old_man_tiger
Well-known member
@tiger5150 said in [Coronavirus Outbreak](/post/1499594) said:@old_man_tiger said in [Coronavirus Outbreak](/post/1499535) said:@tiger5150 said in [Coronavirus Outbreak](/post/1499522) said:@old_man_tiger said in [Coronavirus Outbreak](/post/1499483) said:Here is an argument for a health tax or levy in situations like this. Prior to covid the taxes you already paid covered the cost of a health system that more or less met the needs of the country. There were still issues in the system, but it was OK and in major cities more or less what you'd expect in a developed nation.
During wave 1, there were no vaccines, governments had to quickly scale up capacity. The resources we stressed about in the system were beds, ventilators, and to a lesser extent staff. Apart from Victoria and the "second wave" the rest of us never really faced what most of the world faced.
In this year's wave the NSW Health system got into a pretty tight spot. The biggest issue wasn't the physical infrastructure, several hospitals opened and closed wards inline with demand. The biggest issue was staff. The hidden cost of life and quality of life isn't in the covid death number, because that figure doesn't include those who couldn't or didn't access care due to staff shortages or lockdowns. Bear that in mind for the last paragraph.
The strain on the hospital system has disappeared because of lockdown and a freshly vaccinated majority. We probably won't lockdown again, but we will have new strains and waves of infection. These are manageable with vaccination. The strain on the health system when our Vax rates were lower and we were in lockdown proves that. Mitigating the strain requires an available, suitably trained workforce who can either be flown in or work in other fields domestically, dormant until needed. This is very expensive, and frankly a preposterous waste of money when we have a solution. Doctors are the least of our problems btw, I'm trying to hire nurses, receptionists etc... it is very challenging at the moment.
So as individuals in a society we make a choice around vaccination or non-vaccination. If the latter is chosen by too many people we have seen the health system can't cope without extra resources. So, who should pay for these resources? Or do we not invest these resources and make a choice to not treat certain conditions? BTW the recent pause on so called "elective" surgery was a decision to not treat treatable conditions due to a lack of resources so please reflect on that. If you had treatable chronic issues, and your suffering was extended because of social media nonsense and people with serious issues understanding logic, who should pay to solve that? What if the surgery was for your kid?
You realise that in 2017 more people died of influenza that died of Covid in 2020? Its mitigated by a vaccine. Where was the tax then? Where was the health system overrun? It wasnt
NO COVID isnt like the flu, without lockdowns and restrictions COVID deaths would probably be x10 but the fact remains that in 2017 and 2019 infleunza killed more people than Covid in 2020/2021.
With some mitigation strategies, but generally not in vaccinated populations, societies that treat covid anything like the flu will clock up a death rate of 1/500. A lot more that 10x.
Were private hospitals given viability payments in 2017? Were nurses seconded to the Public system? Were we in lockdown to control cases? WHO estimates in may of this year had over 100,000 care workers dead from covid globally. Did that happen in 2017? I remember a bit of panic in the system, but nothing like 2021.
I wrote a bunch of other stuff, and frankly it was basically a bunch of simple questions like the above. Earl's point is largely rhetorical and I would have found a post countering this on economic grounds useful. The world needs less erroneous covid and flu comparisons, especially on questions of resources, as opposed to the health of a given individual.
The flu-like stage is coming, it is contingent on better therapeutics, better vaccines or boosters of the current, and broader access to supply globally and across age ranges, but I think you know this which makes your post odd.
Good post, well expressed.
I dont equate the Flu & COVID on any level. COVID is nothing like influenza. Without lockdowns, restrictions and the vaccine it would be an unmitigated disaster and of course all the measures you list have been necessary and in the most part precautionary.
I am merely making the point that in actual impact, in raw numbers, the impact on our hospital system hasnt been much more than a bad flu season and Im making this crude, simple example in a discussion about additional taxes on one sector of the population but not the other. Im simply making the point that the impact has not been significant comparable to previous years (influenza disappeared last two years due to COVID actions) and therefore ot doesnt warrant this taxation impposition.
Of course an argument can be made to tax the unvaxxed. Its not a difficult argument and its easy to throw in the alcohol and cigarettes example but I am opposed on the basis that we live in a society, a community with the purpose to look after everyone to the extent we can. I'm an economic capitalist and strong believer that markets fix everything but even I think that degenerating totally into a "user pays" mentality is very dangerous and will hurt the poorest and most vulnerable.
I also think that some of the call to tax the unvaxxed is out of animus. I am vaxxed and given that around 90% of the state and probably the country will be vaxxed, Im not that worried about the unvaxxed and I dont hold any animosity to them.
Can't deny there is still a vindictive part of me on this issue, but it is getting easier to show some understanding as life resembles something a bit more familiar. Actually in some ways my concern is shifting to the 6 or 8 unvaxxed I know who I'm worried about. They will be at increased risk once kids/boosters increase and maintain herd immunity and the rest of us stop testing/isolating. I guess that's scarier than a hypothetical tax.
Thanks for a good discussion.