It bears repeating:

America doesn't have a health CARE system. We have a health INSURANCE system. That ain't the same thing.

When anyone walks in the door, our first question isn't "How can we fix you?", it's "How're you gonna pay for this?"

That's barbaric.

It comes from having profit incentive at the core of our health CARE system. Those two things - profit incentive & health CARE are mutually exclusive propositions. They cannot co-exist.

The inmates are running our health care asylum and killing us because of it.

#healthcare #medicine #insurance #corruption

@Alan Sickness for profit. The worst aspect of our oligarchic system.
@Alan it’s eugenics to eliminate the “unworthy”, the third reich would have loved it

@Alan My mum had a stroke, and the emergency room neurologist started talking to us about the cost within three minutes of meeting us. I thought it was ghoulish and then realized he's used to patients that are terrified their mom will die AND terrified this ER visit will bankrupt them for life. He was trying to reassure us on both fronts. What a country.

Fwiw tho, inmates running the asylum is an ableist metaphor -- and also inaccurate here. Patients having a voice in the provision of health care is precisely what we need and don't have.

@pandion We need to refocus health care to getting good patient outcomes and away from ordering tests that generate cash flow.
@Alan
Reminder that this occurs no matter how gravely ill the person showing up to the hospital is. You are expected to call your insurance from the ambulance, redirect them to an in-network facility, and quiz every employee caring for you to make sure they are in network, or sell your car later to pay your bills.
@MHowell @Alan If the car is even enough...
@Alan My foot has been in pain for a few months and I cannot go to the doctor until I can get some money saved up to cover the visit costs.

@Alan

"Humane health care is achieved when the rich and the poor receive the same treatment."
SearingTruth

@Alan thank Saint Ronnie for that.
@Alan And this seems to be the future for the UK when our government has succeeded in privatising the NHS. Beyond sad.
@Alan ACA was monumental because it regulated insurance companies in multiple ways. The 80/20 Rule requires insurance companies to spend 80% of the money they take in from premiums on health care costs and quality improvement activities.
No more denying insurance due to pre-existing conditions. No lifetime limits. The ACA closed the donut hole, known as the coverage gap. We now need a public option, with continued expansion of Medicare and Medicaid and alignment of the two. #singlepayer
@DebErupts Agree! The ACA was a giant first step toward universal single payer.
@Alan @DebErupts Agreed as well, but it's time for the next step to make this a healthcare system and reduce the influence of insurance.

@Alan

This country has figured out how to make a profit off every second of our lives.

Pay:
Be born
Eat
Live in a structure
Have clean water
Clothing
Go to school
Get married
Have fun
Get sick
Break the law
Go anyplace
Get buried

@VHasch @Alan we are nothing but "Meat Puppets"