@feld
Up and not crying
Relays (1)
- wss://relay.ditto.pub – read & write
Recent Notes
Get the app to keep using Pleroma
nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqqh097tfm3kv0nwffd9ggptn255d3fuqdcy3wauw5p4gz5z45s92qjctsag I don't know if you have seen its latest projects like The Pentaverate, he cannot let ...
@H. Faust @Blurry Moon let a skit die?! It was exactly what it was supposed to be. I loved The Pentaverate because So I Married An Axe Murderer is one of my all time favorite movies so the idea that this show exists because of his dad's conspiracy theory is just *chef kiss* of a callback
Anthony LaPaglia was genuinely cracking in that scene, plz tell me you know this is the origin... :cripes:
edit: hdr to sdr colors washed out in Firefox and idk how to fix this, don't care I guess lol
Anthony LaPaglia was genuinely cracking in that scene, plz tell me you know this is the origin... :cripes:
edit: hdr to sdr colors washed out in Firefox and idk how to fix this, don't care I guess lol
@Blurry Moon @nprofile1q... @nprofile1q...
> maybe if hospitals weren't bound to medicare which caps payouts they wouldn't get throttled.
This one I don't agree with. If you have no insurance at all, hospitals will give you a better price than with insurance. It's a huge discount. And I'm pretty sure it's even less than the medicare caps.
So they're OK with a low cash price but once you involve a 3rd party payer they crank up the prices and expect more. Why?
I know for like vets and dentists it's because it takes near 6 months for them to get paid so they gotta float it for a while and it's probably similar for hospitals.
If they could get paid faster I'd bet the prices would go down too.
> maybe if hospitals weren't bound to medicare which caps payouts they wouldn't get throttled.
This one I don't agree with. If you have no insurance at all, hospitals will give you a better price than with insurance. It's a huge discount. And I'm pretty sure it's even less than the medicare caps.
So they're OK with a low cash price but once you involve a 3rd party payer they crank up the prices and expect more. Why?
I know for like vets and dentists it's because it takes near 6 months for them to get paid so they gotta float it for a while and it's probably similar for hospitals.
If they could get paid faster I'd bet the prices would go down too.
@nprofile1q... @nprofile1q...
> It's not about the services. It's about who does them.
> You can have ambulances and universal health cares and all that. The question is always: who will do them? Supply X demand.
why have we had a nursing shortage for so long if our glorious free market should be activating and paying them so much money that we have a massive influx of new nurses?
There's clearly a high demand. But nothing is being done. Patients are just getting worse care. People don't want to become a nurse for shit pay, but something in our free market is broken that is holding down their wages.
What do we have to do to fix this?
> It's not about the services. It's about who does them.
> You can have ambulances and universal health cares and all that. The question is always: who will do them? Supply X demand.
why have we had a nursing shortage for so long if our glorious free market should be activating and paying them so much money that we have a massive influx of new nurses?
There's clearly a high demand. But nothing is being done. Patients are just getting worse care. People don't want to become a nurse for shit pay, but something in our free market is broken that is holding down their wages.
What do we have to do to fix this?
@Jezza™ @nprofile1q... @nprofile1q...
> Reigning in insurance and pharma, not socialization, is the solution: return to what has been demonstrated to work very well here.
This won't happen for the same reason universal healthcare isn't happening here: all those people in insurance and administration will lose their jobs.
Nobody wants to campaign on forcing 3 to 5 million people out of their jobs and trying to figure out how to keep communities that rely on their existence afloat.
> Reigning in insurance and pharma, not socialization, is the solution: return to what has been demonstrated to work very well here.
This won't happen for the same reason universal healthcare isn't happening here: all those people in insurance and administration will lose their jobs.
Nobody wants to campaign on forcing 3 to 5 million people out of their jobs and trying to figure out how to keep communities that rely on their existence afloat.
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@nprofile1q... @nprofile1q...
> Universal heath care you need to force people to become doctors (since they are paid the same as a barista) and enslave them later so they don't escape - like Cuba does.
by this logic wouldn't all government employees also be paid the same as a barista?
> Universal heath care you need to force people to become doctors (since they are paid the same as a barista) and enslave them later so they don't escape - like Cuba does.
by this logic wouldn't all government employees also be paid the same as a barista?
nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqgl7na33thzvreevzc7d23ecvtkasf6p9agy5laerxyut79q4lc0q795z09 nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqks4j70qusuv7hnaqcrr3azks95fxjpz...
@Jezza™ @nprofile1q... @nprofile1q...
> It's either a timebomb of a grift sucking up more and more money
which is why you need healthcare to not be a free market then and the government basically has to hold a gun to the heads of the vultures in the healthcare industry and tell them they will never be allowed to profit more than X percent from their expenses to research/manufacture medicines and no, their "advertisements" do not count as a valid expense. Why are we allowing these monsters to spend $10M on a drug and then $500M on marketing anyway?
> or it's substandard field medicine not fit for rural Cuba
except Cuba had the some of the best healthcare in the world even while we were embargoing the fuck out of them. Remember when Michael Moore took 9/11 workers there to get treatment they couldn't get in the USA??
This isn't an intractable issue, it just requires steps that most countries will never take. Especially America.
I don't believe that America highly regulating the healthcare market will somehow "end drug research and development" -- not for one second, especially when a ton of the breakthroughs happening aren't even coming from this country anyway, but from places with cultures that are much different because the people care about and respect their neighbors and have a sense of community/collectivism that won't happen here.
The government being able to supersede any medical patents and self-manufacture would be an effective price control governor on things too. If people need it and it's too expensive, someone has to do something. A healthy population is way better for the GDP and the health of the nation than letting Pharma rake in billions.
We also have to care enough to root out corruption and fraud but nobody ever wants to apply the required resources to do it, we always just half-ass it and then let the people opposing it use it as an example of why something can never work.
TL;DR we're fucked without culture change, but it's *possible*
> It's either a timebomb of a grift sucking up more and more money
which is why you need healthcare to not be a free market then and the government basically has to hold a gun to the heads of the vultures in the healthcare industry and tell them they will never be allowed to profit more than X percent from their expenses to research/manufacture medicines and no, their "advertisements" do not count as a valid expense. Why are we allowing these monsters to spend $10M on a drug and then $500M on marketing anyway?
> or it's substandard field medicine not fit for rural Cuba
except Cuba had the some of the best healthcare in the world even while we were embargoing the fuck out of them. Remember when Michael Moore took 9/11 workers there to get treatment they couldn't get in the USA??
This isn't an intractable issue, it just requires steps that most countries will never take. Especially America.
I don't believe that America highly regulating the healthcare market will somehow "end drug research and development" -- not for one second, especially when a ton of the breakthroughs happening aren't even coming from this country anyway, but from places with cultures that are much different because the people care about and respect their neighbors and have a sense of community/collectivism that won't happen here.
The government being able to supersede any medical patents and self-manufacture would be an effective price control governor on things too. If people need it and it's too expensive, someone has to do something. A healthy population is way better for the GDP and the health of the nation than letting Pharma rake in billions.
We also have to care enough to root out corruption and fraud but nobody ever wants to apply the required resources to do it, we always just half-ass it and then let the people opposing it use it as an example of why something can never work.
TL;DR we're fucked without culture change, but it's *possible*
1
nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqc5tlngqj4f9f3lkxnu2swe98pem78ss6xf380ldh3rlrm595zruspq6wcx I built a university project managing about 500 openvpn tunnels and came away deciding...
@Blurry Moon
> wireguard was faster and easier to manage and deploy and openvpn was slow buggy shit lol
this was before OpenVPN DCO existed (a kernel module for Linux/FreeBSD/Mac/Windows) that makes it in-kernel and on the same level playing field as Wireguard
also
> easier to manage
probably before the peer-fingerprint method existed which is also new
> wireguard was faster and easier to manage and deploy and openvpn was slow buggy shit lol
this was before OpenVPN DCO existed (a kernel module for Linux/FreeBSD/Mac/Windows) that makes it in-kernel and on the same level playing field as Wireguard
also
> easier to manage
probably before the peer-fingerprint method existed which is also new
amazing, I've converted my VPN tunnels from Wireguard to an OpenVPN setup using peer fingerprints instead of a whole PKI. This is equivalent in complexity to dealing with Wireguard keys but has some benefits:
- only one openvpn server instance required for all my tunnels to the cloud instead of a separate wireguard instance for each server that needs a static IP from my cloud VPS
- cleaner management of routes
- properly handles MTU/frags so I don't have the Wireguard UDP/QUIC problems
and it's actually faster lmao thanks to the OpenVPN DCO
- only one openvpn server instance required for all my tunnels to the cloud instead of a separate wireguard instance for each server that needs a static IP from my cloud VPS
- cleaner management of routes
- properly handles MTU/frags so I don't have the Wireguard UDP/QUIC problems
and it's actually faster lmao thanks to the OpenVPN DCO
1
@nprofile1q... I'm also using Victoria Logs and I think it's a good enough solution. Low resource usage, high compression, decent enough dashboard/web interface for searching or viewing watching a query live...
I still like having real logs on disk sometimes but this is great
I still like having real logs on disk sometimes but this is great
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