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’.

[–] NoneOfUrBusiness@fedia.io 2 points 2 weeks ago (4 children)

I'm probably stating the obvious, but is it not possible to immigrate and get healthcare in a decent country?

[–] LillyPip@lemmy.ca 3 points 2 weeks ago

Not with zero money or assets, and without the ability to get a work visa when you’re unable to work, no.

Pretty much nobody wants that kind of immigrant, no matter where you’re from. (I’ve looked.)

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