The system is working. It’s designed to enrich the wealthy and extract that wealth from the poor.
The entire medical industrial complex is not going to give up their wealth willingly.
Plus most doctors are born into money already. They don’t ever associate with ordinary people in the lower 80% of households.
My wife is deaf. She gets given batteries for her free hearing aid plus an assessment from the audiology department once a year.
My daughter was born 5 weeks premature. She was in the ante natal care unit for three weeks.
My daughter also had open heart surgery when she was 9 years old. Full medical team at a world-famous teaching hospital, 2 days in the paediatric cardiology intensive care (nurse to patient ratio 1:1, 24/7) and 2 days in the post-op ward (ratio 2:1).
None of this has ever cost us anything.
America needs to fix its health “service”. While you’re at it, fix your gun laws too (children practising hiding from gunmen in schools? Really??). And your legal system. And women’s rights. And police corruption. Once you get those sorted, the rest of the civilised world has a long list of other suggestions.
fix your gun laws too (children practising hiding from gunmen in schools? Really??). And your legal system. And women’s rights. And police corruption.
I’d say they are all symptoms of the same problem, economic insecurity and misaligned incentives. People like to blame communism and praise capitalism for the results of the cold war, but I see the US making the same mistake that lost the USSR the cold war, but inflexibility and misaligned incentives. The US in the 20th century went from almost unregulated capitalism to a regulated market economy. IMO, it was that ability to change that brought the US ahead, not some magic of capitalism or brokenness of communism. Now we are stubbornly stuck on the ideology that could very well could have led to the collapse of the US in the 1930s.
Take the freight rail strike fiasco and recent train wrecks. Capitalism creates an incentive for the companies to reduce costs as much as possible. The rail unions are practically useless due to a terrible federal law. What we need is a more pragmatic government and population that will allow them to be and pass legislation that deals with it. One reasonable approach is to deregulate the unions a bit to ensure a quality workforce. Another is regulations that micromanage operations. Maybe fine companies in key industries for both preventable environmental disasters and failure operate under the threat of forced liquidation if they can’t get their act together. Another is professionalizing rail workers so no worker will risk personal liability or loss of licensure for cutting corners. Something else?
At the scales we are talking about, there is so much complexity that it is almost impossible to predict the outcome of a policy, so I am a big advocate for flexibility.
Summation of conversations I’ve had with a doctor about the healthcare system.
Doctor: “The system needs fixing.”
Me: “Agreed, we need to socialize the healthcare system.”
Doctor:“Not like that, I still wanna be rich!”
How many times have you had that conversation?
Methinks zero.
The final bill from my appendectomy (no complications, wasn’t even in the hospital for 24 hours total) in March was $169k USD.
With “good” insurance, I still paid $7k out of pocket.
This is unbelievably fucked up. Everytime I see posts about the healthcare system in the US, it feels like I am reading prompts from a dystopic fiction.
