So, let's talk about that whole Veterans Health Administration thing

However, soldiers in those conflicts who suffered horrific injuries usually died on the battlefield or shortly thereafter. Advances in modern medicine mean more survive, but they don’t survive unscathed.

For example, Wikipedia reports that in World War II, U.S. military casualties numbered 1,076,245, of whom 405,399 died and 670,846 were wounded (37% death rate). In Afghanistan, of 20,904 casualties, just 2,229 were fatal (ten percent death rate).

Hmmm. If it doesn’t mean anything at all, why were liberals such as Krugman and Timothy Noah specifically saying that the VHA was a sterling example of how great “socialized medicine” is? Were they saying something that meant nothing at all when they wrote those articles?

Well, if there’s anything which can completely demolish an argument for socialized medicine, it’s referring to an article written nine years before someone fucked things up.

Wow. You’re a moderator? That was your reaction to that exchange? Pathetic.

Going by patient satisfaction, the VA is rated pretty highly. But the VA is not even the best example of socialized medicine in the US – the best example is Tricare for active military. The military, a government run organization, manages to provide very, very good medical care for service-members. It was certainly the best health care and health insurance I’ve ever received in my life.

I know a guy who would love to be on a waiting list. Being on a waiting implies that you might actually get care at some point. Right now he’s on the “live the rest of your life with a ruined knee” list, since he can’t afford surgery. We don’t track that list.

I know my 76 year old father has been receiving excellent care at his local VA hospital.

Repeated for emphasis. What happened with the VA was a case of ass-covering and deception so that the employees could earn bonuses. The system itself is fine, the employees screwed it up by being greedy and hoping that somehow no one would ever notice that they were cooking the books.

In the Canadian system, there are no incentives for short wait lists that I am aware of. Socialized medicine is not a problem in and of itself. Greedy people are. You don’t get to a point of saying “Let’s fuck with the wait lists!” when you don’t earn anything extra by doing so. Start putting cash bonuses in there though and the accounting is going to get creative.