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The Manifesto

Scheduled Pinned Locked Moved Off Key - General Discussion
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  • S Offline
    S Offline
    ShiroKuro
    wrote on 11 Dec 2024, 11:35 last edited by
    #8

    BTW, I would also say that his decision to place all the blame on health insurance companies is misplaced IMO. There are many other problems with how medical care functions (disfunctions) in this country as well. So who are you going to shoot? Everyone?

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      Daniel
      wrote on 11 Dec 2024, 12:35 last edited by
      #9

      It's a sorry fact healthcare outcomes in the US rank between 30- 40 globally.

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      • S ShiroKuro
        11 Dec 2024, 11:33

        I find the whole thing very distressing. The whole thing being, the American medical system, health insurance, the experience that led him to break, his choice of violence as a solution, and the gleeful reaction of many…

        One thing that’s troubling is not long ago I was thinking about Michele Obama and thinking “well, they went low, we went high, and look where it got us.”

        That idea, that taking the high road hasn’t done us any good, is basically what he wrote in that manifesto.

        I’m not, and never will, advocate or condone violence. But we are running out of tools…

        M Offline
        M Offline
        Mik
        wrote on 11 Dec 2024, 13:15 last edited by
        #10

        @ShiroKuro said in The Manifesto:

        I find the whole thing very distressing. The whole thing being, the American medical system, health insurance, the experience that led him to break, his choice of violence as a solution, and the gleeful reaction of many…

        One thing that’s troubling is not long ago I was thinking about Michele Obama and thinking “well, they went low, we went high, and look where it got us.”

        That idea, that taking the high road hasn’t done us any good, is basically what he wrote in that manifesto.

        I’m not, and never will, advocate or condone violence. But we are running out of tools…

        I would say we have more tools than most any other place. We have the right to gather to protest, the right to organize. We have representatives. But it’s a lot of work so you have to be committed and willing to do the work it takes to bring issues to light. He was well equipped to do so, but delayed gratification is baked in. Perhaps we’ve been so conditioned by our instant gratification society that it is difficult to tackle such David and Goliath tasks. But David can still win.

        “I refuse to answer that question on the grounds that I don't know the answer”
        ― Douglas Adams

        S 1 Reply Last reply 11 Dec 2024, 14:49
        • D Offline
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          DeweyLOU
          wrote on 11 Dec 2024, 14:11 last edited by
          #11

          There's no glee in any of it for me. It really isn't an issue of just the CEO and his assailant. And as dysfunctional and genuinely evil the entire U.S. for-profit healthcare delivery, pharmaceutical, and insurance complex is, it really isn't even about that. t's just the latest iteration of the age old dilemma: since the worst evil and atrocities in human history have always played out within systems that declared their actions both legal and protected, is there ever a threshold beyond which it is moral and just to work to fight the evil in ways that are declared to be illegal? And if there is such a threshold, how and where is it defined?

          B 1 Reply Last reply 11 Dec 2024, 17:11
          • M Mik
            11 Dec 2024, 13:15

            @ShiroKuro said in The Manifesto:

            I find the whole thing very distressing. The whole thing being, the American medical system, health insurance, the experience that led him to break, his choice of violence as a solution, and the gleeful reaction of many…

            One thing that’s troubling is not long ago I was thinking about Michele Obama and thinking “well, they went low, we went high, and look where it got us.”

            That idea, that taking the high road hasn’t done us any good, is basically what he wrote in that manifesto.

            I’m not, and never will, advocate or condone violence. But we are running out of tools…

            I would say we have more tools than most any other place. We have the right to gather to protest, the right to organize. We have representatives. But it’s a lot of work so you have to be committed and willing to do the work it takes to bring issues to light. He was well equipped to do so, but delayed gratification is baked in. Perhaps we’ve been so conditioned by our instant gratification society that it is difficult to tackle such David and Goliath tasks. But David can still win.

            S Offline
            S Offline
            ShiroKuro
            wrote on 11 Dec 2024, 14:49 last edited by
            #12

            @Mik said in The Manifesto:

            we’ve been so conditioned by our instant gratification society

            This is definitely one of the problems. Sustained attention, focus, ability to work toward a far-off goal... these skills are becoming more and more rare, and we can see the ill effects of that impatience all around us.

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            • B Offline
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              Bernard
              wrote on 11 Dec 2024, 17:05 last edited by
              #13

              Those who benefit obscenely by the system we have are not going to give up their advantages willingly. Those charged with ensuring a good and just society, who are bought by those benefiting obscenely are not going to relinquish the hand outs willingly. Revolt is the only way to change entrenched greed.

              The question I ask myself these days is which is going to come first? WWIII, US Civil War, or a revolution. The US cannot continue on the path it is on without some major upheaval.

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              • D DeweyLOU
                11 Dec 2024, 14:11

                There's no glee in any of it for me. It really isn't an issue of just the CEO and his assailant. And as dysfunctional and genuinely evil the entire U.S. for-profit healthcare delivery, pharmaceutical, and insurance complex is, it really isn't even about that. t's just the latest iteration of the age old dilemma: since the worst evil and atrocities in human history have always played out within systems that declared their actions both legal and protected, is there ever a threshold beyond which it is moral and just to work to fight the evil in ways that are declared to be illegal? And if there is such a threshold, how and where is it defined?

                B Offline
                B Offline
                Bernard
                wrote on 11 Dec 2024, 17:11 last edited by
                #14

                @DeweyLOU said in The Manifesto:

                ... is there ever a threshold beyond which it is moral and just to work to fight the evil in ways that are declared to be illegal?

                It is always moral and just and work to fight the evil. Laws are not always moral and just.

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                • M Offline
                  M Offline
                  Mik
                  wrote on 11 Dec 2024, 17:15 last edited by
                  #15

                  True, but I'm pretty OK with the murder statutes.

                  “I refuse to answer that question on the grounds that I don't know the answer”
                  ― Douglas Adams

                  B 1 Reply Last reply 11 Dec 2024, 17:54
                  • M Mik
                    11 Dec 2024, 17:15

                    True, but I'm pretty OK with the murder statutes.

                    B Offline
                    B Offline
                    Bernard
                    wrote on 11 Dec 2024, 17:54 last edited by
                    #16

                    @Mik Ditto. To say that it is always moral to fight evil is not to infer how one fights, and it is not a blanket statement about which laws are moral and just and which are not.

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                    • P Offline
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                      Piano*Dad
                      wrote on 11 Dec 2024, 18:28 last edited by
                      #17

                      Worth noting that denial of care isn't a particularly American issue, or one tied exclusively to "for-profit" medicine. Care is extensively rationed in government run health systems.

                      Private medicine has to have gatekeepers because of the "flat of the curve" problem in a 3rd party payer system. The doctors/hospitals and the patients have the incentive to use care out to the point where the marginal benefit is zippo, because they (the hospitals and patients) don't bear the costs of that kind of excessive treatment. So in our system the insurers act as gatekeepers to make sure that there is enough benefit to the procedure to justify the coverage. In other nations, many procedures are simply out of the question from the get-go, and decisions are made by bureaucrats.

                      Our system has many problems, especially with distribution of care between the haves (well insured) and the have nots (poorly or non-insured). Having a 3rd party (not the physician, not the patient) make decisions about what is justifiable is not one of them.

                      Crazy economist who likes to write about higher education.

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                        pique
                        wrote on 11 Dec 2024, 20:39 last edited by
                        #18

                        As someone who suffered as badly from neuropathy for a few years as this man's mother, I truly empathize with her agony. And I also faced claims denials by our insurance. And I didn't have a choice of insurers--we went with Mr. Pique's employment policy because that's all we had. And when he went to work for the county, they were self-insured, and they were exempt from oversight from the state insurance commissioner, so we had zero recourse when they turned down my claims. Pretty outrageous. (There was one smug asshole in the insurance administrator's office I would have loved to have seen die, at times.)

                        So this is a hot button issue for many, many people, and I haven't seen much empathy for the CEO who lost his life, or for his wife, or for his children. People have had enough. I can't say I am surprised by the reaction, though I think it is unfortunate.

                        From reading the manifesto, I'm surprised by this man's obvious intelligence and education. He threw himself on his own sword. To his credit, it has sparked a lot of serious discussion about the abomination that is the American insurance industry. But, I think he certainly could have achieved that notoriety and attention without killing another human being. However much you might revile the CEO of United Healthcare, his death is not the appropriate remedy.

                        Being on Medicare (original, not the joke that is Medicare Advantage, which United Health Care is a huge purveyor of) has been relief. What they cover and what they don't is clearly defined. I have never faced a denied claim. The biggest problem now with Medicare is that doctors are dropping it because they get only pennies on the dollar for Medicare claims. My own excellent doctor will no longer take Medicare patients after the first of the year. "We aren't a charity," he told me, apologetically.

                        fear is the thief of dreams

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                        • M Offline
                          M Offline
                          Mik
                          wrote on 11 Dec 2024, 20:46 last edited by
                          #19

                          Medicare Advantage is a nightmare that I recognized immediately and shied away from. They have every financial incentive to deny coverage and I've seen my brother have to fight with them for months to get needed care. Their approach seems to be deny and see if you will go away. That's not just UHC. It's baked into the Part C program.

                          “I refuse to answer that question on the grounds that I don't know the answer”
                          ― Douglas Adams

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                          • C Offline
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                            CHAS
                            wrote on 11 Dec 2024, 21:31 last edited by
                            #20

                            Depends upon what it takes to get their attention.

                            “I’m at an age when remembering something right away is as good as an orgasm.”—Gloria Steinem to Julia Louis-Dreyfus on Wiser Than Me

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                              Daniel
                              wrote on 12 Dec 2024, 12:21 last edited by Daniel 12 Dec 2024, 13:47
                              #21

                              Well, I've said I don't think his thoughts are original. It follows from my premise that nobody here could make choices similar or dissimilar to the ones he made. If my theory is correct, he has been the victim of psychological torture. I think all of it, the entire situation, is an indictment of the ways our society addresses healthcare. I've always tended to think we could and should do better. Yet when I think about it, I don't think there is any other aspect of the ways society addresses basic human needs that is any more fair, just, or logical. I've said this before but I think an individual's opportunities and achieved outcomes in life are much more random than most people believe. This wouldn't be surprising given we are all told by society that such opportunities and achievements aren't random at all.

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                                Daniel
                                wrote on 12 Dec 2024, 12:27 last edited by Daniel 12 Dec 2024, 12:27
                                #22

                                @Mik Medicare Advantage. It's not Medicare and it's not an advantage.

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                                • M Offline
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                                  Mik
                                  wrote on 12 Dec 2024, 13:09 last edited by
                                  #23

                                  It's OK until you get sick. Then you're in for problems. I'll just pay my premiums, thank you.

                                  Two big factors in American health statistics are diabetes and obesity. Musk has proposed that GLP-1 drugs be made very cheap. He might be right.

                                  “I refuse to answer that question on the grounds that I don't know the answer”
                                  ― Douglas Adams

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                                  • C Offline
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                                    CHAS
                                    wrote on 12 Dec 2024, 14:45 last edited by
                                    #24

                                    Sometimes people have to light their torches and go to the castle and burn it down.
                                    The problem with pro-gun control marches are that those that are pro-gun know they are under no threat of harm.

                                    “I’m at an age when remembering something right away is as good as an orgasm.”—Gloria Steinem to Julia Louis-Dreyfus on Wiser Than Me

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                                      CHAS
                                      wrote on 12 Dec 2024, 15:10 last edited by
                                      #25

                                      John F. Kennedy: 'Those who make peaceful revolution impossible will make violent revolution inevitable.'

                                      “I’m at an age when remembering something right away is as good as an orgasm.”—Gloria Steinem to Julia Louis-Dreyfus on Wiser Than Me

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                                      👍
                                      • P Offline
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                                        Piano*Dad
                                        wrote on 12 Dec 2024, 15:15 last edited by
                                        #26

                                        Our brave new world.... ?

                                        https://www.theatlantic.com/politics/archive/2024/12/decivilization-political-violence-civil-society/680961/

                                        Crazy economist who likes to write about higher education.

                                        C 1 Reply Last reply 12 Dec 2024, 15:28
                                        • P Piano*Dad
                                          12 Dec 2024, 15:15

                                          Our brave new world.... ?

                                          https://www.theatlantic.com/politics/archive/2024/12/decivilization-political-violence-civil-society/680961/

                                          C Offline
                                          C Offline
                                          CHAS
                                          wrote on 12 Dec 2024, 15:28 last edited by
                                          #27

                                          @Piano-Dad Darn, I dropped my subscription. May renew.

                                          “I’m at an age when remembering something right away is as good as an orgasm.”—Gloria Steinem to Julia Louis-Dreyfus on Wiser Than Me

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