Y’all should give this state healthcare stuff a shot. It’s nice over here in Massachusetts.
Unfortunately most people don’t make enough to live in (urban) Massachussets :) if they did, us outsiders would colonize the fuck out of it immediately… with absolutely no remorse too.
Now, you might say to get my own state healthcare: however, counterpoint, I live in Georgia and we’ll probably not get there until collapse from the climate apocalypse has already started. Won’t stop me from trying…
Dr. Jameson (or insert your preferred distilled poison of choice).
I don’t understand this meme. If you have an hmo you’re supposed to have a primary care doctor/physician. If you have ppo then sure, it would make no sense to have a primary care since its not required to see a specialist. But if you have insurance and your not well off then it a pcp isnt an issue or you have an hmo.
Only 12% of insured people have an HMO.
“but since in the US you have to have insurance”.
Ohhhh i didnt know it was mandatory! That must mean everyone in the US can afford insurance. We did it patrick.
When the aca was passed, insurance was mandatory. Sorry i forgot that the gop tax bill in 2017 repealed the individual mandate penalty. Some states still do have a penalty for being uninsured.
I can’t speak for others but for me I don’t have a general practitioner because I will never go to any doctor if I don’t have to. I just simply can’t afford it or am absolutely terrified to find out how much the time bomb of a mystery the medical bill will be. I’ve never even looked because I already know I can’t afford to see a doctor for pretty much anything. It sucks
This happens in Canada too, you just extra fucked in the US because you also have to pay up when you go to a shitty walk-in.
I wish there was an easier way for foreign doctors, nurses, and medical staff to upskill, retrain, or otherwise have their credentials recognized so that they can continue in the medical field.
I’ve spoken to so many people (and their acquaintances) who can’t afford the money or time it would take to start over to become credentialed in engineering, law, and medicine. Agreements like the Sydney Accord help, but they don’t fix the problem.
Why not improve working conditions so we aren’t losing doctors who have trained here? They’re already trained in our system
We can do both, but Canada and the US get a lot of talented immigrants that end up working in low-wage jobs that aren’t taking full advantage of their existing skills. The system is so strained that we need a multi-pronged approach to fill in the gaps.
I’d love for residency programs to be overhauled to allow for changes to the matching system and for working hours to be reduced, if possible. I think demanding 80-hour work weeks from the least paid and least experienced doctors is a recipe for mistakes and burnout.
Not only that, but the way that visa sponsorship and the citizenship process can absolutely fuck you over is absolutely horrifying.
I have a family friend who immigrated for an engineering role at a consulting firm. The job was going really well, and he wanted to stay in the US, so he was getting ready to start the citizenship process once he hit the 5 year mark. About 6 months before the 5 year mark, the company let him go, and he had to scramble within the 60 day grace period to find a new employer who was willing to keep sponsoring his visa, or else he’d have to leave the US.
Mostly because they’re deliberately being made to leave the system so that it can be replaced by an worse American like system. For the reich to profit from.
I’m 51. I still list my pediatrician who I am fairly certain died thirty years ago. They don’t check.
