Yes, this is exactly right. Thanks for stating it so clearly.

So when you discuss Public Health like it’s some sort of giant blob, and then narrow down and say a rural health system close it’s door because…

it’s that those hospitals are in failing communities

You don’t actually know this. You’re pushing Medicare for all when Medicare doesn’t cover costs and is kind of not great insurance, and then your response to that is just to take profits and cut them, take salaries, cut them, pay less for equipment… like you make these blanket statements as if you truly believe that a giant academic and research hospital is operating and exists in the same status as a rural hospital out in a small community struggling to just keep the ER doors open.

This is why these discussion suck around elections and in these election topics. It’s too complex of an issue to try and cover these stupid soundbites these men and women make to the applause of their hopeful followers. And don’t even get me started on this ridiculous idea that somewhere out there a person with a medical degree can live on two bowls of rice so why do we pay them enough to live in houses here kind of arguments. That takes us into the whole idea of what global economies and markets look like and why.

This thread has truly peaked. Lol, literally.

Part of that is to pay for certification so their ass is covered in case of a problem and a lawsuit, even if it’s exactly the same thing.
It’s dumb, just like leaving small communities without a doctor is dumb, and overcharging insurances to cover the uninsured who can’t do prevention is inefficient, but you can’t just change it without thinking about the whole system, which means talking to everyone involved and seeing where the resources leak away. I’d like to agree with scott, but I can’t.
Saying that it works just fine, like Republicans do and some want to import here, is asinine,though.

Are you going to explain what you meant by this? Because I’m still confused by it:

US GPs are the highest paid in the world, and US specialists are the second highest paid in the world. There is some room for movement between that and two bowls of rice.

I bet the administrators of the now-closed hospitals feel pretty dumb. If only they had thought to cut doctor salaries! So obvious in hindsight!

Incidentally, it’s not just rural hospitals. Urban hospitals are closing at almost the same rate.

Geez guys, stop talking about issues, the only thing that matters in politics is the horse race. Newly updated morning consult polls:

Nationally, Warren has been doing really well the last couple of weeks. But it has come at the expense of Harris and the other minors, both Biden and Sanders seems to have a core group of support that will not budge (at least this far out from the primaries).

Do you know that we are still dealing with IV fluid shortages, today? There are also other drugs that are in shortage, drugs that are hard to get because the raw resources are a challenge to obtain, or it’s quality control, or the facilities are not able to scale up. While the general public discusses drugs, often leading to discussions about opiods and the evils that several people and companies participated in for that scheme, a scheme that cost lives… there are actual shortages within the system right now. It’s actually a top concern and can be potentially lethal. Cutting costs… won’t fix that. It can’t. We’re talking some companies putting in what a billion dollars from I think it was Braun or so to try and get that going… I expect they expect to be paid for that but I am sure they’ll have no problems with if it costs too much according to some other countries heavily subsidized offering attitude, let’s just not pay them. I don’t know what they’re going to charge. I just know we don’t have enough. It’s dangerous. I don’t what they’re going to charge the USA for it. It could be more, seems usually more then the other countries, but we’ll see.

If politicians could spend some time caring about this, heck maybe spend more air time talking about PR in general which alongside all the other problems going on there, this was one of them… still is.

There are nurse shortages. PCP shortages. Discussions about who should cover what and at what rate. When should patients go to specialist. How do you get the general population to feel confident in their PCP because they’re not just GPs. There is nothing just about a GP. That’s a medical provider, someone who is more than capable at addressing a variety issues but specialists seem to be not only wanted by the general public they’re kind of pushing, purposefully or unconsciously, people towards certain fields while they’re in school, expensive school, long years of schooling for this stuff… You know what a lot of Americans don’t like… being told they need permission to see specialists.

I am fine with our candidates not willing or not able to discuss these complex issues in depth. Whether they can have these discussions or not won’t help the general public follow along. The fact the Demorats are trying to address it instead of kick the can or you know L bad, so me go destroy Obamacare approach like the Republicans do… fine.

But when someone starts talking about cutting salaries like we don’t already have shortages, or brags about Medicare, an insurance that doesn’t cover costs and actually doesn’t a cover a lot, and then starts attributing failures as some sort of fault of the communities or the hospitals administrative staff without knowing much about these communities, or about what the often community based hospital was trying to do and how it operated, then yeah I take issue with that. These conversations usually start with broad strokes like hey let’s cut costs and hey you get Medicare, and you get Medicare, and hey you, you in the back, Medicare for you too like it’s some sort of Orprah based winning, followed by some magpie nose dive, just for a millisecond into something specific and granular like hey that’s a failed community right so sucks to be them, and then zooms back out to ask why all these professional are getting paid like professionals in the USA instead of some other random ass country… come on, we can do better than that.

For me one of the striking things about health care in America is how much uncertainty/stress/bureaucratic bullshit/“gotcha” costs there are even if you have good insurance.

Pete is starting to feel like a VP pick to me.

Yup. When my wife gave birth in February I definitely personally saw the ‘anasthesiologist as a separate line item not covered by insurance’

And the real kicker? THE FUCKING ANASTHESIOLOGIST NEVER VISITED US. They billed us for it, and when we called them on their bullshit, they apologized and said ‘we assumed you saw them’. Motherfucker, you billed me thousands of dollars for something we didn’t even get?

And we were ok because a) I have far above average knowledge of medical procedure b) am an engineer and approach life with a thorough and researched method that caught the error c) have very good insurance d) a wife who can be a pit bull. So we caught it, fought it, and won. But they probably put it on there and hope not everyone catches it.

We spend about an hour with doctor’s office people on the phone with our insurance company to make sure that a blood test to find out if our baby had celiac was covered. Eventually the confused mid-level admin people said that it was, so we did the test… and lo and behold it wasn’t covered, and we got a $600 bill. After many hours of yelling on the phone we managed to make the bill go away, so I guess we won that round. Yay!

Congrats, by the way. Get some sleep.

Related to people thinking Biden made up someone:

What did Biden do?

Because I am confused.

The tweet that spawned the replies above:

And it turns out that there was a dude who went by Corn Pop, people found all sorts of information about him, including his obituary, where he is referred to as Corn Pop.

I’m impressed at how fast new memes travel on the internet…

He’s surrounded by children. Lol That story isn’t exactly a great one for kids 😂

He’s still Joe Biden at the end of the day.

Biden is pretty popular and has the lead with the black vote. It’s going to take a lot to shift that vote.