Private health insurance is the biggest fucking scam ever. The private insurance companies benefit by getting the aggregate healthiest population into their plans (working adults). The most likely to be expensive people, i.e. old people (on medicare) or poor people (on medicaid, or not even on an insurance plan) are on government, tax payer insurance plans. There is literally no reason except for corporate profiteering that Medicare should not be expanded to cover all people.
Also all those conversations, especially in the 2020 election period, were totally bullshit. You say something like M4A will cost 44 trillion dollars or whatever, which sounds like an insane amount of money. What is often left out of the discussion is that estimated cost was 1) over 10 years and 2) has to be weighed against the current costs we already pay for insurance. So the deal was very simple: the overall costs would go down because the overall spending would be less, and at the same time millions of people without coverage would be covered, and at the same time you don’t have to contemplate stupid bullshit like in network, out of network providers. Or ever again talk to your insurance about why something is or isn’t covered. Boils my blood when I think too much about this.
Not even gonna weigh in on things like how medicare can’t negotiate prescription drug prices (https://www.nytimes.com/2023/07/23/us/politics/medicare-drug-price-negotiations-lawsuits.html), or how dental, vision, and hearing are treated separately from general healthcare, or how med school is prohibitively expensive, or how the residents after med school are overworked because the guy who institutionalize that practice was literally a cokehead. Those are all just bonus topics. The point is we are getting fleeced.
NoYeah no. Get out of US bubble.
Private and public are both viable models of operations with some applicability overlap. Private doesn’t necessarily pursue profit first, despite US literally enforcing it.
Basic needs that are either unchanging or change very slowly are the purview of public policy. Healthcare, infrastructure, etc. Privatize it and you’ll have a catastrophe.
Basic needs that benefit from variation and supply elasticity with a necessary baseline is where hybrid model works well. Public entrepreneurship provides variation, regulations or public enterprises cover baseline. Agriculture is a great example of such overlap. Private-only agriculture leads to profiteering on basic human need. Public-only agriculture leads to famines due to incompetence, malice, or lack of elasticity.
Desires that people can live without and can change on a whim is where private innovation thrives. Be it a product to sell or a charity project to pursue. Some of the results of said innovation can and will become matters of public interest. Forbid private enterprise here, and you’ll end up in a bleak reality of North Korea.
We literally had a case of “public everything” half a century ago and it didn’t fucking work. It needed serfdom and insane amounts of natural resources to prop itself up. It also left a mafia-led capitalism in its wake.
We also have a live case of blind trust in markets, as if information was immediately available everywhere. It leads to a very similar looking outcome.
The only instances where privatized offerings may work IMO is if the government themselves are the competition, acting as a “control”.
Without a stable control that has the sole purpose of serving the people, fully privatized offerings will just squeeze more money out of already stretched households for profit as you’ve said… which is the case for practically everything RN
Chiropractors.
Even though this is top comment, this is an underrated answer.
The entire industry is built on catering to the vast swaths of women who get ignored by doctors and need somewhere to turn.
I highly suspect doctors are taught in medical school, “women are over emotional and prone to exaggeration.”
Hell, “hysteria” was considered a valid diagnosis until the 1950s.
This guy gets it. Chiropractors are a scam, but scammers are drawn to people who “fall through the cracks” because they’re treated like their problems don’t actually exist. Finally, they meet someone who takes their pain seriously. It’s too bad the person who takes it “seriously” is a fucking charlatan.
It falls harder on women, who have more instances of pain that are ignored by the medical community, partially from the history mentioned above, claiming women must be experiencing “hysteria.”
It absolutely happens because of the failings of the medical community.
The stock market and publicly traded companies. The idea that a business that is making consistent profits isn’t good unless those profits are increased each quarter is asinine. This system of shortsighted hyper focus on short term quarterly growth for the sake of growth is the cause of so much pain and suffering in the world. Even companies with amazing financials will work to push workers compensation down, cut corners and exploit loopholes to make sure their profits are always growing. Consistent large profits aren’t good enough.
Instapot. Instapot made too good of a product, most people buy one and its good for years. That’s good for consumers but terrible for investors. The company that bought them out and took them public saddled them with a ton of debt from other sectors and now they’re bankrupt.
Google’s shares are divided into two types, Class A and Class C. Class A shares, traded as GOOGL, confer one vote per share as a typical stock would. Class C shares, traded as GOOG, confers no voting privileges. This dual shares system was done to raise more money selling less useful Class C shares (intended for mutual funds and the like) while keeping control of the company in the hands of those held on to Class A shares (i.e. longtime executives).
capitalism
The scam that has passed the test of time. So scamming good, that even communists turn to it!
Which communists? The USSR was infiltrated and the US then spent millions getting the bumbling mass of ethanol known as Yeltsin to win an election. They (the new capitalist government) even sieged the parliament building and sent tanks in Moscow to disperse the huge waves of protestors. It then lead to one of the worst humanitarian crisis in the modern age almost overnight.
And in China they are assuredly not capitalist, this becomes very clear once you read Deng Xiaoping. It’s Schroedinger’s China: when they do something bad they’re communists, and when they do something good (like lifting people out of poverty) they’re capitalists.
Cuba is still socialist, DPRK is still socialist, Vietnam is also reforming and opening up kinda like China did but a bit differently so still socialist
Are we really denying that the “Chinese Characteristics” of the PRC’s “Socialism with Chinese Characteristics” is Capitalism? Btw, I think the good parts of China are the socialism bits.
I would argue that feudalism is a lot more time tested than this garbage system that even in theory is so flawed that it regularly results in global economic crises. Feudalism on the other hand has been considerably more stable throughout the centuries and whether or not you are forced to serve a nobleman or a CEO is not a big difference. So, stop getting scammed and get back to the fields, peasant.
I’m also looking forward to a viable/stable alternative. I have serious doubts that I’ll see one in my lifetime, unfortunately.
I agree with everything but voting. Not because we ever have great options, but because sometimes there are terrifyingly bad ones, and while option A might not be at all good, option B is so much worse.
That’s why it’s called “the lesser of two evils.”
The problem is that they aren’t two evils, they’re two parts of the same evil machine whose functions are mutually dependent and mutally reinforcing
“The United States is also a one-party state, but in typical American extravagance, they have two of them.” -Julius Nyerere, first president of Tanzania
You don’t seem to know what “lesser of two evils” means.
It doesn’t mean “that guy’s bad, so the less evil guy is good, actually, and totally deserves our support!”
It means “no matter which one of these assholes wins, I’m fucked, but if I’m lucky the one guy will use lube.”
I can’t do a damn thing about the two party system. That ship sailed before I was born, and nothing I do as an individual can change it. In fact, I can’t see a solution short of possibly violent revolution. If that happens before I’m to old and feeble to help, great. Other wise, I’m fucked no matter who I pick, so I’m sure as shit going to pick the one who just wants to fuck me and not fuck me plus kill my trans neighbor.
I’m sick and tired of being called stupid, gullible, or uninformed just because I can actually see how completely fucked we are. Your shit is great for people who still have hope. My shit is just trying to survive without the Gestapo coming for my neighbors.
So come get me for the revolution. In the meantime, stop calling me stupid for being depressed and practical.
Now if you’ll excuse me, I need to copy and paste this in reply to some other lemming that thinks I’m a gullible moron instead.
Under the policies of the greater evil, billions will die due to climate change because corporate profits are more important than human lives to them. Under the policies of the lesser evil, billions will die due to climate change because corporate profits are more important than human lives to them.
It makes no difference, both parties should be opposed and true change can only come through revolution and the abolition of the capitalist class.
Under the policies of the lesser evil, billions will die as you say.
Under the policies and rhetoric of the greater evil, a woman just got brutally murdered in California for the crime of hanging a fucking flag outside her shop.
My point, as I have been trying in vain to make this whole time (but apparently don’t have the writing ability to convey) is that if you’re fucked no matter what you do, then do the thing that hurts your friends less.
If you have some other course of action that can lead to actual change, then tell me. If you have some other course of action that will help my trans friends today, then tell me. Because billions dying over the next century doesn’t mean much to people who get shot, stabbed, or beaten to death today.
I want to believe there’s a better way, though, so explain it to me.
I agree with everything but the “it makes no difference” part. Thinking it makes no difference is a privilege a whole shit ton of people can’t afford.
They’re both horrible. Capitalism sucks. But to say there’s no difference? That’s just delusional. You’re missing the trees for the forest.
Until that “true change” you’re talking about happens, I’m not willing to sit by and let women, immigrants, minorities, and LGBTQIA+ people get fucked over even worse than I am. And fuck you if you are.
You don’t seem to know what “lesser of two evils” means.
It doesn’t mean “that guy’s bad, so the less evil guy is good, actually, and totally deserves our support!”
It means “no matter which one of these assholes wins, I’m fucked, but if I’m lucky the one guy will use lube.”
I can’t do a damn thing about the two party system. That ship sailed before I was born, and nothing I do as an individual can change it. In fact, I can’t see a solution short of possibly violent revolution. If that happens before I’m to old and feeble to help, great. Other wise, I’m fucked no matter who I pick, so I’m sure as shit going to pick the one who just wants to fuck me and not fuck me plus kill my trans neighbor.
I’m sick and tired of being called stupid, gullible, or uninformed just because I can actually see how completely fucked we are. Your shit is great for people who still have hope. My shit is just trying to survive without the Gestapo coming for my neighbors.
So come get me for the revolution. In the meantime, stop calling me stupid for being depressed and practical.
Now if you’ll excuse me, I need to copy and paste this in reply to some other lemming that thinks I’m a gullible moron instead.
If we want better options we can vote for third party candidates. I have no faith in the system, and a third party candidate will almost never win. But if enough people vote for them it gets them more recognition, which could eventually shift the narrative. Gary Johnson got over 3% of the vote in 2016, and Ross Perot got as high as 19% in the 90s.
Okay. But if the people you vote for can only muster 3% of the vote, how does that help?
I get it in local elections, up to and including State legislature, gubernatorial races, and maybe Congress if they can get a good campaign going. That all makes sense because even if they don’t win they get enough attention to attract local media and push discussion among others.
But Senators? The President? Ross Perot was an extreme outlier. The last time a 3rd party presidential candidate got more than 50 electoral votes was 1912 when Teddy Roosevelt ran as a Progressive. In the last century, the highest total electoral votes for a 3rd part went to George Wallace in 1968 running as an American Independent. He got 46 out of 538. Rounding up, that’s 9%.
Now, without looking him up, tell me one issue George Wallace ran on in 1968.
So I’m asking: how does it help. If it helps, I’ll try. But from where I’m sitting, it’s all hopeless. I don’t want to feel this way. So please, for the love of sanity, convince me.
