arms_room_rat

arms_room_rat t1_je2t1nf wrote

Lobstermen aren't some noble group of people that should be free to roam the seas with impunity. It's an important industry and employs a large amount of hard working mainers, but you seem to be idealizing them in a way that is pretty delusional. They are generally pretty uneducated and backwards thinking as a group, they think everyone else should be bending over to accommodate their industry and any effort to regulate is going to "put them out of business", and it's pretty true that they either are pretty wealthy if they are smart with their money or they are crippled drug addicts who do a lot of harm to their community.

I generally think the state should invest in moving away from resource based industries because whether it's global warming or over fishing it's a vulnerable industry and it would be a disaster if it collapsed with no replacement. See the grand banks fisheries in newfoundland or the paper industry in maine.

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arms_room_rat t1_iye1axt wrote

Omg the beds aren't empty they are overflowing, which is the ENTIRE point of the post! What are you even saying right now? Healthcare facilities are owned by healthcare companies...what is the point even saying that lol? Lol this whole exchange has been kafka-esque - up is down apparently?

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arms_room_rat t1_iydx3rs wrote

Oh my God. Go back and read my post again, and maybe again. Healthcare companies rely on third party payors, which are private and government insurers, to get paid. Healthcare companies also determine what services they offer. Reimbursement is LOWER than adults for pediatric beds because PAYORS (like MAINECARE but also other entities) do not pay as much. Mainecare is NOT a healthcare company. Healthcare companies have reduced the number of pediatric beds because they are putting profit motive above community need.

An obvious and short term fix is to increase reimbursement rates through the government funded payors, however unless you eliminate the profit motive from Healthcare it is only temporary as the cycle of rising costs will repeat.

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arms_room_rat t1_iydv81o wrote

I don't, I literally just said reimbursement is too low and in my previous post as well. Wow, there really seems to be a reading comprehension issue going on in here today.

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arms_room_rat t1_iydjoe0 wrote

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arms_room_rat t1_iydjjrm wrote

All I said is that "Healthcare" companies are reducing the number of beds for kids because the reimbursement is poor, reimbursement comes from insurance (which, yes, includes medicaid/medicare). So please point out what I'm "wrong" about. In my opinion we should be allocating resources (money and services) based on community need not on profit, that involves an entire overhaul of our extremely broken "Healthcare" system.

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arms_room_rat t1_iycxiqf wrote

...which is why I said and other payors...mainecare is a payor. And I'm talking about lack of access, not lack of profit margins. You are really dense.

Eta: lol now you are going to send me dm's telling me to go fuck myself? Wow what a mature individual. I really hope you don't actually work anywhere near patients.

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arms_room_rat t1_iycwsgu wrote

Cigna is an insurance company, if they (and other payors) paid more for reimbursement then there would be more pediatric beds. But we also probably shouldn't have a system where whether or not children die without access is based on profit.

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arms_room_rat t1_iycuk8t wrote

Obviously if reimbursement were higher for kids then hospitals would be incentivized to have more pediatric beds - nothing in my post suggests otherwise.

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arms_room_rat t1_iycs12z wrote

"Healthcare" companies have vlbeen reducing the number of pediatric beds because they don't make as much money as adult beds, which has been a trend for years that the pandemic exacerbated because of the need for adult ICU beds. Just another symptom of money driving Healthcare rather than community need.

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arms_room_rat t1_ixdapwe wrote

Reply to comment by demalo in Damn by Popomatik

I think both are the case personally. But I agree that the phenomenon should be closely investigated and more data would lead to better policy.

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arms_room_rat t1_ixdafvy wrote

Reply to comment by yupuhoh in Damn by Popomatik

What evidence do you have that "a lot of reports are false reports"? I will say, as someone who is a mandated reporter and has made many DHHS reports that reports are not alway investigated, that doesn't mean they are "false".

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