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0 pointsStephenAmar7y ago0 comments

This is the core problem. I'm all for Medicare for all, but what to do with the many physician assistants, nurses, billing specialists that the US is employing and promoting as a middle class career as we speak.

These people will not just stay silent when they become unemployed because practitioners can't afford to keep them. You need retraining programs (in what? Beats me ...), fund unemployment insurance ...

The point is that things don't happen in a vacuum.

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3 comments · 2 top-level

AnimalMuppet7y ago· 1 in thread

You're looking at it backwards. We, as a society, can stop wasting people on this nonsense, and find something worthwhile for them to do.

(Yes, and we have some responsibility to make it possible for them to find a new way to earn a living, training them if needed.)

StephenAmarOP7y ago

Anecdotally, I see the situation in France (I'm from there). Unemployment is always high.

People have great healthcare, but they are still struggling with mininum income service jobs. They won't be ruined by a cancer diagnosis though.

I don't think any western countries has figured out how to expand the middle class in recent times without heavy subsidies (in the US, we are effectively subsidizing those jobs with our high costs)

yourbandsucks7y ago

Keep the PAs and nurses, lose the billing specialists. Seems like a really clear cut call to me.

I know they're people, maybe we could have retraining programs, but it's not like private capital says "what about the people?" when trimming the redundant.

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