• 0 Posts
  • 10 Comments
Joined 7 months ago
cake
Cake day: June 9th, 2025

help-circle
  • even though farming is credited with allowing for population density supporting civilization (tech, stratification etc) plenty of peoples subsisted on the coast for numerous generations prior

    Generations prior to agriculture? I don’t really see how that’s relevant to the current conversation.

    but fish ponds off the coast supported relatively large populations in antiquity, just by then farming was also a thing so there was no reason not to do both

    Since the advent of agriculture grain, legumes, and vegetables have made up the vast majority of calories that have supported human life. Up until relatively recent times animal protein was a relatively small part of most people’s diets.




  • t’s my understanding that vertical integration is the norm in the US, though

    Not really, corporations including insurance and private equity are increasingly buying up physician owned private practices, but that’s only estimated to be like 30% atm.

    They generally don’t buy into actual hospital networks because they aren’t exactly the biggest money makers in the market. Most states mandate hospitals have some kind of emergency clinic, which are basically huge money sinks.

    value chain the money winds up, because it’s still in house at the end of the day. And they certainly aren’t going to fight the other parts of the conglomerate to get a better deal for patients, with the result being that there are no longer incentives (from competition)

    Eh, I think this is kinda a rudimentary understanding of healthcare cost. There’s not actually a lot of profit to be extracted from the vast majority of the healthcare system. It’s nearly entirely done by private healthcare insurances relying on the fact that they offload customers with high expenses to socialized networks asap.

    US spending almost 20% of GDP on healthcare.

    This is mainly because healthcare is a natural monopoly and we lack universal coverage. The rise in healthcare costs is mostly caused because uninsured patients drive up the cost of care for everyone when there only option is emergent care.


  • Right, but they aren’t just operating as an insurance company. They also own and operate the hospital, meaning there has to be a balance between the profitability of the hospital network weighted against the profitability of the insurance company.

    In the end, it usually means that there isn’t a competition between the insurance and providers, rather two parties working together to manage cost while providing better service.

    Which means it pays to provide preventative care, it pays to educate their patient population, and it pays to provide outcome based medicine.

    Vertical integration of healthcare is a lot closer to something like universal care than what you usually see in america. It’s not perfect, but it’s usually better than the current norm.


  • My brother in Christ, are you assuming the hospital (and the pharmacy) isn’t also owned by the insurance company?

    In most places they aren’t, and tbh its not always a bad thing when they are. The kaiser permanente model actually leads to better outcomes than in most hospital networks because it actually incentivizes preventative care.




  • One of the teachers hired two students to stage a home invasion on himself and his wife. They were going through a rough patch in their marriage and he thought being a hero and stopping the break-in would somehow save his marriage.

    The two students ended up breaking in and tying up his wife as requested, but he got a little too into character and ended up knocking out one of the students with a brick.

    Guy ended up going to prison for a while.


  • Most versions of the bible say that Jesus didn’t break with the scripture before, but confirms and expands it. Subsequently Islam does the same, with some corrections, most notably the clear rejection of trinitarianism. The prophet whose story is shown the most in the Quran is Moses.

    Furthering that, Mormons also believe Mohammed was a different kind of prophet and LDS church is basically just another expansion pack of monotheism.