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With Florida being a "state", surely it is just a refugee situation. gently caress it words are stupid anyway e: this is a cat tax, drop your audits on the floor 
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May 21, 2023 17:17
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Brendan Rodgers posted:e: this is a cat tax, drop your audits on the floor
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May 21, 2023 17:32
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that's a dog
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May 21, 2023 17:35
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https://twitter.com/reperioverum/status/1660276684845641729
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May 21, 2023 17:40
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What "choice" is there in a health system? You have a thing wrong with you and there is a best treatment for that thing.
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May 21, 2023 17:44
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You will have the exciting new choice to pay for it or die from it
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May 21, 2023 17:47
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Also, most doctors working in the private sector do so part-time and have their main job in the NHS. Just like every other oval office who wants to privatise the NHS, Streeting's plan relies entirely on pulling thousands of clinical hours out of his arse. /\ /\ /\ In terms of choice, there are some people who will flatly refuse to go to specific hospitals, largely based on bad experiences (themselves or loved ones). Of course, Streeting doesn't mean that, he means "choose one of the companies who've bankrolled my entire political career"
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May 21, 2023 17:52
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gently caress. I worked in the NHS when they were talking about choice and departments 'competing' against each other, it led to an ongoing succession of gradually dumber and dumber decisions from business school dickheads who want to overlay profit seeking thinking onto an organisation that fundamentally cannot turn a profit (because that would be unfair to the poor baby private centre). You would think that this kind of JIT supply-chain thinking would have been proven disasterously wrong after the collapse of the gas, food and treats chains multiple times, but we live in the media landscape where every journalist has their oldest memories Eternal Sunshined every 6 months so that liberalism can continue to be the sensible, rational choice. I look at Wes' face and it's the kind of blank eyed stare that would happily kill millions if it made number go up.
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May 21, 2023 17:52
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There's actual choice, like "this treatment has these side effects, but this other one has these different ones" and then there's the same poo poo they always do which is where you get to select the colour logo at the top of your health bill.
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May 21, 2023 17:53
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Guavanaut posted:There's actual choice, like "this treatment has these side effects, but this other one has these different ones" and then there's the same poo poo they always do which is where you get to select the colour logo at the top of your health bill. You get to choose between many different "healthcare providers", who are all backed by the same underwriters, who are owned by the same capital, and are all colluding to increase prices. It's still a choice.
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May 21, 2023 18:09
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kingturnip posted:Also, most doctors working in the private sector do so part-time and have their main job in the NHS. Doing private and public work pushes up your indemnity costs and has a pile of overheads associated with 2nd jobs/businesses etc. There has, for a long time, not been enough private work for most doctors to go full private. I also expect that most people in the UK can't afford private healthcare. On an individual level, we are quite a poor country and the reality is if the arse fell out of the NHS many people would just die. The solution is going to be more Virgin/Serco/etc delivered services. Over time they'll reach a steady state where all the financially good elective work (cateracts/hips/knees, maybe imaging, maybe mental health) are done privately.
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May 21, 2023 18:23
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OwlFancier posted:What "choice" is there in a health system? You have a thing wrong with you and there is a best treatment for that thing. You can choose from a wide variety of deductibles, co-pays and out-of-pocket maximums!
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May 21, 2023 18:36
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quote:The party says this would allow patients to get treatment more quickly if queues are shorter at nearby hospitals. The actual plan is incredibly boring, seems like the sort of thing that would reasonably happen anyway if there were people paid well enough to transport patients around and keep track of things, and wouldn't really be even necessary as the revolutionary core of one of your five missions if the actual system worked properly by being given enough money to pay for people to be well-paid and buildings not to have underground swimming pools.
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May 21, 2023 18:44
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I've worked in the nhs for 20 years and it is my experience that patients don't want choice. They want to able to see a gp, a local hospital that can treat most things safely and effectively and access to more specialist stuff at large local hubs. This kind of talk from politicians is a huge red flag that they don't know what the gently caress they are talking about. Bobby Deluxe posted:gently caress. I worked in the NHS when they were talking about choice and departments 'competing' against each other,. Cameron introducing competition was the worst thing that I have ever experienced in my working life, again brought in by politicians without even the most basic understanding of what is important in universal healthcare (and also a oval office).
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May 21, 2023 18:47
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"being able to see a gp" would be nice given that mine is simply not taking appointments.
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May 21, 2023 18:51
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Ours is not taking phonecalls, just the econsult online booking system which is full by half 8. But of course the internet is definitely a luxury.
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May 21, 2023 19:02
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OwlFancier posted:"being able to see a gp" would be nice given that mine is simply not taking appointments. you can have a choice in how the receptionist treats you like poo poo
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May 21, 2023 19:05
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OwlFancier posted:"being able to see a gp" would be nice given that mine is simply not taking appointments. GP appointments are genuinely kafkaesque right now. I'll call 100 times at 8AM and when I finally get through I get told all the appointments are gone. Like a bad dream.
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May 21, 2023 19:08
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I'm thinking I'm just going to have to camp outside. I probably only need like five minutes to ask them if I can go back on my adhd drugs, could be done in an email if they took those.
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May 21, 2023 19:09
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Dysgenesis posted:I've worked in the nhs for 20 years and it is my experience that patients don't want choice. They want to able to see a gp, a local hospital that can treat most things safely and effectively and access to more specialist stuff at large local hubs. No, it's a huge red flag that they know exactly what they're talking about. It just isn't what they should be talking about.
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May 21, 2023 19:16
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Bobby Deluxe posted:Ours is not taking phonecalls, just the econsult online booking system which is full by half 8. Ours only takes phone calls but if you want a call back that day you have to call at 8am on a Tuesday. All slots are full by 8:10
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May 21, 2023 19:18
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Jedit posted:No, it's a huge red flag that they know exactly what they're talking about. It just isn't what they should be talking about. Ok I concede that point. Also, love your Av.
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May 21, 2023 19:34
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Same story here, if you want an appointment you're calling at 8am sharp and hoping to God you're one of the lucky ones, and you can only get an appointment for later that day. Everything is still via telephone and you'll only go in in person if the doctor on the phone determines it's needed, but the last time that happened no oval office was masked up anyway so ?? not sure why they're bothering.
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May 21, 2023 19:35
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Brendan Rodgers posted:With the risk of being locked up, there must be trans refugees leaving Florida now right? Refugees in fact even if not in law. anecdotally people who can afford to look for the exits are doing so, too bad relocating is pretty expensive just like every single other case of "well why don't they just leave [lovely state]"
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May 21, 2023 20:04
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this is pretty close to my heart as a Texan who has friends and family in Texas
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May 21, 2023 20:05
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Brendan Rodgers posted:With the risk of being locked up, there must be trans refugees leaving Florida now right? Refugees in fact even if not in law. https://twitter.com/ChristinaPushaw/status/1647374719409168384 the cruelty is the point, etc.
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May 21, 2023 20:37
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Dysgenesis posted:I've worked in the nhs for 20 years and it is my experience that patients don't want choice. They want to able to see a gp, a local hospital that can treat most things safely and effectively and access to more specialist stuff at large local hubs. I'm a bit confused by this. I worked in the NHS in the late 80s and most of the 90s. The whole Working For Patients thing and competition was starting back then and one of my main jobs was compiling an asset register from scratch for all the hospitals in the health authority in which I worked, computerizing it, then splitting up assets (including creating leases and sub leases where none existed, agreeing boundaries between NHS Trusts where a property was being split, between different waves of NHS trust creation. (We'd gone through 6 waves by the time I left and I was starting to see the same properties come back to be reorganized yet again) GP Fundholders got started. The whole premise being patients (or rather their GPs) should pick and choose where to send patients for treatment while the introduction of Capital Charging based on property valuations and added to the costs of service provision was brought in (with the Tory agenda being to price London healthcare out of the market and push the selling off of lucrative London land for redevelopment which I figured out and got 7 District Valuation officers in a room to agree that what we needed were the lowest asset valuations possible within their professional judgement. One said 'this hospital saved my son's life I will do anything I can within my power legally and professionally to help you out.' I left the NHS in 1997. You guys are talking as if Cameron introduced some of this stuff some 20 years later?
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May 21, 2023 20:39
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Apraxin posted:this is desantis's press secretary Banishment with extra steps. These are the first steps of a genocide. Brendan Rodgers fucked around with this message at 20:53 on May 21, 2023 |
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May 21, 2023 20:51
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May 21, 2023 21:43
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Gravitas Shortfall posted:Ours only takes phone calls but if you want a call back that day you have to call at 8am on a Tuesday. All slots are full by 8:10 Have you tried choosing not being sick? Honestly, choice is one of the most utterly over-rated things. I don't want to have to think about what GP I should go see or what hospital to attend, I want to not think about these things. It's like the photo of the American libertarian dipshit in a Cuban supermarket. So long as the one item on sale is good, that's perfect. Every time I end up needing to buy something from Amazon I end up paralysed by the excessive choice. Everything reviews at 4 & a bit stars, you want some comfortable headphones that don't sound poo poo & you can use for extended periods, & I spend dozens of hours just staring blankly while scrolling through 1,500 different kinds of the same thing. It's miserable. Pictures of Wes Streeting do me psychological damage at this point. forkboy84 fucked around with this message at 21:58 on May 21, 2023 |
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May 21, 2023 21:53
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https://twitter.com/LondonLive/status/1658806998673104896
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May 21, 2023 21:56
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Keir would never make lecherous comments to a neurodivergent teenager, he'd just deport him to gitmo.
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May 21, 2023 22:00
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Brendan Rodgers posted:GP appointments are genuinely kafkaesque right now. I'll call 100 times at 8AM and when I finally get through I get told all the appointments are gone. Like a bad dream. GP appointments at 8am 
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May 21, 2023 22:07
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My GP phased out phone appointments a few years ago and switched to some online thing where you just left a chat message for a doctor with an optional picture in case you just wanted to play a game of “does this look infected” and then they’d reply at some point with “yes/no/go to hospital and don’t touch anybody along the way” and send an appropriate prescription to your nominated chemist. It was almost certainly absolutely useless dogshit if you’re not tech savvy at all but I got by. They’ve now replaced it with a much worse, shittier thing that just says no appointments try again later so even the people who can work out how to navigate the system can’t see the doctor anyway. I’m not sure what the receptionists do now because they won’t set up appointments over the phone and they won’t discuss test results or medical notes or any other topics until after 1 so 8-1 is reserved solely for answering the phone and telling people to gently caress off I guess? I’m sure they have other important surgery poo poo to do I just don’t know what it is
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May 21, 2023 22:13
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Brendan Rodgers posted:You get to choose between many different "healthcare providers", who are all backed by the same underwriters, who are owned by the same capital, and are all colluding to increase prices. It's still a choice. And everyone works off the same guidelines if they exist so there is already a recommended course of treatment. I guess you could choose to have your lung cancer treated with TCM or homeopathy instead.
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May 21, 2023 22:33
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Dysgenesis posted:I've worked in the nhs for 20 years and it is my experience that patients don't want choice. This. My ears look and feel like someone's stuffing wotsits into them while I sleep. I don't want to have to become an informed buyer of otolaryngological services to get the problem solved. Most of the time I like that the relationship I have with the NHS is the same as an airline passenger has with the pilot. There have been circumstances where I've struggled with the lack of influence over my care from the NHS, but had that been in a private system it's unlikely I'd have been able to afford that care at all.
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May 21, 2023 22:35
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Z the IVth posted:And everyone works off the same guidelines if they exist so there is already a recommended course of treatment. Sorry I'm really thick could you elaborate as to what you are saying
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May 21, 2023 22:36
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That they would be providing the same service and "choice" would have to amount to "choosing things that don't work" Which is also broadly my position, when wrestling with the impositions of the natural world you don't really get "choices" as diseases do not generally respect your preferences. Like you might be able to choose what you're willing to go through to prolong your life but I think it would be utterly perverse to call that "offering choices" especially when actually improving access could prevent people from having to make those loving decisions at all because stuff would be caught before it got serious. OwlFancier fucked around with this message at 22:52 on May 21, 2023 |
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May 21, 2023 22:46
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its a cool trend we have going gas companies competing to sell us the same gas political parties competing to sell us the same policies
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May 21, 2023 22:51
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What they're pretending to sell as "patient choice" is "respecting patient agency" but what they're actually selling is "changing the label". Like if a certain course of medication makes me feel like a walking corpse all day and I'd prefer a different but perhaps slightly less effective pathway then I should have my agency on that respected and be able to discuss the alternatives. But end of history corporate hell rhetoric means that it has to be packaged up like choosing between the 12 identical ibuprofens on the pharmacy shelf at the Co-Op.
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May 21, 2023 23:04
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