Here is a detailed description of the
many errors in the above HowTheWorldWorks video on YouTube:
At 0:29, you claim to contradict my description of the public option
as a plan in which the "US government would fight rising health care costs
by starting up a non-profit insurance plan to compete with private for profit
insurance" by saying that "costs do not equal prices," but you
do not explain how differentiating costs from prices contradicts my description
of the public option which is, of course, an accurate description of what the
public option is supposed to do.
In fact, when I watch much of your video, I get the impression you are
using this "costs vs prices" argument because it's your prepared
talking point and not because it actually applies to any argument I made in my
video. After all, I talked about the total COST of health care being lower in
these other countries WITHOUT lowering overall quality of care (which
contradicts your whole argument about price controls and rationing because
comparable quality at lower cost is not rationing).
For example, at 1:07, you put up a "warning distortion"
title and call it a "fake talking point" when I say that "the
United States spends a greater portion of its gross domestic product on health
care than any of the 29 other OECD member countries" which is FACT that I
back up by EVIDENCE. Your argument against this FACT is a general claim that
the other 29 OECD member countries have "price controls" while you
claim at
But, you not only do you never address the facts I show from the OECD
that total COST of health care is lower in these other countries, but you also
fail to address the FACT that the overall quality of care in these other
countries with lower costs is comparable to the quality of care in the U.S.,
even though I provide a link to a peer reviewed study from a 2004 issue of
Health Affairs that looked at a range of health problems from breast cancer to
measles and concluded:
"...the extra spending is probably not buying better experiences
with the health care system, with the exception of shorter waits for nonurgent
surgery.30 Earlier studies have shown the United States to be in the bottom
quartile of population health indicators such as life expectancy and infant
mortality.31 Our results also fail to reveal what the extra spending has
bought..."
Instead of actually addressing these FACTS, first, at 2:40 you make
the assertion that this quote that comes from the concluding section of the
paper is somehow not from the conclusion of the paper because the conclusions
are supported by footnotes, even though I showed those footnotes in my video
and the citations only support the conclusion that overall quality of care in
these other countries with lower costs is comparable to the quality of care in
the U.S. At, , 3:15, you try to attack one of the
footnoted studies because it tracks patient satisfaction through phone surveys
but you never explain what is wrong with that methodology. At 3:45, you also
try to attack the Rhinehart study by returning to your prepared talking point
about comparisons to other countries with "price controls" while you
claim at that the US does not have price controls while, again, in FACT, ALL
these countries INCLUDING THE US have some form of price controls (e.g., again,
requiring a co-pay is a "price control") and some methods of
controlling prices are GOOD. Moreover, referring to these countries as a generic
group in terms of "price controls" makes no sense because each
country has a different system with a different mix of public and private
options. You make several assertions about "what they do in those other
countries" to deny services, e.g. at 4:07, but you provide no evidence to
back up your assertions and your assertions are contradicted by the evidence I
showed that the overall quality of care in these other countries with lower
costs is comparable to the quality of care in the U.S.
When you finally get to looking at the results of Health Affairs study
I actually cited at 4:20, however, you don't really address my general point
that the the health outcomes in the US are comparable to the outcomes in other
countries that spend much less on health care. Instead, you decide to ignore
outcomes of mental health treatment at 4:41 because you cay those outcomes
involve personal choice (as do many health care outcomes) and then at 4:59 you
discount the results on transplants because of a theory you have on the effects
of allowing the sale of human organs which you back up with no evidence. You
never actually address the results as a whole which show, just as said, that
the overall quality of care in these other countries with lower costs is
comparable to the quality of care in the
Then, beginning at 6:00, you attack a reference to life expectancy and
infant mortality rates by saying "the only relevant measurement" is
survival rates after diagnosis which is not only not true (because life
expectancy and infant mortality rates also give us important information), but
also ignores the fact that I gave you a peer reviewed study from a 2004
issue of Health Affairs that looked at a range of health problems from breast
cancer to measles and concluded:
"...the extra spending is probably not buying better experiences
with the health care system, with the exception of shorter waits for nonurgent
surgery.30 Earlier studies have shown the United States to be in the bottom
quartile of population health indicators such as life expectancy and infant
mortality.31 Our results also fail to reveal what the extra spending has
bought..."
In response to these facts that you never addressed you make reference
to two studies of your own, "the Lancet oncology study" at 6:37
and a "the National Bureau of Economic Research" at 6:57, but you
provide no citations or links to these studies, though from the abstracts I was
able to find that seem to match the
graphics you showed, neither study found that the US did better in every area,
or even for every cancer which, again, supports MY point that, though different
industrialized countries do better in different areas, if you look at
indicators in many different areas, like in the peer reviewed study from the
2004 issue of Health Affairs that I provided, you'll find, again, that OVERALL
quality of care in these other countries with lower costs is comparable to the
quality of care in the U.S.
In fact, the most telling revelation you make in your video is your
statement at
I hope that helps clear up you misunderstanding and
thanks for the video :-)