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New Yorker: BRILLIANT article on psychology of healthcare reform

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Captain Hilts Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 06:05 PM
Original message
New Yorker: BRILLIANT article on psychology of healthcare reform
First off, I will note that I was in polling for 9 years. When asked about their health insurance, the numbers came back very positively. We could never understand this. I want to shrug it off to the fact that half the respondents would be male and men have FAR fewer encounters with the healthcare system because they are FAR less likely to be responsible for the healthcare of elderly parents or their own children. I still don't 'get' it.

http://www.newyorker.com/talk/financial/2009/08/31/090831ta_talk_surowiecki

In theory, the public overwhelmingly supports reform—earlier this year, polls showed big majorities in favor of fundamental change. But, when it comes to actually making fundamental change, people go all wobbly. Just about half of all Americans now disapprove of the way the Obama Administration is handling health care.

In part, of course, this is because of the non-stop demonization of the Obama plan. But the public’s skittishness about overhauling the system also reflects something else: the deep-seated psychological biases that make people resistant to change. Most of us, for instance, are prey to the so-called “endowment effect”: the mere fact that you own something leads you to overvalue it. A simple demonstration of this was an experiment in which some students in a class were given coffee mugs emblazoned with their school’s logo and asked how much they would demand to sell them, while others in the class were asked how much they would pay to buy them. Instead of valuing the mugs similarly, the new owners of the mugs demanded more than twice as much as the buyers were willing to pay.

In other words, those who had, by pure luck, won the tickets thought the ducats were fourteen times as valuable as those who hadn’t.
What this suggests about health care is that, if people have insurance, most will value it highly, no matter how flawed the current system. And, in fact, more than seventy per cent of Americans say they’re satisfied with their current coverage. More strikingly, talk of changing the system may actually accentuate the endowment effect. Last year, a Rasmussen poll found that only twenty-nine percent of likely voters rated the U.S. health-care system good or excellent. Yet when Americans were asked the very same question last month, forty-eight per cent rated it that highly. The American health-care system didn’t suddenly improve over the past eleven months. People just feel it’s working better because they’re being asked to contemplate changing it.
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MrModerate Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 06:24 PM
Response to Original message
1. And then there are people like me . . .
Whose employer-subsidized healthcare is pretty good, but costs my company a bundle, reduces our competitiveness vis-à-vis international rivals, and which is unsustainable going forward because cost increases will make it impossible for my company to continue providing in its current form.

People who are for reform not because they're getting lousy healthcare, but because they know it just can't go on. That's one audience not being spoken to by the Administration, and which probably should be addressed.
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Captain Hilts Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 06:37 PM
Response to Reply #1
2. Yes! There are so many free-market reasons for supporting healthcare reform! It's a drag on biz!
1) Often a huge, unfunded mandate charged to business.
2) Retards labor mobility
3) Discourages people from striking out on their own.
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Laelth Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 07:14 PM
Response to Original message
3. Very important and enlightening. Highly recommended. n/t
:dem:

-Laelth
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nadinbrzezinski Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 07:17 PM
Response to Original message
4. And then there are people like me, who have GOVERNMENT RUN
health care and wish to share this with the rest of the population.

Rarely do people ask

I got a call from a certain polling company

They asked

Do you have HC

Yes

Are you satisfied

Yes

how much?

Very

Medicare, or Medicaid

Tricare

What is tricare?

Spent five minutes educating the polling person. Nowhere in the material... not even the VA
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Doctor_J Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 07:41 PM
Response to Original message
5. Interesting, and wrong
It' a simple equation really

1. Right wing wants to destroy Obama
2. Big Media is owned and run by right wing
3. Morons believe Big Media

Health care is just the issue that presented itself. We would be seeing the same aberrant, sociopathic (by the right wing/big media axis), psychotic (by their brainwashed victims) behavior toward whatever issue they decided to play.

We will regain out footing in the world when Limpballs and all of the others are taken out of the mainstream.
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Captain Hilts Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 09:19 PM
Response to Reply #5
6. There are thought patterns that interact with those you've mentioned.
Those are what this article is about.
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MrModerate Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 11:01 PM
Response to Reply #5
10. They are already out of the mainstream . . .
It's just that the fever swamps they inhabit get so much press coverage, you'd think they were the ocean!

(quickly running out of watery metaphors)

The infamous "audience of 20 million" that listens to Limbaugh includes about everyone who *would* listen to him. The rest of us recognise him as an odious smear of ambulatory smegma and afford him only as much deference and credibility as he deserves.

But Fux News (which draws on roughly the same audience) amplifies his gaseous emissions, and the rest of the MSM is conned into thinking (and their bosses are predisposed to think) that there's some there there.

So the other 280 million of us get suetburgers served up as holy writ.

And life goes on, trending ever downward.
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treestar Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 10:08 PM
Response to Original message
7. Why is it hard for people to get that they could lose their job?
Especially during an economic crisis.

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havocmom Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 10:22 PM
Response to Reply #7
8. Take that question further out than just health care: Why is it hard for people to face...
Edited on Tue Aug-25-09 10:22 PM by havocmom
{insert any horrible thing which is actually happening to many}

I have long pondered the 'why don't they see...' on various real life situations. After years of wondering and observing, I have grudgingly come to believe it is because they are just so friggin scared that they are in total denial about most realities.

It is annoying that there are SO many cowardly people. It's maddening and it infuriates those who are pretty much grounded in reality. I have heard 'don't be so negative' all my life, yet I have generally be correct about outcome all my life. Read a study (years ago, before most of us were on the internet) that concluded people who were somewhat or moderately depressed at least part of the time were generally more grounded in reality that those who were very cheerful and optimistic most of the time.

So, there ya go. They aren't dealing with REALITY and it's probably because reality is too much for some to face. They lack the 'intestinal fortitude' to look reality squarely in the eye.

IMHO. ;)
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Captain Hilts Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Aug-25-09 10:34 PM
Response to Reply #7
9. They've totally bought into the idea that if they work hard they will be successful??? nt
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treestar Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Aug-26-09 03:34 PM
Response to Reply #9
11. However hard you work
You can still be laid off.

I've tried to get freeps to admit they might have had a hard time getting a job in 1933, but even that does not work to get them to deal with reality.

People aren't unemployed only because they refuse to work hard. There are other forces at work. I think they just don't want to face that.
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