This is clipped segments from Nobody Special's live show. I just want to emphasize what he says at the end:...*the capitalists, we gotta start policing this stuff*...I'm curious to hear what should be done to prevent situations like this, and would like to see those involved jailed for what is highly likely illegal in some form already.
As a Canadian, who does live under single-payer, I will add that the same problems that allow this to happen also make the public option worse. No matter what your system is, accountability is crucial.
@djsumdog@gabriel you kinda see it when you read in to stuff that is in that twilight zone between being "real medicine" and "alt med" because there is some kind of provable effect there but nobody wants to put up the money to have all the paperwork done.
one of these cited Tufts reporting it costs about 200k just to *start* the paperwork with the FDA.
@djsumdog@gabriel the whole approval process is basically captured and designed to ensure only pfizer/bayer can afford to push new drugs to market, to help keep prices high and everyone else out. independent researchers literally have to flee the country to do their work.
shit like this is why your pills cost 1,000$ a bottle.
@djsumdog@gabriel there was some other stuff talking about heavy bottlenecks in residency programs put hard throttles on how many doctors can graduate a year too, esp. with how abusive residency can be (any situation where you have some forced labor clause gets like this), although i don't remember who it was or the details.
everyone out there like "medicaid for all!" and its like MOTHERFUCKER UNBLOCK THE FAUCET :blobcatgooglynotlikethis:
@icedquinn@blob.cat@gabriel@mk.gabe.rocks@djsumdog@djsumdog.com Also I had several surgeries done for absolutely free. (ik it's paid by taxes but you get the point.) People here can afford insulin and shit without a problem. Price gouging medicine should be illegal, well here there are regulations against that.
@icedquinn@blob.cat@gabriel@mk.gabe.rocks@djsumdog@djsumdog.com I'm 100% in favor of free/public healthcare. We do here and it definitely saved my ass. The system where it hinges on insurance companies in America is fucked cuz their entire business model is doing whatever they can to not pay you.
Da fuck?! I think the root of evil is people doing fucking evil things. You would not be communicating on the Internet, using the software you are using, without a "State power." The type of scale required to make the types of technology we have (for better and for worse) requires States.
States do have a monopoly on violence. This isn't a bad thing in itself so long as the State is dependent on the approval of a large number of people (selectorate theory; see The Dictator's Handbook by Mesquita and Smith) and the State preserves real freedom of speech and disagreement (difficult to achieve).
I do believe smaller states are better. I'm fine with technology progressing more slowly if the EU was gone, and the South had won and kept America split, if the USSR had meaningfully dissolved and if China wasn't an empire. It's very difficult to prevent the creation of larger States or governing confederations; it follows the natural order of nature to create larger systems within a hierarchy.
You want to live in a place with little protection; the wild west. You're fucking insane dude and I don't think you have any idea what that's like. Go live in Somalia or India for an idea. You wouldn't survive a fucking month with your brain dead takes.
The root of evil is state power. Limiting supply by regulation, dumbing down people, and most importantly protecting the individuals doing this from personal consequences and the whole "shareholder protection" thingy.
Policing is just giving the State more power and reducing our freedoms a little bit more.
People want Protection and Safety above all. We will all soon live in a open-air prison. I'd rather live dangerously and free, than safe and "protected".
@djsumdog@gabriel@niclas i tend to tell people that the united states was anti-hobbsian. we specifically enshrined civilians owning artillery and rifles. the state couldn't be trusted with a monopoly on violence. the state couldn't even be trusted with a standing army--for good reason, once you see the various times the nat guard and army were used to shoot protestors in wage negociations.
Nations that provide on all of that are dependent on research from the US. Honestly, your socialized systems drive up prices in non-socialized systems where the pharma companies will recoup those losses. Your nation outsources the costs.
There are downsides to "free" healthcare, because demand can skyrocket. Austrians a decade ago opposed even having a doctor co-pay of $10~$20, even though AU's cost was ballooning out of control.
Canada has a massive increase of medical assisted suicide (MAID) for people who don't need it.
A socialized system also increases control by the State. You want health care? Take this government mandated drug. Oh you're not taking the drug? Well no health care, maybe even no food.
The American system is not great. It has a lot of problems. But it does tie healthcare to adding value to society (employment). The trouble with "free" healthcare is the doctors and treatments cost money ... so you are paying for it; everyone is. You just don't see the costs because it's in your taxes.
@djsumdog@dushman@gabriel most of the research is done by universities and then massive pharmatechs buy the patent and turn around and push the drugs for 100x the rate, while lying about all the "research" they do :comfywoozy:
:agummythink: I think I agree with that as well. I still think the US has a relative monopoly on violence (obvious exceptions include organized crime, the deep state, powerful companies ... The Clintons ... Boeing). Enshrining the right of citizen to own firearms and the earliest politicians being against standing armies is really important.
Even though guns don't meaningfully put Americans in an adversarial position against our government, the mentality of being able to own arms makes a massive psychological difference (look at Australia vs America during the Scamdemic ... or even New York vs Tennessee in policy decisions).
Those officials trying to crack down on militias, or arresting protesters from Jan 6th and implying they're some kind of militia when they're clearly not, is trampling on those fundamental concepts and is surely a path to authoritarianism.
@djsumdog@dushman@gabriel then you get stuff like patent evergreening where they keep the same 50 year old drug in perpetual re-patenting through shenanigans.
I had a buddy who worked in compound research. He did get paid pennies for his work, but he also told me about all of the costs. Each monkey for a trial is like $10k, and you often need dozens of them.
They pharma companies are take a lot more than they should for sure, the staff are way underpaid, and now they're basically getting away with skipping all real research and safety trials .. but even if the system wasn't corrupt as it is now .. the costs are not trivial.
Countries without the same medical patent laws just manufacture the same drugs without paying into the research either.
@djsumdog@dushman@gabriel yeah orange man hit my permanent shit list with that whole "just let the private corp shit directly in to everyone's arms, who needs testing" thing.
@djsumdog@dushman@gabriel science is expensive but honestly while socialized *healthcare* is kind of not great, science only has to be done the once. we could definitely have international effort on this to amortize it too.
@BlinkRape@dushman@djsumdog@gabriel i think those places buy a lot of generics on top of getting a better deal. they might pay 20$ a bottle instead but it costs pfizer 1$ to make it
@icedquinn@dushman@djsumdog@gabriel I have no data to back this up, but outside of just typical price gouging for whatever you can get, I suspect a lot of other countries who get drugs from US pharma companies way cheaper than the US gov't has less to do with their negotiating power and more to do with the fact they probably offload the costs those other countries are not paying for, right back onto the USA healthcare system instead.
@BlinkRape@djsumdog@dushman@gabriel socialized places are still sitting on top of the same constrained supply line for doctors that we are though. if not worse in some ways, since last i read the canadian docs are all trying to compete for specialization slots since its the only way to get a pay raise.
@icedquinn@djsumdog@dushman@gabriel our Tax system works the same way. Everyone cries about rich billionaires who can lawyer their way out of paying taxes and demand you "tax the rich", but when they do it's still the "working rich" (mere millionaires) who are still paying a large chunk of taxes already.
I follow GamersNexus and they covered it in two big pieces (seems like TomsHardware is referencing the GN investigation). Yea it gets super nuts. JayzTwoCents is another YouBoober who chimed it to let people know EK never paid them for big advert slots on his channel. Jay did another video where he ripped out EK blocks from a build and replaced them all with American machined blocks.
I can understand the constrained supply a little. You want to minimize the number of truly incompetent people becoming surgeons and cutting into people, or incompetent oncologists administering radiation treatments. At the same time, it's constrained a lot more than it needs to be in order to allow in capable doctors that meet the minimum standard, because their Certification Boards (really pseudo-unions) want to maximize the amount of money for doctors (even if it means a lot of them get overworked in dangerous 10+ hour shifts constantly). ... it's a shitty turtle stand of interests all the way down
Yea, taxing the top only ever increases costs. The rich never pay meaningful tax; it just gets passed to consumers. Same with minimum wage increases too honestly. BTW, where did you get this from? Link please? :blobcatnoplease:
But for how long? In Feb this year their healhcare workers all went on strike because there is a shortage of workers. Korea's population is in the highest decline of developed Asian countries. And when the population ages they need more healthcare, whose's going to be the doctor when you retire? I usually look at Japan and a lesser extent Korea as not an example, but more like a glimpse at what we are going to turn into in like 40 years.
Like what's the point living long if you don't have any children to replace you? Why do they have high life expectancy but then don't have children, they're obviously not dying, they don't have an excuse and all the countries China and Japan are in the same situation. It's not just a healthcare issue it's a general spending issue. Who pays for infrastructure (trains) if there is less people to use them? If you want an American example go look at Social Security, it's not even mismanaged but it's going to go bankrupt because we assumed the population would just grow forever.
Anyways I can't talk too much more on this though I'd like to because I need to go lift weights so I don't become a fattass and have a heart attack at 35.