Firefighters say they’re swamped by calls for routine care from senior homes

Post by lmm » Mon, Oct 04, 2021, 5:57 AM UTC

MichaelZuo wrote: post #166

nradov wrote: post #133

Earlier quoted context omitted.

Medicare doesn't use QALY thresholds to decide which treatments to cover. From a pure economic efficiency standpoint it probably should, but the politics around care rationing are so toxic that it can't be done.

Medicare doesn’t cover every orphan drug known to exist so surely they must? Unless they technically do for every drug, with some enormous caveats that effectively bars coverage?

Post by ako » Mon, Oct 04, 2021, 6:06 AM UTC

whatshisface wrote: post #126

Lammy wrote: post #121

Earlier quoted context omitted.

Not only that, but the United States' shift in mindset toward disinvestment came about during the civil rights era. Not hard to read between the lines in e.g. https://files.eric.ed.gov/fulltext/ED050960.pdf :/ "The time has come to ask what level of population growth is good for the United States. There was a period when rapid growth made better sense as we sought to settle a continent and build a modern industrial N…

I think the Club of Rome were the first major international policy group to take resource finitude seriously. Although I read a bit of their final report, and their projections were ridiculous and we've already blown well past them with no trouble at all. https://en.m.wikipedia.org/wiki/The_Limits_to_Growth

Post by lmm » Mon, Oct 04, 2021, 6:08 AM UTC

MichaelZuo wrote: post #168

TrispusAttucks wrote: post #59

Earlier quoted context omitted.

Capitalism can't save this. This is fundamentally a social decay problem. Modern social behavior sweeps all "unpleasant" grief under the carpet. Out of place out of mind.

I’m fairly certain people of all classes, ranks, and social situations in ancient Mesopotamia, China, India, and Egypt sometimes swept ‘unpleasant’ grief under the carpet too… unless you have some credible reason to believe otherwise?

Post by fighterpilot » Mon, Oct 04, 2021, 6:13 AM UTC

lmm wrote: post #172

fighterpilot wrote: post #146

Earlier quoted context omitted.

This snarky reply isn't a rebuttal of any substance. A frivolous call-out fee is a clear and simple solution. If you fix the price then the problem goes away because the incentive for the frivolous call-out no longer exists. It's cheaper for them to hire another staff member than rely on the fire department.

It's not a solution. The problem is that emergency services aren't always available to those who need them; if you attach the possibility of a fee to the service then you have ensured that problem exists forever.

Post by eru » Mon, Oct 04, 2021, 6:17 AM UTC

john_yaya wrote: post #15

Senior homes and assisted living centers are a national disgrace. They are entirely about profit maximization (what business isn’t?), and as such hire people at the exact minimum and have well over 100% yearly turnover. The staff commonly steal from residents, and the management do not care. They’d rather retain a larcenous pig who barely executes her duties than have to go back and scrape the barrel for a replacemen…