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Joined 2 years ago
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Cake day: September 23rd, 2023

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  • Bullshit

    I’m born and raised in Appalachia, my daddy worked in the coal mines and drove an 18 wheeler. Certified redneck enough that I confuse the shit out of my New England neighbors.

    I went out and marched with striking nurses when Bernie put out the call, and I’ve never voted Republican in my entire fucking life.

    OP, you need to learn what a redneck is.



  • As a critical care nurse, the miraculous CPR recoveries are such a horrible disservice to our patients and their families. CPR is not two minutes of some light exercise and then the person wakes up and is ok forever.

    It’s 20-30 mins of intense, brutal, scary, undignified activity followed by best case scenario, we put you in the ICU, deliberately make you hypothermic for a day or two, and hope you wake up. That increases your chances of surviving the incident to a whopping 64%.

    Surviving to discharge and having a meaningful recovery is a whole other ballgame, and depends a lot on the condition you were in when you had cardiac arrest in the first place. Your elderly grandpa with cancer, sepsis, bad kidneys, etc. is probably not going to go home. Your middle-aged wife who came in because she was having a heart attack actually stands a good chance.

    Movies like to show people shocking a flatlined patient who just pops up and walks away when in reality presenting fully flatlined means you’re 2-3 times less likely to be resuscitated at all.

    I’m happy to leave some leeway in fictionalized depictions of medical care for the sake of story progression. But the complete ignorance currently common in fictional resuscitation scenarios feeds a really malignant sort of magical thinking that keeps us torturing elderly people. I’d really appreciate less of that in my job.



  • To me, it’s all about rational return on investment providing economic incentives to achieve what we want to achieve.

    My favorite example to explain what I mean is my own personal health insurance. I have a chronic medical condition that requires constant medication, frequent visits to specialists, and expensive medical tests and procedures. There is simply zero chance that I will ever pay enough in a monthly premium to cover what I cost. Meaning I am always a net financial loss for a private, for-profit insurance company.

    This gives a private company every incentive in the world to obstruct and deny my care in hopes that I’ll get frustrated and give up, or maybe even die and get off their books forever.

    The government, on the other hand, has a positive financial incentive to keep me healthy. If I am healthy, I am working, paying taxes, buying goods and services that contribute to the economy, and hopefully contributing something beneficial to my community. Only the government (acting as a proxy for “society”) naturally profits from insuring my healthcare.

    This is why I believe we should have fully socialized medical care. Because there are some specific things that only the government has natural positive economic incentives that align with what is beneficial for the general public.

    Whatever those things are, they should be socialized. And generally those things are basic life sustaining things like food, housing, medicine, education, utilities.

    I’m fine with privatized capitalism in a very restricted, heavily regulated niche form. But all the basic necessities should be socialized.