World peace in the sense you desire will never happen, and it mainly is founded in three things. Culture (religion is included in this), space, and production. The moment more people move into a land, the less product that land becomes. Right now, the US has the capability of producing a lot more food than it currently does, even potentially being a main export. However, if we were to take in what the world wants us to, it would instantly turn into a scenario where it can no longer support even itself. Then, when the US eventually weakens. War would happen everywhere. Nobody except US and perhaps China could prevent massive wars across the globe. A lot of people don't trust China to do that as well.

All around, the scenario where we close up the boarder, and then aim to spread democracy as we have been doing throughout the history of US, is honestly the fastest way to reach what you want. However, there will be lots of strife along the way.

The only way we'll get world peace is by controlling our breeding.

Time for the... gumballs video.

Explain that to the people in the world who starting a family is the only real joy they can obtain in their scenario

then why did republicans vote against the wall that Biden tried to build?

If you can't "handle" a family... aka support one, then maybe you shouldn't have one. ^^

The few VAs? They are in every major city in the country, and consistently practice subpar medicine in the vast majority of them

Turns out when you incentivize shit pay but early retirement, you attract sub par doctors and ancillary staff. Practicing at VAs is insanely problematic on multiple levels:
-shit tier EMR
-20+ hours of required and unnecessary modules quarterly
-dire lack of speciality care and procedure capability

To name a few quickly

The answer to veteran health care isn’t complicated. Instead of forcing them to 3rd world quality, give every veteran Medicare effective immediately and the option to go wherever they want to get the care they deserve. Every clinic/specialty in the country takes Medicare.

That’s how you improve the VA, by saying you need to shape up now that there’s actual competition or just go bye bye

There was a rule a few years back no employee at the VA could make more than the president salary. What intensivist, cardiologist, GI, ortho , etc etc is going to volunteer to take on liability for subpar pay. This puts all the PCPs in a bind because they have to refer all their vets to random places to see specialists but specialists won’t take them and are not obligated to because of insurance limitations

Broken and backwards system and I feel no politician truly cares about the VA

Let’s not even talk about the mental health status. It’s lacking nationwide but particularly lacking here as well.

This post was edited by Bazi on Jan 22 2024 12:35am

sounds similar to ron paul's position on the VA not working due to bureaucracy, but i think his solution is to abolish it. It's similar to a possible outcome of your position

Sounds suspiciously like an argument for "Medicare for all", rather than a true assessment of the VA.

The VA has started sending the serious cases to non-VA hospitals, because they are being forced to by closures and as you mentioned... salaries.
In Pittsburgh alone, there are three VAs. One large, one medium and one PCP only.

Now UPMC has over 40 hospitals in the same area... with ALL the trimmings.
In October 2018 I had a heart attack. 24 hours total in a non-VA hospital. Total cost $60K. (Right coronary artery, 100% blocked. Cleared and two stents put in).
Yes Medicare paid for most of it... but if the VA's "Community Care" system hadn't paid for the rest... I would have been out on the street, and would probably be dead.

Does the VA have problems? Yes. Is Congress, (the leftmost side), helping to solve these problems? No, they are making things "more" difficult for the VAs.

This post was edited by Ghot on Jan 22 2024 04:12am

I couldn’t give one fuck less what it sounds like

In your own post you just said Medicare saved you from a huge financial bill

Now imagine every veteran under 65 who doesn’t have this option to be financially crippled. Medicare is actually decent insurance and our vets deserve at least that

Obviously they send patients to different hospitals because they can’t provide the services themselves, i daily accept VA patients when rounding. Guess what, many are still under 65 without any insurance to pay for the hundred thousand bill that will inevitably come their way. This is justice for vets?

Unless you have some mechanism to fix the VA which I will already counter argue is going to be time inefficient, costly, and will likely fail because you can’t undo decades of garbage culture. You want to give the 70 year old doctors there more online modules to do? As if this will accomplish anything. I mean they have a ton of good doctors there too trying to do their best in a broken system. But the stereotype it’s a place to go when you want to retire is absolutely correct.


This post was edited by Bazi on Jan 22 2024 07:01am

No...


I said the VA did. Medicare "didn't" pay all of the bill.