4 ms·

> Only the US society seems to be unable to find a solution. Unwilling. It's absolutely feasible to find a solution, as seen everywhere else in the world.

3D30497420 3mo ago
Even some parts of the US have found solutions. From the article: > In Tulsa and Oklahoma City, meanwhile, the government buys staffed unit-hours from an ambulance operator, while households can prepay a few dollars a month on their utility bill and owe nothing if the ambulance ever comes.
- pornel 3mo ago
  billed for buying unit-hours from an operator... that's very carefully worded to make it sound like a corporation<>customer relationship and not socialism.
  - toomuchtodo 3mo ago
    Lots of policy in the US is hacking around the lizard brain idea of "We cannot have nice things because someone who doesn't deserve it might get it." My favorite example is universal school breakfast and lunch. Without fail, someone will argue that some kids don't deserve it. It doesn't matter that all of the data shows it is more economically efficient and the benefits to kids is overwhelming.
    - sleight42 3mo ago
      You essentially described the Republican and Libertarian perspectives in the US. The Republicans seem to see it as immoral to potentially give a few people support they don't need even if that means that most of the people who need the support actually get it. And, instead, they believe that having an inconsistent array of private interests will somehow be more able to service an enormous population than having an organization (like government...) that is large enough to match that population's needs. The Libertarians seem to either genuinely not care about the rest of the world or, more often than not, seem to be naive about how life can be for the less privileged. It's the lie of the "rugged individualist" in America. Most "successful" people come from successful families. Social mobility, in the US, is part of that lie. Here, we celebrate the person who rises from poverty to become wealthy as a member of a sports team, or as an actor, or similar, while disregarding that these massive successes are outliers. I'm so often disappointed in my own country.
      - shimman 3mo ago
        Sorry 'bub but the Democratic party is as much to blame as republicans. Neoliberalism has infected both parties and let us finally shed this fake reality that the democratic party is the party of labor and not corporations. Good news is that if you want the democratic party to become the party of labor, now is the absolutely best time to have a real impact in your community.
        sleight42 3mo ago
        The absence of evidence is not the evidence of absence. I will tar and feather the "right" constantly. The "left", here, is somewhat better. As you say, though, neoliberalism has infected both parties. Personally, I'll take the DSA over both. However, the population is unlikely to accept Sam's. And both political parties would sooner collude than accept the DSA as a modern inheritor of American Liberalism.
      - KetoManx64 3mo ago
        > The Libertarians seem to either genuinely not care about the rest of the world or, more often than not, seem to be naive about how life can be for the less privileged No, they just put boundaries on what services they want handled by the government. Government programs are the least efficient and most wasteful way of getting a job done, and there are endless examples of this. Churches were historically the places people went to for assistance, and churches held people accountable and would push them to fix their underlying issues. Government programs have none of this, you can keep making the same bad decisions and nobody will hold you accountable and the benefits will keep coming in.
        expedition32 3mo ago
        Christianity died in my country because people got tired of the judgemental, hypocritical cunts. The child abuse scandals that hit later only confirmed it.
        toomuchtodo 3mo ago
  - andrew_lettuce 3mo ago
    Come on, across the world we prepay for the use of things regardless if we do or not. As described in the article it's an option, not a political system.
HelloNurse 3mo ago
Unable to be willing. The combination of not knowing any better, political parties and media that don't care or exert a contrary pressure because they belong to billionaires, and powerful health sector businesses appears to be very effective.
- nkrisc 3mo ago
  The odds are stacked, but everyone still has free will and can choose to question what they’ve been told (especially what they’ve been told conflicts with what they can see with their own eyes). Many choose ignorance because it’s comfortable.
red-iron-pine 3mo ago
only parts of the US are unwilling they happen to be in the Fortune 50, or top 10. serious, go look at the F500 list and see how many of the largest, meanest companies in the US (and world) world also happen to be healthcare if you wanna know why it's never gonna happen -- there is the list. they will spend more money than god on social media, bribes, and whatever else they need to keep the system the way it is
- lotsofpulp 3mo ago
  Why is Fortune the relevant list? Why not market cap, which also happens to correlate with net income, which means more cash to spend on political influence? https://companiesmarketcap.com/ https://companiesmarketcap.com/ Mostly only pharmaceutical healthcare in the upper tiers of that, but these businesses still have market caps and net incomes literally one or two orders of magnitude separating them. Grouping top 10, 50, and 500 makes no sense.

3D30497420 3mo ago

Even some parts of the US have found solutions. From the article: > In Tulsa and Oklahoma City, meanwhile, the government buys staffed unit-hours from an ambulance operator, while households can prepay a few dollars a month on their utility bill and owe nothing if the ambulance ever comes.

pornel 3mo ago
billed for buying unit-hours from an operator... that's very carefully worded to make it sound like a corporation<>customer relationship and not socialism.
- toomuchtodo 3mo ago
  Lots of policy in the US is hacking around the lizard brain idea of "We cannot have nice things because someone who doesn't deserve it might get it." My favorite example is universal school breakfast and lunch. Without fail, someone will argue that some kids don't deserve it. It doesn't matter that all of the data shows it is more economically efficient and the benefits to kids is overwhelming.
  - sleight42 3mo ago
    You essentially described the Republican and Libertarian perspectives in the US. The Republicans seem to see it as immoral to potentially give a few people support they don't need even if that means that most of the people who need the support actually get it. And, instead, they believe that having an inconsistent array of private interests will somehow be more able to service an enormous population than having an organization (like government...) that is large enough to match that population's needs. The Libertarians seem to either genuinely not care about the rest of the world or, more often than not, seem to be naive about how life can be for the less privileged. It's the lie of the "rugged individualist" in America. Most "successful" people come from successful families. Social mobility, in the US, is part of that lie. Here, we celebrate the person who rises from poverty to become wealthy as a member of a sports team, or as an actor, or similar, while disregarding that these massive successes are outliers. I'm so often disappointed in my own country.
    - shimman 3mo ago
      Sorry 'bub but the Democratic party is as much to blame as republicans. Neoliberalism has infected both parties and let us finally shed this fake reality that the democratic party is the party of labor and not corporations. Good news is that if you want the democratic party to become the party of labor, now is the absolutely best time to have a real impact in your community.
      - sleight42 3mo ago
        The absence of evidence is not the evidence of absence. I will tar and feather the "right" constantly. The "left", here, is somewhat better. As you say, though, neoliberalism has infected both parties. Personally, I'll take the DSA over both. However, the population is unlikely to accept Sam's. And both political parties would sooner collude than accept the DSA as a modern inheritor of American Liberalism.
    - KetoManx64 3mo ago
      > The Libertarians seem to either genuinely not care about the rest of the world or, more often than not, seem to be naive about how life can be for the less privileged No, they just put boundaries on what services they want handled by the government. Government programs are the least efficient and most wasteful way of getting a job done, and there are endless examples of this. Churches were historically the places people went to for assistance, and churches held people accountable and would push them to fix their underlying issues. Government programs have none of this, you can keep making the same bad decisions and nobody will hold you accountable and the benefits will keep coming in.
      - expedition32 3mo ago
        Christianity died in my country because people got tired of the judgemental, hypocritical cunts. The child abuse scandals that hit later only confirmed it.
        toomuchtodo 3mo ago
- andrew_lettuce 3mo ago
  Come on, across the world we prepay for the use of things regardless if we do or not. As described in the article it's an option, not a political system.

HelloNurse 3mo ago

Unable to be willing. The combination of not knowing any better, political parties and media that don't care or exert a contrary pressure because they belong to billionaires, and powerful health sector businesses appears to be very effective.

nkrisc 3mo ago
The odds are stacked, but everyone still has free will and can choose to question what they’ve been told (especially what they’ve been told conflicts with what they can see with their own eyes). Many choose ignorance because it’s comfortable.

red-iron-pine 3mo ago

only parts of the US are unwilling they happen to be in the Fortune 50, or top 10. serious, go look at the F500 list and see how many of the largest, meanest companies in the US (and world) world also happen to be healthcare if you wanna know why it's never gonna happen -- there is the list. they will spend more money than god on social media, bribes, and whatever else they need to keep the system the way it is

lotsofpulp 3mo ago
Why is Fortune the relevant list? Why not market cap, which also happens to correlate with net income, which means more cash to spend on political influence? https://companiesmarketcap.com/ https://companiesmarketcap.com/ Mostly only pharmaceutical healthcare in the upper tiers of that, but these businesses still have market caps and net incomes literally one or two orders of magnitude separating them. Grouping top 10, 50, and 500 makes no sense.