
There is often some insurance package tied to a job, but that doesn't mean health insurance in general is tied to it. You have a choice.
> There is no way for latter to be as economical.
Yes there is and I'll tell you why: Insurers know you are likely to take the bait so they get make the plans worse (often in terms of coverage, not necessarily cost). It's effectively a small monopoly for them to exploit. Some of the plans I've seen are complete jokes. A total waste of money.
> The positive with an imperfect socialized system is that it's under democratic control. In other words society decides what to prioritize.
You understand that democracy means "majority rule", right? Who are the majority? The sick? The doctors? The healthcare workers earning terrible wages? The people who are actually affected by the decisions made by the majority?
No, it's the average citizens who are fairly healthy. And they want to pay as little as possible or have everyone else to pay for them. So they get what they asked for, which is worse healthcare. The difference is, they force that healthcare on everyone (except the high-earners and the self-employed).
Yes, in the public system, insurers negotiate fees with "public doctors" (Kassenarzt), but the government has the right to override (which admittedly it hasn't used).
However, the prices that doctors are allowed to charge patients (private or out of pocket) are set by the government through legislation (GOÄ). There is no negotiation. You simply can not charge what you see fit, as a doctor, in Germany. Otherwise, why leave for Switzerland? You could just become a private doctor, the demand is definitely there.
"Financially unsound" is getting an insurance capped at a low number, especially with a low deductible. That means you are paying all the money to protect against a somewhat-but not-really costly medical event that probably won't occur. A serious medical bill will still wipe you out.
Of course shit won't hit the fan for the majority of people, that's how insurance works. It's not a flat-rate for services, it's a protection against catastrophic (but unlikely) events. That can happen to you at any age, however if you are young you also will get a discount on insurance.
Since the previous comment got flagged for "tone" (presumably), here's just facts:
- MRSA rates in german hospital are extremely high
- waiting times for specialists are measured in months
- rushed appointments and higher likelihood of diagnostic mistakes
- two-class system (public/private) that by law shuts out ordinary workers from better private care
- doctors are leaving in droves for countries like Switzerland (after spending decades in the "free" German education system)
All of these are results of price-fixing that people absolutely should care about. Proper healthcare costs money, especially in a developed country.
I'm getting downvoted into oblivion, presumably by people who fetishize a socialized system they themselves do not have and know very little about. It's enraging to say the least.
> You should add this to your algorithm for location choice: If you get a serious health problem and want to become poor, come to the US.
If you already have a serious health problem, you'll be hard pressed to find any country to take you and just take care of it pro-bono, if you're uninsured.
German public insurance only covers the bare minimum. I know enough people who are poor because of serious health issues. Sure, their medical costs were covered, but they're now welfare cases. They can't afford many treatments that would make their lives better. They would've had to buy extra insurance, but they chose not to, or couldn't afford it.
Relating that to the US: Don't skimp on insurance. Don't get an insurance that is capped at a low number, otherwise you will go bankrupt if shit hits the fan.
Insurance isn't tied to your job. You can (and often should) forego the employer's plan and purchase insurance on the open market. Most insurances have some form of deductible, it's what keeps them affordable. Insurance should be protecting you against a huge financial fallout, not against petty expenses.
I agree it is a stupid system though and I'll tell you why: People want something for nothing. They want coverage for everyone, they don't want a tax, but they don't want compulsion to purchase and they also want to force insurers to take people with pre-existing conditions. Insurance can't work that way, the money has to come from somewhere.
If there was a compulsion to purchase, the system could work, as it does in many other countries. That's probably unconstitutional though, so it probably wouldn't stand.
Lastly you have "Medicare for all" which would basically bankrupt hospitals if you extrapolate from what current Medicare does to them financially.
You honestly can't blame representatives for dealing with voters that understand nothing and want everything. They voted for Obamacare, then they voted for Trump to make Obamacare even worse. I don't even want to know what's next...
Yes, you don't care because you're completely ignorant. How would you feel about your job if I set the price for your wages at 12€/hour?
Price fixing causes shortages and/or lowers quality. I hope you don't have to go to a German hospital and catch yourself some MRSA, or wait months in agony to get an MRI to diagnose your neurological disorder, or get an appointment with basically any specialist. Because that's the reality of German healthcare. Been there, done that (except for the MRSA thing, that only killed a couple of not-so-close relatives).
The German government doesn't negotiate anything. They set prices, period. Set them too low and you create shortages. Guess what the German healthcare system has, it's a shortage of doctors, especially specialists. German doctors are leaving for greener pastures, like Switzerland. They are replaced by doctors from Eastern Europe. Quality suffers. Waiting times are high. Most Germans are too uninformed or arrogant to admit it (especially to Americans) but the system sucks.
That's not to say the American system is good, but I can't stand all this talk about how socialized healthcare is so great. It isn't. A lot of what people are calling "socialized" systems are actually private systems with a compulsion to purchase insurance, for example Switzerland, Netherlands, Australia. Even Germany technically has a dual system (public and private) but only the top earners are allowed to go private.
> The 15% of income has a cap. It's something like after 60k EUR in wages you don't pay anymore.
...at which point progressive income tax starts kicking in badly.
> Also, only 7.5% comes out of your paycheck, the employer pays the other half.
Guess what, the employer pays 100% of your paycheck, including your vacation, pension, healthcare and taxes. It doesn't really matter to the employer how the cost is labeled. That's why you get to charge more when self-employed.
> The final cost is comparable.
Comparable? It's almost double if you don't take any care. Also, what if you don't have children? It's apples and oranges.
> The 15% is only if you participate in the public system - the private is not tied to your income.
Caveat: You are forced to take part in the public system unless you earn well or you are self-employed.
> Who cares about the deductible? It’s still a ripoff.
You should care about the deductible, cause you entered the contract, silly.
Get private insurance in Germany, there's also a deductible, unless you want to pay more.
> We went to an eye doctor and paid 25 Euro cash including an ointment. The US is just horribly expensive and very unpredictable.
That's because of price fixing (GOÄ). It's all they can charge. And they were probably happy about it because had you been insured they would've only gotten maybe half that.
Guess what, private insurance companies will also negotiate prices.
What happens in socialized systems is that the government does price fixing, which makes healthcare worse and it limits supply. Try getting a specialist appointment with socialized healthcare in Germany, it can take several months. Get private insurance (or pay out of pocket) and suddenly appointments become available. Doctors are leaving the country in droves.
Some of the hospitals in Germany are in an abysmal state, MRSA rates are extremely high:
An ER visit is not the same as a simple doctor's visit. If ER visits are necessary (questionable in this case), they are covered by insurance - by law. Your deductible still applies.
Having a coffee takes more than three minutes, especially if it's still hot. People don't necessarily have that kind of time in the morning. Or maybe they prefer to drink their coffee at a different place than where they purchased it.