• Rothe@piefed.social
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      23 days ago

      And that socialised heatlhcare exists alongside private options. Countries with universal healthcare has more options and freedom of choice than countries with only privatised healthcare.

      • corsicanguppy@lemmy.ca
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        23 days ago

        socialised heatlhcare exists alongside private options

        …briefly. Then the socialised side dies out from toxic enshittification. Every fucking time.

      • prole@lemmy.blahaj.zone
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        23 days ago

        The public option was the US’s chance to get their foot in the door and possibly eventually take over completely.

        But Joe Lieberman killed it.

    • DarkFuture@lemmy.world
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      23 days ago

      American here.

      A significant percentage of us can barely read. Understanding even one form of UHC is asking too much from such simpletons.

    • GuyLivingHere@lemmy.ca
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      23 days ago

      At this point, I think a better term for both the US and Canada would be ‘post-industrialized’, rather than ‘highly developed’. Honestly, we are both sliding backwards in terms of human development.

  • rizzothesmall@sh.itjust.works
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    24 days ago

    It should be mentioned that the UK has it, but it’s been enshittified for the last couple of decades to the point where it’s now pretty much “if you’re lower working class, you just die”

    • corsicanguppy@lemmy.ca
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      23 days ago

      All private-public systems go this route. I hear France is at risk like Spain and Brazil, and I am convinced it’s bad by how hard Premier Smith of Alberta really pushes it.

    • TheJesusaurus@piefed.ca
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      23 days ago

      Yeah not just the UK.

      I have to say as an outsider coming in, I can only compare the NHS to the Canadian system. They are very similar from the user interaction perspective, I’m aware under the hood the way things are run is a lot different.

      Both my kids were born on the NHS and my experience with it was largely positive. None of that is to say it’s perfect or I don’t see the clear direction from the Tories (and labour honestly, FFS) to defund, break, and sell off the NHS.

      Just remember it’s easy to complain.

      The Canadian system imo is in perhaps a worse state with better funding and better labour availability. Our system is not anywhere near as modernized and we’ll run as the NHS from a digital systems side and even just like hospital and clinic admin (again this is all just personal anecdotes from one guy who’s lived a lot of time in both systems, please take all of this with a deer bait sized salt lick)

    • inclementimmigrant@lemmy.world
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      24 days ago

      And why you don’t follow America’s lead and elect conservatives into office with their terrible ideas and terrible followers.

      • TheJesusaurus@piefed.ca
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        23 days ago

        Kinda did. Keith is ostensibly labour, but this governments behaviour has been SHOCKING since taking office and they seemingly are happy to just charge to the right even though they won a historic majority and the tories have almost no political capital right now.

    • MichaelHenrikWynn@lemmy.ca
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      23 days ago

      No, it is not Darwinism, for in his The Dsecent of Man from the 1870s Darwin extended natural selection to include emotions; it is the individuals who are to reproduce that transmit their genes to the next generation. And the process of dating does not proceed by rape. Then there is a debate concerning “group selection”, and whether there is a selective mechanism at that level. Then it shifts a little back and forth, with inheritance of acquired characteristics (Lamarckism) making an occasional comeback until the modern synthesis between Darwin and Mendel in the 1930. But these days, horizontal gene transfer and several other mechanisms continue to blur the image a little. And Gould’s old calculations that made directed evolution improbable have also been challenged in computer models, and where they have landed, I do not actually know, since it has been some years since I even thought about this subject. What you are talking about is probably Herbert Spencer, who by some weird coincidence (or perhaps it was intended?), is buried next to his ideological opposite, Karl Marx, in a London cemetery. It is from Spencer that many such things have emerged. His influence upon the robber barons and the shaping of the American right was considerable.

  • Triumph@fedia.io
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    23 days ago

    The US is the only developed country that does not have UHC

    I see all of eastern Europe, lots of the Middle East, some of Southeast Asia, and a bit of South America that would probably count as “developed”.

    • Evil_Shrubbery@thelemmy.club
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      23 days ago

      OPs pic isn’t up-to-date & healthcare is generally a complex topic (“UHC” isn’t a strictly defined term).

      Here is a more representative map:

      (wiki/Universal_health_care_by_country)

      The colors represent practical application, not theoretical law (eg more countries allow private insurance besides a public one in a mixed system, but it seems it’s shown as such only where it’s significant).

    • 🍉 Albert 🍉@lemmy.world
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      23 days ago

      Whenever people say Americans don’t have a tax payer funded universal healthcare, that’s BS.

      American taxes go to Israels universal healthcare.

      they really enjoy it

  • CarbonIceDragon@pawb.social
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    24 days ago

    Surprised by Estonia tbh. Both because they seemed like the type of country to have UHC, and because I had thought they were considered a developed country these days.

    • Goodeye8@piefed.social
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      23 days ago

      That did look weird so I decided to dig into it a bit. Unless I’m missing some vital information it seems like they don’t have universal healthcare on a technicality. Universal Healthcare is based on residency but Estonian healthcare is based on contribution. I’m probably grossly simplifying the system but the short gist is, if you work and pay the social tax you’re covered by healthcare. The only ones not covered by healthcare are unemployed people who haven’t officially registered themselves as unemployed, people who work illegally and people who work but just refuse to pay social tax. In every other aspect it seems to function like universal healthcare.

      Seems exactly like the kind of system that would give Americans a hard-on due to “illegal aliens working illegally” not being covered by healthcare. But I guess that would be way too functional for working-class Americans so of course that can’t be done.

      • dubyakay@lemmy.ca
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        23 days ago

        Yeah this chart is bs. Based on the Estonian criteria you’ve mentioned, both Canada and Hungary would not count as having universal health care. Even though in practice, Hungary actually offers better services than certain Canadian provinces and territories, but Canada is marked on this map while Hungary isn’t.

        • boonhet@sopuli.xyz
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          23 days ago

          Another Estonian chiming in here, the criteria above are about right. Being in school (incl university), or over the retirement age, or disabled, are some other criteria that also give you healthcare.

          Anyway, something else to consider is that China’s system is similar to the American one, in that 1) Insurance isn’t guaranteed to everyone and 2) Some people have mandatory insurance, but it’s private, through the employer, as well as 3) you still have to pay out of pocket too. Yet in comparisons, their system is praised, while the US system is criticized. I personally think neither is great (even if the Chinese system is better). As such, if China is marked as universal health coverage, you can also mark US as having it, since they’re only 3 percentage points apart in the actual coverage (92% for USA vs 95% for China), neither country has 100% coverage. Neither do we in Estonia have 100% coverage, but at least here it’s fairly easy to get for anyone except poor entrepreneurs (if you’re on the board of a company, or own a company, but can’t afford to pay minimum wage’s worth of social tax on yourself, you don’t get healthcare, because you can’t register as unemployed). This seems weird, as in “what do you mean poor entrepreneurs”, but thing is, a lot of people are hustlers, and if you’re hustling, it’s best to have your own company for 1) VAT refunds if applicable and 2) to protect yourself in terms of liability, as well as 3) to simplify taxes and accounting (companies usually prefer dealing with other companies rather than private citizens). Registering a company costs like 200€ and almost anyone can do it, there are no annual fees either.

    • алсааас [she/they]@lemmy.dbzer0.com
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      23 days ago

      It was only enacted by Bismarck because they banned the whole SPD for a few years and didn’t want their heads chopped off.

      It was already a compromise at the time not only the reason of it’s implementation, but also execution

  • алсааас [she/they]@lemmy.dbzer0.com
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    23 days ago

    Also all of eastern Europe and all ex-Soviet republics used to have UHC, well until economic shock therapy, I.e. illegal theft of public property through shock privatisation, from which they are still recovering lol

  • MichaelHenrikWynn@lemmy.ca
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    23 days ago

    If you take the best chagtp, which is open source and free, download and place behind log in at your health care provider, and then you auto feed into it your medical data, as registered by your doctor, all hypochondriacs could sit all day talking about their swollen foot, and not burden any GP. If you combine this automatic doctoring with a type of vending machines for blood tests. Because in many treatments, a blood result A, will always be followed by treatment B. These would then be categorized as a specific and separate type of prescription drugs. And can be prescribed by nurses or AI.

    And in all cases where these are used, a blood test vending machine can be also used. You then get your pill or whatever without annoying the doctor. This can also be scaled up at almost no cost and extended world wide. And there there would in fact be some universal health case everywhere.

    Then you add mobile phone apps which by means of phone sensors are able to perform some diagnostics at the request of your AI doctor, and transmit these data directly into your medical file.

    Another thing you could then do, is to add on top of it Japanese kampo medicine, and evidence based herbal treatments, which-in combination with over the counter drugs- can remedy some shortages for the very poorest people. This would then be a world wide health care foundation.

    Finally, one could then discuss how to provide the really important treatments on top of this, cancer etc. And other surgeries.

    And if anyone is impressed by this, wait until i tell you about my perpetual motion machine…But what I have described involves NO tech innovations at all, just implementing systematically what already exists. Free AI exists, medical records exist, phone apps exist, vending machines exist. Kampo, over the counter and herbs exist, nutritional knowledge exist. The reason why herbal remedies are mentioned is not that they have superior effect, which they do not, but rather the lower production costs.

    What does not exist is integration of these into a system. But this system, if implemented, would be largely automated.

    • MichaelHenrikWynn@lemmy.ca
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      23 days ago

      I see my suggestions above are not well liked :) But remember that this is more than many people have today on earth. And for these people, something is better than nothing. And when much can be achieved and scaled up at very low cost, then I do not see why it in any way conflicts with the existing health service? It will simply raise the lower up, and create a higher foundation. It does not bring anything or anyone down…?

      Edit: Let me make an example of how it would work. I cut my finger and it becomes infected. Then i wonder whether i should apply aloe vera, which i can buy at the supermarket, or whether I need antibiotic cream. I then log in to the official health portal and ask the AI doctor, which tells me to turn on GPS on my phone and open their phone app. Then I direct the camera on the phone to the wound, which is scanned by AI, uploaded to my medical records, analyzed and a diagnosis made. If I am hysterical, AI will tell me to first clean and dress the wound, treat it with aloe vera, and take another photo tomorrow, or if the condition changes. And if antibiotics are needed, it will prescribe a code for a vending machine nearby. If I live in the countryside, it will offer to have the antibiotic cream sent to me by mail at agreed rates deducted from payment methods in my health portal. Many herbal treatments will therefore be subject to more monitoring than they are today. Even if they will be just as available for anyone to store at home. But a few other drugs, now prescribed by doctors will be more easily available. The doctors are simply over-qualified to deal with this. And they have enough to do as it is. Today you must often wait three weeks for a doctor’s appointment.

  • altphoto@lemmy.today
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    23 days ago

    There’s some variability in quality:

    Here’s a fellow brown person saying “I don’t want to die” as an example. I remember “el seguro” was never enough when things really mattered.