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  • Other countries get cheap medicine because their health care systems negotiate for medicine supply contracts collectively. Large numbers of buyers collectively negotiating have more buying power than individual consumers. That's it. In both cases pharma companies are charging as much as they can given their market position. They're not charging Americans more because other countries know how to bargain. The two aren't connected. If they could charge others more they would, regardless of what Americans are paying.

  • America collectively doesn't deserve Bernie as president. People go on about how the DNC shafted him in 2016 but honestly, I don't think it would matter. I don't think he could win. The same country that elected a wretched sack of shit like Trump (twice) could never elect Bernie. Not to mention that if he got the nomination, the forces that would align against him (every single rich person and all of corporate America, and 95 percent of the media) would ensure that he wouldn't win.

  • This flagrancy makes me hopeful. Why? Because Americans don’t abide aristocracy. We were founded in revolt against unaccountable power and wealth. We will not tolerate this barefaced takeover.

    This sentiment brought to you by literally nothing.

    Americans will believe what the media wants them to believe, and virtually all of it is now right-wing nonsense. They aristocracy will entrench their power by ensuring that Americans are distracted and do not vote in this own self-interest, and modern technologies make that system more sophisticated than ever.

    That's not to say that the situation is stable - it's not. America is a country in decline. Due to existing institutions, and a huge amount of wealth, things will move on momentum alone for a while. But the trend is downhill now.

  • 小红书

    Jump
  • Most people do not care about digital privacy to the extent that they'll ever give anything up to achieve it. Online communities are not in any way representative of the general attitude towards these issues.

    If I ask people whether they're willing to put a mic in their house to let me spy on everything they're saying they'll say no. If I say it'll also turn lights on and off and play despacito on demand the vast majority say yes. In isolation people prefer privacy, so long as it costs literally nothing. As long as they have to give up nothing. That's where we are, unfortunately.

  • Directly government-funded healthcare and government-run single payer insurance are essentially the same thing. There's some rationale for keeping the government-run single payer system (whether you call it insurance or not) at arm's length from the sitting government to prevent too much political chaotic nonsense each time another government takes power, but they achieve the same things in terms of health care delivery and risk management.

  • The concept of insurance makes sense - pooling risk so that everyone can share a little pain all the time, so that unlikely but catastrophic events don't wipe individuals out. Making this arrangement for-profit is asinine.