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Imagine how much a hassle car repairs would be if cars were a staggeringly complex biological system where parts could not be replaced figuring out what was wrong was difficult and all work had to be done in while it was driving down the road and it was really easy for you to die if a mistake was made and other people had to pay for it.



Are Indian humans made out of simpler parts, such that it's OK for them to have free market health care whereas it doesn't work for us?


No, it's that they don't care about people not being able to get care, whereas we at least try to care about it.


That ahem sort of racist snark would make a lot more sense if we weren't having this discussion in the context of a system that appears to be providing wildly cheaper service.

My more subtle point is that when we are discussing an existing free-market based medical system, you can not just trot out all the standard arguments about why the US should not go free market, because they are all based on a discussion of a change in how we structure the system. Here we (appear to) have a free-market system, so, one must validate all the slurs actually apply before just flinging them at the existing system.

If free-market health is so guaranteed to be so utterly disastrous, instead of flinging quasi-racist slurs at the Indians, why don't you actually go find the guaranteed-disasters in progress? Ought to be pretty easy if it's even one-tenth as bad as everyone always claims in the US context.

(Though I'll warn you in advance I'm going to account for the situation on the ground; if the doctor's office in a far-flung village with a per-capita income of 50$/year isn't up to US standards, I'm not going to award you many points. India is not a wealthy country. Only the major medical centers are really that interesting. It's also generally invalid to complain about a government not providing services when they simply do not have the wherewithal to be providing them to everybody yet.)


"That ahem sort of racist snark would make a lot more sense if we weren't having this discussion in the context of a system that appears to be providing wildly cheaper service."

Cheaper to Americans. Not cheaper to it's own people. Most of it's own people are still priced out of that market.


If that is the reason, why do many countries, such as India in the article, have systems that work efficiently and simply?


India's system works efficiently and simply for those who can afford it, which is a minority of the Indian population. For the ~70% of Indians in rural areas, and especially the ~50% who are living in poverty, they often have little access to health care. What they do have access to is often substandard.


India is poor. Half of it's people don't even have a flush toilet and many don't even have clean water.

This is not some failing of the medical system, it's just a failing of India to be a wealthy developed nation.


source?


https://en.wikipedia.org/wiki/Water_supply_and_sanitation_in...

I think 50% of the population engaging in open defecation is even higher than San Fransisco.


Cars are more complex than lots of common medicine.


That sounds like a modern car to me. sans biological




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