Archive link. https://archive.is/N4Rqj

Some personal editorializing: This is a pretty remarkable first because of how captive we Americans are to pharma prices. Famously, when Medicare Part D was brought into existence by law it restricted the federal government from negotiating Part D drug prices. To me, shopping for drugs in Canada is tackling the symptom and ignores the cause. I wonder if this gets more traction with more states how it might affect drug prices in Canada, too.

The real solution to all this, of course, would be nationalize the healthcare industry in all aspects and to create a single payer healthcare system.

  • sugar_in_your_tea@sh.itjust.works
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    11 months ago

    Well yeah, when you subsidize something, it usually gets cheaper at the counter, since you’re paying for it with tax dollars instead.

    • queermunist she/her
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      11 months ago

      People who need cheaper prescription drug prices aren’t paying a lot in taxes either.

      Also, learn MMT. Taxes don’t pay for anything when you can print your own currency.

      • sugar_in_your_tea@sh.itjust.works
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        11 months ago

        Perhaps, I don’t know much about Canadian taxes. I do know that, at least in Scandinavia, socialized medicine is largely funded by the middle class, not by the wealthy, whereas the US tax system is a lot heavier on the wealthy than the middle class or the poor.

        But that’s not my point, my point is that US citizens buying Canadian drugs are benefiting from Canadian taxes. I’m not sure how that works in Florida here, I’m guessing Florida gets a worse deal than a citizen visiting Canada.

        • TheChurn@kbin.social
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          11 months ago

          The US tax system is not at all ‘heavy’ on the wealthy. The largest burden, proprtionally, falls on those with high earned incomes, doctors, lawyers, etc. these are the people who will be paying the higher marginal tax rates on substantial portions of their income.

          The truly wealthy do not have high earned incomes, they acquire large assets and borrow against their value to pay for living expenses while avoiding taxes. This is the “buy, borrow, die” strategy, specifically designed to limit tax liability.

          • sugar_in_your_tea@sh.itjust.works
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            11 months ago

            Yes, you’re right. I was a bit loose with the terminology.

            I think we should absolutely count stock options and whatnot as earned income, so CEOs and whatnot pay taxes upon receipt as the delta between purchase price and NAV. But that’s a separate discussion.

        • queermunist she/her
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          11 months ago

          I do not care about the middle class. 🙄

          The majority, the working class, need socialized medicine.

            • queermunist she/her
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              11 months ago

              When the top 1% holds 15 times more wealth than the bottom 50% you can’t just define middle class as “middle income.” That’s a child’s understanding of class dynamics.

              Middle class is literally that - the class between the working class and the ruling class. Managers, professionals, small business owners, etc. A middle income welder is still working class!

              • sugar_in_your_tea@sh.itjust.works
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                11 months ago

                Nobody said there’s a clear separation between “working class” and “middle class,” and I think most people understand the upper end of the “working class” to be middle class or higher.

                Middle class is, by definition, the people in the middle of the income scale. A middle income welder is middle class. There are managers below middle class (i.e. fast food managers probably make like $30-40k), and there are tradespeople who make more than middle class. Middle class is literally just the people who are between 67% and 200% of the median income.

                The definition for “working class” is even more squishy, and it’s loosely defined as people without a college education (iffy Wikipedia article, claims it contains 30-35% of the population). There’s a lot of overlap with “lower middle class,” and it’s definitely not a “majority” by pretty much any “official” standard, though it’s often the biggest group (i.e. it’s a plurality). So you’ll have some overlap with income-based classes since “working class” is generally education-based instead of income-based.

                • queermunist she/her
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                  11 months ago

                  Middle class is, by definition, the people in the middle of the income scale.

                  Here is the definition from the The American Heritage Dictionary:

                  1. The socioeconomic class between the working class and the upper class, usually including professionals, highly skilled laborers, and lower and middle management.

                  2. A social and economic class lying above the working class and below the upper class.

                  3. The groups in society composed of professionals, semi-professionals, and lower-to-middle managerial level workers.

                  Class is not just about income. It’s about social hierarchy as well, and not bothering to capture that is really missing the point.

                  There are managers below middle class (i.e. fast food managers probably make like $30-40k)

                  They actually don’t. The annual mean wage of a restaurant food manager is $63,820.

                  • sugar_in_your_tea@sh.itjust.works
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                    11 months ago

                    American heritage dictionary

                    That’s an extremely vague definition, especially when “working class” and “upper class” are also very vague.

                    Here’s the calculator Pew provides, along with its definition, and AFAIK that’s what’s used in articles like this that discuss the shrinking middle class.

                    There’s no objective definition everyone agrees on, but I think Pew’s is fair and makes things really objective and easy to track, and it seems a lot of news agencies use their definitions, so I will too.

                    mean wage of a restaurant food manager

                    Mean is not median, so this is lumping in regional managers and whatnot which skews it heavily upward. I’m talking about the shift managers at a single store, someone hired by a franchisee to handle day to day operations. They won’t be there flipping burgers unless they’re severely understaffed, so they’re firmly in “manager” territory.

                    I use “median” when I talk about averages in terms of demographics, because that has the nice property of splitting a group into two of equal size.