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The issue is the medical-industrial complex in the US, intimately tied with a huge medical insurance industry, that spends a lot of money lobbying to fight agai

The issue is the medical-industrial complex in the US, intimately tied with a huge medical insurance industry, that spends a lot of money lobbying to fight against reform. And healthcare is already a heavily regulated industry so any political barriers become even harder to overcome. I believe Obamacare was an attempt to wiggle around to a (somewhat shitty) solution. I suspect change will only come once the existing tensions towards healthcare expenses boil to an outrage. Talk to anyone in the US though, they will complain about their healthcare!

emodendroket 4y ago
Well, some won’t and I think that exposes another issue: the poor outcomes have a lot to do with a lot of people not getting care or waiting too long due to cost. If money is no object the US healthcare system is as good as any (I bet you would see this if you broke down by socioeconomic status).
- stuaxo 4y ago
  Of course, though that is only the case for a very small minority of people. There is a big overlap with those people and the people that ultimately make decisions affecting whether that system exists though.
- nosianu 4y ago
  > If money is no object the US healthcare system is as good as any I don't think so. The medical personnel are way too stressed. You having money does not change that the people that will see you suffer in an inhuman system. Even apart from money, how on earth is it possible that the people who should know more better than anyone else the effects of stress and lack of sleep let doctors work in far too long shifts? How does the existence of 24 hour shifts make any sense? The system has a lot more problems than just money. Just one example link: https://bcmj.org/articles/sleep-deprivation-among-physicians https://bcmj.org/articles/sleep-deprivation-among-physicians It's not just the US: https://www.theguardian.com/society/2022/jan/17/nhs-doctors-tired-impairment-sleep-deprived-survey https://www.theguardian.com/society/2022/jan/17/nhs-doctors-... Also always interesting to read: https://old.reddit.com/r/medicine/ https://old.reddit.com/r/medicine/
  - emodendroket 4y ago
    Well, as you say, that problem isn’t unique to the US.

emodendroket 4y ago

Well, some won’t and I think that exposes another issue: the poor outcomes have a lot to do with a lot of people not getting care or waiting too long due to cost. If money is no object the US healthcare system is as good as any (I bet you would see this if you broke down by socioeconomic status).

stuaxo 4y ago
Of course, though that is only the case for a very small minority of people. There is a big overlap with those people and the people that ultimately make decisions affecting whether that system exists though.
nosianu 4y ago
> If money is no object the US healthcare system is as good as any I don't think so. The medical personnel are way too stressed. You having money does not change that the people that will see you suffer in an inhuman system. Even apart from money, how on earth is it possible that the people who should know more better than anyone else the effects of stress and lack of sleep let doctors work in far too long shifts? How does the existence of 24 hour shifts make any sense? The system has a lot more problems than just money. Just one example link: https://bcmj.org/articles/sleep-deprivation-among-physicians https://bcmj.org/articles/sleep-deprivation-among-physicians It's not just the US: https://www.theguardian.com/society/2022/jan/17/nhs-doctors-tired-impairment-sleep-deprived-survey https://www.theguardian.com/society/2022/jan/17/nhs-doctors-... Also always interesting to read: https://old.reddit.com/r/medicine/ https://old.reddit.com/r/medicine/
- emodendroket 4y ago
  Well, as you say, that problem isn’t unique to the US.