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Yeah those are good points. I live in a bit of a bubble where most folks around me either WFH or have to travel to work. There are absolutely "specialist doctor

by rank0 5y ago

Yeah those are good points. I live in a bit of a bubble where most folks around me either WFH or have to travel to work. There are absolutely "specialist doctors" in every large city though...

giraffe_lady 5y ago
Is my family there? My church? The park where I learned to play soccer? My daughter's best friend? When you sit around talking about choice of living area without weighing, or even acknowledging these connections, do you realize how inhuman this sounds? Do you not have similar things binding you to a place? Shit even specialist doctors, have you ever depended on one? If you're needing long-term specialist care you got some major shit to deal with. Rapport, trust, history with an individual doctor is an important part of that care. And people need care aside from just the doctors. Who is driving you to these appointments, caring for you afterwards? Are they coming to the new city with you? There are a lot of things in a place you know. You can't reduce all or really very many of them down to mere transactions in a marketplace.
- rank0 5y ago
  I feel you. It’s horrible if you’ve grown up somewhere and suddenly can’t afford a home in the same spot. But life’s unfair. Houses get sold to the highest bidder. This is what happens when everyone wants to live in the same areas. I’m not arguing that you SHOULDNT be able to afford a home in your preferred spot. I’m observing that it’s IMPOSSIBLE for everyone to own property in their preferred spot within their budget. You can still rent, or buy cheaper homes in cheaper areas in your city. We can’t just will affordable housing into existence when ~97% of people live on ~3% of the land.
kevingadd 5y ago
You might be surprised how hard it is to actually find specialists, even in big cities. In the SF bay area for example for a couple different procedures I had done in the last decade there were perhaps 3 specialists in the whole area who could do it, far enough from me that I had to book a hotel room to stay in closer to the facility and avoid 4+ hours of driving. A family friend was diagnosed with a difficult brain tumor, and to get it removed via a (if memory serves, this was a while ago) gamma knife procedure, he had to drive 6+ hours north from a relatively large mid-california city up to Sacramento because we had one of the only facilities equipped for it there at the time. In general people often will get transported to other hospitals for treatment, often multiple hours or even across state lines. Now imagine that you have to do this multiple times a month because you moved to a less-urban area due to housing prices...

by rank0 5y ago

Yeah those are good points. I live in a bit of a bubble where most folks around me either WFH or have to travel to work. There are absolutely "specialist doctors" in every large city though...

giraffe_lady 5y ago

Is my family there? My church? The park where I learned to play soccer? My daughter's best friend? When you sit around talking about choice of living area without weighing, or even acknowledging these connections, do you realize how inhuman this sounds? Do you not have similar things binding you to a place? Shit even specialist doctors, have you ever depended on one? If you're needing long-term specialist care you got some major shit to deal with. Rapport, trust, history with an individual doctor is an important part of that care. And people need care aside from just the doctors. Who is driving you to these appointments, caring for you afterwards? Are they coming to the new city with you? There are a lot of things in a place you know. You can't reduce all or really very many of them down to mere transactions in a marketplace.

rank0 5y ago
I feel you. It’s horrible if you’ve grown up somewhere and suddenly can’t afford a home in the same spot. But life’s unfair. Houses get sold to the highest bidder. This is what happens when everyone wants to live in the same areas. I’m not arguing that you SHOULDNT be able to afford a home in your preferred spot. I’m observing that it’s IMPOSSIBLE for everyone to own property in their preferred spot within their budget. You can still rent, or buy cheaper homes in cheaper areas in your city. We can’t just will affordable housing into existence when ~97% of people live on ~3% of the land.

kevingadd 5y ago

You might be surprised how hard it is to actually find specialists, even in big cities. In the SF bay area for example for a couple different procedures I had done in the last decade there were perhaps 3 specialists in the whole area who could do it, far enough from me that I had to book a hotel room to stay in closer to the facility and avoid 4+ hours of driving. A family friend was diagnosed with a difficult brain tumor, and to get it removed via a (if memory serves, this was a while ago) gamma knife procedure, he had to drive 6+ hours north from a relatively large mid-california city up to Sacramento because we had one of the only facilities equipped for it there at the time. In general people often will get transported to other hospitals for treatment, often multiple hours or even across state lines. Now imagine that you have to do this multiple times a month because you moved to a less-urban area due to housing prices...