See, my problem with this is that it leads to conclusions like:Thanas wrote: ↑2017-08-29 07:01amIf you had stopped time from progressing forever on 9/10, then yes.Simon_Jester wrote: ↑2017-08-29 12:06amOut of curiosity, does this mean you'd rate pre-9/11 Bush as a better president than, say, 2004-era Bush? Because the latter had invaded Iraq and set in motion the mass death you describe, while the latter had not.
"A Hitler who got run over by a truck in February 1939 would have been a better dictator than a Hitler who lived (as historically) up to the fall of Berlin in 1945."
My objection here is that either way, it's still Hitler. Every bad thing done by the Nazi regime between February 1939 and April 1945 was implicit in the man Hitler was at the beginning of that time period. He was no more benevolent, no less inclined towards tyranny and aggressive warfare, in February 1939 than in April 1945. Comparing the same man to himself should surely yield consistent results, even if you compare the same man at different moments in time, so long as the character of the man does not change.
Well, the figure of "twenty million lose health insurance within five to ten years" is straight from the Congressional Budget Office, if you have reason to dispute that as a likely outcome for most ACA repeal variants, I'd like to hear your reasoning.If there would be that added number of surplus mortality then there would have been more deaths before the ACA. That number is way too high IMO, especially as mortality rate has not declined that much AFAIK. If I am mistaken feel free to correct me.
So the question is: what is the mortality rate among the uninsured, compared to the insured? I want to give this a fair shake, because you may have a point here.
I will do a very crude analysis. Doing a cursory check for at least one relevant journal paper, here, we get a 25% increase in mortality rate for the uninsured.
The US has an annual mortality rate, on average, of about 820 deaths per 100000 people. This includes both the insured and the uninsured; the rate is clearly lower for the insured, but the insured make up a majority of the population so the mortality rate for the population as a whole can't be that far from the rate for people with insurance. Suppose that the mortality rate for insured people is, say, 760 per 100000 people- a number that I am casually estimating but could refine if you wanted. Correspondingly, the mortality rate for uninsured people would be 950 per 100000 people (760*1.25)
Thus, for every hundred thousand people who lose their health insurance, we can expect a yearly increase in the number of deaths of about 190 per hundred thousand. If ten million people lose their health insurance this corresponds to 19000 surplus deaths per year. If twenty million people lose their health insurance, 38000 surplus deaths per year.
This admittedly falls far short of "killing five million people in eight years," which was your reference point for the Iraq War. It would seem that I greatly overestimated the likelihood of people without insurance dying as a consequence of that lack of insurance.
Some factors that complicate the analysis:
1) It sounds like you used figures for the total death toll from the Iraq War to date. That would include deaths that occurred after Dubya's time in office, reducing the annual death toll considerably.
2) The repeal of the ACA would fall disproportionately on those Americans most likely to need good health insurance and be unable to pay for it, because the people losing their insurance would disproportionately be those with pre-existing conditions and those with little money to pay for treatment. It is likely that this would result in a lot more surplus deaths than just looking at the numbers would indicate.
However, even these complicating factors are unlikely to bridge the gap between "repeal the ACA" and "Iraq War," namely a gap between "kill tens of thousands yearly" and "kill hundreds of thousands yearly."
I will therefore concede that by itself, repealing the ACA would not kill more people than the Iraq War in any short-ish timescale. Over very long timescales it might, but realistically some other law would establish universal health care in the US well before that time.
On the other hand, I think we can confidently expect Trump to create new international crises and rack up a death toll comparable to Bush or even worse, if given an opportunity, thus limiting the relevance of saying "he's less bad as of right now."