Earlier quoted context omitted.
One snare is that that a lot of overhead takes the form of jobs in the insurance industry. Any reasonable plan to reduce that overhead means eliminating all of those jobs.
That sounds like a good thing.
The Amish health care system
161–170 of 327 posts
Re: The Amish health care system
#162Earlier quoted context omitted.
One snare is that that a lot of overhead takes the form of jobs in the insurance industry. Any reasonable plan to reduce that overhead means eliminating all of those jobs.
1. FWIW this is a recognized problem under M4A plans those people would be taken care of. 2. Nobody has a right to earn a living by causing suffering to others.
2. Is a good slogan, but understand that most of those people don’t think they’re doing a bad thing. Spending too much time demonizing the line level workers at insurance companies is probably counterproductive.
Re: The Amish health care system
#163I thought the most interesting part was the commentary on non-Amish care in the past > I asked my literal grandmother, a 95 year old former nurse, how health care worked in her day. She said it just wasn’t a problem. Hospitals were supported by wealthy philanthropists and religious organizations. Poor people got treated for free. Middle class people paid as much as they could afford, which was often the whole bill, b…
I think there is much more expensive tech in medicine today. But in general I would be fine If I had affordable health care that’s maybe a few years behind the cutting edge. In most markets things get commoditized and cheaper but this doesn’t seem to happen in health care.
Re: The Amish health care system
#164Why does nobody look at the medical profession as the racket it is? You don't need to be an MD to handle %80 of hospital visits, and you can train trades people to handle most emergencies. Insurance companies are awful, but seriously, we can train field medics to do stitches and set bones, why should it cost $3000 to have an MD do it? Listening the hand wringing about it is infuriating when you realize that the reaso…
Everyone with absolutely no knowledge of our healthcare system "look(s) at the medical profession as the racket it is." They then proceed to point at things as the root cause that every health policy expert in the country can tell you is not the root cause, and that doesn't hold up to even slight scrutiny by comparison with other, similar, countries.
Re: The Amish health care system
#165I thought the most interesting part was the commentary on non-Amish care in the past > I asked my literal grandmother, a 95 year old former nurse, how health care worked in her day. She said it just wasn’t a problem. Hospitals were supported by wealthy philanthropists and religious organizations. Poor people got treated for free. Middle class people paid as much as they could afford, which was often the whole bill, b…
It's funny how today's most complex problems are so simply avoided by simple people.
Re: The Amish health care system
#166Earlier quoted context omitted.
> I'm not a religious person, but the thing that the anti-religion movements have failed spectacularly at is providing a universal, teachable framework for basic morality. But there is no universal, teachable framework for basic morality. Even the seemingly most basic rule: don't hurt anyone, has so many exceptions. There is no 'small' set of rules you can use to describe morality. Reality is messy, human interaction…
yes there fucking is, and it has ZERO to do with Religion or Secularism. Treat others how you would like to be treated. If you wanted to get more complicated its, "consider the well-being". I'm so outraged by the causal acceptance that religion has ANYTHING to do with a proven successful moral guidance in society. You people need to stop buying the bullshit marketing of religion (and politics).
> If you wanted to get more complicated its, "consider the well-being".
Those two are not a set of moral rules, they just seem like the 'heuristic' that I already stated. But it does not help you with the trolley problem, for example.
I also never said that religion is/should/can be the answer to the messyness of moral questions.
Re: The Amish health care system
#167Earlier quoted context omitted.
> why should it cost $3000 to have an MD do it? Let me suggest you fire-up a spreadsheet and start to calculate the cost structures surrounding healthcare in the US. I don't think you have enough information yet to fully understand the subject enough to answer the question you posed. I'll suggest you model something like a team conducting surgery at a mid size hospital. You have to model the cost structure each perso…
Logically this may make sense, but in reality it does not. Other countries with more sane healthcare systems have costs that are fractional compared to ours despite having the exact same costs you mention. If the equipment is the same, the admin overhead is the same and the education is the same, then that leaves only one real difference between us and other countries. And that's our Byzantine insurance system.
But the most striking difference is that everything is for profit. Health care.
Re: The Amish health care system
#168> For people who rarely leave their hometown and avoid modern technology, a train trip to Mexico must be a scary experience.
You mean when they're not traveling all over the states to do business with the English, or carting themselves around in wagons with electric lights, or fueling their diesel generators to power batteries to run power tools and heavy machinery they use to create products for English customers? .... I'm pretty sure boarding transport technology that's been around since well before the 16th century to talk to "outsiders" is nowhere near scary to them (especially after Rumspringa, for example).
It's easy to get into a romantic, over-simplified idea of a general people based on some preconceived notions about them, and those can often cloud further ideas and lead to things like cherry-picking data to support a theory that "sounds right".
Re: The Amish health care system
#169Earlier quoted context omitted.
Can you provide more details of what occurred? I'm curious and would like more info. since I never lived near any Amish people.
https://en.wikipedia.org/wiki/Rumspringa https://www.npr.org/2020/01/19/797804404/investigation-into-... The Amish are insular and unique, but they are humans just like the rest of us. Working hard and using electricity, or not, is independent of human nature and all it's failings.
Re: The Amish health care system
#170That's not really what they believe. Here's a better description[1]:
> Amish commonly believe that commercial insurance plans undermine the religious duty of community accountability
They don't pay social security tax (really, an insurance premium_ for the same reason, and were exempted from it on religious grounds.