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Share links: Singlepayer and Healthcare. This article was written by Timeshifter. See also: End drug war with universal healthcare. And: Canadian single-payer healthcare versus US healthcare. And: Vote out most Republicans and their cannabis war.

Portugal's drug decriminalization. Based on single-payer, universal healthcare. 2. Data Shows More U.S. Imprisonment Does Not Reduce Drug Problems. And: 39% of U.S. Prisoners Should Not Be in Prison.

USA had 185 overdose deaths per million people. From 2016 chart in article. Also, see chart below.
Portugal had 6 overdose deaths per million people.
Chart of the day: Drug overdose deaths per million persons. Can the US learn something from Portugal? • AEI | Carpe Diem Blog » AEIdeas. By Mark J. Perry @Mark_J_Perry - July 9, 2017. See chart:

Drug induced deaths per million population, ages 15-64. By country
How Europe's heroin capital solved its overdose crisis. By Chris Brown. Apr 25, 2017. "Goulao says 90 per cent of public money spent fighting drugs in Portugal is channeled toward those health-care goals — just 10 per cent is spent on police enforcement."

8 Aug 2019: British Columbia, Canada. Thousands of B.C. nurses call for the province to save lives by decriminalizing drugs. The Georgia Straight. "Top health officials for Canada’s three largest cities—Toronto, Montreal, and Vancouver—have also all stated publicly that they are in favour of ending arrests."
26 Nov 2018: The U.S. Needs to Decriminalize Drug Possession Now. [80]. By Ethan Nadelmann:

The evidence from Portugal is conclusive. According to João Castel-Branco Goulão, director of Portugal’s drug program since its inception, “there was an average of one overdose death a day in Portugal before drugs were decriminalized, and there were 27 in all of 2016. In 1999, there were 1,793 new cases of HIV among drug users reported in Portugal. In 2016, there were 30.

17 Jul 2018: British Columbia nurses call on feds to decriminalize drugs as opioid overdoses climb.
16 Jul 2018: Decriminalize all drugs, Toronto health board urges Ottawa. By David Rider. Toronto Star.
26 Apr 2018: Canada. Police chiefs studying decriminalizing drugs as possible solution to opioid crisis.
9 Mar 2018: UK. Policing boss says cannabis should be sold in off-licences. "But he said he believed hard drugs like heroin and cocaine should only be available on prescription from pharmacies."
19 Dec 2017: Norway to decriminalize all drugs, likely following Portugal's model. High Times. [81].

Canadian vs US healthcare

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Developed world paying half of what USA spends on healthcare.

Health care cost timeline by nation

Info: [1][2][3][4][5]. Image source.

Countries spending the most on health care. Nov. 14, 2015. USA Today. Quote:

"Though the United States spends far more on health care than any other nation, life expectancy of the average American is only 78.8 years, lower than the OECD average and the lowest among the top spending nations."

Single-Payer Healthcare. Higher life expectancy at half the cost. Canada passes US in middle-class wealth. Median after-tax middle-class income in Canada is higher. [82]. Why? Canadians pay so much less for more comprehensive healthcare.
Save $1.7 trillion out of $3.3 trillion spent on US healthcare in 2016. How?: Canadian single-payer healthcare, and Portuguese drug decriminalization and treatment. And: Save more via less incarceration. And: Prescriptions are free in Scotland, Wales, N. Ireland. Vs. USA. [83]. And: No personal medical debt in single-payer countries. And: Canada has higher minimum wage.

Gallup poll: Majority in U.S. Support Single Payer Healthcare. May 16, 2016. As do doctors. [84].

Cut Republican big spending: Ground wars, drug wars, and US healthcare costs and incarceration costs. See: Business people for Single-payer Healthcare. Fed up with uncontrollable costs of U.S. healthcare.


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Portugal. Decriminalizing Drugs: When Free Treatment Replaces Prison. New York Times. By Tina Rosenberg. December 8, 2015.

- Portugal's universal healthcare and harm-reduction drug reform, versus Republican War on Drugs.

Video describes how Portugal's decriminalization and harm reduction reconnects people. 2.. July 20, 2016. And: Times of London has called for drug decriminalization using Portugal's model. 2. June 16, 2016.

Chart: America's Overdose Epidemic In Perspective | Statista. By Niall McCarthy. July 11, 2017.

Overdose death rates by country. Worldwide

See source.

Chart: Drug deaths in Europe | Statista. By Martin Armstrong. July 18, 2017.

Overdose death rates by country. Europe

See source.

More on Canada

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Patients can grow their own medical pot in Canada under new rules. [85][86]. August 11, 2016.

Healthcare costs by country

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Note the lower healthcare cost per person in Canada for all healthcare costs (public and private):

Average total healthcare spending (public and private) per person for various developed nations

Above chart is from: US Health Care Spending More than Twice the Average for Developed Countries | Mercatus. Canada's single-payer universal healthcare costs less per person than U.S. healthcare. [87][88]. For more country info and charts: [89][90].

Chart below is from: Per capita healthcare costs — international comparison.

Total healthcare spending per capita by country

An economist says Bernie's universal healthcare would save $6 trillion over 10 years. 2. A Chicago Tribune article: In Europe, Sanders would be center-right. And: Nurses Applaud New Sanders Plan for Healthcare for All. 2.3.
President of Physicians for a National Health Program: Single-Payer is The Only System that can Achieve Universal Health Care.

Trillions of dollars

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Census Data 'Starkly Illustrates' the Time for Single Payer Is Now.. September 13, 2016 by Common Dreams. The failure of private health insurance.
Republicans think they can spend an infinite amount of money (many trillions of dollars) on health-insurance-company-based healthcare, and have an infinite number of babies, to feed their appetite for endless ground wars, and for more inmates for more prisons for more drug war.
World population milestones
Bernie Sanders is right. Single-Payer Healthcare costs less per person. 1.2.3. Wikipedia: Comparison of the health care systems in Canada and the USA. And: List of countries by total health expenditure per capita. And: Canada, the nation that will legalize cannabis under Trudeau, has single payer.
Bernie Sanders on Affordable Care Act

Facebook comments.

Universal care by country

Universal health care

58 countries with universal health care in 2009, according to Stuckler, et al.[1]

██ 58 countries with legislation mandating universal health care, along with >90% health insurance coverage, and >90% skilled birth attendance.

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Universal care. Harm reduction

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Bernie Sanders on US healthcare versus world

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Portugal decriminalized drugs (based on harm reduction), and has universal healthcare.

In the USA the Tea Party should support single-payer Canadian healthcare! It is universal healthcare, and gets better health results on average compared to the US. And it costs less per capita.. Many US physicians support single payer.

Also, the Tea Party should support harm reduction in Portugal. It saves billions of dollars by not putting people in jail for drugs. It saves billions more in court and policing costs.

Universal healthcare is the norm in Europe and is essential to Portugal's decriminalization of drugs.

"Imagine if the government chased sick people with diabetes, put a tax on insulin and drove it into the black market, told doctors they couldn’t treat them, ... and then sent them to jail. If we did that, everyone would know we were crazy. Yet we do practically the same thing every day in the week to sick people hooked on drugs." - Billie Holiday, 1956.

Majority for Medicare-for-all

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Click to enlarge:

Health expenditure per capita by country, 2013 (or nearest year)

Republican Texas has highest maternal mortality rate in developed world.

An economist says Bernie's universal healthcare would save $6 trillion over 10 years. 2. A Chicago Tribune article: In Europe, Sanders would be center-right. And: Nurses Applaud New Sanders Plan for Healthcare for All. 2.3.
The VA: Another reason for single payer. Physicians for a National Health Program.

Health administration costs

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Obamacare is better than the old healthcare system. Drug rehab for harder drugs is now paid for by Obamacare. It is far cheaper than jail. But Obamacare does not cover everybody because of the incredible waste of health insurance companies. Single-payer covers everybody (including veterans, most of whom are only partially covered by Veterans Administration care).

"We're talking about an overhead of about less than 3 percent [in Medicare], which is in huge contrast to private insurance companies, which runs in the double digits, often as high as 18 percent."

Single payer is much easier to use (almost no paperwork for patients), is far cheaper per capita [91], and gets better overall health results.

Medical bankruptcies in the USA

62% in 2007 (before the Great Recession). Was 8% in 1981. See the study by Harvard researchers, and more.

Health insurance companies suck money from their hosts, but provide no tangible service. Just like toll-road companies. See: Toll Roads Are A Bad Idea. Both just handle the money, and take a cut of the money. Health insurance companies build costly buildings to house the accounting staff, and claim deniers. Toll companies build costly 16-lane toll plazas, often on expensive urban land.

More in Minnesota have health coverage but still can't afford to be sick. July 26, 2015. "In Minnesota, the share of people with health insurance has climbed to 95 percent from 91 percent since 2013, as the federal Affordable Care Act has taken hold. But insurers such as Blue Cross and Blue Shield and Medica have competed hard to hold down premiums as more people shopped for coverage; one way to do that is to offer more products with high deductibles and other forms of 'co-insurance.' ... As a result, even those with health insurance can face out-of-pocket costs that run to thousands of dollars, and health care providers, big and small, are seeing more bills that are left unpaid. Court cases filed by health firms seeking repayment have more than doubled since 2005, according to a Star Tribune analysis of state court records."

Doctors hate bureaucracy

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Before Obamacare started

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Medical debt in USA. National Health Interview Survey

Source document is from the Centers for Disease Control and Prevention, a federal agency under the Department of Health and Human Services.


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  1. The political economy of universal health coverage. Background paper for the First Global Symposium on Health Systems Research, 16–19 November 2010, Montreaux, Switzerland. Pacific Health Summit. National Bureau of Asian Research (November 2010). “Figure 2. Global Prevalence of Universal Health Care in 2009; 58 countries: Andorra, Antigua, Argentina, Armenia, Australia, Austria, Azerbaijan, Bahrain, Belarus, Belgium, Bosnia and Herzegovina, Botswana, Brunei Darussalam, Bulgaria, Canada, Chile, Costa Rica, Croatia, Cuba, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Japan, Kuwait, Luxembourg, Moldova, Mongolia, Netherlands, New Zealand, Norway, Oman, Panama, Portugal, Romania, Singapore, Slovakia, Slovenia, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Tunisia, UAE, Ukraine, United Kingdom, Venezuela.”


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