this post was submitted on 07 Dec 2024
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[–] PugJesus@lemmy.world 24 points 2 weeks ago (13 children)

Adding to a six-figure base salary, his pay was calculated by the number of relative value units, or RVUs, he billed on behalf of the hospital. The system compensates doctors using weighted values for certain types of visits or treatment. It works like this: A doctor might be paid $100 per RVU. A routine physical might be equal to 1 RVU, or $100; a more complicated and time-consuming procedure like radiation therapy might equal 8 RVUs, or $800. In other words, the more patient visits and treatments a doctor bills to insurance, the more that doctor and the hospital earn. Weiner described this system, which is common in American medicine, as “eat what you kill.”

Jesus Christ.

[–] LillyPip@lemmy.ca 20 points 2 weeks ago* (last edited 2 weeks ago) (8 children)

I learned this a few years ago. Because my condition is lifelong and degenerative, my RVH is quite high, and so my value to insurers and doctors/hospitals has a very low ROI. My care has degraded quite obviously as my condition has deteriorated, to the point I’ve decided I’d rather die at home than bother with healthcare at this point. And I can’t afford it anyhow. That sucks, but I’ve got medical PTSD now, and I don’t want to put myself through the indignity anymore. (eta: I don’t think I deserve the indignity anymore.)

I’m by far not alone in this. I used to be a very productive member of society, and I still could be if I could get even passable healthcare, but I can’t because the system has broken me. I have very in-demand skills that I can’t use, and instead , I’m staring down homelessness now. I cannot afford food.

This system is wasting people’s potential and lives. I will not survive this administration. I likely won’t make it another year.

The US medical system wants me to die, and I feel my compatriots have now voted to accelerate that. I honestly don’t know why I’m still fighting. I feel like I shouldn’t.

I get why the shooter did this. Our lives mean less than nothing. These executives can’t even imagine what it’s like to be using washcloths because you can’t even afford toilet paper.

Eat what you kill indeed. I have a nice recipe for a pork sauce. Humans have been called ‘long pork’.

[–] PugJesus@lemmy.world 10 points 2 weeks ago (2 children)

That's... horrifying. I'm in and out of hospitals, but when my disease kills me, if it kills me, it'll be a quick, "Your body fucked up extra hard for a few days out of the year, and we couldn't get to you in time" rather than a progressive degeneration. I'm at risk, but I also have an okay chance of surviving the fuckery of the next few years, even if not as okay a chance as I'd like. Or as I'd've had if my countrymen weren't a bunch of cretins.

Don't rightly know what to say, other than that you - and I suppose, all of us - deserve better. Our shitty for-profit healthcare benefits neither the sick nor society as a whole. It's a parasitic malady in its own right to make a few ticks fat on our blood. And the death toll just keeps increasing.

[–] LillyPip@lemmy.ca 8 points 2 weeks ago* (last edited 2 weeks ago) (1 children)

Thanks, I just have to make peace with it, honestly. I’m still in the denial/ anger stage, unfortunately. It feels unfair.

I’m glad you can make it through. Hang in there, and I hope you can enjoy the time you have.

None of us should have to deal with this in the most affluent country in the world, especially when we have more to contribute, and especially when a few greedy cunts are siphoning our resources into a dragon hoard they couldn’t possibly spend in a thousand lifetimes. It’s obscene.

I will die at the altar of their greed. I had much more to do, much more to invent and write and think, but a few dollars they can’t even spend was worth more than my life. So be it.

[–] voracitude@lemmy.world 5 points 2 weeks ago

It is unfair. Fuck every one of these people for doing this to you, and double-fuck every one of those doctors for breaking their oaths. They owed you better.

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