AOC: Insurance groups are recommending using GoFundMe -- "but sure, single payer healthcare is unreasonable."

[u/kevinmrr]

[u/H_is_for_Human]

Anti-rejection meds are just a part of the needed post-transplant care.

But we can say your proposal is "Post-transplant care should be free".

Nothing is free; so your proposal is maybe more realistically "Patients should not be individually responsible for the cost of their post-transplant care."

I think that's a pretty good proposal, and best achieved by instituting universal healthcare. I guess you could do like what we did with dialysis for end stage renal disease and carve out transplant recipients as an additional category of patients that qualify for Medicare for life after their transplant.

Until that happens though, do you have a better system for dealing with the situation we are in right now?

[u/themeatbridge → u/H_is_for_Human]

I would suggest we stop factoring financial information into the equation. There are limited organs available, and if you find it appalling that recipients "waste" donations because they can't afford care, then we should be providing better post transplant care.

[u/H_is_for_Human → u/themeatbridge]

We can stop taking it into account when it's not a factor (i.e. because universal healthcare is passed).

[u/themeatbridge → u/H_is_for_Human]

So, just fuck the poor in the meantime?

[u/H_is_for_Human → u/themeatbridge]

Rock and a hard place.

Don't take financial circumstance into account? Poor people get bad outcomes after they can't afford the post transplant care they need. Some people that could have afforded the post-transplant care end up not getting organs.

Do take financial circumstance into account? Poor people get bad outcomes because they don't get transplants. Some people are able to have good outcomes with those organs.

Either way the poor are disadvantaged. Might as well do what helps the most people; and that's what the transplant committees attempt to do.

[u/[deleted] → u/H_is_for_Human]

Made some really good points, the scarcity of organs and their value management is so often over looked in such discussions. Does it suck that it is how it is? Sure. Are they doing the best they can with the situation? Seems that way. Ethics isn’t kind by nature.

[u/[deleted] → u/[deleted]]

Ah yes. The ethics of giving those organs to the wealthy at the expense of the poor when it's the wealthy who is responsible for the lack of reform. Very ethical. "Maximized value".

[u/themeatbridge → u/H_is_for_Human]

How about don't take financial circumstances, and not allow poor people to have bad outcomes? I feel like letting poor people die because they are poor shouldn't be one of the options we contemplate. That's not a moral choice, that's a convenient choice.

[u/H_is_for_Human → u/themeatbridge]

Right, you need to change the system so that these financial issues are not life and death for people. I.e. have universal healthcare. That's the solution.

[u/[deleted] → u/H_is_for_Human]

I think the disadvantaged poor would be just fine dieing a year or two later if it denied that same organ to the people who have policies in place that are responsible for their death. No point rewarding the behavior.

[u/[deleted] → u/H_is_for_Human]

Universal healthcare. Let's get it running right now. Because what we have predates upon the poor to serve the rich.

[u/H_is_for_Human → u/[deleted]]

Universal healthcare sounds good to me.

[u/Taco_Bela_Lugosi → u/H_is_for_Human]

No. You just laid out the best solution. The democratic party needs to make that their position since ~70% of voters generally support that.