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You must have not read all my posts. I clearly stated that public health and preventative medicine (diet, etc.) play a big part and must be integrated into our health care system.
Note -as you may know, weight and size - to a degree, are good things. However, poor diet and obesity are not.
In any case, this discussion points even MORE toward doctors being the first contact for helping ignorant people to learn about their health and lifestyle choices. My particular GP (in RomneyCare MA) is all about healthy lifestyles and choices. The LAST thing he wants is for people to lead the types of lifestyles that damage them.
This is partially due to the ethos in our state and the "ACA-RomneyCare" system - that being an ounce of prevention is worth 50 pounds of overweight cure.
So far we are choosing the overweight expensive route - one which our POTUS not only espouses (he believe exercise in in vain and unhealthy) but also loves to fund (more pollution, more coal, plenty of fast foods and sedimentary lifestyles)....
It would be a laugh to see Don the Con walking those 10,000 steps a day we healthier seniors attempt to make. Heck, I know a guy Don's age that is a racquetball champion and beats many 30 year olds.
In short - we agree on some of what your point is. However, calculations have been done to determine how large of a percentage of our health care dollars are used for obesity related situations...and the figure is about 10%. So, let's add 50% and make it 15%. Japan spends about $3500 per year per person and they live longer.
The US spends 11K....take away that 15% and we only spend a little over 9K. In summary, out system is screwed up and it's the same corporatism that fattens us on poisonous food that - with the other hand - reaches into our pockets to "cure" the ills created.
How do you explain Scandinavians living shorter lives than Scandinavian Americans. That is a more apples to apples comparison.
Seacove, I'm self employed and my premiums skyrocketed and I paid out the ass because of Obamacare. Unfortunately because my premiums went up to over $1500 a month with a high deductible I no longer have insurance. Because of Obamacare I've been priced out of healthcare insurance. So don't give me what about the self employed and please, stop with the drama liberals are so infamous for... It's Armageddon, it's armageddon! lol.
Your post is another good argument for universal healthcare. There's millions of people like you who really want it, but just aren't able to wedge the concept of it into their heads.
First off, you're wrong. It is about half in 5 years, 2/3 in 10 years according to the SBA in 2017. 50% is pretty far from 90% five years in and even another 17% is still far away five years later. I highly suggest you check your stats. I'll give you that a Bloomberg study from earlier in the decade listed a whopping 80% in the first 18 months, but that still seems high.
As for everything else, there are various reasons based on different people. Though common reasons include poor planning, revenue streams and bad leadership. One I personally think is a great reason is starting a business for all the wrong reasons. Many look at starting a business as a way to not subject yourself to someone else's rules and you truly own your labour. However, they often don't truly think about the reason to open their own business, the pain and niche they will fill. Many think, the Field of Dreams logic of "If I build it, they will come." which is moronic and why many places fail.
Instead of starting a business just to no longer be a slave to the grind, ask your self a simple question. That question is "What niche can I fill that isn't already filled?" This is a tough question where you can align your skills with a problem that isn't served and knowing why it isn't already. I could start a website covering pro-wrestling and comics but we have a whole bunch on YouTube, Facebook and their own platforms (websites or podcasts) already doing such so why do that as a business? What do I have to offer that is special or unique? Another is over-estimating the market. Many think the market for a 50's style burger serving sock-hop is much larger than it really is and then in 18 months realize it too late.
If I had the ability to be my own boss and own my labour, I would in a heartbeat. But I realize, it might be a long time until I get the first Ghostbusters case and it might not take off as fast as it did in Ghostbusters. Also in this ever-changing tech world, it is harder to figure out what to do. As I mentioned, podcasts, vlogs and blogs are rather over-saturated and even web hosting and web troubleshooting due to how global the net is.
One big problem I see is so long as healthcare is benefical to have someone else own your labour, we won't see as many small businesses for better and worse.
In a multi-pronged attack to remove protections for patients with pre-existing conditions, Trump has suspended payments to insurance companies that stabilize their losses from the sickest patients. This will result in premium increases next year. At the same time they are doing this, they are trying to remove coverage for pre-existing conditions in red states. This will result in the sickest of people getting no coverage at all since the companies will be able to tell them no and the costs will increase to such a degree they cannot pay for it anyway.
"The Trump administration said Saturday it’s freezing payments under an “Obamacare” program that protects insurers with sicker patients from financial losses, a move expected to add to premium increases next year.
At stake are billions in payments to insurers with sicker customers."
That's what you get when you put the government in charge of health care. Don't look at me. It wasn't my idea.
There is always someone going to be in charge.
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