Skotimusj
The system we have is built like an unsteady house of cards which is cemented together using ridiculous amounts of money. To dismantle and rebuild it without having to close inner city and rural hospitals would take a decade or more. This means the first step is campaign finance reform and overturn citizens united since the change would have to outlast more than one political regime. Then maybe work one single payor and universal medical record. Many steps from there.
Doctor here in general practice.
This works well in principle. One of many problems here is healthcare need is not spread around uniformly. In your example you just consider number of people and number of providers. This is ok of you are just thinking of primary care (it works like this in many places). It breaks down when there are surges. What happens during flu season? What happens if there is a fire and 30 people need treatment for smoke inhalation. What happens when the doctor needs to take a vacation or gets COVID during flu season? There is redundancy built into a larger healthcare system which makes access more robust over a wider range of conditions.
Also, doctor’s don’t always want to work in all places.it can be harder to recruit doctors to some areas.
There are a whole host of issues here. I agree though that having a middlman take a large cut of money to “grease the system” does contribute to it’s inefficiency. The healthcare system is broken on so many levels that any one change like this would be set up to fail. We need a major overhaul.
Well, the context matters greatly here. If dehydration is severe enough to lower blood pressure (a.k.a. hypovolemic shock) it can cause long term brain, liver, kidney, and heart damage. That is assuming you survived. It could also cause local ischemia ( loss of blood flow) requiring limb amputation.
If it is not bad enough to cause shock, the most probable long term sequelae would be kidney damage. Dehydration can precipitate ATN (acute tubular necrosis). In a kid this may appear to be transient. It would kill a certain percentage of your available nephrons. As a kid, you only need ~20% of your nephrons to assume full kidney function. This would mean that you would appear to recover but would likely go into kidney failure at an early age.
There are also psychological effects depending on severity and duration.
Every company that owns media or copy protected information has one goal. To bleed consumers dry of as much money as possible. They lobby governments against our interests, track our data, and destroy the integrity of the product that they are selling to accomplish this.
For everything that I am interested in, I seek the best experience. I want the media I consume to be available, convenient, and unaltered. If I can pay a reasonable fee for that then I will. If not then I will seek other means. I am tired of corporations fighting to change culture and expectations to be “more profitable” rather than delivering a product that consumers actually want. I will continue to vote with my dollars (or lack there of) until this practice changes (which will likely be never).
Count me in!