Post-apocalyptic life in American health care
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Post-apocalyptic life in American health care
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Re: Post-apocalyptic life in American health care
#2I'd be great with a baseline medicare for all system publicly funded across the board with the option to pay more for privately funded better options. Not going to get that, or anything close to that, are we? I give up America, you get the health care you're willing to prioritize. Not my problem any more.
That said, going out of network if you can and going to the places with the cases if you can are the only real current options for beating the odds. I speak from direct experience doing whatever it took to get my wife's cancer treated at MD Anderson. We won, at least for now, but it wasn't cheap.
Re: Post-apocalyptic life in American health care
#3I'd be great with a baseline medicare for all system publicly funded across the board with the option to pay more for privately funded better options. Not going to get that, or anything close to that, are we? I give up America, you get the health care you're willing to prioritize. Not my problem any more. That said, going out of network if you can and going to the places with the cases if you can are the only real cu…
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Re: Post-apocalyptic life in American health care
#4I'd be interested what one, single change might help. Something intangible like independently curated complete health record in some normative form on a smart card.
Or, a legalism of a "first do no harm" nature which demands once a qualified professional determines you have cover and it's just an argument about who pays between competing covers, you get no-worse-off service choices immediately until they decide which one has primacy.
Or my favourite: return to an NHS model.
Re: Post-apocalyptic life in American health care
#5I have so many thoughts about this after navigating a kidney transplant for my wife.
I will say, however, that all government interventions up to this point have made the healthcare and health finance systems of the USA worse and not better as most of these interventions were drafted and paid for by health/finance megacorporations. One example, medicare isn’t means tested in any way and insurance companies will force people to use it despite the insurance policy covering kidney transplants simply because the government offers money for renal failure. Meanwhile, the hospitals don’t even bill for treatment until the patient is on Medicare, because the hospital can charge the government far more money without consequence.
Re: Post-apocalyptic life in American health care
#6I'd be great with a baseline medicare for all system publicly funded across the board with the option to pay more for privately funded better options. Not going to get that, or anything close to that, are we? I give up America, you get the health care you're willing to prioritize. Not my problem any more. That said, going out of network if you can and going to the places with the cases if you can are the only real cu…
Medicare for all is not a panacea and would cause dramatic breaks in care in other places. The fragmented private model sucks, but the belief that single-payer would fix much of anything is faulty.
Reform should happen, but it shouldn’t be based on a bumper sticker, and it should be thoughtful about the vast differences between SF, NYC, West Texas and Southern South Dakota. “Fixing” things for people in major cities while crippling/destroying rural care (more than it already has been) is a bad solution.
Re: Post-apocalyptic life in American health care
#7Knowing little about this - a genuine suspicion is - is this a feature, not a bug? As in - doesn’t this arise out of an incentive for health insurance companies NOT to cover procedures? I can only imagine that this bureaucratic tangle reduces insurance coverage by a very significant percentage. Aka - the kind of communication inefficiency must be profitable, no?
Re: Post-apocalyptic life in American health care
#8I thought this was all more-or-less intentional because somehow at the end of the day it delivers more wealth to executives and shareholders. So any attempt to really overhaul it will be immediately met with rather intense campaigns to paint a saner healthcare system as socialist or expensive or somehow anti-American or just “guvmint bad.”
Re: Post-apocalyptic life in American health care
#9I'd be great with a baseline medicare for all system publicly funded across the board with the option to pay more for privately funded better options. Not going to get that, or anything close to that, are we? I give up America, you get the health care you're willing to prioritize. Not my problem any more. That said, going out of network if you can and going to the places with the cases if you can are the only real cu…
The problem is that a public option must necessarily spend a lot more of its focus on preventative care that keeps people from developing serious chronic illness in the first place, for budgetary reasons. There are a lot of people staking their career prestige, high pay, and lifestyles on Americans having the freedom to get sick, seriously sick, on a regular and consistent basis. I'm happy to throw them under the bus, but I imagine some will be more than happy to defend them.
EDIT: Geez, here's one now: https://news.ycombinator.com/item?id=38759502
Re: Post-apocalyptic life in American health care
#10I'd be great with a baseline medicare for all system publicly funded across the board with the option to pay more for privately funded better options. Not going to get that, or anything close to that, are we? I give up America, you get the health care you're willing to prioritize. Not my problem any more. That said, going out of network if you can and going to the places with the cases if you can are the only real cu…
Medicare for all is not a panacea and would cause dramatic breaks in care in other places. The fragmented private model sucks, but the belief that single-payer would fix much of anything is faulty. Reform should happen, but it shouldn’t be based on a bumper sticker, and it should be thoughtful about the vast differences between SF, NYC, West Texas and Southern South Dakota. “Fixing” things for people in major cities…
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