#american healthcare system everyone

[dumbasswhatever]

>be me, taking a specialty medicine that is actually really helping me >type of medicine you see in commercials >need to fill out a whole application with my doctor for their financial aid program to take it >need to re-apply every year >know it can take a while for the application process to be finished so i re-apply in may >my year runs out in november so that should be plenty of time >havent heard anything back in months so i ask my doctor if they've heard anything since they submitted the application >"if you got your last shipment, then you're re-enrolled" >yeah ok thats a relief >call the specialty pharmacy a few weeks later to schedule my next shipment >"we can't schedule your shipment, it seems you aren't in the program anymore. call the medicine company" >call the medicine company >"we sent your doctor a form a few weeks ago and they haven't answered us. call your doctor" >call the doctor >doctor is fucking allergic to answering the phone >spend two weeks trying to figure out what form they needed to fill out >it was the same goddamn form i filled out in may >doctors never sent it >fml >call the doctor again and pester them into sending the application "again" >(tell them the medicine company probably messed up instead of them so they don't get pissed and fuck up more shit) >call the medicine company two days later to ask if they got the application >apparently i need to babysit this goddamn application >they got it though thank god >need to call back in seven business days to see if they've approved it >give em eight days just in case >application got approved!!! >(apparently they didnt feel the need to like, notify me or anything. but whatever) >call the specialty pharmacy to schedule my next shipment >they haven't gotten the news yet so can't schedule yet >need to wait a day or two >give em two days just in case >call em again to schedule my next shipment >"sorry we can't schedule your shipment just yet because your doctor didnt specify on the prescription whether it's the pen or the syringe" >"i've been on the medicine for a year i know it's the pen" >"sorry we can't do it" >fml >call the doctor and miraculously get thru to a real person on my first attempt >"i'll leave a message for your nurse but she only comes in on tuesdays" >been the perfect patient >gave them several months for this application so i dont risk going off my meds >pestered everybody i needed to pester >still been off my meds for almost two weeks now bc my doctors cant do their fucking job >mfw

[daydreamerwonderkid]

You know the American healthcare system is "working" when it takes you 2 hrs to figure out that that weird voicemail you got about how you suddenly have to pay everything out of pocket despite you having in network insurance was absolute horseshit and even the doctor's office has no fucking clue what that voicemail was even about and are just as flabbergasted as you are.

Fucking hell.

[mhin-t]

would anyone happen to have that post on how to get hospital fees waivered saved?

[fagsex]

i love when people react to stories about medical or hospital related issues with like "uhm i dont believe this no doctor would ever let [x horrible thing] happen especially for so long 🙄" like its such a weird way to say theyve never met a doctor or Needed medical assistance but whatever floats their boat

[timeisacephalopod]

When American politicians discuss doing universal healthcare in their country and start whining about the possibility of "medical tourism" where people would theoretically go to America to get healthcare I want to scream and shake them. That already exists- Canada is where Americans went to get their fucking insulin because their own government failed them so hard another country nearly had an insulin shortage a few times over the course of the pandemic alone.

If you want to talk about medical tourism and that """"straining""""" the American healthcare system then maybe take a look at the way Americans are consistently causing strains to Canada's healthcare!! And I assume Americans don't just travel here for healthcare either, so when American politicians act like they're Just The Best and everyone will go to America for healthcare I want to be like THE ISSUE YOURE BITCHING ABOUT EXISTS AND ITS NOT HAPPENING TO YOU ITS HAPPENING TO CANADA AND ITS BECAUSE YOU REFUSE TO ADEQUATELY SERVICE YOUR POPULATION AND MORE THAN ONCE CANADIAN DIABETICS WERE THE ONES WHO'D SUFFER FOR IT. Like you want to talk medical tourism without ever acknowledging your population using other countries healthcare, which I guess is fine because it's not America footing the bill, really?

[aduck8myshoes]

I literally just got a call from my insurance company to set up a time for one of their social workers to call me with options regarding my "recent health changes and hospitalization"

bitch wat

so glad you waited until exactly an hour after I was declared NED to "reach out" after 10 months and hours and hours on the phone trying to get simple questions answered over that time

[neerasrealm]

just had a transphobe tell me that me saying trans people have a right to healthcare makes me a bigot because i'm....not advocating for healthcare for everyone else. MY BROTHER IN CHRIST, WHERE DO YOU LIVE WHERE HEALTHCARE ISN'T A HUMAN RIGHT? ARE YOU OKAY???

[hearteyesdiaz]

Hey I’m so sorry but your edited post about the dues is still incorrect. The 26k is about health care and nothing else. The dues are $231.96 + an additional percent of all SAG-AFTRA earnings up to 1,000,000. She was unable to provide that money and is therefore not able to get the assistance

Yeahhhh I don't what im talking about 🙈but I wanted to help spread the word bc I know a lot of people don't follow Chiquita. I tagged 911bts for clarification but people are reblogging two different versions so 🤷‍♀️

[corujalesbica]

I'm so so sorry, like genuinely, but I think an anthill has better democracy than the United States.

People are getting really really fascist about peaceful protesters and it’s getting scary lol

[existentialfailure]

I don’t have insurance right now and can’t afford my ADHD and mood stabilizing meds and I’m driving the office bonkers.

The physician assistant is the only one loving it.

[timeisacephalopod]

Its real strange when Americans especially (meaning politicians, less citizens but them too sometimes) say socialism doesn't work because how the hell would you even know. Half the shit American politcians describe as socialism isn't socialism, and often they treat those things like the sky will fall if they're implemented (like healthcare. Ignore Canada right above you. Lie about how our system works by telling people you need to wait years to see Drs about life threatening issues when you only get waitlisted for specialists and not for years either, it's generally a few months. Not ideal but not what American politicians say either. Ignore every other country with universal healthcare better than Canada's, which is everyone's, because there's no need to even lie about those after making the country above you look bad for not charging 80K to look at a band-aid, which is somehow an improvement to waitlists like the poor won't just die instead of seeing a dr).

Not to mention the US has invaded so many countries with politics farther left then theirs just to install right wing terrorists and then get mad when some of those terrorists they straight up funded do a 9/11 to them like they have slaughtered thousands to "spread democracy" by overthrowing democratically elected leaders all over the world for being "too socialist" or communist so how do you know socialism doesn't work? If it doesn't it's because America specifically has never allowed it to, like you can't invade every single country that does things mildly different, completely destroy them, and then say "see socialism doesn't work!" like you had nothing to do with the collapse of that system???? It's literally the meme of Eric Andre shooting that guy and being like "how come socialism didn't work!" like they didn't just shoot socialism in the face in cold blood. And also capitalism doesn't need to work at all in any way, efficient or not, for everyone to defend it to the hilt so like ok who cares if socialism works if you don't care that capitalism doesn't and you defend it anyway? Clearly "works" isn't a prerequisite to using that system so that's not even an argument worth bringing up at that point.

[no-passaran]

Same goes not just for mental health, but also any kind of physical health and particularly anything related to gynaecology and I assume also andrology.

fun fact (not fun at all fact actually) :

aromanticism and asexuality are still treated as issues to be fixed in most therapy settings, at least in the western psychiatric institution. i cannot fucking mention my aromanticism or asexuality to a therapist or it’ll immediately become their primary concern and goal to fix. whether or not i have a partner/am trying to have a partner is actively being used as an indicator of my wellness, regardless of if i WANT one. i cannot have access to needed mental health ressources because of fear of conversion therapy. aro and/or ace conversion therapy is the norm in most psychiatric institutions and we are getting told by the rest of the queer community that our oppression isnt real and that there is no link between our struggles and theirs.

[feiigns]

spending money i dont have to get back on t before i paint the walls red

[cookietash]

Birthday today and im just sad :/

[squeepotatoes]

it's so expensive to be able to see

[capitalism-is-a-psychopathy]

Billionaires destroy more than they create

In a land often championed for its economic opportunity and equality, the American Dream promises that anyone who works hard can rise to prosperity. But for many in today’s middle and lower economic classes, that dream is fading, shadowed by a reality that feels increasingly rigged. At the heart of this issue lies a stark and glaring imbalance: billionaires, a minuscule fraction of the population, wield a staggering concentration of wealth and influence. This is not just an issue of economics but one that touches the foundations of democracy and fairness.

Imagine the economy as a massive machine, built to churn wealth throughout society. In an ideal world, this wealth would cycle effectively, where each part contributes and benefits in turn. But as billionaires amass wealth at unprecedented levels, this machine has come to function more like a funnel, siphoning resources from the broader society and concentrating them at the very top. This dynamic, driven by complex financial structures and tax strategies, isn’t merely an accumulation of personal fortunes but a systematic extraction from the economic potential of others. The capital that could have flowed through wages, education, and public infrastructure is often diverted into private bank accounts and shell companies, rarely benefiting the people who drive and build the economy day by day.

As wealth accumulates at the top, so too does political influence. Billionaires, with vast financial resources, can fund political campaigns, lobbyists, and entire networks of think tanks dedicated to shaping policy. Through these channels, they push for tax policies, regulations, and trade agreements that benefit the ultra-wealthy at the expense of middle- and lower-income families. Politicians, indebted to these donors, increasingly look to billionaire interests rather than to constituents’ needs. This creates a disturbing feedback loop: billionaires influence politics to further policies that reinforce their own wealth and power, leaving the broader populace with dwindling opportunities to influence their own government.

This concentrated power extends far beyond campaign finance and lobbying. With ownership over significant segments of media networks, billionaires control the narratives that millions consume daily. Through these media outlets, they shape public opinion, diverting attention from policies that would challenge wealth accumulation and pushing narratives that frame the ultra-wealthy as essential “job creators” or “innovators” rather than acknowledging their role in widening economic divides. Issues that might threaten their economic stranglehold are often buried, while others, that create division and distract, are amplified.

For the middle and lower classes, this confluence of wealth, media, and political power has a real impact. Stagnant wages, diminishing job security, and rising costs of living aren’t natural outcomes of a complex economy—they’re symptoms of a system shaped to benefit those at the top. Policies that could lift working-class Americans, like raising the minimum wage, universal healthcare, or better labor protections, are often stifled in legislative deadlock, thanks in part to the political influence of the ultra-wealthy who stand to lose from them.

So, as this cycle continues, the gap between billionaires and everyone else widens. The billions accumulated at the top no longer signify mere success but a barrier to mobility for everyone else. The middle and lower classes find themselves carrying the economic burdens, often working harder for less. Meanwhile, billionaires remain insulated, living in a different economic reality, one far removed from the struggles of the average American. This isn’t just an economic imbalance but a distortion of democracy itself, as the machinery of power and influence is pulled further from the reach of ordinary citizens and held more tightly by those whose interests rarely align with theirs.

Without addressing this imbalance, the promise of opportunity, the cornerstone of the American Dream, becomes less attainable with each passing year, not just for the lower and middle classes but for the nation’s future as a whole.

Addressing their manipulation

Billionaires and their advocates often employ a familiar set of narratives to justify their wealth and the structures that enable it. These arguments, framed in terms of the free market, capitalism, or fear of socialism, are not only misleading but often serve to distract from the deeper systemic issues at play. Below is a breakdown of these claims and the counterarguments that expose their flaws:

1. “It’s Just the Free Market at Work”

The myth of the “free market” implies that billionaires achieve their wealth purely through talent, innovation, and competition in a market where everyone has equal opportunity. But in reality, the U.S. economy is far from a genuinely “free�� market.

Counterpoints:

• Government Subsidies and Tax Breaks: Many billionaires’ businesses rely heavily on taxpayer-funded subsidies, special tax breaks, and other forms of government assistance. Large corporations frequently lobby for policies that grant them tax advantages, including offshore loopholes and capital gains tax breaks. This creates an environment where they aren’t competing on equal ground but rather with significant state support, distorting the market in their favor.

• Anti-Competitive Practices: Many large corporations, especially in tech and finance, engage in monopolistic behavior, buying out competitors or using aggressive tactics to drive them out of the market. This concentration of power stifles competition, contradicting the notion of a “free” market where anyone can succeed if they work hard.

• Inherited Wealth and Privilege: A significant portion of billionaire wealth is inherited rather than self-made. Generational wealth compounds, giving the ultra-wealthy an enormous head start over those without similar family resources. This challenges the idea that wealth accumulation is simply the product of individual merit or a fair market.

2. “This Is What Capitalism Is Supposed to Look Like”

The argument here suggests that capitalism is an inherently competitive system, where the most successful rise to the top, benefiting everyone through innovation and job creation. This narrative hinges on the idea of “trickle-down economics,” where the wealth of the richest eventually spreads throughout society.

Counterpoints:

• Trickle-Down Economics Doesn’t Work: Decades of evidence show that wealth rarely “trickles down” to the rest of society in any meaningful way. Income inequality has only widened, with wages stagnating for most workers while billionaire wealth has soared. Billionaires tend to reinvest wealth in ways that concentrate their holdings, like in stocks, rather than in ways that benefit the broader economy.

• Wealth Extraction, Not Wealth Creation: Many billionaires achieve and maintain their fortunes through rent-seeking behavior—extracting wealth from existing resources rather than creating new value. Hedge funds, private equity, and real estate empires often profit by cutting costs (like labor) rather than by innovating or producing new goods and services. This dynamic benefits investors but hurts workers and consumers.

• Capitalism Can Take Other Forms: The capitalism practiced in the U.S. today, sometimes called “neoliberal capitalism,” focuses on minimal regulation, tax cuts for the wealthy, and privatization. However, other countries demonstrate that capitalism can function with stronger social safety nets, wealth redistribution policies, and tighter regulations on corporate power. Nordic countries, for example, balance capitalism with robust welfare systems, ensuring a more equitable distribution of wealth and services.

3. “Without Billionaires, There Would Be No Innovation or Job Creation”

A popular myth is that billionaires are essential “job creators” and “innovators” whose wealth ultimately benefits society by funding new businesses and creating employment. This claim positions billionaires as indispensable to economic growth.

Counterpoints:

• Public Funding Fuels Innovation: Many of the biggest technological advances, including the internet, GPS, and medical breakthroughs, were developed with public funding rather than billionaire investments. Government research grants and subsidies often lay the groundwork for major innovations that billionaires later profit from. In other words, society bears much of the financial risk, while billionaires reap the rewards.

• Small Businesses Create Most Jobs: Small businesses, not billionaires or large corporations, are responsible for most job creation in the United States. Big corporations often eliminate jobs through automation, outsourcing, or consolidation. They may employ a large workforce, but they also tend to exploit workers through low wages, precarious employment, and cost-cutting measures.

• Billionaires Accumulate Wealth Through Wealth, Not Innovation: Many billionaires maintain their wealth not by creating jobs or innovating but by using their existing capital to generate more wealth, often through financial instruments that have little to do with actual economic productivity. Stock buybacks, dividends, and passive investments grow their fortunes without necessarily contributing to broader economic prosperity.

4. “Any Alternative Is Socialism or Communism”

When calls arise for higher taxes on the wealthy, stricter regulations, or broader social programs, the response is often to invoke the fear of “socialism” or “communism.” This argument seeks to paint any attempt at wealth redistribution or regulation as a slippery slope toward total government control.

Counterpoints:

• Social Safety Nets and Regulations Are Not Socialism: Social safety nets, progressive taxation, and regulations do not equate to socialism or communism; they’re features of a balanced capitalist system that seeks to prevent extreme inequality and protect public welfare. Countries like Germany, Canada, and Denmark combine regulated capitalism with strong social programs, resulting in healthier economies and greater well-being for citizens without abandoning capitalism.

• Inequality Threatens Capitalism: Growing inequality and economic instability can undermine the foundations of capitalism. A healthy capitalist economy requires a strong middle class with buying power, which excessive wealth concentration undermines. Reforms like progressive taxation, labor protections, and universal healthcare aren’t a rejection of capitalism but rather a means of stabilizing it.

• Historical Success of Mixed Economies: Many of the most successful and prosperous countries practice a mixed economy, where capitalism coexists with social policies that promote equality. The U.S. itself has employed a mixed economy model in the past, particularly after the New Deal, which implemented social safety nets, labor protections, and financial regulations that led to a period of unprecedented growth and prosperity for the middle class.

5. “They Earned It Fair and Square”

Finally, the idea persists that billionaires deserve their wealth because they “earned” it. This argument suggests that any policy aiming to redistribute wealth is fundamentally unfair, penalizing those who worked hard to succeed.

Counterpoints:

• Systemic Advantages and Wealth Hoarding: As previously mentioned, many billionaires begin with advantages—like family wealth or elite educational opportunities—that aren’t available to most people. Additionally, billionaires often employ complex strategies to avoid taxes, lobby for favorable regulations, and capitalize on government subsidies. These factors mean they haven’t earned wealth solely through hard work or merit.

• Billionaires Didn’t Build Alone: No billionaire operates in isolation; they rely on infrastructure, public education, and the work of thousands or millions of employees. A CEO’s wealth is made possible by a web of collective contributions, yet that wealth is rarely shared equitably. While billionaires might be rewarded for their role, their fortune is far from the result of individual effort alone.

In short, these narratives around billionaires often mask a more uncomfortable truth: today’s system is structured in ways that favor the ultra-wealthy at the expense of the broader population. Economic reform, rather than a threat to capitalism, is a necessary step to ensure a more just, equitable society where wealth accumulation doesn’t depend on privilege, influence, or systemic manipulation.

Making a change

Addressing the economic imbalance and the unchecked power of the ultra-wealthy presents a unique challenge, especially given the intense political polarization in the United States. For the middle and lower classes to push back effectively, they will need to build a coalition that transcends party lines and focuses on shared economic interests rather than divisive rhetoric.

1. Build Awareness Through Shared Issues, Not Ideology

The rhetoric around “free markets” and “socialism” often obscures real issues of economic struggle that affect both conservative and progressive working- and middle-class citizens alike. Instead of framing the issue in ideological terms, framing it in terms of tangible, shared grievances can help bridge the divide:

• Focus on Economic Inequality: Income stagnation, unaffordable healthcare, and housing insecurity are felt across the political spectrum. By shifting the narrative from “class warfare” to “economic fairness,” advocates can sidestep partisan language and emphasize the shared experience of economic struggle.

• Highlight the Impact of Corporate Power on Local Communities: Framing issues around how large corporations hurt small, local businesses can resonate strongly with both sides of the political spectrum. This approach often taps into conservative values around community and self-reliance, while also aligning with progressive critiques of corporate overreach.

2. Organize Around Labor Rights and Worker Protections

Historically, unions have been instrumental in improving working conditions and advocating for fair wages, and labor movements transcend political divisions. Many Americans—left, right, and center—share concerns about the erosion of workers’ rights, stagnant wages, and the declining influence of the average worker.

• Expand Union Participation and Labor Movements: Reinvigorating unions and expanding labor protections could give workers a stronger collective voice. New labor movements that focus on economic rights without overtly partisan language could attract support across the political spectrum, particularly when they champion issues like fair wages, workplace safety, and job security.

• Support Worker Cooperatives and Employee-Owned Businesses: Promoting models like worker cooperatives or employee-owned businesses can offer a compelling alternative to the current structure of corporate ownership without resorting to divisive rhetoric. These models prioritize local control and shared economic benefits, appealing to values of self-sufficiency and fairness.

3. Pressure Politicians on Key Economic Policies

A key to bridging the partisan gap is to focus on policies that benefit the broader populace rather than framing them as part of any ideological agenda. The majority of Americans, regardless of political affiliation, support policies like fair taxation, healthcare reform, and increased access to education when framed in terms of fairness and opportunity.

• Promote Tax Reform as “Fairness,” Not Redistribution: Instead of advocating for “redistribution,” proponents can push for tax policies that ensure everyone pays their fair share. Policies like a wealth tax or higher taxes on capital gains can be framed as holding the ultra-wealthy accountable rather than demonizing them, a stance that resonates with people who value fairness and personal responsibility.

• Advocate for Antitrust Legislation: Pushing for stronger antitrust laws to break up monopolies and prevent anti-competitive practices can appeal to both sides. For conservatives, this aligns with the values of market competition; for progressives, it aligns with corporate accountability and consumer protection.

4. Engage in Alternative Media and Independent Journalism

The ultra-wealthy often own or influence major media outlets, which can shape public opinion in ways that protect their interests. For the middle and lower classes to gain a clearer view of economic issues, alternative media sources and independent journalism that aren’t beholden to billionaire interests are crucial.

• Support Independent News Outlets: A growing number of independent news organizations are dedicated to in-depth economic reporting without catering to corporate interests. Supporting these outlets allows individuals to access a range of perspectives that help reveal the true impact of policies on ordinary people.

• Utilize Social Media Responsibly to Build Cross-Party Awareness: Social media, while often a divisive force, can also be used to spread information about economic injustice. When used responsibly to share facts, case studies, and stories of economic hardship, it can cut through the rhetoric and provide people across the political spectrum with a shared understanding of the issues.

5. Prioritize Voting Reform and Campaign Finance Reform

Money in politics is one of the core reasons why economic policies favor the wealthy. Bipartisan support for reducing corporate influence in politics is possible, especially when the focus is on fairness, transparency, and accountability in government.

• Promote Campaign Finance Reform as an Anti-Corruption Effort: Campaign finance reform, which seeks to limit the influence of wealthy donors and corporations on elections, can appeal to conservatives and liberals alike who are frustrated with the influence of money in politics. Instead of framing it as an anti-capitalist measure, framing it as an anti-corruption measure can attract broader support.

• Support Voting Reforms for a More Representative Democracy: Reforms like ranked-choice voting, ending gerrymandering, and preventing voter suppression can help create a political environment that more accurately represents the will of the people rather than special interests. By creating a more representative democracy, policies that reflect the economic needs of the middle and lower classes have a better chance of being enacted.

6. Create Cross-Partisan Grassroots Coalitions Focused on Economic Issues

Many grassroots organizations are focused on economic justice, but they tend to align themselves with one side of the political spectrum, often losing potential support in the process. Building cross-partisan coalitions that emphasize shared economic challenges rather than ideological differences could foster stronger, more united advocacy for middle- and working-class issues.

• Organize Around Issues, Not Parties: Groups like the Poor People’s Campaign, which focuses on poverty and economic justice, have successfully united people across political lines around issues that transcend party loyalty. This approach allows people to focus on their shared struggles, making the movement harder for politicians to ignore.

• Build Community-Level Alliances: Many economic issues are felt acutely at the local level. By focusing on community-level initiatives that address healthcare, affordable housing, and education, people can create practical, on-the-ground solutions that don’t require alignment with national politics. These local successes can serve as models for broader change.

7. Emphasize Civic Education on Economic Policies

Finally, bridging the gap will require education and awareness. Many people accept billionaire-fueled rhetoric because they lack exposure to alternative perspectives. Civic education efforts that focus on teaching economic principles, tax policy, and the influence of corporate power can empower people to understand the real impacts of current policies on their lives.

• Create Accessible Educational Resources: Podcasts, documentaries, workshops, and community discussions can all serve as tools for demystifying economic issues. When people have a clearer understanding of how things like tax policies and wage laws work, they are better equipped to make informed decisions.

• Promote Financial Literacy and Empower Individuals: Financial literacy programs that help individuals understand budgeting, credit, and investments empower people to navigate the economy more effectively. While this doesn’t directly address systemic issues, it gives individuals a greater understanding of the forces shaping their lives and can be a first step toward broader engagement.

By approaching these issues with a focus on shared struggles, fairness, and practical solutions, the middle and lower classes can work together to build a movement that transcends political divides. This movement can challenge the status quo without becoming mired in divisive ideological battles. The real strength of such an effort lies in its ability to unite ordinary people around a common vision for a fairer, more just economic system—one that serves all citizens, not just the wealthiest few.