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[–]VioletRemi[S] 7 insightful - 1 fun7 insightful - 0 fun8 insightful - 1 fun -  (3 children)

Especially in countries like USA, where even pharma and healthcare companies are private and profit driven.

It is always profitable to create a problem and then sell the solution - we have seen this dozen times in many industries, especially cosmetics one and soft pharmacy.

[–]MarkTwainiac 9 insightful - 1 fun9 insightful - 0 fun10 insightful - 1 fun -  (2 children)

Especially in countries like USA, where even pharma and healthcare companies are private and profit driven.

Hate to break it to you, but pretty much all pharma companies worldwide are profit-driven. Also, whilst many people think that most capitalist, profit-driven Big Pharma companies originated and are domiciled in the USA, many actually are of European origin and are still-Europe based and directed. Of the 15 most profitable pharma companies in the world today, 8 are in the US - the other 7 are in Europe:

https://www.getreskilled.com/pharmaceutical-companies/

Also, not to quibble, but in the US some health care systems and practitioners are public and/or non-profit. Various state and municipal governments own and run public hospitals, clinics, employ HCPs, and provide a good deal of health services - often to poor people, including many undocumented immigrants, for free. One of the biggest health care systems in the US is run by the Veterans Administration, a branch of the federal government. The various branches of the US military also run huge health care operations. When Trump got COVID, he was cared for at a military hospital, Walter Reed.

The federal and state governments provide lots of health care financing and services through Medicare and Medicaid, and a number of states such as CA and MA have their own ancillary programs that provide additional services. There are also many other health care operations in the US run and financed by the federal government, such as the National Institutes of Health and National Cancer Institute The NIH and NCI mostly do research, but do provide consultations and direct care in certain situations; and the NCI operates cancer clinics

Many religious and charitable organizations as well as universities own and run non-profit hospitals and hospital systems, often providing a range of services. My family and I have been treated in hospitals that were founded by and are affiliated with branches of various Christian churches - Roman Catholic, Presbyterians, Baptists - etc as well as by affiliates of forms of the Jewish faith. The names of a lot of well-known, world-class US non-profit hospitals or systems are telling: Columbia Presbyterian, Cedars Sinai, St Vincent's, Long Island Jewish, St Elizabeth's, National Jewish...

Two American charity hospitals, Shriners Hospital and St. Jude Children's Hospital, provide pediatric services to a wide range of very sick children from all around the world for free. I know people from Europe, the Middle East, Asia and Africa who've brought their children to these hospitals for treatment unavailable elsewhere in the world.

Most of the organizations founded to provide patient care during the HIV-AIDS crisis such as Gay Men's Health Crisis were non-profit. Nobody doing frontline HIV-AIDS work back then was driven by the profit motive, though many of the scientists racing to identify the virus and to create drug treatments were.

Whilst a lot of private health insurance in the US is provided by profit-driven companies, there are non-profit options in many states.

Compared to the UK, where health care is dominated by the state-run and financed NHS, the balkanized, messy complicated American health care system in general is motivated by making money. But it's neither accurate nor fair to characterize all of it as driven by profit. It's a mixed bag.

[–]our_team_is_winning 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

Thank you for the thorough response. All of your posts are thorough!

Too many people think that the payment system in the USA somehow means only Big Pharma in the USA is out for money. Maybe Canada, Australia, Kuwait, wherever else, maybe they pick up the tab instead of the patient, but that doesn't mean there isn't a tab to be paid. Whether they're paying it through huge taxes or oil revenue or however, Big Pharma is still getting paid.

All drug companies have employees to pay, animals to buy to experiment on, lawyers to pay in case of lawsuits, politicians to pay off for special treatment, advertising budgets, etc. People don't work for free. People don't breed animals for free. TV doesn't run ads for free.

[–]MarkTwainiac 8 insightful - 1 fun8 insightful - 0 fun9 insightful - 1 fun -  (0 children)

Yes, all health care systems everywhere have to pay attention to costs. Keeping the eye on the bottom line in order to keep the lights on and the clinic doors open isn't the same as doing so just to line the pockets of fat cat execs or stock holders.

As a result of cost constrictions, there are enormous delays in getting assessments, diagnoses and care in systems like the UK's NHS and Canada's national service. I know people in the UK who've been waiting years to get their kids assessed for conditions like ASD and ADHD, and others who've been in long queues waiting for treatments and surgeries for already-diagnosed conditions. That's a big drawback of systems where most of the population relies on only the one government-funded, national health care provider. The US system sucks, but it does provide options not found in other systems like the NHS.

None of the health care systems in the various countries of the world is ideal or perfect. I'm not defending the US approach. At all. Just trying to dispell the notion that all medical care in the US is driven by profit and nothing else.

There are lots of greedy pig shitheels in US medical care, but there are also many decent, humane people motivated by compassion who will go the extra mile to do the right thing.

Also, in countries like the UK and Canada that have taxpayer-paid national health care systems, there are still private providers the wealthy use. As in London's Harley Street. My understanding is, most/all of the "gender confirmation surgeries" okayed and funded by the NHS are actually done by private practitioners that the NHS hires and pays under contract.