Was looking into the procedure of vasectomies (which are freely available in my country) and I always see some line like this in Wikipedia for most interesting medical procedures or other important services.

The U.S. Affordable Care Act (signed into law in 2010) does not cover vasectomies, although eight states require state-health insurance plans to cover the cost.

Why the heck are Unitedstadians even patriotic at all if they live on the basis of “this basic thing is only ensured on a state-by-state basis”.

  • ghostOfRoux();
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    1 year ago

    We are essentially conditioned at a fairly early age to assume that our healthcare is the best in the world. It wasn’t until my late 20s-early 30s until I realized how asinine it was to have our employer be in charge of our healthcare.

    And even with that we get these different packages that we can pick from and where we can pay more or less out of pocket and we use big fucking words like deductable ro make things even harder for us as peasants to navigate.

    After I became terminally online I started to see astroturf style brigading about Canadian and UK healthcare from people saying that waits are hours long and sometimes procedures will have a 3 month waiting list or whatever and I know it’s all all slant and propaganda.

    There is nothing we can really even do about it. I’ve even lost family over arguments about it. When you read that most of Europe pays like 5-8% for healthcare for everyone and we pay 35% of our check for just our own family coverage it really makes me angry.

    • SunsetFruitbat
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      1 year ago

      That fits well with when I was talked to my mom about this. She thought those other countries medical care system were the worst and that if we had anything like that, it would ruin our precious predatory debt gouging system. She thought we lived in one of the best countries on this planet when it’s like, no we don’t, we live in one of the most evil. It also kind of makes me sad she believed that we lived on the best country on the world because before she passed away this year, she had like so much medical debt and she was worried of going homeless. I dunno, it just really upsetting.

      • ghostOfRoux();
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        1 year ago

        Sorry about your mom passing. I have a strained relationship with mine because she drank the koolaid so when any kind of politics gets brought up it ends in fights.

  • 陆船。
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    1 year ago

    Because the dysfunction of amerikkkan federalism is part of their founding mythos. I’m not making this up, they believe it’s federal overreach to uphold your rights at the federal level and that’s what the founding slaveowners intended. It’s easier to cope than accept the alternative that a society built by and for slave plantation landowners may have some structural issues.

  • nemesis
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    1 year ago

    Sorry gonna semi-hijack this thread to go off about tubal ligation (sterilization for someone with a uterus) in the US.

    Although the ACA requires insurance plans to cover tubal ligation, 18 states allow providers to set their own policies and these policies can be used to prevent access. Specifically for white cis women, they will deny the procedure for being childless or having “only” one child, being unmarried (to a cis man), or being deemed too young. Even if they’re married, doctors will sometimes demand their husband’s approval. And even if none of these conditionals apply, the provider might add additional hurdles like needing a psychologist’s approval. And of course, there’s the “religious objection” card to be played at any time. 1 in 7 people in the US get care from a hospital aligned with the Catholic Church, so that’s a lot of religious control over women’s bodies.

    Now if we’re talking about BIPOC cis woman, especially those in poverty, incarceration, or other precarious situations, the system will trip over itself to find reasons to forcibly sterilize them. Also any woman who are disabled or have autism have no trouble whatsoever getting sterilized if they ask.

    I wonder why there are so many barriers for white, allistic, able-bodied women to get sterilized and so easy to do for all other women. What a mystery.

    • albiguOP
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      1 year ago

      It is truly baffling how the Freedom Land has so many barriers for people trying to access a thing that they’re already paying for when it’s useful for them rather than for the KKK. And considering that it was explicit state policy until not that long ago to sterilise non-white people (particularly Native people) and there were even criminal hysterectomies happening in the border camps just 4 years ago it’s no surprise that this is still implicitly policy. A lot of doctors are old enough to have been practising since then without facing any repercussions or re-education. The USA has to end.

      Also this map is fun because it’s not even “always the same map”.

  • Water Bowl Slime
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    Yeah I dunno what drives patriotism here either. I think the people that support this country actually do it out of hatred for others than out of actual support. Like, they blame all our problems on immigrants or queer people or China or whoever else so they lick the boots of the people who stomp on them.

  • HatFK
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    1 year ago

    Most unironically believe that being preyed upon by capital and given perverse economic choices will make them rich. 🤷‍♂️