TBF that's just a tourist thing! You get people coming to Europe and say "We'll do Rome Monday, Paris Wednesday then nip to London and England for a weekend..."
TBF that's just a tourist thing! You get people coming to Europe and say "We'll do Rome Monday, Paris Wednesday then nip to London and England for a weekend..."We get international partners here who sometimes want to see more of the US during their visit so they'll extend the trip a couple days. To make small talk I'll ask them what they want to see "We'd like to see New York, LA and San Francisco. Maybe make it a road trip. How long of a drive is that?"
Except Aussies - they get it
It is harder to supply good health care over large sparsely populated areas, that said America is the richest country in the world so they could do it. I get the feeling that it's more of a regulatory problem in the US. Doctors seem to be able to prescribe whatever the hell they want to whoever they want and the public can shop around until they find one that'll do what they want!Not sure how that is relevant to the discussion. I'm well aware the US is big (and, to a large extent, empty - Americans really have zero excuse for opposing immigration). That maybe plays some tangential role in explaining the differences mentioned in the OP, but if you are saying that's the entire reason you need to supply some supporting argument.
We have a doctor shortage that was artificially created in response to politicking by doctors back in the 1990s. The number of doctors is controlled by the number of residency slots. Residencies are funded primarily by the federal Medicare and Medicaid programs. In the 1900s, the AMA lobbied Congress to limit the number of residencies by hyping a fear of a "doctor glut". We ended up with ~15 years of too few residencies for a growing and aging population. Doctors make more money in the cities than in rural areas so rural areas bear the brunt of the shortage. In short, Boomer and Gen X doctors pulled the ladder up behind them in order to protect their salaries. Doctors bitch about having too many patients when the problem was created by doctors bribing Congress. Political corruption has a price.It is harder to supply good health care over large sparsely populated areas, that said America is the richest country in the world so they could do it. I get the feeling that it's more of a regulatory problem in the US. Doctors seem to be able to prescribe whatever the hell they want to whoever they want and the public can shop around until they find one that'll do what they want!
On a related note that lack of oversight seems to carry on through law enforcement in rural areas, they seem to run private fiefdoms in some places!
That's vaguely similar to the mat the BMA controls DR numbers in the UK!We have a doctor shortage that was artificially created in response to politicking by doctors back in the 1990s. The number of doctors is controlled by the number of residency slots. Residencies are funded primarily by the federal Medicare and Medicaid programs. In the 1900s, the AMA lobbied Congress to limit the number of residencies by hyping a fear of a "doctor glut". We ended up with ~15 years of too few residencies for a growing and aging population. Doctors make more money in the cities than in rural areas so rural areas bear the brunt of the shortage. In short, Boomer and Gen X doctors pulled the ladder up behind them in order to protect their salaries. Doctors bitch about having too many patients when the problem was created by doctors bribing Congress. Political corruption has a price.
The schools in rural areas can be pretty bad as well. My college roommate went on to be a doctor. He says one of his colleagues quit his rural practice and moved back to the city because he realized that his kids were getting dumber.That's vaguely similar to the mat the BMA controls DR numbers in the UK!
Still it's a problem that can be solved by throwing money at it!
I'm wondering if doctors in the US are put off rural areas as rural states seem pretty anti doctor in general. It seems like a minefield to provide sexual and reproductive health care in certain areas!
Rural schools in the UK can be a bit iffy. We had a good look around before we moved out of the city. Some schools were tiny and they'd have just two classes for all the year groups in a primary school. Which could be fine but it only takes one bad teacher to ruin everything then, or if your kid doesn't get on with the two other kids their age!The schools in rural areas can be pretty bad as well. My college roommate went on to be a doctor. He says one of his colleagues quit his rural practice and moved back to the city because he realized that his kids were getting dumber.
Kentucky waves - Is that one of the reasons you left me, vi?Red state voters have voted over and over again to defund access to rural healthcare, ban access to basic women's health, and treat women and health care professionals as criminals for making decisions that prioritize the health of a living woman over an unborn fetus.
Doctors are leaving red states by droves because of all this.
Oh and that whole "gun violence is a mental health problem" they pitch without actually funding or advocating for mental health....
Well enjoy your white male suicide rates.
This is what Republican policy looks like in action.
Dead Americans.
Silly me took off time on a business trip to Scotland and went to Edenborough during the festival and then went to London, my favorite was the British Museum (they stole everything first), Rosetta Stone and all. Anyway, I was stupefied when I saw all the billboards with just take the Chunnel to Paris. Damn, that would have been easy but I had no time left. I 've got to do on my own dime now.TBF that's just a tourist thing! You get people coming to Europe and say "We'll do Rome Monday, Paris Wednesday then nip to London and England for a weekend..."
Did you go to the natural history museum? I absolutely love that place. The building is magnificent and that entrance hall! 😍Silly me took off time on a business trip to Scotland and went to Edenborough during the festival and then went to London, my favorite was the British Museum (they stole everything first), Rosetta Stone and all. Anyway, I was stupefied when I saw all the billboards with just take the Chunnel to Paris. Damn, that would have been easy but I had no time left. I 've got to do on my own dime now.
I mean that's kinda the point right? Your example was 3 countries and still doesn't cover the same distance mine did for the USTBF that's just a tourist thing! You get people coming to Europe and say "We'll do Rome Monday, Paris Wednesday then nip to London and England for a weekend..."
Does the museum still have the old room with giant windows, filled with mineral cases? It was awesome.Did you go to the natural history museum? I absolutely love that place. The building is magnificent and that entrance hall! 😍
One wonderful thing about growing up in Arlington was the very close proximity to the Smithsonian complex of museums and art galleries. I lost count on how many times I went to the National Art gallery or the Museum of Natural History (America's attic) and of course the Air and Space Museum, the Hirshorn Statue Garden, the Medical Museum ...on and on between school field trips and my own personal explorations.It did last time I was there! There's way too much to see in a day, I'd love to be locked in that place for awhile! And I'd love to be allowed to rummage through the archives!
Edit: This room?
View attachment 96853
Life expectancy and obesity are pretty well inversely correlated with wealth. That's why the poor states are fatter and due early while Hawaii and California are opposite.I think that's a regional or geography thing. Midwest and rust belt I can totally see being generally higher up on obesity while coastal and a few other "enlightened" areas (Denver/Seattle) being healthier.
Do you know why the pyramids are in Egypt?Silly me took off time on a business trip to Scotland and went to Edenborough during the festival and then went to London, my favorite was the British Museum (they stole everything first), Rosetta Stone and all. Anyway, I was stupefied when I saw all the billboards with just take the Chunnel to Paris. Damn, that would have been easy but I had no time left. I 've got to do on my own dime now.
Yeah, it's part of the playbook to keep the ones that don't have all the money down.Life expectancy and obesity are pretty well inversely correlated with wealth. That's why the poor states are fatter and due early while Hawaii and California are opposite.
But did you ever experience Arlington National Cemetery at night whilst smoking weed?One wonderful thing about growing up in Arlington was the very close proximity to the Smithsonian complex of museums and art galleries. I lost count on how many times I went to the National Art gallery or the Museum of Natural History (America's attic) and of course the Air and Space Museum, the Hirshorn Statue Garden, the Medical Museum ...on and on between school field trips and my own personal explorations.
No, just in the Turkey Run park up the river where Vince Foster offed himself.But did you ever experience Arlington National Cemetery at night whilst smoking weed?
It was an interesting experience…🤪
👍No, just in the Turkey Run park up the river where Vince Foster offed himself.
It would have been much more interesting on shrooms. Just saying .But did you ever experience Arlington National Cemetery at night whilst smoking weed?
It was an interesting experience…🤪
Not sure how that is relevant to the discussion. I'm well aware the US is big (and, to a large extent, empty - Americans really have zero excuse for opposing immigration). That maybe plays some tangential role in explaining the differences mentioned in the OP, but if you are saying that's the entire reason you need to supply some supporting argument.
The real point is they continuely vote to refund their own infrastructure, especially healthcare, so we should let them.I used to be all naive and be all happy that we were subsidizing other Americans to have infrastructure near them out in the sticks. I thought we were making progress and all that nice stuff that Obama made us feel.
But it turns out those fuckers in the sticks are trying to take away every basic decent value and moral that we have as a country. And have us live under a fascist white nationalist christo regime.
So fuck that.