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by mike_hearn 356 days ago
The health care system is heavily subject to licensing of various kinds, and academia is heavily defined by grant funding. If just a tiny handful of people in the government decide the healthcare system will say X, then it will say X.
2 comments

As a case in point, GP refers to "the Healthcare system leveraged our own wellbeing against their profits"

That would point toward the business interests of actual provider organizations (like hospitals) or insurers, who have different incentives from each other and very different incentives from individual healthcare providers, who also have very different interests (and are very different people on a variety of dimensions) from those in academia who are "heavily defined by grant funding."

Perhaps you could share a concrete example of what you mean, because right now we're talking about 4 or 5 completely distinct, individually gigantic industries that all interact to produce "the healthcare system" and its behaviors.

The industries don't matter. They are all subject to very broad and powerful government licensing rules that can overrule their own opinions at any time.

For example, during COVID there were doctors who lost their license to practice because they disagreed with the government stance on vaccines. Therefore, the remaining doctors spoke with one voice. The government used them as sock puppets, in effect. Whether you agree with this policy or not, it is an example in which the healthcare system became one system that "said" things in concert.

No, they aren't "all" subject to licensing rules. That's why the specific industries do matter.

Can you share some examples of these doctors? AFAIK the only doctors who lost their licenses are those who created fake medical documentation or who shared verifiably false medical information. Not for "disagreeing" with the government stance on vaccines.

I don't know if you lived in a different timeline than me, but I remember a lively debate throughout the entirety of COVID. Consensus (and evidence) was overwhelmingly on one side, sure, similar to how consensus is that you should go to the hospital if you get a heart attack. And yeah, if a doctor advises someone against that despite strong clinical evidence that the patient is best served by going to the hospital, they'll jeopardize their license.

The problem is that when the government itself spreads verifiably false information, there are no reprocussions like there are for the individual who does it. Just like when an individual steals money they tend to face consequences, banks who do the same thing on a much more massive scale face nothing.
You're suggesting the government shared information that was verifiably false at the time it was shared?

Can you give some examples?

Just to preface. Covid is the new Nazis, all arguments end up devolving into its discussion. Im tired of talking about covid but it's hard to get past how our country handled it, both the people and the government. To answer your question: https://www.politifact.com/article/2024/jun/06/did-fauci-say...

>He said the 6-foot guideline “sort of just appeared” and wasn’t based on any data, and that such a study would be difficult to do. He also said he didn’t recall any studies about masking young children, but said the guideline was the Centers for Disease Control and Prevention’s decision.

https://oversight.house.gov/release/hearing-wrap-up-dr-fauci...

Making up arbitrary rules and then enforcing them saying "trust the science" is not coming from a place of honesty. Especially when combined with the deletion of emails.

I'm not going to get into the weeds about COVID because you said:

> the things these systems "say" are emergent phenomena ... Consensus was overwhelmingly on one side ... [those who disagree] jeopardize their license

Rephrased, it's not happening and it's good that it's happening.

Pick your side: either you want agreement in the healthcare system to be trusted because it's the result of many independent decisions pointing in the same direction, or you want a system that punishes dissent. You can't try to claim the benefits of the first whilst cheering on the second.

Wait wait, can you tell me what was actually inside the [ ellipsis ] that you substituted out?

Arguing in bad faith is one thing, but I suspect you might even be tricking yourself!

You're claiming healthcare advice is an emergent phenomenon and also agreeing that people who spread "verifiably false" misinformation lost their license - a totally non-emergent phenomenon. I get that your faith in authority is so strong you don't really believe there were any mistakes made there, and thus that the people who were fired for opposing public health mandates weren't really part of the healthcare system at all in some sense. But they were a part of it, and mistakes were made by public health officials, many of which they later admitted to.

Again: pick your side. Advice motivated by career-ending penalties for non-compliance cannot be said to be an emergent phenomenon.

Everyone needs to simply go to a pharmacy or a doctor's office outside the US one time. If everybody did that, the US Healthcare system would be doused with gasoline, lit on fire, and be burned like the trash that it is.