So much for blanket generalizations. I-69 was a private catastrophe which Indiana had to salvage.
Yeah those are two projects of the same scale.
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So much for blanket generalizations. I-69 was a private catastrophe which Indiana had to salvage.
So much for blanket generalizations. I-69 was a private catastrophe which Indiana had to salvage.
I’m absolutely taking a very thin reed and turning it into something much larger without any meaningful basis, but ...I think we know what would happen to clean and air water if the government didn’t get involved. I’m not a libertarian variant of a conservative. I think Libertarianism is childish and irrational in a modern society. I’m all for government setting reasonable standards and guidelines and enforcing them. I’m NOT for the EPA to become a 150k person agency with a $1T annual budget. Obviously I’m exaggerating but I want to be clear that I fully support government injection and Keynesian economics. I do NOT support government takeover of means of production and I do not believe that government control of anything other than military and intelligence is in our best interests.
The Interstate system is certainly a good project but it pales in comparison to forming a single payer system by several orders of magnitude, both in complexity and in costs/budget.
We need a new ACA and we need it to be better designed this time and bought into.
I’ve been accused of being an ideologue in this thread. Fine. I have thick skin and can handle it. I have professional knowledge of the healthcare system and the life sciences industry. I’m telling you it isn’t as simple as “look at Germany they’re better!” They’re not better across the board. And they pay a boatload of taxes.
Most of the counterpoints made to me are equally ideologue in nature but I appreciate the passion.
So much for blanket generalizations. I-69 was a private catastrophe which Indiana had to salvage.
I'm sure it was the government's fault.
If we don't like the highway system as an example, there's TVA. It worked great bringing power to areas that completely lacked it. The Panama Canal. Apollo. The Manhattan Project. Government laid all the original transatlantic cable. The Pony Express worked incredibly well. Communications satellites were all originally governmental. Mars Rovers. Voyagers are still sending back data LOOOOOONNNNNNGGGGGG after life expectancy.
Almost all of those things were built by private contractors mostly with private management. I know the Manhattan Project was managed by scientists and others more or less drafted into service. The Denver VA construction was managed by the VA No accountability is usually a feature of government managers and that lack of accountability cost us more than $1b.
Are you assuming their accountability is robust?So again, if Europe is spending less than us, and that seems certain, how do we instill their accountability?
Are you assuming their accountability is robust?
Is it an obvious answer that there are more doctors?I don't know, I know your thoughts on this sort of issue and thought I would ask CO what his are. People can make appointments faster in Europe (in that Kaiser link way back) and see their doctor cheaper. And the answer can't be we overuse medical resources, Europe and Japan see their doctors MORE often. The average Japanese visits their doctor 13 times a year, the average American 4.1. And those 13 visits are cheaper to the country than our 4.1.
If it isn't accountability, it isn't that we overuse doctors, I'm struggling to see the difference.
Is it an obvious answer that there are more doctors?
https://www.nationmaster.com/country-info/stats/Health/Physicians/Per-1,000-people
We’re getting down quite the rabbit hole now aren’t we? Scientists are usually not equipped to run publically traded companies. They’d do better with non-profits and universities.That is a whole new problem, goes to my issue on STEM. I've known a few local kids who were real stars on science olympiad and what not. Had great prospects in STEM. All chose the MBA route because of money. Our warped prioroties are pushing our best talent into a totally useless field (just kidding since I am fairly sure you are in that totally useless field ) But it is true that we are turning out MBAs far faster than doctors or engineers or scientists. MBA is the number one graduate degree now, it wasn't 30 years ago. Those people had to come from some other potential field.
We need doctors, scientists, engineers. I don't know how to attract people into those fields. But look at medicine, in central Indiana someone comes out of med school and quite probably would go to IU Health where more than half the leadership and board have non-medical degrees. How often does an engineer become CEO of a car company in America? What's the last corporation to move a scientist into a CEO role? Maybe we need people who know the product trying to sell it more than people who know how to sell trying to learn the product?
I saw a quote once (pardon me if I screw it up):That is a whole new problem, goes to my issue on STEM. I've known a few local kids who were real stars on science olympiad and what not. Had great prospects in STEM. All chose the MBA route because of money. Our warped prioroties are pushing our best talent into a totally useless field (just kidding since I am fairly sure you are in that totally useless field ) But it is true that we are turning out MBAs far faster than doctors or engineers or scientists. MBA is the number one graduate degree now, it wasn't 30 years ago. Those people had to come from some other potential field.
We need doctors, scientists, engineers. I don't know how to attract people into those fields. But look at medicine, in central Indiana someone comes out of med school and quite probably would go to IU Health where more than half the leadership and board have non-medical degrees. How often does an engineer become CEO of a car company in America? What's the last corporation to move a scientist into a CEO role? Maybe we need people who know the product trying to sell it more than people who know how to sell trying to learn the product?
Ask the people who used to work for Westinghouse (the real one - not the weird conglomeration it’s become) about how it was when the Engineers ran it. They’d disagree with the first clause of the quote.I saw a quote once (pardon me if I screw it up):
A company is healthy when it's run by engineers. (doctors, scientists,...)
Sick when it's run by accountants. (MBA's,'...)
And dead when it's run by lawyers.
I
Did Jobs have an MBA, or Gates? Dell was in Business School when he started building computers.Ask the people who used to work for Westinghouse (the real one - not the weird conglomeration it’s become) about how it was when the Engineers ran it. They’d disagree with the first clause of the quote.
You’re selecting very special cases and no, Gates didn’t even have an undergrad degree so I’m not sure he’s a good example.Did Jobs have an MBA, or Gates? Dell was in Business School when he started building computers.
I will tie this to a different thread, after WW2 corps were run by ex combat officers.
You’re selecting very special cases and no, Gates didn’t even have an undergrad degree so I’m not sure he’s a good example.
To your point about combat officers - everyone is a non-combat officer until they go to combat. When there’s combat to go.
Right, but our modern corporate officers almost never have a military background. The upper classes used to serve. So combat or not, I think the modern American business class has largely lost their concern for those that serve under them.
And Bingo was his name-oh!if you're concerned about the workers, no corp is going to elevate you to any high level decision making position.
corps embrace the guy who'd fire his own mother on the day before her 20th yr anniversary with the company, or move the factory that supports half the town to a 3rd world labor cost country, and leave the town with the cleanup.
it's not some crazy coincidence that those who make the decisions, either don't give a sht about the working class, or can't let concern affect any decisions.
all that said, remember, a corp is not a person.. it's an inanimate thing that's programmed to maximize returns for those in power, which isn't even always most of the shareholders.
the inanimate corporation will never do what's best for the worker, the town, or even the country, absent a gun to their head.
nor is there anyone in a big corp with the power to do so, even if they wanted to.
and only govt holds that gun.
thus why the moneyed interests have purchased both main political parties, and will purchase any third or forth party, the instant they pose a significant enough threat.
it isn't personal. it's just business.
I looked this up the other day. Per the source of all knowledge, the Interstate system budgeted for 12 years at a total program cost of $27B. It ended up taking 35 years at a cost of $119B. There was surely scope creep from the original budget/plan but not 5x. Our government cannot do anything in a cost effective manner.OK, so we aren't that far off. ACA was a step in the right direction.
As to government programs, it is hard to quantify given the government doesn't often wholesale move into private areas. But the public health system largely has worked pretty well up until some parents went crazy in their attitudes toward inoculations. We didn't pay much for it and we defeated some very bad hombres, er, diseases. I'd argue the interstate highway system was a very cost effective success. The government took on clean air and clean water. Go back and look at pictures of smog from the 50s and 60s. We have made tremendous strides.
Of course its hard to say what would have happened to clean air and water if we left it to free enterprise. I wonder, would corporations have ever tried to reduce pollution if not at the point of an edict?
I looked this up the other day. Per the source of all knowledge, the Interstate system budgeted for 12 years at a total program cost of $27B. It ended up taking 35 years at a cost of $119B. There was surely scope creep from the original budget/plan but not 5x. Our government cannot do anything in a cost effective manner.
https://www.fhwa.dot.gov/infrastructure/target.cfm
Ummm, no. That’s not how government contracting works.To fall back to CO, the interstate was built by private contractors. It's their fault, private companies can't do anything on budget .
I looked this up the other day. Per the source of all knowledge, the Interstate system budgeted for 12 years at a total program cost of $27B. It ended up taking 35 years at a cost of $119B. There was surely scope creep from the original budget/plan but not 5x. Our government cannot do anything in a cost effective manner.
https://www.fhwa.dot.gov/infrastructure/target.cfm
Ummm, no. That’s not how government contracting works.
I looked this up the other day. Per the source of all knowledge, the Interstate system budgeted for 12 years at a total program cost of $27B. It ended up taking 35 years at a cost of $119B. There was surely scope creep from the original budget/plan but not 5x. Our government cannot do anything in a cost effective manner.
https://www.fhwa.dot.gov/infrastructure/target.cfm
I looked this up the other day. Per the source of all knowledge, the Interstate system budgeted for 12 years at a total program cost of $27B. It ended up taking 35 years at a cost of $119B. There was surely scope creep from the original budget/plan but not 5x. Our government cannot do anything in a cost effective manner.
https://www.fhwa.dot.gov/infrastructure/target.cfm
It’s not cut and dry. It could be a variety of factors ranging from scope creep / amendments to underbidding to all shades of everything in between. The government, where the military is concerned, ALWAYS makes changes.So when a corporation signs to build a tank/plane/tank for $X and the final product costs $2X, why is that? Did the corporation really budget properly and the military screwed up? Or did they underbid to get the project?
Reading about the disaster that is the F35, it appears the government made changes (VTOL for the Marines) but at the same point Lockheed-Martin seems to have badly underestimated the cost of developing new technology.
Cool. Why is it lazy thinking? I asked Marv for examples where the government spent money in accordance with budget and policy initiatives. He cane up with the Interstate system. He was wrong.That's lazy thinking, Ranger. It's why it's difficult to take some of my conservative brethren seriously when it comes to government policy initiatives.
Huh? Fine it was a cost estimate. I guess the difference between budget and estimate is nuance and as you’ve pointed out, I don’t understand nuance.Did you read your link? There was never a "budget" for $27B. Instead that was an estimate based upon 1945 design standards. Those standards included railroad grade crossings, no grade separation for some road intersections, lower design speeds, and some two lane roads. Those standards are a much lower cost and as you know those standards were never used to build the final product.
Huh? Fine it was a cost estimate. I guess the difference between budget and estimate is nuance and as you’ve pointed out, I don’t understand nuance.
“Adding the BPR's and Committee's estimates, the total came to $27.2 billion. As debate continued on the National Highway Program in 1955 and 1956, all parties were trying to find a way to fund a $27 billion Interstate Highway Program over 10 years, having lost sight of the limitations of the estimate.”
Isn’t that the point? A commission went off half cocked without first agreeing to a set of standards that were buildable and sustainable. That adds project cost.Back in those days, federally budgeted amounts were meaningful, like they are for state and local government today (Because state and local government can't constantly issue bonds). This is a far cry from the federal government now which never considers a total budget where congress actually prioritizes expenditures. You know like deciding whether to prioritize buying weapons or building roads.
More important than the nuance between an estimate and a budget, though, is the standards to which the interstate system was to be built. Those changed as explained in the link.
Nope. We pay more per capita than any other country. No one is even close.
I'm not even going to attempt to address how the US would pay for universal care, it's out of my pay grade, I will add some perspective from someone that has spent nearly 2 decades in universal care.The proponents of M4A say that taxes replace premiums. They’d better. But that’ll come at huge tax increases that’ll lead us to approaching European income tax rates. No thanks. It’s not my job to pay for other people.
Which country? I can't remember.I'm not even going to attempt to address how the US would pay for universal care, it's out of my pay grade, I will add some perspective from someone that has spent nearly 2 decades in universal care.
There are some pretty crazy numbers being thrown around regarding the amount we pay in taxes here. I have yet to meet a person that pays close to what I have read in this thread.
I just checked my last pay stub and my healthcare contribution constitutes approx 5% of my monthly paycheck.
Of course we pay VAT which is 21%, although healthcare, education, (some) groceries are exempt and charged at around 5%.
My total tax contribution (not counting any VAT I pay for various products) is 28-29%. That's on a salary above the national average, but not significantly so.
What I find interesting is that in my time here I can count on 1 hand the number of times I have heard people complain about taxes. I hae my own theories on this, but haven't really dug into it.
My healthcare is excellent and equals or exceeds that which I received in the US. There is also a thriving private industry for those that want to and can pay more.
Czech Republic.Which country? I can't remember.
The Czech Republic is at the low end for Europe. You’d be wrong about the taxes paid in other European countries: https://www.chicagofed.org/publications/chicago-fed-letter/2017/382#ftn7Czech Republic.
The OECD average is 25%, but that is deceiving because that's only income tax and in some countries (like here) there are additional taxes for healthcare and social contributions.
Here we pay around 28% total.
I keep seeing 50% thrown around and that is way too high. Sure, you can find wealthy people in Scandinavia that may pay that much, but they are the outlier and not representative of the vast majority of the people.
I would say for most countries when everything is added in (not VAT) the average is between 25-30%, far below the 50% that gets thrown around.
The estimated cost for a true “Medicare for All” program is almost as much as the US government collects in federal revenue now. If we’re going to actually pay for it, and not accelerate our decent into bankruptcy, federal taxes collected will have to be nearly doubled.
What?if Medicare for all cost as much as the US govt currently collects in revenue, ($3.4 trillion), that would still be less than we spend on healthcare now, ($3.67 trillion), and everyone would be covered.
Medicare and Medicaid current pay considerably less per procedure than private plans or out of pocket, thus if everyone was billed at the Medicare or Medicaid rates, all currently paying private rates would all pay considerably less for the same care than they now do.
those are all stats, not subjective opinions.
in addition, Medicare for all would divorce healthcare from employment.
doing so both frees employees to move about in their career as they choose and work hours that fit their life, and frees employers to make all hiring, work hours, and offshoring decisions, without having to factor in a $1,000 per mo per full time employee healthcare fixed cost into every decision.
you're wanting to say a dollar spent on taxes is different than a dollar spent on healthcare, which it isn't.
all that's important, is how much do we spend on healthcare and taxes combined, not how that sum total is partitioned off between healthcare and taxes.
why are you arguing against having more people covered, at less cost than we now pay to have less people covered, and freeing up both employers and employees to make career and staffing and locating decisions, without employees or employers having to factor in healthcare or healthcare costs on everything?
We can provide links to each other all day, here is another:The Czech Republic is at the low end for Europe. You’d be wrong about the taxes paid in other European countries: https://www.chicagofed.org/publications/chicago-fed-letter/2017/382#ftn7
They pay significantly more than your estimate. The estimated cost for a true “Medicare for All” program is almost as much as the US government collects in federal revenue now. If we’re going to actually pay for it, and not accelerate our decent into bankruptcy, federal taxes collected will have to be nearly doubled. That would put us around France and Belgium, or higher, for taxation.
but people need to consider the whole story rather than look at a few numbers and think they know the answer.