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Post-apocalyptic life in American health care

metarationality.com

131–140 of 189 posts

Re: Post-apocalyptic life in American health care

#131
post #128
post #19

My boyfriend woke up one day to find out they couldn't pee. After a few ER visits and an MRI, they determined he had Stage 2 bladder cancer. However, because they had the audacity to seek immediate medical treatment for a life threatening health issue, they have now been saddled with thousands of dollars in medical debt. I had to personally dip into my earnings from my Big Tech internship to help pay some of it off.…

Not an ad hominem attack or a microaggression, but hopefully constructive criticism. Your use of the "them" pronoun makes the post confusing. Does it refer to "they," presumably the doctors, the employer (job), the insurance, UT Southwestern, or to the gendered "boyfriend." Since you already decided to use a gendered noun, perhaps use it instead of the "they/them" or use a matching gendered pronoun "he/him" to distin…

It would make it more clear, but in this case each Use of They was used right after the subject was mentioned. it stole only be confusing if They was used after multiple subjects are mentioned at once. But all pronouns can suffer from this.

Re: Post-apocalyptic life in American health care

#132
I would suggest just getting a concierge general practitioner instead of a "consultant". My father has one and I believe by paying a rate slightly above what the insurance companies are paying through the concierge system you can get amazing and wonderful care.

Like health care and anything, you get what you pay for.

Re: Post-apocalyptic life in American health care

#133
Soviet health care is like that. A friend is taking care of an elderly mother and to get anything done you have to network through associates, acquire medicines for medical procedures though 3rd party networks. Assemble your own surgical team etc. It’s a completely tribal and manual process. When done with western money you can get world class care though. I would assume similar things are possible in the USA if you are willing to pay out of pocket and have the right connections and millions of dollars. It’s just not visible to regular folks in the under 1%

Re: Post-apocalyptic life in American health care

#134
post #69

Earlier quoted context omitted.

What do you mean "return to an NHS model"? The US never had anything of the sort. To answer your question: Ban employers from paying for health insurance as a benefit. If individuals see directly how much it costs, that will put much more pressure on prices. And employees don't have to worry about losing their insurance if they lose their job. Some other gradual options: - end the AMA licensure monopoly, making docto…

> end the AMA licensure monopoly, making doctors more plentiful lowers prices and increases quality I see how this would lower prices, but it's not clear how this would increase quality. Naively I would suspect it would, at least initially, lower average quality.

Medical professionals in general are stretched thin. They all have too many patients. More doctors each with fewer patients would lead to better quality.

Re: Post-apocalyptic life in American health care

#135
post #19

My boyfriend woke up one day to find out they couldn't pee. After a few ER visits and an MRI, they determined he had Stage 2 bladder cancer. However, because they had the audacity to seek immediate medical treatment for a life threatening health issue, they have now been saddled with thousands of dollars in medical debt. I had to personally dip into my earnings from my Big Tech internship to help pay some of it off.…

> They pay little, but there was an instance where one of their physicians had to appeal to insurance to get a scan done (thankfully the insurance acquiesced). It doesn't make sense and all this debate around single payer healthcare is just obfuscation and distraction from investigating actual solutions. Single payer is literally a complete solution to the problem you’re mentioning before. So why is it obfuscation an…

Single payer is actually pretty rare in developed countries. Canada and UK are the main ones. Hybrid public/private models are more common.

Universal healthcare, where everyone has coverage, is what people usually want.

Re: Post-apocalyptic life in American health care

#136
post #128
post #19

My boyfriend woke up one day to find out they couldn't pee. After a few ER visits and an MRI, they determined he had Stage 2 bladder cancer. However, because they had the audacity to seek immediate medical treatment for a life threatening health issue, they have now been saddled with thousands of dollars in medical debt. I had to personally dip into my earnings from my Big Tech internship to help pay some of it off.…

Not an ad hominem attack or a microaggression, but hopefully constructive criticism. Your use of the "them" pronoun makes the post confusing. Does it refer to "they," presumably the doctors, the employer (job), the insurance, UT Southwestern, or to the gendered "boyfriend." Since you already decided to use a gendered noun, perhaps use it instead of the "they/them" or use a matching gendered pronoun "he/him" to distin…

https://en.wikipedia.org/wiki/Singular_they

Re: Post-apocalyptic life in American health care

#137
post #126
post #43

Great article but the author is missing the fact that this is all designed on purpose. The insurance system is designed around a consistent strategy called “don’t pay out”. The USA spends more GDP on healthcare than any country on earth and the insurance companies are immensely profitable. Every company involved is making money off the status quo and wants to maintain the current system. when a patient comes along wh…

> companies are immensely profitable That's not necessarily true. If all the for profit insurance companies reduced their profit margins prices wouldn't go down that significantly. I think it's mainly the extreme inefficiency and much higher labor costs.

> extreme inefficiency and much higher labor costs

Which is mooted with single payer. Roughly 1/3rd of costs eliminated. Last time I checked (mid 2000s). Probably more now.

Re: Post-apocalyptic life in American health care

#138

Earlier quoted context omitted.

A lot of money is spend on end-of-life care, trying to keep someone alive on their deathbed for an extra month or two, and people don't seem to want to talk about the diminishing returns of some of that care, and the opportunity costs - the other people that could have been helped more with those resources. It's a thing, even if ignored. We're paying big premiums for that to insurance companies as part of our wages a…

But your taxes are too low. For example the Netherlands does have a good system. But a 50k car costs 120k in the Netherlands. From your 80k salary 35k goes to the state as taxes. On most products you buy 21% is tax. If someone dies his money is 50% tax. Give 100k as a present. 30k is tax. And so on.

I've got the Netherlands spending 10.02% of their GDP on health care in 2018 [0], and the U.S. spending 16.68 in that same year [1]. If it were just a matter of money wouldn't that mean that the U.S. is already doing more?

Or is something else making a difference?

How does the Netherlands handle end-of-life care? I see in 2013 that 3.4% of all deaths in the Netherlands were people who chose euthenasia [2]. Maybe that saves their system a lot of money? Maybe they look at end-of-life differently?

In the Netherlands how do they make decisions about who gets possible life saving treatments versus who does not? does anybody who wants state of the art chemo get it, even if they are 80+ years old?

[0] https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locat...

[1] https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locat...

[2] https://vivredignite.org/en/2014/09/recent-euthanasia-number...

Re: Post-apocalyptic life in American health care

#139

Soviet health care is like that. A friend is taking care of an elderly mother and to get anything done you have to network through associates, acquire medicines for medical procedures though 3rd party networks. Assemble your own surgical team etc. It’s a completely tribal and manual process. When done with western money you can get world class care though. I would assume similar things are possible in the USA if you…

I don't think anyone is saying that you cannot get the best healthcare on the planet if you have the required money. Lots of money.

The problem is that most people don't have that kind of money and the system as a whole is designed to take advantage of regular folks by not providing the care they need (regular care, not the best care).

Re: Post-apocalyptic life in American health care

#140
post #112

Earlier quoted context omitted.

> They pay little, but there was an instance where one of their physicians had to appeal to insurance to get a scan done (thankfully the insurance acquiesced). It doesn't make sense and all this debate around single payer healthcare is just obfuscation and distraction from investigating actual solutions. Single payer is literally a complete solution to the problem you’re mentioning before. So why is it obfuscation an…

It’s an ideology issue. I’m writing from the future. Here in Swerway we have transitioned to a health system that makes people twenty-five years old forever. On the other side of the pond, the last few US administrations have gotten elected on the basis of convincing Americans that it is evil and morally corrupt to live forever, specially if you haven’t earned an ethical dispensation by becoming a billionaire first.

Remove Swerway and this is just insane enough that I get the feeling this will really happen.

Rip Van Winkle sleeps in a coma for 80 years, wakes up revived in Swerway

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