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by adpirz
1214 days ago
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There are puppy crushing machines everywhere. E.g. physicians in the US are paid high premiums relative to other OPEC countries not because their quality of care of experience is significantly higher, but because of the insurance model we have here [1]. Capitalism works for everyone only with strong guardrails which have instead been eroding for decades. [1] https://nypost.com/2023/02/19/doctor-insurance-companies-wan... |
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The US medical system is so fucked it's almost hard to narrow it down to specific reasons: essentially it's at the nexus of the symptoms of virtually every crisis-of-capitalism that the US has allowed to fester over the last 70 years. Patents, education, insurance/financialization, employer-labor relations, federalism-induced complexity from state-level rulemaking (and racing to the bottom when that doesn't happen), racial bias to outcomes... I'm sure there's tons that I'm forgetting offhand.
Basically name a high-level problem/trend in american society and you can almost 100% certainly come up with a reasonable thesis for how that problem is making the american medical system worse.
similarly, name a group of powerful stakeholders and you can be sure that reform of the system will probably impact them negatively on a personal/financial level. Seniors? Investors? Doctors? Universities? etc etc.
to me it is without a doubt the single most politically-complex and personally-charged issue in the entire US system and that's really saying something.