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UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

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Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#221

Earlier quoted context omitted.

> That is a true, but We should discourage and condemn them picking up guns. Nonsense. They will and should pick up guns if the entrenched systems no longer serve the purpose of the majority. Sure, it's not ideal. But sometimes it's the only way to enact change. Some of the most important rights we have today were won with violence.

The majority has all the power and the current system is what the majority wants. Being a frustrated minority does not excuse violence.

> Being a frustrated minority does not excuse violence.

- random Internet comment in response to the execution of John Brown, 1859

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#222
post #132

I advocate for the fairer distribution of wealth in society. Not only because it's fair but because it's better for everyone . There are many reasons for this including avoiding the alienation of labor and giving people dignity. All it takes is the ultra-wealthy to have slightly less wealth . So why is wealth concentration bad for society apart from that? Because the ultimate form of wealth distribution is war and re…

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Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#223

Earlier quoted context omitted.

It’s not middlemen. The middlemen (managed care organizations, aka health insurance companies) earn low single digit profit margins. In the US healthcare chain, the ranking of profit margins goes (and this is public info from public financials): Pharmaceutical companies Healthcare software companies (based on other software company margins) Healthcare providers (doctor groups) Hospitals (HCA, tenet, etc) Managed care…

I think you left out several layers. At least one of which in the news lately is the PBM, which sit between hospitals/providers and pharmaceutical companies, and are able to exert monopoly power on that market. They have agreements with hospitals that hospitals are only allowed to purchase through them, and then their suppliers are permitted to purchase exclusive access. This results in things like the saline shortag…

Not true. PBMs are just departments of MCOs, so they are included in the profit margins of MCOs (at the bottom).

>The PBMs also have incredible profit margins, upwards of 80%.

I would love to see a single SEC filing showing this, mostly because there exist no standalone PBM.

Also, YouTube is not a source for financial information. 10-Ks, for example, would be.

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#224

Earlier quoted context omitted.

They're called suppressors among gun nerds. But silencer is the standard term in American English. If you have complaints about how language has evolved, you may contact Richard Stallman and ask him for advice.

> you may contact Richard Stallman and ask him for advice the guy who eats his toenails? https://www.youtube.com/watch?v=I25UeVXrEHQ&rco=1

I think gp was referencing his crusade that Linux should be called GNU/Linux

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#225

Earlier quoted context omitted.

By switching jobs? That's not always feasible for many reasons.

That in no way contradicts my point.

Why do we need a government program. Continue with the medicare/medicaid and child healthcare programs as always. Outlaw regular health insurance. The problem will solve itself. "Free market".

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#226

Earlier quoted context omitted.

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"Americans consume too much healthcare"? I'm afraid to guess the logical conclusion to this, but I will counter with "Americans are offered two little preventative healthcare", because in more advanced countries where that is an option, the costs are lower.

Also americans are fed horrifying food products that are outlawed in civilized countries.

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#227

Earlier quoted context omitted.

There's an ongoing "all the big liberal cities are scary" vibe in much media that's been internalized by a large proportion of the population. I know multiple people (and have myself experienced this) who've been greeted with warnings and concern from relatives when traveling to major cities... when those cities have violent crime rates far lower than the places they/we live. Like, a fifth as much or lower. It's stil…

As someone who lived in NYC all the way from the early 80s up until 2 years ago and still has to travel there regularly for business, NYC is a lot closer to how it was in the mid-80s than any other point during that period. Especially post-9/11 up until COVID it was practically Disneyland. You had little chance of being a victim of random crime in the vast majority of city neighborhoods or on the subway. That's certa…

I think to some degree the problem is a combo of some overestimating among part of the population (driven in part by recall of actual historical crime rates, and by anti-"blue"-city news media) of how dangerous big cities are, but also a huge failure to appreciate how dangerous lots of non-big-city places in the US are. It's not entirely that big US cities are necessarily super-safe (they're largely not, if you compare to international peers) but that lots of non-big-city parts of the US are shockingly dangerous, including many parts that folks don't expect to be.

> Where I live now people truly do not lock their doors. Most garage doors in my neighborhood stay open 24/7.

Rich suburban and small towns—and I mean where the whole area's kinda rich, not just a few neighborhoods—are in fact the sort of safe that lots of people incorrectly assume all suburbs and small towns are. I know how it is, I (now) live in one of those too, so Manhattan is in-fact more dangerous than where I am (these days). :-)

Like, my kid's neurologist lives just up our street and there's a country club every half mile, it seems like. Yeah, this particular place is quite safe. Go figure, if there's vanishingly little poverty around there's also very little violent crime. But lots of US suburbs, rural towns, small suburban towns, and smaller cities are really, really poor and there doesn't (any more? Maybe ever?) seem to be some kind of aw-shucks folksiness of attitude that effectively counters the effects of that—they're just as crime-ridden and dangerous as you'd expect, from the poverty stats.

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#228
post #188

Earlier quoted context omitted.

This CEO, in particular, has almost certainly taken actions that resulted in preventable suffering and death. To some degree, that's the nature of running health insurance companies, but if he put profits ahead of patient outcomes, I think we could have a very reasonable discussion on the morality of letting people die at scale vs murder.

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Some people are more guilty than others. This CEO may have committed more murders than that of kings of past centuries.

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#229

Earlier quoted context omitted.

The majority has all the power and the current system is what the majority wants. Being a frustrated minority does not excuse violence.

That's untrue on its face. For instance, killing a guy is a way to use power. It's not one we like, but nonetheless.

I was talking about the power to enact healthcare policy change. I have the power to kick a dog, but that is tangential to the objective of interest.

My point is that healthcare reform is obstructed by the fact that everyday American citizens want very different things and cant agree.

Re: UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan

#230

Earlier quoted context omitted.

As someone who lived in NYC all the way from the early 80s up until 2 years ago and still has to travel there regularly for business, NYC is a lot closer to how it was in the mid-80s than any other point during that period. Especially post-9/11 up until COVID it was practically Disneyland. You had little chance of being a victim of random crime in the vast majority of city neighborhoods or on the subway. That's certa…

I think to some degree the problem is a combo of some overestimating among part of the population (driven in part by recall of actual historical crime rates, and by anti-"blue"-city news media) of how dangerous big cities are, but also a huge failure to appreciate how dangerous lots of non-big-city places in the US are. It's not entirely that big US cities are necessarily super-safe (they're largely not, if you compa…

We're not that rich here. We're just in a permissive firearm state with a high rate of military service. The houses here are average, but my neighbors are active and retired military, retired cops, the state governor's official security detail, lots of tradespeople etc.

There's a trailer park 2 minutes down the road and lots of small family farms here.

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