this post was submitted on 11 Dec 2024
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[–] tomi000@lemmy.world 1 points 1 day ago

Enjoying their freedom to be enslaved, as long as its freedom.

[–] FundMECFSResearch@lemmy.blahaj.zone 26 points 6 days ago* (last edited 6 days ago) (3 children)

I know it would be covenient to accept this meme as true, but it very much isn’t.

Just like insurance companies in the US don’t cover everything you need, sometimes even lifesaving treatment, the same (though less extreme) happens in nearly all public health systems.

I say this as someone who has gone through this and become tubefed and deaf as a result.

[–] Aceticon@lemmy.dbzer0.com 14 points 6 days ago* (last edited 6 days ago) (2 children)

Having lived in two countries with universal healthcare, that meme is absolutelly true and you're the one bullshitting.

The most "extreme" it can get in such systems is that they won't pay for very expensive treatments (i.e. the kind of stuff that costs a million dollars per shot) if a person can keep going with cheaper ones even if they're not as good.

Even then, sometimes they will if it's actually worth it (as in: for something that's a cure, not for something that just keeps the patiet going and is only 10% better than the next best option whilst costing 1000x more).

That's "your quality of life won't be as good if you have a chronic disease that makes your life miserable and the best treatment in the market is insanelly expensive because they'll only pay for a not as expensive one", not "death panels".

People in those countries absolutelly aren't going bankrupt due to being denied life-saving treatment and having to pay for it from their own pocket.

As for any complains you might have heard from people in countries with universal healthcare, them complaining about it is like people in Scandinavia complaining about public services: relative to what they have there are bad parts, which is something altogether different than it being bad relative to the World and when it comes the healthcare the US is 3rd World when it comes to results delivered relative to the amount spent in it.

PS: For avoidance of confusion, by Universal Healthcare I mean countries were the State provides the Healthcare and you get it without paying, not the so-called "Mixed Systems" that also exist in Europe (for example in Germany and The Netherlands) and which have Mandatory Healthcare Insurance for all residents, though much more regulated than in the US and with a Public Provider for the less well off. Mixed Systems do have some of the problems of the US System and massivelly depend on the strength of local regulations and the seriousness of the Regulator to not decay into the same kind of situation as the US since the Private Insurance Companies there have the very same natural tendency to shaft their clients as the ones in the US and only the local regulations stop them.

[–] FundMECFSResearch@lemmy.blahaj.zone 10 points 6 days ago* (last edited 6 days ago) (2 children)

Sorry then.

I guess me living my entire life in a system with universal healthcare, being denied treatments that could have prevented me going deaf and needing a feeding tube is all in my imagination.

The treatments for these werent extreme. It was a fairly simple drug therapy that costs around 5’000 Euro per year and is sold in my country.

It just isn’t on the list of drugs covered by public health insurance. As I’m surviving on 12k per year disability benefits, I could not afford the treatment.

But just because it never impacted you you assume my experience doesn’t exist, because you have the privilege that the system never didn’t work for you, so you assume it works for everyone.

[–] szczuroarturo@programming.dev 2 points 6 days ago (4 children)

Exatcly they dont know shit. While american healthcare system is clearly fucked there are many problems in european healthcare ( very country dependent tho ) ranging from lack of qualified doctors and long waiting times to very expensive treatments not covered in eu for some reason ( the one ive seen the most being uber expensive often experimental treatment where you usualy have to go to america ).

[–] parrhesia@sh.itjust.works 6 points 6 days ago

I'm not sure I'm other places but there's a physician shortage in the US, Canada, but there looks to be a shortage in Europe as well..

https://pmc.ncbi.nlm.nih.gov/articles/PMC9799366/ https://www.euronews.com/health/2024/09/12/doctor-shortages-low-pay-and-overtime-europes-hospitals-are-under-the-weather

[–] Aceticon@lemmy.dbzer0.com 2 points 6 days ago* (last edited 6 days ago)

From what I've seen, treatments not being covered are only the case were those treatments are very expensive and there are other effective treatments (though less effective) which are much cheaper.

There's also often a delay between a new and very expensive experimental treatment coming out and it becoming covered because it won't be covered if it doesn't demonstrate that it's advantages over the other available treatments are sufficient to justify the additional cost.

Mind you, I'm talking about Public Healthcare Systems, not the so-called Mixed Systems that have mandatory Health Insurance (usually highly regulated and with a Public Insurance option for the less well off) - Mixed Systems have some of the same problems as the US System at least in my experience living in countries with one and with the other kind of system.

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[–] saigot@lemmy.ca 2 points 6 days ago* (last edited 5 days ago)

People in those countries absolutelly aren't going bankrupt due to being denied life-saving treatment and having to pay for it from their own pocket.

The meme has an "or" in it though. About 20% of Canadian bankruptcy is due to health and illness. Here in Canada the maximum disability is ~1500cad a month, which might pay your rent if you live in a really really cheap area. Part of the reason it's bad like that is because it is so often compared to America, and often greatly exaggerated like in this meme.

[–] Nalivai@discuss.tchncs.de 14 points 6 days ago (1 children)

I don't think there is a public health system when you are just expected to fork over half a million for an operation. Those insane healthcare prices are uniquely US phenomenon

[–] FundMECFSResearch@lemmy.blahaj.zone 5 points 6 days ago* (last edited 6 days ago) (3 children)

There are public health systems that just won’t offer that operation. Or you’ll have a 1.5 year waiting list. So in the end, unless you’re rich and pay for private insurance, it comes out as the same.

(Edit: since someone thought my take is because I’m american and don’t understand. I’m european, have lived most my life in europe, this is from lived experience)

[–] CurlyWurlies4All@slrpnk.net 9 points 6 days ago (7 children)

People in Australia do experience medical bankruptcy. It's incredibly rare now. But it's true. But it used to be so much worse before we had a public health system. And health outcomes were worse as well. And it cost more.

https://www.abc.net.au/news/2019-05-18/bob-hawke-what-did-australia-have-before-medicare/11124180

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[–] Nalivai@discuss.tchncs.de 7 points 6 days ago* (last edited 6 days ago) (1 children)

Yeah, that happens sometimes. But in this case the price of an operation will be drastically cheaper.
I had this situation in Germany, there was a minor operation I needed to have which was not life threatening so the one that insurance covered had a waiting period, so I decided to go pay out of pocket and it was around 800 euro. The cheapest price I could find in US for it started at 11000 dollars.

[–] FundMECFSResearch@lemmy.blahaj.zone 3 points 6 days ago (2 children)

For sure. But now imagine your disabled and on disability income, where you get payed 1k a month and are living in poverty.

[–] Nalivai@discuss.tchncs.de 6 points 6 days ago (3 children)

If you're disabled and on disability income, it will absolutely not cost you 800 euro. You will be put in front of the queue for the free one. That's why I, able bodied working person with slightly above median income, had to wait. And I think it's as fair of a system that is possible under the circumstances.

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[–] Aceticon@lemmy.dbzer0.com 3 points 6 days ago* (last edited 6 days ago) (5 children)

For every case of a disabled persion on benefits having to wait 1.5 years for a non-urgent operation because they can't afford private healthcare, there are a million of cases of people who get a common problem like Diabetes or Cardio-Vascular problems and get treated for free (down to getting the medicine for free, which for a person below the poverty line will be true even for the worst countries) rather than suddenly being faced with an extra monthly bill for medicine (which would be a massive hit for those poor people you cosplay as caring about for the sake of argument) or a massive bill for urgent surgery.

(Which reminds me: one thing that will NEVER happen in one of those countries, unlike in the US, is when one ends up in the emergency ward and requires an expensive treatment to save their life, they won't get a massive bill at the end)

Oh, and even if you pay out of pocket for medicine, it's way cheaper in those countries than the US, as governments have used their leverage to limit what Pharmaceutial companies can charge, unlike in the US.

The healthcare risks for the average individual in countries with Universal Healthcare aren't even in the same universe as in the US.

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[–] funkless_eck@sh.itjust.works 5 points 6 days ago

there's still waiting lists in the US.

[–] ameancow@lemmy.world 4 points 6 days ago

Neither this meme nor your own lived experiences are good representations of what the average American struggles with in the healthcare system. Speaking as someone who lost a house and almost everything I owned due to medical issues in my family.

[–] Kusimulkku@lemm.ee 21 points 6 days ago* (last edited 6 days ago) (4 children)

I mean there's definitely people who go bankrupt due to not being able to work due to illness. If you're a private entrepreneur (or what's the correct term E; self-employed was what I meant) for example then that stuff can take you down easily.

[–] Railcar8095@lemm.ee 3 points 6 days ago (1 children)

Yes, that's true. Many countries have subsidies, but especially if it's a significant one who needs constant care, they can't cover everything.

Still, likely a rounding error compared with the US if we consider those who become unable to work due to treatable conditions they can't afford (and their insurance delays, denies and defends)

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[–] FelixCress@lemmy.world 2 points 6 days ago (1 children)

I mean there's definitely people who go bankrupt due to not being able to work due to illness

That has nothing to do with the cost of healthcare.

[–] Kusimulkku@lemm.ee 2 points 6 days ago

The meme says "or illness related work loss".

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[–] Asterisms@lemmy.world 13 points 6 days ago

Even with the issues it has (and there are a LOT of issues— too much to name here), i would still take the canadian healthcare system over the US’. My mom’s medication costs thousands of dollars, and it’s all covered. We wouldn’t be able to afford it otherwise and she’d likely be dead if it weren’t for the coverage.

[–] Zementid@feddit.nl 11 points 6 days ago* (last edited 5 days ago)

Well yes,.. but no, you can face significant financial burdens if someone in your family needs living assistance, such as a parent, and the state steps in to cover the costs. The law allows the state to require adult children to contribute to these expenses to a certain degree, but only after all assets of the elder or disabled person have been exhausted ("bankrupting" said person so to speak).

While this is not the same as bankrupting an entire family for life, it can indeed become a heavy financial strain if the parents were not adequately insured or financially prepared for such situations. The obligatio, however, is subject to strict thresholds and limits, such as exemptions for children earning below €100,000 annually, ensuring hardship is avoided.

Edit: "100.000k" sounds like much, but a German Dad providing for 2 kids and a stay at home wife would need this as a bare minimum to pay off the debt for the house 25km from the next medium city, in the next 20 years. No vacation outside Europe. Nothing fancy. If a parent then requires 1200€ per month, it's a massive strain.... so yeah, not bankrupting but painful.

[–] BlueMagma@sh.itjust.works 9 points 6 days ago* (last edited 6 days ago) (3 children)

I don't know about the other countries, but In France there definitely still are problems, check this recent story https://www.lanouvellerepublique.fr/a-la-une/on-lui-refuse-l-acces-aux-urgences-elle-accouche-sur-le-parking-de-l-hopital

A pregnant women was refused entrance to a private hospital she was forced to give birth on the parking lot in front of the entrance.

Sure the USA have an awful system but it doesn't mean it's perfect everywhere else. There are people that are bankrupt because of medical treatment here too. And we also have corrupt CEOs making it worse

Every country needs a Luigi.

[–] victorz@lemmy.world 9 points 6 days ago (1 children)

USA have an awful system but it doesn't mean it's perfect everywhere else

I don't think that's the message in this post either, so... The message is, it's just far, far worse with the system they have, due to all healthcare being privatized.

At least that is my understanding. 🤷‍♂️

[–] BlueMagma@sh.itjust.works 5 points 6 days ago (1 children)

Yes of course,

I replied to this post because it is one of many making bold claims about healthcare in other countries than the US, most of the times claims about European countries healthcare made by US users are false and/or misleading.

Sure the US has a very bad system, I see it and recognize how bad it is, but it's a tad annoying to see stuff like that, that falsely say we have "0" bankruptcy or that "everything" is covered by public healthcare, that our life expectancy is that much higher, etc... Most claims are unsourced and blatantly false or largely inflated for shock value.

In France for example we have many issues with our public healthcare, not everything is covered (dental isn't for example), we aren't covered for the full amount unless we pay for private coverage on top (called "mutuelle") which often are linked to your employer, we have to pay up front and then get reimbursed later, geographically there are areas with very few hospitals, the poorer often can't afford to be sick because we aren't always automatically paid for sick days at work, there's a shortage of medical fields' workers, and our current political leaders have been making it worse for decades..

All that to say that from the perspective of a "European" citizen, these posts about the US system compared with ours feels like propaganda that "we should be happy with what we have" even though we really shouldn't, using false information.

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[–] Railcar8095@lemm.ee 4 points 6 days ago (1 children)

I don't speak French. Why didn't she go to the public one? Why was she forced to give birth on the parking? Why not call an ambulance?

Unpopular opinion incoming: I can understand if they didn't allow her in in a PRIVATE one if she was not covered.

[–] BlueMagma@sh.itjust.works 3 points 6 days ago (2 children)

She was too far gone to be able to go to the nearest public one.

It's actually a huge scandal in France, we have laws preventing this, and the hospital is pretending that it was a mistake from an individual employee to refuse her.

[–] Aceticon@lemmy.dbzer0.com 4 points 6 days ago

So it's literally something that's not legally supposed to happen, unlike in the US.

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[–] GiddyGap@lemm.ee 2 points 6 days ago* (last edited 6 days ago) (2 children)

A pregnant women was refused entrance to a private hospital she was forced to give birth on the parking lot in front of the entrance.

Much different situation than in the US. They didn't go bankrupt. The private hospital just wanted to send them to the maternity room down the road. Was it a mistake by the hospital? Yes. But it wasn't because of lack of insurance or money and the mother didn't got bankrupt.

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[–] Sixtyforce@sh.itjust.works 3 points 5 days ago

Haha that's not true. Canada is two tiered. You fucking full well know that not everything here is covered.

[–] bquintb@midwest.social 3 points 6 days ago

the US healthcare racket

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