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Dan Romero pfp
Dan Romero
@dwr.eth
The reason the US doesn't have nationalized healthcare: 1. Wage freezes during WW2, allowed businesses to add healthcare as a non-cash comp increase 2. Truman tried to nationalize the healthcare system after the war, labor unions and doctors (AMA) did not want it. So lobbied the Democratic admin / Congress to nix it. 3. Healthcare tied to work became further entrenched, led to the rise of a massive healthcare insurance industry 4. When Obama had supermajority in Congress (filibuster proof!), Democrats let insurance companies and AMA weaken the law. There was nothing Republicans could do to stop the law from being passed. Just special interests. 5. Further, Republican Congress under Trump did not repeal Obamacare despite claiming to want to (because many Republican congresspeople are from high healthcare use districts). And conservative majority Supreme Court upheld the law! https://www.kff.org/wp-content/uploads/2013/01/7871.pdf
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Meanwhile countries like Brazil have world class public healthcare, and still force employers to pay for it as a non-cash comp increase, offloading stress from the system and ensuring everyone is covered, not just the full-time workers. US systems, all of them, not just healthcare, are always designed to ensure capitalists have a way to fuck over anyone they don’t like. It’s not innovative, or justifiable, it’s just stupid. I’m not saying the only system that could ever work is single payer, nor health savings account, not employer/union benefit, but the US’s system pulls from all the worst baskets and then tries to claim all the innovation is because of it. Yes technologists will choose the place where they can earn the most money to park their patents, but in a sense of such amoral garbage countries, they would still do the work of innovating in the space. The US doesn’t get to claim the innovation, only the greed that undermines its value.
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*in absence of
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