I still wonder about the people who double down on communism... and not even like me when I was younger where I got (not the full extent, but got) that the soviet union and such were awful, but just thought that maybe with less terrible people at the helm it could work (later realizing that these kind of things always have power hungry people rise to the top) Anyway, no I just don't get the "well see, you've admitted your great grandpa owned a chicken, sounds like he deserved to die" people... like the fuck is there even to gain here about being smug while dying on a particularly stupid hill?

I’m not going to pretend that I know how to interpret the jobs and inflation data of the past few months. My view is that this is still an economy warped by the pandemic, and that the dynamics are so strange and so unstable that it will be some time before we know its true state. But the reaction to the early numbers and anecdotes has revealed something deeper and more constant in our politics.

The American economy runs on poverty, or at least the constant threat of it. Americans like their goods cheap and their services plentiful and the two of them, together, require a sprawling labor force willing to work tough jobs at crummy wages. On the right, the barest glimmer of worker power is treated as a policy emergency, and the whip of poverty, not the lure of higher wages, is the appropriate response.Reports that low-wage employers were having trouble filling open jobs sent Republican policymakers into a tizzy and led at least 25 Republican governors — and one Democratic governor — to announce plans to cut off expanded unemployment benefits early. Chipotle said that it would increase prices by about 4 percent to cover the cost of higher wages, prompting the National Republican Congressional Committee to issue a blistering response: “Democrats’ socialist stimulus bill caused a labor shortage, and now burrito lovers everywhere are footing the bill.” The Trumpist outlet The Federalist complained, “Restaurants have had to bribe current and prospective workers with fatter paychecks to lure them off their backsides and back to work.”But it’s not just the right. The financial press, the cable news squawkers and even many on the center-left greet news of labor shortages and price increases with an alarm they rarely bring to the ongoing agonies of poverty or low-wage toil.

As it happened, just as I was watching Republican governors try to immiserate low-wage workers who weren’t yet jumping at the chance to return to poorly ventilated kitchens for $9 an hour, I was sent “A Guaranteed Income for the 21st Century,” a plan that seeks to make poverty a thing of the past. The proposal, developed by Naomi Zewde, Kyle Strickland, Kelly Capatosto, Ari Glogower and Darrick Hamilton for the New School’s Institute on Race and Political Economy, would guarantee a $12,500 annual income for every adult and a $4,500 allowance for every child. It’s what wonks call a “negative income tax” plan — unlike a universal basic income, it phases out as households rise into the middle class.

“With poverty, to address it, you just eliminate it,” Hamilton told me. “You give people enough resources so they’re not poor.” Simple, but not cheap. The team estimates that its proposal would cost $876 billion annually. To give a sense of scale, total federal spending in 2019 was about $4.4 trillion, with $1 trillion of that financing Social Security payments and another $1.1 trillion support Medicaid, Medicare, the Affordable Care Act and the Children’s Health Insurance Program.

Beyond writing that the plan “would require new sources of revenue, additional borrowing or trade-offs with other government funding priorities,” Hamilton and his co-authors don’t say how they’d pay for it, and in our conversation, Hamilton was cagey. “There are many ways in which it can be paid for and deficit spending itself is not bad unless there are certain conditions,” he said. I’m less blasé about financing a program that would increase federal spending by almost 20 percent, but at the same time, it’s clearly possible. Even if the entire thing was funded by taxes, it would only bring America’s tax burden to roughly the average of our peer nations.

I suspect the real political problem for a guaranteed income isn’t the costs, but the benefits. A policy like this would give workers the power to make real choices. They could say no to a job they didn’t want, or quit one that exploited them. They could, and would, demand better wages, or take time off to attend school or simply to rest. When we spoke, Hamilton tried to sell it to me as a truer form of capitalism. “People can’t reap the returns of their effort without some baseline level of resources,” he said. “If you lack basic necessities with regards to economic well-being, you have no agency. You’re dictated to by others or live in a miserable state.”

But those in the economy with the power to do the dictating profit from the desperation of low-wage workers. One man’s misery is another man’s quick and affordable at-home lunch delivery. “It is a fact that when we pay workers less and don’t have social insurance programs that, say, cover Uber and Lyft drivers, we are able to consume goods and services at lower prices,” Hilary Hoynes, an economist at the University of California at Berkeley, where she also co-directs the Opportunity Lab, told me.

This is the conversation about poverty that we don’t like to have: We discuss the poor as a pity or a blight, but we rarely admit that America’s high rate of poverty is a policy choice, and there are reasons we choose it over and over again. We typically frame those reasons as questions of fairness (“Why should I have to pay for someone else’s laziness?”) or tough-minded paternalism (“Work is good for people, and if they can live on the dole, they would”). But there’s more to it than that.

It is true, of course, that some might use a guaranteed income to play video games or melt into Netflix. But why are they the center of this conversation? We know full well that America is full of hardworking people who are kept poor by very low wages and harsh circumstance. We know many who want a job can’t find one, and many of the jobs people can find are cruel in ways that would appall anyone sitting comfortably behind a desk. We know the absence of child care and affordable housing and decent public transit makes work, to say nothing of advancement, impossible for many. We know people lose jobs they value because of mental illness or physical disability or other factors beyond their control. We are not so naïve as to believe near-poverty and joblessness to be a comfortable condition or an attractive choice.

Most Americans don’t think of themselves as benefiting from the poverty of others, and I don’t think objections to a guaranteed income would manifest as arguments in favor of impoverishment. Instead, we would see much of what we’re seeing now, only magnified: Fears of inflation, lectures about how the government is subsidizing indolence, paeans to the character-building qualities of low-wage labor, worries that the economy will be strangled by taxes or deficits, anger that Uber and Lyft rides have gotten more expensive, sympathy for the struggling employers who can’t fill open roles rather than for the workers who had good reason not to take those jobs. These would reflect not America’s love of poverty but opposition to the inconveniences that would accompany its elimination.

Nor would these costs be merely imagined. Inflation would be a real risk, as prices often rise when wages rise, and some small businesses would shutter if they had to pay their workers more. There are services many of us enjoy now that would become rarer or costlier if workers had more bargaining power. We’d see more investments in automation and possibly in outsourcing. The truth of our politics lies in the risks we refuse to accept, and it is rising worker power, not continued poverty, that we treat as intolerable. You can see it happening right now, driven by policies far smaller and with effects far more modest than a guaranteed income.

Hamilton, to his credit, was honest about these trade-offs. “Progressives don’t like to talk about this,” he told me. “They want this kumbaya moment. They want to say equity is great for everyone when it’s not. We need to shift our values. The capitalist class stands to lose from this policy, that’s unambiguous. They will have better resourced workers they can’t exploit through wages. Their consumer products and services would be more expensive.”

For the most part, America finds the money to pay for the things it values. In recent decades, and despite deep gridlock in Washington, we have spent trillions of dollars on wars in the Middle East and tax cuts for the wealthy. We have also spent trillions of dollars on health insurance subsidies and coronavirus relief. It is in our power to wipe out poverty. It simply isn’t among our priorities.

“Ultimately, it’s about us as a society saying these privileges and luxuries and comforts that folks in the middle class — or however we describe these economic classes — have, how much are they worth to us?” Jamila Michener, co-director of the Cornell Center for Health Equity, told me. “And are they worth certain levels of deprivation or suffering or even just inequality among people who are living often very different lives from us? That’s a question we often don’t even ask ourselves.”

But we should.

Phroyd

i am not reblogging this post from OP (posted 2 days ago, with 4,400 notes and counting) because i know that often people are just making their own vent posts on their blogs and maybe don’t expect them to circulate widely outside of their small tumblr circle! and i don’t mean to like, jump on someone who is just commenting on something and then going on with their life. but i feel like i keep seeing versions of this sentiment on leftist twitter too and i really think it is a gross misrepresentation of the bill that passed earlier this month - which is due in part to social media’s intense focus on the “stimulus check” part of the bill. but the bill was not called “the stimulus check” act! it was called “The American Rescue Plan” and it was specifically geared towards providing desperately-needed relief to the American middle & working classes. the $1400 direct payments to individuals was just one small portion of the bill. here are the far more important parts:

in addition to receiving a $1400 direct payment themselves, individuals with children receive an additional $1400 check for each dependent

college students who are still listed as dependents on their parents’ tax forms (typically so they can retain health insurance benefits under the ACA) can more easily claim stimulus money - which is huge for college kids who may be helping to financially support immediate or extended family members

unemployment benefits have been extended from March 31, 2021 (their original expiration date) to September 6, 2021

unemployment benefits will be supplemented with a $300 weekly payment (ie $300 on top of what people are receiving from their state government)

unemployment benefits received in 2020-21 are tax-exempt (a retroactive change that means people who are unemployed won’t receive a surprise tax bill counting their unemployment money as “income”)

a substantial tax credit for employers who offer paid sick leave and paid family leave benefits (ie creating a direct incentive for employers to authorize emergency paid leave)

15% increase in food stamp benefits and extension of eligibility

child and family tax credit benefits!!!! this is the part that people are describing as one of the most significant anti-poverty initiatives in American history. families are eligible for a tax credit of $3600 for each child under the age of 6 and $3000 for each child between 6-18. people can also claim a child and dependent care credit with a maximum benefit of $4000 for one eligible dependent and up to $8000 for two or more. it also expands the earned income tax credit and lowers the age limit to 19. dems also pushed to get at least 50% of the tax credit money to people this year instead of making them wait for their 2021 tax return. this calculator allows you to calculate how much families will receive. if you make $50,000 a year and have four children, you will receive $13,200 through the child tax credit alone, paid out in monthly payments of $1,100 from July to December 2021 + an additional $6,600 lump-sum payment when you file your 2021 tax return early next year. there are also some additional dependent-related tax credits things that I don’t fully understand but that seem to indicate people are eligible for even more money.

forgiven student loan debt is made tax-free (a necessary prerequisite for future efforts to cancel/forgive student loan debt)

huge expansion of grant benefits to small businesses, including $28.6 billion specifically for bars and restaurants; $15 billion for low-interest, long-term replayment emergency disaster loans; and $7 billion more for the paycheck protection program (which can only be used on payroll expenses and makes it possible for small businesses to keep workers on payroll even if they are operating at lower capacity). you can describe this as “for the economy only” if you want, but I sure feel like it will alleviate a whole lot of human suffering by allowing people to keep their jobs & paychecks even if their workplaces remain partially shut down. my dad is a small business owner and has been able to keep his entire staff on payroll through the entire pandemic. the bill also includes billions for airlines and concert venues, which will again! means people won’t lose their jobs!! plus it allocates $175 million to fund a Community Navigator Program that reaches out to eligible businesses and helps guide them through the application process—ie making it possible for small businesses to actually take receive these benefits.

$350 billion to state, local, and tribal governments

$130 billion for K-12 schools to improve ventilation, reduce class sizes, purchase PPE for employees and students, and hire support staff; of this money, 20% must be dedicated to programs designed to counteract “learning loss” from students who missed school during the pandemic

$40 billion for colleges and universities, at least $20 billion of which must go to emergency grants to students (our university has been giving regular emergency grants throughout the pandemic to students to help cover rent, unexpected medical expenses, costs related to family emergencies or lost family income, tuition bills that they suddenly can’t pay, fees associated with wifi or purchasing tech equipment so they can learn virtually)

a HUGE amount of money four housing benefits!!!! i keep seeing people yelling about how $1400 won’t cover their rent but THAT’S WHAT THE RENTAL ASSISTANCE PROGRAMS ARE FOR. $21.6 billion in rent and utility assistance, paid directly to states and local governments so they can disburse it to eligible households!!! plus $5 billion to Section 8 housing (which “must go to those who are or were recently homeless, as well as individuals who are escaping from domestic violence, sexual assualt, or human trafficking”).

$5 billion to support state and local programs for homeless and at-risk individuals (can be used for rental assistance, homelessness prevention services, and counseling; can also be used to purchase properties that will be turned into permanent shelters or affordable housing for people who are homeless). plus an additional $120 for housing counseling.

$4.5 billion earmarked for a special assistance program that helps low-income households cover costs of heating and cooling and $500 million to cover water costs

$750 million in housing assistance for tribes and native Hawaiians (who are also eligible for other benefits through the rental assistance and direct tribal government grants described above)

and then BILLIONS of dollars to support FEMA, the Veterans Affairs’ healthcare system, the CDC, and state, local, and territorial public health departments for all things related to: COVID testing, contact tracing, vaccine production and distribution, vaccine outreach, PPE, and public health education. this includes (among many, MANY other things), $5.4 billion to the Indian Health Services (division of the Department of Health and Human Services that specifically provides health services to Native people and tribal territories), $200 million for nursing loan repayment programs, $80 million for mental health training, $3.5 billion in block grants specifically geared towards community mental health programs and substance abuse/prevention/treatment programs

$86 billion for a rescue package for pension funds (esp union-sponsored pension funds) that are on the verge of collapse - collectively covering 10.7 million workers.

billions of dollars for public transit programs (and sure, public transit is important to the economy, but access to regular, reliable, affordable, and safe public transit is HUGELY important to human health and well-being! it is how many people esp in urban areas access grocery stores, health care, their jobs, childcare facilities, etc.

$10.4 billion for agriculture, of which $5 billion is specifically earmarked for socially disadvantaged farmworkers. to quote wikipedia: “Experts identified the relief bill as the single most important piece of legislation for African-American framers since the Civil Rights Act of 1964.”

tons of money to fund 100% of premiums for COBRA (health insurance for people who have unexpectedly lost or had to leave their jobs) through October 2021. COBRA is hella expensive and experts estimate that 2.2 million people will need to enroll for COBRA benefits in 2021. there are also various provisions that expand Medicaid and the Children’s Health Insurance Program (a program targeted at uninsured children in families who don’t qualify for Medicaid but may not be able to afford adequate healthcare coverage. it also fixes some things with the ACA that could’ve led to people getting surprise bills due to fluctuating income or unexpected changes in employment status.

i am SO OVER the so-called ‘progressive’ rhetoric that no good can ever come from the government, or that all politicians (dems or republicans) are basically the same level of evil and incompetent, or that ~mutual aid~ (ie small payments made between individuals in a community) is the only thing we can count on or should count on in times of crisis. no!!!! fuck no!!!! like mutual aid is great but America is an INSANELY WEALTHY country and it is such bullshit to act like we can’t or shouldn’t expect our government to take care of the people who live here. and i am also just GRAHARRGHGHH at people who are completely disengaged from politics offering their jaded and hyper-cynical hot takes on things they don’t! actually! know! anything! about!!!!!!! and in the process making other people increasingly jaded and cynical about the possibility of electing a government that actually prioritizes the needs & well-being of its citizenry!!!

ugh i’m just TIRED of leftist political cynicism y’all especially when it comes from people who have absolutely no understanding of how much WORK it takes to make huge things like the American Rescue Act happen (work that includes not just the immediate negotiation of the bill but also the years of organizing & voter recruitment work it took to get a narrow democratic majority in the senate so that we could pass things like this!!!!). I’M DONE WITH BEING CYNICAL!!!! i feel, in a totally earnest and unjaded way, that it’s absolutely incredible that dems were able to write, negotiate, and pass this bill, and i feel so so so relieved to be currently living under an administration that is flawed in many ways but is at least actually and earnestly TRYING to reckon with unprecedented “suffering in an actual human scale” (to quote OP) and is even using this crisis as an opportunity to advance major anti-poverty initiatives that will have a LASTING IMPACT on actual human lives. as opposed to our previous administration, which was made up of thousands of people who woke up every single day and asked themselves “what can I do today to further dehumanize & inflict needless suffering upon millions of people?”

PHEW!!!! SORRY!!!! JUST HAVE A LOT OF FEELINGS I GUESS!!!!!!!!

Sooooo, instead of firing me, this is what they did...

Forced me to agree to part-time status because my average hours worked the past several months is only 34 hours/week (due to health related absences and unpaid time off). Which means I will lose my lousy health insurance in about a month, and...

accrue sick time and vacation time at a much slower pace. Basically, as I said in a post months ago, it's Walmart's way of throwing as many people off benefits as they can, but still making most of them work upwards of 35 hours a week or more. 'Cuz that's what Walmart does; squeeze every resource they have until it bleeds green. I actually said this in so many words to the manager delivering the news (with the disclaimer that I knew it was the Company and not her doing this) but she denied it. Yeah, right, honey--I'm smarter than the whole lot of you running the front end, combined ((and let me tell you, there are certain ones that hate when I use words they have no clue as to the meaning of--but damn, when there is an unsolvable problem, they still turn to me to figure it out)), and I know how to identify a tiger by its stripes.

Weighing the pros and cons right now, I believe this is a gift from the Universe.

CONS:

will have only one set day off (Saturday) so it will be hard to make appointments more than three weeks in advance

losing my LOUSY health insurance for me and my son

reduced accrual of paid time off

unpredictable schedule - I will get the dregs left over after the full time people get their shifts

have to work some nights, which I hate (Sundays and Thursdays)

PROS:

Sunday off until 3pm, so that I almost have a weekend

A HELLUVA LOT OF LESS WEAR AND TEAR ON MY BODY; MY KNEES AND ANKLES ARE SO STIFF AND PAINFUL BY THE END OF MY DAILY 7am-4pm SHIFT THAT I CAN BARELY FUNCTION

honestly, these long, early AM shifts have left me feeling like I'm on an eternal hamster wheel with no hope of relief in sight

MORE.TIME.TO.WRITE. - and therein, lies my bliss; a friend also suggested I search online for freelance writing jobs to supplement my income, so now I will have more time to try that too

I'm thinking I may qualify for State Health Insurance, which will be way better than the Walmart version (my deductible is $5,000 before it even kicks in)

and now I really, really, really don't give a shit if I have to call out due to pain because I truly don't care about getting fired; they've pretty much already fucked me in every way they can

EYES ON THE PRIZE: freedom from Hellmart

So I'm alright; better than even the nastiest of the managers who never liked me can imagine. As I said, I think this is a gift to help me transition to the much better life that I DESERVE. And have for ages now.

As for Hellmart...

The hypocrisy of the right on abortion is astounding. But we’ve seen it before, right-wing wives and right-wing mistresses pressured into abortion facilities or right-wing politicians sneaking themselves into one. And now Trump, supported by the pro-life movement, is taking therapies derived from fetal stem cells.

The justifications are always the same:

This time is different than when other people want it.

God hates abortion but he’s telling me to do this.

I have a pro-life voting record so even though I’ve pressured my 24 year-old mistress into having an abortion, it’s okay this time.

Let’s not mince words: How and when someone decides to give birth is deeply personal. Even people actively trying to have children may experience a thousand heart-wrenching complications. Giving birth isn’t easy. And it isn’t cheap. And even if you do everything right, something may go wrong that endangers the life of the pregnant person or the fetus.

Fetuses are alive. And anti-abortion measures threaten to imprison people who have miscarriages (and up to 15% of people who know they are pregnant will have a miscarriage) because of something that is entirely not their fault. These measures do this because they are confusing and equating the fetus’s alive-ness with a pregnant person’s, well, personhood.

If you truly believe abortion is wrong because you are “pro-life,” I encourage you to look at the issue you see and determine what the best approach is. Because supporting politicians like Trump who don’t actually care about this beyond finding an excuse to punish people with uteruses isn’t it.

Banning abortion is a purely “down the river” approach. At the bottom of the river you’re seeing abortion. And maybe it’s upsetting you. Maybe you want to punish the people getting it or benefiting from it. Maybe you want it to stop entirely. Maybe you see facilities like Planned Parenthood that perform abortions and want them to close to make it harder for people to get abortions.

But if you look up the river, you’ll see that the events floating your way had a myriad of causes. And there are real actual things you can do to reduce abortion rates upstream.

Support paid leave for both parents during and after a birth. Giving birth isn’t easy. But we can make it easier, helping families during one of their most important times.

Support universal healthcare. Giving birth isn’t cheap. But a person who is fully supported financially is not only more likely to have a child but also more likely to be able to care for them in the best ways.

Support reproductive health programs like Planned Parenthood. Despite what you might think, Planned Parenthood wants people to have healthy, happy babies, too! Just, at the right time. They provide services like birth control, condoms and dental dams, plan b, and so many more services for reproductive health to ensure that people are able to have children at the right time.

Support universal basic income. People who can afford to care for children are much more likely to keep a pregnancy and once they do, much more likely to be able to care for the child.

More and more policies could be listed here, but the common factor is treating abortion as what it really is—a last result that we can prevent by being compassionate instead of punitary. And they work better than restricting abortion, fundamentally and factually.

Colorado reduced its teen abortion rate by 42% by provided free or low-cost long-term contraception to teens and low-income women.

Hawaii reduced its abortion rate by up to 30% between 2010 and 2014 without restricting abortion. Instead, it introduced comprehensive sex education alongside many other tools the state could use.

Louisiana has seen a 12% increase in abortion rates since 2010, even as the number of abortions around the country decreased. Louisiana also has the fourth highest infant mortality rate in the country (up since 2012), and the sixth highest rate of teen pregnancy. Louisiana has some of the most restrictive abortion laws in the country, but few “upstream” solutions.

To my pro-life friends: You and I may disagree on the morality of abortion. That’s okay. Because we can and should agree on the solution for abortion. It is empowering people in their every day lives with upstream solutions that help all of us.

We can come together for that tomorrow. It’s time to stop voting in politicians that scare-monger by attacking things like Roe v Wade and start voting in politicians that are truly pro-life. Pro-life for starving children in our schools who just need a healthy lunch. Pro-life for black people assaulted on the streets by white supremacists. Pro-life from people whose lives may be saved from stem cell research. Pro-life for corona patients. Pro-life for LGBT people. Pro-life for poor people, disabled people, at-risk people. Pro-life for the pregnant woman who isn’t sure she can afford a new child and might not have the insurance to ensure her own medical safety during a pregnancy. Pro-life for all of us. Not just fetuses.

Accomplishing that means, for now, voting blue down the ballot. I hope you will join me this November in supporting Biden, Harris, and countless Democratic candidates down the ballot to show America what “pro-life” can really mean.

One type of person looks at the present and sees horror in the death of their twee wall decoration emporium or convenient office açai bowl location. Another type of person sees horror in the mass death and trauma and willing sacrifice of the poor and marginal.

FOOLS BOTH!

(I am being facetious here. obviously there is true horror in death to be had, but i am playing an overconfident idiot who thinks they are the only one who see the truth. it is a form of humor, i am hoping)

The true horror has not come to pass yet! If you think the true horror of things will be seen during the crisis, you do not grasp the most fundamental technique of the martial art of Royalty! You do not understand the CONTINUOUS CUTTING MOTION!

Here is how to wield it: You simply stand still, and wait. If you are stronger, they will die first.

Now, a person like you may ask: "What? Just stand still and wait for them to die? How's that supposed to be anything?"

DOUBLE FOOL, YOU!

(I am still facetious here, obviously. i am playing an idiot who does not explain things well to their audience and blames them for it. the hope is that it is also humor.)

You do not grasp the mechanism of the Continuous Cutting Motion! The killing edge of the cutting motion is not a mere blade that needs to be wielded by hand. It is the cancer that hunts you for fun for a little while. It is the economic downturn that removes the need for convenient açai bowls. It is the hurricane that is threatening your home. It is the pandemic that kills one of your friends' friends, but you are not sure which one.

It is all the forms of precarity in the universe that buffet you.

The fool among you still asks: "This is still stupid. How is this stuff something that kills your opponent before you? This isn't a martial arts technique or whatever the fuck kind of metaphor you're using, this is just, like, the wind, I guess?"

TRIPLE FOOL! YOU RIDICULOUS OAF!

(I am obviously still facetious, but I am suspecting that the humor of these parentheticals is itself wearing thin, so I will stop, maybe noting that even the names of these things are taken from elsewhere and that these insights are not original.)

True, if nothing is done for you the wind will surely cut you down, but that phrase contains the hypothetical that turns the wind into the Continuous Cutting Motion: If Nothing Is Done For You!

What makes the wind into the Continuous Cutting Motion is the denial of shelter. It is the rise of deductibles that makes your health insurance useless and makes the fear of cancer one that kills your entire family's dreams, the bailouts that mostly seem to help the already rich, the neglect of the voice that says the levies need to be reinforced except inasmuch as there is a reduction of prices in low-lying areas, the prioritization of research into lucrative speculative pockets akin to 'personalized medicine' at the expense of basic mass-health things like 'vaccines' and 'antibiotics'.

All of these things! All of these things that by nature are built to shield the wind off of Royalty but do nothing for those lower! All of these things make the wind into the Continuous Cutting Motion. They make the very act of Standing while Royal into an act of martial art.

The Continuous Cutting Motion is an act of Reaping! It is an act of cutting down wheat, of wheat being put onto the market, upon which who will have money to buy it? Did you fall victim to the Continuous Cutting Motion? Then certainly not you! All you have done has been cut down, and lies on the ground to be bought. But by nature, if you wield Royalty, if you are of the ones that the Continuous Cutting Motion is done for, then certainly you will be there to reap. That is the basic act whereby Royalty feeds and becomes stronger.

When I describe the Continuous Cutting Motion as an act of the martial art of Royalty, do not be deceived! It is not a technique that takes effort or will or even thought to wield. It does not matter that you are dumb enough to give money to a cult leader who says he will build co-working spaces on Mars, it does not matter if you cannot say more than three words in sequence for yourself. Even if every action you take of your own volition is an act of idiocy that loses you money, when the Continuous Cutting Motion comes around, it will cut all of your opponents down before it cuts you, and all you will have to do is bend down and pick up what they have lost to find yourself ruling a larger chunk of the world.

When I describe the Continuous Cutting Motion as an act of the martial art of Royalty, do not be deceived! This is not a careful act of fighting, this is a desperate act of battle. This is not a careful technique that holds your opponent's lapel and protects their neck as you throw them to the ground. This is a desperate act of a craven person, the panicked grasping at an improvised knife, the improvised flailing that puts a finger in your opponent's mouth, the breaking of a bottle that does not go as planned. For those pretending to Royalty realize just as well as you, now: The Continuous Cutting Motion is a wind, and you can never completely rely on the wind. For those pretending to Royalty realize just as well as you, now: There is a much harsher Continuous Cutting Motion coming, and they do not know which side of it they will be on. For those pretending to Royalty realize just as well as you, now: We are coming upon an age of Demiurges.

We are coming upon an age of Royalty. And the only way to know yourself to survive is to be among Royalty. So you must cut. You must cut everything that does not cut yourself. Because if you do not, someone else will, and they will reap what you could have and you may lose your chance to Royalty.

Perhaps, hearing all of this, your thought is that this is madness. That they must factor in at some point that some things should not be cut, under threat to their own future. Surely, they would not cut something that makes it harder to sow the next harvest?

But they do not think of themselves like that. They do not care about the expectation of income in their next harvest except inasmuch as it compares to the expectation of income of their rivals at the same time. Having one less zero in their net worth does not affect their material well-being. The only thing it affects is the level of danger they are in from their rivals. Thus an act that makes everyone poorer is worth it if it makes them poorer slower than their opponents.

Thus do we live in the age of the Continuous Cutting Motion. There were once some things built to protect everyone from the wind. This was a thing that people did once. It was done racistly and otherwise unequally, but they were still shelters against the Continuous Cutting Motion. But once a choice was made to cut, then that necessitated for others to cut, and then cut again as the logic of the cut looped back upon itself and forced more and more actors to cut.

But it is true that there is a limit to this process. Not universal death, of course, because things are never so simple. No.

You see, the Continuous Cutting Motion cuts down the population of Royalty. The set of people who benefit from the Continuous Cutting Motion gets smaller and smaller. And a funny thing happens about these sorts of game dynamics when fewer and fewer people play: more and more people play with each other again and again, and more and more it becomes strategically optimal to cooperate, to be patient, to share, rather than to betray, to be impatient, to cut.

With each other, of course. Not with us. Thus there comes a point where cooperation is better, where what remains of Royalty suddenly comes to recognize each other and achieves Concordance, and thus do Royalty become Demiurges, and thus does history revert to a previous age.

And this is the horror yet to come. The horror you do not see yet.

Reach heaven through violence.

Health Care Reform - Why Are People So Worked Up?

Why are Americans so worked up about health care reform? Statements such as "don't touch my Medicare" or "everyone should have access to state of the art health care irrespective of cost" are in my opinion uninformed and visceral responses that indicate a poor understanding of our health care system's history, its current and future resources and the funding challenges that America faces going forward. While we all wonder how the health care system has reached what some refer to as a crisis stage. Let's try to take some of the emotion out of the debate by briefly examining how health care in this country emerged and how that has formed our thinking and culture about health care. With that as a foundation let's look at the pros and cons of the Obama administration health care reform proposals and let's look at the concepts put forth by the Republicans?

Access to state of the art health care services is something we can all agree would be a good thing for this country. Experiencing a serious illness is one of life's major challenges and to face it without the means to pay for it is positively frightening. But as we shall see, once we know the facts, we will find that achieving this goal will not be easy without our individual contribution.

These are the themes I will touch on to try to make some sense out of what is happening to American health care and the steps we can personally take to make things better.

A recent history of American health care - what has driven the costs so high?

Key elements of the Obama health care plan

The Republican view of health care - free market competition

Universal access to state of the art health care - a worthy goal but not easy to achieve

what can we do?

First, let's get a little historical perspective on American health care. This is not intended to be an exhausted look into that history but it will give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?

To begin, let's turn to the American civil war. In that war, dated tactics and the carnage inflicted by modern weapons of the era combined to cause ghastly results. Not generally known is that most of the deaths on both sides of that war were not the result of actual combat but to what happened after a battlefield wound was inflicted. To begin with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted in the onset of massive infection. So you might survive a battle wound only to die at the hands of medical care providers who although well-intentioned, their interventions were often quite lethal. High death tolls can also be ascribed to everyday sicknesses and diseases in a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!

Let's skip to the first half of the 20th century for some additional perspective and to bring us up to more modern times. After the civil war there were steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. But for the most part the best that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines were not yet available to handle serious illnesses. The majority of deaths remained the result of untreatable conditions such as tuberculosis, pneumonia, scarlet fever and measles and/or related complications. Doctors were increasingly aware of heart and vascular conditions, and cancer but they had almost nothing with which to treat these conditions.

This very basic review of American medical history helps us to understand that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or even minor ailments. Here is a critical point we need to understand; "nothing to treat you with means that visits to the doctor if at all were relegated to emergencies so in such a scenario costs are curtailed. The simple fact is that there was little for doctors to offer and therefore virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as health insurance and certainly not health insurance paid by an employer. Except for the very destitute who were lucky to find their way into a charity hospital, health care costs were the responsibility of the individual.

What does health care insurance have to do with health care costs? Its impact on health care costs has been, and remains to this day, absolutely enormous. When health insurance for individuals and families emerged as a means for corporations to escape wage freezes and to attract and retain employees after World War II, almost overnight a great pool of money became available to pay for health care. Money, as a result of the availability of billions of dollars from health insurance pools, encouraged an innovative America to increase medical research efforts. More Americans became insured not only through private, employer sponsored health insurance but through increased government funding that created Medicare and Medicaid (1965). In addition funding became available for expanded veterans health care benefits. Finding a cure for almost anything has consequently become very lucrative. This is also the primary reason for the vast array of treatments we have available today.

I do not wish to convey that medical innovations are a bad thing. Think of the tens of millions of lives that have been saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor's offer and most of us demand and get access to the latest available health care technology in the form of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. So the result is that there is more health care to spend our money on and until very recently most of us were insured and the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and we have the "perfect storm" for higher and higher health care costs. And by and large the storm is only intensifying.

At this point, let's turn to the key questions that will lead us into a review and hopefully a better understanding of the health care reform proposals in the news today. Is the current trajectory of U.S. health care spending sustainable? Can America maintain its world competitiveness when 16%, heading for 20% of our gross national product is being spent on health care? What are the other industrialized countries spending on health care and is it even close to these numbers? When we add politics and an election year to the debate, information to help us answer these questions become critical. We need to spend some effort in understanding health care and sorting out how we think about it. Properly armed we can more intelligently determine whether certain health care proposals might solve or worsen some of these problems. What can be done about the challenges? How can we as individuals contribute to the solutions?

The Obama health care plan is complex for sure - I have never seen a health care plan that isn't. But through a variety of programs his plan attempts to deal with a) increasing the number of American that are covered by adequate insurance (almost 50 million are not), and b) managing costs in such a manner that quality and our access to health care is not adversely affected. Republicans seek to achieve these same basic and broad goals, but their approach is proposed as being more market driven than government driven. Let's look at what the Obama plan does to accomplish the two objectives above. Remember, by the way, that his plan was passed by congress, and begins to seriously kick-in starting in 2014. So this is the direction we are currently taking as we attempt to reform health care.

Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the number of Americans that will be covered by health insurance.

To cover the cost of this expansion the plan requires everyone to have health insurance with a penalty to be paid if we don't comply. It will purportedly send money to the states to cover those individuals added to state-based Medicaid programs.

To cover the added costs there were a number of new taxes introduced, one being a 2.5% tax on new medical technologies and another increases taxes on interest and dividend income for wealthier Americans.

The Obama plan also uses concepts such as evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers (doctors and hospitals) to control costs.

The insurance mandate covered by points 1 and 2 above is a worthy goal and most industrialized countries outside of the U.S. provide "free" (paid for by rather high individual and corporate taxes) health care to most if not all of their citizens. It is important to note, however, that there are a number of restrictions for which many Americans would be culturally unprepared. Here is the primary controversial aspect of the Obama plan, the insurance mandate. The U.S. Supreme Court recently decided to hear arguments as to the constitutionality of the health insurance mandate as a result of a petition by 26 states attorney's general that congress exceeded its authority under the commerce clause of the U.S. constitution by passing this element of the plan. The problem is that if the Supreme Court should rule against the mandate, it is generally believed that the Obama plan as we know it is doomed. This is because its major goal of providing health insurance to all would be severely limited if not terminated altogether by such a decision.

As you would guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that have to pay them. Medical device companies, pharmaceutical companies, hospitals, doctors and insurance companies all had to "give up" something that would either create new revenue or would reduce costs within their spheres of control. As an example, Stryker Corporation, a large medical device company, recently announced at least a 1,000 employee reduction in part to cover these new fees. This is being experienced by other medical device companies and pharmaceutical companies as well. The reduction in good paying jobs in these sectors and in the hospital sector may rise as former cost structures will have to be dealt with in order to accommodate the reduced rate of reimbursement to hospitals. Over the next ten years some estimates put the cost reductions to hospitals and physicians at half a trillion dollars and this will flow directly to and affect the companies that supply hospitals and doctors with the latest medical technologies. None of this is to say that efficiencies will not be realized by these changes or that other jobs will in turn be created but this will represent painful change for a while. It helps us to understand that health care reform does have an effect both positive and negative.

Finally, the Obama plan seeks to change the way medical decisions are made. While clinical and basic research underpins almost everything done in medicine today, doctors are creatures of habit like the rest of us and their training and day-to-day experiences dictate to a great extent how they go about diagnosing and treating our conditions. Enter the concept of evidence-based medicine and comparative effectiveness research. Both of these seek to develop and utilize data bases from electronic health records and other sources to give better and more timely information and feedback to physicians as to the outcomes and costs of the treatments they are providing. There is great waste in health care today, estimated at perhaps a third of an over 2 trillion dollar health care spend annually. Imagine the savings that are possible from a reduction in unnecessary test and procedures that do not compare favorably with health care interventions that are better documented as effective. Now the Republicans and others don't generally like these ideas as they tend to characterize them as "big government control" of your and my health care. But to be fair, regardless of their political persuasions, most people who understand health care at all, know that better data for the purposes described above will be crucial to getting health care efficiencies, patient safety and costs headed in the right direction.

A brief review of how Republicans and more conservative individuals think about health care reform. I believe they would agree that costs must come under control and that more, not fewer Americans should have access to health care regardless of their ability to pay. But the main difference is that these folks see market forces and competition as the way to creating the cost reductions and efficiencies we need. There are a number of ideas with regard to driving more competition among health insurance companies and health care providers (doctors and hospitals) so that the consumer would begin to drive cost down by the choices we make. This works in many sectors of our economy but this formula has shown that improvements are illusive when applied to health care. Primarily the problem is that health care choices are difficult even for those who understand it and are connected. The general population, however, is not so informed and besides we have all been brought up to "go to the doctor" when we feel it is necessary and we also have a cultural heritage that has engendered within most of us the feeling that health care is something that is just there and there really isn't any reason not to access it for whatever the reason and worse we all feel that there is nothing we can do to affect its costs to insure its availability to those with serious problems.

OK, this article was not intended to be an exhaustive study as I needed to keep it short in an attempt to hold my audience's attention and to leave some room for discussing what we can do contribute mightily to solving some of the problems. First we must understand that the dollars available for health care are not limitless. Any changes that are put in place to provide better insurance coverage and access to care will cost more. And somehow we have to find the revenues to pay for these changes. At the same time we have to pay less for medical treatments and procedures and do something to restrict the availability of unproven or poorly documented treatments as we are the highest cost health care system in the world and don't necessarily have the best results in terms of longevity or avoiding chronic diseases much earlier than necessary.

I believe that we need a revolutionary change in the way we think about health care, its availability, its costs and who pays for it. And if you think I am about to say we should arbitrarily and drastically reduce spending on health care you would be wrong. Here it is fellow citizens - health care spending needs to be preserved and protected for those who need it. And to free up these dollars those of us who don't need it or can delay it or avoid it need to act. First, we need to convince our politicians that this country needs sustained public education with regard to the value of preventive health strategies. This should be a top priority and it has worked to reduce the number of U.S. smokers for example. If prevention were to take hold, it is reasonable to assume that those needing health care for the myriad of life style engendered chronic diseases would decrease dramatically. Millions of Americans are experiencing these diseases far earlier than in decades past and much of this is due to poor life style choices. This change alone would free up plenty of money to handle the health care costs of those in dire need of treatment, whether due to an acute emergency or chronic condition.

Let's go deeper on the first issue. Most of us refuse do something about implementing basic wellness strategies into our daily lives. We don't exercise but we offer a lot of excuses. We don't eat right but we offer a lot of excuses. We smoke and/or we drink alcohol to excess and we offer a lot of excuses as to why we can't do anything about managing these known to be destructive personal health habits. We don't take advantage of preventive health check-ups that look at blood pressure, cholesterol readings and body weight but we offer a lot of excuses. In short we neglect these things and the result is that we succumb much earlier than necessary to chronic diseases like heart problems, diabetes and high blood pressure. We wind up accessing doctors for these and more routine matters because "health care is there" and somehow we think we have no responsibility for reducing our demand on it.

It is difficult for us to listen to these truths but easy to blame the sick. Maybe they should take better care of themselves! Well, that might be true or maybe they have a genetic condition and they have become among the unfortunate through absolutely no fault of their own. But the point is that you and I can implement personalized preventive disease measures as a way of dramatically improving health care access for others while reducing its costs. It is far better to be productive by doing something we can control then shifting the blame.

There are a huge number of free web sites available that can steer us to a more healthful life style. A soon as you can, "Google" "preventive health care strategies", look up your local hospital's web site and you will find more than enough help to get you started. Finally, there is a lot to think about here and I have tried to outline the challenges but also the very powerful effect we could have on preserving the best of America's health care system now and into the future. I am anxious to hear from you and until then - take charge and increase your chances for good health while making sure that health care is there when we need it.

Warning - this got a little long winded... but it’s something that I just... I get long winded about lol. Also - I’m not trying to rag on anyone in the UK who dreams of living here... though I don’t understand it. It’s just - you should be aware and I don’t see this said enough. Yes, it’s delivered in a very passionate way, because it’s shit that is frustrating for people who live here. And I know the UK is far from perfect but the things that y’all do have down, y’all have it down pat. 

Okay, I get that the US isn’t a completely horrible place to live, currently. Like, we don’t get jailed for saying Trump’s a complete and total fucking moron. See, I can say that and not have my door busted in and be hauled off to some hole in the ground as a political prisoner. 

But when I hear people who live in, like, the UK saying they want to move to America... I swear my left eye twitches just a little bit. Like, I get it - the grass is always greener and all that but... seriously? Are... are they serious when they say that? They... they’re aware of the problems... right? 

Not the social and political problems - those are everywhere. There’s racism and sexism everywhere, there’s corrupt politicians everywhere. That’s not what I’m talking about - yes those things need to be worked on but their virtually identical no matter where you are. 

I’m talking about things like... health care. Paid time off. Employment laws. The cost of college. The cost of retirement. Fuck, the cost of living. Those things. These systemic problems that are just... glazed over. That effect every single person in this fucked up country. Unless you’re of the super rich - every single one of these things are a problem for you. 

Health care. They’re trying to get the whole pre-existing condition thing rolling again. Where, and I’m not even kidding, Trump’s dumbass admin is trying to roll back the Affordable Care Act - which would once again put pre-existing conditions back into play... which pregnancy was considered a pre-existing condition. I wish I was making this up. That’s just a small window into how fucked the system was and could so very easily be again. By the way, the ACA didn’t happen until the mid-90′s. So my generation is the first that was able to actually get pregnancy fucking covered under insurance with no bitch-sessions. And, just for comparison - for the UK peoples out there, we paid over $4000 for the delivery of our son over ten years ago and we had extremely good insurance then that we paid over $800 a month for at the time. That was just his bill, not mine. Just for him. Also - for example... we have insurance, it’s not great insurance but it’s insurance. We pay about $100 a week for it through my husband’s company now. And, to date, this year... we’ve paid... out of pocket, not including the company’s one time benefit of $1500 on an HSA card which is nice but ultimately gone in a heartbeat, so, out of our pocket... not including premiums... we’ve paid almost $10,000 in medical expenses. Only $1000 of it is out of ordinary, for my husband’s procedure that he had to have. The rest has all been RX’s, doctor’s visits, and labs. So yea. There’s that. 

Paid time off. You’re fucking lucky if you get any of that here. That’s why companies tout it as being a benefit. “Oh, this company has good benefits” Good benefits = they actually offer insurance, doesn’t mean it’s good - and you get some semblance of paid time off. Companies here aren’t required to pay you anything extra for working on national holidays and they don’t have to give you any paid vacation or sick days, at all. They are only required to give you maternity leave of 6 weeks or paternity leave, if you request it but none of that is required to be paid either. There’s Family Leave, also not paid time off. And, they will and can do anything to get around paying time and a half for overtime. And, getting into the whole Employment laws thing - companies rely on people not knowing the laws so they can get away with shady ass shit. This happens everywhere, from the corner store and the fucking McDonald’s all the way up to corporate offices. 

College. HA! There are a million bright brilliant people in this country that don’t have a degree because they couldn’t afford to go to college. Or, their parents made just a smidge too much for them to qualify for financial aid and they didn’t want to be burred under a mountain of debt. We’re talking tens of thousands of dollars of debt, what a way to start your life out, huh? Four years at a University? You’re easily looking at $40,000 plus. Easy. Like, wouldn’t be hard to do at all and that’s not even the “best” University either. That’s just like... that one over there. Oh, and student loans? Yeah, interest is charged on those bitches too. Can’t pay them? Oh don’t worry, you can put them on hold for like 36 collective months or something, but they’ll still accrue interest the entire time. And that interest isn’t fixed either, it’s variable. So, good luck with that. 

Retirement? Fuck that. You better hope and pray that social security is still around. For some, even if you do what you’re supposed to and can actually squirrel some away for retirement - you can have some rich fat fuck in an office somewhere decide that he wants your money instead and bam, your retirement is just gone. And that’s assuming you can even afford to have any of your paycheck set aside. Because the cost to live in this country can be insane. True, there are rural places where the cost of living is cheaper but you also don’t get paid shit there either. 

And you still have medical bills when you’re old. What about Medicare, you might be wondering? Oh - you mean medical insurance for the elderly? That shit’s not free anymore. Sure, going to the doctor might be. But if you need an ambulance, you’re still fucked. If you need a prescription? You’d better hope you signed up during that small window for your prescription drug plan, which carries a monthly premium, so you can get your prescriptions. Because, old people never need those, right? And what about care? Well, Medicare will cover some care, like certain kinds of home health care. But not all. And if you need to go into a nursing facility for longer than 100 days? You’d better hope you got buku bucks because Medicare only pays for 100 days. Then, you’d better magically grow younger or some shit. Or, hope you’ve been paying for nursing home insurance. And, hope you’ve been updating that policy to reflect the insane rising costs of those places. Or, if you’re lucky, hope you’ve got family that will help take care of you. To get Medicaid though, you can’t have more than $2000 in assets, at all. That includes life insurance policies with cash values. You can keep your house and like one car but that’s it - and you can’t rent that house out or sell that car once you get Medicaid or you’re benefits can be interrupted because somehow, you can turn $500 into $2000 or something. And - this is the really shitty part, say you are in a nursing home and you do manage to get Medicaid. Medicare still won’t pay a dime to the facility but Medicaid will. But... they’ll also take your entire social security check minus $60 a month. So, if you do still have a house and a car to worry about that you cannot rent out, you’ll have to somehow make that $60 pay for any incidentals you might need (think soap... toothpaste... deodorant... your favorite candies... you get the idea) and for property taxes... insurances... all of that. So... good luck with that. 

Basically... the slogan here is that you can have the American dream if you work hard. But what they don’t tell you is that even if you do get it? You’re probably not going to be able to keep it. 

You can work your ass off your whole life, get that house, build a small business, make it. Not get filthy rich, but do okay. And then you get old and can’t work anymore but it’s okay - you’ve managed to save a little and you’ve got your social security so you’ll be okay. Until you get sick. Or your health starts to go downhill. Then, you’ll watch all that you worked so hard for have to be sold off just to pay your medical bills and go to pay for your care. If you’re lucky, you’ve got kids that can help. But someone, either you or them, is going to have to lose something in order to pay for your care. 

If you aren’t rich, you’ll still not be able to make it. There’s never a break.

For a country that’s all about freedom... you’ll never have a single moment where you’ll be free. 

And for those in the UK starting to go off about VAT. We still pay taxes. We pay sales tax, property taxes, extra taxes added to our gasoline, to the liquor, to the tobacco products, to fucking tampons! We pay licensing fees, renewal fees, tag fees, registration fees, vehicle sales taxes and title fees. We pay federal income taxes, many states pay state income taxes, fuck - some cities have city income taxes. We have toll roads and toll bridges. We still pay taxes on top of all of this. So give me fucking VAT any god damned day of the week if it means I can go to the fucking doctor and not drop $200 fucking bucks just for them to renew the same fucking prescription I’ve been on for years so I can go to the pharmacy and pay $30 for a generic RX for one month. 

The Next Big Thing in Health Care Reform - Why Are People So Worked Up?

Why are Americans so aroused about health care reform? Statements like "don't touch my Medicare" or "everyone should have access to state of the art health care regardless of cost" are in my opinion uninformed and visceral responses that indicate a poor understanding of our health care system's history, its current and future resources and therefore the funding challenges that America faces going forward. While we all wonder how the health care system has reached what some ask as a crisis stage. Let's attempt to take a number of the emotion out of the talk by briefly examining how health care during this country emerged and the way that has formed our thinking and culture about health care. thereupon as a foundation let's check out the pros and cons of the Obama administration health care reform proposals and let's check out the concepts put forth by the Republicans?

Access to state of the art health care services are some things we will all agree would be an honest thing for this country. Experiencing a significant illness is one among life's major challenges and to face it without the means to buy it's positively frightening. But as we shall see, once we all know the facts, we'll find that achieving this goal won't be easy without our individual contribution.

These are the themes i will be able to touch on to undertake to form some sense out of what's happening to American health care and therefore the steps we will personally fancy make things better.

A recent history of yank health care - what has driven the prices so high? Key elements of the Obama health care plan The Republican view of health care - free market competition Universal access to state of the art health care - a worthy goal but tough to realize what can we do? First, let's get a touch historical perspective on American health care. this is often not intended to be an exhausted check out that history but it'll give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?

To begin, let's address the American war . therein war, dated tactics and therefore the carnage inflicted by modern weapons of the age combined to cause ghastly results. Not generally known is that the majority of the deaths on each side of that war weren't the results of actual combat but to what happened after a battlefield wound was inflicted. to start with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted within the onset of massive infection. So you would possibly survive a battle wound only to die at the hands of medical aid providers who although well-intentioned, their interventions were often quite lethal. High death tolls also can be ascribed to everyday sicknesses and diseases during a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!

Let's skip to the primary half the 20th century for a few additional perspective and to bring us up to more times . After the war there have been steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. except for the foremost part the simplest that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines weren't yet available to handle serious illnesses. the bulk of deaths remained the results of untreatable conditions like tuberculosis, pneumonia, scarlatina and measles and/or related complications. Doctors were increasingly conscious of heart and vascular conditions, and cancer but that they had almost nothing with which to treat these conditions.

This very basic review of yank medical record helps us to know that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or maybe minor ailments. Here may be a juncture we'd like to understand; "nothing to treat you with means visits to the doctor if in the least were relegated to emergencies so in such a scenario costs are curtailed. the straightforward fact is that there was little for doctors to supply and thus virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were purchased out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as insurance and positively not insurance paid by an employer. apart from the very destitute who were lucky to seek out their way into a charity hospital, health care costs were the responsibility of the individual.

What does health care insurance need to do with health care costs? Its impact on health care costs has been, and remains to the present day, absolutely enormous. When insurance for people and families emerged as a way for companies to flee wage freezes and to draw in and retain employees after war II, almost overnight an excellent pool of cash became available to buy health care. Money, as a results of the supply of billions of dollars from insurance pools, encouraged an innovative America to extend medical research efforts. More Americans became insured not only through private, employer sponsored insurance but through increased government funding that created Medicare and Medicaid (1965). additionally funding became available for expanded veterans health care benefits. Finding a cure for nearly anything has consequently become very lucrative. this is often also the first reason for the vast array of treatments we've available today.

I don't wish to convey that medical innovations are a nasty thing. consider the tens of many lives that are saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor's offer and most folks demand and obtain access to the newest available health care technology within the sort of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. therefore the result's that there's more health care to spend our money on and until very recently most folks were insured and therefore the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and that we have the "perfect storm" for higher and better health care costs. And by and enormous the storm is merely intensifying.

At now , let's address the key questions which will lead us into a review and hopefully a far better understanding of the health care reform proposals within the news today. is that the current trajectory of U.S. health care spending sustainable? Can America maintain its world competitiveness when 16%, heading for 20% of our gross national product is being spent on health care? What are the opposite industrialized countries spending on health care and is it even on the brink of these numbers? once we add politics and an election year to the talk , information to assist us answer these questions become critical. we'd like to spend some effort in understanding health care and checking out how we expect about it. Properly armed we will more intelligently determine whether certain health care proposals might solve or worsen a number of these problems. What are often done about the challenges? How can we as individuals contribute to the solutions?

The Obama health care plan is complex needless to say - I even have never seen a health care plan that may not . But through a spread of programs his plan attempts to affect a) increasing the amount of yank that are covered by adequate insurance (almost 50 million are not), and b) managing costs in such a fashion that quality and our access to health care isn't adversely affected. Republicans seek to realize these same basic and broad goals, but their approach is proposed as being more market driven than government driven. Let's check out what the Obama plan does to accomplish the 2 objectives above. Remember, by the way, that his plan was gone by congress, and begins to significantly kick-in starting in 2014. So this is often the direction we are currently taking as we plan to reform health care.

Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the amount of usa citizens which will be covered by insurance .

To cover the value of this expansion the plan requires everyone to possess insurance with a penalty to be paid if we do not comply. it'll purportedly send money to the states to hide those individuals added to state-based Medicaid programs.

To cover the added costs there have been variety of latest taxes introduced, one being a 2.5% tax on new medical technologies and another increases taxes on interest and dividend income for wealthier Americans.

The Obama plan also uses concepts like evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers (doctors and hospitals) to regulate costs. The insurance mandate covered by points 1 and a couple of above may be a worthy goal and most industrialized countries outside of the U.S. provide "free" (paid for by rather high individual and company taxes) health care to most if not all of their citizens. it's important to notice , however, that there are variety of restrictions that many Americans would be culturally unprepared. Here is that the primary controversial aspect of the Obama plan, the insurance mandate. The U.S. Supreme Court recently decided to listen to arguments on the constitutionality of the insurance mandate as a results of a petition by 26 states attorney's general that congress exceeded its authority under the commerce clause of the U.S. constitution by passing this element of the plan. the matter is that if the Supreme Court should rule against the mandate, it's generally believed that the Obama plan as we all know it's doomed. this is often because its major goal of providing insurance to all or any would be severely limited if not terminated altogether by such a choice .

As you'd guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that need to pay them. Medical device companies, pharmaceutical companies, hospitals, doctors and insurance companies all had to "give up" something that might either create new revenue or would scale back costs within their spheres of control. As an example, Stryker Corporation, an outsized medical device company, recently announced a minimum of a 1,000 employee reduction partially to hide these new fees. this is often being experienced by other medical device companies and pharmaceutical companies also . The reduction in good paying jobs within the se sectors and in the hospital sector may rise as former cost structures will need to be addressed so as to accommodate the reduced rate of reimbursement to hospitals. Over subsequent ten years some estimates put the value reductions to hospitals and physicians at half a trillion dollars and this may flow on to and affect the businesses that provide hospitals and doctors with the newest medical technologies. None of this is often to mention that efficiencies won't be realized by these changes or that other jobs will successively be created but this may represent painful change for a short time . It helps us to know that health care reform does have an impact both positive and negative.

via Politics – FiveThirtyEight

Kolby Ledbetter, 25, began worrying about the new coronavirus a few weeks ago, when it became clear that it was starting to spread in the United States. He works two jobs — a full-time job as an Americorps service member in Chicago and a part-time job at a bar — and at first, his main concern was for his health, since he doesn’t have paid leave at his bar job or health insurance to fall back on.

Then on Sunday afternoon, Illinois Gov. J.B. Pritzker announced that all bars and restaurants would be shut down for dine-in customers through the end of March. The bar where Ledbetter works closed the next day, leaving him with a whole new set of worries. “Even before all of this coronavirus stuff, I had a lot of financial anxiety because I was basically living paycheck to paycheck,” he said. “Now I have a lot of worry about my health, but I’m also terrified about my ability to stay afloat financially even if I don’t get sick.”

As dramatic measures to tamp down the spread of the virus are implemented across the country, workers like Ledbetter will likely be among the first to feel the economic effects. Big retailers like Gap and Columbia Sportswear are cutting their hours or shutting down entirely in an effort to slow the spread of the virus. And bars and restaurants have also been closed or restricted in a number of states beyond Illinois. On Monday, President Trump urged Americans in a press conference to avoid congregating in groups of more than 10 people.

According to data from the Bureau of Labor Statistics, workers like Ledbetter could be especially hard hit economically by the coronavirus, as part-time workers, very young or old workers, and workers in the lowest quartile of earnings are disproportionately likely to work in service industry or sales jobs.

Martha Ross, a fellow in the Metropolitan Policy Program at the Brookings Institution who studies the labor market, told us that workers like Ledbetter have few economic protections right now. “There are a lot of folks who don’t get paid leave if they get sick. They probably can’t work remotely, so they’re more likely to get sick if they do go to work,” said Ross. “And even if they don’t get the virus, they’re still at higher risk of losing their jobs or having their hours cut. They’re vulnerable no matter what happens.”

Crises have a way of exposing inequalities that linger uncomfortably below the surface when times are good. A few groups of workers are particularly likely to lack both paid leave and the ability to work from home: part-time workers, the youngest and oldest people in the workforce (those under the age of 25 and over the age of 65) and workers who fall below the 25th percentile of earnings.

Who is economically vulnerable to the coronavirus?

Percent of workers with access to paid leave or with the ability to work from home by job status, age and earnings in 2017-18

job Status* Paid Leave Work From Home Part-time 23.3%

–

13.7%

–

Full-time 77.0

–

32.6

–

Age (years) Paid Leave Work From Home 15 to 24 35.4%

–

6.7%

–

25 to 34 70.3

–

31.4

–

35 to 44 71.7

–

36.2

–

45 to 54 74.4

–

32.5

–

55 to 64 74.2

–

32.2

–

≥ 65 51.7

–

25.5

–

Earnings† Paid Leave Work from home ≤ 25th percentile 56.5%

–

9.2%

–

25th to 50th percentiles 80.0

–

20.1

–

50th to 75th percentiles 83.9

–

37.3

–

> 75th percentile 86.0

–

61.5

–

Included all wage and salary workers who were 15 years or older at their main job. Self-employed workers are excluded.

*Full-time includes those who work 35 hours or more a week and hold a single job. Part-time includes those who work 34 hours or less a week and hold a single job.

†Earnings includes only full-time workers.

Source: U.S. Bureau of Labor Statistics, American Time Use Survey

Of course, some of these groups make up a bigger portion of the workforce than others. Workers over the age of 65 — who are also at elevated risk of a life-threatening infection because of their age — only make up about 5 percent of people with jobs, for instance. But part-time workers make up about 22 percent. Some of these groups may overlap — young workers, for example, are disproportionately likely to be part-time workers — but they still represent a sizable chunk of the country’s workforce.

Many of these workers are employed in jobs that will be hard-hit by the recent wave of closures and cancellations, too. Almost one-third of part-time workers are employed in the service industry, which includes people who work in food preparation, and 25 percent work in sales. About 40 percent of workers under the age of 25 are employed in service or sales, too. Other research suggests that contingent workers — independent contractors, freelancers, or other people who work in the “gig economy” — are disproportionately likely to be affected, since they’re more likely to be young and to work part-time. And they typically have no access to paid leave or other benefits because their employment is only temporary. They also tend to make less than workers in traditional, permanent jobs. (The data wasn’t available from the BLS, but low-wage workers are also overrepresented in these sectors that will be hard hit.)

Where do economically vulnerable employees work?

Percent of employed persons who work part-time and are under the age of 25 by occupation in 2019

Occupation Part-time Less than 25 years old Service 31.2%

–

22.0%

–

Sales and related 24.7

–

19.2

–

Office and administrative support 19.7

–

14.4

–

Transportation and material moving 16.8

–

14.0

–

Professional and related 15.0

–

7.5

–

Mgmt., business and financial ops. 8.3

–

3.9

–

Production 7.3

–

11.0

–

Construction and extraction 7.3

–

11.0

–

Installation, maintenance and repair 5.5

–

10.9

–

Part-time includes those who work 34 hours or less a week.

Source: U.S. Bureau of Labor Statistics, Current Population Survey

Lee Taylor, 31, a musician living in New York City, said she watched all of her work evaporate as bars and music venues across the city shut down, and she stopped being able to give voice lessons in person. “I’m getting three or four texts or emails every day, all saying the same thing — ‘“Unfortunately, we’re postponing.’” Taylor is in a particularly tough position as she can’t work remotely either. She has the money to cover her rent for April, but says she doesn’t know what she’ll do if the entertainment industry remains shuttered. “I have no idea how to get income.”

And Taylor is not alone. “It’s a bad week to be a waiter, or a cashier, or any kind of contractor whose work relies on in-person interaction,” said Jesse Rothstein, a professor of public policy and economics at the University of California, Berkeley. “Those people are going to see dramatic cuts to their income — their hours might be reduced, or they might lose their jobs altogether.”

Taken together, all of these factors create a bleak outlook, no matter what happens next. People who don’t have access to paid leave and the ability to work remotely are disproportionately likely to be low-income, which means if their workplace isn’t shuttered, they’re more likely to keep coming to work out of necessity, even if they’re not feeling well. That can put them at greater risk of being infected, since their coworkers may be doing the same thing. Research has found some workers in the food service industry kept coming to work even though they had symptoms of norovirus because they were afraid of losing their job or leaving their coworkers short-staffed.

And the possibility that many will lose their jobs or have their hours cut because of the coronavirus creates a whole new set of problems. A survey conducted by the Kaiser Family Foundation from March 11 to 15 found that 73 percent of workers with a household income of less than $40,000 a year, 68 percent of part-time workers, and 60 percent of self-employed workers are worried that they will lose income due to a workplace closure or reduced hours because of the coronavirus. According to that survey, part-time and self-employed workers are likelier than full-time or salaried workers to say they’ve already lost income so far.

If the shutdowns persist, some employers may go out of business, leaving workers who weren’t permanently laid off with no job to return to. “We have to start thinking about what’s going to happen when people can’t pay their rent or mortgage,” Rothstein said. “Because these workers are going to start burning through their savings — if they have any at all.”

Peak uncertainty: This is what covid might do to our politics

By Chaminda Jayanetti

Just because something should happen, doesn't mean it will.

Many articles speculating on how Britain will look different after coronavirus mistake what the writer thinks should happen with what probably will, trusting in the logic of the moment when politics often obeys anything but.

Others focus on the party political fallout, which is the most unpredictable aspect of all. Coronavirus may determine the next election - or it may play no role in it at all.

But to really get an idea of how Britain could look on the other side, we need to get away from the big picture discussion and dig deep into policy areas.

Who cares?

The centrality of the NHS is now guaranteed no matter who is in charge. The Tories had already pledged increased funding, and the need for spare capacity in the event of pandemics may force a rethink of service redesigns and efficiency measures that aimed to minimise 'waste'.

Bigger questions surround the adult care system. No-one can now ignore the funding cuts and staff shortages that have left the care sector so depleted. If elderly and disabled people find themselves dying untreated in care homes in large numbers, this might - and should - become a point of national shame over the coming weeks.

The Tories' direction of travel is towards a social insurance system, whereby people pay in to a fund during their working lives that gives them access to care provision when they need it. But those who are retired or have lifelong care needs won't be able to pay into an insurance scheme before receiving care. These immediate care needs will need direct public funding, not long-term insurance.

Labour under Jeremy Corbyn took a different tack: universal free personal care for the over-65s, with an ambition to extend this to all working age adults. This is simpler and more inclusive than our current means tested mess, but it doesn't come cheap: Labour's manifesto estimated the cost as £11bn a year by 2023/24.

Keir Starmer will be under pressure from some to stick with their existing policy, and from others to engage with social insurance proposals. Keeping Labour MPs united behind whatever strategy he adopts won't be easy.

But it's plausible the Tories will also be pulled in another direction - towards voluntarism. The party's social and fiscal conservatives - uneasy bedfellows in recent years - could use the increased community cooperation seen amid the pandemic as evidence that volunteers and family members can take on more of the care burden, while still improving pay and conditions for care staff.

Expect to see rhetoric that the pandemic has 'unleashed' Britain's 'community spirit', which should be 'channelled' after the crisis by relying on family and neighbours to 'look in' on people in need - the soft-soap version of women doing unpaid care work in lieu of public services. The current trend in care provision is towards making use of what 'assets' people already have, including friends and family - an approach that can be used for good or ill. The temptation for the government to lean on unpaid volunteers instead of the taxpayer is not hard to imagine.

The care system was the biggest public service challenge facing the government before coronavirus. Now that's been magnified tenfold. It could become one of the big battlegrounds of post-pandemic politics, between competing visions of society based on universalism, managed markets, and voluntarism.

Bob Crow was right

Before his death in 2014, Bob Crow was one of the most demonised figures in Britain. His readiness to threaten to shut down rail networks as head of the RMT union made him a bête noire for commuters, causing considerable disruption.

Crow was a rarity in post-Thatcher Britain - a union leader who was ready to use strike action as a sword, not just a shield. Whereas most unions only went on strike in defence of existing jobs, pay and conditions, Crow levered the criticality of the role of his members to transform their economic position.

He was accused of holding passengers and politicians to ransom, but his argument was a simple one: the disruption caused by his members going on strike showed how important their role was, and they should be paid more - much more - to reflect this.

It has taken the worst pandemic in more than a century for many people to realise this point. Pay does not necessarily reflect the importance of a worker's role - in fact, very often it does nothing of the sort. Pay reflects many factors: supply and demand of labour, required skills and levels of education, the strength or weakness of collective bargaining, the resources of the employer, and the profit-making productivity of the role. The social necessity of the role comes below pretty much all of them.

There may well be a post-pandemic cross-party consensus for a higher minimum wage and more protection from exploitation - action on zero hours contracts, for example - to protect low-paid workers from poverty.

But Crow didn't want his members to be low paid at all. He wanted to transform their economic station. We keep hearing about essential workers in cleaning, portering, social care and customer service. Will this be rewarded with more middle class pay and conditions?

There are reasons to be doubtful. There will likely be broad acceptance of the importance of care workers, who are a very visible part of the fight against coronavirus. But that does not mean politicians will be ready to fork out for transformative pay rises. Will Starmer accept billions of pounds of extra spending on top of the £11bn Labour has already earmarked for social care, let alone the Tories?

And where is the industrial, political or public pressure going to come from to secure such pay rises for the often migrant workers in portering and cleaning? We don't want to accept it, but many workers on middle incomes would sneer at the idea of porters and cleaners being paid the same as them.

The safety net

The benefit system has taken a battering over the last decade. Now the economic shutdown is driving more than a million people to seek refuge in the rubble left behind.

The government has responded by performing emergency repairs -  raising benefit payments and scrapping job search requirements in a desperate attempt to stop the newly unemployed middle classes struggling in the way the unemployed poor were expected to.

Things could play out from here in a number of ways. If Universal Credit functions to a level the government can live with, they will declare the system a success, leaving Starmer in a politically difficult position. Will he keep Labour's pledge to axe what will have become an established system, or switch to reforming it, thus angering his left flank. Labour may try and build a minimum income guarantee using the framework of this system. Or they may 'abolish' Universal Credit by tweaking it and changing its name.

If Universal Credit simply topples over - unable to process claims properly, or pay out the right sums of money - the government might be forced to give up its costly and chaotic flagship scheme.

What then? Labour would push for a more generous system with far fewer conditions and sanctions. The Tories would be truly hamstrung, having in this scenario wasted a decade on a failed system.

Public opinion would not necessarily favour a more generous, less judgemental approach. The declared end of the pandemic, and the gradual return to some kind of economic normality, would likely bring back demands that the unemployed get back to work, and that they be cattle-prodded into doing so. Laid off workers do not carry the same image as health and care workers in this pandemic - and doubtless right wing ideologues will start shouting about the deficit the first chance they get.

But if the economic recovery is insipid, with little job creation, enduring high unemployment, and a stop-start lockdown as the virus returns, both parties could be drawn to more universal systems - a minimum income guarantee set at a liveable level, or even a Universal Basic Income.

The government toyed with introducing UBI last month, but it would face wide opposition from Tory MPs unhappy at its cost. Claire Ainsley, who is expected to be unveiled as Starmer's policy chief, is also a sceptic. It is expensive, blunt and largely untested. But if jobs don't reappear as the pandemic passes, the 'on yer bike' mentality that has underpinned the benefit system for decades will itself be left redundant.

A costly affair

Britain is running up huge deficits as sectors of the economy grind to a halt. How will all this be paid for? Starmer is calling for higher taxes on the rich, but that alone is unlikely to be sufficient, especially if corporate profits remain depressed for years. Everyone is going to have to pay more.

Could the Tories go in for funding cuts? Perhaps - but likely not at the scale we've seen. The big targets after 2010 were local government and welfare. The former can't be cut further without it collapsing. The Tories may winnow away at the latter. Foreign aid could take a hit. But the party would have to tear up its electoral strategy of higher spending on schools, hospitals and police to recreate full-blown Osbornomics.

Labour, and possibly even the Tories, may look to wealth taxes to help bring down the deficit. Taxing people's wealth would be a major shift in Britain's approach, and could finally tackle one of the key sources of economic inequality.

But there's a problem. The richest hold most of their wealth as financial assets, meaning they can easily move it to offshore tax havens. Fixed assets, like houses, tend to benefit the middle classes. Taxing property wealth could hit Tory homeowners while barely affecting hedge fund billionaires. Targeting the latter would require a Tory government to clamp down hard on tax havens.

Conservative MPs are likely to be split on middle class tax rises and spending cuts. If the Tories go after tax havens and impose a progressive wealth tax, it would be one of the most dramatic changes the pandemic brings about. The curtailment of the free movement of capital would be a paradigm-shifting development, and an extraordinary one for a Conservative government.

What does need to happen is for governments to spend on preventative services - such as social care - in the knowledge that this will cut required spending down the line. Only when that happens will Britain's fiscal politics finally grow up.

But on a variety of fronts, the British are going to have to decide what it is we are willing to pay for. If we want functioning public services and low deficits, we'll have to pay more tax. If we want properly paid frontline public servants, we'll have to pay more tax still. If we want to end poverty pay, we may have to pay more for goods. If we want to protect the high street, or British producers, we may have to pay more in digital sales taxes or import tariffs.

Cakeism has run out of road.

The known unknowns

If Britain does head down the path of higher taxes, more generous benefits and greater public provision, our politics and economy will start to look more European - either universalist northern European, or rather more patriarchal southern European.

But the irony is, we'll be firmly outside Europe. Nothing that is happening right now will be fostering a European identity among voters. And if the government decides to take radical action on the economy, that could mean Britain fundamentally diverges from EU rules, keeping us on a separate path into the future.

All this is predicated on coronavirus being conclusively 'defeated', and a one-off in its mortality, geographical spread and disruption. Those are the prerequisites for things eventually returning to some recognisable norm.

If, however, pandemics of this scale become even semi-regular, shutting down national economies for months at a time, everything changes. Rents become unpayable, debts unaffordable, jobs untenable, the economy itself unsustainable. When Rupert Harrison, George Osborne's former adviser, is openly suggesting debt forgiveness, we are in very new territory.

Most people will want life to get back to normal as soon as possible. But if normal never comes, anything goes. And even the most radical ideas we've discussed would be on the moderate end of what could happen then.

My Story + Current Situation

I don't know how to begin this post. To be honest, what I'm about to tell y'all may not help me out in any way other than giving me an outlet to vent. Fair warning, this is going to be a long post and I may ramble a bit but I'll add a tldr; at the end. 

Sigh.

Let me start from the beginning.

My name is Stacey. I turn 25 years old on April 24th, 2019.

My story begins when I was 19 years old - a freshman at my local university. I was finishing up my first year of my undergraduate program in Biology, aiming to get a Masters or PhD in Genetics. I had many accomplishments; I was awarded a scholarship because of my GPA, a group project I was a part of won 1st place in a writing competition because our independent research paper was the best, and I was just living life and working on my future. I had to take the bus everywhere, I was moving around a lot, and I was working out regularly at my university's gym. One day, as I'm walking to the bus stop, it felt like my right hip popped out of place and then slammed back in. 

At the time, it was a minor inconvenience. It hurt, yes, but it mostly just left me sore and it went away with some rest so I didn't think much about it. 

I started questioning it more when it happened again over summer break. I was at a friend's house playing D&D when I felt an acute grinding sensation in my right hip joint as I stood up to get me a soda. This time, the pain was significantly worse - sharp and it took longer to go away. I started thinking that I was developing arthritis as my dad also got it young. 

It took a while to happen again...but when it did, it got to a point where I couldn't ignore it at all.

I had picked up a seasonal job at Macy's. My first day on the sale's floor was Thanksgiving night going into Black Friday. We were understaffed and it was hell, but I made it through my shift which ended at 2:00 AM. A co-worker came to me and asked if I could pick up her shift the following morning and I took it because I wanted to work. On Black Friday, I started feeling that grinding sensation in my hip again but I worked through it - blowing it off as simple arthritis. I believed rest would help.

That following Saturday, I had another 8 hour shift but this time it was in juniors which was the busiest area. I was moving around a lot, had to bend over to pick things up off the floor, and I'm not even going to get into the mess left in the dressing rooms. Towards the end of my shift, I was limping. The grinding sensation only got worse and suddenly my hip was locked up. I could barely move and when I did I experienced sharp intense pain. I left an hour early because I could no longer do my job. I thought maybe I just picked up too many hours, so I decided to take the rest of the weekend to rest.

But the pain didn't go away with rest. I was in pain for 2 weeks straight, hardly able to walk, before I finally went to see a doctor. I limped my way to the university health center and scheduled an appointment. The lady who saw me performed a simple hip exam. I wasn't able to walk much, so she mostly checked my hip flexion. Off the bat, I knew that I had lost some range of motion as we could barely bring my knee to my chest without pain. The fun part happened as she was guiding my leg back down.

My femoral head caught on my hip bone. It was audible, and yes it hurt.

She had a look of shock as she said, "You are way too young for this." 

I was prescribed diclofenac for the inflammation and cyclobenzaprine (flexeril) to relax my muscles and help me sleep through the pain. That same night, my mom took me to the ER and I had a x-ray done on my hip. The radiologist said that there was a slight chance I had femoroacetabular impingement (FAI) (in layman's terms: the bones are misshapen) on both hips, but would need more imaging to truly determine a diagnosis. I was prescribed hydrocodone (vicodin) for about a week to try and manage the pain until I could get insurance and see a specialist. 

That's where the fun part started.

Since I turned 19 that year, I was no longer covered under CHIPS Medicaid. I applied again, but was told that I do not qualify because I didn't have any children.

Yeah...you read that right. The state of Texas does not extend benefits to anyone over 19 without children. 

My only choice was a county program that helps low income people get medications and treatment so they can get back to work. I wasn't able to apply until months later (a combination of not having my own transportation, busy schedules, and my mom trying to convince me that I would be denied.)

I was 20 years old when I finally found a doctor (we'll call him Dr. D) that could help me figure out what was going on in my hip joint. He took it seriously - performed another hip exam and ordered several lab tests. We checked everything under the sun: cancer, rheumatoid arthritis, lupus, etc. He got me on physical therapy, changed out my diclofenac to meloxicam (mobic), ordered me an MRI, and referred me to an orthopedic specialist to determine how we needed to move forward.

The MRI I had was without contrast. The result was greater trochanter bursitis, or inflammation of the bursa which are sacs filled with synovial fluid that help cushion joint movement. 

When I saw the specialist in November of 2014, the chronic bursitis was the sign that something was definitely wrong with my hip. I was only 20 years old with no traumatic injury. Chronic bursitis is not common in someone that young, so he ordered me an MRI with contrast so that they could have better imaging of my joint. My husband's grandparents paid the $932 to get it done in December and it was honestly one of the worst things I had ever gone through. When they injected the dye into my hip, the numbing agent didn't work and it hit a nerve HARD and my entire body convulsed. They injected more of the numbing agent, but that also didn't work so again my entire body convulsed as they tried to get the dye in. The third time worked because they decided to give me a stronger numbing agent...but it messed my hip up. I walked funny for three days.

When I finally saw the specialist again about the results (several months later because of an issue with scheduling), not only did I have bursitis but they also confirmed that I had cam type FAI (layman's terms: the deformity is on the femoral head) and a 9mm labral tear. 

Since the condition was causing joint damage, the answer was surgery.

I was sent back to my primary care physician's office, but unfortunately Dr. D wasn't available so I saw a different doctor. (This may seem irrelevant, but it is actually very important.) I told her EXACTLY what the specialist told me, which was that I needed to get sent to San Antonio or Galveston in order to get treatment. 

The referral was denied.

I was assigned a new doctor. We'll call him Dr. S. He told me about the denial when I had asked about it during an appointment for a different issue. I remember crying because I had no idea what to do. I was only 21 years old - I didn't know how to navigate the medical system! Plus, I was very very broke. I won't go into too much detail, but I was forced to move out of my parent's because my dad is irresponsible and I was put in a massive amount of credit card debt because my own mother stole my identity and I ended up having to pay the bill for it because my mom was diagnosed with cancer and couldn't work anymore. 

(This is only surface level by the way. The last 5-6 years have been absolute hell.)

That summer I was working two jobs. I had a GoFundMe page and I was just trying to save up enough money to possibly get me on an insurance plan to cover the surgery. I came home every night limping and crying, my husband having to half carry me and help me get into a hot bath just to try and bring the pain down enough so that I could do it all again the next day. School was rough as well and my grades were dropping.

I was destroying my body so much that it got to a point where I could no longer do my job as a sale's associate at Macy's. My managers were amazing and they did everything they could to help accommodate me, but it got to a point where I was unable to finish shifts due to pain and I was calling out often. I was running low on my attendance credits and I didn't want to be fired for absenteeism. 

I go back to see Dr. S and I tell him I really need something, anything. What I was doing wasn't getting me anywhere and my condition was getting worse due to the progressive joint damage. He didn't really know what to do...saying things like "I can' believe they denied you - the whole point of the program is to help people get their treatment and yet they're denying you." I told him I had heard something about an orthopedic program at one of the hospitals in network and he put in a request for me to see one of their surgeons. 

I never got a response.

At the time, I really couldn't pursue the issue - I changed from a sale's associate to a wedding gift registry advisor at Macy's. It was a desk job which really helped keep my hip under control, but the problem was that my hours were reduced and I had no way of picking up more like I did with my previous position. I was having to donate plasma so often just to have food money that I actually have a permanent scar on my left arm.

I loved that job, but it barely paid the bills. I took a semester off of school so I could focus on working and babysitting my nephew due to a family emergency. Thankfully my in-laws paid me. Even though it was something I would have done for free, it really helped out.

But then Macy's had a huge company layoff in January 2017...and I was affected. The position I had was being removed from my local store, so I was without a job. My depression took a big hit and it almost ruined my relationship with my husband. I wasn't taking care of myself, I wasn't doing my responsibilities that were required for my unemployment benefits and my insurance, and I basically became extremely dependent on my husband to a point that our relationship became unhealthy. It took a while to get me out of that rut. I started applying for jobs and I ended up getting hired by Aflac around the end of April, but I had to get my driver's license before I could be officially on board.

I understand that the above may not seem relevant, but...that summer was when things got even worse.

I wasn't able to get my license in time to take the position, but that was only a part of the issue. In July, I was helping my husband's business at a convention when I had one of the worst flares I've ever had. I had twisted the wrong way, causing my femur to catch on my hip bone, and I ended up on the floor in fetal position.

At best, the pain felt like I was being stabbed with an ice pick. At worst, it felt like every tiny movement I made was splintering my hip bone. The splintering sensation I had felt before, but not to this degree. My hip was locked and it felt like I was stuck in a vice. On the pain scale, I was around a 9. It was unbearable. I ended up in the ER where the only thing they could do was give me a shot and a prescription for Tylenol 3 (acetaminophen + codeine) to help me get through it...

Neither the shot or the medicine worked. While my hip was unlocked, I was still experiencing sharp pain that was so deep in my hip bone that none of the medications touched it.

It hurt...it hurt intensely and consistently. 

It got to a point where I had to borrow flexeril and tramadolfrom someone while I was trying to renew my insurance. Yes, I'm aware that this is illegal - but I was out of flexeril and the meloxicam wasn't working so we were trying to get me through the MULTIPLE flares I was having even when I didn't do anything to aggravate my hip. The end of 2017 was exhausting for multiple reasons.

Once I got back on the county program, I had an appointment scheduled with a new doctor (we'll call her Dr. P) because Dr. S was no longer working in network. 

The week of my appointment...was really rough. We had to put our dog down at 2 years old because he had severe chylothorax and we didn't have the money or the means to seek treatment (plus it was so severe that seeking treatment could have killed him.) A few days later, Hurricane Harvey hit and my area was badly affected. My appointment had to be rescheduled. 

I saw several different doctors in the following months because Dr. P never had an opening available. I ended up needing a wheelchair to get around because my standing/walking limit was drastically reduced. I'm lucky to be able to stand for 10-15 minutes now compared to the 1.5 - 2 hours it used to be. I tried to apply for medicaid again, but was denied and advised to try and apply for disability. I didn't have enough credits to apply through social security so I found an attorney and just gave it a shot. However, I got a rejection letter for representation due to the information that they received from my doctor's office.

I start questioning things at this point. What did they tell the disability attorney? We knew I needed surgery and that my condition was getting worse. What could my doctor have told the attorney that resulted in a denial?

I didn't see Dr. P until May of 2018 and apparently, she had no record of my diagnosis and my need for surgery. The only imaging she could find on file was my very first MRI (without contrast) and so she was under the impression that the only issue was mild inflammation in my right hip. 

I was pissed.

I ended up having to redo the entire process. I see the very same specialist again and he didn't remember me. I had to get another MRI done and he requested an x-ray right before my appointment, but he never went over the results with me. He basically told me I need to "put up with it" and ordered me a fluoroscopy guided injection. 

I get the injection in October and literally minutes afterward I start crying because of how overwhelmed I was at no longer being in pain. To give y'all an idea, chronic pain isn't always intense pain 24/7. For me, it feels like my hip is constantly bruised. I usually hover around a 2-3 on the pain scale and the more I move the higher it gets. IT IS EXHAUSTING. To finally feel "normal" again was so overwhelming for me that I was a sobbing mess as we walked back to the car. 

That week I was so happy. My mental health immediately improved. I was able to walk around, go up and down stairs, even go on a camping trip with my ecology class and go hiking! All these things that I wanted to do I could finally do again with only minimal and MANAGEABLE pain. I still took it easy, but I was finally able to enjoy my life again.

...

The following Monday, a week after the injection, I woke up in severe pain. I had felt the familiar twinge the night before, resulting in an anxiety attack because of the fear my hip pain was returning...and unfortunately my fear came true. The injection normally lasts a few months...for me, it lasted one week. 

I go see the specialist for the follow up appointment regarding the injection. He seemed kind of confused, saying things like "At least now we know the problem is your hip." I was beyond frustrated because WE KNEW FOR YEARS THE PROBLEM WAS MY HIP. He wasn't listening to me! He even asked me if he had talked about surgery the last time I saw him and I told him YES. So to wrap up the appointment, he gives me a half-assed hip exam and requests that my PCP put in a referral for orthopedic surgery...again. My depression hits its lowest point. I even contemplated suicide and had to start therapy. Overall, I was not in a good place.

I don't hear anything about the referral for months so I call and they tell me there are no orthopedic surgeons at the moment. So I make another appointment but this time I see a different doctor that we will call Dr. I because she was the one who put in the request for the referral. She was amazing! She listened to me, didn't interrupt me, and she worked to make sure we got details regarding any hold ups so I wasn't left in the dark. She even performed a standard hip exam on me to measure how bad my hip got. Anyway, she finds out that yes - everyone with the clinic card does not currently have an orthopedic surgeon because the contract with the previous one ended and was not being renewed. She encouraged me to keep calling, at least once at month, to check on the status of their hiring. 

My first call was in February of 2019 and not only was I told that there still wasn't any orthopedic surgeons...the county had also decided to no longer cover hip surgery as of this year. 

I was LIVID.

I made an appointment with Dr. P and was seen literally the next day because I was DONE. We gathered all the info we could to prove to them that I had been seeking treatment for years. She listened and she took me seriously. She put in a new referral that aimed to get me a one time approval, ordered physical therapy, and referred me back to the specialist so we could get this done. She also prescribed me gabapentin to help me out with some of the nerve pain I was experiencing because as of the end of 2018, my hip pain was causing issues with my knee. As of 2019, my ankle and foot started being affected as well. She theorized it was due to nerve damage and so she put a note on my referral for it to get done ASAP.

Which brings us to the present. I went to physical therapy and it caused me to flare up...repeatedly. I ended up having to resign from my job (that I only had for a month) because my absences were atrocious and I was constantly having to update my accommodations just so we can attempt to have my absenteeism reduced. (In the end, I had to chose between voluntarily resigning and be eligible for rehire in 30 days or risk being terminated and not being eligible for 3 years.) My last physical therapy appointment was Friday, April 12th because during my exercises my femur caught on my hip bone and caused a severe flare. The physical therapist put a stop on my therapy until after I saw the specialist because it was only causing me more trauma. 

Today, April 17th, I saw the specialist and we finally figured out why I never received the treatment I needed. To reiterate, we are on year 5since I first got on the county aid and started seeking help from them.

It turns out, all of my referrals were done incorrectly.

I was being referred to the local orthopedic department which can not do the procedure I need. On top of that, the specialist was trying to order me an arthroscopy for DIAGNOSTIC purposes - not an arthroscopic surgery. Somewhere in the mix there was massive miscommunication and things were not being documented correctly. My PCPs had no idea how to handle my case so it ended up being mishandled entirely.

Essentially, the specialist brought in someone from an internal department and they are now taking over my case because this is grounds for a class action law suit and they want to avoid that at all costs. She explained to me where the block happened and that they were no longer going through my primary care physician for referrals because it would risk continued miscommunication.

They admitted that the fault was on them. I understand why this happened because the hospital I go through is in a major transitional phase and they've been tearing down the trauma center and relocating, building new clinics, updating, etc. I even told her and the specialist that I am not mad at any one person, that I do understand - but they have to understand that I was a victim of this. I experienced YEARS of suffering that affected my physical and mental health, my education, and my ability to work. My condition has devolved to a point it never should have and it may have permanent life altering repercussions. My surgery may go from a simple fix to needing a replacement which would result in at least 2 more replacements later on in my life since they do have an expiration date and I am only 24 going on 25.

TLDR; because of the transitional state my hospital is in plus the fact that I was jumping between multiple doctors, there was miscommunication regarding the treatment for my FAI and it led to my referrals being done incorrectly...and I suffered for it. I am now waiting on a referral that will send me up to San Antonio where they will be taking arthroscopic images of my hip joint so that we can further determine how to proceed with treatment. I may pursue legal action, but ultimately I just want something done so I can get on with my life.

⬇️

So why am I posting all of this information here?

Because of the fact that I am now out of a job again, plus everything that I had explained above, I am opening up EMERGENCY commissions. We have bills to pay and we also need to be able to pay for this trip to San Antonio and unfortunately, my husband (who is currently employed by my previous employer, go figure) is not making enough to keep us afloat. We are in the red and will not make it through May at this point so we are already working on selling some extra stuff and getting ready to make some major sacrifices. 

I mostly write Victuuri but am willing to discuss other pairings. If you have any questions regarding what I will or will not write, just shoot me a message on twitter and we can discuss it. 

Commissions will be pay what you want - no minimum. I'll literally take anything at this point. I know my writing can be a bit inconsistent so I don't feel right setting a price. Here's the link to my ko-fi page.

All I ask is to please understand if the commission takes a while to get out. I have real life things to take care of and sometimes my medicine makes it hard for me to stare at my computer screen. Just trust that I will get it done. 

I'm currently working on a piece for hentipie. I'm hoping to have it out this weekend so prepare to see that soon! It won't be posted here due to the rating though, so you'll have to look for it on AO3.

Anyway, for those of you who took the time to read this ridiculous chunk of text, thank you. If you can't help me out financially that is perfectly fine. I know and understand the struggle so don't feel bad by my sob story. I just needed to get this out.

Talk to y'all again soon! <3

-Sae

I totally support all of the Liberal “Left” Proposals, and yet, this simple observation, the quote below,  is quite correct, and the body of this Opinion Piece shows the path Democrats should take in THIS particular election:

“ ... Not all elections are equal. Some elections are a vote for great changes — like the Great Society. Others are a vote to save the country. This election is the latter.   That doesn’t mean a Democratic candidate should stand for nothing, just keep it simple: Focus on building national unity and good jobs. ... “ 

- Phroyd

I’m struck at how many people have come up to me recently and said, “Trump’s going to get re-elected, isn’t he?” And in each case, when I drilled down to ask why, I bumped into the Democratic presidential debates in June. I think a lot of Americans were shocked by some of the things they heard there. I was.

I was shocked that so many candidates in the party whose nominee I was planning to support want to get rid of the private health insurance covering some 250 million Americans and have “Medicare for all” instead. I think we should strengthen Obamacare and eventually add a public option.

I was shocked that so many were ready to decriminalize illegal entry into our country. I think people should have to ring the doorbell before they enter my house or my country.

I was shocked at all those hands raised in support of providing comprehensive health coverage to undocumented immigrants. I think promises we’ve made to our fellow Americans should take priority, like to veterans in need of better health care.

And I was shocked by how feeble was front-runner Joe Biden’s response to the attack from Kamala Harris — and to the more extreme ideas promoted by those to his left.

So, I wasn’t surprised to hear so many people expressing fear that the racist, divisive, climate-change-denying, woman-abusing jerk who is our president was going to get re-elected, and was even seeing his poll numbers rise.

Dear Democrats: This is not complicated! Just nominate a decent, sane person, one committed to reunifying the country and creating more good jobs, a person who can gain the support of the independents, moderate Republicans and suburban women who abandoned Donald Trump in the midterms and thus swung the House of Representatives to the Democrats and could do the same for the presidency. And that candidate can win!

But please, spare me the revolution! It can wait. Win the presidency, hold the House and narrow the spread in the Senate, and a lot of good things still can be accomplished. “No,” you say, “the left wants a revolution now!” O.K., I’ll give the left a revolution now: four more years of Donald Trump.

That will be a revolution.

Four years of Trump feeling validated in all the crazy stuff he’s done and said. Four years of Trump unburdened by the need to run for re-election and able to amplify his racism, make Ivanka secretary of state, appoint even more crackpots to his cabinet and likely get to name two right-wing Supreme Court justices under the age of 40.

Yes sir, that will be a revolution!

It will be an overthrow of all the norms, values, rules and institutions that we cherish, that made us who we are and that have united us in this common project called the United States of America.

If the fear of that doesn’t motivate the Democratic Party’s base, then shame on those people. Not all elections are equal. Some elections are a vote for great changes — like the Great Society. Others are a vote to save the country. This election is the latter.

That doesn’t mean a Democratic candidate should stand for nothing, just keep it simple: Focus on building national unity and good jobs.

I say national unity because many Americans are terrified and troubled by how bitterly divided, and therefore paralyzed, the country has become. There is an opening for a unifier.

And I say good jobs because when the wealth of the top 1 percent equals that of the bottom 90 percent, we do have to redivide the pie. I favor raising taxes on the wealthiest Americans to subsidize universal pre-K education and to reduce the burden of student loans. Let’s give kids a head start and college grads a fresh start.

But I’m disturbed that so few of the Democratic candidates don’t also talk about growing the pie, let alone celebrating American entrepreneurs and risk-takers. Where do they think jobs come from?

The winning message is to double down on redividing the pie in ways that give everyone an opportunity for a slice while also growing the pie sustainably.

Trump is growing the pie by cannibalizing the future. He is creating a growth spurt by building up enormous financial and carbon debts that our kids will pay for.

Democrats should focus on how we create sustainable wealth and good jobs, which is the American public-private partnership model: Government enriches the soil and entrepreneurs grow the companies.

It has always been what’s made us rich, and we’ve drifted away from it: investing in quality education and basic scientific research; promulgating the right laws and regulations to incentivize risk-taking and prevent recklessness and monopolies that can cripple free markets; encouraging legal immigration of both high-energy and high-I.Q. foreigners; and building the world’s best enabling infrastructure — ports, roads, bandwidth and basic social safety nets.

Ask Gina Raimondo, Rhode Island’s governor, and my kind of Democrat. She was just elected in 2018 for a second term. In both her elections she had to win a primary against a more-left Democrat. When Raimondo took office in 2015, Rhode Island had unemployment near 7 percent, and over 20 percent in some of the building trades.

“When I ran in 2014, there was a temptation to appeal to particular constituencies — gun safety, choice, all things that I believe in,” Raimondo recalled. “I resisted that temptation because I felt the single greatest issue was economic insecurity and people who were afraid they were never going to get a job. So I said there are not three or four issues, there’s one issue: jobs.” Unemployment in Rhode Island today is about 3.6 percent.

Raimondo has faced a constant refrain from critics on her left that she is too close to business. “I created an incentive program for companies to get a tax subsidy if they created jobs that pay above our state’s median income or jobs in advanced industries,” she noted. “I have cut small-business taxes two years in a row since 2015. I am not ashamed of any of that.”

Because, she continued, “I listen to people every day, and you hear what they are worried about. People say to me, ‘Governor, I just got a real job.’ And I’d ask them, ‘What is a real job?’ And they’d say, ‘It’s a job where I can support my family with real benefits.’ So I named our state job-training program ‘Real Jobs Rhode Island.’”It will be impossible to “sustain a vibrant democracy with this level of inequality.”

The right answer is to reinvigorate the key elements of a healthy public-private partnership, said Raimondo: higher taxes on wealthier people, more investments in affordable housing, infrastructure and universal pre-K, and empowering the private sector to create more real jobs — “so that no one who is working full time at any job should have to collect Medicaid and need food stamps to make ends meet.”

Concluded Raimondo: “I am no apologist for a brand of capitalism that leads to unsustainable inequality. But I do believe a more responsible capitalism is necessary for growth. We need to redivide the pie and grow the pie. I am a ‘pro-growth Democrat.’ I am for growing the pie as long as everyone has a shot at getting their slice.”

That’s a simple message that can connect with enough Democrats — as well as independents, moderate Republicans and suburban women — to win the White House.

Thomas L. Friedman is the foreign affairs Op-Ed columnist. He joined the paper in 1981, and has won three Pulitzer Prizes. He is the author of seven books, including “From Beirut to Jerusalem,” which won the National Book Award. @tomfriedman 

Phroyd

URGENT Life insurance MONEY question?

URGENT Life insurance MONEY question?

I am 18 and in a year my boyfriend and I plan to move to brooklyn. My father passed away when I was 12. I have 4 Guadians and they control the money I received from his life insurance. They set up that I don t recieve the money until I m 21. If I can prove I have an apartment and job can I recieve the money when I m 19 ?

BEST ANSWER: Try this site where you can compare free quotes :cheapinsurancequotes1.info

SOURCES:

I am 18 and in a year my boyfriend and I plan to move to brooklyn. My father passed away when I was 12. I have 4 Guadians and they control the money I received from his life insurance. They set up that I don t recieve the money until I m 21. If I can prove I have an apartment and job can I recieve the money when I m 19 ?

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World After Capital: Getting Over Privacy (Finish)

NOTE: This is part of a series of excerpts from my book World After Capital. Today’s post wraps up the prior discussion of why as part of increasing informational freedom we should embrace a post privacy world.

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So we can't really protect privacy without handing control of technology into the hands of a few and conversely decentralized innovation requires reduced privacy. What should we do? The answer, I think, is to embrace a post-privacy world. We should work to protect people and their freedom, instead of protecting data and privacy. We should allow more information to become public, while strengthening individual freedom to stand against the potential consequences. Such an embrace can and will happen gradually. Much information is already no longer private through hacks and data breaches that abruptly expose data on millions of people [116]. And many individuals are voluntarily disclosing previously private information about themselves on blogs and social media. Economic freedom via a Universal Basic Income (UBI) will play a key role here. Much of the fear about private information being revealed results from potential economic consequences. For instance, if you are worried that you might lose your job and not be able to pay your rent if your employer finds out that you wrote a blog post about struggling with depression, you are much less likely to do so.

If you think that a post privacy world is impossible or terrifying, it is worth remembering that privacy is really a modern and urban construct. Even the United States Constitution, while protecting certain specific rights, does not recognize a generalized right to privacy (the word privacy does not appear at all). For thousands of years prior to the 18th century, most people had no concept of privacy. Many of the functions of everyday life, including excretion and reproduction, took place much more openly that they do today. And privacy still varies greatly among cultures—many Westerns are shocked when they first experience the openness of Chinese public restrooms [115] (although these appear to be disappearing). All over the world, people in small villages live with much less privacy than is common in big cities. You could regard the lack of privacy as oppressive, or you could see a close-knit community as a real benefit and source of strength. For instance, I remember growing up in a small village in Germany where if a member of our community was sick and couldn't leave the house, a neighbor would quickly check up on them and offer to do the shopping or provide food.

You might ask, what about my bank account? If my account number was public, wouldn't it be much easier for bad actors take my money? Yes, which is why we need to construct systems that don't just require a number that you have already shared with others to authorize payments. Apple Pay and Android Pay are such systems. Every transaction requires an additional form of authentication at the time of transaction. Two factor authentication systems will become much more common in the future for any action that you will take in the digital world. In addition, we will rely more and more on systems such as Sift, another USV portfolio company, that assess in real time the likelihood that a particular transaction is fraudulent, taking into account hundreds of different factors. Finally, much of blockchain technology is built on the idea that addresses can be public because they are protected by private keys, making it possible even for transactions to be part of a public ledger.

Another area where people are especially nervous about privacy is health information. We worry, for instance, about employers, insurers, or others in society discriminating against us because they've learned that we have a certain disease or condition. Here the economic freedom conferred by a Universal Basic Income would protect you from going destitute because of discrimination, and by tightening the labor market, it would also make it harder for employers to decide to systematically refuse to hire certain groups of people. Further, we could enact laws that require sufficient transparency on the part of organizations, so that we could better track how decisions have been made and detect more easily if it appears that discrimination is taking place.

Observers such as 4Chan founder Chris Poole have worried that in the absence of privacy, individuals wouldn't be able to engage as fully and as freely online as they do today. Privacy, they think, helps people feel comfortable taking on multiple identities online that may depart dramatically from one another and from their “real life” selves. But I hold a different view. By keeping our various online selves separate, we allow for a lot of inner conflict to persist. We pay a price for this in the form of anxieties, neuroses, and other psychological ailments. It's far better to be fully transparent about the many sides of our personality than to cloister ourselves behind veils of privacy. Emotional and psychological health derives not from a splintering or fragmentation of the self, but the integration of different aspects into a unitary but multi-dimensional personality. [Look for psychological research backing this point]

Many who argue against embracing a post privacy approach, point out that oppressive governments can use information against citizens. People give examples such as the Nazis prosecuting homosexuals or the Chinese government prosecuting dissidents. Without a doubt preserving democracy and the rule of law are essential if we want to achieve a high degree of informational freedom. But the analysis cannot simply hold the level of privacy constant and switch out the regime. One also needs to consider how likely a regime change is for given levels of privacy. And there I am convinced that more public information makes dictatorial takeovers considerably harder. For instance, with public tax records it is much clearer who is benefiting from political change. Conversely, history has taught us that it is entirely possible to build a totalitarian surveillance state with minimal technology by having citizens spy on each other.

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