"Healthcare" in the US

Discussion in 'world politics, current affairs and news' started by Yuwipi Woman, Mar 15, 2017.

  1. NoXion

    NoXion Keep an eye out for diamonds

    Here's something I don't get about the "Russian trolls are promoting anti-vaxx" narrative. Let's say, for the sake of argument, that it's all unequivocally true. Why then is the Russian government seemingly not concerned about this kind of shit coming back to bite their own arses? Russia already has demographic issues due to a low birthrate; adding some extra infant mortality on top of that would be a massively boneheaded move.

    One might say many things about the Russian government; but it seems hard to credit that they would be this utterly stupid. So what gives?
     
  2. FridgeMagnet

    FridgeMagnet Administrator

    Mistrust in big pharma is contributory but not causative, in the same way that mistrust in government doesn't result in thinking 911 was an inside job but it's kind of necessary.

    I worked in big pharma when I was younger, 20-odd years ago, some of the time in the US. Everyone hated them and tbh quite rightly. I could not mention who I worked for at a social gathering because I would get cornered by people talking about how their grandma had to go to Mexico to buy drugs because her daily meds cost $1000 or whatever. Of course a lot of this is the insurance companies too but they are all in it together and everyone working there knows this. I had to leave the industry, and while I won't pretend the ethics were the only part they were significant.

    The point being that they've always been mistrusted but there were few serious anti vax types back then. There were definitely other conspiracy theories though. I used to get frustrated that people would make shit up when there were so many obvious, publicly documented issues that were way worse than the conspiracy shit would have been even if it were true.
     
  3. FridgeMagnet

    FridgeMagnet Administrator

    Chronic pain is the example that I use to illustrate the differences between the US system and the UK one (or a lot of places).

    Painkillers are a massive area in the US pharmaceutical sector, with enormous amounts of R&D going towards them. We do hear over here about addictions to prescription painkillers being an epidemic and it's not unreasonable to wonder why so many people are being prescribed painkillers in the first place. The reason is that getting whatever it is that's causing you chronic pain treated is unaffordable to a vast number of people - or even the prospect of engaging in a course of medical treatment puts people off, because it will likely bankrupt them. So they get painkillers. You see TV ads for non-prescription painkillers using the assumption that you probably have aches and pains that you need to take daily analgesics for.

    Plus there's the war on drugs of course which makes medical use of opiates - highly effective, un-patentable painkillers - almost impossible, leading to a slew of opioids being developed, which do as much if not more damage. Big pharma was exceptionally aware of all of this and budgets were deliberately tailored to exploit the situation as much as possible, as well as lobbyists helping to keep the underlying laws going, in concert with hospitals and insurance companies making bucks every time someone takes chronic medication. Why is legalisation of dope so much more of an issue in the US than here? This is part of it.

    This sort of thing is why I get so angry about conspiracy nuts - the system is absolutely broken yet they make stuff up which doesn't challenge the system. It's no wonder they are so boosted by the conservative right.
     
    Last edited: May 12, 2019
  4. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    60 Minutes did a segment on Big Pharma and colluding to raise prices. There's currently 40 states suing them for price fixing. It was quite a good report, but it didn't really tell anyone they didn't know.

    60 Minutes reports: prescription drug price fixing

    The thing I object to is that they only fine them for doing this. I've worked in the private sector enough to know that their accountants have already figured that into their profit projections. They'll consider it the price of doing business and continue on just as before. To have any real impact, they're going to have to jail people. I don't see it happening.
     
  5. yield

    yield zero

    As Suicides Rise, Insurers Find Ways to Deny Mental Health Coverage
    Bloomberg 16/05/19
     
  6. existentialist

    existentialist Girly swot

    If there's one health area where the insurance model really, really falls down, it's mental health. There's a reason they even needed things like the "Mental Health Parity and Addiction Equity Act" - because "the market" utterly breaks down when it comes to covering and supporting issues like mental health, addiction, and emotional distress, far less enabling good preventative care and promotion of emotional wellbeing.
     
    CRI and yield like this.
  7. yield

    yield zero

    American caravan arrives in Canadian 'birthplace of insulin' for cheaper medicine
    Reuters. 29/06/19
     
  8. petee

    petee i'm spartacus

    little to none. it's part of an extensive anti-establishment rhetoric that imo is the greatest victory of postmodernism, except instead of heteronormativity vel sim., the biggest narrative you're fighting is "the liberal/elite/legacy/mainstream media" and the information it purveys, like science, a drumbeat that has been sounding for 50 years and more (huntley and brinkley got called "communists") and has come to full fruit in the election of trump.
     
    Last edited: Jun 30, 2019
  9. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Another bit of the really fucked up state of our healthcare system:

    Elderly couple found dead in apparent murder-suicide, left notes about high medical bills
     
    Last edited: Aug 9, 2019
  10. yield

    yield zero

    That's grim.
     
  11. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    And entirely preventable.
     
  12. equationgirl

    equationgirl Respect my existence or expect my resistance

    How incredibly sad, angry and futile Yuwipi Woman. As you say, entirely preventable. People seem increasingly desperate.
     
    Yuwipi Woman likes this.
  13. Yossarian

    Yossarian free shrugs

  14. fishfinger

    fishfinger تپلی

  15. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Last edited: Sep 16, 2019
  16. equationgirl

    equationgirl Respect my existence or expect my resistance

    So desperately sad about the doctor losing her child and then getting a bill. Heartless :(
     
  17. equationgirl

    equationgirl Respect my existence or expect my resistance

  18. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Yes, but not really in cost, unless you count costs going up. I do find that I have better coverage for preventative care such as mammograms, etc. Before Obamacare, I had a company balk at paying for a mammogram even though I had a bloody discharge. I ended up eating the cost of that. I found out later that I could have appealed that and likely won. I've also found better coverage of vaccinations.

    However, I don't see it containing costs. We have, over the years seen near doubling of costs from year to year. This year we soaked up a 40% increase. My boss had no choice but to pass on some of that cost. This had resulted in a drop in my take home pay. About a decade ago I took about a 20% pay cut due to a loss of hours. With raises in the price of insurance, my takehome pay is less than it was in 2008. I'm not sure how long that can continue before I'll have to examine other choices.

    Its been good for people who are lower income, but can't afford insurance. Some of my friends who never had insurance now have insurance at a subsidized cost to them. I had a friend die, in part, because they didn't have health insurance so I value that highly. I kinda like my friends and want to keep them around as long as possible.
     
    equationgirl and spring-peeper like this.
  19. spring-peeper

    spring-peeper Well-Known Member


    I read an US article about people planning for retirement.
    The article claimed that 58% of those questioned placed uncertainty over how much to put aside for health care as their number one concerns. This tops all other concerns (housing, food, recreation, etc.)

    There was also a chart of how much each section would cost them.

    We are retired, so on a fixed income. After seeing the US costs, I went to see how afford it. NOPE!!!

    We pay just over $100 a month for additional health care. Among other things, it covers the cost of my $200 a month medication.

    I could see forgoing the meds to keep our heads above water. :(

    I am grateful for our medical system.
     
  20. equationgirl

    equationgirl Respect my existence or expect my resistance

    Christ that's depressing, except for the bit about your friends having coverage now. But spiralling costs is shit :(

    Glad you get access to better stuff now, although making you appeal something they refused to cover, at a time you could do without the stress, is a pretty crappy thing to do.

    I hope you well and surviving despite trump.
     
    spring-peeper likes this.
  21. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    My boss put on a retirement planning session. Part of the class was someone who spoke about Medicare and Medicare supplement plans and how much money you should expect to spend on healthcare. She said we should all expect to spend a minimum of $250,000 out of pocket for medical care after the age of 65. That's more than most people's net worth. No wonder people die in penury.
     
  22. spring-peeper

    spring-peeper Well-Known Member


    Wow!!!!
     
  23. equationgirl

    equationgirl Respect my existence or expect my resistance

    Christ. No wonder people die when they needn't.
     
    Yuwipi Woman likes this.
  24. 8ball

    8ball Can be a bit of a git sometimes

    Astonishing.

    And you put up with this when you have so many guns...
     
  25. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    They'd probably shoot you. You couldn't afford the bill for that.
     
    spring-peeper and 8ball like this.
  26. equationgirl

    equationgirl Respect my existence or expect my resistance

    Joking aside I bet there's been an increase in the number of suicides and murder-suicides over this issue. That's desparately sad.
     
  27. FridgeMagnet

    FridgeMagnet Administrator

    We should start a conspiracy theory that the NRA are in league with Big Medicine and Big Pharma, so that the money comes rolling in both before and after you get shot.
     
    spring-peeper likes this.
  28. 8ball

    8ball Can be a bit of a git sometimes

    Too plausible to take hold.
     
    existentialist likes this.
  29. existentialist

    existentialist Girly swot

    Funny, isn't it, how in a country with a healthcare system which almost actively drives the notion of "mercy killing" (and still executes criminals), the attitudes towards voluntary autoeuthanasia are so negative. It's almost as if THEY want to decide when you get to die, not you.
     
    equationgirl likes this.
  30. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    While I don't generally buy into conspiracy theories, I do believe that if you looked at the investments of most people in power, you would find large investments into military contractors, gun manufacturers, and pharmaceuticals. I'd also add private prisons to that list. If you're going to dump as many guns as possible, while peddling opiates like candy, you're going to have a glowing private prison sector. I don't think its a conspiracy. You would have to be organized to run a conspiracy. I think they've just made some very cynical bets motivated by greed.
     
    equationgirl and NoXion like this.

Share This Page

  1. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
    By continuing to use this site, you are consenting to our use of cookies.
    Dismiss Notice