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Cake day: December 6th, 2024

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  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    3 minutes ago

    From what I’ve seen, treatments not being covered are only the case were those treatments are very expensive and there are other effective treatments (though less effective) which are much cheaper.

    Mind you, I’m talking about Public Healthcare Systems, not the so-called Mixed Systems that have mandatory Health Insurance (usually highly regulated and with a Public Insurance option for the less well off) - Mixed Systems have some of the same problems as the US System at least in my experience living in countries with one and with the other kind of system.


  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    8 minutes ago

    I’m talking about Universal Health Care systems (for clarity: totally free healthcare for residents in that country), not Public Health Insurance systems.

    Europe is unfortunatelly also riddled with the latter system and having lived in countries with one kind and countries with the other, they’re quite different and the system with Insurance is invariably worse in terms of denials of coverage as well as cost (also because nowadays they all have laws that force every resident to have health insurance, which as result is more costlier than before those laws - as I saw first hand when I lived in a country with such a system when such a law came into effect), whilst UHC tends to have longer waiting lists (think 1 or 2 years of wait for some cirurgical procedures).

    Absolutelly, some of the absurdities of the US system are also present in the so-called “Mixed” Systems (i.e. the ones with healtcare insurance but more regulated and with a public option for some) and if you look at the kinds of governments in those countries for the last 3 decades, you’ll notice they’ve been invariably neoliberal mainstream parties (setting up such systems is part of the broader tendency in Europe to privatise just about everything that has been going on since the 80s and was copied from the US).

    IMHO, except for the long waiting times, the problems with Healthcare systems in part of Europe are the result of them having been transformed to become more like the US system in the last 3 decades.



  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    2 hours ago

    In several countries the mainstream party politicians (who are Neoliberals) have been slowly privatising healthcare by forcing the Public Healthcare System to outsource more and more of the work to the Private Sector and using the same technique as Thatcher in the UK used to privatise railroads (of which now, decades later, you can see the horrible results) - defund the Public Service and when the quality falls because of it claim that the Public Sector is always incompetent and the the Private is always competent so that’s why that Public Service had problems hence it needs to be privatised to improve.

    On top of that there is the actual genuine problem (rather than artificial meddling with the Public Healthcare System to send more money into the hands of politician’s mates) that populations are aging and older people require much more Healthcare Services in average.


  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    2 hours ago

    I’ve lived in a couple of countries in Europe and some have Universal Healthcare systems (such as the UK and Portugal) but others such as The Netherlands and Germany have Mixed Systems with Health Insurance but highly regulated and were some people can get Health Insurance from the state.

    You’re not going to go bankrupt from the treatment or get treatment denied in countries with UHC.

    However if you lose your job or never find a job in the first place due to illness related issues or disabilities you’ll almost certainly end up on benefits which again can be better or worse depending in the country.

    I would say things have been getting worse all over Europe (personally I think it’s exactly because there’s been too much copying of shit from the US), especially when it comes to the level of benefits for poor people being sufficient (the house prices bubbles all over the place and the lack of building of social housing have made this a massive problem in most countries), but that’s not the same as simply going bankrupt from medical bills because you’ve had an accident, ended up in an emergency ward and got a life saving surgery.



  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    2 hours ago

    Mate, as I’ve said it’s not one but TWO countries I lived in with Universal Healthcare, and you can’t be a Nationalist (as you’re trying to imply) for TWO countries.

    If you’re comparing like to like - i.e. the average poor disabled person in both a country with Universal Healthcare and the US - you’re going to get some cases of those having insufficient treatment in countries with UHC (especially in those were neoliberal governments have been defunding their UHC systems to try and privatise Healthcare even against popular will, like the UK), whilst the vast majority of those people will be fucked in the US (unless they’re Veterans).

    I’ve lived in several countries and it’s just an enormous peace of mind living in a country were you know that if you’re involved in an accident and end up getting costly treatement in an emergency ward, you’re not going to be ruined.

    I think you’re seeing the problems relative to a specific baseline and you think that there are massive problems there (which I’m sure there are) but the thing with the US system is that the baseline itself is way worse and all those problem you see would also be problems there but much worse (or maybe not, as those people would die a lot faster, at which point no problem would be visible) and on top of that in the US there are way more people with even worse problems when it comes to Healthcare than the “poor disabled person” in a country with UHC.


  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    3 hours ago

    For every case of a disabled persion on benefits having to wait 1.5 years for a non-urgent operation because they can’t afford private healthcare, there are a million of cases of people who get a common problem like Diabetes or Cardio-Vascular problems and get treated for free (down to getting the medicine for free, which for a person below the poverty line will be true even for the worst countries) rather than suddenly being faced with an extra monthly bill for medicine (which would be a massive hit for those poor people you cosplay as caring about for the sake of argument) or a massive bill for urgent surgery.

    (Which reminds me: one thing that will NEVER happen in one of those countries, unlike in the US, is when one ends up in the emergency ward and requires an expensive treatment to save their life, they won’t get a massive bill at the end)

    Oh, and even if you pay out of pocket for medicine, it’s way cheaper in those countries than the US, as governments have used their leverage to limit what Pharmaceutial companies can charge, unlike in the US.

    The healthcare risks for the average individual in countries with Universal Healthcare aren’t even in the same universe as in the US.


  • Aceticon@lemmy.dbzer0.comtoLemmy Shitpost@lemmy.worldohh ...
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    3 hours ago

    Having lived in two countries with universal healthcare, that meme is absolutelly true and you’re the one bullshitting.

    The most “extreme” it can get in such systems is that they won’t pay for very expensive treatments (i.e. the kind of stuff that costs a million dollars per shot) if a person can keep going with cheaper ones even if they’re not as good.

    Even then, sometimes they will if it’s actually worth it (as in: for something that’s a cure, not for something that just keeps the patiet going and is only 10% better than the next best option whilst costing 1000x more).

    That’s “your quality of life won’t be as good if you have a chronic disease that makes your life miserable and the best treatment in the market is insanelly expensive because they’ll only pay for a not as expensive one”, not “death panels”.

    People in those countries absolutelly aren’t going bankrupt due to being denied life-saving treatment and having to pay for it from their own pocket.

    As for any complains you might have heard from people in countries with universal healthcare, them complaining about it is like people in Scandinavia complaining about public services: relative to what they have there are bad parts, which is something altogether different than it being bad relative to the World and when it comes the healthcare the US is 3rd World when it comes to results delivered relative to the amount spent in it.



  • Whilst I would be wary of saying AirBnB is the main cause (more likely it’s a big one but not the only one), keep in mind that when realestate prices go up in major cities, that pushes out people who go to cheaper places, pushing prices up in those places which in turn might push some out from those places and into even cheaper places.

    So housing bubbles centered in main cities do naturally spread out from there to places were the original causes of the bubble are not present.


  • In my own Portugal, which is a very turistic country and also towards the bottom of the GDP-per-capita scale in the EU, things that would likely work very well would also be:

    • Crack down on AirBnB
    • Forbid ownership for non-residents.

    Portugal currently has a massive house inflation problem (extra massive, because of how low average incomes are here) and a lot of it has to do with residential housing being removed from the housing market and turned into short term turist lets (for example, over 10% of housing in Lisbon has been turned into AirBnB lets) and foreign investors (not just big companies but also individuals, such as well off pensioneers from places like France) pulling prices up by being far less price sensitive than the locals as they’re buying residential housing as investments having far more money available than the average Portuguese.

    Having lived in both Britain and Portugal during housing bubbles, what I’ve observed was that the politicians themselves purposefully inflate those bubbles, partly because they themselves are part of the upper middle class or even above (especially in the UK) who can afford to and have Realestate “investments” and hence stand to gain personally (as do their mates) from Realestate prices going up and partly because the way Official GDP (which is supposedly the Real GDP, which has Inflation effects removed) is calculated nowadays means that house price inflation appears as GDP “growth” since the effects of house price increases come in via the “inputted rent” mechanism but the Inflation Indexes used to create that GDP do not include house price inflation, so by sacrificing the lives of many if not most people in the country (especially the young, for example the average age for them to leave their parent’s home in Portugal is now above 34 years old and at this point half of all University graduates leave the country as soon as they graduate) they both enrich themselves and can harp in the news all about how they made the GDP go up.

    All this has knock on effects on the rest of the Economy, from the braindrain as highly educated young adults leave and the even faster population aging as people can’t afford to have kids, to shops closing because most people have less money left over after paying rent or mortgage so spend less, plus the commercial realestate market is also in a bubble so shops too suffer from higher rents. However all this is slow to fully manifest itself plus those who bought their houses before when they were cheaper don’t feel directly like the rest, and they generally don’t really mentally link the more visible effects (such as more and more empty storefronts) to realestate inflation, much less do more complex analysis of predictable effects, such as how the braindrain and fall in birthrates will impact their pensions in a decade or two.


  • It’s “mieren neuken”.

    A dutch person responding to my post already mentioned it.

    Also, as somebody who has moved there first and then learned Dutch whilst living there, I do recommend just learning it over there since it’s a much faster way to learn a language when you’re there surrounded by native speakers, with lots of things written in Dutch around you and with Dutch TV and Radio whilst actually using it, than it is as just learning from the outside with little in the way of useful practice with the actual experts of the actual language.

    Also you can easily get away with using English in The Netherlands whilst you’re learning Dutch - in fact if you have a recognizable accent from an English-speaking country it’s actually hard to get the Dutch to speak Dutch to you in the early and mid stage of learning their language since they tend to switch to English as most Dutch speak that very well.


  • That word isn’t originally from Portuguese from Portugal (though it is recognized thanks to the prevalence of Brazilian soap operas in Portugal) so it carries no broader “social” meaning and isn’t even commonly used there, so people wouldn’t care if you used it in Portugal as it just sounds odd there.

    If I understand the broader meaning subtleties of how it’s used in Brazilian Portuguese correctly, using “garota” for a woman is a bit like using “chick” for a woman in British English, which whilst not an outright insult carries a bit of a demeaning vibe (not as bad as the used of “bitch” - as in “my bitch” - in American English, but the same kind of treating women as inferior).

    This is probably because the original meaning of the word when not used for an adult woman (again, only in Brazilian Portuguese since it didn’t exist in Portuguese from Portugal) is “young girl”.




  • I’ve lived in a couple of European countries and speak 7 different European languages (though my German is kinda crap and my Italian not much better) and regularly take the piss by playing the “ignorant foreigner” with the expressions in other people’s languages and acting as if, by translating them literally, I totally misunderstood them.

    This works great because there are so many expressions in pretty much all languages which are have entirelly different meanings when interpreted literally but the natives don’t really think about it like that because they just learned that stuff as a whole block of meaning rather than having reached it by climb the language-learning ladder from “understanding the words first” as foreigners do.

    For example the English expression “I want to pick your brains” which has quite a different and more gruesome meaning if read literally or one the dutch expressions for “you’re wasting time in small details” which translates quite literally to “you’re fucking ants” and is my all time favorite in all languages I speak well enough to know lots of expressions in.