The only reservation I’d have is about the healthcare system especially as you grow older. Maybe get well informed about good insurance.
The only reservation I’d have is about the healthcare system especially as you grow older. Maybe get well informed about good insurance.
Where were you? I live and grew up in the south east, and have always chatted with my black neighbors / clerks / coworkers / etc when out and about. It’s so normal that I can’t imagine a response of surprise.
And so then you just want to avoid them, because nobody can punish them without undergoing that which Americans and especially Californians are most afraid of--being accused of racism.
California is built with this form of segregation in mind--highways, no sidewalks, no public bathrooms, extortionate rent (huge percentage of income, 40% is common) with the homelessness that is its direct consequence, crazy zoning (you could economically build 60-story skyscrapers anywhere in Palo Alto), concrete everywhere with many places inaccessible except by car, hospitals out to fuck you, firmatage, terrible public transport--all out of fear of harm from minorities which can believe it or not be out to get whites--have that specific intent of harming whites, and they get convicted for hate crimes but those crimes never make the news--which they never punish, only prevent.
Another big problem in Europe is the way talent is valued. It is much more important to have good connections and to belong to the upper class. Simply compare the salaries between engineers here and there. Only management gets a good compensation. This explains why innovation is somewhat stifled.
Things are changing and there are some exceptions. For example, Switzerland shares many of the desirable traits of EU and US, but few of their issues. Stockholm and Berlin have nice startup scenes, and so on. However, the rate of change has slowed down dramatically due to COVID, the housing bubble and inflation rates.
Healthcare is hard here.
If your doctors say there is supporting data for the treatment they are recommending, then filing and appeal is an option.
https://www.healthcare.gov/appeal-insurance-company-decision...
I believe it works similarly in countries with taxpayer funded healthcare. Some group of people at some point in the process decide what is eligible to be paid for by the government.
The healthcare issues in the country have never been about the old.
https://www.pgpf.org/chart-archive/0252_health_outcomes_spen...
For example, let's say the US spent 2x on healthcare as some country, but had 4x the disposable income, would this still be overspending or would it be more efficient given the amount relative to income? The closest I can find is health spending as % of GDP but that doesn't capture what a person's income, since it includes government spending too, so it obfuscates whether or not the inefficiency (if any) lies in private or public healthcare in the US.
Physicians in the US are protected, there's only a limited number of slots every year in med schools. This is fake scarcity
Healthcare spending in $ per capita doesn't capture how much people earn in that country or how much of a burden it is relative to their income so its kinda meaningless without more context. It's like saying the US economy is better than 85% of the OECD because its in the top 5 gdp per capita.
Most people in the US don't have "disposable income" from my perspective
Discretionary income might be an even better measure but that has more wiggle room on defining what is a necessity and not.
https://data.oecd.org/hha/household-disposable-income.htm [1]
Its literally just money after taxes, and most people are living paycheck to paycheck
That's the point, where is that extra spending going? What good is it doing? Why is any other question the topic of discussion?
Does Venezuela have a bunch of leeching middlemen at every possible point in their systems due to the massive push for privatization?
Profiteering leeches resources from a system to benefit a small number of people at the expense of the rest of the healthcare system
In my opinion, please excuse my language, but it's fucking insane
The whole thing is totally absurd and short sighted, it's damaging to society. This is why there's more stability in some EU countries. We shouldn't be sacrificing stability for profits, that's a terrible idea. We need a stable populace to make stable progress and have a robust system that lasts for generations
Absolutely massive amounts of value is destroyed (and patients harmed) just doing super inefficient shitty processes because no one has the ability or incentive to do any better at a systemic level.
Everyone in the system who has a degree of control gets paid very well keeping the wheels turning and consuming cash.
That's why the profit is so minimal, because there are just so many people providing little to no benefit all taking their piece and spreading it over a bunch of salaries while people get denied treatment
In ~1999 I was in New York, walking around with a sizeable backpack and asked around in Harlem where to find the Sugar Hill hostel. I'd asked two men about where to find it when I was approached by two young women who advised me not to ask these questions here as that would not be safe. I was rather surprised by this since I thought that time was past. Maybe it was the location, maybe it was the backpack but it was not what I'd expected. I found the hostel by myself and came to no harm in any way or shape.
I'm "white" (more of a shade of tan, really), everyone else in this narrative is "black" (more of a shade of brown, really).
The Hostel itself was not all that remarkable (other than the lack of air conditioning at that time of the year), but the crowd there was interesting, quite an experience. Thanks for jogging my memories ;-)