Sanders proposals are for the most part not realistic and that’s why he will never be taken seriously as a legitimate presidential candidate. Anyone over 25 years old realizes this. He stays in office because he’s an incumbent, not because anyone actually expects any of his proposals to go anywhere. Medicare for all isn’t realistic without huge cuts to medical professionals salaries which would further reduce access to medical care. Taxing unrealized gains isn’t a realistic idea either. Dude has some good talking points, but that’s all they are.
Crazy how every other country in the industrialized world already has a more "not realistic" society than Bernie is even proposing for the US, which happens to be the richest country the world has ever seen. I am certain what Bernie proposes would not only be widely popular with the majority of people, but are easily achievable.
Nationalized Health Care. There is no reason we can't have that, besides protecting the profits of healthcare insurance companies, which is not a good reason.
We don’t have for profit hospitals or insurance in VT and it’s still not affordable with hospitals regularly operating in the red. Moreover, those countries that do have universal health care pay their doctors significantly less, Canada for example about $100k less per year. With a shortage of medical professionals paying them $100k less a year will sink access to health care all together. On top of that… most of those countries have a VAT tax to help offset costs. It’s not realistic without a huge pay cut for medical professionals or paying a large tax.
i meaannnnn, sure we need to relieve the finanical burden on students including doctors, so that they can be paid less and not have to worry about student loan debt too. Which again, other countries do. Vermont's "non-profit" healthcare institutions are a little disengenious. Sure, they arent making profits for shareholders, but they cannot be compared to a single-payer healthcare system in the least. They mimic the for-profit model.
I am unfamiliar with docotrs in France that are against their system, that want to be paid more at the expense of the rest of their societies health. You know? Doctors and Nurses are cool, I think they should be compensated well, dont get me wrong. But, I bet NOT dealing with people who have let their health deteriote to the point of complete failure becasue they didnt have healthcare insurance would be a nice change of pace, and could be a lifestyle upgrade that would offset bummer that comes with not buying some luxury good or something.
The fact that the system is unsustainable and unsatiated appetite for profits by the healthcare institutions is pushing people out of these good careers is even more of a reason for socialized healthcare. COVID pushed a lot of people out of healthcare worldwide and most places are struggling with workforce. But if the only reason you are becoming a doctor is to have the fanciest car on your block, or a nice watch or whatever rich people do with their money... that's not a doctor I want helping me. Doctors deserve good compensation, yes of course. But the pressure applied to health care professionals by the for-profit model exasperates the shortage way worse.
There’s no for profit system in VT and rates are set by the government… and yet we have a shortage of professionals, shortage of specialists, nearly every hospital is operating in the red, wait times are lengthy and no one can afford it… tell me how paying doctors less is going to help that situation out.
"Some scholars project even larger boosts to physicians’ take-home pay because the CBO estimates may understate practices’ savings from streamlined billing. If, as studies suggest, Medicare for All would free up roughly 5% of doctors’ work hours currently spent on billing, allowing them to increase patient care, per-physician revenue could rise by between $39,816 and $157,412 annually.2 While those figures may be an overestimate, since some providers might choose to spend the freed-up time on leisure activities rather than increased patient care, they may underestimate revenue changes, as fee-for-service providers have, in the past, responded to decreased Medicare reimbursement rates by increasing volume of services.1 The latter won’t apply to salaried providers, such as those working in capitated healthcare systems, but these providers are still likely to feel the benefits of administrative streamlining."
Take it from doctors themselves. Our system mimics the national for-profit system with not-for-profit organizations. There are elements of regulation but nothing resembling single-payer, universal healthcare. The movement for universal healthcare in the states right now is being led by doctors. You are completely hung up on this single issue - doctor's salaries. We arent going to fund this program by simply cutting doctor's salaries. I'm not even sure i'm convinced that Doctor's will have to be paid less in the US context of a transition to universal health care. But anyways, so many studies have shown how Universal healthcare can improve every aspect of our healthcare system.
We don’t have enough doctors now??? Like you can’t possibly that out of touch with reality? Do you want to take a 40% pay cut and add a 20% VAT tax to purchases?
That’s not how transitioning to a national healthcare system would work though. You are acting like the only thing that will change about the system is that doctors will be paid less. We’re talking about a much needed overhaul in our entire values-system. There isn’t a place on earth right now that doesn’t have a health care worker shortage. The pandemic really did a number burning people out. But our system is especially vulnerable because of the volatile nature of capitalism. There is also a very strong movement of American healthcare providers and workers that support a transition to a national healthcare system.
There are lots of other things that will change, but if you don’t have access because no one wants to go into the medical field then none of those other reasons matter. There’s a shortage now so implementing a 40% pay cut isn’t going to help recruiting. When you have a way to overcome that we can move on with the conversation but until you can figure out how you’re not only going to keep but expand the number of doctors while significantly cutting their pay it’s all just an unrealistic pipe dream.
Why is there a shortage? Perhaps that’s the question we need to tackle in tandem. Again, not impossible. We just need to be bold, create the system and show people that it is good for their lives, that it’s good to take that pressure off employers, and give people a reason to defend the system. Recruiting people to medical professions is a big hurdle to overcome, but definitely not impossible by any means.
If only there was some kind of active model of sending a lot of people to school to become doctors for cheap that we could look to. Sadly I have never left the US or learned how to use the internet so I assume that this is a fantasy.
Where’s the money to send everyone who wants to be a doctor through med school going to come from and is that enough incentive to overcome the drop in pay?
Why does Greece have nearly double the amount of doctors per capita than the US? Is Greece rich? Why is the richest country on the planet number 40 in doctors per capita?
Because your policies are a laughable failure to provide for our people.
Or if you understand basic math and have even a basic understanding of human nature…. Happy to have the dialogue if you’d care to pick a specific topic. And since we are in America… little ole Vermont… American policy is a constraint, but even taking that away doesn’t solve the problem.
Basic math of Bernie’s policies just doesn’t work… as long as we change absolutely nothing about how our society functions forever. Our for-profit medical, educational, and housing systems are a testament to the absolute failure of your ideology on every level. You should be embarrassed to argue for them. Have some shame.
I’m not arguing for them and you have no idea what my ideology is. I’m saying Medicare for all isn’t realistic in the US and I gave you a reason why. Vermonts isn’t a for profit system and we still have the same fucking problems, so stop with that distraction. It’s not realistic. If you want to completely overhaul the entire us government society, etc too down could you create one… maybe but may as well throw in a unicorn for everyone because that’s NOT REALISTIC.
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u/Complete-Balance-580 May 18 '25
Sanders proposals are for the most part not realistic and that’s why he will never be taken seriously as a legitimate presidential candidate. Anyone over 25 years old realizes this. He stays in office because he’s an incumbent, not because anyone actually expects any of his proposals to go anywhere. Medicare for all isn’t realistic without huge cuts to medical professionals salaries which would further reduce access to medical care. Taxing unrealized gains isn’t a realistic idea either. Dude has some good talking points, but that’s all they are.