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Richard Lynch, an awesome PHP community guy and former colleague needs our help

richardlynch.blogspot.com

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Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#181
post #10

Earlier quoted context omitted.

…won't help him. Money does.

Neither the time nor the place. Take it elsewhere.

Magical thinking is probably the single greatest threat to the longterm survival of the human race. I can think of no situation where it is not appropriate to criticise it. Furthermore, illness and death are exactly the times when human beings are most likely to abandon rationalism and cling to magic, so these are the very times when the fight is most important, and we shouldn't shy away from that just because it makes us uncomfortable to tell the dying their fairytales are untrue.

Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#185

Earlier quoted context omitted.

Very sorry. Speaking from experience, this is exactly how it is. When there's a serious medical situation, the focus is necessarily on the bills. They even send you separate envelopes for every little line item and provider, staggered over time, even more than a year after the service, so you can never stop thinking about it. Always fearing opening the mailbox, having to deal with confusing hard to reconcile charges,…

> "you can get this public picture that everything is great" I'm not aware of anyone, from any political background, who thinks the US system is anything above "pretty crappy". I've heard some people express positive sentiments regarding small parts of the system -- the quality of certain types of care, for example -- but never for the system as a whole. The primary disagreements I'm aware of concern how to fix the c…

You would be surprised. It wasn't long ago when I met an intelligent and otherwise very well informed American who truly believed that the "socialized" Canadian healthcare system was a 3rd rate disaster and feared any change to the precious US system would lead to a similar situation.

Don't get me wrong he acknowledged it wasn't great, but there is more than sufficient doubt and confusion amongst most Americans with regards to what the actual problem is an how to fix it to prevent any kind of attempt and changing things.

Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#186

I am really sad for this guy... Can someone explain to me why is he asking for donations? Doesn't the insurances cover with these expenses in USA?

There are all sorts of different health insurance plans. Most of them have a deductible, so you have to pay the first few thousand dollars yourself every year. Many plans cover a large percentage of costs after that deductible... say 80% ... which means that he'd still have to pay for the remaining 20% of some pretty expensive bills. (some plans cover 100% after deductible)

Some plans have maximum out-of-pocket costs per year... say $20k, some have no maximum. Some plans have maximum benefit... so the insurance company will only pay up to a certain amount... say $1M

These are just some of the choices, your history and where you live affect how much each of these costs. People choose their level of coverage and it's cost (or their employer does)

There are some cases of insurance companies trying to screw people out of what they are rightfully owed, but there are lots of cases where the coverage just isn't adequate for the issue and the bills are still very expensive.

Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#187

Earlier quoted context omitted.

To answer your question seriously and without any implied political bent, the reason is: healthcare in the first world has become considered a right or entitlement. It's really no more complex than that.

>To answer your question seriously and without any implied political bent, the reason is: healthcare in the first world has become considered a right or entitlement. That's the thing though. It has only become a right or entitlement in the places that provide it. I'd wager people would feel the exact same way if their government provided housing when compared to countries that don't provide housing.

It's a purely subjective priority issue, is what I was saying. All things that are entitlements only become such because they're first provided, naturally (can't have an entitlement without it first existing). I suppose your implication is meant to be that if it weren't provided, it could have never become an entitlement - that's true, but it wouldn't prevent the population from looking across the border or oceans and yearning for the entitlements others have in first world nations.

No doubt entitlement priorities vary based on the development level of the country, the culture, and so on ad infinitum. There is hardly a social safety net in China for example, the population is heavily expected to handle its own savings. Most likely their population will gradually demand more entitlements, looking to copy what others have done.

There are obviously all sorts of arguments that focus on bankruptcy, high costs, the burden of being without a job, and so on when it comes to healthcare - that sound far more reasonable than other entitlement arguments (eg should everyone be given a free yacht).

America of course does provide free and or heavily subsidized housing (not free house ownership mind you), in every state in the union in fact (along with federal programs). Mostly it's a matter of what you qualify for, and where (varying based on what's available in your location, and what your income is, etc). I don't think all entitlements are created equal in terms of demand or import; the population of a country is going to regard some as far more important than others.

Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#188

Could someone he trusts and someone capable of setting up a cryptocurrency account do so for him? I imagine a community like Dogecoin would help any way that they can.

Are Dogecoins sufficiently valuable and liquid/convertible to be worth it? In particular, how reasonable is the process of converting them into US$?

In a large enough sum, almost any crypto-currency is worth the hassle involved in conversion. For Doge's current position, I'd argue that it is worth it.

In fact, if HN really wanted to make a dent, maybe 'mining for Richard' would be a worthy campaign given the mining power likely at the community's disposal.

Re: Richard Lynch, an awesome PHP community guy and former colleague needs our help

#190

Earlier quoted context omitted.

On the other hand, if you adjust the costs for purchasing power, the unfortunate result is that most of the people are pretty much fucked. In fact the US would look cheaper for the majority of the population. Which is comparing against a low bar. I don't think you could classify that as a working system.

> On the other hand, if you adjust the costs for purchasing power, the unfortunate result is that most of the people are pretty much fucked. They are not. As I said, this was the cost in the best of hospitals. In government hospitals, poor people get medical care for a fraction of it. Of course, the health care system is still not good, but I'm convinced that a US like system of insurance is not a solution either. Ca…

I agree with some of your points here, but this has to be noted.

It's not 7.5 million US residents per year, it's 750,000.

And this:

"The nonpartisan Fraser Institute reported that 46,159 Canadians sought medical treatment outside of Canada in 2011, as wait times increased 104 percent — more than double — compared with statistics from 1993."

Calculated upwards, that would be 404,000 or so on a population equal basis with the US. A lot of Canadians are seeking treatment abroad too.

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