dagblog - Comments for "‘Urgent needs from head to toe’: This clinic had two days to fix a lifetime of needs"

Sure as hell sounds like the

artappraiser — Mon, 24 Jun 2019 07:21:01 +0000

Sure as hell sounds like the problem! betcha Liz Warren has something to say on it?

There's some blame that

PeraclesPlease — Mon, 24 Jun 2019 05:57:10 +0000

There's some blame that Reagan didn't enforce anti-trust, and megamergers eliminated the fair level playing field across the country.

https://www.vox.com/new-money/2017/7/14/14702240/antitrust-enforcement-d...

Great list for perspective on

artappraiser — Mon, 24 Jun 2019 04:36:01 +0000

In reply to Housing is like the 2nd major

Great list for perspective on how big the U.S. actually is:

US states and countries with similar GDP size.

California: UK
Texas: Canada
New York: South Korea
Florida: Indonesia
Illinois: Netherlands
Pennsylvania: Saudi Arabia
Ohio: Argentina
New Jersey: Taiwan
Georgia: Sweden
North Carolina: Poland
Massachusetts: Belgium
— The Spectator Index (@spectatorindex) June 24, 2019

Housing is like the 2nd major

artappraiser — Mon, 24 Jun 2019 04:04:26 +0000

In reply to And just part of a much

Housing costs are like the 2nd major issue for many voters after health care.

I ran across this great work the other day, the National Low Income Housing Coalition with their interactive national map of what wage is required to pay for a two bedroom apartment:

https://reports.nlihc.org/oor

(Of course, they base it on 1/3 of income, a standard that nearly everyone gave up expecting a long time ago.)

As much as the environmental people would like it, we can't all congregate in the same ten places across the nation and not have the housing go sky high. There's got to be jobs spread all over. Until "they" build the miraculous cheap high density housing with excellent public transport that pundits like Matthew Yglesias have been yammering about forever, that is. Everybody can't live in the same cities. Can't be changed overnite. We got too many people for that, just a fact, and tons of houses we built in suburbs allover the place. This is actually a strong anti-immigrant argument I hear from other pretty liberal people--take more unskilled workers, best require they live in small towns in flyover.

Yes, wouldn't solve the

artappraiser — Mon, 24 Jun 2019 03:52:17 +0000

In reply to And just part of a much

Yes, wouldn't solve the medical care problem in truly rural areas (but let's get brutally real about that: what ever did? you drove 200 miles if you needed a hospital or major treatment; stubborn old people who wouldn't move closer to access were really just chosing to die without treatment)

THAT SAID, that's a fascinating article. Many parts are contrarian, debunking classic tropes. Especially like this part as to policy:

Regional prosperity wasn’t always a zero-sum game. From 1930 through 1980, virtually every geographic section of the United States saw its per capita income trend towards the national average. In 1933, average income in the Southwest was not much over 60 percent of the national average. By 1979, it was nearly on par. New England, once 1.4 times wealthier than the country as a whole, fell to just slightly above average. These gains were visible in the nation’s cities. In 1969, the per capita income of Greater St. Louis was 83 percent as high as New York’s, and it climbed even higher in the subsequent decade. In 1978, metro Detroit’s average income was about the same as that of the New York tri-state area. In the mid-1960s, the twenty-five richest metropolitan areas included Milwaukee, Des Moines, and Cleveland. (Throughout this piece, I’m referring to metro areas as defined by the U.S. Office of Management and Budget, which uses census data to designate “metropolitan statistical areas.”)

This convergence helped the country develop a broad middle class. According to Harvard economists Peter Ganong and Daniel Shoag, approximately 30 percent of the growth in America’s hourly wage equality from 1940 to 1980 was the result of wages across different states increasingly resembling one another. In other words, growing equality between regions helped foster more equality within regions.

But suddenly, these trends reversed, and over the next several decades, regional inequality exploded. In 1980, New York City’s per capita income was 80 percent above the national average. By 2013, it was 172 percent higher. Incomes in Washington, D.C., and San Francisco, respectively, went from being 29 and 50 percent above average to 68 and 88 percent higher. Heartland cities, meanwhile, saw their wealth slip away. Gone from the list of America’s richest cities were Milwaukee, Des Moines, and Cleveland. By 2018, twenty of the top twenty-five were on the East or West Coast. Seven are in California. Minneapolis, which clocks in at number twenty-four, is the only entrant from the entire Midwest.

How did this happen? Some analysts cite the impact of deindustrialization. But while the decline of industrial jobs certainly played a role in the stagnation of the Midwest, other places that once had strong manufacturing industries—like New York and Boston—managed to rebound from manufacturing busts. Seattle provides an especially revealing case. Although it’s now one of America’s most affluent cities, in the 1970s it was one of the country’s most distressed. The local economy was heavily reliant on a sole manufacturer—Boeing—and when a mild recession led to a collapse in the airplane market, the region entered a tailspin. One out of every eight jobs in Greater Seattle was eliminated, and unemployment ticked above 12 percent. But, unlike Detroit, the city had the good luck of rearing Microsoft cofounders Bill Gates and Paul Allen....

We tend to think the whole corporate welfare thing of competing for luring big businesses to set up in a town is bogus and truth be told, there are many fails. But what else is there? The most popular smaller cities right now do have lots of business going on, i.e., Asheville and Charlotte in NC, San Antonio, Phoenix, Nashville...

I sure as hell remember when Seattle was totally dependent on one industry, though, Boeing. Seems like you were always reading about layoffs there! What the hell was that all about actually? Was airplane building really that important to the U.S. economy that the whole country was on alert about it?

By the way, those who are

artappraiser — Sun, 23 Jun 2019 20:17:15 +0000

In reply to Guy who knows about some

By the way, those who are using this story to push the Medicare-for-all or expand-Medicaid argument aren't getting the main gist of the story: providers are disappearing from rural areas. Cut-rate payments from an insurer, no matter who it is, is not going to solve this problem. For example, I can't see a newly minted doctor saying "oh I think I'll go practice in rural Tennessee so I can get reimbursed $20 per office visit per patient." You've got to give some incentive, like forgiveness of education debt or some such, or it's going to continue.

And just part of a much

PeraclesPlease — Sun, 23 Jun 2019 20:14:01 +0000

In reply to Guy who knows about some

And just part of a much bigger issie that faces Dems in 2020, as optimistic as we want to be...

https://washingtonmonthly.com/magazine/january-february-march-2019/to-ta...

Guy who knows about some

artappraiser — Sun, 23 Jun 2019 20:04:29 +0000

In reply to ‘Urgent needs from head to toe’: This clinic had two days to fix a lifetime of needs

Guy who knows about some fixes just points to the article:

https://t.co/sszWCxtAPe
— Atul Gawande (@Atul_Gawande) June 23, 2019

This guy isn't going to let the opportunity pass to make one of his favorite points:

Americans are lining up in the middle of the night at temporary clinics, in parking lots and cafeterias, to get the health care they desperately need. That is an international disgrace. We must pass Medicare for All.https://t.co/BtaP7RGzDX
— Bernie Sanders (@BernieSanders) June 23, 2019

I am seeing lots of passionate reaction to the story, like these:

How about your constituents too? This does not speak highly of you. https://t.co/EYqyH8ttIn
— Gail Ryff (@GailRyff) June 23, 2019

Is this your claim to fame taking care of your constituents? https://t.co/EYqyH8ttIn
— Gail Ryff (@GailRyff) June 23, 2019

I can't stop thinking about this story. There is not a single other major country in the world where this happens. https://t.co/WsNfPXNKi7
— Josh Miller-Lewis (@jmillerlewis) June 23, 2019

I can’t believe we treat people this way. https://t.co/t1tOl7icQh
— Olivia Nuzzi (@Olivianuzzi) June 23, 2019

This has me livid. People in our state are suffering from a lack of health care because Republicans have refused to expand Medicaid. And they’re attempting to make it worse by switching from TennCare to block grants. Rural Tennesseans need help NOW! https://t.co/02bT4tnKlx
— Sarah in Memphis (@getstitchy) June 23, 2019

We are an inhumane and barbaric nation - this piece is heart wrenching. Shame on Tennessee for not expanding #Medicaid. Shame on USA for not providing national #healthcare for everyone. https://t.co/I83qtCG0xM
— Barbara J Poppe (@bjpoppe) June 23, 2019

It can’t be said enough what a dystopian nightmare our healthcare system is for millions of people https://t.co/FrCXaEB8P3
— James Medlock (@jdcmedlock) June 23, 2019