4 ms·

Rural America certainly votes that way. I’d be curious if the people in these counties view this report as more than bashing.

delichon 2y ago
There were three doctors here before Obamacare, now zero, same population. So it's very common out here to blame that. Healthcare access in the nearest big city has also cratered. Two week appointments have become six months ... to see a nurse.
- cogman10 2y ago
  I have a nephew currently going to medical school in Idaho (So by no means prestigious). By the time he's finished the expected tuition costs are $500,000. A big reason you don't see family doctors in the sticks isn't because there aren't people that would love to be a small practice in the middle of nowhere. It's that nobody but a major medical institution can give them enough of a salary that they don't go broke under student debt.
- mjevans 2y ago
  I'm extremely hopeful that congress will do something crazy like repeal that or otherwise screw things up SO BADLY we, as a country, backlash far enough to socialize the basic human rights. EVERYONE should have healthcare. Just provide and tax to fund. It'd be cheaper than their medical bills, and WAY less headache if they don't have to deal with medical billing <<< THAT is the selling point. Everyone should have retirement... wait that's what social security was supposed to be right? What's the problem *(other than funding it)... Medicine has developed 'old people jails' to turn the elderly into medicine consuming vegetables like some dystopian videogame or movie? Well... socialize that and have the experts figure something out. That's clearly a problem of improperly aligned incentives wound around a bunch of stuff I'd like people of various correct fields to address. Why there aren't people in big cities: Costs too damned much to DO anything here; the rent is WAY too high. (we need to build a LOT, a WHOLE LOT more to catch up to years of not enough housing and slightly less not enough of the other stuff). Why there aren't people in the rural areas: I suspect that though the rent is nicely low, the population density no longer supports the service. PART of that could be addressed by getting everyone on the same service (single payer healthcare), 3000 people sounds like enough for a basic family practice doctor to me. That's seeing ~10 people a day for 300 days out of 365 days a year. However that's about it.
- WarOnPrivacy 2y ago
  > There were three doctors here before Obamacare, now zero, same population. So it's very common out here to blame that. Medical news during the decade after ACA passage was positively maddening. The ACA helped a lot of people. It didn't help a lot more people and those people did not exist - except for 5 min to bash their politicians. And no one, anywhere poked around the ACA to scout out problems. For example: I did income comparisons and learned that coverage cost went down as income went up. Someone making 22k/yr paid 4x what someone making 32k/yr did. ACA made that info a huge pain to find because you had to simulate enrollment over and over. But it wasn't particle physics.
- hnburnsy 2y ago
  Is telehealth an option?

delichon 2y ago

There were three doctors here before Obamacare, now zero, same population. So it's very common out here to blame that. Healthcare access in the nearest big city has also cratered. Two week appointments have become six months ... to see a nurse.

cogman10 2y ago
I have a nephew currently going to medical school in Idaho (So by no means prestigious). By the time he's finished the expected tuition costs are $500,000. A big reason you don't see family doctors in the sticks isn't because there aren't people that would love to be a small practice in the middle of nowhere. It's that nobody but a major medical institution can give them enough of a salary that they don't go broke under student debt.
mjevans 2y ago
I'm extremely hopeful that congress will do something crazy like repeal that or otherwise screw things up SO BADLY we, as a country, backlash far enough to socialize the basic human rights. EVERYONE should have healthcare. Just provide and tax to fund. It'd be cheaper than their medical bills, and WAY less headache if they don't have to deal with medical billing <<< THAT is the selling point. Everyone should have retirement... wait that's what social security was supposed to be right? What's the problem *(other than funding it)... Medicine has developed 'old people jails' to turn the elderly into medicine consuming vegetables like some dystopian videogame or movie? Well... socialize that and have the experts figure something out. That's clearly a problem of improperly aligned incentives wound around a bunch of stuff I'd like people of various correct fields to address. Why there aren't people in big cities: Costs too damned much to DO anything here; the rent is WAY too high. (we need to build a LOT, a WHOLE LOT more to catch up to years of not enough housing and slightly less not enough of the other stuff). Why there aren't people in the rural areas: I suspect that though the rent is nicely low, the population density no longer supports the service. PART of that could be addressed by getting everyone on the same service (single payer healthcare), 3000 people sounds like enough for a basic family practice doctor to me. That's seeing ~10 people a day for 300 days out of 365 days a year. However that's about it.
WarOnPrivacy 2y ago
> There were three doctors here before Obamacare, now zero, same population. So it's very common out here to blame that. Medical news during the decade after ACA passage was positively maddening. The ACA helped a lot of people. It didn't help a lot more people and those people did not exist - except for 5 min to bash their politicians. And no one, anywhere poked around the ACA to scout out problems. For example: I did income comparisons and learned that coverage cost went down as income went up. Someone making 22k/yr paid 4x what someone making 32k/yr did. ACA made that info a huge pain to find because you had to simulate enrollment over and over. But it wasn't particle physics.
hnburnsy 2y ago
Is telehealth an option?