Government Healthcare and the deficit

Healthcare in the US is extraordinarily, ludicrously, bad. It is also absurdly, extraordinarily, ludicrously expensive, both for any individual who is not part of an official victim group, and for the government. The government deficit is about two trillion dollars, and is unsustainable. Economic collapse and hyperinflation looms.

The cost of healthcare to the government is about equal to the deficit. Comparing US (corrupt civil service and judiciary) health care spending with Singapore (honest civil service and judiciary) health care spending we may conclude that almost all of that is waste, fraud, and corruption. Fix waste, fraud, and corruption in healthcare, and you fix the deficit. Fix it in healthcare and defence, and you are running a huge surplus, plus you get a military that would not be defeated by superior Russian logistic capability. Fix it in Healthcare, defence, and education …

US government education is the world’s most expensive child minding service.

One of the big benefits of living in Mexico is genuinely private healthcare. Healthcare in Mexico is better quality and price for the individual than the US. Singaporean healthcare is, of course, way higher quality than Mexican healthcare, let alone American.

US government spending on healthcare is twenty percent of GDP, one fifth of GDP, to provide very bad healthcare that is very expensive for individuals. Singaporean healthcare is one sixtieth of GDP. Singapore has the most honest judiciary and civil service in the world, while the Global American Empire has severe and rapidly increasing corruption, visible in the astonishing wealth of its ever more numerous and ever wealthier political elites. Every president except Trump left the presidency vastly wealthier than when he arrived, and the same thing happens all the way down.

A lot of countries provide “free” healthcare. Which is unsustainable, and inevitably turns into mass murder, as in Canada and England. American healthcare has not yet turned into mass murder, but is unsustainable. Financial collapse and hyperinflation looms. You could provide free healthcare if you had an honest and competent civil service like that of Singapore to provide it, but governments that provide “free healthcare” do so out of evil ideology whose adherents increasingly worship demons, so I am unaware of any government has yet provided free healthcare without providing murder instead. The Philippines has a “free” healthcare system, but it tends to kidnap poor people who patronise it and demand that their kin come up with enormous sums of money to get them back. Which is better than practising mass murder, but does not sound much like “free”. You can ransom your kinfolk out of the “free” Filipino medical system, whereas in most of the west, they just murder them. It is a Pareto improvement, but overall, free healthcare in the Philippines is not cheap even if you are on a western salary. You will pay less and get higher quality care in private. For ordinary Filipinos, free healthcare is apt to be far too expensive. Because “free” in the Philippines is expensive, sometimes very expensive, just as American health insurance does not insure, the Philippines have avoided mass murder on the scale of Canada, England, and similar western countries.

The US healthcare system has not yet turned murderous, but no government can sustain this level of healthcare expenditure indefinitely. The cost to government has to be radically reduced, either by mass murder like that of England, or by some better method. Unfortunately a morally better method than mass murder requires a morally better government, which is difficult.

The level of government meddling in Singaporean health care is considerably less than in most countries, but it is not radically less. Singaporean health system is not all that less governmental than healthcare systems in other countries, and not all that radically different from the way it is organised in other countries. It is just that it works and other countries do not. Indeed lots of countries have been copying the outward forms of Singaporean healthcare, while strangely unable to copy the inward substance. Cargo Cult imitation.

You can make a good case based on Singapore for a substantial reduction in government intervention in healthcare, but the level of government in healthcare in Singapore is not all that much less. The big difference is not that it is arguably smaller, but that it actually works. Similarly, Russia.

However it is worth studying what government medical interventions are absent in Singapore, and present in most other countries. In most cases, the primary purpose of such interventions is to enrich people in Washington and Harvard, particularly, but far from exclusively, the Medical-Industrial complex.

The Christian faith in the Philippines is dying, but still strong. It is likely this is the reason that free healthcare in the Philippines is so expensive. The faith prevented them from resorting to murder on the scale that most western free healthcare systems have deployed. Being reluctant to make “free” murderous, they made it expensive, which is a Pareto improvement.