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Joined 2 years ago
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Cake day: June 12th, 2023

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  • Understaffing, penny-pinching, forcing medical professionals to take on more and more work with no help, to say nothing of increased pay. These working conditions hurt patients chronically.

    That’s why doctors and nurses strike. Especially THESE doctors - the new ones who just graduated from medical school. They’re the single most exploited group of people working in healthcare when you account for how little they are paid in comparison to how much they’re expected to work and how much revenue they generate.

    In the US we call them resident doctors. In the UK junior doctors. I absolutely support their strike



  • What state are you in? Was it one that refused to expand Medicaid? Because here in Massachusetts, which is the model state for the ACA, our Medicaid (Masshealth) is actually the best insurance I’ve ever had in my entire life. The individual mandate HAS to be accompanied by subsidies and expansion of Medicaid or it doesn’t work.

    I appreciate that some people are able to afford to forego insurance, but most people can’t in reality. (I can’t. I have a chronic illness. I require daily meds for life.) And when they get sick, their cost still exists in the system and it’s more expensive. It’s not different from being forced to carry car insurance, if you drive.

    That said, housing costs are out of control. I advocate at every moment to increase the housing supply. (Currently in polite disagreement with my NIMBY neighbors over a proposed new housing development near us.) Drug costs are out of control and need to be regulated. (I prefer nationalized, actually. But I know that’s a nonstarter in the US).






  • The ACA was only ever meant to be a first step. It was never intended to be the end goal. The Republicans gutting the individual mandate is what stole that momentum because it leaves simply being uninsured as an unfortunately viable financial option for enough people that it reduced pressure to reform the rest of the system.

    The end goal is single payer. But it’s difficult to the point of bordering on impossible to shift from what we had instantly into single payer in the third most populous country on the planet. It’s estimated that single payer will put nearly 400,000 private insurance middle-people out of jobs. That’s not a negligible problem. We’re going to need a way to address that in the process of making the shift.

    The ACA open markets have allowed me to leave jobs that I otherwise would not have been able to leave because I can’t afford to go 30-90 days without health insurance. That open market didn’t even exist when I was a young adult 20 years ago. Insurance gaps between jobs were simply a fact of life that a lot of people couldn’t abide