Message from @Weez

Discord ID: 623545696506740736


Which is how a competitive market does *not* work.

When there's a 'small' pond with a few big fish, they don't have too much reason to actually compete with each other as long as they keep eating smaller fish.

So, they can all just price gouge together and claim it's an industry standard.

Within my father's living memory, you could get entire surgeries for under 100$; But the patient's end costs have spiralled well in excess of actual inflation with the advent of medical insurance.

2019-09-17 13:37:38 UTC  

<:pepelaugh:544857300179877898> <:pepelaugh:544857300179877898>

https://pluralist.com/sean-spicer-dancing-with-the-stars-liberal-outraged/

2019-09-17 13:38:41 UTC  

Lol wuttt

2019-09-17 13:43:22 UTC  

Best timeline

2019-09-17 13:50:51 UTC  

Again on medicine prices basically the way the law works here when you develop a new drug you get a local monopoly on it. This pays for the R&D which is why most new treatments are developed here. So when people go to Tijuana to buy medicine it's often the same drug from the same company sold at a lower rate. I'm perfectly OK with changing that.

Allowing for the re-importation of medicines sold more cheaply in neighboring countries is a pretty big net win in my opinion.

Hospitals usually operate not all that far out of the red; It's the pharmaceutical companies that rake in the big cash from how shit works right now.

2019-09-17 14:53:21 UTC  

That's pretty spicy.

2019-09-17 14:54:15 UTC  

> 2017: Reality stars becoming politicians

2019-09-17 14:54:44 UTC  

> 2019: politicians becoming reality stars

2019-09-17 15:02:09 UTC  

Sure but the likely outcome would be an increase in price for overseas sales. Which is only fair if they want American medicine they should help pay the R&D.

I don't count the medical industry innocent here either. They use certificates as a barrier for entry to competition. Like I have a buddy who did 2 tours as an army medic. Uncle Sugar considers him perfectly qualified to treat gunshot injuries in Afganistan but not qualified to render basic medical care at home. And why do you need a bachelor's in English Literature to go to medical school?

2019-09-17 15:12:20 UTC  

Medical school should just be another trade school

2019-09-17 15:24:00 UTC  

See, that sounds good when on paper, but something bothers me about a doctor with the same motivation and work ethic of a craftsman or welder. Often times there isn't an opportunity to say "oops, oh well, lets try again" when its a human life at stake rather than a crossbeam

2019-09-17 15:25:20 UTC  

that being said, nothing wrong with observing what effect medical schooling might have on current pricing.

2019-09-17 15:35:49 UTC  

And no shade on the impecable work ethic of tradesmen, just saying its not a one size fits all thing

2019-09-17 15:45:42 UTC  

Im not necessarily making medical school a on year trade schtick

2019-09-17 15:46:09 UTC  

More just removing the bachelors degree requirement or reducing it

2019-09-17 15:47:58 UTC  

Lowering the requirements to entry, generally lowers the end product.

2019-09-17 15:48:02 UTC  

IE, shittier doctors.

2019-09-17 15:52:02 UTC  

unless the current bar height is superfluous

2019-09-17 15:52:09 UTC  

That is and is not correct

2019-09-17 15:53:49 UTC  

Medical schools difficulty should remain the same no one has advocated differently, I am saying a piece of paper thats says you can get through four years of superficial "education" shouldnt be a requirement to get into medical school.

2019-09-17 15:54:20 UTC  

Have an entrance exam that would require a fair amount of knowledge to pass, should they pass put them through the same hell we already do.

2019-09-17 15:54:24 UTC  

gotta mitigate the effect of diminishing returns

2019-09-17 15:55:17 UTC  

Most colleges look at your SAT scores, simply have an SAT type test tailored to the medical field

2019-09-17 15:56:14 UTC  

that sounds inflexible

2019-09-17 15:59:01 UTC  

though not negatively

2019-09-17 16:02:48 UTC  

China has a single payer system, yet they also have 70 million uninsured.

2019-09-17 16:03:37 UTC  

The miracles of socialism (:

2019-09-17 16:04:12 UTC  

GMAT for grad school. And I wasn't suggesting medical trade school rather something more like a typical STEM program where your training begins first week first semester.

2019-09-17 16:04:36 UTC  

China is also a stratified communist state that actively penalizes citizenry for dissent. Its not surprising the government would withhold services in China

2019-09-17 16:05:39 UTC  

I don't think it is an accident that those uninsured folk are in areas which are prone to dissent.

2019-09-17 16:06:16 UTC  

exactly. our government doesn't....... well fuck I was going to finish that sentence but I remembered Israel exists

2019-09-17 16:06:37 UTC  

just like it is no accident that those of us who are prone to dissent are quieted on "public" platforms.

2019-09-17 16:07:48 UTC  

China isn't communist. @Jokerfaic

2019-09-17 16:07:58 UTC  

?

2019-09-17 16:08:04 UTC  

websites are still for the most part private property, however congress has been open and brazen in its attempts to actively withold services or deals from organizations or individuals who boycott Israel

2019-09-17 16:08:11 UTC  

There's a troll in every channel