• MortUS@lemmy.world
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    24 days ago

    I’m be real, and ain’t nobody wanna hear this but…

    Even with full health insurance, most hospitals and doctors in my 50 mile radius area either do not accept patients or are booked out to 5 months. I really think we have a educational problem that’s leading to not enough qualified doctors. I also see a lot of “Nurse Practitioners” and actual MDs that are running rounds at multiple area hospitals.

    Not only does DJT know that Democrats won’t pass Universal Healthcare (setting them up for failure), but doing so would lead to cutting corners on actually educating qualified doctors, possibly leading to more harm than good.

    IMO the bigger issue is education, planning, and prioritizing. We (as a Nation) can’t go all in on Universal Healthcare without planning and prioritizing education and ensuring that our system can handle the flood of new patients.

    • AlteredEgo@lemmy.ml
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      23 days ago

      Healthcare is being run as a business with “just in time” supply and demand, overworking the workers who are willing to work overtime to save patients, cutting fat and trimming operations until it is a lean machine that when you take anything away would sputter. That is the ideal neoliberal image of healthcare. We saw how that worked out with Covid. Some areas should be inefficient and have “fat”.

      And of course the burocracy mandated by private insurance.

    • BeardedBlaze@lemmy.world
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      23 days ago

      They are booked out, because the insurance makes them go thru mutliple loops, wasting an insane amount of time. My dentist had to make 4 separate appointments for a root canal/crown, because the insurance required proving each sub-procedure, with x-ray for each one of them, that otherwise wouldn’t be required. and I could’ve had it done in two.

    • Talcosis@lemmy.zip
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      23 days ago

      Education isn’t the bottleneck, residency is. Plenty of qualified doctors coming out of med school that don’t get residency, so they have to try again next year (and compete against fresh grads).

      Raising residency limits is, of course, unpopular because it means more doctors, which means less demand, so less pay to cover med school loans…and nobody wants med school to cost less. Least of all the people buying up those loans. Read: rich folk that live on investments.

    • nanometer1625@thelemmy.club
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      24 days ago

      The rate at which new doctors are trained in the USA has historically been bottlenecked by the number of residency program slots available. Hospitals financially benefit from each resident they employ, but not as much as they do from adding other roles, instead (such as nurses). Also, it is not trivial to create a new residency program or expand an existing one (accreditation requirements, other fixed costs, etc.). This is why 25 % of USA physicians are immigrants. The Republicans have also made it more expensive to get loans for medical school, which will discourage some people from going to med school in the future, although the insufficient supply of residency slots might still end up being the bottleneck.

      • MortUS@lemmy.world
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        24 days ago

        Damn, it’s a more multi-faceted issue than I had guessed. The U.S. sure has a long uphill battle ahead…

    • tachikoma@lemmy.today
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      23 days ago

      I don’t understand why we need a plan.

      When cheif of the fire department needs more people; They hire more.

      When the chief of police needs more deputies; They hire more.

      When the chief of medicine needs more nurses… Wait we don’t have a cheif of medicine? Hu. Werid…

      • MortUS@lemmy.world
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        23 days ago

        Is it really a fascist lie?

        At least in the U.S. the educational burden has certainly increased. The cost of living, the closing of schools and combining of districts, the stagnant wages of teachers, the shortage of teachers due to the stagnation, the automation of jobs is removing apprenticeships, LLMs do not teach as well as doing things hands on. The influence of social media is still a strong pull and media literacy feels like it’s at a low in the U.S.

        I have a feeling in the next decade we’re going to start seeing the consequences as boomers age out of legacy jobs and automation takes the place where educated workers used to.

        • gwl [he/him]@lemmy.blahaj.zone
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          23 days ago

          Yes. It is a fascist lie.

          And education != intellect, education teaches people how to harness the intellect they already have more effectively. A metaphor is “everyone has flour, education teaches you how to make it into bread”

          Another key point, to fill the gap caused by extremely expensive Higher Education, self-teaching has become a booming market.

          Stuff like Online Courses that give a degree if you pay, but all the material is given for free.

        • Tollana1234567@lemmy.today
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          23 days ago

          wages are definitely stagnant for teachers, we had people arguing in the subs, that they are relatively “high” in certain places, but the COL negates the wages a bit. like here it takes 10years being a teacher to get even 100k, with the hcol, its way less than that. i wonder if teachers even stay that long and, if 70k is really the starting salary. im also hearing districts are using SUBSTITUTES instead to lower the cost of hiring a full time teacher.

    • Krudler@lemmy.world
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      24 days ago

      Weird how a for-profit system chugs along just fine, but not when it’s not profit driven. No, then there’s a sudden education and staff shortage!

      You’re being irrational

      • MortUS@lemmy.world
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        24 days ago

        You can open the floodgates but if a plan is not in place to displace the water it’ll overcome the system.

        The for-profit system is also already slow as balls. It chugs along fine at a snails pace.

        To say there’s not a educational shortage on degrees that take up to 8+ years in a country that is already facing an educational deficit I think is the real irrational. Planning is an important step that shouldn’t just be left as an afterthought.

        • Leviathan@lemmy.world
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          23 days ago

          In Canada when they implemented dental care they did it progressively by age group, that could help a bit with the issues you’re describing.

    • Gammelfisch@lemmy.world
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      24 days ago

      The number one cause of personal bankruptcy in the USA is healthcare. At this point, what is worse, losing everything to a massive dumpster fire, US healthcare, waiting for treatment or croaking because your health insurance sucks shit.

    • CultLeader4Hire@lemmy.world
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      23 days ago

      It’s something like 90% of Americans avoid going to the doctor at all if they can help it, 5 months is a lot less time then never. Also demand drives supply, more patients means more need for clinics, imaging centers, hospitals, doctors, nurses, universities etc. universal healthcare could be a financial boon

  • CaptDust@sh.itjust.works
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    25 days ago

    He made a similar statement during 24 campaign that if Harris won we’d all have to live with everyone having healthcare. Party has been doublethinking on this for a long time.

  • X@piefed.world
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    24 days ago

    Conservatives: well we already believe a story written by men thousands of years ago, we aren’t about to stop now lol

      • Arthur Besse@lemmy.ml
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        24 days ago

        OP is a new second time, just to be clear.

        you sound very confident but you are mistaken. just to be clear: the screenshot in the post shows a still from the same video as the 2024 tweet i linked.

    • Psythik@lemmy.world
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      24 days ago

      You should warn people that you’re posting a Twitter link before someone accidentally clicks on it. Not every Lemmy instance/app offers link previews.

    • boonhet@sopuli.xyz
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      24 days ago

      I don’t hear it as the first thing when someone says something about healthcare for all (which anyway is pretty much a thing in my country already), but I’m jaded enough to understand what he really means by now.

  • Nonstop Nut November@lemmy.world
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    24 days ago

    Coming from the guy who looks like he desperately needs it despite having access to the best doctors in the world.

    …and he still has the gall to shit on them at his rallies.

    Like bro, if it wasn’t for those specific doctors and the “do no harm” clause, YOU. WOULD. BE. DEAD!

  • skujcici7755@lemmy.zip
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    24 days ago

    They’re a cabal of paedophiles and C grade extras from “central casting” whose only agenda is to destroy America (and democracy in general) for their Russian kontrollers who script these events for the media

  • Lydia_K@lemmy.world
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    24 days ago

    Zero sum game thinking.

    “If other people are getting health care then there won’t be any left for me!”

    That’s why people hear that and agree / are afraid