Boozilla

I thought communing with Satan is how we get pregnant. But, I admit I didn't pay much attention in Communism class.

Can you do trains instead? Having ridden thousands of miles in busses I can tell you it gets extremely cramped and uncomfortable, and this gets worse the longer you're on it. Sleeper trains in the US and Canada are really nice. Not sure about Europe.

The weird window has shifted. Having purple hair and a nose ring used to be "very weird". Now nobody blinks an an eye at that stuff.

But being attracted to your own daughter (and admitting it publicly) and fucking a couch (and admitting it publicly) are still considered very weird.

Another fella who sleeps in boxer briefs, I see.

Jack Chick vibes.

Work on diagnosing and fixing the problem first, worry about appointing blame later (if at all).

Solo: Mage Knight

2 player: Star Trek Fleet Captains

4 player: Shadows of Brimstone

Stupid-fun dice chucker for 4 or 5: Project Elite

I'll also add that I very much appreciate nurse practitioners. I have to go in every 6 months for routine "old man maintenance" checkups, and there's really no need for me to see a doctor for these types of visits. You're filling a much-needed role. (And I'm sure you do a lot more than just "old man maintenance" consults, LOL).

You're right, it's a complex issue that my bullet point just kind of touched on (and lacks nuance). In many ways, patients are required to navigate their own health care and be their own champion and advocate It gets messy when we encounter misinformation that tells us what we want to hear, but isn't based on solid science.

Thank you, you bring up some important points. Malpractice lawsuits and insurance are significant problems, too.

In my limited anecdotal experience as a patient of (and support staff for) doctors I have met some very compassionate and capable doctors and nurses. I don't see health care providers as being the problem with our system. It's primarily the private health insurance companies and PBMs. They are the main reasons why we can't have nice things.

It's astonishing (and insane) how private health insurance has taken over the entirety of health care at every operational level.

This is a type of insurance that started out decades ago as an unusual perk for executives. They called "major medical". Nobody thought that much about it. In those days most working people simply could go see a doctor and just pay with cash or check.

Now, their tendrils have wrapped around everything from the lowest-paid pharmacy tech to most expensive surgeon...and everything and everyone in-between.

The board rooms of private health insurance companies have a gigantic dragon by the tail, and they have no damned clue what to do with it.

Yes, I would not dispute that. Medication and PT is too expensive for many. And many people live in "food deserts". Whatever the causes, it's highly frustrating for doctors.