quote:
Sure, but ok. If by some magic, bootstrap lectures and fat shaming was the cheat code to finally break through 100 years of barriers that have eluded the passage of some form of comprehensive UHC, by all means, write up the talking points and let's do it. But I think it is the height of self-centered narcissm and arrogance to think that what has eluded Teddy Roosevelt, FDR, LBJ, Nixon, Clinton, Obama, and every UHC advocate in the last 100 years was they just forget to offer more performative signaling to a slice of right-winger that really want to hear people tut tut fatties, black people, and poor people.

I'm getting the sense I'm not dealing with an honest broker here, but a few points.

- Inherent in your point about performative signaling is the acknowledgement that your prior efforts - a century's worth - have been wholly unsuccessful. I might suggest that the more recent decades of the 100 years of failure may have some relation to telling people who don't have healthcare that it's not their fault but is the fault of the people they demand pay for said healthcare. But perhaps I'm wrong, and candidly, long may your ilk's ineptitude on the topic continue.

- Second, it's insane to me (I suppose not really) that you don't think the concepts of collectivist healthcare and a government that encourages citizens to responsibly contribute to and use the system is a good idea. That proposing the combination results in the histrionics above is telling.

- Third, I note that this about the 4th exchange we've had where you don't address the idea that people benefitting from a hypothetical system that will by it's nature sustain and protect their life might be asked to contribute substantively to it.

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Posted by Bronc

Member since Sep 2018

12646 posts

Posted on 7/14/22 at 2:16 pm to Pettifogger

quote:
your prior efforts - a century's worth

lol, now we adding immortality an/or time travel to my supposed abilities to influence UHC outcomes to keep this silly exercise going? UHC has had varying reasons for either failing or falling short of the larger goal of UHC. And no historical scholar I have read places the blame at the feet of not fat shaming enough or tut tutting the poor.

But like I said, if you really think what is needed to overcome the AMA, insurers, drug companies, and their politicians when they flood the nation with propaganda, scare tactics, and political bribes is a little sprinkle of fat shaming and tut tutting the poors....write up the talking points!

This post was edited on 7/14/22 at 2:19 pm

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Posted by LSUA 75

Colfax,La.

Member since Jan 2019

3739 posts

Posted on 7/14/22 at 2:33 pm to Pettifogger

No one has mentioned the racket that is JCAHO.They are doing their part to increase healthcare costs and force socialized medicine.They were constantly coming up with “standards” nurses had to meet to stay in compliance.Ex- when I started ICU when admitting pts.there were 3 forms-assessment,history,and list of medications to fill out.When I retired there was 18.
When JCAHO instituted the pain control standards,(pain as the 5’th vital sign),the hospital had a clipboard nurse just to go around making sure pt’s pain was being addressed.That was in addition to the other clipboard nurse that went around making sure other JCAHO standards were being met.
I am convinced JCAHO was being bribed by Purdue to push opioids.

A friend was promoted to supervise 7 non medical departments in the hospital,when he took over none of the departments were in compliance with JCHO,he busted his butt to get them all in compliance.Then JCAHO hired a new guy for those sections who immediately rewrote all the the standards so the 7 departments were no longer in compliance.
So the guy quits JCAHO and starts working as a consultant to help hospitals meet the new standards.Charged something Ike $100,000 to come in and get hospital in compliance with the standards he wrote.

I could write for hours all the bs standards added by JCAHO during my years.

Addressing the VA model of healthcare.A good friend is a NP at VA.In an 8 hour day she sees 14 patients and she has 2 RN assistants.
My wife works for a Cardiologist,on clinic days they see avg 50 patients together ,the Dr. has 1 RN and a scribe,wife has neither.
Days the Dr.is in cath lab she sees 15-16 pts a day with basically no assistance.

If we go to VA model it would probably take a year or longer to get an appointment.

.

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