health care

got to weigh in on health care. so sick(!) of the toxic blather going on within the US, although it might just be that it is a spent nation-state, in the throes of becoming less relevant in the world. clearly it is becoming less functional internally which eventually (already) will have an effect on external relations. morally it is tearing itself apart by those who, strangely call themselves Christian but who seem to have zero compassion and limitless zeal for defending against the stranger and killing preemptively when that stranger seems strange. period. I have some understanding of the fear of governmental authority. the media in the US has certainly inculcated so many other nation-states with the blight of the dictator and illustrated that to the US citizens, a situation that reinforces some traditional/historical fear of the government. fine. but why is there almost zero fear of the corporation? how can this be? (a belief that the government will effectively control the corporation?? or what?) it is irrational. but then again, fear usually is, especially the fear exuding from an under-class which is very poorly educated (a result of a very stratified anti-Federal education situation, but that’s another whole story). This under-class seems not to understand the dynamics of power as it happens to be expressed in the particular system they live under — global capitalism — despite being locked into that servile under-class by those same dynamics of power. a dynamics that is expressed in the same way as it is expressed in any other system of power — the elite rule that under-class. whether it is elite politicians-for-life (the Senate) or corporate boards or whatever arrangement of power, it’s all Machiavellian in both intention and execution. doh!

I have had wide experience in numerous socialist (gasp!) countries and with some of their medical systems. I have also had several encounters with fragments of the US system. in different situations I have been either uninsured or insured. I am alive/walking today because of the quality of the US system, a system that took care of me after an accident when I was in an uninsured gap in time. the system (which really isn’t a system, but more a hodge-podge of competing, conflicting, and discontinuous sub-systems), without any paperwork, without even a ID (I’m white), the local hospital ER took me in and diagnosed my severe injury — a shattered vertebra and sent me on for major surgery and hospitalization at a top neurological center a couple hours away in Phoenix, Arizona. a week in post-op ICU and I was sent home (to my sister’s place where she cared for me for some weeks until I could be moderately ambulatory). later, after three months of heavy physical therapy and a deep focus on my part, I am once again healthy and mobile. without that level of technology and expertise I would be either a paraplegic or simply dead.

this particular experience doesn’t preclude any of the criticisms of the overall system which is bleeding people for far more cash than is necessary even when factoring in bureaucratic inefficiencies that might be introduced by governmental oversight.

I didn’t have insurance at that time because it was prohibitively expensive for me as an individual free-lance educator to underwrite, an entrepreneur. surely many potential and practicing entrepreneurs are faced with problem, to what extent does this impede them? I took the calculated risk when visiting the US that nothing would happen to me. I was insured (by the State) when teaching in Finland and in Iceland and that insurance extended by reciprocity to any European state. I would have been covered anywhere in Europe had that same accident occurred there. The ultimate level of care may not have been the same in many less developed Euro-states, but in Scandinavia and most of the states I operated in, the intervention and care would have equaled or exceeded what I got in Arizona.

another prior encounter with the US system, because of a running injury during a period where I was first uninsured then insured saw mis-diagnosis for fractured sesamoid bones in my left foot. on five occasions over a four-year period I had x-rays and a variety of examinations in the US, none of which identified the problem correctly. after I moved to Iceland, my first encounter with that socialist (gasp!) system (never mind the stupid insurance company ploy of pre-existing conditions in the US), the (Swedish-trained) doctor did a focused exam of the foot and without even an x-ray, diagnosed the injury correctly, and scheduled a surgical intervention shortly thereafter. I had several other encounters with the system up there including the complicated birth of my son which was taken care of completely, my wife staying comfortably in the hospital for ten days (and having the option to take off either six months at full pay or one year at half pay from her job for maternity leave; I got to take off the second year at half-pay too). a number of emergency interventions were expertly taken care of as well. all for free. my cumulative tax rate as a university educator there was the same as I paid in the US when you added up all the local, state, and federal rates.

in Finland I had some minor encounters with the system which were expert and professional. and free.

now here in Australia, I paid all of USD 270 per annum for private (state regulated) insurance. I have not tested it out yet, but do plan to explore it for some minor chronic issues.

once, in a meeting with some executives from Ericsson in Stockholm some years back, the conversation turned to health care and I heard them agree that the high taxes that they paid as members of the upper-middle-class were worth it to have a stable society where all were cared for. uff, that sounds like (gasp!) socialism! curses! never mind what the Bible says about the sin of empathy.

although my eating habits are a bit skewed in the direction of consuming too many carbos and dairy than I should, I exercise at a level that most people my age think is extreme. six or seven days a week, I engage in some combination of cardio, strength, or centering exercises for a couple hours. swimming, cycling, yoga, tai chi, weight lifting, resistance exercise, and such. I walk stairs rather than take elevators or escalators. I am walking after that accident partly because I was in better-than-average condition to begin with and I don’t intend that to change radically.

with universal health care in the US I can see one argument against it — who wants to pay the bill via taxes for the HUGE number of morbidly obese over-consuming Amurikans, many who are the same thought-less, compassion-less christian folks righteously ‘defending the constitution’ and their fat slice of pie with weapons? gah.

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