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"If we have a single-payer health care system, we're gonna have to wait six months to see a specialist"

The claim that a single-payer health system in the U.S. would necessarily lead to six-month waits to see specialists is often exaggerated or overly simplistic. The truth depends on several factors, including how the system is designed, funded, and implemented. Here’s a breakdown of the key considerations:

1. Current U.S. Wait Times

Even under the current multi-payer system, wait times for specialists can be long, especially for Medicaid patients or those in rural areas. It’s not uncommon for people to wait weeks or months for certain specialties.

2. International Comparisons

Countries with single-payer or universal healthcare systems, such as Canada, the UK, and Australia, often do have longer wait times for non-urgent specialist care compared to the U.S., but these waits vary widely.

Canada: Specialist wait times can be significant for non-urgent care, but urgent needs are prioritized and addressed quickly.

UK (NHS): Patients generally receive urgent care quickly, but elective procedures and non-urgent specialist appointments can face delays.

Nordic Countries: Systems like Sweden’s often have shorter wait times for specialists compared to Canada.

Factors contributing to longer wait times in these systems often include resource limitations or centralized triaging systems that prioritize urgent cases over elective or non-urgent care.

3. Designing a U.S. Single-Payer System

Capacity and Funding: If the U.S. implemented single-payer care, adequate funding and an increase in healthcare workforce capacity would be essential to minimize wait times.

Technology and Efficiency: Leveraging technology and efficient practices (like telehealth and streamlined referrals) could prevent bottlenecks.

Demand Management: A shift to single-payer could lead to increased demand for services (e.g., people accessing care they previously couldn’t afford), which might temporarily strain resources.

4. Access vs. Wait Times

Single-payer systems ensure that care is available to everyone, regardless of income or employment status. While some might wait longer for non-urgent services, people with previously limited or no access to care (e.g., uninsured Americans) could see significant improvements in overall access.

5. Trade-Offs

The trade-off in single-payer systems is often between cost, universal access, and wait times. With appropriate planning, the U.S. could design a system to mitigate excessive delays while expanding access to care.

Bottom Line

Wait times in a single-payer system are not a foregone conclusion and depend heavily on how the system is implemented. Any healthcare reform in the U.S. would face challenges but could potentially avoid the extremes of other systems with thoughtful design and investment.

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"They keep shoving their sexuality down our throats"

Translation:

"I wish you were still invisible so i could pretend you don't exist"

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i do think there is a degree to which certain kinds of Instagram activists have convinced themselves that traumatising themselves in solidarity is a useful form of activism. "I'm having nightmares and crying so much I want to be sick because of all these videos of dying children but I can't look away while people are getting hurt" I mean don't you think you'd be able to help more if you weren't having nightmares and crying all the time?? don't you think this is a one-way trip to burnout? don't you think maybe increasing the amount of trauma going around is counterproductive? I dunno bro there's something to be said for bearing witness but there comes a point where you gotta look hard at yourself and go "am I helping, or am I just making myself suffer so I don't feel guilty for not suffering while somebody else is experiencing bad shit"

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You can bend over backwards trying not to be one of “those” cringey queers who wears pride everywhere and goes by arson and has they/it/fluff/pixel/boo pronouns on a catgender pin they wear everywhere and suppress everything “extra” unlikable about your identity and pass as a “normal” cishet and mock everyone who dyes their hair for pride and wears rainbow nail polish and guess what? Conservatives will still want you dead. There is no appeasing them. Stand by your community. Maybe you’ll find that arson (they/it/fluff/pixel/boo) is going to be the best goddamn person to have in your corner when the republicans you’ve given up your life to placate inevitably turn on you and try to sentence you to death because any amount of queer is too damn queer. Maybe you’ll find that we are a community for a reason. We’re all equally degenerate in the eyes in conservatives and equally worthy of joy and life in the eyes of the “weird” queer community you shun.

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The Pulse nightclub shooting, a tragic event in Orlando, Florida, occurred on June 12, 2016. It was one of the deadliest mass shootings in U.S. history, resulting in the loss of 49 lives and injuring 53 more. It was also the deadliest violent attack against the LGBTQ+ community in US history. The shooter, Omar Mateen, pledged allegiance to ISIS during the attack. The incident deeply shook the nation, sparking discussions about gun control, terrorism, and LGBTQ+ rights. Vigils and memorials were held worldwide to honor the victims and show solidarity with the LGBTQ+ community.

Here are the names of the 49 victims of the Pulse nightclub shooting:

Stanley Almodovar III

Amanda Alvear

Oscar A. Aracena-Montero

Rodolfo Ayala-Ayala

Antonio Davon Brown

Darryl Roman Burt II

Angel L. Candelario-Padro

Juan Chevez-Martinez

Luis Daniel Conde

Cory James Connell

Tevin Eugene Crosby

Deonka Deidra Drayton

Simon Adrian Carrillo Fernandez

Leroy Valentin Fernandez

Mercedez Marisol Flores

Peter O. Gonzalez-Cruz

Juan Ramon Guerrero

Paul Terrell Henry

Frank Hernandez

Miguel Angel Honorato

Javier Jorge-Reyes

(Cont.)

Jason Benjamin Josaphat

Eddie Jamoldroy Justice

Anthony Luis Laureanodisla

Christopher Andrew Leinonen

Alejandro Barrios Martinez

Brenda Lee Marquez McCool

Gilberto Ramon Silva Menendez

Kimberly Morris

Akyra Monet Murray

Luis Omar Ocasio-Capo

Geraldo A. Ortiz-Jimenez

Eric Ivan Ortiz-Rivera

Joel Rayon Paniagua

Jean Carlos Mendez Perez

Enrique L. Rios Jr.

Jean C. Nives Rodriguez

Xavier Emmanuel Serrano Rosado

Christopher Joseph Sanfeliz

Yilmary Rodriguez Solivan

(Cont.)

Edward Sotomayor Jr.

Shane Evan Tomlinson

Martin Benitez Torres

Jonathan Antonio Camuy Vega

Juan P. Rivera Velazquez

Luis S. Vielma

Franky Jimmy Dejesus Velazquez

Luis Daniel Wilson-Leon

Jerald Arthur Wright

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My uncle and his family made it into Egypt and my other uncle was released after a year in captivity by the RSF.

Allahu akbar. Such a great week for my family 🥹❤️❤️❤️❤️

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This is Bernardo Pantaleon. His body was found dead on 11/26/23 after having been tortured and mutilated in Phoenix. He was gay and known to wear glamorous clothing.

The suspects sent photos of his body to his family members. When his body was discovered, detectives asked that his loved ones did not see his body in the condition it was because of how badly he was beaten and tortured.

Messages were discovered between the suspects where they discussed planning to kill him, making deogatory remarks about his sexuality. They shot him several times. Keep him and others like him in your hearts this month.

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John William Lay was a 50-year-old gay man who tragically lost his life in Florida in 2014. He was walking his dog at a dog park in Tampa one morning when a gunman fatally shot him, after approaching him and screaming in his face that he was going to die. A friend of his testified that his attacker had been harassing John Lay for over two years prior to murdering him in the dog park, claiming that he also had been known to say many homophobic slurs at him. Because of the length of time that his attacker was harassing him, John’s friends believe that the attack was a targeted and premeditated hate-crime. His murder was a stark reminder of the ongoing violence and discrimination faced by members of the LGBTQ+ community. Lay's death sparked outrage and calls for justice, highlighting the importance of combating hate crimes and promoting acceptance and equality for all individuals regardless of their sexual orientation or gender identity. As we honor Lay's memory and the memories of other victims of hate crimes, it serves as a reminder of the work that still needs to be done to create a safer and more inclusive world for everyone.

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Asked this AI to draw me a computer lol

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Testicular implants that make a clown noise when squeezed. Is that something?

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While standing in line trying to get some food in the southern Gaza Strip, he yelled at the journalist Fakri Ibrahim, saying: 'Send this picture to Israel and the world.'

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Israel’s senseless slaughter leaves thousands of children orphaned. Palestine must be free! Don’t tire keep talking about what’s happening!

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This will make you cry.

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