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Joined 8 months ago
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Cake day: March 20th, 2024

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  • This sounds like a good way to foster vast inequality. You’ll have good places where people are included and able to grow up into reasonable people, then you’ll have other places where people are utterly ostracized and never even have a chance. This isn’t some magical capitalist world where people can just pick up and move to wherever is ‘best’, there will be people who are stuck. When those people don’t have the resources they need, the cycle will just end up perpetuating again, and the inequality builds on itself.

    The government has to have the ability to keep rogue states from declaring swathes of the population as second class citizens. Yes, there’s the obvious downside of “What happens if” - but we’re in this together and we have to try for the only tenable solution. That growing inequality will affect the ‘good’ areas, even if they put their fingers in their ears and say “lalalalalala not my problem”.




  • I think the main thing is that

    It’s never going to replace a nurse or doctor completely (someone has to listen to you breathe deeply and bonk your knee).

    is a much bigger deal than it seems. There’s just so many little things that you gain from a physical examination that would be lost through the cracks otherwise. Lots of people get major diagnoses from routine lymph node checks or abdominal palpitations. Or the patient stands up to leave, winces, the doctor goes “You okay?” and the patient suddenly remembers “Oh yeah, my dog knocked me over and my leg has been hurting for three weeks and it pops when I put weight on it”.

    We’re physical beings, and taking care of our physical forms requires physical care, not a digital approximation of it. I definitely agree telemedicine has a place especially in the spots you identified, but they can’t replace a yearly physical exam without degradation of care.