Isekai Maou to Shoukan Shoujo no Dorei Majutsu - Vol. 10 Ch. 47.1 - Trying Out Going to a New Town IV
- Thread starter MangaDex
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Distribution according to wealth and not need. Really putting in stark relief why private provision of healthcare is shit.
Not to mention the rich see themselves as entitled to the privilege since they paid for it and they live under the delusion that they are the wealthiest because they worked the hardest. A very unlikely statement in a feudal setting.
Not to mention the rich see themselves as entitled to the privilege since they paid for it and they live under the delusion that they are the wealthiest because they worked the hardest. A very unlikely statement in a feudal setting.
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Even though I imagine management to be way harder and more time consuming in times without computers and other tools, this is still bullshit. Even "poor" people have to run their (or their bosses) workshops, kitchens, stalls/pushcarts/shops, work the fields or have to beg as long as possible to make due. Investing and squandering time is therefore very costly in its own way. If you do it in your free time, it's only an illusion it does not cost you anything. You cut at your health and lifetime. Those rich guys buy something very precious and it is a real bargain.
See it the other way around. If you let them stand in the waiting line with the rest, they might not be giving that much (or any) money, but maybe they will pressure the local government to do something about the bad situation. Waiting is boring afterall. And seeing all those other people and talking with them might hurt their picture of the world. This is also yucky. Right now they simply don't really care. Make them care. We'll see if a betterment of the situation isn't worth the cut in donations.
Also don't tell me about how they have to take care of their companies or whatever, that employ many people and/or deliver important goods and services needed for society (huge responsibilities) and it is taking up their time. Yet again BS. Their management should be good enough to leave them enough time or they at least should have trained people to step in in times they are sick for example. Even if there are enemies of them, that are waiting at the sidelines, this is no excuse, as other things might also occupy them. And those things are also true to a certain degree for poor people. They also have children, elder parents, family overall, co-workers (that count on them), animals to take care of and adversaries to also take care of. No excuses.
I know the argument of morals vs. compromises, that are hurting morals, but are necessary to make things work out...But most religions are build on morals, aren't they? A religion, that ignores its own morals, hurts itself. Badly. Even the worse, if there are alternative approaches (see above) to those dirty compromises.
See it the other way around. If you let them stand in the waiting line with the rest, they might not be giving that much (or any) money, but maybe they will pressure the local government to do something about the bad situation. Waiting is boring afterall. And seeing all those other people and talking with them might hurt their picture of the world. This is also yucky. Right now they simply don't really care. Make them care. We'll see if a betterment of the situation isn't worth the cut in donations.
Also don't tell me about how they have to take care of their companies or whatever, that employ many people and/or deliver important goods and services needed for society (huge responsibilities) and it is taking up their time. Yet again BS. Their management should be good enough to leave them enough time or they at least should have trained people to step in in times they are sick for example. Even if there are enemies of them, that are waiting at the sidelines, this is no excuse, as other things might also occupy them. And those things are also true to a certain degree for poor people. They also have children, elder parents, family overall, co-workers (that count on them), animals to take care of and adversaries to also take care of. No excuses.
I know the argument of morals vs. compromises, that are hurting morals, but are necessary to make things work out...But most religions are build on morals, aren't they? A religion, that ignores its own morals, hurts itself. Badly. Even the worse, if there are alternative approaches (see above) to those dirty compromises.
@InfiniteVerisimilitude Name a problem with "private" healthcare, and I will point you to the socialist government law/policy that either created that problem or made it worse. For the sake of convenience, let's stick to USA since that's the most contentious nation in the modern day.
@Qelix You're on the right track, but you're making this too complicated. In earlier chapters, it was demonstrated that the feudal lord, the lady gunner, has given official sanction to thieves and brigands, directly employing them in her forces. When confronted about this, she openly admitted that the only thing that matters to her is money and earthly comfort; everything can be sacrificed for her personal convenience and she won't bat an eye.
A predatory thug took advantage of a bad situation and made it worse by seizing power, promoting corruption, twisting the law to her own ends and hiring criminals and monsters as official enforcers. There's no great philosophy needed to explain why/how that happened.
@Qelix You're on the right track, but you're making this too complicated. In earlier chapters, it was demonstrated that the feudal lord, the lady gunner, has given official sanction to thieves and brigands, directly employing them in her forces. When confronted about this, she openly admitted that the only thing that matters to her is money and earthly comfort; everything can be sacrificed for her personal convenience and she won't bat an eye.
A predatory thug took advantage of a bad situation and made it worse by seizing power, promoting corruption, twisting the law to her own ends and hiring criminals and monsters as official enforcers. There's no great philosophy needed to explain why/how that happened.
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@ninjadork In the USA private hospitals charge you 500 dollars for medicine that should be 50 dollars. They do it because it's the insurance company that will pay it, not the invidual customer. However, if the customer is without such insurance for whatever reason, it's a tough bill to pay. In turn the insurance company needs to get enough money from its own customers to cover the ridiculous prices. Those customers are of course all insurance holders. So, when someone gets sick, everybody's paying for the outrageously priced treatment. Actually, that sounds like socialism.
Not long ago I read how giving birth in the USA, at a hospital, costs around 20,000 dollars (like, a normal birth with nothing special going on). Of course the mother actually only pays a few hundred after the insurance company has taken care of most of it. For thousands of years women handled that back home, but when it happens in an American hospital, it suddenly costs as much as a good car.
Last but not least, hospitals are also customers of insurance companies. Already 15 years ago an American acquaintance of mine told his father had run a little private clinic but had to shut it down due to the insurance costs becoming so high it was getting impossible. I knew nothing back then, but later I learned one huge factor was actually a malpractice insurance, so it wasn't only the insurance companies having their payback for needing to pay 10 times more for everything than the street price. That naturally brings us to the true essence of the USA: Lawyers are the real rulers of the country. Lawyers have nothing to do with socialism, though, I'm sorry to say.
Not long ago I read how giving birth in the USA, at a hospital, costs around 20,000 dollars (like, a normal birth with nothing special going on). Of course the mother actually only pays a few hundred after the insurance company has taken care of most of it. For thousands of years women handled that back home, but when it happens in an American hospital, it suddenly costs as much as a good car.
Last but not least, hospitals are also customers of insurance companies. Already 15 years ago an American acquaintance of mine told his father had run a little private clinic but had to shut it down due to the insurance costs becoming so high it was getting impossible. I knew nothing back then, but later I learned one huge factor was actually a malpractice insurance, so it wasn't only the insurance companies having their payback for needing to pay 10 times more for everything than the street price. That naturally brings us to the true essence of the USA: Lawyers are the real rulers of the country. Lawyers have nothing to do with socialism, though, I'm sorry to say.
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@ninjadork Apart from what InfiniteVerisimilitude pointed out already? How many dozen problems can we name? Apart that i think there has not been a single socialist government since WW2 although many name themselves as such to get votes, and even before that can be counted with the fingers of one hand. Maybe you are confusing with comunism but that would make even less sense, or with the origin of both, marxism and ''anarquism'' but there is no government in the world which is not based on them (save the few remaining tribes) and even their enemies (Hitler, Mousolinni and right wing dictatorships) used plenty of their ideas on their governments.
@Kaarme How that has to do with socialism? Maybe you are thinking that paying the insurance company is similar to paying taxes for the public health care for all?
@Kaarme How that has to do with socialism? Maybe you are thinking that paying the insurance company is similar to paying taxes for the public health care for all?
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@Abetillo Public health care is a form of socialism. It's funded by taxes collected from everyone, regardless of how much those individual everyones happen to be sick in their life. If insurance companies instead pay for the health care, it's again the same thing: Everybody pays their insurance bills, yet some people never need to contact the insurance company in their lives, whereas some people will do it multiple times. The only difference is that in the American model everyone tries to make as much profit as possible, whereas in the socialistic model there's no profit included in the equation at all. There's also the Japanese model where private hospitals aren't allowed to run for profit and must be managed by physicians. It would be kind of haphazard to say anything without having visited Japan ever in my life, but the Japanese model sounds pretty good on paper.
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@Kaarme Ok, it is as i thought.
By the way, socialism and socialistic are very different things as i explained to ninjadork, but not important for this.
About the japanese model, you may want to check the mangas by Osamu Tezuka (he was a doctor before mangaka) https://mangadex.org/title/6775/black-jack and Team Medical Dragon https://mangadex.org/title/1915/team-medical-dragon or any other health related manga to catch a glimpse of it. Around here we are getting our public health system abolished for something similar to what happens in Team Medical Dragon (without the serf like atittude of the patients) and is hell.
From what i heard from news the japanese model is still shit nowadays.
By the way, socialism and socialistic are very different things as i explained to ninjadork, but not important for this.
About the japanese model, you may want to check the mangas by Osamu Tezuka (he was a doctor before mangaka) https://mangadex.org/title/6775/black-jack and Team Medical Dragon https://mangadex.org/title/1915/team-medical-dragon or any other health related manga to catch a glimpse of it. Around here we are getting our public health system abolished for something similar to what happens in Team Medical Dragon (without the serf like atittude of the patients) and is hell.
From what i heard from news the japanese model is still shit nowadays.
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@ninjadork Well, I'd point to the US healthcare system as a whole with the highest cost as share of GDP (which makes it even more skewed in absolute terms since the US is so rich) in the world and some of the worst general health outcomes. This is in a large part due to the fact that a large slice of the population can't afford basic or preventative care and hence are not using it.
In addition, the market includes huge information asymmetries, totally in-transparent pricing, no ability to negotiate price or service or pick an alternate provider in many cases (who can guarantee that the emergency ambulance someone calls and the hospital they take you to is in network or not?), healthcare computer systems which are more concerned about billing the patient as opposed to the patients wellbeing. I could go on.
A close relative of mine had a major health emergency, he had a bad infection and ended up in septic shock. Emergency care, air ambulance to a specialist ward, several specialists in different fields all looking at him and a several month stint in hospital for recovery. Since he was in a socialist country when it happened his out of pocket costs came out to under the equivalent of a thousand dollars. In the US he would have been bankrupt or hoping his story was viral enough for a GoFundMe to dig him out of that hole.
When I walk past the projects near where I live I see notices offering cash for diabetes test strips. The basic setup is that people who might have a cash crunch but do have health insurance cut back on testing themselves and putting their health at risk. They then sell the test strips they scrimped on to someone else. They then sell on the strips with a mark-up to people without insurance as the off plan costs for test strips is much, much higher and the only way they can afford any to manage their chronic condition is through the black market. It is a matter of life and death for people and in the US the system is happy to let them suffer and die since they don't have the cash to sacrifice to the gods of the market.
In addition, the market includes huge information asymmetries, totally in-transparent pricing, no ability to negotiate price or service or pick an alternate provider in many cases (who can guarantee that the emergency ambulance someone calls and the hospital they take you to is in network or not?), healthcare computer systems which are more concerned about billing the patient as opposed to the patients wellbeing. I could go on.
A close relative of mine had a major health emergency, he had a bad infection and ended up in septic shock. Emergency care, air ambulance to a specialist ward, several specialists in different fields all looking at him and a several month stint in hospital for recovery. Since he was in a socialist country when it happened his out of pocket costs came out to under the equivalent of a thousand dollars. In the US he would have been bankrupt or hoping his story was viral enough for a GoFundMe to dig him out of that hole.
When I walk past the projects near where I live I see notices offering cash for diabetes test strips. The basic setup is that people who might have a cash crunch but do have health insurance cut back on testing themselves and putting their health at risk. They then sell the test strips they scrimped on to someone else. They then sell on the strips with a mark-up to people without insurance as the off plan costs for test strips is much, much higher and the only way they can afford any to manage their chronic condition is through the black market. It is a matter of life and death for people and in the US the system is happy to let them suffer and die since they don't have the cash to sacrifice to the gods of the market.
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Came to the comments for political commentary, wasn't disappointed.
not /s
not /s
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Hmph, so that was why the pantherian girl so thin. She did not eat much food.
The elf was also thin, but some places were thicc. That explained her appetite.
And Diablo's food was necessary to nourish his three horns.
The elf was also thin, but some places were thicc. That explained her appetite.
And Diablo's food was necessary to nourish his three horns.
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donation?! that is more of a fee
