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ianbutler 7 hours ago

Sounds like we need to dismantle and replace this broadly dysfunctional system at multiple points. It's not like the US insurance landscape is anywhere close to the best way of handling healthcare if you look at many places in the world.

analog31 6 hours ago | parent | next [-]

I used to think this too. But the past couple of years have soured my taste for "dismantle and replace" of vital institutions.

I still think healthcare needs to be reformed, and I hope that insurance will someday be a thing of a past, but I've hung up my chain saw for now.

squigz 5 hours ago | parent | next [-]

This is because "dismantle and replace" (or perhaps in other words, "defunding") is not a serious, viable solution to many of the societal issues we face.

Things were ruined slowly. They unfortunately will need to be fixed very slowly too.

ianbutler 3 hours ago | parent [-]

I don't think that's going to work. We need broad political change and then that has to work rapidly to legislate this. I don't think slow and steady has done anything but lead to the decay our institutions over the last 70 years.

tehjoker 4 hours ago | parent | prev | next [-]

You've witnessed a dismantle and replace effort by the right wing that wishes to squeeze everything to make rich people more money. An effort by the left would destroy the private insurance scheme and build up medicare. Completely different and you'd get something functional.

When the wrong targets get destroyed, everyone suffers. When parasitic forces are destroyed, the system functions better. It's the difference between defense and friendly fire.

ianbutler 3 hours ago | parent | prev [-]

It's increased mine if it works for the repugnant morons in government right now we can use the same playbook for positive change.

SauntSolaire 20 minutes ago | parent [-]

It's easy to destroy but hard to create. If your goal is to further destroy then I suppose that's achievable, but I have a hard time picturing what positive change is going to come from it.

eueheu 6 hours ago | parent | prev [-]

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