3 ms·

True but “there’s no one boogeyman to blame” should read as “there are many, many boogeymen, all of whom bear blame, and all of whom need to corrected/removed/c

True but “there’s no one boogeyman to blame” should read as “there are many, many boogeymen, all of whom bear blame, and all of whom need to corrected/removed/circumvented/improved.”

Galatians4_16 2y ago
If only we could take our money elsewhere, but we are mandated to pay with insurance, which makes them the defacto customer, to decide with the doctors, cutting us out of the process (which is handy under circumstances where the patient can't talk; There's a use case for everything, but coercion and blanket enforcement seems to ruin everything)
- bluGill 2y ago
  We can't even choose our insurance - it comes from your employer with no choice (or no real choice - I have two slightly different choices from United Health Care). All the negotiation on how it works is done by HR not me, and HR likes the current rules as it makes it hard for me to leave. In theory I can bypass my employer insurance - but if I do I throw away thousands of dollars that my employer is paying directly and so anything I find elsewhere either cannot be as good, or is has to cost a lot more money.
  - tracker1 2y ago
    Even then, good luck... I couldn't find a personal plan either the Health gov compliant plans or out of pocket that matched my employer insurance... I'm pretty sure if I try again, I'll wind up creating a company again, using one of the HR based collective payroll options just for better Insurance options. The system sucks a lot, and for a lot of different reasons. Namely is that there's no room for individual negotiation, and there are dozens of pricing models for the same drugs, procedures, etc.
ToucanLoucan 2y ago
We don't do that in America. We pick whichever boogeymen are more scary to our given political team and make that the only cause while arguing back and forth and not actually doing anything while we all get robbed fucking blind and pay our politicians six figure salaries for doing fuck-all. I fucking hate it here.
- llamaimperative 2y ago
  Not really. The current administration has been going after healthcare on several fronts: lots of FTC enforcement against PE in healthcare; increased number of funded medical residency slots; allowed Medicare to negotiate prices directly with drug companies; attempted to stop excessive consolidation in healthcare businesses. All of these are reasonable attempts to solve big, important problems and I don't think it's helpful to throw your hands in the air and say no one is trying to do anything.
  - ToucanLoucan 2y ago
    And the next republican president, Trump or otherwise, will undo it all on day one. We need ACTUAL SOLUTIONS. Changes to existing laws, or new laws. Consensus governance, not just executive orders.
    - llamaimperative 2y ago
      Sure, but that's not a "both sides" problem. Lay blame where blame lies.
      - ToucanLoucan 2y ago
        I do. We have the Democrats who are mostly alright and well meaning, with exceptions but in practice are not capable of handling what the Republicans have become, which is theocratic-fascists. And the Republicans are filling the legislature with dipshits who scream about Jewish space-lasers and want to regress us socially to the 1920's. They both suck, one side notably more so.

True but “there’s no one boogeyman to blame” should read as “there are many, many boogeymen, all of whom bear blame, and all of whom need to corrected/removed/circumvented/improved.”

Galatians4_16 2y ago

If only we could take our money elsewhere, but we are mandated to pay with insurance, which makes them the defacto customer, to decide with the doctors, cutting us out of the process (which is handy under circumstances where the patient can't talk; There's a use case for everything, but coercion and blanket enforcement seems to ruin everything)

bluGill 2y ago
We can't even choose our insurance - it comes from your employer with no choice (or no real choice - I have two slightly different choices from United Health Care). All the negotiation on how it works is done by HR not me, and HR likes the current rules as it makes it hard for me to leave. In theory I can bypass my employer insurance - but if I do I throw away thousands of dollars that my employer is paying directly and so anything I find elsewhere either cannot be as good, or is has to cost a lot more money.
- tracker1 2y ago
  Even then, good luck... I couldn't find a personal plan either the Health gov compliant plans or out of pocket that matched my employer insurance... I'm pretty sure if I try again, I'll wind up creating a company again, using one of the HR based collective payroll options just for better Insurance options. The system sucks a lot, and for a lot of different reasons. Namely is that there's no room for individual negotiation, and there are dozens of pricing models for the same drugs, procedures, etc.

ToucanLoucan 2y ago

We don't do that in America. We pick whichever boogeymen are more scary to our given political team and make that the only cause while arguing back and forth and not actually doing anything while we all get robbed fucking blind and pay our politicians six figure salaries for doing fuck-all. I fucking hate it here.

llamaimperative 2y ago
Not really. The current administration has been going after healthcare on several fronts: lots of FTC enforcement against PE in healthcare; increased number of funded medical residency slots; allowed Medicare to negotiate prices directly with drug companies; attempted to stop excessive consolidation in healthcare businesses. All of these are reasonable attempts to solve big, important problems and I don't think it's helpful to throw your hands in the air and say no one is trying to do anything.
- ToucanLoucan 2y ago
  And the next republican president, Trump or otherwise, will undo it all on day one. We need ACTUAL SOLUTIONS. Changes to existing laws, or new laws. Consensus governance, not just executive orders.
  - llamaimperative 2y ago
    Sure, but that's not a "both sides" problem. Lay blame where blame lies.
    - ToucanLoucan 2y ago
      I do. We have the Democrats who are mostly alright and well meaning, with exceptions but in practice are not capable of handling what the Republicans have become, which is theocratic-fascists. And the Republicans are filling the legislature with dipshits who scream about Jewish space-lasers and want to regress us socially to the 1920's. They both suck, one side notably more so.