this post was submitted on 18 Oct 2026
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I'm be real, and ain't nobody wanna hear this but...
Even with full health insurance, most hospitals and doctors in my 50 mile radius area either do not accept patients or are booked out to 5 months. I really think we have a educational problem that's leading to not enough qualified doctors. I also see a lot of "Nurse Practitioners" and actual MDs that are running rounds at multiple area hospitals.
Not only does DJT know that Democrats won't pass Universal Healthcare (setting them up for failure), but doing so would lead to cutting corners on actually educating qualified doctors, possibly leading to more harm than good.
IMO the bigger issue is education, planning, and prioritizing. We (as a Nation) can't go all in on Universal Healthcare without planning and prioritizing education and ensuring that our system can handle the flood of new patients.
They are booked out, because the insurance makes them go thru mutliple loops, wasting an insane amount of time. My dentist had to make 4 separate appointments for a root canal/crown, because the insurance required proving each sub-procedure, with x-ray for each one of them, that otherwise wouldn't be required. and I could've had it done in two.
is your dentist charge for each appt? i had to go 3 different dentists before i was able to get a crown, after root canal, after a emergency visit, i am pay out of pocket, i mininmized the cost by using yelp, and other review sites.
It’s something like 90% of Americans avoid going to the doctor at all if they can help it, 5 months is a lot less time then never. Also demand drives supply, more patients means more need for clinics, imaging centers, hospitals, doctors, nurses, universities etc. universal healthcare could be a financial boon
i have aca plan, and it barely covers surgeries, er visits(though managable just not chronically). with the changes to medicaid/snap curreently, i suspect the ACA will be attacked soon, much last year.
unless you are on a employers dental/health plan, dental is not covered in anyway, if you try to buy a individual plan from a thier specific websites, they are more less the same in the coverage, barely anything outside of cleanings and xrays, not even cavities are covered entirely and they have a very low maximum yearly, mostly 1-2k.
Healthcare is being run as a business with "just in time" supply and demand, overworking the workers who are willing to work overtime to save patients, cutting fat and trimming operations until it is a lean machine that when you take anything away would sputter. That is the ideal neoliberal image of healthcare. We saw how that worked out with Covid. Some areas should be inefficient and have "fat".
And of course the burocracy mandated by private insurance.
I don't understand why we need a plan.
When cheif of the fire department needs more people; They hire more.
When the chief of police needs more deputies; They hire more.
When the chief of medicine needs more nurses... Wait we don't have a cheif of medicine? Hu. Werid...
the chief, is actually the hospital admin, think CUDDY from house, shes the 'boss" of that hospital.
Education isn't the bottleneck, residency is. Plenty of qualified doctors coming out of med school that don't get residency, so they have to try again next year (and compete against fresh grads).
Raising residency limits is, of course, unpopular because it means more doctors, which means less demand, so less pay to cover med school loans...and nobody wants med school to cost less. Least of all the people buying up those loans. Read: rich folk that live on investments.
The rate at which new doctors are trained in the USA has historically been bottlenecked by the number of residency program slots available. Hospitals financially benefit from each resident they employ, but not as much as they do from adding other roles, instead (such as nurses). Also, it is not trivial to create a new residency program or expand an existing one (accreditation requirements, other fixed costs, etc.). This is why 25 % of USA physicians are immigrants. The Republicans have also made it more expensive to get loans for medical school, which will discourage some people from going to med school in the future, although the insufficient supply of residency slots might still end up being the bottleneck.
But even if we did not increase the supply of doctors, moving to Single Payer would still benefit us by reducing cost. I don't think Single Payer would need to be coupled to increasing the supply of physicians.
nurses are making bank, they deserve it. when 2 billionaires made it free for the current students, i think columbia and one other. the schools selectively excluded less well off/wealthy students(people that can stay home all day and study) from medical school from being accepted, so it isnt an easy fix, because med school is not something you can have a job and still study, thats why most tend to be wealthy MDs or well off.
alot of the MDs in our area are asian, ME, or indians, and whites. the 4 well off demographics, black and latin ones are rare, others like indigineous are almost non-existent.
this is very similar to 2 other health programs i looked at radiology technologist, and CLS. both ahve decent high income but very small bottlenecked amount of schools that teach it. Community colleges, while very cheap have horrendous acceptance, and wait times, many years(4 years sometimes), many students find it not worth it and just get a degree instead, because they only ever accept 20-30 per semester or per year out of 20k people waiting for any number CC that teach it(lucikly is not by competition, but by a lottery system).
CLS has a same problem but reversed, low number of schools that each it, and even lower for the adjacent MLT program(that can be used to bridge the gap for a CLS program), plus everyone is trying to come to the west coast for the schools(only 9 schools in the west teach it, imagining hundreds and thousands trying to get into the program at any given semester). this ensures the salaries remain high i guess, by limiting how people and how much schools are teaching it. CLS significantly more competitive than Radio techs(because it requires alot of 4 year university classes. CLS is appealing because it is a very cheap grad program(less than 20k for the whole year), compared to something like pharmacy from a nearby university which is more than 10X the cost and 3-4times as long, but thier starting salary is very similar.
radio tech people can choose to go to a university, which has expideted acceptance, but way more expensive, also similar income levels. oh and there are shortages of cls and radio techs in general, but im guessing its on purpose so they dont lower the salaries.
Damn, it's a more multi-faceted issue than I had guessed. The U.S. sure has a long uphill battle ahead...
They have been purposely fucking shit up for a long time. They just keep layering more shit on so there's never a chance of any real progress.
You're really falling for the fascist lie of "people are getting dumber"
Is it really a fascist lie?
At least in the U.S. the educational burden has certainly increased. The cost of living, the closing of schools and combining of districts, the stagnant wages of teachers, the shortage of teachers due to the stagnation, the automation of jobs is removing apprenticeships, LLMs do not teach as well as doing things hands on. The influence of social media is still a strong pull and media literacy feels like it's at a low in the U.S.
I have a feeling in the next decade we're going to start seeing the consequences as boomers age out of legacy jobs and automation takes the place where educated workers used to.
Yes. It is a fascist lie.
And education != intellect, education teaches people how to harness the intellect they already have more effectively. A metaphor is "everyone has flour, education teaches you how to make it into bread"
Another key point, to fill the gap caused by extremely expensive Higher Education, self-teaching has become a booming market.
Stuff like Online Courses that give a degree if you pay, but all the material is given for free.
wages are definitely stagnant for teachers, we had people arguing in the subs, that they are relatively "high" in certain places, but the COL negates the wages a bit. like here it takes 10years being a teacher to get even 100k, with the hcol, its way less than that. i wonder if teachers even stay that long and, if 70k is really the starting salary. im also hearing districts are using SUBSTITUTES instead to lower the cost of hiring a full time teacher.
The number one cause of personal bankruptcy in the USA is healthcare. At this point, what is worse, losing everything to a massive dumpster fire, US healthcare, waiting for treatment or croaking because your health insurance sucks shit.
2nd one is likely student debt loan, from expensive private universities.
The hardest part of American healthcare is buying the tickets to Europe or Mexico for the affordable operation.
Edit: wait, I can see the tsunami coming, I made the mortal mistake of commenting on American affairs. Fuck this shit I'm out.
You can open the floodgates but if a plan is not in place to displace the water it'll overcome the system.
The for-profit system is also already slow as balls. It chugs along fine at a snails pace.
To say there's not a educational shortage on degrees that take up to 8+ years in a country that is already facing an educational deficit I think is the real irrational. Planning is an important step that shouldn't just be left as an afterthought.
In Canada when they implemented dental care they did it progressively by age group, that could help a bit with the issues you're describing.