36 pointsby testing223217 hours ago3 comments
  • quinncom3 hours ago
    Mexico already has “universal healthcare.” The public hospitals are so bad and chaotic that most people who can afford to pay private insurance so they can go to private hospitals.

    The article doesn't state explicitly, but I guess this new decree changes the qualifying rules. For example, that even if you have private insurance, you can still access public healthcare facilities.

    I don't see how this is going to work unless they also improve the resources to the public facilities.

    • mchusma2 hours ago
      Without knowing much this seems kind of reasonable? Some baseline of care but not enough that most people will opt it.

      If I could make universal healthcare in the US it would be something like: - free generic meds where there are at least 3 independent low cost providers. - free ai diagnostic tools - tax breaks on healthcare spending - catastrophic insurance @ fixed prices for various diseases (eg if you get colon cancer you get $30,000 for treatments. Basically whatever the low end of reasonable is, to invent you to price shop etc.). These numbers should keep being adjusted down over time as people get more efficient at treating. - maybe up to $400 per year on various preventative tests.

      And remove most other regulations on healthcare (including banning employer insurance).

      If the government provided this, the cost for private healthcare would plummet. People would have free access to diagnostic and drugs better than anything you had 20 years ago (2006). Which is pretty incredible!

      • wasfgwp12 minutes ago
        > if you get colon cancer you get $30,000 for treatments

        And… what if its not enough?

        But yeah, extreme inefficiency and inflated costs due to poor regulation seems like the main issue in the US.

        It’s not however obvious that less regulation would solve that, i.e. you have countries like Switzerland or the Netherlands with entirely privatised healthcare (more so than in the US) yet they have quite strict regulation and price controls and are doing just fine.

      • nielsbotan hour ago
        Why not just do Medicare For All?
        • msla14 minutes ago
          > Medicare For All

          Nobody who relies on Medicare would say that. The people who say it want a fantasy Medicare that doesn't exist.

          https://www.medicare.gov/providers-services/original-medicar...

          Some of the items and services Medicare doesn’t cover include:

              Eye exams (for prescription eyeglasses)
              Long-term care
              Cosmetic surgery  
              Massage therapy
              Routine physical exams
              Hearing aids and exams for fitting them
              Most dental care: In most cases, Original Medicare doesn't cover dental services like routine cleanings, filings, tooth extractions, or items like dentures.
  • xvxvx6 hours ago
    They’ll need that wall for all the Americans heading to Mexico for healthcare.
    • jerlam5 hours ago
      It's for Mexican citizens only.
      • paulnpace4 hours ago
        And, of course, they will prove it using their digital IDs.
    • testing223213 hours ago
      Two decades ago the running joke was that if the border ever opened you’d have to hold onto a palm tree because of all the Americans stampeding south.

      That joke was told by the many tens of thousands of US expats living in Mexico, and those coming down for dental, doctors and prescriptions

  • vivzkestrel3 hours ago
    and where is this money going to come from?
    • ProllyInfamous2 hours ago
      This will reduce the healthcare expenditure, per capita.

      A great counterexample would be the USA — which despite the highest global expenditure, per citizien, has among the lowest life expectancies / healthcare outcomes.

    • nielsbot43 minutes ago
      are you saying they don’t have a budget plan for this? what is your budgetary concern exactly?