4 ms·
I would bet a lot that more than 200k people in the US care very deeply about this. I agree that the crux of the issue is that the topic is deep and complicated
by jrajav 2y ago
I would bet a lot that more than 200k people in the US care very deeply about this. I agree that the crux of the issue is that the topic is deep and complicated and requires nuanced good-faith discussion and iteration over a long period of time to achieve good outcomes. However, I think the main blocker is that parties in America have succeeded in boiling it down to a naively simple and highly partisan issue, causing all progress to stagnate.
- _DeadFred_ 2y agoNone of the actors involved want it fixed. They just say 'it's really complicated and actually our part (insurance/doctors/hospitals) are doing it right, it's all the other parts that are broken. The nation has wanted to actively fix this since the 90s (30 years ago) and all that has happened is prices have gone up and we added ambulances to the list of unaffordable healthcare. After 30 years my take is no one involved is acting in good faith at this point and 'it's too complex to fix' means we gave you all time to fix it, you didn't, so we need to reboot from the ground up then.
- Taikonerd 2y ago> so we need to reboot from the ground up then. Taiwan did exactly that in 1995: [0] Of course, rebooting your health system from scratch is sort of like rewriting your janky legacy software from scratch: more often fantasized about than done! [0]: The Leap to Single-Payer: What Taiwan Can Teach https://archive.is/m0go1 https://archive.is/m0go1
- Taikonerd 2y agoIndeed. I've sometimes thought, "if we succeed in any big medical reform, it will be Medicare For All -- not because it's necessarily the best system, but because it's the easiest slogan to fit on a poster."