Last edited by liv2ski; 12-12-2024 at 11:21 AM.
Never in U.S. history has the public chosen leadership this malevolent. The moral clarity of their decision is crystalline, particularly knowing how Trump will regard his slim margin as a “mandate” to do his worst. We’ve learned something about America that we didn’t know, or perhaps didn’t believe, and it’ll forever color our individual judgments of who and what we are.
That's because the game is always about incremental reforms. Occupy Wall Street was incredibly dumb with zero substantive policy proposals. Defund the police caused a surge in crime and was wildly unpopular with voters. Almost as unpopular student loan forgiveness and decolonizing Israel.
Obama's health care reform cost Dems two elections because they tried to standardize the hodgepodge mishmash of quality measurement, risk adjustments, payment models, and prior authorization rules that caused the administration cost spike in your chart.
High administrative costs in the US are more to blame than insurance companies. Health insurers are the low-paid low status middlemen who exist to play the bad guy in the bloated U.S. health care system. The real villains overcharging people, and making health care workers lives miserable with all the coding, are the hospitals themselves.
"High administrative costs in the US reflect some unique aspects of the US health care system and those aspects reflect more specific societal values. For example, in part, high administrative costs stem from the value individuals in the US place on choice.1 A desire for choice gives rise to fragmentation of payers, which in turn generates complexity in billing and expenses related to plan choice (such as marketing costs). Some of these costs might be lowered with standardization of key administrative functions (such as standardized claims forms) or improved information technology capabilities (interoperability of medical records is of high importance), but other costs, such as marketing, are inherent when there is choice among plans."
https://jamanetwork.com/journals/jam...rticle/2785479
I’m going to be pissed if they take combat veterans health benefits away. That’s the only thing that would allow me to retire early, not that sixty is very early.Originally Posted by liv[emoji638
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The VA is a lot better now too. VA health care now consistently outperforms non-VA care in studies of overall quality ratings, and affordability for Veterans. Some of the best applied research on Covid came from the VA. They were very quick on their feet during the pandemic. Also, lots of residents do VA rotations. They play a big role in educating doctors, NPs, PAs, and nurses
The government is not going to take VA benefits away, they're just going to privatize it (sell it to the highest bidder) and then the CEO's will take it away.
Tangible change is difficult for myriad reasons. Shortened attention spans, sure, but it's also learned helplessness after decades of being stepped on. The burden of change is on those without means (time, resources) when all Money has to do is hold the line.
Are they taking the health benefits away, or instead giving vets a stipend so they can go to non-VA doctors? Analogous to Funding Public Schools (free VA healthcare) vs Giving School Vouchers (stipend to go out of VA network)? Seems likely to be detrimental to vets, but IDK?
I thought that was what Pete Hegseth was talking about, but i very likely could be misunderstanding.
Originally Posted by blurred
Right, but now wait times are frequently longer in the private system than the VA depending on the type of care
Perhaps the most important takeaway is every American deserves the same resources as a corporate CEO when comes to being a victim of violent crime
I’ve always felt healthcare should be either full boat barbaric capitalism (you can’t pay, you die) or full single payer socialism.
This grey area in between is how we got to this closed market between providers and insurance where cost spiral and the people don’t have a seat at the table.
You need to either make it a competition or control the entire thing….
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