Added: 7 months ago
From: khanacademy
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  • I think given that SS/Medicare (and the entire US) are going broke, you should enjoy and abuse your body and get something out of it and reduce your chances of making it to 65, since you won't get the benefits of SS/medicare. Do extreme sports, eat whatever you like, do things you like that are risky or unhealthy, etc. You'll only lose your opportunity if you take good care of yourself.

  • Its true, in the USA and most of europe national medicine is forecast to be insolvent. The two exceptions are AUS and CAN. Why? Because they take in young, highly skilled migrants in areas of shortage. These people are selected, so, highly educated and productive. They also tend to have more children and most important, are young.

    Aus and Can will remain solvent in the foreseeable future due to this.

    In eur pop growth is down, in the US, whites will be a minority. Solution is raise birth rate.

  • kindestchains: you are right....I paid into FICA FOR 40 YEARS and I expect to use every dime I paid into.....

  • I might be understanding this wrong, but it sounds to me like we could alleviate some of the current/future deficit if we privatize Medicare and Social Security. That way each person would only be paying for their own retirement, disability, etc... Does this sound logical to anyone else?

  • @zZCosmicEnergyZz In Singapore there is such a system called Central Provident Fund. 13% of one's salary (if you are employed) is deducted and put into his CPF account (4% annual interest). Non-employed businessmen have no CPF.

  • @zZCosmicEnergyZz In practice having everyone pay their own retirement and health care means everyone pays more in the long run. (For the same reason that it would take more time and effort for everyone to grow their own food than to pool resources and have one guy with a tractor grow food for everyone.)

  • Don't live to 65. Abuse your body, smoke, drink, eat junk food, then you won't have to worry about SS/Medicare going broke.

  • Khan, when you show the projected medicare cost increases, population increase costs outstanding, is that based on a correlation/regression? If so isn't that projection completely absurd. I'm trying to think of reasons for medical cost to increase. It is plausible that people will get more unhealthy in the future and we will rely more on medication and doctor will order more tests , but is this something we can really forcast? I'm interested to hear your opinion. Thanks.

  • @jzf07 Also what do you think of universal healthcare. You should do a video.

  • What drives up the medical costs so much that it is even beyond inflation?? Do you have another video that explains why those costs are going up so rapidly?

  • I was watching this video because I was bored but I can't understand it very well. I guess I should just stick to your science and math videos.

  • hmm i wonder. what do you dont know ? he knows everythin

  • Um, how about give this damn program to everyone and ration care. Europeans pay less for their health entitlements and get better outcomes, for everyone, not just for the old and the poor.

  • Increase tax by 2% and put small % of military spending into program: PROBLEM SOLVED.

  • @JIYkp

    The main problem isn't funding, it's the rising cost of health care, as said in the video. Raising taxes and cutting spending from other places isn't going to address the core problem, it's just going to postpone it.

  • @EliteKiller07

    Thank inflation and regulations for rising costs.

    Hooray Government; fucking up everything since day 1.

  • @EliteKiller07 The Congressional Budget Office does not take into account technical advancement. If we did JIYkp's reforms and placed obligations on technological use at scale for healthcare as it becomes available the costs would slow down and recede.

  • SS is in surplus till 2026.the fed owe the SS fund something lie 2.5+ trilion

  • Besides, the GDP is based on stupid numbers and are not real. It's fictitious.

    watch?v=YvwqX6o69Iw

  • lol, America's gdp is based on how many patients pay for healthcare.

  • afnypoo is correct Medicare in Australia has been working well for many decades. However our pension not as good. Our population is aging but we do have a good super system

  • This is about the only place you can find this kind of analysis without all the political B.S. that usually accompanies it. Medicare Sustainability is an actuarial and cost problem.

  • Shouldn't this prediction also factor in as time goes on people live longer Thus making them receive Medicare and ss longer

  • @oneyedo It does.

  • Obama care lololol

  • @xcelpast this has nothing to do with Obamacare. Obamacare actually took money out of medicare. And Obamacare introduced a few measures that may help lower the costs of care, although they were weak because of powerful interest groups that don't actually want health care costs to decrease (insurance, doctors, etc). What we actually need to reform the existing system and make it look like other industrialized countries, this would put the government into a surplus.

  • Thanks, KA.

  • Ill sum up this video for you. Americans are obese pigs that wouldnt be able to stop eating McDonalds if their life depended on it, literally.

    Thats why the newer generation are putting a heavy burden on Medicare that no one can sustain.

  • Don't forget the big chunk of money extracted by private insurer for profit. And the cream the more healthy people and leave the heavy case to medicare, thus medicare get the cost without the averaging effect of taking revenue from everyone

  • Medicare works well in Australia. We've had it since the 1970's. The problem with the system in the US appears to be the ridiculous salaries of specialist doctors and the costs of investigations! Also, the Australian Federal Govt uses its lobbying power (purchaser monopoly) to keep a lid on the costs of health services and all drugs (i.e. we pay less than you for the same drug) from pharm companies. I think a video on this as a counterpoint to catastrophising would be worthwhile. Cheers

  • I think it makes sense to spend 15% of GDP on medical care for people that are not able to afford medical care otherwise. If you can't afford to get out of pain or survive "trivial" disease without a benevolent employer, freedom doesn't mean much at all...

  • @SalsaTiger83 By 2027 it will seriously probably stabilize and 7% unless there is a technological catastrohpe. They are already making robot assist walking devices. It's simply ridiculous to project that far ahead. This graph goes to 2082! The costs will not be 18% at 2082. We probably won't worry about health by 2082. It's a ridiculous graph.

  • @SalsaTiger83 15% of GDP is almost all the US budget... if you do that u wont be able to expend in nothing else...

  • once khanacademy opens a rhetoric department this video should be moved to it. It's a master piece of demagoguery. I can imagine Hitler arguing with the same graphs and ease for the elimination of the sick, insane and old. Actually and since quite some time SS finances stuff like the Bush wars. It must eventually by slightly adjusted in the 2040ies, thirty years from now. As for medicare the main problem is the lobbying power of the pharma and insurance industry.

  • @ampisinv Exactly. Who makes those projections and what are they using? If Google automates surgery and use AI to detect abnormalities in scans that will drive the cost down. The resolution of a brain scan doubles every year. That is going to bring the price down by <2020. It's a bad projection by a clueless economist. Sure if we did medicine like we do today in 2030 it would cost that much. But it is going to be almost unimaginably different then and cheaper.

  • @chocobofarmer2021 So? First of all, even though an individual surgery and brain scans are expensive, it's doesn't have that a big weight on healthcare. Most money spend on healthcare goes to non-hospital clinics, house doctors, etc...

    Second: technology improving doesn't reduce costs because our standards increase as well. Wheelchairs and crutches are already very cheap, but that doesn't mean people still want to use them 2030.

    Third: there will be more cancer, Alzheimer, etc...

  • @noxure Cures for cancer,Alzheimer's and diabetes are within our grasp in this decade alone as the research papers from around the world show.

    Many software programmers in Japan and the US (see Carnegie Melon and Stanford)are working on nurse-bots and improved hospice through automation.This will reduce hospice and other clinic's costs by and after 2020.

    There will be advanced robotic wheelchairs and crutches by 2030 and automated surgeries, gene therapy and cloning to keep the elderly walking

  • @chocobofarmer2021 Nobody wants to be nursed by robots. It's like your friend Kurzweil predicting that by 2009 all keyboards will be replaced by voice control. That didn't happen now, did it? It's not because a technology exists that people want to use it.

    With the rest you're basically saying that you agree with me. The scope increases exponentially, so costs will go up; not down. Stupidity isn't even considered as a disease now, but one day we'll have to cure 9 billion people from it.

  • @noxure They use the hover round and grapple hooks. Here is a new thing by Cyberdine: /watch?v=2Ysb-Oko3Bg&feature=c­hannel_video_title

  • @noxure I honestly can't take those cost projections seriously. It simply won't increase at that rate. Even if there are greedy companies out there right now others will emerge. There are probably 10-15 years until the tech takes hold of the health industry and the economics of ubiquity usurp the economics of scarcity.

  • @chocobofarmer2021 You seem to be missing the point. The scope of healthcare coverage is increasing exponentially as well.

    Technology will certainly make some things cheaper by orders of magnitude, but it will not replace caretakers at an elderly home by robots.

    Instead, trying to keep people out of retirement homes as long as possible.

    Also, there are A LOT incurable illnesses and disabilities that we can't cure now but will be able to cure in the future, further increasing costs.

  • @noxure i have an erection

  • @ampisinv Your comment on the other hand is a poorly constructed piece of populist nonsense.

    Do you really believe anyone is going take you seriously when you compare Sal with Hitler? You already lost the argument there.

  • I don't see why costs are going up in medicare. Google is talking about automating major surgery if they don't wind up being lobbied against. That will drive costs down. Sometimes I think these projections do not count on technological advancement in healthcare which is very real.

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  • Khan, do you think that the model used by some Scandinavian countries like Finland could work for a larger country like USA? High taxes, very developed social security, completely free education, etc.

  • Fucking baby boomers.

  • @ScrewTheRest fuuuuuuucking baby boomers

  • @sonnybrown Don't you have parents? Grandparents? "Fucking baby boomers" really?

  • @blognewb ya, i do. That doesn't change the fact that that generation of people has been complacent with the future of these problems. It's easy to sit back and know that the problems are really the burdens of the future generation. If they were responsible adults they could have voted on these issues during their time to fix them. But nope. Too easy to let things go on as they are. I mean it's not there problem, right? Would you be happy if your parents had cc debt they expected you to pay for?

  • @ScrewTheRest Don't you have parents??? Grandparents? "Fucking baby boomers" really?

  • @blognewb Dude, I was joking. My grandparent use SS and medicare, and I want my parents to get SS and medicare since they paid into these programs their whole lives. I believe the same for all baby boomers. My anger is directed at both democrats and republicans who have known about this problem for years but continue to ignore the problem.

  • @ScrewTheRest They are politicians. When the population is ignorant and docile they will listen to the groups of people who know what's going on and stand to benefit. The population could stop voting for establishment candidates and try to take the money out of politics, if we don't, politicians will listen to there actual base, the people who give them money to get re-elected.

  • As a future health care professional, I agree that the cost to the patient is far more than it should be. I want to be a doctor because I’m interested in helping people and actually making a difference with the treatment I provide. If that means accepting less money so people are not forced to live in poverty because of illness, then I would gladly do so.

  • I love how when people talk about medicare and medicaid, people never actually talk about the real issues at play: A: cost of medicine is rising faster than it should, due to corruption. B: the use of medical resources is being misused, due to lack of accountability. Should a 85 year old with a major heart issue really have 'life saving' open heart surgery? Is that really a good use of 150,000$? No, it isn't. It is a poor investment. Everyone dies, lets stop keeping terminally ill alive.

  • Costs are rising because of the hybrid system. Doctors and Hospitals charge the max they can when they get a medicare patient because no one is accountable. Kinda like how our government is a hybrid system aptly named corpratism.

    Mr Miyagi said it best. Walk on left side road, safe. Walk on right side road, safe. Walk in middle... sooner or later *kchweeeek* get squished, just like grape.

  • @sonnybrown Hm, what an fun quote :D

    

  • @Scientisticsoviet I'm a dork :) Karate Kid was full of life lessons for me being a kid that was raised by the TV.

  • Increasing population is no problem just ease up the immigration. Thats another way to substitute for previous population's short coming on reproducing.

  • Does the graph give the spending as a % of the current GDP or future projected GDPs?

  • @Afrotechmods future projected GDP

  • Ill sum up this video for you. Americans are obese pigs that wouldnt be able to stop eating McDonalds if their life depended on it, literally.

    Thats why the newer generation are putting a heavy burden on Medicare that no one can sustain.

  • @deucex403

    If you actually watched the video, the REAL summery of the video is: rising health care cost is the main thing contributing to the medicare debt.

  • This problem are seen trough out western Europa, and the "scary" thing here are what that have to give so that this "equation" are going to add up.

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  • do you ever think that before anyone votes (for either side) giving taxes or welfare as a reason they should pass a test of your making? im irish and yet from your videos i think i know more about your countries tax systems and medicare than a portion of your own countries voting population

  • @kindestchains Yes, we Americans are total idiots. It is true.

  • @brownale66pack im not trying to diss americans i just meant these vids are really informative.

  • @brownale66pack just the American government is a pack of idiots, mainly for listening to how the European socialists run their countries.

  • @kindestchains If that were to happen; no one would vote. If there's anything American's hate more than not getting their Big Mac on time, its having to do tests.

  • @kindestchains This is all politics. This is completely a tax on the children of current Americans. The reason this has happened is because a majority of youth do not vote, and as a result are massively underrepresented when these decisions are made. On the other hand you have older people voting, and to keep them happy (so that they reelect said politician) you have unsustainable things such as the Bush drug plans being passed. After all they'll be dead before the bills come due.

  • @kindestchains haha, seriously. This should be mandatory education.

  • @kindestchains No idea, but I'm sure these videos will help a lot.

  • @kindestchains Great idea! While we're at it, why not just let the white property owners only vote? I mean those are the kind of people who really know what's going on. That's not discrimination or anything, or anti-democratic, it's just common sense. We should keep the unwashed masses away, they are too stupid to zip up their jeans, much less understand complex numbers!

  • @stepididntsee you'r taken youtube comments a bit serious. i was saying that i think you can learn more from these videos in a few minutes than from hours in class and was in no way thinking of trying to change the voting system of a foriegn country through youtube (though i also would protest agaist such a system). i would have made my thoughts clearer but i didn't assume anyone would take it so literally. btw did yo go straight to white home owners because you thought i am one?

  • @kindestchains I voted because he takes the time to explain it factually.

  • @kindestchains I'm a 21 year old male college student in USA and I had no idea how any of this stuff worked until watching these videos. I've tried asking around but I only get really biased opinions based on which side of the political isle the person I'm talking to is on.

    On one side of the coin I do think there should be some kind of logic/critical thinking/intelligence test before someone is allowed to vote, but on the other side of the coin I think that is unconstitutional.

  • @kindestchains I don't think our founding fathers ever thought the American people could become, as a whole, as stupid as we are today.

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