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Insurance Accountants Decide If You Get To Live: A Twitter Rant Followed By A Here Rant

(PATREON PATRONS: I’m sorry this is here and not on Patreon first. Patreon does not support embedding Twitter rants, and I kind of need them there for this one. Sincerely, I’m sorry you didn’t get to see this first, because this is a quality post. I won’t do this often, and I’ll make it up to you. *WRITES FICTION FURIOUSLY*)

I threw some related tweets on at the end. This is our reality in the USA: our care is outrageously expensive — the most expensive in the world by about double the next costliest nation — in order to pay unneeded middlemen: insurance companies. Our prices skyrocket to pay multimillion dollar salaries to the upper ranks of health insurance and health care provider corporations.

And to preserve those bonuses, those same executives slash access to care, are working on slashing the unprofitable right into the grave to make way for healthy people whose insurance costs continue to rise year after year.

Obamacare was better than what we had before. It hindered the ability of insurance company accountants to decide you needed to die to preserve their profits. It slightly dented the steady rise of health insurance premiums, which have continued to outstrip inflation by a mile for at least 30 years.

But before Obamacare was Obamacare, it was (Republican Mitt) Romneycare. It was the GOP counterproposal to universal healthcare, and as such it was designed to protect insurance and healthcare corporation profits at the expense of the lifespans and quality of life of the American people. And it shows.

We pay more as a nation for healthcare, and our lives are growing shorter and sicker. That’s what we’re buying for all that money. That, and a lot of yachts and fat tax-sheltered accounts in the Cayman Islands for fatcats.

But don’t just believe me. Read about our falling lifespans and sicker lives in Bloomberg, which isn’t exactly known for being a liberal rag.

“But,” you might say, “I’ve heard such terrible things about socialized healthcare.”

Sure, you have. I have too. But the simple fact of the matter is that in any nation with per capita or absolute wealth anywhere NEAR the same ballpark as the USA’s, it does a better job making citizens healthy, happy, and productive than our current or past system has managed to do here in the USA.

Here’s a conservative-slanted Forbes article about ten nations with economies considered more free than the US economy, but which have universal healthcare — which as you recall some of our own GOP hysterically calls “slavery.” I’m not agreeing with all the author’s points — but read it anyway. Overall it backs up what I’m saying above, but from another point of view and with some different conclusions that are, perhaps, less shaded by my own life, in which I have lived with a minor congenital hip deformity that has escalated into me needing a cane for mobility for the last six years (I’m only 47, DAMMIT) and suffering significant, life-and-mood-changing chronic pain. And why do I live with this pain and chronic suffering? Because my hip has never been a threatening emergency, so it’s not treatable. What could have been fixed in a couple of hours 20 years ago now requires a hip replacement I won’t get anytime soon unless I break my hip, in which case doctors will have to replace it (so a doctor specializing in hip replacement surgery has told me) because it wouldn’t heal soundly — and in fact is in danger of becoming necrotic (dead and rotting) because all the cartilage is worn away in there and some of the bone, and bone rubbing on bone and slowly grinding itself to death not only HURTS, but it also squeezes blood vessels and threatens the vital blood supply to keep the bone alive in there.

But I rant.

Takeaway: look, I like several aspects of capitalism. I’m trying to sell you books so I can earn money to make my family’s life better (HINT HINT HEY BUY MY BOOKS PLEASE), and so I am a one-person small business.

But NO SYSTEM SOLVES EVERY PROBLEM. Example: do you know why your local big grocery store has great low prices on an enormous selection of food? Because we have an AIEEE EVIL SOCIALIST INTERSTATE SYSTEM that makes trucking all that food to your store WAY faster and cheaper than the privatized equivalent, a chaotic web of toll roads governed by whoever happens to own each 20 mile stretch — even if they could all coordinate their efforts, which they couldn’t. And the AIEEE EVIL SOCIALIST INTERSTATE SYSTEM is safer than trucking my Washington apples the 2,900-ish miles to Norfolk, Virginia over a chaotic web of toll roads each built to a different company standard of composition and safety and not, after all, guarded by AIEEE EVIL SOCIALIST FEDERAL AND STATE LAW ENFORCEMENT AGENCIES, but by whatever hooligans the local privatized road company could scrape together to protect their toll roads, probably by shooting anyone who looks suspicious from long range because, hey, that’s cheaper than taking chances. Nevermind that my Washington apples now cost $50/lb because of all the dead truckers in ditches with rotting loads of apples behind them.

Yeah, I’ve digressed. But you get the point. Pure ideologies suck, and capitalism is no exception. Just as a healthy diet requires diverse foods to meet our bodies’ many requirements, so a healthy nation requires diverse approaches to meet our peoples’ many requirements.

Healthcare doesn’t work well managed purely by capitalism. Like interstate highways, we need to all contribute a bit of our taxes toward creating and preserving a solid system that meets many needs for all our people.

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Too Hip

Sometimes I see people out and about who are in a similar position to me: still relatively young and limping. Maybe they have degenerative osteoarthritis in one hip like me, maybe rheumatoid, maybe injury. Who knows?
But what I do know is that they almost never have a cane or crutch. Maybe if they’re wearing a cast, or if the condition is severe. But otherwise, most of them prefer to gulp some pain pills and limp.
We like our pain meds in this country (the USA), don’t we?
But that’s not the only reason. We also like to look young, and canes aren’t young. We’re vain, and most of us would rather make our infirmities worse faking not being infirm than just taking care of ourselves.

By using a cane, I slow the degeneration of my hip. I stay off pain meds by taking care of myself and accepting a little daily pain as my lot. I increase the chances this won’t be crippling in twenty years. I put off having to consider a hip replacement, maybe for a couple of decades, maybe for the rest of my life.

I’m not worried about how my cane looks to you. I’m worried about what my cane can do for me.