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Re: Face Palm..

Posted by alexandra_k on May 28, 2015, at 2:20:23

In reply to Re: Face Palm.. » fayeroe, posted by 10derheart on May 27, 2015, at 23:54:38

have things changed for anyone since obamba care?

i'm doing this paper in health systems at the moment... and having a very hard time of things...

i sort of think that people cherry pick their data to push whatever political agenda they've already decided upon...

they redefine health in various ways (i think we define it broadly perhaps to conceal the fact that we don't actually have a traditional health system (with, you know, doctors and stuff) at all...)

and they get all hung up on 'intermediate performance measures' of 'efficiency' and 'quality' and stuff... that seem very far removed from anything of any actual significance.

i suspect it is 'i can show you how to save several million dollars and improve quality if you give me a mere one million all to myself...' and then they proceed to improve quality by redefining it such that we now have some ahahahahaha laughing to the bank. spending more money on people redefining things here and there than we are spending on the front line of healthcare (we have 'shown' that there isn't benefit to paying them - but there is benefit to your paying us to redefine quality such that giving us money helps it!)


and i'm just... dubious. really.

so...

my personal experience... was that i got best health care in aussie. but took me a while to get there... and i also feel i was pretty lucky to find the particular clinician i did. but then, aspects of the system there made it possible for me to see him (the public health system contributed towards him seeing me and he contributed some by lowering the standard copay significantly).

the US... i don't suppose i was there long enough...?? but things seemed okay... but i was in north carolina... and you can't generalise too much between states... similarly for aussie, i think...

here...

well... sucks to be poor ANYWHERE i think. just... sucks to be poor.

being a student is a buffer on being poor. i think. takes out the significant majority of the environmental sting. for me, anyway. i suppose i am lucky.

but then...

i did get dx with autistic spectrum here... and that seems to fit. but then... it seems to fit me here, if that makes sense. perhaps i'd be different in a different environment... i think things have been better for me lately... i got good compression gear from disability. i got disability. i have a great GP now (who isn't keen to medicate me and who isn't keen to... freak out when i freak out (if that makes sense)... and a nurse who i click with to have catch up coffee with which helps me a great deal, actually... and ACC has finally come through on my physical injuries... sort of... we will see...

i might be getting a foot reconstruction. will involve about 4 joints needing to be realigned or something... i want to look into it more before anythhing major is done... but the metal will be coming out. quite a lot of it.. i will look into bone plugs and make sure i ask about that because i think the bone has healed up by pulling away from the metal (apparently the screw that was meant to fuse hasn't successfully done that at all)... so.... anyway... not sure how much i trust the health system over here (or anywhere). i don't suppose it is wise to trust it at all.

 

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