@waitingonadime@JohnHMcWhorter Two questions- How much of this then is class and not race related? And could you point me to where Thomas Sowell wrote about this?
@NathanHarden@JohnHMcWhorter I know it’s not the most popular book, but Hillbilly Elegy kind of alludes to this in parts of Appalachia and the bordering rust belt. My husband saw a lot of similarities to his own family in that book and this “disrespect” thing is huge for many of them.
@thevegasbrad@SteveOnSpeed We lived in Ontario- and while we had no issues we saw otherwise. A couple in a high risk pregnancy told to keep passports on hand in case the NICU was full and they had to send them to the USA. People in Maritime provinces had to go to Ont for specialist. Chemo waits of 6 mos
@SteveOnSpeed Second opinions. Had a friend who had been a dr in USA and Canada and he said it is the capacity to go to another provider in a different healthcare network for second opinions. In universal/single payer the gp/province makes that recommendation not the patient
1. It’s not about “needed care won’t be denied “. It’s about implementing the MOST COMPLICATED OPERATIONAL TRANSITION in the history of the world. Moving from the mixed system we have today to a system that is run by the feds is a lot harder than implementing high speed rail. Who does it ? How do they do it. What’s the actual plan ?
Anyone who thinks the transition can happen in two years is an idiot. Truly. This will be so complicated, if it’s done in ten years, with only a few dozen patients getting lost in the system and dying , it would be a miracle.
Companies have a hard time restructuring in two years. You are asking thousands of hospitals, thousands more clinics, practices , and doctors to restructure how they do business.
You are asking EVERY BUSINESS IN THIS COUNTRY , to restructure how they do benefits. It’s easy to say they won’t have to do anything. BUT LET ME GIVE YOU AN ABSOLUTE FACT.
BIG COMPANIES WONT CHANGE THEIR BENEFITS PLANS TO SAVE THEMSELVES TENS OF MILLIONS OF DOLLARS OR MORE, because dealing with care navigation can be difficult. Where in that legislation is there a transition plan for patients to move from the care they are getting today to what is available via your legislation ? Do you really think those hospitals getting paid a premium to do things that only our hospitals can do are just going to accept a fraction of the amount for patients they already have ? Where is your plan for these patients ?
Who helps them when companies disband their benefits people and their TPA/Care Navigation people are fired because the Feds are now in charge ?
2. CBO Projections are ALWAYS WRONG. It is literally impossible to get the projections right. What happens if they are off by tens or hundreds of billions of dollars ?
3. How many years of litigation do you think there will be ? Have you noticed the shifts in our courts and the reality you face there ?
Then of course there are the political realities. Now and in the uncertain future.
Legislation is not a plan. Implementation is not easy. Leadership for anything like this is hard to hire. There are so many challenges that no one in your party even begins to address
There is a path to universal care. But as I have posted,IMO, it starts with either Breaking Up the Big Medicine bill and/or working with the largest employers and providers to eliminate the friction and cost of all the middlemen involved.
@alanmanis1@baseballcrank Same here. Didn’t vote for him the first time he ran. But the way he handled Covid in the face of all the criticism was outstanding. He also stays away from grand standing and does his job
@ReverendWarnock 7-10% of SCOTUS decisions break on strict party (of appointment) lines. 40-50% are unanimous. Could you tell the intern that posted this that Google is free?
Winston Churchill fought his depression with bricks. He'd lay them for hours at his country home in Kent. He joined the bricklayers' union. And in 1921 he wrote about why it worked. It took psychology another 75 years to catch up.
He called his depression the "Black Dog." It followed him for decades. His method for fighting it back was as basic as it sounds: laying brick after brick, hour after hour.
Churchill spelled out his theory in a long essay for The Strand Magazine. People who think for a living, he wrote, can't fix a tired brain just by resting it. They have to use a different part of themselves. The part that moves the eyes and the hands. Woodworking, chemistry, bookbinding, bricklaying, painting. Anything that drags the body into a problem the mind can't solve by itself.
Modern psychology now calls this behavioral activation. It's one of the most-studied depression treatments out there. Depression sets a behavior trap. You feel bad, so you stop doing things, and doing less means less to feel good about. Feeling worse makes you do even less. The loop tightens until you can't breathe inside it.
Behavioral activation breaks the loop from the action side. You schedule the activity first, even when every part of you doesn't want to. Doing it produces small rewards: a wall gets straighter, a painting fills in, a messy room gets clean. Those small rewards slowly rewire the brain. Action comes first, and the feeling follows.
Researchers at the University of Washington put this to the test in 2006. They studied 241 adults with major depression and compared three treatments: behavioral activation, regular talk therapy, and antidepressants. For the people who were most severely depressed, behavioral activation matched the drugs. It beat the talk therapy. A 2014 review of more than 1,500 patients across 26 trials backed up the result.
Physical work like bricklaying does something extra on top of this. It crowds out rumination, the looping bad thoughts that grind people down during the worst stretches of depression. Bricklaying needs both hands and gives feedback brick by brick: each one is straight or crooked. After an hour you can see exactly how much wall you built. No room left for the mental chewing.
The line George Mack used in his post, "depression hates a moving target," is good poetry. The science behind it is sharper. Depression hates a brain that has somewhere else to be.