The Unsteady State of Healthcare

Part I

Criticism of our neoliberal system is a common theme within dissident circles. Whether it’s the fact that our government can’t crack down, even if it wanted to protect the people, or the critique that our government only cares for ‘muh economy’, dissidents are using the COVID-19 pandemic as a way to point out these flaws. However, if the pandemic ends up killing hundreds, thousands, or millions of people, is irrelevant to the stark reality that our society has been thoroughly corrupted. This pandemic only highlights the foolishness of sending manufacturing off-shore, importing millions of non-citizens, or monetizing our healthcare system.

Many people can sense this weakness in our system now. There is a lot of fear out there, and I think many regular people across the political spectrum -if only subconsciously- have similar fears as dissidents; our society sucks and we don’t have what it takes to save people anymore. We can’t manage our community health like we assumed, and we are closer to death than we thought.

I agree with criticism of our neoliberal order. I agree that our government won’t enforce authoritarian measures effectively to do the right thing. I agree that all our elites care about is the economy, and that ChArlie KiRk whining about March madness is repulsive.

Let’s take a step back and consider healthcare. It shouldn’t be controversial that our healthcare system is broken. We spend way too much money, and don’t get much as a society in return. Our healthcare system right now spends an ungodly amount of money, and an outrageous percentage of our GDP goes towards healthcare. The vast majority of those dollars go towards patients in the last six months of their lives. It’s too much squeeze for the juice. Healthcare will always be the healthy taking care of the sick, but our system is so perverted and skewed right now. Without being ghoulish about its collapse, we need to honestly point out the failures of healthcare.

How we deal with death as a society is a big issue, but my view is that healthcare should focus on making the entire herd healthier, while still maintaining compassion and care for people living through the end of their lives. What healthcare does to dying people today is neither caring nor compassionate; but we feel ‘upcummies’ for how hard we fought. Wear your pink ribbon for fighting breast cancer, red ribbon for heart disease, white ribbon for lung cancer, purple for brain injury, and so on. Get your bumper sticker or tattoo for “fuck cancer” and a t-shirt that you ran a 5k to raise money for “curing” Alzheimer’s.

I would argue that we spend too much money, and put way too much emphasis on dying people.
Why do we have healthcare?
Is it for the bulk of the herd?
Or is it just a costly circus that we throw money at so we can feel better about grandma not dying near us, and so we don’t have to think about the actual process of death. Our communities have been shattered, and it’s not just atomized NEETs living in their basements. In fact, I would argue that the process of isolation has occurred across the age spectrum. It’s also moms and dads endlessly wagecucking, and spiritually alone under the tyranny of HR busybodies. It’s grandparents wasting away in “skilled nursing facilities” with our nation’s healthcare paying for foreigners to wipe the nectar thickened dribble off their bibs.

In the end, why do we have healthcare? It is for the community, OUR community, which has been broken. Rebuilding our community means shifting the focus away from the elderly and towards our next generation. This means hard decisions such as how to help grandma through the dying process without bankrupting our future.

Modern Monetary Theory should be used for working class men to make enough money to support a family. MMT should be used for education. MMT should be used for families to afford homes.

I personally think we should use LESS MMT on the dying part of our community. These pharmaceutical companies, multinational hospital corporations, and insurance companies, are sucking us dry, selling us false hope that we can “cure cancer” or conquer death.

In summary, I believe that our society is ill, I see this pandemic as an opportunity to point out its weaknesses, but I think building community is much more important than preventing death in the elderly or infirmed. Furthermore I believe that confronting and acknowledging death will ultimately help us to reconnect with our humanity.

Part II

Despite my criticism of the response to this pandemic: our awakening to the fragility of our healthcare system is a good thing.

What would I like to see changed in healthcare?
I think that we should have buffers within our system so that we don’t always have full ICUs and ERs. Healthcare should not be like McDonalds with just in time delivery. Running a hospital like a McDonalds business, with responsibilities to corporate shareholders; is fundamentally wrong. If McDonalds runs out of burgers, it’s not the end of your life (in fact that might actually be good for your health). Healthcare should be designed to accommodate and account for pandemics, which should juxtapose capitalism which is always trying to get by with the least amount of redundancy possible. Today the panic is with COVID19, tomorrow there may be a more deadly pandemic. How we deal with societal threats to our health needs to be reassessed.

Right now “healthcare” is enormously focused on keeping sick people alive longer. I mentioned previously the high proportion of dollars spent on the last six months of patients’ lives, and what we have now is more like ‘deathcare’ than healthcare. We need to help people die better, not just live longer.

On that same token, we need to help people live better, not just die slower. Healthcare needs to encourage healthier living. I’m all for fat camps, and using authoritarian measures to stop smoking and drunkenness. Healthcare should be helping working class people, and should be focused on crushing the habits which stunt working class lives. Paying vascular surgeons to perform amputations for ischemic limbs because of smoking IS NOT HEALTHCARE.

Healthcare should be crushing big tobacco. Healthcare should be crushing big agriculture and our toxic food supply. Healthcare should be crushing big Gay immorality that leads to diseases we shouldn’t see like AIDS, and multi drug resistant STIs. Healthcare should be supporting women as moms, and should be crushing the idea that motherhood is just something ‘wahmen’ do on the periphery of their all-important careers. Healthcare should be crushing pharmaceutical companies pushing opiates on the people. Healthcare should be grabbing homeless people off the street and putting them in homes to clean up or care for their psychiatric diseases. Healthcare should be cleaning the streets of drug dealers and homeless camps.

Good healthcare requires a strong community to have the muscle needed to perform this work. If your community is fractured; your healthcare is worse. I shouldn’t even have to make the point that if your doctor or nurse can’t speak English, your healthcare is worse.

Healthcare should be strengthening our community, and as much as our elites don’t want to admit it, there is such a thing as the white community. Right now all of our elite’s efforts are aimed at preventing the white community from strengthening itself, or even recognizing itself as an entity.

In my mind the Mannerbund is integral to a prosperous and positive future for healthcare, and this effort to rebuild our community, brick by brick, is laying the foundation towards our society creating better healthcare.

2 thoughts on “The Unsteady State of Healthcare

  • March 31, 2020 at 10:55 PM
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    A fine article. Reminds me of the old saying: “let thy medicine be food, and thy food be medicine.”

    When I was young, out of high school, I wanted to have a career I could pat myself on the back for. So, I tried getting into medicine. I started with Phlebotomy. It was only after I completed the course that they told me an 18 year old would never compete for Indian wages – this was a mercy after being turned down for multiple applications. Then the school reimbursed me for my time (they promised an internship and failed to deliver) by enrolling me in medical transcription. The same result ensued.

    Eventually I took a CNA course and worked as a nurse’s aid. Because my grandfather had just developed dementia, I ended up working in the dementia ward. I can say without exaggeration that there were appalling bits.

    There was an investigation because some of the nurses were posting “inappropriate” pictures of residents without their consent. The worst of if was how in the kardex, human beings were reduced to interesting measurements. You were expected to treat residents (who my employers insisted be called customers) within a ludicrously slim window that abnegated their needs. (No time for introductions, 30 seconds for this, thirty for that, und so weiter.) Their emotional health played no great role.

    My wife worked for an elder care facility. I shall spare the world her anecdotes, but the whole affair was a grim money grab that became more reptilian with every woman fired and nepotistically replaced.

    The long and short of it is my career in medicine ended early and my wife’s adjacence to wealthcare was a welcome terminus when it ended.

    I shudder to think of what the state of modern medicine will look like when my beard is grey and my eyes are dull. It would be, I think, much better to die at home when the time comes.

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  • April 1, 2020 at 1:18 AM
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    We should use our tax system to discourage bad choices that lead to poor health. Specifically, we can tax fast food, gmo foods, processed foods, sugar, candy, soda, alcohol, tobacco etc..

    Levies can vary by which food category is determined to be more or less harmful. Money raised can go towards subsidizing aspects of healthcare that should be free such as childbirth, childhood illnesses, vaccines, broken bones, basic dental care, eye-care, etc.

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