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re: Why can every other first world country have healthcare for all?

Posted on 2/20/20 at 1:12 am to
Posted by Taxing Authority
Houston
Member since Feb 2010
57272 posts
Posted on 2/20/20 at 1:12 am to
quote:

NPs now subspecialize. They wear white coats. They lobby (successfully!) for increased prescriptive/diagnostic/therapeutic and political power.

My favorite are teh nurses getting NPhD and insisting on being called "Doctor". F-off.

quote:

It is worse than you think, I guarantee it.
It's certainly bad.
Posted by Taxing Authority
Houston
Member since Feb 2010
57272 posts
Posted on 2/20/20 at 1:14 am to
quote:

What about other things payed by "socialized" programs like the Interstate System?
Stupid comparison. An interstate is a public good that everyone has an opportunity to use. You're health is a personal expense. Good grief.
Posted by Hopeful Doc
Member since Sep 2010
14965 posts
Posted on 2/20/20 at 1:14 am to
quote:

CRNAs pretend to be equivalent/better than anesthesiologists, DNPs pretend to be better than/equivalent to internists/family physicians/pediatricians.

NPs now subspecialize. They wear white coats. They lobby (successfully!) for increased prescriptive/diagnostic/therapeutic and political power.


This, in a nutshell, is what caused me to lose faith in government.
You have a board of medicine? Good. Let them decide how medicine works.
So you get a "nursing" board to define the "scope" of nursing as whatever they damn well please and lobby the hell out of the legislature to get an unchecked power, which they then go and grant to anyone who gets an online degree which proudly shares copies of tests and plagiarised papers on their Facebook groups.

quote:

It is over. Within 2 or 3 generations there will be no recognizable system inclusive of MDs unless we are talking only of massive tertiary/quarternary care academic university hospitals.


I think they (nursing association and boards) screwed up and let the pendulum swing a bit too far to one side with resulting backlash coming in the future. It would not totally surprise me if you are right. But it also wouldn't surprise me to see either a political or social trend back towards MD/DO in the next generation as far, far too many NPs around here don't know their arse from a hole in the ground when they graduate which will lead to quantifiably worse care over the coming years.


But it's a mess and it's only going to get worse.
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 1:15 am to
It is downright disgusting. And they are all unionized. 100%.

Their lobby is incredibly powerful, thus their success.

We are fighting them now in my state. The war is absolutely lost.
Posted by memphisplaya
Member since Jan 2009
85809 posts
Posted on 2/20/20 at 1:20 am to
quote:

What about other things payed by "socialized" programs like the Interstate System


I see this argument a lot in addition to using examples like libraries, the post office(lol) and others.

Allow me to mansplain to you for a moment.

every road ever built had to be expressly authorized by the voters, either directly (plebiscite/proposition or whatever) or indirectly, being duly authorized by the government of the day acting on behalf of the voters (if citizens do not like their choices they can de-elect them at the next election). The government must prove the expenditure is necessary and has a fiduciary responsibility to the people to ensure it is a prudent and reasonable investment on their behalf (vis-a-vis some other need of, and for, the people). The bidding system for such expenditures is supposed to be an open and fair one. The contractors must submit firm bids and submit them through bonding to finishing the work as agreed to within a set time and budget.

socialism is when the Government (usually a group of unelected people) decides what shall be built, for years into the future, and is shielded from any contact with the people they are supposed to serve. They usually report to and are absolutely controlled by, a small group of unelected officials.


Clear now on why this argument is flawed and you need to get a grip on reality?

Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 1:20 am to
quote:

far too many NPs around here don't know their arse from a hole in the ground when they graduate which will lead to quantifiably worse care over the coming years.


But it's a mess and it's only going to get worse.


I wish I could make lay people understand what you and I know.

In my state: CRNAs want independence.

The stories I could tell over the course of my career would horrify this forum.

But I know NO one would set foot on a plane without the highly trained, educated, and experienced CAPTAIN onboard.

And yet, when it comes to your surgery: frick the captain, we don't need that guy.... /s.
This post was edited on 2/20/20 at 1:21 am
Posted by Hopeful Doc
Member since Sep 2010
14965 posts
Posted on 2/20/20 at 1:23 am to
quote:

What about other things payed by "socialized" programs like the Interstate System?

The interstate system was developed for the military to move throughout the country more easily. You pay for a portion of it every time you gas up. The more gas you use, the more you pay for the interstate. Whether you make $10,000,000 or $10,000, you pay the same rate based on how much you drive because that's the wear and tear you're putting on the road.


quote:

frick those roads, go to Lowe's and buy some asphalt...make you're own road.


The government is incentivised to protect its citizens. Moving the military from coast to coast easily fulfills one of the duties of the federal government. Please do not confuse "limited" government and anarchy.

quote:

Why do my tax dollars have to pay for your road?

If you don't buy gas, you'll spend almost nothing on the roads, depending on which state you're in and how they fund them.


How much of your healthcare would I pay for if I use none myself?


I don't think you could have chosen a worse example.
Posted by Hopeful Doc
Member since Sep 2010
14965 posts
Posted on 2/20/20 at 1:24 am to
quote:

But I know NO one would set foot on a plane without the highly trained, educated, and experienced CAPTAIN onboard.


Oh come on, flight attendants know just as much as pilots, basically.


-most people in this transitive analogy
This post was edited on 2/20/20 at 1:25 am
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 1:25 am to
Lol. Basically.

And unfortunately people are voting flight attendants that power.
Posted by volod
Leesville, LA
Member since Jun 2014
5392 posts
Posted on 2/20/20 at 1:26 am to
quote:

engineers and lawyers have


How have engineers lost their professionalism? Only BS engineers can sit for the PE. Other types of degrees like technology typically take other jobs.

Lawyers have a bar exam, correct? Problem is a law degree is becoming more common outside of Top Schools.
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 1:30 am to
Pretty sure you aren't grasping the full scope involved in the destruction of the field of medicine
Posted by SiloamHog
Siloam Springs, AR
Member since Sep 2016
884 posts
Posted on 2/20/20 at 1:31 am to
How much healthcare do you already pay if you use none yourself? Couple hundred bucks a month just in case?
Posted by Taxing Authority
Houston
Member since Feb 2010
57272 posts
Posted on 2/20/20 at 1:31 am to
quote:

I wish I could make lay people understand what you and I know.
I think this is *exatly* what MDs need to be doing right the f*ck now.

If I didn't have physicians in the family (I married into it) I'd have no idea what goes on during residency or why it's so damn important.
Posted by volod
Leesville, LA
Member since Jun 2014
5392 posts
Posted on 2/20/20 at 1:32 am to
quote:

going to give you an answer so honest, it’ll hurt.
I don’t want universal healthcare for the simple fact that our govt is inept and corrupt. A govt that can’t educate, over incarcerates, bombs at Will, and steals our money will never successfully heal us.
I would LOVE for there to be universal healthcare. Health insurance sucks, and I say this as an insurance agent. But, the fed govt has proven to be awful in every sense of the word, so they can gtfo.


The most honest answers are the best. And all of those problems you mentioned are done by design because it's easier to remove a problem than fix it.
Posted by Philippines4LSU
Member since May 2018
8789 posts
Posted on 2/20/20 at 1:32 am to
quote:

You need look no further than Ruth Bader Ginsburg to see what can happen if people are motivated to keep someone in good health. An 80 year old woman (hell probably older) who routinely at this point "beats cancer."



This is actually one of the more compelling arguments in support of socialized medicine that I’ve seen.

In a healthcare system like that described by the OP, that treacherous old hag would have been dead 30 years ago. Imagine how much of the social fabric of America could have been preserved had she never been appointed to the Supreme Court.
Posted by memphisplaya
Member since Jan 2009
85809 posts
Posted on 2/20/20 at 1:33 am to
quote:

Why can every other first world country have healthcare for all?



I'm gonna go back to your main point and raise a counter-argument.

Why doesn't every other first-world-country have defined freedom of speech?

Posted by Taxing Authority
Houston
Member since Feb 2010
57272 posts
Posted on 2/20/20 at 1:33 am to
quote:

Oh come on, flight attendants know just as much as pilots, basically.
They spend just as much time in the airplane as the pilots do!
Posted by volod
Leesville, LA
Member since Jun 2014
5392 posts
Posted on 2/20/20 at 1:35 am to
quote:


Pretty sure you aren't grasping the full scope involved in the destruction of the field of medicine


I know insurance for MDs is insanely high. That medicines cost too much largely because of FDA preventing alternatives from being sold.

And I realize that fields like NP have become the scapegoat to get around the technicality of dealing with a doctor. Yes it all hurts the medical field as a whole because it destroys any liability.
This post was edited on 2/20/20 at 1:37 am
Posted by Taxing Authority
Houston
Member since Feb 2010
57272 posts
Posted on 2/20/20 at 1:38 am to
quote:

How have engineers lost their professionalism?
Are you kidding? Most "engineers" end up doing project management, while design tasks have been passed onto drafters and designers. You see a lot of "product designers" doing work engineers used to do.

quote:

Lawyers have a bar exam, correct?
You'd have to be (literally!) blind not to notice the loss of professionalism driving down any road in the state of Lousiana. BTW you ever hear of a paralegal?
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 1:38 am to
(no message)
This post was edited on 6/9/20 at 12:55 pm
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