Rural hospital decline is not just a healthcare story. It is what happens when Washington weakens one of the last institutions holding small communities together.
As Dickens said in A Christmas Carol, “Let the poor die and decrease the surplus population.” This is what The Fapweasel (Trump) is doing, even if he never read the book or saw a production of the play or movie derived from it.
The MAGA Republicans are not friends of the farmers or their rural communities. Even before Trump they were fighting against Medi care and Medicade. They call these lifelines and Social Security, "entitlements". We need to get rid of that expression once and for all. The only entitled people according to Republicans (especially in the MAGA Trump regime) are billionaires. They cover themselves in white, elite entitlement. And it fits them, just like the white sheets they try to hide in their closets. It comes down to what do human beings deserve? And they don't deserve a bunch of politicians playing God with people's healthcare when they get their's bought and paid for by the American taxpayers (and not the billionaires).
We ought all remember that our elected officials chose to give a tax break to the top 1% rather than support healthcare. Once again America many of you chose for the rule by the rich for the rich. Us ordinary folks don’t count, which is the true meaning of “cancel culture”. Vote them all out and replace them with highly vetted and monitored policy makers. I bet nobody takes the job!!
There's a lot to say here, and I'll try to keep it a lot shorter than you did.
The clown is a blatant, completely undisguised, inveterate liar. He always has been. How anyone listens to what he spews, and believes it, is beyond me. The simplest conclusion is that it tells us something about our countrymen, who actually vote for that piece of garbage. And their commonest stated reason is that they favored what he said he planned to do. They listened, they watched the insane clown show, and they believed it. We need to spend a lot more on education.
As for the American medical industry, it must accept some responsibility for the predicament about which it's now complaining. I don't let the clown and the rest of government, especially the Republicans, and anyone who takes money from drug and insurance companies, off the hook one bit. But the American medical industry is not "health care." It commonly has little or nothing to do with anyone's health. It's about moving money from wherever it is to providers, other vendors, and insurance companies. Real countries, that actually care about their citizens, have health care. We have the American medical industry. Eisenhower, the adored Allied Forces general and leader, warned us, when he became president, to "beware the military-industrial complex." A very high-ranking and highly esteemed military professional warning us to "beware the military-industrial complex." No, of course we didn't take his advice. But he was a military man. He wouldn't have known to tell us to "beware the medical-industrial complex." We wouldn't have taken that advice, either. The American medical industry is like Pentagon contractors: they have a turf, and they protect it. It keeps them bloated.
I have been a medical doctor for 50 years. A psychiatrist for 49. I came into a profession that had significant problems, and I've watched it get worse. If you think you have a doctor who's good, hang on to him or her. There are fewer and fewer.
I live in Miami. So there are no rural hospitals around here. I've never been into money. I don't live high, and I make enough to support myself. I charge way less than anyone else. If there was a hospital in need around here, I'd work there for free. As it is, if someone can't afford my low fee, I tell them to pay me whatever is easy. If they have nothing, I don't charge them.
This post wasn't necessary. It's an increasingly well known story at this point. I don't know how much will be salvageable after this coming November, and the January after that. I hope some is. And they need to change their perspective. You don't invent diagnoses, you don't treat people who don't need to be treated (you learn about "tincture of time"), and you don't overcharge. Running lean is a good thing.
The first thing I want to know when someone calls for an appointment is how urgent it is. Is it today urgent, this week urgent, next week urgent? I make it happen. I don't keep a full schedule -- I don't have to, because I want to get them better, and get them out -- and no one ever has to wait weeks or months for an appointment. Depending on the time of day they call, and what my schedule is, I can usually arrange to see them that day, if that's how urgent it feels to them.
As Dickens said in A Christmas Carol, “Let the poor die and decrease the surplus population.” This is what The Fapweasel (Trump) is doing, even if he never read the book or saw a production of the play or movie derived from it.
The MAGA Republicans are not friends of the farmers or their rural communities. Even before Trump they were fighting against Medi care and Medicade. They call these lifelines and Social Security, "entitlements". We need to get rid of that expression once and for all. The only entitled people according to Republicans (especially in the MAGA Trump regime) are billionaires. They cover themselves in white, elite entitlement. And it fits them, just like the white sheets they try to hide in their closets. It comes down to what do human beings deserve? And they don't deserve a bunch of politicians playing God with people's healthcare when they get their's bought and paid for by the American taxpayers (and not the billionaires).
We ought all remember that our elected officials chose to give a tax break to the top 1% rather than support healthcare. Once again America many of you chose for the rule by the rich for the rich. Us ordinary folks don’t count, which is the true meaning of “cancel culture”. Vote them all out and replace them with highly vetted and monitored policy makers. I bet nobody takes the job!!
There's a lot to say here, and I'll try to keep it a lot shorter than you did.
The clown is a blatant, completely undisguised, inveterate liar. He always has been. How anyone listens to what he spews, and believes it, is beyond me. The simplest conclusion is that it tells us something about our countrymen, who actually vote for that piece of garbage. And their commonest stated reason is that they favored what he said he planned to do. They listened, they watched the insane clown show, and they believed it. We need to spend a lot more on education.
As for the American medical industry, it must accept some responsibility for the predicament about which it's now complaining. I don't let the clown and the rest of government, especially the Republicans, and anyone who takes money from drug and insurance companies, off the hook one bit. But the American medical industry is not "health care." It commonly has little or nothing to do with anyone's health. It's about moving money from wherever it is to providers, other vendors, and insurance companies. Real countries, that actually care about their citizens, have health care. We have the American medical industry. Eisenhower, the adored Allied Forces general and leader, warned us, when he became president, to "beware the military-industrial complex." A very high-ranking and highly esteemed military professional warning us to "beware the military-industrial complex." No, of course we didn't take his advice. But he was a military man. He wouldn't have known to tell us to "beware the medical-industrial complex." We wouldn't have taken that advice, either. The American medical industry is like Pentagon contractors: they have a turf, and they protect it. It keeps them bloated.
I have been a medical doctor for 50 years. A psychiatrist for 49. I came into a profession that had significant problems, and I've watched it get worse. If you think you have a doctor who's good, hang on to him or her. There are fewer and fewer.
I live in Miami. So there are no rural hospitals around here. I've never been into money. I don't live high, and I make enough to support myself. I charge way less than anyone else. If there was a hospital in need around here, I'd work there for free. As it is, if someone can't afford my low fee, I tell them to pay me whatever is easy. If they have nothing, I don't charge them.
This post wasn't necessary. It's an increasingly well known story at this point. I don't know how much will be salvageable after this coming November, and the January after that. I hope some is. And they need to change their perspective. You don't invent diagnoses, you don't treat people who don't need to be treated (you learn about "tincture of time"), and you don't overcharge. Running lean is a good thing.
The first thing I want to know when someone calls for an appointment is how urgent it is. Is it today urgent, this week urgent, next week urgent? I make it happen. I don't keep a full schedule -- I don't have to, because I want to get them better, and get them out -- and no one ever has to wait weeks or months for an appointment. Depending on the time of day they call, and what my schedule is, I can usually arrange to see them that day, if that's how urgent it feels to them.