TIL the nice lady that sends me emails that I read in the morning is just like the tea party

Hwhut

I hope you tied your shoes before you went out

100%. Our current system is trash and we need to move to a much different one.

You idiots just make things worse.

Like the ACA or not, it is indelibly integrated into our system. Ending the subsidies is like digging out a part of the foundation and hoping the whole thing doesn’t collapse. And the republican “plan” to address it is not only hilariously inadequate, it will likely make things worse.

What about the effect on providers? Most hospitals live on a knife’s edge financially. Think access is bad now? Wait until a bunch of hospitals close because suddenly a bunch of uninsured people show up for uncompensated care and it blows holes in their budget. Practices close. Nurses get laid off.

Say you have hypertension & you don’t know it. Or, say you know, but you forego meds bc it’s too expensive. HTN is the #1 risk factor in cardiovascular disease. Again, you’ll get away w/avoiding care for a time. But you’re taking permanent damage to your health and it will eventually catch up w/you.

It’s not just about costs. If a car breaks down, you can get a new one. But you only ever get one body. With a serious illness or injury, there’s no guarantee you’ll avoid long term effects on your health & reduced quality of life as a result. Maintenance at least gives you a chance to avoid this.

Back to “healthy” people dropping ins. I don’t like the car analogy, but it’s apt here. Using healthcare services only when sick is like foregoing maintenance until the car breaks down. Which is better: pay ~$100 a couple times a year, or wait until you can’t ignore a prob & pay ~$2000 instead?

Ins revenue falls w/fewer subscribers. Companies will raise premiums *on everyone* to make up the difference.

In other words: the loss of ACA subsidies makes everyone’s premiums higher. Even if you get commercial insurance through your employer, the premiums are all connected.

People leaving the ins “marketplace” won’t drive down costs because ins works by spreading risk across a population of subscribers. People w/known health challenges will stay, while people who think they’re fine will drop. Now the subscriber base is nominally sicker w/higher per capita utilization.

So people who know about their health needs are going to be gouged further by premiums & care costs.

People who drop insurance may figure they’ll take their chances & hit up the ED if they really need it. And this will probably work out for some number of them, more or less.

Idk man, screaming the Hard-R at customers while gesturing at your crotch seems like one of those “immediately fired and kicked to the curb” kinda things.

Or is racist abuse not a dealbreaker for worker solidarity?

This meme is making me irrationally happy

What a truly risible take. “It’s good this person was fired for subjecting customers to racist abuse” isn’t tantamount to “celebrating” someone’s firing.

Who tf is happy? This is a disgraceful reminder of abusive bigotry and it should be an absolute no-brainer to fire this asshole.

Another brain dead take from the atlantic