#reform our health care system

[blackpilljesus]

I saw this from the female separatism subreddit & the responses are some of the biggest reasons for separatism et al (or extinction if I'm being candid here). Moids cant be reformed they are fully aware of the hell they force women to live in. MaIe achievement & happiness is rooted in female exploitation & life. Their glory days are based on our horrific days. No amount of love, kindness or facts will change maIes and we cannot happily or even neutrally coexist with them.

Main points across answers:

Many want to experiment but not permanently be women

They dont want to be in constant danger or lose their autonomy at the hands of maIes for merely existing

They dont want to deal with childbirth (& periods)

They dont want to have to share spaces with species much stronger than them with ulterior motives

It makes me go crazy seeing people give moids benefit of doubt for their evil like "maIes just dont understand", "we need to teach maIes", or claiming that maIe violence is a result of maIes struggling with (expressing) their feelings. I get that women love maIes and it can be hard to imagine that people can intentionally be so evil but it is what it is. MaIes have no problems expressing themselves, abusing women is what maIes choose to do because they enjoy & benefit from it - that is their expression.

MaIes see the same news of women being abused, raped, and killed like we do except rather than be disheartened or alarmed they're either apathetic or satisfied. It isn't aliens that's committing GBV it's maIes & maIes have no problem reminding women of this when women anger them (such as rape threats & threatening women they'll end up on the news/true crime). The victim blaming, denial, and derailment of misogyny is part of the game to keep the system alive, they know the events occured & are a systemic occurence they just dont care. Hell not only do they not care, they rejoice in it or get off on it.

MaIes set up environments that work in their favour which simultaneously ensures that women will lose. They know women are set up to live in damn near impossible conditions for us. It's normalised for women to defenselessly share personal & private spaces with beings much more stronger than them with ulterior motives for us, it's trap. It's interesting how these moids aren't saying that they'll just cover up and *poof* harrassment gone, or they'll just pick a nice guy & they'll be okay. MaIes know the net negative they are towards women.

MaIes know that childbirth is a painful process & what do they do? Demand it happens and make it even MORE painful for women. MaIes that impregnate women do not love or care for them. Pregnancy itself is dangerous & sometimes lethal, often comes with a range of health issues, to cause someone to be in that condition especially in a environment where abortions are illegal is reckless & unloving. Now imagine how sinister & full of hatred one has to be to impregnate someone and abuse them on top of that. Many women risk their health & lives to reproduce with a Y and they get abused by said Y instead of being taken care of. Deranged.

Realising that maIes are aware of the evil they inflict is one of the things that radicalised me. It isn't a miscommunication or ignorance issue, their violence is intended. They want control. The cruelty is the point. Instead of wasting time & energy trying to change maIes or hope that they "understand" one day, focus on yourself & other women (who prioritise women). Moids aren't oblivious to female pain they enjoy it. A lot of women treat maIe evil like it's a mistake on maIes part but it's calculated terrorism. I know that this will go over many womens heads as they refuse to hold strong negative sentiments about moids as a collective so if you're not a woman like that, take this post as a sanity check. You aren't crazy, it isn't all in your head.

[foxgirlmoth]

Okay, lets go through this apparent list of positives that Biden is in favor of.

Trans Rights: There have been multiple laws within states to fully close off especially trans kids rights to medical treatments and more. This is extremely current. Biden puts in minimal effort to look like he's doing anything at all for trans and queer rights, and there haven't really been any efforts aside from doing one or two proposals that immediately get shot down, and he's more than okay with that, hence why there's no longer really any push for this shit still. If you're trans, you can't piss in Utah without the risk of getting a fine right now. Even though these are state laws, the fact that there's been nearly zero effort federally to address this besides the title IX rule, speaks a lot about priorities in this area.

Abortion Access: Are we just forgetting the whole Roe V Wade getting overturned thing that happened in 2022? Are you really trying to say that this is good for abortion access? Abortion access has gotten actively worse.

Environmental Reform: Biden has endorsed extreme oil drilling projects and in general oil companies still love him! Not to mention the train crashes which we'll get to later.

Healthcare Reform: Covid-19 is still around and is sadly predicted to stay around for a long while. Healthcare is still private and a competitive field in the US and that causes major issues as well. If you look this up, you see articles titled along the lines of "Biden has lowered the cost of insurance" and meanwhile it just dropped in 2020 once during the pandemic but has been growing in cost.

Prescription Reform: Reading into this, not much has changed, which isn't surprising under genocide Joe. Drugs in the US are still higher than anywhere else in the world, and with healthcare issues still abundant, this is still a big issue.

Student Loan Forgiveness: Student debt is still extremely high in the US, and while Biden has rolled out some plans for forgiveness, it's a fraction of the debt, and he primarily uses the whole thing to win over swing states. This is a dangling carrot that provides very little overall.

Infrastructure Funding: Train crashes from 2020-present, worldwide, but notice the amount of US crashes! Neat! Quite literally just look up train crashes in the US during his presidency, there's too many to link here. It is also important to remember that Biden signed a bill to prevent rail strikes, preventing a lot of pressure to the government and the economy, which would have been a GOOD THING. Seriously, this guy has fucked up our environment and our rights in multiple ways.

Advocating Racial Equity: Structural racism within the US is still a huge problem, Biden hasn't addressed much. Also people are still in cages on the Mexico/US border (Which has been maintained by every president in office since it was established), with a very recent crackdown on the border.

Diversity, Equity, and Inclusion: Just. Look at the racial equity and trans rights sections above. Biden does the bare minimum, loves focusing on swing states, and all around uses the ol' carrot on a stick.

Vaccines and Public Health: Once again look above at sections on healthcare, abortion access, and prescription reform. Its bad. Remember how Covid-19 vaccines aren't being continued for free?

Criminal Justice Reform: This is just structural slavery still. Disproportionate amounts of black people are incarcerated, police are still heavily funded under Biden. He does not care about reforming the justice system, he even supports cops breaking up campus protests! Cool!

Military Support for Israel: Yup! Both sides suck! Biden has a very long history of sure hating Arabic countries though! He's done nothing but ship weapons and participate in the genocide of Palestinian people. Would Trump also do this? Yes. Does this mean this is an issue you should just drop and call a non-issue? No, what the hell are you talking about.

Israel/Hamas Ceasefire: Netanyahu has no plans to accept any actual ceasefire, yet Biden still provides weapons and support. Wow! That sure is weird? I wonder if Biden really cares about a ceasefire or how he just looks publicly.

Biden is not a good president, much less a good human being. You provided such a flimsy chart with zero resources or support behind you, and it just feels like people are just making shit up at this point. Get your heads out of the liberal cesspool you grew up in.

[simply-ivanka]

Who’s Afraid of Project 2025?

Democrats run against a think-tank paper that Trump disavows. Why?

Wall Street Journal

July 29, 2024

By The Editorial Board

Americans are learning more about Kamala Harris, as Democrats rush to anoint the Vice President’s candidacy after throwing President Biden overboard. Ms. Harris wasted no time saying she’s going to run hard against a policy paper that Donald Trump has disavowed—the supposedly nefarious agenda known as Project 2025. But who’s afraid of a think-tank white paper?

“I will do everything in my power to unite the Democratic Party—and unite our nation—to defeat Donald Trump and his extreme Project 2025 agenda,” Ms. Harris tweeted shortly after President Biden dropped out. She’s picking up this ball from Mr. Biden, and her campaign website claims that Project 2025 would “strip away our freedoms” and “abolish checks and balances.”

***

Sounds terrible, but is it? The 922-page document doesn’t lack for modesty, as a wish list of policy reforms that would touch every part of government from the Justice Department to the Corporation for Public Broadcasting. The project is led by the Heritage Foundation and melds the work of some 400 scholars and analysts from an eclectic mix of center-right groups. The project is also assembling a Rolodex of those who might work in a Trump Administration.

Most of the Democratic panic-mongering has focused on the project’s aim to rein in the administrative state. That includes civil service reform that would make it easier to remove some government workers, and potentially revisiting the independent status of agencies like the Federal Trade Commission.

The latter isn’t going to happen, but getting firmer presidential control over the bureaucracy would improve accountability. The federal government has become so vast that Presidents have difficulty even knowing what is going on in the executive branch. Americans don’t want to be ruled by a permanent governing class that doesn’t answer to voters.

Some items on this menu are also standard conservative fare. The document calls for an 18% corporate tax rate (now 21%), describing that levy as “the most damaging tax” in the U.S. system that falls heavily on workers. A mountain of economic literature backs that up. The blueprint suggests tying more welfare programs with work; de-regulating health insurance markets; expanding Medicare Advantage plans that seniors like; ending sugar subsidies; revving up U.S. energy production. That all sounds good to us.

Democrats are suggesting the project would gut Social Security, though in fact it bows to Mr. Trump’s preference not to touch the retirement program, which is headed for bankruptcy without reform. No project can profess to care about the rising national debt, as Heritage does, without fixing a program that was 22% of the federal budget in 2023.

At times the paper takes no position. For example: The blueprint features competing essays on trade policy. This is a tacit admission that for all the GOP’s ideological confusion on economics, many conservatives still understand that Mr. Trump’s 10% tariff is a terrible idea.

As for the politics, Mr. Trump recently said online that he knew “nothing about Project 2025. I have no idea who is behind it.” That may be true. The chance that Mr. Trump has read any of it is remote to nil, and he doesn’t want to be tied to anyone’s ideas since he prizes maximum ideological flexibility.

The document mentions abortion nearly 200 times, but Mr. Trump wants to neutralize that issue. The project’s chief sponsor, Heritage president Kevin Roberts, also gave opponents a sword when he boasted of “a second American revolution” that would be peaceful “if the left allows it to be.” This won’t help Mr. Trump with the swing voters he needs to win re-election.

By our lights the project’s cultural overtones are also too dark and the agenda gives too little spotlight to the economic freedom and strong national defense that defined the think tank’s influence on Ronald Reagan in 1980.

***

But the left’s campaign against Project 2025 is reaching absurd decibels. You’d think Mr. Trump is a political mastermind hiding the secret plans he’ll implement with an army of shock troops marching in lockstep. If his first term is any guide, and it is the best we have, Mr. Trump will govern as a make-it-up-as-he-goes tactician rather than a strategist with a coherent policy guide. He’ll dodge and weave based on the news cycle and often based on whoever talks to him last.

Not much of the Project 2025 agenda is likely to happen, even if Republicans take the House and Senate. Democrats will block legislation with a filibuster. The bureaucracy will leak with abandon and oppose even the most minor reforms to the civil service. The press will revert to full resistance mode, and Mr. Trump’s staff will trip over their own ambitions.

Democrats know this, which is why they fear Trump II less than they claim. They’re targeting Project 2025 to distract from their own failed and unpopular policies.

[trans-axolotl]

and this is also why i think that any meaningful community building/advocacy/support around madness/neurodivergence/mental illness needs to be founded on principles of liberation and abolition, and that we need to be able to distinguish between people who are allies based on our shared values + goals, and between people who use some of the same language as us, but are fundamentally advocating for separate things.

One example I see a lot of is the idea of "lived experience" professionals, people who have a career in the mental health system and who also have some personal experience with mental illness. These professionals oftentimes will talk about their own negative experiences in the mental health system, and come into their careers with a genuine desire to improve the experience of patients. But their impact is incredibly limited by the system they have chosen to work in: the coercive elements of psychiatry incentivize professionals to buy into the existing power structures instead of disrupting them. And as a whole, many lived experience professionals end up getting exploited and tokenized by their employers and used as an attempt to make carceral psychiatry seem more palatable. Professionals in this dynamic are not working to effectively challenge the structural violence of their profession: they become complicit, even if they do also have good intentions and provide individual support.

(I do know some radical providers who have found innovative ways to fuck up the system and destabilize and shift power in their workplaces, but this is a very small number of providers and is not most of the lived experience providers I've talked with.)

Another example I see a lot in our spaces has to do with the evolution of the neurodiversity paradigm. I feel a very deep connection to the original conceptualization of neurodiversity and neurodivergent as coined by Kassiane Asasumasu, but in recent years I've seen a lot of people using neurodivergent language in a way that feels pretty dramatically different than the foundational principles. This isn't saying that people should stop using ND terminology or that all neurodivergent spaces are like this--rather, I just want to point out some trends I see in certain communities, both online and in my in personal life. Although people will often use neurodivergent language and on the surface, seem allied with concepts of deinstitutionalization, acceptance, etc, the values and structure in these community spaces often rely heavily on ideas of classification based in DSM, and build very prescriptive and rigid models for categorizing different types of neurodivergence in a way that ends up excluding some M/MI/ND people. Certain types of knowledge are valued over other types of knowledge, and certain diagnoses are prioritized as worthy of support over others. There's a lot of value placed on identifying and classifying many types of behaviors, beliefs, thoughts, actions, into specific categories, and a lack of solidarity between different diagnoses or the wider disability community.

Again, this isn't to say that ND terminology is bad or useless--I think it is an incredibly helpful explanatory model/shorthand for finding community and will call myself neurodivergent, and find a lot of value in community identification and sharing of wisdom. I just feel like it's important to realize that not every ND person, organization, or initiative, is actually invested in the project of fighting for our liberation.

when thinking about our activism, as abolitionists, it's important to be very specific about what our goals, values, and tactics are. For example, understanding the concept of non-reformist reforms helps us distinguish what immediate goals are useful, versus what reforms work to increase the carceral power of the psychiatric system. And when building our own value systems and trying to build alternative ways of caring for ourselves and our communities, we need to be able to evaluate what brings us closer to autonomy, freedom, and interdependence. I need people to understand that just because someone is also against psych hospitalization does not mean that they are also allies in the project of letting mad people live free, authentic, meaningful, and supported lives, and that oftentimes people's allyship is conditional on our willingness to conform to their ideas of a "good" mentally ill person.

[fatliberation]

When We Leave NEDA Behind, Where do We Go?

A Guide by Sharon Maxwell @heysharonmaxwell

NEDA has a long history of harming the communities it is supposed to serve. As we #leaveNEDAbehind, I encourage you to follow the following ED orgs who are committed to serving and supporting ALL folks with eating disorders.

The National Alliance for Eating Disorders

The National Alliance for Eating Disorders (“The Alliance”) is the leading national non-profit organization providing education, referrals, and support for all individuals experiencing eating disorders, as well as their loved ones. The Alliance’s services include:

Educational presentations and training days

Free, weekly therapist-led support groups nationwide (virtual and in-person) for those experiencing eating disorders and for their loved ones

Support and referrals through both a free helpline and comprehensive referral website/app

Direct, low-cost, life-saving, outpatient treatment to underinsured and uninsured adults in the south Florida community.

Unique and empowering Southern Smash scale smashing events and SmashTALK panel discussions.

@alliancefored | #notonemore | allianceforeatingdisorders.com

Project HEAL

Project HEAL (Help to Eat, Accept, and Live)’s mission is to break down systemic, healthcare, and financial barriers to eating disorder healing. Project Heal’s goal is to change the systems and, in the meantime, to provide life-saving support to people with eating disorders who the systems fail.

Project HEAL’s services include:

For those unsure of the next step in their eating disorder healing journey, Project HEAL provides free, impartial Clinical Assessments, followed by a comprehensive report with diagnosis, clinical recommendation, and referrals.

For those struggling to access treatment through their insurance, Project HEAL’s Insurance Navigation Program helps individuals understand their often confusing benefits and advocate on their behalf to get their treatment covered.

Project HEAL connects people to free Treatment Placements through the HEALers Circle, a national network of facilities and providers at every level of care. They also offer paid scholarships with providers with shared identities.

Project HEAL offers one-time Cash Assistance grants of $500-$1,500 to individuals who are unable to afford tertiary costs related to their treatment, i.e., housing and travel costs or insurance deductibles.

Crisis Textline: text HEALING to 741741 | www.theprojectheal.org

FEDUP

FEDUP (Fighting Eating Disorders in Underrepresented Populations) is a collective of trans+, intersex, and gender diverse people who believe eating disorders in marginalized communities are social justice issues. FEDUP’s mission is to make visible, interrupt, and undermine the disproportionately high incidence of eating disorders in trans and gender diverse individuals through radical community healing, recovery institution reform, research, empowerment, and education. FEDUP’s services include:

Support groups: FEDUP Closed Support Group for Gender-Diverse Folx, Support Group for Caregivers and Loved Ones of Trans & Intersex People With Eating Disorders, and Closed Support Group for QTBIPOC With Eds

Listing of FEDUP approved providers of therapy, counseling, nutrition services, and recovery coaches

Educational content about eating disorders

A conference for researchers, advocates, and clinicians in the eating disorder field where all attendees are empowered to participate, share their expertise, and learn from one another so that they can incorporate approaches that work - for our patients, our communities, and ourselves

@fedupcollective | fedupcollective.org

Nalgona Positivity Pride

Nalgona Positivity Pride is an unconventional eating disorder awareness organization that shines a light on the often-overlooked societal factors that perpetuate unrealistic and oppressive beauty and health standards. NPP offers a vial space for BIPOC to celebrate and embrace their bodies and identities. Nalgona Positivity Pride’s services include:

Education, such as public speaking services for universities, mental health and eating disorder organizations, and more as well as social media content

Consulting services for eating disorder providers and women of color entrepreneurs, including social media, branding, and event planning. Also, size diversity, creating eating disorder informed media, eating disorder harm reduction

An eating disorder harm reduction hub, including The EDHR Course and The EDHR Harm Reduction Community Services

2 eating disorder support groups: Sage and Spoon and The Eating Disorder Harm Reduction Community Circle

@nalgonapositivitypride | nalgonapositivitypride.com

Body Reborn

Body Reborn is a restorative space for people of color with disordered eating.

Body Reborn’s services include:

The Healing Collaborative - A free 8-week program for people of color. The program consists of three pillars: (1) Body Liberation, (2) Peer Support, and (3) Lifelong Community.

A non-hierarchical, discussion-driven conference that centers experiences of marginalized people in eating disorder care

@bodyreborn | bodyreborn.org

MEDA

MEDA (Multi-Service Eating Disorders Association) is dedicated to the prevention and compassionate treatment of eating disorders, so that every body has access to recovery and support. MEDA’s services include:

Assessments to individual therapy and groups, tailored treatment referrals. to hight levels of care, skill sessions to hels reach meal and snack goals, and 24/7/365 community available

The Sooner the Better helps communities learn the signs and symptoms of disordered eating, exercise, and body image.

MEDA offers presentations from a skilled mental health clinician on a variety of topics including Body Confidence, Eating Disorders, and Promoting Positive Body Culture in Your Schools and Homes.

MEDA also offers high-level clinical trainings for professionals working with eating disorders whether it is in the field of medicine, mental health, or education.

Annual national conference bringing over 275 people together to discuss the latest in eating disorder research and therapies

“Networking with a Purpose” meetings where clinicians come together to learn about specific aspects of treatment

Two graduate clinical interns are trained at MEDA every year, where they are supervised by clinicians and work directly with clients and loved ones.

@recoverwithmeda | medainc.org

ANAD

ANAD (National Association of Anorexia Nervosa and Associated Disorders) provides free peer support to anyone struggling with an eating disorder. ANAD’s services include:

Eating Disorder Peer Support Groups

Recovery Mentorship Program offering free eating disorder support online for those who struggle with eating disorders but are motivated to recover. ANAD mentors are people who have walked the difficult road to recovery from their eating disorder and are recovered for at least 2 years.

Eating Disorder Treatment Directory

ANAD Approach Guides are designed to educate and “guide” its community on a wide range of topics, such as caregiving, pregnancy, binge eating, and navigating life after treatment.

@anadhelp | anad.org

heysharonmaxwell.com | #leaveNEDAbehind

[daegu-based-terrorist]

hi! i was about to say i'm from russia but then remembered my username lol. anyway i saw someone reblogged one of your posts of photos from dprk and you have the best username ever! i love dprk and never believed the propaganda bc i know it's all the same shit that was said about ussr (minus the racism bc westerners think everyone in russia is white). plus seeing dprk is like very warm and nostalgic to me bc it makes me think of ussr (i was born at the very end of its existence alas, like less than a month before the end). anyway sorry long introduction! i am wondering, esp since you've lived in both dprk and rok, what is the attitude of rok people about the country being divided? do they believe in the same type of western propaganda? do many/most have family there? i have wanted to ask some friends (from south korea) about it but i don't want it to be taken wrong. also i hope to visit korea next year! do you think it is good for tourists to visit?

sorry this was so long, hope it is not weird.

No not to long or too weird don’t worry. Sorry I took so long answering this I was working and I have no paid breaks (kill all small businesses owners istg)

Thank you!!! I actually love your user name I came across it in reblogs I think a couple of days ago and was like “damn I wish my username was that cool.” I’ve actually been fighting with myself as to whether or not my user name is too clunky and should be gotten rid off so nice to have an outside opinion.

Also weird but I had the same situation but opposite. When I was like 7 and 8 and in my first years of South Korean schooling we would do trips to museums and those museum trips ALWAYS had a communism = bad section and they talked about the dprk and the Soviet Union back to back and since they were lying about what happens in the dprk I assumed they were also lying about what happened in the Soviet Union (unfortunately also past tense, I’m a 2004 child) and whenever we did class debates about the history of Europe and got to Eastern Europe I was always the annoying person on the other side of the classroom defending the USSR with my LIFE.

Anyway on to the meat of your message: the majority of people want the dprk and the rok to be united under the rok, a minority (lets go communists!) want the rok and dprk to be united under a reformed dprk or a entirely new communist Korea. There are some stragglers also believe in an entirely new Korea but capitalist… God knows why. And then there is like roughly 20-30% of the population who are heavily against reunification and either want a deescalation of this weird Cold War thing we have going on or just don’t particularly care for politics but are super pessimist about the situation.

Yes unfortunately most believe in the same western propaganda and I’d argue it’s worse here. North Korean voices are actively silenced if they don’t agree with the established narrative (funfact the reason people are so familiar with “defectors” is because they are the ones that are the most pushed by South Korean and western media, the majority of us left not for political but totally mundane reasons like poverty. My family left because the North Korean health system sucks ass and I’m genetically predisposed to the illness that killed my father <3) the Korean Wikipedia is so biased you wouldn’t even believe it, like if you thought English Wikipedia was biased talking about North Korea just wait until you see Korean Wikipedia. People will generally believe all sorts of bullshit and talking positively about North Korea at all is either punished legally or socially pretty severely. Today I had the reruns of the mixed table tennis on the TV at the store I worked at and was harassed into turning it off because people didn’t want to watch North Korean athletes… exist? Idk

There is a lot of discrimination against North Korean refugees and our children in the south. I think it was polled that like 50% of us have experienced some sort of discrimination but I think it’s higher. A lot of other North Koreans I speak to are, like me, planning on moving to China or going to the west. A lot of us plan to go to China because with Chinese citizenship you can regularly and easily visit North Korea. I think it’s getting worse as the years go on, North Koreans are becoming even more “other” to South Koreans and they don’t even really see us as one ethnic people anymore. I have pretty brown skin, even for your average North Korean and alot of my childhood bullying involved people asking me if I hadn’t taken a bath since I crawled across the mud border (alot of South Koreans have this weird view of the border as trench warfare for some reason) and other things that tied my features to my skin colour. Like big lips weren’t popular in Korea when I was growing up but in the north people do usually have bigger lips and people would ask stupid questions like if the puffiness of my lips came from eating rat poison 💀 but that’s all mostly (physically) harmless childhood bullying, but employment and housing discrimination towards North Koreans is a big problem here. It’s very hard to leave the house that is assigned to you by the South Korean government because nobody wants to house North Koreans and nobody wants to employ us either. My mum has a very strong Hamgyŏng accent and people would be excited to interview and probably hire her until they heard her accent and realised where she was from.

Older people definitely still have family across the border, personally all of my family are in North Korea or China but alot of people fled in either direction north or south during the end months of the Korean War or due to occupation by either military force. So folks that were young during the Korean War tend to have cousins across the border but there has been two, three generations since the end of the war and a apathy has developed among people my age. I knew a girl who’s grandma had left her brothers behind in the city I was from, Hamhung, but she personally believed that North Korea should be bombed to oblivion and taken by force.

And on a much lighter note: yes! South Korea (I’m assuming you mean South) is amazing to visit. People are friendly and the food is good and there is times of attractions for tourists. No matter where you go you’ll have a good time. Of course I personally recommend Daegu, it’s a really good city if you want to escape the tourist overcrowding of Souel and see how us everyday Koreans live without getting lost in the rural Chungcheongbuk-do or something. https://tour.daegu.go.kr/eng/index.do

Also if you get the chance, VISIT THE NATIONAL PARKS!! You will have the absolute best time and it’s such a nice escape from how overcrowded and overstimulating urban South Korea is. Seoraksan National Park is always full of tourists but still worth it. Biseulsan Provincial Park is my personal haunt because I live somewhat nearby and it has amazing views. There is also Palgongsan mountain and the Palgongsan Olleh-gil trail which is a really great place to go hiking.

Anyway you should definitely visit South Korea

[goldkirk]

I get myself through the pain of such interconnected world news and 24/7 access to and algorithm pushes of suffering by reminding myself every day that I am only one person, and I have limited energy, short reach, and not many types of help I’m able to give.

I wish I could scream every bad situation in the world from the rooftops and make every person care, but I can’t.

I wish I could give money to every person and group that needs it and do it consistently every day or month, but I can’t.

I wish I could drop all my own life and work on the ground in local or international aid or system reform until i die or every problem is fixed, but I can't.

every day I open my journal and re-read my past self's oath, her condemning-and-absolving agreement and reminder:

When I can't directly help, I still witness.

And on days enough of me cares enough about saving enough of my energy and emotions to function, I repeat a second reminder:

When my witness turns to pain or drain, my ethical duty is to stop and protect my health and ensure my consistent ability to witness more later.

I'm only one person. one person can only take in and hold so much ugliness and grief and bad side of things. but i am one person of many. i can help sometimes. it makes a difference. it matters. i can witness all the times. i can witness some of the truth, and i can keep my records of what i witness. and i'm one of many people recording many pieces of the truth, even when we can't help as much as our fellow human hearts want.

The endurance of proof and facts and records and people’s personal stories are what I can always do. I can only hold a little, and I can record only a little more. But it’s a record. It’s a witness. That’s one thing.

One thing is enough in a huge world and a system with open and even extra-pumped flood gates. I’m one person and I can’t stem or stop the part of life involving horrors. But I can survive and witness for others and remember and record what I can and speak up or act when I’m able in my tiny percentage of the world.

I want to shake the thought policing and moral panic and performative online pressure guilt and remember all the time that my responsibility is always first to myself and my present touchable life, and that any amount of extra witnessing I can manage or help I can do, however frequently, is enough, and not demanded.

I want to help because my heart screams, not because I owe. That’s more than enough. And I can do what I can and know that.

[robertreich]

The Truth About Corporate Subsidies

Why won't big American corporations do what's right for America unless the government practically bribes them?

And why is the government so reluctant to regulate them?

Prior to the 1980’s, the U.S. government demanded that corporations act in the public interest.

For example, the Clean Air Act of 1970 stopped companies from polluting our air by regulating them.

Fast forward to 2022, when the biggest piece of legislation aimed at combating the climate crisis allocates billions of dollars in subsidies to clean energy producers.

Notice the difference?

Both are important steps to combating climate change.

But they illustrate the nation’s shift away from regulating businesses to subsidizing them.

It’s a trend that’s characterized every recent administration.

The CHIPS Act –– another major initiative of the Biden administration –– shelled out $52 billion in subsidies to semiconductor firms.

Donald Trump’s “Operation Warp Speed” delivered over $10 billion in subsidies to COVID vaccine manufacturers.

Barack Obama’s Affordable Care Act subsidized the health care and pharmaceutical industries.

George W. Bush and Obama bailed out Wall Street following the 2008 economic crash while providing about $80 billion in rescue funds for GM and Chrysler.

And the federal government has been subsidizing big oil and gas companies for decades, to the tune of hundreds of billions of dollars.

Before the Reagan era, it was usually the case that America regulated rather than subsidized big business to ensure the wellbeing of the American public.

The Great Depression and FDR’s Administration created an alphabet soup of regulatory agencies — the SEC, FCC, FHA, and so on — that regulated businesses.

Corporations were required to produce public goods, or avoid public “bads” like a financial meltdown, as conditions for staying in business.

If this regulatory alternative seems far-fetched today, that’s because of how far we’ve come from a regulatory state to a subsidy state.

Today it’s politically difficult, if not impossible, for government to demand that corporations bear the costs of public goods. The government still regulates businesses, of course –– but one of the biggest things it does is subsidize them. Just look at the growth of government subsidies to business over the past half century.

The reason for this shift is corporations now have more political clout than ever before.

Industries that spend the most on lobbying and campaign contributions have often benefited greatly from this shift from regulation to subsidy.

Now, subsidies aren’t inherently bad. Important technological advances have been made because of government funding.

But subsidies are a problem when few, if any, conditions are attached — so there’s no guarantee that benefits reach the American people.

What good is subsidizing the healthcare industry when millions of Americans have medical debt and can’t afford insurance? What good are subsidies for oil companies when they price gouge at the pump and destroy the planet? What good are subsidies for profitable semiconductor manufacturers when they’re global companies with no allegiance to America?

We’re left with a system where costs are socialized, profits are privatized.  

Now, fixing this might seem daunting — but we’re not powerless. Here’s what we can do to make sure our government actually works for the people, not just the powerful.

First, make all subsidies conditional, so that any company getting money from the government must clearly specify what it will be spent on – so we can ensure the funds actually help the public.

Second, ban stock buybacks so companies can’t use the subsidies to pump up their profits and stock prices.

Third, empower regulatory agencies to do the jobs they once did — forcing companies to act in the public interest.

Finally, we need campaign finance reform to get big corporate money out of politics.

Large American corporations shouldn’t need government subsidies to do what’s right for America.

It’s time for our leaders in Washington to get this message, and reverse this disturbing trend.

[religion-is-a-mental-illness]

By: Andrew Doyle

Published: Jul 5, 2024

Keir Starmer surely cannot believe his luck. He has achieved a landslide victory by doing very little. He received fewer votes than Jeremy Corbyn in 2019, and yet has ended up with a whopping 412 seats in parliament. The rise of Nigel Farage’s Reform Party has split the right-wing vote and ushered the Conservatives along to their worst ever election result, plunging them to even greater depths than the disastrous election of 1906 under Arthur Balfour.

This was very much a Conservative loss rather than a Labour victory. There is no great enthusiasm for Starmer, and his majority is an indictment of the “First Past The Post” system which, as I have argued previously, should be abandoned in favour of Proportional Representation. It is unsurprising that upon his victory in Clacton-on-Sea, one of Farage’s first public statements has been a commitment to campaign for electoral reform. His party received over 4 million votes and has returned only 5 seats. So that’s 1% of the seats for 14% of the votes. Compare that with the Liberal Democrats, who have 11% of the seats for only 12% of the votes. Most of us will see that there is a problem here, irrespective of our political affiliations.

Worse still, Labour’s victory will empower the culture warriors, those identity-obsessed activists who have accrued so much power already in our major institutions. While the Tory party claimed to be fighting a “war on woke”, all the while enabling the ideology of Critical Social Justice to flourish, leading Labour politicians have cheered on the culture warriors while pretending that they were nothing more than a right-wing fantasy. We have seen some pushback over the past two years in regards to the worst excesses of this movement, but all of this may soon be undone. Now that the identitarians have their political wing in power, we should expect a few years of regression.

Take the example of Dr Hillary Cass, now deservedly elevated to the House of Lords, whose review into paediatric “gender medicine” has catalysed a sea-change in public perception. While many medical journals and institutions are so ideologically captured that they have continued to deny the significance of Cass’s findings - preferring instead to continue with discredited and evidence-free “gender-affirming care” - the Labour Party has pledged to implement her recommendations. Wes Streeting, the new Health Secretary and potential future leader of the Labour Party (who narrowly held on to his Ilford North seat last night by a little over 500 votes), has made clear that the Cass Review will guide Labour policy. Starmer, meanwhile, has turned a blind eye to the bullying of MP Rosie Duffield within his own party and has expressed very little understanding of the issues. He has come around to the view that 99.9% of women “don’t have a penis”, which is still approximately 33,500 female penises in the UK alone. This is our new Prime Minister.

And here is Nadia Whittome, who has just been returned in Nottingham East, claiming that Labour will push through gender self-identification with “no ifs, no buts” and “resist calls to exclude trans women from women’s spaces”.

Such a system would have seen double rapist Adam Graham – who identified as Isla Bryson once he had popped on a blonde wig and pink leggings – accommodated in a women’s prison. Whittome also calls for a “ban on conversion therapy” with “no exemptions”. Such a policy would likely criminalise those health professionals who follow the recommendations of the Cass Review and take a psychotherapeutic approach when it comes to confused and vulnerable children. You can read my piece on why a ban on trans conversion therapy is effectively a new form of gay conversion therapy here.

Anneliese Dodds, who won her seat in Oxford East last night, has continually shown that she has a meagre grasp on gender identity ideology and why it represents such a threat to the rights of women and gay people. She has stated that “Labour will ban conversion practices outright”, in spite of appeals from groups such as Sex Matters and LGB Alliance to rethink this position. It is as though she is determined not to read the Cass Review, which was unequivocal on this matter:

“The intent of psychological intervention is not to change the person’s perception of who they are but to work with them to explore their concerns and experiences and help alleviate their distress, regardless of whether they pursue a medical pathway or not. It is harmful to equate this approach to conversion therapy as it may prevent young people from getting the emotional support they deserve.”

And yet Labour politicians continue to push for a ban on “conversion therapy” which could put parents and doctors on the wrong side of the law simply for rejecting harmful “gender-affirming care”. One can only hope that leading figures in the new Labour government read over this policy response to its manifesto by the Gay Men’s Network and reflect on the issues.

Labour is also promising to implement its Race Equality Act, a regressive policy which will effectively prioritise equality of outcome over equality of opportunity (in other words, “equity” rather than equality). Labour wishes to ensure that those from ethnic minorities are entitled to “full right to equal pay”, somehow not realising that this has been enshrined in law since 1965. As Kemi Badenoch has pointed out, “Labour’s proposed new race law will set people against each other and see millions wasted on pointless red tape. It is obviously already illegal to pay someone less because of their race. The new law would be a bonanza for dodgy, activist lawyers.”

Labour is taking its lead from Critical Race Theory in assuming that all disparities in outcome are evidence of systemic racism. This faith-based position was challenged by the Commission on Race and Ethnic Disparities, which found that there is no evidence at all that the legal and educational systems of this country are rigged against minorities. Activists were so furious that the facts went against their precious narrative that the commission’s chairman, Tony Sewell, was compared to Joseph Goebbels and the Ku Klux Klan. These privileged and predominately white “woke” activists simply cannot tolerate black people who don’t know their place.

And so under Labour we are likely to see these racially divisive ideas implemented under the guise of “anti-racism”. In its manifesto, Labour also pledged to “reverse the Conservatives’ decision to downgrade the monitoring of antisemitic and Islamophobic hate”. This looks very much like an insinuation that the party will reinstate police recording of “non-crime hate incidents”, a clear affront to freedom of expression. It is a staple of “woke” activism that censorship is necessary to ensure social justice. Given Labour’s ideological steer, it is likely that under its watch free speech will erode even further.

I very much hope to be proven wrong in all of this, and that Labour will learn to reject the regressive and divisive influence of intersectional identity politics. The Tories were bad enough, with their restrictions on peaceful protest and their attacks on free speech via the Online Safety Bill. But now we have a government whose authoritarian instincts are even more pronounced. Progress is often an inchmeal affair, and sometimes we have to suffer the occasional retrograde lapses along the way. So we would be wise to brace ourselves for the next few years. For now at least, the culture warriors have the upper hand.

==

If you want to see where the UK is heading, look where Canada is now.

[sysmedsaresexist]

Would you explain the driving/DID thing more? I thought that supposed law as A. In the UK and B. Not even in law.

It's an exceptionally dumb thing to try and legislate anyway. Dissociation can happen to anyone, and accidents from people zoning out and not paying attention happen literally all the time. Texting and driving has killed infinitely more people than a dissociated system ever has, and yet that law does nothing to actually curb that.

Your comments sound like you support that kind of thing and I sure hope I'm just misreading that.

Hi! I'm not 100% sure I understand-- I think I do, but if I misinterpreted, let me know!

Please note that this doesn't even scratch the surface of these topics. This entire thing needs a BOOK to go over every little aspect. That said, my response is going to very topical, but I hope it still answers the question. I also get rambly, but when don't I?

To my knowledge, the original driving ban was actually in relation to autism, not CDDs, and nothing has ever come into place from a legal standpoint-- this includes my knowledge of the UK, US, and CDN laws. The same is also true of gender affirming care-- it was a discussion about autism several years ago. I actually made a post where I even found the person who started the CDD rumor, I'll see if I can find that post.

Now, this doesn't touch on the current climate around trans rights (especially minors' rights), because the states are having a fucking... moment, over there that sort of overlaps with this conversation but not specifically enough to get into, just pointing out that I understand things aren't exactly peachy across the world.

And that's important.

Things aren't perfect.

I admit that a lot of sectors need some serious reform and work, but we need to talk about real issues, not exaggerated ones. We can make things better for people with physical and mental health issues, but there's zero point in arguing about things that aren't actually real or happening.

I support the current safeguards in place-- doctors treating each person for their unique issues and symptoms. Personalized approaches.

I'm going to assume you're either UK or US, so for example...

Here's info on UK guidelines. You can see that, as I stated, it's about symptoms, not specific diagnoses. It also lists what's required for someone to be able to drive, and it's... really not that bad? 3 months symptom free? I see no issues with the way it's laid out. You've probably already passed the 3 month mark before this ever matters.

Canada works like the UK. The US has very similar stipulations, but doesn't list it as nicely. The general rule is that if you're at risk of ever not driving safely, check yes. "Not driving safely," is defined very similarly to the screenshots-- recent flareups or episodes, risk of falling asleep, seizures, loss of awareness or conscious control, same kind of things.

I support this. If someone is experiencing symptoms that would make driving dangerous, why would I not? I've been in too many accidents and like I said, I already lost my father.

The idea that you'll automatically lose your license, or not be able to get your license, is just wrong, and it's always anti psych people who say it. And like, pwCDDs can't get a job? Better tell that to all the VERY real doctors diagnosed with DID and actively working as clinical therapists. Guess they didn't get the memo.

A diagnosis will not stop you from doing ANYTHING. A lack of knowledge about your rights will.

No one should ever be afraid of being diagnosed or getting help. I am so angry at people that present a false idea of what happens. Like instead of lying and saying we're all going to lose our licenses, just teach people what they need to do and who to contact to sort licensing issues out. Let's focus on holding doctors accountable and ensuring they're making fair decisions on these things.

We all know that doctors aren't always fair, and it's not necessarily the system's fault. As patients and clients, it's our job to understand our own rights (yes, it is our job, unfair as it may be and as much hand holding as you might expect). No one is saying that there aren't shit doctors that will abuse their power. Unless we, as patients, understand our rights, no one else will stop that doctor from doing it to someone else. The law already backs us, it's holding them accountable and pointing out when the laws aren't clear enough. We can have our licenses, we should be promoting awareness of rights and responsibilities of the government, doctors, and patients.

And guys, I know it can be inconvenient, but... if you're not supposed to be driving, just don't.

My dad was not supposed to be driving. In fact, he was in a treatment center ACTIVELY RECEIVING TREATMENT, and was allowed to check himself out. That same night, he got behind the wheel, and he wasn't the only one who died.

In this way, I agree with you. Laws don't make a difference. Literally none. He would have driven that night with or without a license. It's up to us, as people, patients, and family members, to be honest about our symptoms and abilities, inconvenient or not, and we pray to God that someone gets pulled over with a revocation flag on file, rather than cops showing up to an accident that's already happened.

But no one will be fucking honest if people keep lying about how "dangerous" being diagnosed with something is.

Losing your license is a very small risk compared to the benefits (and no, it's not gone forever), and knowing your rights is the best thing you can do for everyone, yourself included.

Know your rights, know how to exercise them.

[tricitymonsters]

A long rambling post about US Healthcare

Alright so waiting didn't really help me parse out what I want to say but a big pillar of our online community passed away suddenly because of what amounts- frankly- to the gross negligence and cruelty of the US healthcare system.

For those of you who don't know Furaffinity is essentially THE cornerstone of the centralized furry and monsterlover community and the site was, for a long time, run by a guy named Dragoneer LARGELY by himself. This website hosted community ads, moderated its own content, and maintained a welcoming and corporation-free space for artists and other creatives to do their thing. My involvement in furaffinity has been pretty low key but I firmly believe that monsterfuckers and furries are only spitting distance apart at best so I feel a strong camaraderie and sense of kinship with them. As for how Dragoneer ran Furaffinity, what I can tell you personally is that FA was one of only TWO websites that will allow me to advertise TCM and when I emailed to get ads set up and configured, Dragoneer answered those emails personally.

Dragoneer had chronic issues that were difficult to diagnose for a while and reading his twitter/journal posts paints a really depressing, heartbreaking story of frustration, misdirection, and the banality of pure evil. Dragoneer was denied care he deserved because of the bureaucratic void that is our healthcare system here in America. He was charged tens of thousands of dollars for inconclusive tests, ordered to wait at home with minimal or no treatment, and this culminated in his rapid decline and sudden death last night.

Our healthcare system is traumatic and one incident, one accident, one sickness can financially ruin any of us permanently.

It's awful. One of the reasons this is difficult for me to talk about is because my dad died suddenly and horrifically to Covid in late 2020 because our for-profit hospitals refused to prepare for a pandemic while our executive administration pretended nothing was wrong. My dad died two weeks before vaccines began rolling out and when my mom and I had to make the choice to end his care we were only allowed to see him for 2 minutes at a time, separately. My husband was denied entry altogether because he wasn't "immediate" family.

Personally, I have chronic health issues that regularly get ignored. I have a mandatory medication (of several) that has no generic and costs over 300$ for a 30-day supply and my pharmacy (I'm not allowed to change) sometimes runs out and I gap for weeks at a time, sending my brain function into the toilet.

If you're American please help by keeping healthcare reform a primary voting issue in both Federal and State/Local elections. We need officials who see what this is doing to us, not more 1%ers who will never have to worry about what to do with a $25k hospital bill (one of Dragoneer's latest) or even a $250k one (my dad's bill for daring to die in ICU). I know it's a rough ask but for the financially stable, consider legal recourse for rights violations (some lawyers work pro bono for health stuff, the point is to always explore avenues to push back). We can't go on like this.

If you're not American, please help us by raising awareness in your own areas. Most of us look to more socialized countries like Canada and the EU for examples of how to improve our current system and of course, we know things aren't perfect but it's an embarrassment and a tragedy that Americans can't access the quality of care our system should VERY MUCH be able to provide.

Anyway.

This was really long-winded but it hurts a lot to know that there are so many cases like Dragoneer, like my dad. People with serious or even chronic issues can't get the smallest scrap of compassion in this system that reduces us to inconvenient numbers that our for-profit system can squeeze pocket change out of while murdering us.

I'll post links if a fundraiser goes up for Dragoneer's family to help cover the funds but until then, thanks for reading my long and winding thoughts. It's very hard to tame the emotion with this particular issue.

[centrally-unplanned]

after your last post about STEM, what do you think about expanding the fields of 1) environmental science and other study of the environment and our interactions with it and 2) urban design and urban planning. Imo both of these should be as big as health sciences and engineering respectively, the only reason they’re not is that people don’t care about our interaction with the environment we need to care about and systemic place-drivers behind inequality, liveable lifestyles, and our ability to actually live sustainably as a species. mostly asking bc these are fields I’ve studied in and there’s very minimal, very introductory education imo compared to how much potential there is for 1) innovation and 2) applied study of ecosystems etc to actually care for said ecosystems

These are classic individual-cart-before-the-structural-horse issues. Does the current US economy (I'm talking about US, this will be unique by country, no commentary on Italy or w/e) lack for environmental scientists? When the EPA makes job postings for inspectors, when Williams & Connolly LLP puts out the call for environmental consultants for pending litigation, when Siemens is drowning in NEPA paperwork for a solar installation and needs to onboard staff, do they lack for candidates? Like fresh-out-of-school candidates, not "30 years of experience litigating environmental impact statements in United States Court of Appeals for the Second Circuit" candidates? I think the answer is "no" - its a popular major. It has tiers for levels of math skill, it has politics & business subfields, and so on. The system only needs so many of these people to do its job - I actually know about the environmental field from a professional capacity having built a degree in it, and right now we graduate too many in this field if you made me bet (but again not by like a ton, they do fine).

You can't make the system care more via the lever of supply of college majors. We currently empower environmental scientists by X% because that is how much we value the environment as a society. You wanna budge that you gotta convince people, win hearts and minds, initiate political reform, etc.

With urban studies I haven't done this professionally so I am a little less confident, but I think we oversupply that category even more. We have tons of urban planners in the US - we just don't let em do anything! We hire them by the dozens in every city and then suborn them root-and-stem to elected officials and an infinite array of veto points by local councils and lawsuits. Boosting the supply of graduates would do absolutely nothing - in fact its a "flakeout" career as we call it in the industry, the kind of job someone majors in, gets hired in the field, and then leaves after a few years because it turns out to suck for w/e reason. (though again, never dug into the data on this one, so grain of salt on this specific claim. Wider thrust is true).

I think this ties into a general principle I have - the US higher education system is not a lever for social change. In some small ways sure, and for academia oh yeah ofc and I have a ton of ideas on that one. But overall its downstream of wider social forces, and its decently-optimized to cater to the needs of those social forces. You can't squeeze new social goals out of society's certification system.

[filmnoirsbian]

As this book has shown, insane offenders against the law are routinely convicted and warehoused in jails and prisons, and the jail and prison populations swell beyond the limit of health and decency, and the watchdog groups issue statistics and the media report them, and people wonder what can be done, and then they cease wondering.

Sometimes a little reform does occur. The US Supreme Court ruled in 2011 that the overcrowding in California prisons was unconstitutional. The high court sternly ordered that the correctional system population be reduced--to 137.5 percent of design capacity.

Mass shootings by people in psychosis create freshets of outrage--not over our poor and porous identification, care, and oversight of mentally disturbed people, but over the laxity of our gun-control laws. Gun-rights activists hear these outcries, and call, not with any great passion, for mental health care reform. Then the conversation drifts to other things, until the next massacre.

Police shootings of mentally ill victims, mostly black and poor and unable to find help, inspire similar freshets, with similar results.

Suicides take the lives of thirty-eight thousand Americans a year. About 90 percent of suicides are the result of mental illness.

No One Cares About Crazy People by Ron Powers

[livebyanothernamesosweet]

Canada is a really hard place to be right now. I know all the privileges we have but like most people cannot afford to own a home or rent an apartment. People are drowning in debt trying to live a lifestyle they cannot afford. People can’t afford groceries.

Several of our provincial governments are trying to strip away queer and trans rights (specifically for minors) as populism and fascism creep further into our politics and fear mongering finds its home in our society.

Certain provincial governments are trying to undermine the public education system and our post secondary institutions are under funded and mismanaged. The quality of education is decreasing rapidly.

My province is trying really really hard to underfund and undermine the public health care system in favour of a private one. 2.3 million people in Ontario don’t have a primary care physician. That number will double to 4 million by 2026.

Idk I’ve been watching the shrinking of the middle class and the way politicians (backed by huge corporations) have been stripping away our rights and freedoms for as long as I can remember.

And no one seems to notice or care bc governments distract people with nonsensical threats and fake issues like “queer/trans brainwashing” and no one pays attention to real issues bc they’re all afraid of the boogeyman. It’s exhausting

And they’re going to elect Pierre poo poo face who is homophobic, transphobic, sexist, and is backed by big oil companies. he has often proposed electoral reforms that favour the Conservative Party. He has openly insulted indigenous peoples on days of reconciliation. And he has stated that bitcoin will help solve inflation???

I can’t believe this man is going to the prime minister of Canada

[kp777]

By Jake Johnson

Common Dreams

Oct. 4, 2023

"Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American healthcare," says a new report from Physicians for a National Health Program.

A report published Wednesday estimates that privately run, government-funded Medicare Advantage plans are overcharging U.S. taxpayers by up to $140 billion per year, a sum that could be used to completely eliminate Medicare Part B premiums or fully fund Medicare's prescription drug program.

Physicians for a National Health Program (PNHP), an advocacy group that supports transitioning to a single-payer health insurance system, found that Medicare Advantage (MA) overbills the federal government by at least $88 billion per year, based on 2022 spending.

That lower-end estimate accounts for common MA practices such as upcoding, whereby diagnoses are piled onto a patient's risk assessment to make them appear sicker than they actually are, resulting in a larger payment from the federal government.

But when accounting for induced utilization—"the idea that people with supplemental coverage are likely to use more health care because their insurance pays for more of their cost"—PNHP estimated that the annual overbilling total could be as high as $140 billion.

"This is unconscionable, unsustainable, and in our current healthcare system, unremarkable," says the new report. "Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American healthcare, siphoning money from vulnerable patients while delaying and denying necessary and often lifesaving treatment."

Even if the more conservative figure is accurate, PNHP noted, the excess funding that MA plans are receiving each year would be more than enough to expand traditional Medicare to cover dental, hearing, and vision. Traditional Medicare does not currently cover those benefits, which often leads patients to seek out supplemental coverage—or switch to an MA plan.

The Congressional Budget Office has estimated that adding dental, vision, and hearing to Medicare and Medicaid would cost just under $84 billion in the most costly year of the expansion.

"While there is obvious reason to fix these issues in MA and to expand traditional Medicare for the sake of all beneficiaries," the new report states, "the deep structural problems with our healthcare system will only be fixed when we achieve improved Medicare for All."

Bolstered by taxpayer subsidies, Medicare Advantage has seen explosive growth since its creation in 2003 even as it has come under fire for fraud, denying necessary care, and other abuses. Today, nearly 32 million people are enrolled in MA plans—more than half of all eligible Medicare beneficiaries.

Earlier this year, the Biden administration took steps to crack down on MA overbilling, prompting howls of protest and a furious lobbying campaign by the industry's major players, including UnitedHealth Group and Humana. Relenting to industry pressure, the Biden administration ultimately agreed to phase in its rule changes over a three-year period.

Leading MA providers have also faced backlash from lawmakers for handing their top executives massive pay packages while cutting corners on patient care and fighting reforms aimed at rooting out overbilling.

As PNHP's new report explains, MA plans are paid by the federal government as if "their enrollees have the same health needs and require the same levels of spending as their traditional Medicare counterparts," even though people who enroll in MA plans tend to be healthier—and thus have less expensive medical needs.

"There are several factors that potentially contribute to this phenomenon," PNHP's report notes. "Patients who are sicker and thus have more complicated care needs may be turned off by limited networks, the use of prior authorizations, and other care denial strategies in MA plans. By contrast, healthier patients may feel less concerned about restrictions on care and more attracted to common features of MA plans like $0 premiums and additional benefits (e.g. dental and vision coverage, gym memberships, etc.). Insurers can also use strategies such as targeted advertising to reach the patients most favorable to their profit margins."

A KFF investigation published last month found that television ads for Medicare Advantage "comprised more than 85% of all airings for the open enrollment period for 2023."

"TV ads for Medicare Advantage often showed images of a government-issued Medicare card or urged viewers to call a 'Medicare' hotline other than the official 1-800-Medicare hotline," KFF noted, a practice that has previously drawn scrutiny from the U.S. Senate and federal regulators.

PNHP's report comes days after Cigna, a major MA provider, agreed to pay $172 million to settle allegations that it submitted false patient diagnosis data to the federal government in an attempt to receive a larger payment.

Dr. Ed Weisbart, PNHP's national board secretary, toldThe Lever on Wednesday that such overpayments are "going directly into the profit lines of the Medicare Advantage companies without any additional health value."

"If seniors understood that the $165 coming out of their monthly Social Security checks was going essentially dollar for dollar into profiteering of Medicare Advantage, they would and should be angry about that," said Weisbart. "We think that we pay premiums to fund Medicare. The only reason we have to do that is because we're letting Medicare Advantage take that money from us."

[qqueenofhades]

I've just watched Purple Heart on Netflix (don't, it's a waste of time for more reasons than fits in this ask box) but it reminded me once again that it took me some time when I was younger to understand why having a severe health issue would lead to financial ruin and debt in several American movies (I'm French). Some things would be tough in France, like being able to afford a really good wheelchair (more expensive than SS price cap), but not diabetes like the girl in the movie, or cancer. 1/2

2/2 I don't understand how people who would have all reasons to be in favour of a state-subsidised, paid-by-social-contirbution (it's cotisation sociale in French, not quite like a tax in its principle) health care system. We do also have discrepancies between rich and poor and our hospital is on the brink of collapse but that's under investment, not the the solidarity system.

Sorry I think I forgot a bit. I don't understand why people who would benefit form such a system are so resolutely against it. Just because of ideology?

As I have written about in various posts before, it is impossible to overstate the damage that forty years of hard-right messaging, starting with Reagan and continued in some shape or form by almost all his successors, has done on the American psyche. Until the 1980s, taxes were high, the welfare net was robust, things like college, health care, house buying, etc were either readily affordable or heavily subsidised, and somehow this was not viewed as Socialism, even in the middle of the Cold War. But then when Reagan and company got in there and revamped the entire economic system to chiefly and only favor rich people, they had to come up with a way to sell it to everyone else. Thus the Myth of the Free Market became America's guiding philosophy, and it worked. Oh boy, did it work. It still works now. You should reject any benefit or system introduced by the government because blah blah bad (as if the chaotic for-profit privatised broken mess we have now works so well, but shh, don't criticise the capitalism. That is, as we all know, Socialism!)

Anyway... yeah. I feel it important to note, however, that despite the stereotypes, the core base of Trump/MAGA/Republican supporters actually are not poor. They do fit some of the expected demographics: largely white, male, straight, and don't have a college degree -- but they often make $50k or more a year, which is definitely not poverty level. We are often sold the "Economic Anxiety" canard about Trump voters (ignoring the fact that voting for a Republican to fix the mess created by Republican policies is, uh, confusing), but the people at the Capitol on January 6 had enough money to leave their jobs, arrange travel and hotel in DC, and buy Trump merch and weapons and God knows what else. Some of them even flew there by private jet. So on the one hand, yes, there are plenty of poor and working-class white people who have been so brainwashed by Reagonomics that they reject even those reforms/programs that would help them (and also don't want those programs to help non-white people). But a lot of the MAGA support is exactly what it looks like: well-off white people for whom this unfair economic system is working pretty damn well, who do not want to be forced by the Evil Government to redistribute any of it, and are eager to embrace fascist and fascist-adjacent social and cultural policies as a result.