Healthcare USA #1

I work for a major university. I get about one email like this an hour. I looked it up one time - I’m further removed from the boss than I was at one of the largest corporations in the world. Our org-chart pyramid is many layered and super-flat.

I don’t have a problem with teachers. I have a huge problem with their unions prioritizing teachers job security over teacher pay. There are two jobs in the US that should be paid better and have almost infinitely less job security: cops and teachers. Both have such outsized impacts on the public that there simply isn’t room for any ‘bad apples’ in either occupation. Both need to be paid well enough to attract elite applicants as a result, and results that are less than stellar need to be met with relatively rapid termination.

Basically cops and teachers careers should be a lot sexier and a lot riskier. Nowhere near everyone should make it. We definitely shouldn’t be screening out cops with IQ’s that are too high lol. The career trajectories should look a lot more like lawyers than the shitty government employees who hold a lot of the jobs now.

This is one of the many areas where I think Yang has hit the nail on the head:

https://www.yang2020.com/policies/controlling-cost-higher-education/

Anyone want to guess when HMOs started becoming popular?

Heard this on NPR but don’t have a link handy, apparently MDMA/ecstasy cures PTSD

MDMA was a huge cure for late teen angst fo me.

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I know they’ve been doing testing on MDMA in regards to PTSD and depression for at least a few years. There has also been a push to legalize psilocybin (magic mushrooms) to treat depression and PTSD.

Also heard about a few studies being done with ketamine and depression treatment.

From that site:

  • Require all universities with endowments of over $30 billion to contribute 1% of their total endowment each year ($300 million+/year) to the founding and operations of a new university in Ohio until it becomes self-sustaining, at which point another community will be identified (the “Harvard Creates a New University in Ohio Tax”).

Wat

He wants to take funds from Ivy league endowments and use them to fund schools in areas that don’t have good access to higher education. Seems reasonable to me. Their endowments are a fucking joke. The fact that donations to schools with multi billion dollar endowments are tax deductible is a travesty. Ditto with donating art to art museums. These things are literally exchanging cash for prestige (and admission for your kids) and a tax write off not charity in any way shape or form. In the case of donating art it’s literally a form of tax avoidance IMO.

fuck HMOs

In the case of donating art it’s literally a form of tax avoidance IMO.

Strictly tryna cop those colossal-sized Picassos.

“It’s worth noting for myself, and the rest of the younger people on this forum that it’s reasonable to expect massive changes in the efficacy of healthcare treatments over the next 20-30 years. Biology and Social Sciences are going to see exponential advances because of CRISPR and big data respectively. We haven’t consumed even 10% of the low hanging fruit in those fields yet.”

I hope you’re right. OTOH, Alzheimers is a fucking swamp. After decades of research we haven’t even been able to determine if the plaques in patients brains are the cause of the disease, or a result of it - in other words, we have LESS than any idea about what’s going on. Every medical trial for medications to treat the disease have blown up like the Hindenburg, instead of burning hydrogen they’re burning $100 bills by the bushel. And AFAIK, there isn’t a whisper of anything even remotely hopeful in ongoing research in terms of cause or treatment for the disease. And that huge bubble in terms of the population aging keeps moving to the right…

MM MD

Wait what’s wrong with HMOs? It’s all I’ve ever had and I’ve considered myself lucky to have good insurance.

#GOP

How much has medicine changed in the last 30 years from your experience? Do you think that’s slowing down or something?

If you have a rare disease that requires actual expert doctors or procedures, they probably won’t be in your network. But there will be plenty of pretenders in your network offering to take it. Let’s say you need a transsphenoidal pituitary resection, are you gonna let some bro take his third or fourth rip at it? I was watching a presentation by one of the skull base guys from Emory saying how a lot of the cases they get are follow-ups to major fails, like the previous surgeon accessing the wrong sinus. I tried explaining this to my insurance case worker who told me “Welp, you can’t have the best of everything!”

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On the other hand, my dad (Medicare) was diagnosed with prostate cancer by his local urologist, but was able to have the surgery with a leader in the field who has done some insane number of procedures on the da Vinci. Dude took a 1 mm margin and spared the nerves when no one else was even willing to consider nerve-sparing. I asked him how/why and he was just like, “Yeah I make the call when I get in there and see it, not before.”

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There are a zillion of these but this one seems kind of interesting since guy is in Los Angeles area but actually needs to see people in Arkansas. The expert experts on this stuff aren’t always at the places you might think.

The Pasadena resident and Kaiser member had lived for years with a rare condition known as Castleman’s disease, which affects the lymph nodes and the body’s immune system. But this was the first time he experienced such severe symptoms.

Kaiser granted his request to see a specialist in Arkansas. But it ultimately declined to pay for his treatment there. By June, Afshar said, Kaiser was arranging for hospice care so that he could die at home.

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This is very good. This is somewhere I think Bernie and Warren are missing the point.

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Bernie wants to make college free lol. Free! We need waaaaay less college, but more importantly we need to do something about cost before we dream about expanding access.