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Parents Break Teen Out of Mayo Clinic

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Re: Parents Break Teen Out of Mayo Clinic

#171

Earlier quoted context omitted.

Because insurance is a private industry and there are few goverment assisted options if you are very poor its very expensive to purchase it by yourself in the US. Private insurance has every incentive to keep raising prices and to keep lobbying the government to stay away from the market. Your employer can group all of their employees into a single risk pool, so each employee gets a discounted rate. When you purchase…

> Because insurance is a private industry and there are few goverment assisted options if you are very poor its very expensive to purchase it by yourself in the US. Private insurance has every incentive to keep raising prices and to keep lobbying the government to stay away from the market. This is proven to be false by Switzerland, where people purchase their private health insurance themselves.

Yes, lots of things are possible. I imagine there are both cultural and regulatory differences between the health insurance market in Switzerland vs the US.

Re: Parents Break Teen Out of Mayo Clinic

#172

Earlier quoted context omitted.

> Because insurance is a private industry and there are few goverment assisted options if you are very poor its very expensive to purchase it by yourself in the US. Private insurance has every incentive to keep raising prices and to keep lobbying the government to stay away from the market. This is proven to be false by Switzerland, where people purchase their private health insurance themselves.

Yes, lots of things are possible. I imagine there are both cultural and regulatory differences between the health insurance market in Switzerland vs the US.

Yes, I agree. I suspect it's a regulatory problem, that's why I asked - I'd like to know the specifics.

Re: Parents Break Teen Out of Mayo Clinic

#173

Earlier quoted context omitted.

Yes, lots of things are possible. I imagine there are both cultural and regulatory differences between the health insurance market in Switzerland vs the US.

Yes, I agree. I suspect it's a regulatory problem, that's why I asked - I'd like to know the specifics.

This link seems to cover a lot of the differences. It sounds like a decent system, but not one that would ever work in the US. The private healthcare companies have too much to money to lose and would use the media to frame such as system as communist and dangerous.

https://www.quora.com/What-is-the-difference-between-the-US-...

Re: Parents Break Teen Out of Mayo Clinic

#174

Earlier quoted context omitted.

Yes, I agree. I suspect it's a regulatory problem, that's why I asked - I'd like to know the specifics.

This link seems to cover a lot of the differences. It sounds like a decent system, but not one that would ever work in the US. The private healthcare companies have too much to money to lose and would use the media to frame such as system as communist and dangerous. https://www.quora.com/What-is-the-difference-between-the-US-...

If that's true, then literally any plans for public hospitals or healthcare insurance are doomed from the beginning, isn't that right?

Re: Parents Break Teen Out of Mayo Clinic

#175

Earlier quoted context omitted.

This link seems to cover a lot of the differences. It sounds like a decent system, but not one that would ever work in the US. The private healthcare companies have too much to money to lose and would use the media to frame such as system as communist and dangerous. https://www.quora.com/What-is-the-difference-between-the-US-...

If that's true, then literally any plans for public hospitals or healthcare insurance are doomed from the beginning, isn't that right?

Basically. That is a good summary of the political debate over healthcare for the last few decades in the US.

Re: Parents Break Teen Out of Mayo Clinic

#176
post #2

There is a huge conflict of interest here. The hospital makes diagnosis, requests that the person lose their autonomy, gets control over that person, financially benefits from that control, and can use that control to hide any misdeeds or contrary evidence. There is also a profound disrespect for human autonomy. Hospitals disrespect autonomy for many people in many ways, with the most common being when birthing mothe…

On the flip side, we have thousands of obviously mentally ill people on the street homeless because we can't commit them because of that human autonomy that you mention. It all points to public healthcare where there is governance at a political level and not profit level.

Have these homeless people been offered housing and treatment in a setting that preserves their autonomy and turned that down? I highly doubt it. Commitment shouldn't even be under consideration except for people who have refused treatment without confinement.

Re: Parents Break Teen Out of Mayo Clinic

#177

Earlier quoted context omitted.

We can't commit them because mental hospitals keep getting closed.

Justifiably so. When a "hospital" has more power over penal settings and indefinite imprisonment combined with no oversight, its time for them to go. I'm sure there is a good balance here, somewhere. But what we had and now have isn't it. A better balance feels like it should include a judge, 2 doctors with at least 2 hr patient time for each, and someone else that the patient knows.

The hospitals aren't being closed due to some guilt over them bearing too many similarities to the prison-industrial complex. They're being closed to save money, and the patients are thrown out on the street. Quite the opposite direction of paying more doctors to help these people.

Re: Parents Break Teen Out of Mayo Clinic

#178

Earlier quoted context omitted.

On the flip side, we have thousands of obviously mentally ill people on the street homeless because we can't commit them because of that human autonomy that you mention. It all points to public healthcare where there is governance at a political level and not profit level.

Some people are on the street because it is the least worst option available to them. They changed the law in part because of the horrifying conditions under which people were living who had been committed. Having slept in a tent for nearly 6 years, I would take that over de facto imprisonment in an asylum any day. I did spend 10 days in an asylum in my teens. This is not an uninformed opinion by any stretch.

What if “asylums” were much better funded and better equipped - closer to (if not exceeding) celebrity rehab facilities than today’s popular-culture impression of an archaic asylum?

Re: Parents Break Teen Out of Mayo Clinic

#179

Earlier quoted context omitted.

Some people are on the street because it is the least worst option available to them. They changed the law in part because of the horrifying conditions under which people were living who had been committed. Having slept in a tent for nearly 6 years, I would take that over de facto imprisonment in an asylum any day. I did spend 10 days in an asylum in my teens. This is not an uninformed opinion by any stretch.

What if “asylums” were much better funded and better equipped - closer to (if not exceeding) celebrity rehab facilities than today’s popular-culture impression of an archaic asylum?

My sister actually works for the CDC and she's had cancer multiple times. She was patient zero in a study in another state from the one she lived in. One of the times she had cancer, she flew regularly to a state of the art facility for about 18 months to not die from her very aggressive form of cancer.

At that time, we were still close. When we talked on the phone, we would quote some Star Trek line about "Good God Jim, you can't leave him in the hands of 20th Century medicine!"

(Not the quote, but the rescue scene where the good doctor describes chemo as "sounds like the Spanish Inquisition": https://www.youtube.com/watch?v=MMaGnpVaSGQ)

I was in a really nice facility. I was not crazy. I was just a teenager who had been molested and raped by a relative who was not old enough to legally advocate for myself. (it's a long story)

You would need to do better than merely throwing money at the problem and upgrading our current cages to cushy gilded cages for me to feel that it had some hope of being better than sleeping in a tent in the woods on my own recognizance.

"Bars do not a prison make". And gilded bars do not a civilized climate make by any stretch of the imagination.

Re: Parents Break Teen Out of Mayo Clinic

#180

Earlier quoted context omitted.

On the flip side, we have thousands of obviously mentally ill people on the street homeless because we can't commit them because of that human autonomy that you mention. It all points to public healthcare where there is governance at a political level and not profit level.

Reposting a comment I made in another thread here: But public healthcare service is much worse in my experience. I'm forced to be a part of a public system but I'd very much prefer to be able to pay private insurance and use private hospitals. We have private hospitals, but the government insurance isn't accepted there (because the law and the system doesn't allow it) and that makes it prohibitively expensive to me e…

That sounds like incredibly awful implementation. I live in Uruguay where we have a hybrid system, it's single-payer in that everything is funded through the state, but you have a choice of medical systems, mostly are Mutual Organizations ("Mutualistas").

And, while there are some bad wait times for non-life threatening surgery, I consider the overall system really good. My sister-in-law had major surgery and hospitalization and care was very good.

It's not so strict as a pure "public" service, and there are state-managed hospitals where you can get bad experiences like crowding and bad care, but never to the level you're describing.

And I can (and did) choose to have some better services on top of the basic ones so I have amazing emergency services and same-day specialists, for an extra 200 dollars (on top of my mandatory health tax bill which is also like 500 dollars).

http://www.expatfinder.com/uruguay/expat-guides/article/heal...

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