this post was submitted on 25 Jun 2024
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[–] [email protected] 1 points 1 month ago* (last edited 1 month ago)

Watching a man die from HIV with dementia on a forensic psych ward because his family refused to take him back but also wouldn't sign the DNR.

Watching a nurse shove a softball sized chunk of woundvac foam into a bedsore so deep you could see bare bone at the bottom.

Having to hold a woman down who's screaming and clawing at me as a nurse shoves a rectal tube into her because they gave her laxatives so she could shit out all the ammonia her alcoholic liver couldn't process anymore but now the ammonia is starting to dissolve her anus but it's already too far gone to hold the anchor donut so they just keep trying to reinsert it for almost an hour because she's so sick and so out of it that her family have power of attorney and "do everything you can, don't just let her die!"

Being assigned to sit with a man to keep him from pulling off his ventilator mask and every time he manages it he can barely even say just let me die and the only thing that keeps him from trying to rip it off again is me summarizing the plots of the last five books I read because his family has also decided he should have to live.

Discharging barely coherent psych patients back to the street because we need the bed to get somebody even less coherent off the street.

Getting a man from the ER who couldn't stand after a drug overdose because the ER nurses assumed he was faking.

Having to tell an intensivist that I don't know how long a man's oxygen saturation has been in the 70s because he was on a psych hold so his 2h trip down from the mountains was in the back of a cop car. When we gave him oxygen his speech instantly cleared up. He had a history of schizophrenia, so they just assumed that's what it was.

All the people that try to kill themselves to escape group homes and assisted living.

All the people getting most of their mental Healthcare in prison and jail.

I'll let you know what else I remember.

[–] [email protected] 12 points 2 months ago (1 children)

My father told me he would retire himself if he ever had to go to a nursing home

[–] [email protected] 3 points 2 months ago (1 children)

I'm pretty sure everyone's dad says that. As a dad, I've said it too. I'd almost rather be in prison than a nursing home, it's the same atmosphere but way cheaper.

[–] [email protected] 2 points 2 months ago

It's not unlikely you'd end up in a home ran by the same folks that own and run private prisons and supply schools with food.

[–] [email protected] 12 points 2 months ago (1 children)

Everybody in this country needs to lift themselves up by the bootstraps and do what I did: have a chronic disease that is so ridiculously expensive to treat that the pharma company pays your deductible and out of pocket max for you so that you’ll stay on it. Then you get actual coverage for the rest of the year!

I’m a software engineer and my health insurance pays out significantly more than my gross pay every year. U-S-A!

[–] [email protected] 8 points 2 months ago

I fell into this situation a couple years ago and I’m going to ride it as long as I can. The whole system of savings cards is so convoluted that it’s no surprise these kind of loopholes happen.

[–] [email protected] 41 points 2 months ago* (last edited 2 months ago)

Off the top of my head, these are the kinds of things my conservative family members or distant acquaintances would say and agree with:

What if somebody else gets more than me?

What if somebody who doesn’t “deserve” benefits gets them?

Why should I give a shit or have to pay for other people? (Unaware of how insurance itself works)

The economyyyyy!

[–] [email protected] 43 points 2 months ago (3 children)

Even Go Fund Me came out and said, uh, wait, funding health care isn't what we really intended for the platform.

I recall one of the coaches of a major league baseball team had some major illness and had set up a GoFundMe for it...the team decided to cover it, fortunately, but...come on.

I don't know how anyone can seriously claim there's nothing wrong with our system, but they do.

One guy said, in earnest, that it's a good thing that our medical system is so expensive - because that means it's a good system. (This was in response to me saying that I think our technology and care are pretty good; it's how we pay for it that's the main issue.)

How do you even respond to that? I just ignored him. Does he think Europe has cut-rate health care? Canada?

[–] [email protected] 10 points 2 months ago (1 children)

This was in response to me saying that I think our technology and care are pretty good

The kicker to all this...it's not. Our healthcare is absolute ass compared to the rest of the world. The only thing we're ahead on right now is erection pill and weight loss drugs.

If you end up with cancer or a moderately complex injury, you're fucked. Good luck on that lead time to see a specialist.

[–] [email protected] 3 points 2 months ago* (last edited 2 months ago)

It’s like that everywhere. The US is not an outlier. You need quality education systems in place as well or you can’t educate your future medical professionals. This is how democracy dies. Undereducated sickly populace will vote for whoever comes off the top rope with the funniest/angriest shit. We were sunk as soon as education funding cuts began worldwide. Early 90s in my country, probably similar elsewhere.

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

Does he think Europe has cut-rate health care?

As a Euro-wanker I can assure you we do, that's why no rich person uses it over here–they go to private clinics unless it's grave enough and they are rich enough, then they go to America.

[–] [email protected] 5 points 2 months ago (1 children)

I've never heard this before, so that's interesting. Is the public option worse health care in some way?

[–] [email protected] 9 points 2 months ago* (last edited 2 months ago) (1 children)

It’s the same setup as the states, and I’m simplifying quite a bit.

Imagine basic insurance in the US. You’re going to be restricted to hanging out at regular walk-in clinics, regular ER if you need it, long waits to see your primary care doc if you even have one. You’ll be dealing with overworked and understaffed facilities. Your tests get scheduled a week or a month or more out, unless it’s serious. Doctors do what they can in the short periods they can talk with you, but it’s mostly walk in, diagnose, leave. You get the same treatment plan as everyone else.

It’s not bad, you get treated, but you’re nobody special. Get in line and wait wirh everyone else.

Now get good insurance. Your PCP can always make a spot for you. Yoir tests may be done in-office, same day, or at a facility that can fit you in more quickly. Your treatment plans are more thoroughly examined and tailored, your doctors will spend time with you discussing your condition and treatment avenues. They’re available to talk to if you have issues with the treatment or at least their staff are.

That’s sorta the difference. I have a family member in Europe that passed recently but had a long battle with a disease. He had the “extra” private insurance. Pretty much what I described above. He was able to get seen and have medications adjusted quickly. I have an in-law in the same country who just had a fairly major health event. She had to go to two different facilities to get pushed up the line for her condition. She has normal public insurance. However, she was taken care of quickly and is doing great.

In a nutshell the extra insurance gives you quicker access and probably a more tailored and personal experience, you’re not lumped in with the “commons” at a public health service facility, you can “skip the line.”

[–] [email protected] 5 points 2 months ago (1 children)

Okay, thanks.

A recent experience here has made me think of the phrase "conveyor-belt health care". I think I made that up, but I may have heard it somewhere and forgot.

In my case: I had major pain in my neck that was leading to numbness in my arm and hand. I didn't even bother with my primary care physician, I just scheduled an appointment with a back pain specialist. The back pain place is extremely efficient and has been very good about treating the pain..........but not once have they raised the topic of, "What caused this and is there anything we can do to prevent it in the future?"

And, I don't want to detract from them, they are absolutely excellent at that treatment. But it's get in, get in the OR or exam room, chat for a minute, see you in 5 weeks. My appointments generally take 10 minutes or less when the doctor is in the room.

Years ago I had issues with my neck - which turned out to have the same root cause, but the symptoms were very different, so I didn't connect them - and multiple primary care physicians told me to take advil, even after I told them this was a recurring issue. Irritating experience, to say the least. "Hey, I'm stuck on the couch and can only move in agony for a few days two or three times per year." "Take Advil." Conveyor belt moves on.

I know we hate chiropractors here, with good reason, but it was chiropractors (who are also physical therapists, which might be the difference) who actually looked at the X-ray or MRI, found the underlying problem, and came up with treatment plans involving various exercises to attempt to solve the underlying problem. The MRI was ordered by the back pain specialist, so they had the imagery and could have found the issue. Why is there no room for that kind of analysis in our "legitimate" health care system?

Conveyor-belt health care.

[–] [email protected] 3 points 2 months ago

Yep. That’s a good term. Assembly line health care, conveyor belt health care…you’re just a part moving along and the QC is perfunctory - no errors, but it doesn’t mean the part is good.

[–] [email protected] 5 points 2 months ago (1 children)

Well yeah rich people pay for convenience everywhere.

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

Yeah the quality of care and health outcomes among rich countries is pretty much the same across the board. Each country has specific areas they're particularly good or bad in, but overall health outcomes are pretty much the same, including the US. We just wildly over pay for healthcare because we've defined our consumer to be individuals, which means they have no bargaining power. Normally this wouldn't be too big of a problem if the industry had heavy price regulation, but we also don't have that. If we switched to M4A, the consumer would become Medicare and bargaining power would go through the roof.

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

There are a lot of reasons I will never step foot in the USA.

[–] [email protected] 3 points 2 months ago

As someone who has lived here my whole life, you ain't missing much. We have some beautiful wilderness and outdoor areas, but that's about the only reason to visit here. There is beautiful wilderness in other places, too, we just have a whole lot of it. There is really no reason to live here, unless you are incredibly rich and want to take advantage of our non existent taxes for billionaires.

[–] [email protected] 22 points 2 months ago (1 children)

Does he think Europe has cut-rate health care? Canada?

Assuming we’re talking about one of my fellow Americans? Yes. He’s been conditioned to think that.

[–] [email protected] 8 points 2 months ago (1 children)

Yeah, you're probably right. I was dumbfounded.

[–] [email protected] 7 points 2 months ago (2 children)

It’s amazing how the powers that be have gotten our culture to the point that so many people give zero shits about their fellow humans. People living paycheck to paycheck on median incomes still have the “fuck you; got mine” attitude.

[–] [email protected] 5 points 2 months ago

At a previous job I had, my coworkers all made less than 50k a year. Still, every single one of them was against raising the minimum wage, because "we make above minimum wage, and if this passes than we won't get a raise." It's definitely some crab bucket mentality.

[–] [email protected] 10 points 2 months ago (1 children)

The worst part is that many of these people would help you if you needed it - if you were, say, in a car crash, most of these people probably would help you out. But...for some reason...extending that help to a more general sense just causes them to start frothing at the mouth.

I ride bicycles, and when I ride on Sunday mornings, I'm always amused by the thought that some drivers are probably on their way to or from church when they decide to pass me dangerously close, just for fun or to teach me a lesson or whatever the hell their justification is.

[–] [email protected] 3 points 2 months ago

Tribalism I guess. My family, friends, town, country, etc are the good people. The others are bad.

That and bigotry. They’re basically two sides of the same coin though.

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