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[–] 11 points 10 hours ago* (17 children)

I'm be real, and ain't nobody wanna hear this but...

Even with full health insurance, most hospitals and doctors in my 50 mile radius area either do not accept patients or are booked out to 5 months. I really think we have a educational problem that's leading to not enough qualified doctors. I also see a lot of "Nurse Practitioners" and actual MDs that are running rounds at multiple area hospitals.

Not only does DJT know that Democrats won't pass Universal Healthcare (setting them up for failure), but doing so would lead to cutting corners on actually educating qualified doctors, possibly leading to more harm than good.

IMO the bigger issue is education, planning, and prioritizing. We (as a Nation) can't go all in on Universal Healthcare without planning and prioritizing education and ensuring that our system can handle the flood of new patients.

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  • [–] 1 point 2 hours ago (1 child)

    It’s something like 90% of Americans avoid going to the doctor at all if they can help it, 5 months is a lot less time then never. Also demand drives supply, more patients means more need for clinics, imaging centers, hospitals, doctors, nurses, universities etc. universal healthcare could be a financial boon

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  • [–] 1 point 9 minutes ago*

    i have aca plan, and it barely covers surgeries, er visits(though managable just not chronically). with the changes to medicaid/snap curreently, i suspect the ACA will be attacked soon, much last year.

    unless you are on a employers dental/health plan, dental is not covered in anyway, if you try to buy a individual plan from a thier specific websites, they are more less the same in the coverage, barely anything outside of cleanings and xrays, not even cavities are covered entirely and they have a very low maximum yearly, mostly 1-2k.

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  • [–] 3 points 3 hours ago

    Healthcare is being run as a business with "just in time" supply and demand, overworking the workers who are willing to work overtime to save patients, cutting fat and trimming operations until it is a lean machine that when you take anything away would sputter. That is the ideal neoliberal image of healthcare. We saw how that worked out with Covid. Some areas should be inefficient and have "fat".

    And of course the burocracy mandated by private insurance.

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  • [–] 17 points 6 hours ago

    They are booked out, because the insurance makes them go thru mutliple loops, wasting an insane amount of time. My dentist had to make 4 separate appointments for a root canal/crown, because the insurance required proving each sub-procedure, with x-ray for each one of them, that otherwise wouldn't be required. and I could've had it done in two.

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  • [–] 8 points 6 hours ago*

    Education isn't the bottleneck, residency is. Plenty of qualified doctors coming out of med school that don't get residency, so they have to try again next year (and compete against fresh grads).

    Raising residency limits is, of course, unpopular because it means more doctors, which means less demand, so less pay to cover med school loans...and nobody wants med school to cost less. Least of all the people buying up those loans. Read: rich folk that live on investments.

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  • [–] 8 points 6 hours ago

    I don't understand why we need a plan.

    When cheif of the fire department needs more people; They hire more.

    When the chief of police needs more deputies; They hire more.

    When the chief of medicine needs more nurses... Wait we don't have a cheif of medicine? Hu. Werid...

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  • [–] 3 points 6 hours ago (2 children)

    You're really falling for the fascist lie of "people are getting dumber"

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  • [–] 2 points 4 hours ago (1 child)

    Is it really a fascist lie?

    At least in the U.S. the educational burden has certainly increased. The cost of living, the closing of schools and combining of districts, the stagnant wages of teachers, the shortage of teachers due to the stagnation, the automation of jobs is removing apprenticeships, LLMs do not teach as well as doing things hands on. The influence of social media is still a strong pull and media literacy feels like it's at a low in the U.S.

    I have a feeling in the next decade we're going to start seeing the consequences as boomers age out of legacy jobs and automation takes the place where educated workers used to.

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  • [–] 1 point 3 minutes ago

    wages are definitely stagnant for teachers, we had people arguing in the subs, that they are relatively "high" in certain places, but the COL negates the wages a bit. like here it takes 10years being a teacher to get even 100k, with the hcol, its way less than that. i wonder if teachers even stay that long and, if 70k is really the starting salary. im also hearing districts are using SUBSTITUTES instead to lower the cost of hiring a full time teacher.

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  • [–] 16 points 9 hours ago* (2 children)

    The rate at which new doctors are trained in the USA has historically been bottlenecked by the number of residency program slots available. Hospitals financially benefit from each resident they employ, but not as much as they do from adding other roles, instead (such as nurses). Also, it is not trivial to create a new residency program or expand an existing one (accreditation requirements, other fixed costs, etc.). This is why 25 % of USA physicians are immigrants. The Republicans have also made it more expensive to get loans for medical school, which will discourage some people from going to med school in the future, although the insufficient supply of residency slots might still end up being the bottleneck.

    But even if we did not increase the supply of doctors, moving to Single Payer would still benefit us by reducing cost. I don't think Single Payer would need to be coupled to increasing the supply of physicians.

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  • [–] 6 points 9 hours ago (1 child)

    The number one cause of personal bankruptcy in the USA is healthcare. At this point, what is worse, losing everything to a massive dumpster fire, US healthcare, waiting for treatment or croaking because your health insurance sucks shit.

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  • [+] -7 points 10 hours ago* (last edited 8 hours ago) (2 children)

    Edit: wait, I can see the tsunami coming, I made the mortal mistake of commenting on American affairs. Fuck this shit I'm out.

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  • [–] 4 points 9 hours ago* (1 child)

    You can open the floodgates but if a plan is not in place to displace the water it'll overcome the system.

    The for-profit system is also already slow as balls. It chugs along fine at a snails pace.

    To say there's not a educational shortage on degrees that take up to 8+ years in a country that is already facing an educational deficit I think is the real irrational. Planning is an important step that shouldn't just be left as an afterthought.

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