• henfredemars@infosec.pub
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    16 days ago

    Health insurance in America is a legalized extortion system that converts American lives into investor dollars and enjoys overwhelming support of our ruling class thanks to regulatory capture.

    It’s a fundamentally unethical and immoral business comparable to black market arms dealing or human trafficking because of the evils it knowingly perpetuates.

    • RBWells@lemmy.world
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      16 days ago

      All insurance. I have paid enough to homeowners to buy another house, with no claims. Health insurance we’ve had maybe 5 years where we got out more than we paid in, maybe. Could certainly have bought a dozen cars with what I’ve paid car insurance, net of what they have paid to or for me.

      All these you can only win by losing but all are worse for being for-profit rather than just risk pooling.

      Health insurance I explain to people as: we are paying in taxes for the most expensive groups (old, poor, sick) plus paying for the work insurance premiums, plus paying most of the cost of seeing a doctor for anything except the annual wellness visit. It would be cheaper to cover everyone with the national plan. But everything we pay, is paying someone else’s salary, right? All those people want it to stay like this.

  • Boozilla@lemmy.world
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    16 days ago

    Always annoys the hell out of me when politicians say BS like, “We know you like your private insurance plan and want to keep it”.

    So out of touch.

    • Mog_fanatic@lemmy.world
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      16 days ago

      It’s not entirely out of touch tho. Trust me, there is a not insignificant sect of the populace that firmly believes if private insurance goes away and the country just dips it’s toes into universal healthcare, the communists have won and the country is ruined beyond repair somehow.

      After talking to a good amount of these folks, I’ll say the absolute bonkers mental gymnastics to justify that line of thought is truly something to behold.

      • JaymesRS@literature.cafe
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        16 days ago

        That’s exactly it. They don’t like it but they view any alternative, especially one forced on them, as worse. If you want to fix the problem, you unfortunately have to coddle the morons and let them voluntarily change when they find out it’s better.

        • ɔiƚoxɘup@infosec.pub
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          16 days ago

          Isn’t there more to it than that though? The “morons” are convinced by a multi-trillion dollar propaganda machine.

          I don’t think anyone is immune to propaganda.

          Now, this isn’t to say that I know how to counter this, but the scope of the issue is vast.

          • JaymesRS@literature.cafe
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            16 days ago

            If you can manufacture a multi-trillion dollars advertisement strategy for single payer, go right ahead, otherwise we can wish things were different until we are blue in the face or work with the current environment as it exists.

        • MutilationWave@lemmy.world
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          15 days ago

          There is another way-

          The population of the UK was very against universal healthcare. The government implemented it anyway. Now threatening the funding of the NHS is a surefire way to not get elected.

          • JaymesRS@literature.cafe
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            16 days ago

            I could be wrong, but maybe the political and media environment in the 1940s is different than today making it an inaccurate comparison.

            • MutilationWave@lemmy.world
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              15 days ago

              Of course you’re right.

              Sometimes people have to be forced into their own betterment, as unpleasant as that may be. Maybe there will be the political will for change after four more years of chaos, insanity, and pain under DT. Maybe we don’t ever have a fair election again. Not much to do but wait, get armed, train, and make sure your friends, family, and neighbors are secure.

      • DancingBear@midwest.social
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        16 days ago

        It is very out of touch.

        Healthy people when polled say they like their health insurance.

        Folks who actually have to use their health insurance despise it.

        • MutilationWave@lemmy.world
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          16 days ago

          Somebody posted a link to a similar or maybe even the same poll you’re referencing in this post. I was so confused by 81% of people liking their insurance company. This puts it into context, thank you.

      • Benjaben@lemmy.world
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        16 days ago

        I think they were also trying to keep folks who already had decent insurance plans, and there were definitely a bunch. Thinking of people in good careers who were also on the tail end of when employers treated employees better - there were a lot of people doing comparatively well who had (at least somewhat justifiable, we’re talking healthcare) concerns about the idea of single-provider.

        (referring to the “if you like your plan, you can keep it” angle during ACA days)

  • phoneymouse@lemmy.world
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    16 days ago

    By definition, a healthcare system based on insurance can’t be as efficient as a universal system. Profits for healthcare companies and hospitals are wasted resources. Also, why the hell is medical school and residency so selective? They basically cap the number of doctors that we can have. We should be increasing the number of doctors. Create a universal system like every other developed country has. Cut out the waste that is private insurance. We pay way more than anywhere else for worse outcomes.

    • medgremlin@midwest.social
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      15 days ago

      From a medical student: There is a different problem coming up with the production of more physicians. There are more new medical schools opening and existing medical schools are increasing class sizes…but the number of residencies has barely moved in decades. Residencies are funded through Medicare and the number of them is determined by appropriation bills in congress. There are some privately-funded residencies being created, but a lot of those are hideously low quality and being used as a source of indentured servitude by for-profit health groups like HCA. (They won’t even hire their own graduates from their emergency medicine residencies because the quality of the training is so poor.)

      And if you don’t complete a residency, you can’t practice independently. You have to have a board certification from an accredited residency to be able to practice medicine, and the only alternatives are working under supervision like a PA/NP…or working for the insurance companies. And you still have a mortgage’s worth of student loans to pay off.

      A lot of the doctors working for the insurance companies are ones that couldn’t get into residencies or ones that have not kept up with continuing medical education and likely do not have active board certification anymore.

      • phoneymouse@lemmy.world
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        15 days ago

        Agree, these are serious problems. I did consider going in to medicine, but realized that after taking on, like you say, a mortgage payment in student loan debt and spending years making little to no money in school, residencies, and internships, that the “doctors” salary was not that high after all. Rather you’ll spend your first several years playing catch up and paying off debt. Not to mention the hours…

        • medgremlin@midwest.social
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          15 days ago

          The Biden SAVE plan actually made a massive change that makes it a lot more viable, especially if you do the PSLF program. It’s set up so that if you’re on an income-driven repayment plan, any interest not covered by your payment does not capitalize. So you might not make any progress on the principal of the loan while you’re in residency, but it won’t spiral out of control and the reduced payments count towards the 120 PSLF payments. I’m planning on doing a 3 year residency at minimum, maybe more, and probably a fellowship as well, so I’ll have 5 years of reduced payments, and then I’ll be working in non-profit community/county hospitals after that so I’ll be able to use PSLF. Running the numbers, I think the government will be eating about $275k-$300k of my loans.

  • GiddyGap@lemm.ee
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    16 days ago

    My father-in-law always grunts “socialism something something” whenever I mention supporting a universal healthcare system. Of course, he does that while being on Medicare.

  • Pacmanlives@lemmy.world
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    16 days ago

    The part I find most puzzling is we just elected a guy who wants to repeal Obamacare along with a lot of other corporate regulations…… this country amazes me

    • psycho_driver@lemmy.world
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      16 days ago

      A lot of those voters are on Medicare. They aren’t clued into the fact that Trump and a lot of his (real) base would love to completely gut Medicare and Social Security.

      • MutilationWave@lemmy.world
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        16 days ago

        They’re so clueless they don’t even understand that Medicare is government run free insurance. I’ve literally heard people say things like “The government better keep their hands off my Medicare.”

    • Olhonestjim@lemmy.world
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      15 days ago

      I mean, Obamacare is pretty much a subsidy to the private healthcare industry. It should have been Medicare for all, but instead we got a watered down, rebranded Republican program.

      And they still want to make it worse for us. For money.

  • RagingRobot@lemmy.world
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    16 days ago

    I remember being told we loved them and we loved all the choices lol

    My company gets a choice but I never did.

    • LordCrom@lemmy.world
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      16 days ago

      I never understood that argument and how people bought it.

      GOP touted choice, you can choose your provider… But most everyone gets 1 choice, the one from work or nothing

      Also then, choose your doctor… But you don’t, the INS company tells you what doctors you’re allowed to see.

      There is no choice, there is no free market when it comes to health care, especially during emergencies… Call 911 for an ambulance, you don’t get to compare prices, you take the 1st one available… You are taken to emergency room, you don’t get time to compare services and pick a hospital, you’re taken to the closest one.

  • RememberTheApollo_@lemmy.world
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    16 days ago

    The only people who wanted private health care were the industry lobbyists and politicians who wanted to make rich people richer, and the ignorant and selfish citizens that preferred pissing off the libs and refusing care to poor/people of a different skin color.

    Even today there are plenty who seem fine knowingly pissing away more of their paycheck and health security to make a rich industry richer than pay less to an evil government that would offer the same care - and the option to buy your own insurance on top of that.

    • EFrances@lemmy.eco.br
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      15 days ago

      The 3 conversations the USA needs to have are about: 1) healthcare, 2) energy, and 3) immigration. Don’t let media distract from the important things.

      • RememberTheApollo_@lemmy.world
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        15 days ago

        The first one should be about runaway capitalism and the capture of government by the wealthy. That will take care of healthcare and so much more.

      • kreskin@lemmy.world
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        15 days ago

        Maybe we should handle the failed democracy and two awful parties as our only options first and foremost. I dont trust any dem or repub to talk about your 3 issues. We might as well be honest for once just invite corporations and AIPAC in to discuss it themselves if we are going to rely on this lot of corrupt hand puppet crisis actors that we call politicians.

    • granolabar@kbin.melroy.org
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      16 days ago

      But have you thought about feelings of rich executives and their billionaire owners?

      .world mods first three days of the celebration

      • MutilationWave@lemmy.world
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        16 days ago

        Let’s be fair. I didn’t like the censorship either, but they backed off. Running an instance isn’t exactly a big money maker and they were afraid of getting sued or shut down somehow.

        • InternetCitizen2@lemmy.world
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          16 days ago

          In the US slap suits are a thing. Not sure what the EU equivalent is. It is perfectly fair to not want to deal with one of any form.

          • granolabar@kbin.melroy.org
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            15 days ago

            All fair points but that’s not how they justified it.

            Took them a hot minute to formulate their response.

            Also, people were not doing anything improper everybody towed the line.

            Cals for violence can be removed. They were nuked entire threads

            • InternetCitizen2@lemmy.world
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              15 days ago

              I am not trying to justify any given stance. Just trying to point out that someone’s name is on the server/domain/etc and that powers that be may try to make an example out of you. It is also perfectly fair to not want to deal with that. Similar to the discussion around piracy sometime back. Its easy to be brave when you cannot be called out. I leave it to the rest of the forum to make their conclusions on the matters.

  • Bakkoda@sh.itjust.works
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    16 days ago

    Publicly traded private health insurance that you can only get and “afford” through your ambivalent employer. What’s not to like?

  • catloaf@lemm.ee
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    16 days ago

    This is news? I’ve been talking about the difference between health insurance and health care for years.

    • shastaxc@lemm.ee
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      16 days ago

      One pays for the other. They are quite different by definition. I don’t think you need to help define the difference.