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not sure what's socialist about it. farming is a weird sector though (and a small one; crucial, of course) >the least efficient healthcare system in the world

not sure what's socialist about it. farming is a weird sector though (and a small one; crucial, of course) >the least efficient healthcare system in the world and the most advanced healthcare >ineffectual public education actually it's better than most rich countries after controlling for race/ethnicity that said, healthcare, education, and most of all housing are massively far from free markets, they're the most regulated parts and it's hard to innovate. the more free you make those markets, the better they'll get. >massive wealth disparity because, and this is no exaggeration, we are way fucking wealthier than almost anything except oil-rich Norway and tiny Luxembourg. it's a lot easier to have disparity when some grasses grow tall. >crumbling national infrastructure depends; California and New York yes, Texas no >and a different school shooting every week not that often but this is an american pathology yeah

defrost 19d ago
> and the most advanced healthcare (ignoring Australia and other countries having longer life expectancies and better cancer recovery rates, sure) > not that often It's telling you have to downplay this at all. > depends; California and New York yes, Texas no and the more than 40 other states? See the American Society of Civil Engineers (ASCE) Infrastructure Report Card (spoiler, it's a C)
bayarearefugee 19d ago
>>crumbling national infrastructure > depends; California and New York yes, Texas no lol. lmao. https://en.wikipedia.org/wiki/2021_Texas_power_crisis https://en.wikipedia.org/wiki/2021_Texas_power_crisis
- picofarad 18d ago
  They didn't build sheds around the wells that were insulated enough so the wellheads froze up from the water in the extract, not due to crumbling infra. Now, whether they've fixed the problem, I guess we'll see the next time it hits 0°F.
stackghost 19d ago
> actually it's better than most rich countries after controlling for race/ethnicity Yikes dude
mattmcal 19d ago
> the least efficient healthcare system in the world > the more free you make those markets, the better they'll get. How can you concede the first point and argue the second in the same breath? Are you about to tell me European healthcare is cheaper because its some bastiom of deregulation?
- notpushkin 19d ago
  European healthcare sucks. Waiting for your appointment for months is not unheard of. (I can’t compare EU and US, but my guess is the problems are largely the same, just less pronounced.)
  - benj111 19d ago
    I've heard stories of USians waiting months for their insurer to agree to pay...
    - jbenner-radham 17d ago
      And that’s if they even agree to pay. My wife needed heart surgery and we fought with insurance for two and a half years. I eventually had to change jobs to get a new insurance provider who would cover it.
  - danaris 18d ago
    You have fallen for propaganda. I recently moved to Ireland (an EU country). When I wanted to get set up with a new GP, I was offered an appointment the same week. I wasn't ready to actually go in yet, so I asked for one the following week. My wife needed some specialty care, and when we made the appointment they were very apologetic that they could't give us an appointment until 2.5 weeks later. (For a non-emergency consult, preparatory to a specialty surgery.) Meanwhile, in the US, when we tried to make GP appointments, they were routinely not available until 6-8 weeks later. And that's if it was even possible; we had 2 GPs just leave the area over the course of a few years, and in both cases we were left to find our own replacements, despite the fact that both were part of larger medical practices with at least a half-dozen GPs each (plus others).
tacet 19d ago
so advanced healthcare that maternal death ratio is higher than russia.
dwoldrich 19d ago
> actually it's better than most rich countries after controlling for race/ethnicity Our public education is so pozzed in Dem/Blue states, though; that has nothing to do with ethnic makeup in the students. Bloated budgets fueling insidious DEI agendas with openly consumer-hostile teachers unions. Maybe in sane states it's better. > and the most advanced healthcare We have miraculously great trauma medicine and surgery and diagnostics. The NICU medicine I've seen at work is like science fiction. That said, I'd argue my family doctor is just a brainless expert system for prescribing toxic pharma products. There's nothing healthful about that aspect of our healthcare. The terrible US diet and these wretched drugs are why we're so sick and the trauma doctors are so busy. It's complicated why it costs a fortune and yet we're so sick. Americans need consumer protections so badly!
benj111 19d ago
>actually it's better than most rich countries after controlling for race/ethnicity Can an American explain what this is supposed to be saying? Sounds like a right wing sound byte. Are black people supposed to be inherently less healthy???
- deleted 18d ago
  [deleted]
- snypher 18d ago
  They actually said that about education, so we are supposed to believe that eg black people are inherently less smart. I stopped reading their post before this tho :)
- tancop 18d ago
  It's about schools. Black Americans have worse education outcomes on average because of poverty, racial bias, unequal school funding and a culture where education is not as valued as with, say, Chinese Americans. Saying this is something you need to "control for" is complete statistical nonsense. You wouldn't say "the accessibility in this building is better than average after controlling for wheelchair use".
  - cindyllm 18d ago
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defrost 19d ago

> and the most advanced healthcare (ignoring Australia and other countries having longer life expectancies and better cancer recovery rates, sure) > not that often It's telling you have to downplay this at all. > depends; California and New York yes, Texas no and the more than 40 other states? See the American Society of Civil Engineers (ASCE) Infrastructure Report Card (spoiler, it's a C)

bayarearefugee 19d ago

>>crumbling national infrastructure > depends; California and New York yes, Texas no lol. lmao. https://en.wikipedia.org/wiki/2021_Texas_power_crisis https://en.wikipedia.org/wiki/2021_Texas_power_crisis

picofarad 18d ago
They didn't build sheds around the wells that were insulated enough so the wellheads froze up from the water in the extract, not due to crumbling infra. Now, whether they've fixed the problem, I guess we'll see the next time it hits 0°F.

stackghost 19d ago

> actually it's better than most rich countries after controlling for race/ethnicity Yikes dude

mattmcal 19d ago

> the least efficient healthcare system in the world > the more free you make those markets, the better they'll get. How can you concede the first point and argue the second in the same breath? Are you about to tell me European healthcare is cheaper because its some bastiom of deregulation?

notpushkin 19d ago
European healthcare sucks. Waiting for your appointment for months is not unheard of. (I can’t compare EU and US, but my guess is the problems are largely the same, just less pronounced.)
- benj111 19d ago
  I've heard stories of USians waiting months for their insurer to agree to pay...
  - jbenner-radham 17d ago
    And that’s if they even agree to pay. My wife needed heart surgery and we fought with insurance for two and a half years. I eventually had to change jobs to get a new insurance provider who would cover it.
- danaris 18d ago
  You have fallen for propaganda. I recently moved to Ireland (an EU country). When I wanted to get set up with a new GP, I was offered an appointment the same week. I wasn't ready to actually go in yet, so I asked for one the following week. My wife needed some specialty care, and when we made the appointment they were very apologetic that they could't give us an appointment until 2.5 weeks later. (For a non-emergency consult, preparatory to a specialty surgery.) Meanwhile, in the US, when we tried to make GP appointments, they were routinely not available until 6-8 weeks later. And that's if it was even possible; we had 2 GPs just leave the area over the course of a few years, and in both cases we were left to find our own replacements, despite the fact that both were part of larger medical practices with at least a half-dozen GPs each (plus others).

tacet 19d ago

so advanced healthcare that maternal death ratio is higher than russia.

dwoldrich 19d ago

> actually it's better than most rich countries after controlling for race/ethnicity Our public education is so pozzed in Dem/Blue states, though; that has nothing to do with ethnic makeup in the students. Bloated budgets fueling insidious DEI agendas with openly consumer-hostile teachers unions. Maybe in sane states it's better. > and the most advanced healthcare We have miraculously great trauma medicine and surgery and diagnostics. The NICU medicine I've seen at work is like science fiction. That said, I'd argue my family doctor is just a brainless expert system for prescribing toxic pharma products. There's nothing healthful about that aspect of our healthcare. The terrible US diet and these wretched drugs are why we're so sick and the trauma doctors are so busy. It's complicated why it costs a fortune and yet we're so sick. Americans need consumer protections so badly!

benj111 19d ago

>actually it's better than most rich countries after controlling for race/ethnicity Can an American explain what this is supposed to be saying? Sounds like a right wing sound byte. Are black people supposed to be inherently less healthy???

deleted 18d ago
[deleted]
snypher 18d ago
They actually said that about education, so we are supposed to believe that eg black people are inherently less smart. I stopped reading their post before this tho :)
tancop 18d ago
It's about schools. Black Americans have worse education outcomes on average because of poverty, racial bias, unequal school funding and a culture where education is not as valued as with, say, Chinese Americans. Saying this is something you need to "control for" is complete statistical nonsense. You wouldn't say "the accessibility in this building is better than average after controlling for wheelchair use".
- cindyllm 18d ago
  [dead]