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Simone Giertz – Back from brain surgery [video]

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Re: Simone Giertz – Back from brain surgery [video]

#91

So this country doesn't make enough money to be able to keep some unlucky people alive without throwing them or their family into poverty? Or is it simply that nobody cares for anybody else as long as you are better off then them?

I believe it is highly American to believe in self-sufficiency and to minimize the role of luck in success or failure. Whether we go back to the Protestant work ethic, the Puritan sensibility, gold rushes, unfettered capitalism, the Gilded Age, and our current second gilded age, to me it is clear that caring for others is a secondary concern for many Americans. Just look at the "makers/takers" model of our populace p…

It's meritocracy - https://www.youtube.com/watch?v=bTDGdKaMDhQ - If you're taught you can achieve success by just working hard enough, then the opposite must be true, that poor people are poor because they're lazy.

Paul Krugman has also mentioned, the insane thing is, many of the rich in the USA who inherited their wealth or got lucky with investments also believe that they're successful not because of luck, but because they're hard workers...

Re: Simone Giertz – Back from brain surgery [video]

#93

So this country doesn't make enough money to be able to keep some unlucky people alive without throwing them or their family into poverty? Or is it simply that nobody cares for anybody else as long as you are better off then them?

I think the fundamental personal issue in this country is that nobody wants to be told exactly what their government-mandated health regimen should be, or have the government decide which procedures they'll be allowed to have for their condition. That ultimately means that they're locked into what their insurance company mandated health regimen should be. But at least they can sort of choose their insurer, or no insu…

When the government is responsible for your healthcare, and also has a fiduciary duty to it's taxpayers, then the government has a further responsibility to restrict what you can eat, drink and do (not just safe or unsafe, but to penalize snack foods and restrict sports that have a higher risk of injury.)

All of a sudden, my choice to say, engage in martial arts or boxing, goes from a personal decision (Do I want to do this? Do I have the money for the gear? Is this in my risk comfort zone?) to a decision involving the government (is this behavior too risky for the general pool of insured people?)

Healthcare is not free. Healthcare research and technology is in fact, extremely expensive. Somebody is paying - whether that's the individual via an insurance pool or the government through taxpayers. Does the person paying your bill have your same prerogatives in mind?

Re: Simone Giertz – Back from brain surgery [video]

#94
post #62

Earlier quoted context omitted.

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

And if you live in the US and don't have good medical insurance the entire thing might leave you bankrupt and homeless. The ingenuity of humanity is amazing, but we still seem to get in our own ways a lot.

The biggest expense to doctors is the cost of getting sued all the time and the insurance doctors need to cover that.

Re: Simone Giertz – Back from brain surgery [video]

#95

Earlier quoted context omitted.

> added stress of the huge bills I really wish people would talk about these sorts of soft costs more often. I grew up in the UK, moved to the USA in my mid 20s. While growing up, my parents divorced and my mother had to take care of me and a sibling. All 3 of us had medical conditions that needed regular care/checkups. Not once did my mum ever spend hours on the phone chasing down bills or insurance rejections. We n…

On the flip side people living in socialized healthcare Countries have other stresses. In the usa my insurance lets me go to 10 doctors for differing opinions. I can go straight to a specialist. When I need non urgent surgery it's scheduled with a few weeks instead of months.

> In the usa my insurance lets me go to 10 doctors for differing opinions. I can go straight to a specialist. When I need non urgent surgery it's scheduled with a few weeks instead of months.

For those who can afford that class of insurance, maybe. I had to wait 3 months to set up my primary care physician, and for a specialist the initial wait of 4 months turned into 6 after they rescheduled me. I lived in Boston where you pretty much can't throw a rock without accidentally hitting a physician.

Also, as someone who has lived in Germany and has family in Germany, these conservative anecdotes about the quality of American care in comparison to Europe always strike me as full of shit. They don't align with any reality.

Re: Simone Giertz – Back from brain surgery [video]

#96
post #94
post #62

Earlier quoted context omitted.

And if you live in the US and don't have good medical insurance the entire thing might leave you bankrupt and homeless. The ingenuity of humanity is amazing, but we still seem to get in our own ways a lot.

The biggest expense to doctors is the cost of getting sued all the time and the insurance doctors need to cover that.

Costs associated with medical malpractice account for just 2.4% of healthcare spending in the United States.

Source: https://hsph.harvard.edu/news/press-releases/medical-liabili...

Re: Simone Giertz – Back from brain surgery [video]

#97

Earlier quoted context omitted.

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

Awe inspiring is correct! My grandmother was born in 1888. In her lifetime, she saw the first automobile, the first airplane (propeller-driven, followed by jet aircraft!), radio, "talkies" (movies with soundtracks), television (black & white, then colour!), stereo records, indoor plumbing and electrical service, electronic computers, rockets, artificial satellites, the moon landing, refrigeration(!), vaccinations and…

> someone from the year 900 could still recognize life in 1400.

Where?

Re: Simone Giertz – Back from brain surgery [video]

#98

Earlier quoted context omitted.

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

Northwestern Medicine in the Chicago suburbs has a mobile stroke unit; if there’s evidence you’re having a stroke, they’ll send the stroke unit along with the ambulance and will perform a CT scan in the ambulance to determine what type of stroke you’re having and administer interventions while you’re en route to the ER. http://westmobilestrokeunit.nm.org/

I wonder why ambulances don't have mobile x-ray systems? I realize the radiation would have to be managed, but it seems like a great application of technology to perform the imaging and send it digitally while eh route.

Re: Simone Giertz – Back from brain surgery [video]

#99

Earlier quoted context omitted.

On the flip side people living in socialized healthcare Countries have other stresses. In the usa my insurance lets me go to 10 doctors for differing opinions. I can go straight to a specialist. When I need non urgent surgery it's scheduled with a few weeks instead of months.

I'm member of a German public health fund (for political reasons, I could instead opt for cheaper private health insurance which many people argue is better, this option is not even available to most of the population). Last year, I went directly to a specialist for a non-urgent reason (two weeks between my call and the appointment) who recommend surgery which was scheduled in a top university hospital about four wee…

> Only thing I paid? The taxi ride home. For anything else there was my insurance card.

Oh, so you don't pay for your insurance card? Nice deal! Because I also have public health insurance in Germany, and last time I checked, it cost 14% of my gross salary.

Re: Simone Giertz – Back from brain surgery [video]

#100
post #32

Having gone through all of this recently with my little brother, I can definitely relate. Her account of the pre and post surgery are spot on, as well as the worries around this operation (will he survive? will his personality change? will the operation be a success? what will be the consequences?). And I'm glad she had insurance, even more so considering she lives in the US. In our case he had it too, but where we l…

Even if the surgeon doesn't deal with the insurance company directly, you should at least be able to submit the bill to them yourself?
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