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Top-level
 @finner @kDelta @QasimRashid Well eliminating for-profit entirely might (some would argue) reduce the drive for efficiency in the system. But that is a separate discussion. I think in general you are right, the US could have much better regulations. But it goes well beyond the system itself. I'll give some examples on your other toots :). 11 comments
@finner @kDelta @QasimRashid Americans by many standards have some of the highest standards of living in the world. (There's plenty wrong with the US, don't get me wrong) It's been doing pretty well in some ways beyond profit. Having said that, I'm inclined to largely agree, although in my experience profit incentives in health care can work to improve efficiency as well, but those incentives need to be well structured and regulated.  @Schouten_B @finner @QasimRashid “Americans by many standards have some of the highest standards of living in the world.” @kDelta @finner @QasimRashid You missed the next sentence. Also.. Have you ever been to Paris, Vancouver or Toronto? :p @Schouten_B @finner @QasimRashid I have not, but if you live in any of those places, or anywhere in the EU, or in the backwards UK, you will likely live longer than the average American https://worldpopulationreview.com/country-rankings/oldest-people-by-country @kDelta @finner @QasimRashid A large part of that is that you're significantly less likely to be severely overweight and get diabetes :p. Also less likely to get shot. Lots of reasons for that unrelated to the health care system ;-). @Schouten_B @finner @QasimRashid Or be murdered by the state for a crime you may not even have committed in a process they call “the death penalty”. See the thing is there are many countries one would never visit, North Korea, Belarus, Iran, … The USA. Never would I visit a country where the state murders people. To each their own. 🤷♂️ @kDelta @finner @QasimRashid To be fair that depends a lot on which state. The US is complex that way. Under Biden I wouldn't visit Texas. But I was fine with New York. Under Trump obviously I'm not touching that dumpster fire. @kDelta @finner @QasimRashid (and let's be clear, in terms of being murdered by the state, people being killed and opresses, etc. and countries one should never visit something like China, Venezuela or even the Phillipines are still way worse than the US. And plenty of people going there as well 🙂) @Schouten_B @finner @QasimRashid I know it varies by state but if the Federation allows it the blood is on it's hands. I just would not go, I'm more pedantic on the US though because it even has a vastly higher jail population pro rata than any other democratic nation and has essentially slave labour in them. Very convenient. In reality I may not mind visiting China 🇹🇼 if I absolutly had to. No way I’d ever visit PRoC 🇨🇳 though. @kDelta @finner @QasimRashid Oh yes. I did mean the PRC and not the ROC 🙂. I've been to the Republic a couple of times and find it a pretty nice place! |
Gregory's Server
@Schouten_B @kDelta @QasimRashid
Idk, in my 30 years of working within corporate American manufacturing, it looks to me like the only thing for-profit enterprises are incredibly efficient at is generating profit at the expense of literally anything and everything else. If efficient profit making is the only real metric you care about, then sure, unregulated for-profit systems are great.
Personally, I don't like the primary incentive for health care, prisons, and education, to be profit based.