Live data from Hacker News

The Other Half

ascii.textfiles.com

211–220 of 333 posts

Re: The Other Half

#211
post #145

Earlier quoted context omitted.

How do they catch things like kidney disease early? I have stage four kidney disease and there are barely any symptoms. Stage five means dialysis. For me it is too late to properly fix it but if caught early with regular blood tests there are ways to slow it down. My feeling is regular blood tests are a necessity for many health issues.

I had a kidney disease while in puberty, specifically nephritis. Since then, I take a blood test every six months. It's a great habit because it can catch a lot of problems, for example diabetes, cholesterol levels, etc. Urinary tests are also very good because they can detect stones in your kidneys.

Isn't that rather expensive?

Re: The Other Half

#212
post #82

Earlier quoted context omitted.

In Canada annual checkups by your GP are free. If needed, blood tests, x-rays, CT, MRI, whatever, free.

'If needed' is slippery slope. I had multiple visits to NHS with chest pain and got nothing but a blood check. I still don't know whats wrong with me, but its not looking good.

Part of what they're looking for is likely the chemical signs of a heart attack - if heart muscle is dying off, it's generally detectable in the blood. I suspect part of what they were looking for is BNP: "When your heart is damaged, your body secretes high levels of BNP into your bloodstream to try to ease the strain on your heart." (http://www.mayoclinic.org/diseases-conditions/heart-disease/...)

Re: The Other Half

#213
post #140

Earlier quoted context omitted.

"What’s the biggest single factor that puts you at risk for ignoring your health? Being a man. Sociologist Lisa Wade, interviewed in New York Magazine, says that 'some scholars argue that being male is the single strongest predictor of whether a person will take health risks.' Men like risk it turns out. Most of them also hate putting lotion on their skin (too girly) and being afraid of things (not manly). They are a…

About a decade ago, I got a physical after having not set foot in a doctor's office in about 12 years. The doctor asked what made me come to get a physical after so long, and when I said nothing in particular, he pretended to write on his clipboard "Wife made me come here." He said middle-aged guys with no obvious health problems pretty much only come to the doctor for one (or both) of two reasons: Their wife made th…

The whole "getting a physical" annually is purely an old school American thing anyway. I don't know anyone in my country who does this - although apparently nowadays US med associations recommended you go visit a doctor every 5 years or so if you're under 40.

Still, if I walked into a doctor and said "is anything wrong with me?" with no symptoms or obvious indication that this might be so, they would probably take blood pressure, do a breathing test, ask me if anything was actually wrong, and then wonder why I was wasting their time (or maybe ask if I was looking for a medical certificate cos I didn't feel like going to work, heh).

Re: The Other Half

#214

Earlier quoted context omitted.

>If there's any unusual pain in your chest cavity at all, just drop whatever it is you're doing and get it checked out. My wife did this last year. Out of an abundance of caution they checked in her into the hospital for 8 hours and ran a battery of tests. A full work day and $30k in medical bills later they didn't find anything. By then she felt fine and went home. I'm not faulting the original advice, but medical i…

I just don't understand how people take the USA seriously. One of the most important things, which I doubt is in dispute, is access to healthcare. The USA tells us their model of capitalism is the best. They apply their system to healthcare. It utterly fails to deliver versus "socialist" solutions. At what point are you guys going to join the dots on this contradiction?

It is a false assumption to say that because socialized healthcare works in some countries, the entire scheme of capitalism is therefore inferior. There are a number of unique aspects of Human health and insurance that make it very difficult to manage using conventional capitalistic means. (Namely that a human cannot be totalled whereas an object can) However, that is not an indictment on capitalism but is instead a consequence of the fact that Human life has no price. Capitalism has no means of appraising the value of priceless things.

Re: The Other Half

#215

Earlier quoted context omitted.

>If there's any unusual pain in your chest cavity at all, just drop whatever it is you're doing and get it checked out. My wife did this last year. Out of an abundance of caution they checked in her into the hospital for 8 hours and ran a battery of tests. A full work day and $30k in medical bills later they didn't find anything. By then she felt fine and went home. I'm not faulting the original advice, but medical i…

I just don't understand how people take the USA seriously. One of the most important things, which I doubt is in dispute, is access to healthcare. The USA tells us their model of capitalism is the best. They apply their system to healthcare. It utterly fails to deliver versus "socialist" solutions. At what point are you guys going to join the dots on this contradiction?

> One of the most important things, which I doubt is in dispute, is access to healthcare.

One dispute seems to be over the meaning of the word "access". Some people, like my Libertarian friend, feel that "access" is satisfied if you have the freedom to choose your provider (or none at all) -- but god help you if you don't have any money, because no one should be taxed to pay for others' health care. For many, taxation is viewed as state-enforced theft. (I'm not sure how to argue against that viewpoint.)

Others (like Senator Sanders) believe that "access" means "you can get it" -- and include the ability to afford it in that metric. This is why some people in our country argue that we Should Be making sure that people _get_ their medical costs subsidized by taxes. While it's a tax on all of us, the costs end up being lower, and you don't end up people forgoing routine preventative care because they feel they can't afford it, simply because the chance of them having something catastrophically bad is low.

Many that oppose this point to anecdotes of people who needed Serious Help and could not get to it in time, or flew to the US to get it, rather than in their home country.

The last time I participated in a discussion about this, the best system seemed to be Australian. I'm likely oversimplifying, but basically everyone paid into a national system that covered basic things and normal socialized care, and you also had the freedom to have additional insurance that would cover the things that the national system might not be inclined to give you for various reasons. I liked this idea because it meant that poor people and children all had basic care, and anyone who cared about their freedom to choose their doctors / treatments could do so (at a price). The net price still sounded like it was less than what I pay for my family here in the US for medical care.

Re: The Other Half

#216
post #193

Earlier quoted context omitted.

"What’s the biggest single factor that puts you at risk for ignoring your health? Being a man. Sociologist Lisa Wade, interviewed in New York Magazine, says that 'some scholars argue that being male is the single strongest predictor of whether a person will take health risks.' Men like risk it turns out. Most of them also hate putting lotion on their skin (too girly) and being afraid of things (not manly). They are a…

Sociologists and feminists like to chalk everything up to gender roles, as the author does here, and offer feminism as a solution, but this is dogmatic. There's a difference between taking risks (if you take risks, and bad things happen as a result, that's often outside of your control; e.g. sharks when swimming in the ocean, there's always a risk) and self-neglect, which is within your control. Self-neglect is a con…

> The real problem is self-neglect, whose root cause is low self-esteem.

I'm not sure if I disagree with you, or if my perspective is this same perspective from a different angle, but: I would say that it's more that men tend to (expect to) derive their self-esteem from things they do, rather than things they are—so they invest much more time in doing things, and much less time in being things.

In order to "be" beautiful or to "be" athletic, it's usually a pre-requisite to be healthy—to take care of your body. In order to do things like building a successful business or finding cures for diseases, you don't have to be anything in particular, other than, perhaps, stubborn. So you tend to see things like your own physical health as distractions from "doing."

Re: The Other Half

#217
post #140

Earlier quoted context omitted.

About a decade ago, I got a physical after having not set foot in a doctor's office in about 12 years. The doctor asked what made me come to get a physical after so long, and when I said nothing in particular, he pretended to write on his clipboard "Wife made me come here." He said middle-aged guys with no obvious health problems pretty much only come to the doctor for one (or both) of two reasons: Their wife made th…

It's not just a macho thing. I pretty severely injured an ankle back in September, at MMA, and for the first time in my life (at 38) it doesn't seem to be healing up very well. I keep finding new little movements that cause it to feel pretty wrong ("popping", "pulling", cold sensation, mild short-term pain, weakness). One of these happened in front of my girlfriend, who ordered me to see a doctor, so I did. I filled…

> Unless you're wealthy enough to afford a dedicated physician

I think it depends on your doctor.

My GP is fantastic. He's always running late because the company he works for slots patients in 30 minute intervals, but he takes as long as is needed for his patients.

I'm not even close to wealthy ($50k/year) I can go to him for anything from the flu to broken bones to high cholesterol without thinking, "this is pointless".

Re: The Other Half

#218
post #216
post #193

Earlier quoted context omitted.

Sociologists and feminists like to chalk everything up to gender roles, as the author does here, and offer feminism as a solution, but this is dogmatic. There's a difference between taking risks (if you take risks, and bad things happen as a result, that's often outside of your control; e.g. sharks when swimming in the ocean, there's always a risk) and self-neglect, which is within your control. Self-neglect is a con…

> The real problem is self-neglect, whose root cause is low self-esteem. I'm not sure if I disagree with you, or if my perspective is this same perspective from a different angle, but: I would say that it's more that men tend to (expect to) derive their self-esteem from things they do , rather than things they are —so they invest much more time in doing things, and much less time in being things. In order to "be" bea…

With the disclaimer that this is gender stereotyping (and my doubts have been increasing as to the utility of this way of thinking about people), this does seem like an insightful observation

Re: The Other Half

#219

Earlier quoted context omitted.

I just don't understand how people take the USA seriously. One of the most important things, which I doubt is in dispute, is access to healthcare. The USA tells us their model of capitalism is the best. They apply their system to healthcare. It utterly fails to deliver versus "socialist" solutions. At what point are you guys going to join the dots on this contradiction?

It is a false assumption to say that because socialized healthcare works in some countries, the entire scheme of capitalism is therefore inferior. There are a number of unique aspects of Human health and insurance that make it very difficult to manage using conventional capitalistic means. (Namely that a human cannot be totalled whereas an object can) However, that is not an indictment on capitalism but is instead a…

>It is a false assumption to say that because socialized healthcare works in some countries, the entire scheme of capitalism is therefore inferior

GP didn't say this, though. They said applying the model of American capitalism to healthcare fails to deliver (a reasonable standard of care, I assume). Your assessment seems to largely agree.

Re: The Other Half

#220

Earlier quoted context omitted.

That's the sad shit the US is in. I am sorry :(

On the other hand, here at the great socialist Nordics, if I go to the public health care and say I want a check-up, they'll laugh me out. I won't even meet a doctor. And I guess they are right. They say our public health care system is excellent.

Doing a check up on an apparently healthy person would be wasting time and money looking for something to be wrong. That seems right to me..
Post reply on HN