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The Critical Middle's avatar

How we decentralize health insurance and make today’s model obsolete?

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The Society of Problem Solvers's avatar

You got a plan?

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The Critical Middle's avatar

No plan just a dream! Feel compelled to do it. Dunno how yet.

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The Society of Problem Solvers's avatar

Once our systems are built let’s problem solve that together

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The Critical Middle's avatar

I did some thinking on this.. to decentralize one way is to eliminate health middlemen. Buddy people up with health mentors - regular people who have overcome a condition or disease. Who knows better than the success stories? Money may not even need to change hands.. personally I am always happy to share what I have learned and what has worked in my own health journeys. More here:

https://open.substack.com/pub/thecriticalmiddle/p/health-corps

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Joseph Robinson's avatar

Eisenhower (R) and Truman (D) both realized that modern societies had to have a quasi-socialistic mode of delivering health care. Truman’s camp actually coined the phrase “Medicare for All.” It’s too bad that Eisenhower listened too closely to economic advisors. He would have been a powerful ally. His freeways & highways legislative coup was socialistic in nature … a mixture of use tax and general allocation funding resulted in a road system that encouraged growth & commerce (i.e., capitalism.)

Capitalism in medicine pits the interests of doctors against the interests of patients. It incentivizes doctors to perform procedures and dispense drugs - these have side-effects patients must now live with, which can lead to more procedures & drugs. This is modulated by an insurance system that is relatively new and seems to benefit only doctors & hospitals who do their bidding. I’m not sure if most of the money goes to insurance companies, but it seems so.

Compare that with the public health in England, now under attack. Doctors are incentivized - eg, paid more - to care for patients in a manner that minimizes procedures and drugs. That results in fewer health ramifications from interventions, and less hospitalizations.

This isn’t about capitalism vs socialism. I’m a capitalist but I see the problems in public health & medicine, and following the unfortunate showing in covid, capitalistic medicine may collapse in the next several years.

We should be ready to talk about what replaces it.

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ArtemisForestFairy's avatar

This has been done before. one way, Mutual aid societies. a group of people get together and pay a herbalist or dr. to help them stay healthy. if they suck at it fire them, find another. put the accent on health and nutrition. you pay, as long as you stay healthy. this is why they have been erased from memory.

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The Critical Middle's avatar

Interesting model. Works in that docs / healers get paid and have incentive to keep patients healthy. But.. much of the real work falls on the individual. And the current racket is that noone cares if costs are high or low. I feel there has to be a way to reduce overall costa and also let healthy people benefit. 🤔

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ArtemisForestFairy's avatar

in my experience there is always a cheaper more effective option. currently, it's not allowed.

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Science is Political 2.0's avatar

It has been a long time since I have actually have seen your posts in my inbox:; after my triple eye surgeries last year, yes Jan through May for both eyes, and just recently got Microsoft to stop sending Substack into JUNK MAIL (last week) :) Hope you are well in 2024. YES I like your post: So the applied change of the year 2023 is now actualizing in my life. Surgeries (mostly) over with. still more to go w/ teeth.. aging is one of the worst experiences I have ever experienced :) she said with smile. Don't say the usual stuff people say, you are smarter than that, Josh, YES our food is RAW sewage practically. I was thinking about writing some recipes that I actually used to cook, as I am .. and still am a Gourmet level Culinary "cook": learned from my father and mother. My dad was a real Veal chef when he retired; my mother was European (German and French born there) so we ATE super nutritious healthy food growing up; and that is what I cooked like for my family ,, I took off 12 years to stay home w/ sons and while I was at it (being a sub chemist, my minor in University) that is a big part of the Cooking: understanding the CHEMISTRY of FOOD, Cooking, oils.. etc: The junk that is passing for "food now" now days is appalling.. .you are right about the KETO eaters. I actually bought some Keto "vanilla frozen bars" the other day and it tasted like "uuuuuh" fluffy tasteless stuff. I don't cook anymore because my "colon and diverticulitis" health which is constantly managed by me I cannot eat "red meat" and I am glad I did WHEN which also means at that time the animals which were being used for the food industry were not stuffed w/ antibiotics, steroids.. and who knows what else they are feeding the chickens and cattle. I actually remember when Prime Rib was actually PRIME RIB. Now days unless one goes to FIVE STAR "restaurant" which gets to top of the LINE..vegetables, oils.. meat, fruit or go to Gourmet grocery store and KNOW what to look for, yes, people are eating CRAPOLA.

Yesterday it was Dentist and I have a really busy spring planned .. next couple weeks. De cluttering and de junking the house so I will be busy. I will take a look at some of your posts I have missed.. when I can. :) take care. Yep.. and don't worry about how many Doritos are in the bag.. just don't eat them. I quit my Doritos habit after my 5th colonoscopy.. yeh. and I am finally OK. (the colon/diverticulitis thing runs in my family so I knew it was going to happen: it was just when) SOOOOOO! talk to ya later. :)

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Thumbnail Green's avatar

I would add reducing calorie intake. People across the world have had diverse diets in preindustrial times. The human body can handle poisoning as it’s in many natural foods it just can’t tolerate continuous processing of excessive volumes of poison.

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Crixcyon's avatar

While I believe the carnivore diet is better than the plant diet, I have to ask what's in the meat that the cow or chicken or pig ate? Unless you know your direct source, it's another shot in the dark. Same with organic. I don't trust any food just because someone plastered an organic sticker on it.

It's the trends in food that are disturbing. Some bogus study comes out and all the food companies jump on the bandwagon...fat free, low salt, low fat, sugar free, no GMOs, gluten free, etc. As I often hear, you gotta pick your poison...literally.

The FDA is completely bogus. Another total waste of taxpayer and big pharma money...well maybe not so much for corrupt drug companies which includes all of them.

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The Society of Problem Solvers's avatar

There are independently tested labels which we have experience with called the "purity award" that independently test for all of these things: insecticides, pesticides, and heavy metals. Decentralized testing. Also if cows eat poison they clean it out very well with their 4 stomachs, unlike pigs or birds who only have one.

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ArtemisForestFairy's avatar

the only way to get really decent food is to grow it yourself. the medicinal herbs are way more potent fresh too.

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The Society of Problem Solvers's avatar

We found some pretty great foods from local farmers, the Amish, and yes our own gardens

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ArtemisForestFairy's avatar

yeah, me too. i used to get my beef, from a ranch i could walk too, but it got burned out last fire season. now i find i do not really like the angus beef, from a new ranch farther away. they bring it t my door, so, its not too far. there is a difference, for sure. i hope i make it through this fire season.

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