🎓 Dr. Freemo 🇳🇱 @freemo@social.cleverlibre.org

@trinsec The claims i made are from the link not the graph.. the graph uses a different metric from a different source showing a similar but different pattern (with the graph showing usa and germany as the best performers)

@Clovis@mstdn.fr

it also means if all your students are shit you get shitty doctors ... the top 50% of a shitty class is still shitty :)

@Zach777

@Clovis@mstdn.fr

Thats very interesting.

@Zach777

@moth_ball While america has some issues and money is part of that, generally its not an issue in the USA either. If your poor and on welfare you get free health insurance. If you arent poor you can afford health insurance so if you dont have it (and thus may go bankrupt) that was a choice you made.

@torresjrjr promoting healthy lifestyle is important, but there is only so much healthcare can do in that regard. Most of that will have to come from how your parents raise you.

@alexey Yes the USA healthcare's main problem is cost, the universal healthcare countries main problem is quality, specifically in terms of wait time, but also more generally (if you normalize for the health of patients, americans being more obese and all).

Both systems are broken just in different ways, agreed. Germany has the same problem but they do a better job than most of europe at least.

@alexey Not true, the US system will happily take care of you without insurance, it will just cost a fortune and you have to pay up front... but anyone who is too poor to afford insurance gets it for free. Those who can afford it have a choice. They can make the irresponsible choice not to have insurance, sure, freedom means the freedom to make bad financial decisions too.

The urgent care exception that germany has so does the USA... Hospitals are required to provide unconditional emergency care in life threatening situations.

@anon00110

Yea local laws and other regulations and unions are going to change the dynamics for sure.

@Zach777

@Zach777 Seems at the very least that is no longer true. Canada has the exact same number of doctors per capita as the USA according to the world bank.

Looking a bit deeper though it seems the USA does have more nurses per capita. Since int he USA nurses generally do most of the leg work and doctors only review and sign off that might explain some of the indifference.

@Zach777 its been years since i saw that statistic... I can try to dig it up again, no promises.

@mur2501 would they ever really know though? If they used the condom clearly they were unaware it was shreaded.

@bonifartius i just cross-post to bird site and only time i interact there is when a friend overthere messages or tags me... occasionally i get sucked into a thread there and when I do I **always** regret it.

Seems the bird site algorithm is to pair trolls with targets and little more.

@Zach777 I'm not sure, but probably. Also coupled with the fact that you have less doctors per population because doctors get paid much less, so fewer people become one. Insurance is effectively an artificial monopoly in single payer, or a coalition monopoly in universal insurance. The result of either of those are price fixing without much pressure on quality. For which this is the result.

Obviously the american system is better in some ways but has its own issues (such as being wasteful in terms of cost, despite having good quality of outcomes).

In the end it is clear to me neither system works and therefore neither should be emulated. The solution in my eyes is co-op based insurance. It removes the greed-factor by making those insured the owners of the insurance company, and preserves the supply-demand pressures by allowing people to switch insurance if they dont like the quality.

@hans_w how so, I provided two seperate sources for the same data about germany, both agree

Just a reminder that the european and canadian healthcare systems have abysmal wait times, to the point that people can often expiernce permanent life injuries or even death due to the extreme wait times to be treated. While emergencies are usually treated quickly most things that cause long term injury aren't emergencies.

and the worst wait times, often resulting in harm

% of people waiting more than 2 months for a specialist.

Germany 2x vs USA, new zealand 4x, sweden 3x, australia, 3x, France 3x, canada 5x.. all % of people waiting more than 2 months for a specialist

https://worldpopulationreview.com/country-rankings/health-care-wait-times-by-country

#healthcare #health #medicine #biology

Looks like a fucking safety hazard if thats what it is for..

Based on the fact that it has a cross bar on the top my guess would be that it ensures oversized vehicles do not drive on the road. By the looks of it the slow cars just barely make the limit which is why they go so slow, the fast ones are much smaller.

@stux What is this thing suppose to do?

The sun does not like us radio operators right now...

#radio #rf #hamradio #ham #science

@icedquinn That would be against the law in the USA, our constitution protects against cruel and unusual punishment.