I believe this is what Australia has. Most choose the universal healthcare.
Welcome to capitalism!
I agree that the government interferes but they do so at the behest of their corporate bosses who help to monopolize the industry to keep their power and profits. And it’s been like that for decades as power tends to coalesce.
So while the myth is that corporations hate the government, they do not. They couldn’t function like they do w/o their protections, so they bribe the cheap whores. While the corporations will make it seem like the government is their enemy, who do they first run to hat in hand when things don’t go their way? Think bank bailouts.
It certainly isn’t defined by a Democratic Party who is pro-war. pro-Wall Street.
Which ones? Sanders, the fraud squad? Some Democrats may sound left-wing in their rhetoric but their actions are right-wing. Vote for war, break strikes etc.
They are one of the main reasons that the Overton window consistently shifts rightward. They and the mainstream media with it’s non stop propaganda designed to benefit those who own the media and it’s adjunct industries to help keep the status quo unchallenged.
So it has to do with time not your choice to do what you decide with what you produce?
At least you have the option to do that.
Because you framed the question as a lie. The premise of the question was a falsehood. Just a myth you believe in because you’ve been indoctrinated.
I donate, give my time.
Are you talking about the chart that showed an increase in inflation but it wasn’t to the degree in which you consider it anymore than negligible? Or that the chart only went back 5 years, when I should have chosen a chart that went back much further. That chart?
Worse off how Financially, outcomes?
Everyone has universal coverage, but 50-60% of the population opts to go private (provided they can afford it) as wait times are shorter, patient care is more individualised (though not on par with private healthcare in America) and quality of patient care in hospital is vastly superior.
There are different degrees of private health coverage here. Some might to opt for insurance that only covers private procedures related to orthopaedic injuries… others request universal private coverage etc.
Amount of private coverage depends on the plan you have.
But even if you go private and pay fully out of pocket… it’s WAY cheaper than the USA. Subsequently, private healthcare here isn’t nearly as good as it is in the USA… BUT it’s reasonably priced
For instance… say you need a rotator cuff repair. If you had no private insurance and wanted to go fully out of pocket… scans, two appointments with suregon, surgery + an overnight visit will cost you about 12K aud.
With insurance that’s down to 2-4K… on the public system the wait time to surgery after treatment modality has been confirmed for a non urgent issue like a rotator cuff tear is around 6-12 months… wait time to initial appointment is a few months, and wait time for MRI is about a month or two
But do it all on the public system and with all that you’d only be around 500aud out of pocket.
Private healthcover is also stretched out here due to widespread availability. For instance
… my shoulder suregon takes 4-6 weeks to get into… then you’ll be referred for scans… after which time to surgery can entail a 1-2 month wait. America’s private coverage is vastly superior
And the diagnostic toolkits used in the States (and europe, israel and the UK) are vastly superior to Aus. I have MASSIVE gripes with private healthcare in Australia.
Example…
In Australia MR arthrograms are seldom performed, so labral tears and some RC tears frequently go undiagnosed. If you actually manage to get a referral for an MR arthrogram… wait times to get the scan privarely at institutions even private insurance won’t cover are upwards of a month because MR arthrograms are seldom performed here. Even MRI with contrast is rare…
Unlike America where an MR arthrogram followed by arthroscopy is the golden standard for diagnosing lesions of cartilage and tendon… most orthopaedic suregons here put ALL of their stock into a non contrast MRI despite non contrast MRI only being 30% sensitive for detecting slap lesions and 60% accurate for detecting posterior labral tears.
If you have a radiologist report from a non contrast mri that says ‘no tear’ you will likely be dismissed by suregons even when going private no matter how symptomatic/unstable your shoulder is… even if there’s overt crepitus, grinding/locling sensations (audible grinding), gross instability and recurrent sublaxations.
Hence when you go private or public for an issue like pathological instability of the shoulder capsule you need to do SO MUCH RESEARCH in order to find the few suregons who will write up orders for arthrograms.
Lack of evidence based approach… my mother (doctor) is actually dumbfounded that Australian physicians tend to avoid arthrograms. She can’t understand why
- physicians frequently seem to not know what an arthrogram is
- physicians and physiotherapists alike who know what an arthrigram is actually seem to think non contrast MRI is on par with MR arthrogram when looking for labral or rotator cuff pathology when virtually all data available suggests non contrast mri is actually insufficient, and MR arthrogram is required for a high degree of sensitivity and even then… sometimes slap lesion will only show up on arthroscopy. But doctors here won’t do diagnostic arthroscopies… non-contrast MRI will frequently miss partial thickness RC tears, slap tears and posteroinferior labral tears. Sensitivity for detecting anterosuperior-superior tears is decent… and even then it’s still inferior to arthrogram.
It is INFURIATING because i’ve had non contrast MRI miss the following
- acetabular labral tear right hip (two steel anchors). Managed to get hip operated on because I found a very good suregon who determined after a thorough assessment that I had intra articular pathology
- acetabular labral tear left hip (two steel anchors). MR arthrogram showed a small labral tear. In actuality the tear was larger than the arthrogram suggested.
- bankhart tear left shoulder, posteroinferior labral tear left shoulder, supraspinatus tear left shoulder… non contrast MRI interestingly picked up my slap tear… but the slap tear was massive, and I had partially ruptured the long head of my bicep too. MR arthrogram showed everything
Now AGAIN mri missed a posteroinferior labral tear on left shoulder… and mri appears to have missed a labral tear on right shoulder…
For fucks sake… STOP doing non contrast mri’s for patients with suspected labral pathology!
I know quite a few people who had clean non contrast MRI’s but MASSIVE labral tears on arthroscopy… and they were dicked around for years with non functional shoulders because they were told “if it was there… it’d be on a non contrast mri!”
This wouldn’t happen in America… because in America you could sue over blatant negligence (witholding a non invasive test that could have diagnosed a serious, life limiting issue years earlier).
Suregons are more/less immune to getting sued here. My first shoulder suregon repaired my slap tear, bankhart tear, biceps tendon but left me with a large posteriorinferior labral tear… dismissed my concerns for almost a year when I’d complain about severe pain, weakness and instability
I had to go to another suregon who ordered a non contrast MRI… which showed nothing
Until I got ahold of the report from an arthrogram I had done overseas. The first thing the doctor overseas (was in Israel) ordered when he saw me was an MR arthrogram… said standard MRI isn’t sensitive for detecting labral lesions and will frequently miss them and/or massively downplay the extent of pathology present.
MR arthrogram showed all tears that the doctor had fixed + a large posteroinferior labral tear with a paralabral cyst that the Australian suregon didn’t fix and a sizable hill sachs depression fracture that the suregon didn’t fix… keep in mind this is a suregon who I saw privately. Apparently this is a respected suregon in the Australian medical community
I go back and see him and show him the arthrogram report (that he had seen mind you) vs the operation report
He looks at me and says “I don’t fix posterior labral tears because they can’t cause dislocations or instability”
Meanwhile my diagnosis is ‘severe, pathological multidirectional instability that has led to recurrent sublaxations and dislocations’ and I’ve had the shoulder come out the back so mant times i’ve lost count… I can even voluntarily sublax both shoulders on command. Posterior dislocations exist, and posterior labral tears are frequently a result of severe instability/trauma.
He the proceeded to tell me “even if I did fix posterior labr tears… I can’t reach posteroinferior tears through keyhole surgery”. This is a load of bullshit, 360 degree tears covering the entire shoulder capsule can be repaired through keyhold
I then asked why he didn’t tighten my shoulder capsule as to make the shoulder less loose
He told me
“Caosular shifts and the like only work on normal subjects. People with systemic, severe ligamentous laxity scar badly and these procedures never work as you wind up stretching the shoulder out again”
However open inferior capsular shift was a procedure designed to treat ligamentous laxity… as a matter of fact, an arthroscopic repair alone without any tightening of the capsule has an extremely high failure rate for people who are pathologically hypermobile.
He spewed a plethora of lies in order to avoid accountability, and left me with an unrepaired shoulder. He wasted a year of my life …
I had to do extensive research to find a guy that was a pioneer in the field of shoulder surgery… super expensive to see him…
And the guy was dumbfounded at the level of negligence I’d outlined. He ordered an MR arthrogram…
In America, individualistic patient satisfaction is the goal and extensive examination is conducted to ensure diagnoses aren’t missed provided. Private coverage… if you’ve got it… is generally excellent.
Scenarios akin to the one i’ve outlined above are rare because you can… and SHOULD get sued for this kind of negligence…
For all it’s pitfalls … if you can afford private coverage in America … the quality of treatment you get is secind to none.
If I was in America, I’d be looking at suing.
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This is true for every country that has ever existed.
Says we should support reparations for something we had absolutely nothing to do with, but doesn’t take responsibility for the economic system he didn’t help establish… I’m glad we’ve reached peaked Zep logic so I can ignore this thread now.
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Take my approach - I have resorted to meme responses exclusively in some threads.
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I’d rather not centralize greed any further. I’d prefer decentralization.
And dipshits like you say, “Full steam ahead! More bailouts! More corporate control!”
It’s amazing that the solution you dumbasses claim to have with this, that, and the other problem is always to give more power to the entity that caused those problems(ignoring the problem of scarcity, which is an unavoidable fact).
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Available but not possible. The only reason why we have advanced medical technology and pharmaceuticals is because of money. Get the government, and its (our) money, out of healthcare and we won’t have the level of healthcare we have now. In other words, the advanced medical practices help the rich and poor but would they even exist if only those who could afford these advanced practices paid for them? Are they going to be the sole funders of research and manufacturing and medical education? Where would the profit be if only a few people could afford the miracle of modern medicine? And without profit, where is the incentive to create? Isn’t this the mantra of capitalism?
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This makes no sense. I thought it was about pay, not what is produced. Or is that a Marxist Freudian slip? Slaves should not only get paid but control production as well.
That’s what the woke don’t understand; it’s not an option, it’s what you’re supposed to do. But you all push this anti family narrative to convince people it’s not only ok but desirable to defer parental obligations to the state.
Posting on the internet doesn’t count.
I don’t necessarily disagree. This is the stuff that @castoli711 hates for its costs. He’s not alone, if the market wouldn’t provide such.
6-12 months? I went from tear to surgery in 9 days. Would have been sooner, but I wanted the surgery on a Thursday so I only had to take a couple of days off work. Cost about $1800 after insurance, with most of that going to the anesthesiologist.
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For my hips I also went private
Wait time for appointment was two weeks. Time to surgery from first appointment was 3 months
Didn’t read your post in full yet but wanted to comment:
Meanwhile my diagnosis is ‘severe, pathological multidirectional instability that has led to recurrent sublaxations and dislocations’ and I’ve had the shoulder come out the back so mant times i’ve lost count
Yup, the bolded was my exact diagnosis at first. Welcome to my world haha. How does it feel when your shoulder comes out? For me, it’s like:
- Hard to describe, but it’s a mix between a pull and something “slipping out”. The initial “coming out” doesn’t hurt at first, at least for a few seconds.
- Rapid inflammation after like 5 seconds. The shoulder joint starts to feel like it’s swollen on the inside and heavy.
- Shoulder blade often gets tight and/or heavy quickly too. Probably trying its best to keep the joint somewhat stable?
This would usually happen when reaching out to grab something. Tons of serratus work allowed me to finally extend my arm without any infuriating issues like this.
then asked why he didn’t tighten my shoulder capsule as to make the shoulder less loose
He told me
“Caosular shifts and the like only work on normal subjects. People with systemic, severe ligamentous laxity scar badly and these procedures never work as you wind up stretching the shoulder out again”
Basically what I was told, just without the technical terms. My ortho doc just told me that tightening the shoulder via surgery wouldn’t work since it’d just stretch/“get lax” again quickly.
So fucking annoying haha.
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That entire sentence is bullshit bingo.
There’s no fucking way that a “free market” (hint: it’s never a free market as it’s usually an oligopoly) can provide something that’s “desirable” for anyone below (including) the middle class while turning any profit.
The problem is… this isn’t true
If you look at the data relating to capsular shifts/plication etc
It does work for people with HSD/EDS. Outcomes aren’t as good as they are for normal people BUT the procedure… particularly if a bone graft is involved… tends to lead to decent outcomes
Many report dislocations stop alltogether… others report a dramatic reduction in pain and muscle spasm. You’ll still have a loose shoulder… but there are varying degrees of loose
I can relate… at 14, reaching up led to my first dislocation (not sublaxation). Weight training helped substantially.
Got to a point where I could train freestyle wrestling (albeit with three labral tears, labral tears in both hips and a torn bicep)… without dislocating! There was a lot of pain that I had to push through though.
However since the numerous surgeries I’ve had, shoulders are very, VERY unstable.
Sublaxed shoulder tonight being an idiot and breakdancing. Did a handstand, lowered myself down… on the way back up shoulder slipped out. Exactly the scenario you’ve outlined.
Now feels heavy… throbbing a lot. It doesn’t hurt coming out… but you can feel it come out
Only after it snaps back in does it really start to hurt.
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