this post was submitted on 08 Dec 2024
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Mildly Interesting

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[–] [email protected] 0 points 1 week ago (4 children)

Can't I just get care? I got a whole grown ass person's life to live, and i can't be an expert in everything.

[–] [email protected] 0 points 1 week ago (1 children)

Are you rich? Then yes. If you're not rich, then you need to suffer and struggle for needing to use valuable resources that could be used on people more deserving; like the wealthy.

[–] [email protected] 0 points 1 week ago* (last edited 1 week ago) (3 children)

It's not that they're hoarding scarce healthcare resources so they're available for the wealthy. They could provide care for everyone, but then the system wouldn't run at the desired profit level.

[–] [email protected] 0 points 1 week ago

More that people wouldn't be reliant on shitty jobs for healthcare. The current state of affairs ensures obedient workers.

[–] [email protected] 0 points 1 week ago* (last edited 1 week ago)

i didn't say healthcare resources. money is a resource and you must give it to your betters if you want access to affordable healthcare. they are hoarding one resource by denying access to another.

[–] [email protected] 0 points 1 week ago (1 children)

There is also a giant undercurrent of wealth ministry in the American upper classes. Since about the 1960's they've been pushing the idea that God blesses good people with money and punishes bad people by making them poor. It's mixed with the Protestant Work Ethic so they also see poor people as lazy and undeserving.

It's a completely self serving and self fulfilling ideology but it makes them feel good so we all have to suffer because we lost the lottery at birth.

[–] [email protected] 0 points 1 week ago

The mentality goes back much farther than the 1960s. In a traditional Christian family the father is the giver of rules and justice. "Wait til your father gets home!" Kids learn that doing what daddy says leads to rewards and disobedience leads to punishment. Follow the rules and you prosper, break them and you suffer. This translates very directly into thinking poor people must be bad people. They must have broken the rules somewhere along the line because look how they're being punished. Wealthy people must have done all the right things in all the right ways, because they're getting rewarded with prosperity and that's what's supposed to happen. f you're conditioned into that mindset, class differences make perfect sense.

[–] [email protected] 0 points 1 week ago

In most countries you can, yes.

[–] [email protected] 0 points 1 week ago

Oh ya, you can get care. And then you fight with insurance about whether or not that was the right doctor to use or if it was really necessary in the first place. But insurance won't talk to the hospital and the hospital won't talk to insurance so you have to talk to each of them in turn while waiting on hold every time. It's a wonderful system.

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[–] [email protected] 0 points 1 week ago (2 children)

No idea how effective this would be, I think the doctor would have to request this themselves. When I worked for an insurance company, member services didn't even have access to authorization details.

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[–] [email protected] 0 points 1 week ago

Saved this advice for future reference - thank you!

[–] [email protected] 0 points 1 week ago

I tells ya it’s a situation awful enough to drive a man to stay in a hostel.

[–] [email protected] 0 points 1 week ago* (last edited 1 week ago) (15 children)

It's hard as one having free (state paid) healthcare in EU, to imagine anything but just going to the doctor, and the doctor seeing to it, that you get the correct treatment.
No paperwork, no hassle, no bill.
I can't imagine why USA hasn't introduced something similar yet, but prefer all that bureaucracy that only makes the whole process way more expensive. Just to make sure some unemployed poor guy doesn't get free treatment!!
USA is a psychopathic society.

[–] [email protected] 0 points 1 week ago (1 children)

"We" have been heavily propagandized into this. As a nation we're a masterclass in being brainwashed against our own interests

[–] [email protected] 0 points 1 week ago (1 children)

Once upon a time, I thought the arrival of the internet would mean ordinary people would be better informed. But Trump being elected twice has proven me wrong.
It's not used as much for information as it is used for misinformation and propaganda.

In the 70's I thought better information would end religion, it's insane how quickly we are getting absolutely nowhere.

I have come to realize, that I'm VERY naive in some respects. Hard not to turn into a cynic.

[–] [email protected] 0 points 1 week ago

TBF the US is way less religious than we were in the 70s.

[–] [email protected] 0 points 1 week ago (2 children)

The US isn't a country.

It's a business dressed up as a country.

(More like 50 countries dressed up as a business dressed up as a country, but then even that gets more complicated)

[–] [email protected] 0 points 1 week ago (5 children)

wtf do we call our society, anyhow? Just "capitalist"? Is that still the term?

[–] [email protected] 0 points 1 week ago (2 children)
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[–] [email protected] 0 points 1 week ago

Corporate dictatorship?

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[–] [email protected] 0 points 1 week ago

It's pure lobbying.

That CEO's company made $22 billion in profit or something. Put just $1 billion of that in lobbying and you got a whole army of people manipulating the results in favor of the current status quo, and you'll have your $21 billion instead of $0.

[–] [email protected] 0 points 1 week ago (1 children)

I can’t imagine why USA hasn’t introduced something similar yet, but prefer all that bureaucracy that only makes the whole process way more expensive. Just to make sure some unemployed poor guy doesn’t get free treatment!!

(concepts stolen from a very insightful reddit post from years ago) Nearly all modern conservative positions can be explained with two idea.

  • Society is zero-sum. For someone to gain something, someone else must lose something.
  • Class is defined and there should be no mobility for lower classes to ascend to higher classes in society.

So apply this to healthcare:

Most arguing against medical-treatment-for-all view it as zero-sum. So for most its not just because they don't want some unemployed poor guy getting free treatment, but rather, "if the unemployed poor guy gets free treatment, then treatment won't be available at some point in the future when I need it". This is silly of course.

For others arguing against medical-treatment-for-all, the suffering is the point. The unemployed poor guy should suffer because that is his station in life. A life of comfort is reserved for those of higher classes. They believe, alleviating his suffering would go against the class he's in and should in. This is, of course, also silly.

[–] [email protected] 0 points 1 week ago (1 children)

They also use the higher taxes argument. They lean on the decades of anti tax propaganda and tell people your taxes have to go up for it to work. Of course your taxes go up by less than you save on premiums and deductibles, but they just shout, "taxes are theft" over anyone pointing that out.

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[–] [email protected] 0 points 1 week ago* (last edited 1 week ago) (1 children)

Right, but what do you do when someone who works less, or isn't as talented or smart, as you gets the same or better healthcare!?

[–] [email protected] 0 points 1 week ago

Same not better. And that's the thing, when equal healthcare is the norm, it becomes surprisingly normal. Nobody gives it a second thought.

[–] [email protected] 0 points 1 week ago

It's money. It's specifically a video of a white man with an expensive suit dancing in a rain of hundred dollar bills while the chorus to Money Money Money plays.

Politicians know the system is broke but they benefit from the money and have government sponsored top tier healthcare.

[–] [email protected] 0 points 1 week ago (3 children)

Wait until you find out that we actually get money deducted from our paychecks, a good some of money under "Medicare", that we don't get. We just pay for it on top of our monthly premiums for the insurance.

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[–] [email protected] 0 points 1 week ago (1 children)

So the Hippocratic oath is essentially meaningless in America?

[–] [email protected] 0 points 1 week ago

It was always meaningless. It never had any legal repercussions if it was broken, just like ethics agreements politicians get to waiver.

[–] [email protected] 0 points 1 week ago (4 children)

And your doctor will have to fight with the insurance company over the phone for an hour to do a pre-auth. When my doctor wants to perform something or give a certain treatment not covered, he assures me he will make this long and stressful call. I really wonder what they are discussing and what goes on in these conversations...

[–] [email protected] 0 points 1 week ago (3 children)

What doctor has time to do that? I'm in Canada and I can never trust my doctor to have any conversation with anyone, at any time longer than five minutes at a time for anything.

The best tactic I've found if you want to get anything done for yourself or someone close to you is for you to do the legwork and make calls, contacts and literally hound people to do their job. If no one is there to push things along, no one is going to magically appear to help you ... that is a fantasy that seldom and rarely happens, even in our publicly funded system.

You or someone who is capable should advocate for you every step of the way, otherwise you will just get lost and forgotten in the system ... whether you are in the US or Canada.

[–] [email protected] 0 points 1 week ago

I’m in Canada and I can never trust my doctor to have any conversation with anyone, at any time longer than five minutes at a time for anything

The best tactic I’ve found if you want to get anything done for yourself or someone close to you is for you to do the legwork and make calls, contacts and literally hound people to do their job.

This is my experience in the US as well. Also nobody knows anything about anything.

Doctor A puts you on a medication, doctor B doesn't know until you tell them and says "he put you on that!? You shouldn't be on that, I'm taking you off it."

You go to have a surgery and say "hey guys, did you know that I'm difficult to intubate? Because I could die if you don't take that into account", they didn't know.

"Hey guys, I have reason to believe that the insurance card I was issued in the mail isn't completely correct, can anyone help me with this?", 4 different people at the company that issued the card have no idea what's going on, don't even know about the policy tied to the card in question and think you must have accidentally called the wrong company (you didn't).

"Hey guys how much is this going to cost?" it is literally impossible to say.

[–] [email protected] 0 points 1 week ago

I have a doctor that actually cares. If I had one that didn't, I would not stop until I found one that did. It's mostly getting the insurance to cover medications that they don't. The doctor usually spends the last hour of his day doing this, for me and other patients. You have to find a local doctor outside of a major city with less client base so they DO have the time. I am in the US. My deductible is very high but the medication I take is life sustaining and I can never pay for it. I have to do this every 6mo to a year: make an appointment and hope the doctor gets their way. Once they didn't and that is why I am at my current doctor. There is not much negotiating a patient can do calling the insurance themselves. They will just look and see you don't know what you are talking about. No matter how you complain about the symptoms, your financial burden, your family, or the fact of it being life-sustaining. Best to have a medical professional advocate. I have even tried with doctor letters and emails forwarded before calling. That is why I wonder what the doctor actually says that gets through.

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[–] [email protected] 0 points 1 week ago* (last edited 1 week ago)

I've had doctors lead me to make certain statements so they can more readily justify a given treatment that they know I need.

It's a bit of a wink-and-a-nod situation.

It's even worse if you're part of an HMO, because the doctors are beholden to the business side, unlike independent doctors who don't have a management overhead telling them how many times a year they can prescribe a treatment, becuase they're doing it more frequently than other doctors in the system.

This demonstrates the major issue with socialized care, because it's also managed this way. I've been in both HMO and PPO systems - overall they both cost about the same despite HMOs acting like they cover more day-to-day stuff. It's just with PPO (independent doctors), I get care that's more tailored to me and my wishes, I don't get pushback from corporate, because there's no corporate involved. I may have to discuss with my doctor how to present things so my insurance won't push back, but at least the insurance company doesn't directly control my doctor's salary, bonus, etc.

All this crap started in the 80's as business management orgs started taking over healthcare organizations and consolidating them, and turning them into profit centers.

[–] [email protected] 0 points 1 week ago* (last edited 1 week ago) (1 children)

Agree I feel fortunate to have found a doctor(and their PA, and their staff) who feels like my own personal swat team to get my treatments. I am not wealthy and don't have gold plated coverage, I just found a winner.

It's so much paperwork and phone tag.

[–] [email protected] 0 points 1 week ago (1 children)

I was the feisty little gremlin that fought with the insurance at a cancer-focused plastic surgery clinic. I got really good at stacking up all of the info in the first submission so that they couldn't drag their heels on shit that was time-sensitive.

[–] [email protected] 0 points 1 week ago (1 children)

Preesh.

As an EMT I rode with too many people who were sobbing in the bus because they knew the financial hit that was coming when we got to the ER.

[–] [email protected] 0 points 1 week ago (3 children)

I'm in medical school now and looking at either emergency med or family med, and either way, I am going to be exceedingly careful about how I construct my notes, diagnoses, evaluations, and treatment plans to leave as few cracks as possible for the insurance companies to try to weasel their way into.

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[–] [email protected] 0 points 1 week ago (2 children)

This has big soviergn citizen energy. "Say these magic legal words and they have to pay your bill".

[–] [email protected] 0 points 1 week ago

It’s basically the same tactic, convince them that you’re too much of a pain in the ass to deal with and they should just give you what you want to get you to go away. Only it’s for accessing your own fucking healthcare that you pay them money for and not, you know, avoiding paying child support or truck payments.

[–] [email protected] 0 points 1 week ago

Absolutely, the only difference from sovcits is that the bogeyman we believe in is real - it's the insurance companies and billionaires.

[–] [email protected] 0 points 1 week ago

There are also advocates who can help you navigate the insurance nightmare. We had to do it when I needed surgery a few years ago.

https://www.patientadvocate.org/

[–] [email protected] 0 points 1 week ago (1 children)

Every time I learn something new about murica its a new horrifying thing that makes me wonder how your country hasn't been thrown into civil war.
What so many Americans seem to consider normal is sounding quite insane for more civilised countrys.

[–] [email protected] 0 points 1 week ago* (last edited 1 week ago)

We're inching closer every day. Someday the pressure is going to exceed the limit and it will explode.

[–] [email protected] 0 points 1 week ago
[–] [email protected] 0 points 1 week ago

I hate how useful this is.

[–] [email protected] 0 points 1 week ago

Its only illegal once you are prosecuted for it. That is how businesses operate. Its not just regulation we need but a justice system that has some teeth

[–] [email protected] 0 points 1 week ago
  1. carve the word "deny"
  2. carve the word "delay"
    .
    .
    .
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