US taxpayers spend the highest amount per capita on healthcare via taxes in the world and they still need to pay private insurance companies a premium every month on top of a deductible. Truly a devolving nation.

@klam77

2 жыл бұрын

all the health insurers consult one or two practice manuals (eg. Milliman Care guidelines) for what charges are allowed/disallowed...then you hear senators talk on TV about "freeeeeeedom"....wtf!

@drugilbert2447

Жыл бұрын

Extreme capitalism privatises everything and charges whatever the market can bear.

I work in a nursing home, and it's kind of a disaster. I came from retail, and compared to that, a nursing home is a dysfunctional broken down bureaucratic nightmare. It very much looks like the kind of organization you'd find in the late soviet period. During the pandemic, the administration and top management took all their vacation time, and started working from home whenever possible. This is the very last business that should be doing this during a pandemic, and the bullying, abuse and exploitation of the front line staff in the building during the pandemic is very much on their hands. Those people had every reason to lend a helping hand, and were not required to do so, despite dire staffing shortages, and aides and nurses required to work 7 days a week. HR started working from home so they wouldn't have to hear about it. Because so many promotions are tied to external education, there's very little incentive for good work performance, only disincentive for breaking the law. Favors are obtained by politicking, not working hard. In fact, working hard will only make you a target. I think converting this business to a co-operative model would take care of a lot of these kind of issues. Then, instead of an authoritarian, unaccountable business, management would be accountable to the staff in the building. Maybe issuing controlling ownership shares with every paycheck based on hours worked, then cashing out those shares upon retirement/termination/quitting would be a system that would work. The wages of front line healthcare workers (aides, dietary, activities) are set by law, and at this point you can get a job pushing shopping carts at the grocery store, and that will pay better. No training needed, barely even have to know how to speak english. Wages are never rationalized by market conditions in this payment model. Add to that the training required and the hostile work conditions, and you can see that there are very predictable staffing issues. Having said that, a lot of the issues are with the training of the medical staff. They really aren't prepared in terms of social skills for the demands on them. Nurses have supervisory authority over aides, and I can say with certainty that a high school grad assistant manager in retail dramatically outperforms nurses in these duties. This is because retail assistant managers earn their stripes as associates on the sales floor, and the ones that aren't good with customers and staff don't make it. Nurses go through no such selection process, they're selected more on ability to do paperwork, shoulder debt, and obedience to authority. Nurses don't exactly have a reputation for being friendly, and I would say that a lot of their problems with getting their staff organized is because of the manner in which the nurses address them. I used to lead teams of up to 20 people solo on a black friday. These nurses can barely handle the three aides assigned to them, and then there's the unit managers in charge of two nurses. Overstaffed on the managerial side, and they still can't get the job done. Then you go into the issues with the drugs... It seems like far too many behavior and health issues in a nursing home are solved by medication. The pills that an average resident takes are far more expensive than their aides' wages. You wouldn't believe the bucket of pills some of these residents take on a daily basis. Then there's the room full of secretaries doing paperwork for the insurance companies. I find it hard to believe the majority of this work couldn't be digitized and automated, but that's never going to happen at the level of a nursing home, it takes a higher level of organization to do that kind of efficiency optimization. It would take an act of congress with all the laws requiring this documentation. It smells more than a little of Maoism, is what I'm saying. Since working there I have come to believe that the medical system in the US is dysfunctional at every level, and requires detailed analysis at every level. Have some eggheads work as aides and document what's going on there. It's eye opening.

Health Insurance companies have blood on their hands. I hope some day we can bring people that profited off of denying people care face Justice.

@klam77

2 жыл бұрын

many insurers are "not for profit" yet they REMIT profits tax free every year to the hospitals that own them! WTF true story!

@LongDefiant

2 жыл бұрын

It's your doctor's and nurses, too. They live very well on this system and don't fight it like they should.

This fits the dictionary's definition of extortion to a tee.

The phrase "Precision is not Accuracy", comes to mind. A precisely correct education in a status quo system, is how Accuracy of Knowledge aquired by directly studying Actuality, is suppressed, both unintentionally or because of the authoritarian prejudice that comes with paid qualifying commissions.

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I'm torn... I hear these "redemption" stories a lot. Nice thoughts, but I bet you have your ill gotten gains invested in Wall Street.

HMO stand for Human-misery-organizacion

damn

The usa is a big circus! You put on a great show and then go sleep in a trailor! I would not want to live there even if you pay me millions.

@pebble312

2 жыл бұрын

Bruh if that's how you unironically think America is, then you have a seriously seriously skewed perception of reality 😂 which honestly I wouldn't blame you for too much because our country's media is a cancer on the world

@LongDefiant

2 жыл бұрын

Most of us want out

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