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private healthcare is fine so long as it is paid for out of public funds?
But your responce tothese unemployed peoples health care needs is to say "tough luck go get a job you lazy scrounger" (paraphrase) Great sound bite, but simplistic, and ignores the fact that unemployed people would loose out badly in a purely for profit health service. Your answer "get a job". Tell that too a lot of hard working people who have lost thier jobs over the last year or so. tell that to the 50 year old with 3 kids who has worked for30 years in the one company and now its closed down. you see all unemployement as the fauth of the unemployed. And you call my stance ideological? I call it moral.
If the state is paying for private companies runnign these a A%E units this is far from the privatised Eutopia your calling for.
That comment is unbecoming of your decent argument so far in this discussion.
The key word here is basic. Your admiting here that you see a difference between the health care people who can afford it should recieve and people who cannot should recieve. That is fine up to a point, but when it comes to services like cancer, alsimers care, you believe those who can afford to pay have a greater right to these services simply because they can afford it. If you think that is a good way for society to devlope and tolerate good luck to you. I want QUALITY health care not BASIC health care for all.
Even you see state funding for privatly provided service as a means of movign forward. SO where does this fit with your completly privitised health system?
I am not arguing that private sector cannot provide efficent health care. I am arguing that a purely privitised service cannot provide equitable care. If the only responce you can give this is the typical argument, I suggest this is you being idological not me. What am I arguing for?Good quality health care avalible to all citizens regardless of thier ability to pay taking into account the complexity of issues of ppoverty, and the need for social justice and equity. Is essentially a question of morality.
I am arguing that a purely privitised service cannot provide equitable care.
No I am not the one with the confusion here, you are. This is a discussion between the merits of a public v private health system. A private system is funded by contributions by people into insurance policies and run by the private sector on a for profit basis . PERIOD. Anything else is not purely private.
The only one that has modified an argument or has confused this is you.
The french system looks good to me. As it offers equity and effeciency which is essentially a publicly run service.
Now I am not ideologicaly fixed on publicaly fundeded and run hospitals.
Privitisation of health will lead to vast swathes of poor people not being able to afford health care. If you think thats morally right good luck to you. then again morality has nothing to do with the business ethic.
Privitisation has been shown to benifit the rich and disadvantage the poor. That is a fact. In Ireland a two tier system is developing in health care already. The american system mainly privitised leads to millions not being able to afford basic health care and this is the way Europe is going.
If I believed the private sector could offer more efficent, clean, people centred hospitals where there was equity of access and treatment for all regardless of an ability to pay. then lets run with the private sector. I just cant see this happening in the real world.
for one thing those who do pay will resent those who pay nothing as being scroungers. And a divide will develop between what the government are willing to pay into the system for public patients and the money private patients pay. This will happen more and more as the cost of health care increases. leading todivision and inequity.
How people are to pay for this healthcare and what mechanisms the Government puts in place for disadvantaged people is a different argument.
If you owned a supermarket in an area of high unemployment, where all of your customers were in receipt of social welfare, would you claim that your shop was "essentially a publically run service"? In a debate with me about whether food distribution in this country should be publically or privately provided, would you claim that a "purely privatised" food distribution system meant those without jobs must starve?
I seem to remember something similar existing in the not too distant past.........I have a strange memory of switching on current affairs programmes in the 1980s and seeing 1,000s of Soviet citizens queing for hours in state owned supermarkets with not much on the shelves.
Maybe Groucho but not Carl. Carl was all about the perfect ideology of a workers utopia, he ignored human nature much like those that suggest a publicly owned and delivered health system (or any other system) where there is little or no accountability or sanction can ever be efficient. That’s what this boils down to: will a privately delivered health system deliver more bang for our buck? Discussion on this question should be free from ideological preconceptions and the assumption that the state (i.e. it’s Dept. of Health civil servants) is not competent enough to regulate either service. I think it’s quite clear where we all stand at this stage.That line could have been written by Marx well done
We havent heard back from "Television" yet today. Is it because like all good socialists, s/he is not into mornings?
If you wished to make such a distinction you should have indicated this from the start. Certainly such a distinction in debates focusing on privatisation is not common. For example, in debates regarding the privatisation of bus transport services in Dublin, nobody was suggesting that the privatisation of some routes was not "proper privatisation". Nor did I hear Joe Higgins, Mary Lou McDonald or any of the trade unions argue that partial privatisation was fine so long as the whole system wasn't completely privatised.).
This makes the reasons advanced by you for voting against the Lisbon Treaty even more suspect in my opinion, since no country in Europe has a purely privatised healthcare system so it can hardly be something that other countries will attempt to foister on us against our will.).
No I have been consistent in my claims. I'd like if the healthcare system required no government funding at all but acknowledge this is extremely unlikely. However, I believe we could massively improve our existing system if the government restricted its role to one of regulation rather than actual service provision.)
75% of French hospitals are privately owned and privately run on a for-profit basis. Again I reiterate, you are debating whether or not the cost of medical care should be socialised (like France) or not. Privatisation is irrelevant in this debate, as there is no reason why the service for which the cost has been socialised cannot be provided for privately, publically or through a mixture of both. ).
If you owned a supermarket in an area of high unemployment, where all of your customers were in receipt of social welfare, would you claim that your shop was "essentially a publically run service"? In a debate with me about whether food distribution in this country should be publically or privately provided, would you claim that a "purely privatised" food distribution system meant those without jobs must starve?
If you don't believe the private sector can deliver better healthcare than the public sector why then do you purchase private healthcare? Surely this is contradictory?
Also does the public sector currently offer anything even remotely resembling "efficient, clean, people-centred hospitals". Equity of access and treatment can be tackled in a number of ways without necessarily requiring the government to own and run hospitals.
2. If this divide is going to exist then it exists already as a function of our welfare system. Individuals on welfare already have most of their medical costs subsidised. I fail to see how there will be any great increase in antagonisation especially if the PAYE sector is also availing of the lower medical costs and taxation that will result from privatisation.
Even within a government regulated private system companies have to make a profit. This is fine in any other industry but in health it leads to inequity.
There are very good examples of the american system where community not for profit hospitals are the leading providers of quality health care.
And Irish hospitals and the public system does by and large provide people centered care.
Can you give a concrete real world example of any possible inequity? You keep on going on about inequity, but cant point to any examples. ].
Here's an idea - any comments?
We havent heard back from "Television" yet today. Is it because like all good socialists, s/he is not into mornings?
In a privately delivered system it is the function of the government or it's regulatory body to construct a system, and enforce compliance with that system, which requires those delivering the healthcare to operate in an ethical manner.Read my cancer example in my previous post. Health provision is essential a debate about ethics and economics. You are too ideologically blinkered to understand this duality. UNkess you seriously try to address the issue of the ethical issues brought about by purely private health care I dont see much point in adding further to this discussion.
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