1,408 karma · joined October 6, 2017
The thing that is the hardest is that ultimately the best pain control for me is a safe and calm lifestyle and decent healthcare in the right conditions I can survive without medication, but with the loss of health and money goes your access to that lifestyle and healthcare, increasing the need for meds, at a time and situation in which you can least get them. I've tried nearly everything, at least that I can access, and that access, mainstream and alternative just gets worse here in the USA. I just need a small flat and a simple life in a city with connections and resources. I am stuck in the opposite.
I had a great, once in a lifetime, accomodative job opportunity abroad from a member here that I couldn't get to because of worsening pain and life stability and I sunk further as a result. Should have just gone and failed and gotten it over with rather than suffering more in worse conditions. It's a pit of quicksand once you get in it. It's hard enough in countries with good systems, but in the USA it's hopeless. I am now stuck in rural nowhere in so much pain with no good healthcare and transport and a horrid quality of life. I am over the debate and the "opiod crisis" and people's judgement here...I just want out and stable if thats even possible anymore, or it over. Tired of suffering every day.
ACA was a horrible compromise because the right would not allow proper Universal Healthcare. In my state, as in many, there is a gap where you can be denied a subsidized ACA plan and Medicaid. I fall in that gap and get nothing but the privilege of buying a full priced ACA, poor coverage, plan for something like 7-800usd a month plus something like 6000usd yearly deductible plus the multi thousand coverage floor you mentioned. All of which is impossible for me. I did things right. I had a significant savings when this happened, spent most all of it on this stuff, I have a few hundred a month pension I was lucky to have, it doesn't cover my needs, I have no insurance or benefits. I was denied disability. This is America.
Someone else below also brought out the "I know lots of people from Europe who come to the USA for superior healthcare" line as well. I lived in Europe and never met or heard of a single person who did this. It surely happens. But its not "lots" nor proof of some superiority.
I recently got another diagnosis after having to really fight and spend a lot because the system is so broken. The 3-5min you get and insane costs for everything hinders care. I was already on the edge as my history points to...and have been trying desperately to move back to Europe where its not perfect, but even in the paid, private system I would have access to for the first years I can get far superior care to here for less. But the hits just keep coming and I don't see making it anywhere now. I wish people would care about others and how this system hurts them, rather than their politics. I will lose my life because of politics I never chose to be born into and that have continually reduced my quality of life. I just cannot understand why people continually deny this is the case and fight against that which helps all of us. I have mostly passed anger and am in intense disappointment on the issue. I just want to live. I am not allowed to.
I love Chiang and wish he had more and longer stuff. Quality over quantity I guess.
kg x2 + 10% = lbs
lbs /2 - 10% = kg
I've yet to find a fast one for C to F temp conversions though. It takes a bit longer to do the 9/5-5/9 + or - equation in your head.
This is a frustrating belief I have come up against time after time from people who cannot seem to understand that their experience isn't everyone's. Most people I know who live in the dark place have plenty of valid external reasons. I know I do. While my mental state can be influenced by attitude to one degree or another, the root cause are entirely NOT self-manufactured. This is a real problem seeking any sort of care for it since people believe as you have stated either from their own experience of "getting better" from nothing but an attitude or primary situational depression etc, or because others have told them so. It's a universal complaint from those I know who have real issues.
Calling worried patients with scary symptoms "nuts" and their issues "crap" really sums up the sort of thing I am talking about and is what makes patients afraid their provider isn't going to do their best to help them. Empathy is required for good healthcare. I recently got another confirmed and terribly depressing diagnosis of an incurable issue, but the provider I was working with was so kind, caring, and informative it reduced the mental impact as much as is possible. A dismissive provider, who was ultimately wrong, a few weeks before had me in an even worse head space than normal until I got to someone good. When I reached out to the wrong one to notify them they didn't seem care at all and dug in harder despite the proof/labs etc.
"A few bad apples" isn't because of the few bad apples. It's because the farmer decides all the apples are rotten, and throws them all out with the few rotten ones, while telling others constantly about those rotten ones as if they are the norm.
Pain is too often ignored, dismissed, miscategorized. While psychosomatic issues and stress positively make things worse, it's not always the root of all issues and too often it's projected as such. It will ultimately be the end of me as there is no realistic way to get enough back to survive long term.
Also add me to the people who didn't know it was "Dan G" for the longest time and loved "dang" as a name.
From a philosophical point of view for ME personally, VR/AR/the internet/gaming etc isn't an adequate substitute for "real life" and I personally don't derive enough from substitutes to feel my quality of life is good, it's more just clinging to SOME interaction as I do here on HN. However I am sure for some people it is enough to make a significant impact and I find it a worthy avenue to pursue.
From a physical point of view, my circumstances make even the above things worse as I have some visual issues that cause headaches/eyestrain etc severely with most modern display types for some yet undetermined reason. It's none of the obvious once like PWM/blue light etc. So I am in a really corner case spot with tech and clinging to a super old device or two that aren't long for the world. I also have monovision and severe amblyopia so VR headsets don't work even if I could stand the display tech. I can stand a few min here and there to post a comment. But I cannot spend hours online or on screen anymore. A perfect ironic hit since that was about the only earning potential left and its already cost me the one real shot I have had in years. So often people are facing multiple disabilities from multiple angles.
I hope its helpful although I doubt I said much of substance.
I experienced everything from dirt poor people in rusting apart cars who were willing to share everything they had with you, to people in obscenely expensive suits and luxury rides who were unbothered by your road grime. A particularly memorable trip was in a high end Mercedes at terrifying speeds from Genoa, Italy through southern France, and having/getting to wander around Monaco for a few hours in while the driver tended to some business there on the way. The cheapest thing I could find to drink was a 10 Euro lemonade at a cafe as I watched private helicopters come and go from a seaside heliport. Definitely too rich a place for me, but one I never though I would see.
The doctor who did this is still practicing last I checked, as are the staff involved in covering it up, and the hospital he worked for was not informing patients of his history.
Another shockingly similar case: https://www.deseretnews.com/article/412903/HOSPITAL-SETTLES-...
Just two cases I remember reading about. Over a quarter million or more per year according to most sources.
Medical mistakes are the THIRD leading cause of death in the USA. Actually, conscientiously using a checklist to reduce that isn't too much to ask.
A machine that can reanimate the dead perhaps? Energy that can turn bones into a living person?