- Sep 2017
That's another reason we should be able to run laps around them. They were the "early adopters." They locked in a bunch of mistakes for no better reason than that they had no way to realize they weren't optimal at the time. We have the ability to sit back and look at 30 or 40 socialized systems, most of which have been running for decades, and every single one of which is cheaper and produces better results than ours. We can cherry pick the best ideas from each. We can learn from their mistakes and do even better than they've done, by studying both the fundamentals of their plans, and how they were implemented...... So while I agree, other countries laid out their plans first and then put ideas in place. .....
ACA was imperfect, as compromises tend to be. But it was a huge step in the right direction. Since it was implemented, healthcare costs have been rising at far below the pre-ACA rate, and the US's life expectancy has risen relative to other leading nations (after decades of falling). It's a lesson that says don't make the perfect the enemy of the good. If we're so worried about the order of infrastructure and implementation that we let ourselves be frozen in place with an inferior system, we're doing ourselves no favors. Better to push ahead as best we can.Its apparent from the ACA we didnt do that we started with the healthcare plan and then worried about the infrastructure last
Every nation has different problems to confront. For example, Switzerland has different cantons which are vastly more culturally diverse, one from the next, than various US states are from each other. They speak four different languages, for starters. Similarly, Canada has the oddball of Quebec, which may as well be another country. Denmark, until relatively recently, had to manage the healthcare system of Greenland, which really is another country. Germany had to figure out a way to integrate two radically different economies when reunification happened, which meant bringing together two very different healthcare systems. Belgium has three different languages packed into a tiny country. San Marino needs to run its own national healthcare system with a total population smaller than many corporations. Japan had to build its system from scratch from the ruins of a bombed out civilization. Etc.We have states and their govts to take into account. That makes us vastly different from Europe.
Where the real difference comes in is that those other countries just acknowledge their special challenges and move forward with solutions, whereas Americans like to whine about it endlessly, using it as an excuse not to move forward.