YASST: 3 kids + 3 adults dead in latest school shooting...

[MrSquished]

I mean these people can deflect from the real argument here the real problem. Of course mental health is an issue and of course the healthcare in this first world country is abysmal compared to what it could be and should be.

But let's face reality, without such easy access to guns there would be so much less gun violence in this country. They can obfuscate with anything they want these gun nuts, Just to avoid the simple fact that data shows more guns equals lots more gun violence

 

[kitkat22]

Since the start of the pandemic, we have seen a very sizeable increase in mental health concerns. Anxiety and depression are running rampant. Unfortunately, as a consequence of this, suicide rates are increased as well. I am currently looking at an ER trackboard of 66 patients. 12 are here for psych evaluations. 4 are here for suicidal thoughts vs attempts. 1 is listed as an overdose. Our sister hospital has 18 patients, one is suicidal, one is an intentional overdose and 1 requesting detox.

Our current wait time in the ER is about 12 hours. obviously, we triage patients based on their acuity, but of the 66 in the ER, 20 are pending an admission bed. In other words, there is not enough staff up in the hospital to bring these patients out of the ER to relieve congestion in the ER.

On top of that, those psych evaluations will see a telepsych doc. Basically a tablet that is wheeled around from room-to-room. Considering the shortage of psych docs, it takes a long time, sometimes days. Often times what happens is we arrange an outpatient follow up with their doc and discharge them home with family and a referral to psych, which will take months. Wait times for an outpatient psychiatrist is at least 4-6 months. Again shortage.

If you are acutely suicidal or homicidal, doctors in WA state legally can detain you for up to 72 hours. We contact a state representative called a DCR who then comes and evaluates you. This person is likely not medically trained, but has the legal authority to hold you for days while arrangements are setup with the court to determine the next course of action. Because this takes a ridiculously long time, we are often holding a medically stable patient who needs psych evaluations and interventions. At times, there are acute medical needs that need to be addressed and they get admitted to the hospital. Other times, we admit them to a "single-bed certified" bed at a non-psych hospital. The later two are where I come in.

The current system is simply overwhelmed and the fix is decades away. From start to finish, it takes a psych doctor 7 years to graduate. 4 years of med school and 3 years of residency. It isn't the most popular specialty compared to Radiology, Orthopedics, Anesthesia or Dermatology and often residency slots don't get filled. There is a small stop-gap with using ARNP's, but again, it takes time to build this up.

Nurses are also hard to come by as they are the front lines and it does take a special person to be a psych or inpatient nurse.

So, what we are left with is a system that is understaffed and underfunded. The medications work. They aren't perfect and sadly, there is a lot of trial and error with these medications.

Instead of increasing funding to help with this the government and insurance companies decided to send out a nice pay cut on systems at are already living on the margin. Sadly, we will likely see a lot of small rural hospitals close as a result.

So, no I'm not crying a river. If you were inpatient psych then I'm sorry. I'm trying to help as many people as I can with limited resources that are getting worse, not better. Homelessness is insane, mental health is in crisis, substance abuse is running crazy.

The resolution of mental health is decades away and is going to take a large amount of resources.

The best solution is to strengthen the middle class. Put them on the map and stop abusing them. Tax the rich. Incentevise work. Make it easy to get and maintain health insurance. I'm a doctor and advocate for single payer. Our current system is massively broken. Maintain appropriate social support.

But ya know, go ahead and keeping trying to counter argument me. It's kinda fun to watch. in the meantime, I will continue to treat patients, fight insurance companies and practice evidence based medicine. Not only have I done my research, I actually practice it.

 

[purbeast0]

I mean these people can deflect from the real argument here the real problem. Of course mental health is an issue and of course the healthcare in this first world country is abysmal compared to what it could be and should be.

But let's face reality, without such easy access to guns there would be so much less gun violence in this country. They can obfuscate with anything they want these gun nuts, Just to avoid the simple fact that data shows more guns equals lots more gun violence

Well the problem is a lot of them don't give a shit about facts. Facts mean nothing to them.

I mean FOX has flat out said they lie to their viewers to keep numbers up, and they don't give a shit.

They still believe the election was stolen even though there are millions of facts that prove otherwise and zero facts that prove it was stolen.

They legit live in an alternate reality and it's early impossible to reason with these idiots.

 

[pcgeek11]

they haven't had full control.
but very conveniently republicans did from the 2016-2018 timeframe, and they did absolutely jack shit with it.

When was that?

103rd - 1993 - 1995 under Clinton
111th - 2009 - 2011 under Obama
117th - 2021 - 2023 under Biden

 

[MrSquished]

103rd - 1993 - 1995 under Clinton
111th - 2009 - 2011 under Obama
117th - 2021 - 2023 under Biden

Since when does just having a majority in the Senate mean anything unless you have 60 solid votes? Have you conveniently forgotten about the filibuster? 60 vote three fifths supemajority needed to overcome cloture. Oy.

 

[Meghan54]

Since when does just having a majority in the Senate mean anything unless you have 60 solid votes? Have you conveniently forgotten about the filibuster? 60 vote three fifths supemajority needed to overcome cloture. Oy.

Of course he does…how else can he put up that verbal diarrhea of a narrative? Facts are a slight inconvenience to be ignored by cucks like him.

 

[pcgeek11]

Since when does just having a majority in the Senate mean anything unless you have 60 solid votes? Have you conveniently forgotten about the filibuster? 60 vote three fifths supemajority needed to overcome cloture. Oy.

The Democrats have held a 60 + Majority a hell of a lot more than Republicans... see the link below.

Republicans haven't had a 60 seat Majority since the 61st Congress (1909–1911).
Majority Party: Republicans (60 seats)
Minority Party: Democrats (32 seats).

U.S. Senate: Party Division

Party Division

www.senate.gov

74th Congress (1935–1937)


Majority Party: Democrats (69 seats)


Minority Party: Republicans (25 seats)


Other Parties: 1 Farmer-Labor; 1 Progressive


Total Seats: 96


----------------------------------------------------------------------------------------------------


75th Congress (1937–1939)


Majority Party: Democrats (76 seats)


Minority Party: Republicans (16 seats)


Other Parties: 2 Farmer-Labors; 1 Progressive; 1 Independent


Total Seats: 96


----------------------------------------------------------------------------------------------------


76th Congress (1939–1941)


Majority Party: Democrats (69 seats)


Minority Party: Republicans (23 seats)


Other Parties: 2 Farmer-Labors; 1 Progressive; 1 Independent


Total Seats: 96


----------------------------------------------------------------------------------------------------


77th Congress (1941–1943)


Majority Party: Democrats (66 seats)


Minority Party: Republicans (28 seats)


Other Parties: 1 Independent; 1 Progressive


Total Seats: 96

86th Congress (1959–1961)


Majority Party: Democrats (65 seats)


Minority Party: Republicans (35 seats)


Total Seats: 100


----------------------------------------------------------------------------------------------------


87th Congress (1961–1963)


Majority Party: Democrats (64 seats)


Minority Party: Republicans (36 seats)


Total Seats: 100


----------------------------------------------------------------------------------------------------


88th Congress (1963–1965)


Majority Party: Democrats (66 seats)


Minority Party: Republicans (34 seats)


Total Seats: 100


----------------------------------------------------------------------------------------------------


89th Congress (1965–1967)


Majority Party: Democrats (68 seats)


Minority Party: Republicans (32 seats)


Total Seats: 100


----------------------------------------------------------------------------------------------------


90th Congress (1967–1969)


Majority Party: Democrats (64 seats)


Minority Party: Republicans (36 seats)


Total Seats: 100

94th Congress (1975–1977)


Majority Party: Democrats (61 seats)


Minority Party: Republicans (37 seats)


Other Parties: 1 Conservative (caucused with the Republicans); 1 Independent (caucused with the Democrats)


Total Seats: 100


Note: Results of the New Hampshire election were contested and the seat remained vacant until August 8, 1975, when Norris Cotton (R) was appointed to fill the seat until a special election could be held. John Durkin (D) won that special election and was sworn in on September 18, 1975. The statistics noted here reflect the Senate’s party division following Durkin’s election.


----------------------------------------------------------------------------------------------------


95th Congress (1977–1979)


Majority Party: Democrats (61 seats)


Minority Party: Republicans (38 seats)


Other Parties: 1 Independent (caucused with the Democrats)


Total Seats: 100

 

[pcgeek11]

Of course he does…how else can he put up that verbal diarrhea of a narrative? Facts are a slight inconvenience to be ignored by cucks like him.

The FACTS are posted and linked above this post.

 

[ch33zw1z]

The FACTS are posted and lined above this post.

Trump voter deeply concerned about facts, lol.

 

[shortylickens]

Americans love to focus on the wrong things. This is all pointless.
Even when the Republicans are the minority across the board we can't get any really good legislation thru. Theres just enough to block any reasonable attempts to improve America.

On top of which the root problems like our mental health crisis and dependence on pills are not being addressed and frankly nothing will get better until we fix those with a massive overhaul of the American health care system. Know what else Republicans always block?

 

[kitkat22]

Oh, I am aware of ketamine, but you have to find providers willing to prescribe it. It will be a slow rollout. It's a different take on a medication used for sedation. I know someone who is getting it, but you have to hunt to try to find that person. One of the challenges is just getting it. There's the nasal spray, but because it's a "new medication" it's expensive and insurance doesn't like covering it - $200-2000/per device. Looking at the Rx, it's 56mg intranasally on day 1 then 56-84mg twice a week to 4x a week. At 28mg per device that is pricey. On the low end, it's $800/week. On the high end, it can be >$20000/week or 1 million per year. Name one insurance company including the government who is going to easily cover that. Oh, it's also restricted distribution in the US even though it's a Schedule III drug and approved by the FDA. You have to "fail" and prove you have failed treatment and find the right provider. It also can be addicting. In our current climate of substance abuse, I can guarantee the DEA and med boards are going to be watching very closely on how this is prescribed.

 

[MrSquished]

The FACTS are posted and lined above this post.

You literally showed zero evidence about Dems having a supermajority anytime in the last 40 years when this shit mattered, the last time being 1979. The NRA and the gun fetishist nut culture that is you and your disgusting political party came on with Reagan. Ditto with the increasing popularity of assault style semi automatic rifles.

You will always be the dishonest POS skidmark that you have always been.

 

[pcgeek11]

they haven't had full control.
but very conveniently republicans did from the 2016-2018 timeframe, and they did absolutely jack shit with it.

OOPs I misquoted myself...

Here: https://history.house.gov/Institution/Presidents-Coinciding/Party-Government/

2015 - 2017 No, Obama was President.
2017 - 2019 Full control with no 60 vote majority.

14th (2015–2017)	Republicans	Republicans	Democrat (Obama)	Divided
115th (2017–2019)	Republicans	Republicans	Republican (Trump)	Unified

 

[pcgeek11]

You literally showed zero evidence about Dems having a supermajority anytime in the last 40 years when this shit mattered, the last time being 1979. The NRA and the gun fetishist nut culture that is you and your disgusting political party came on with Reagan. Ditto with the increasing popularity of assault style semi automatic rifles.

You will always be the dishonest POS skidmark that you have always been.

You brought up the 60 seat majority.


No, I showed that the Democrats have held a 60 seat majority 9 times since 1935. The last one was in 1977 - 1979.

The last time Republicans held a 60 seat majority was 1909 - 1911.

I'm saddened you can't handle the truth. The Democrats have held a 60 seat Majority in the Senate many more times than the Republicans since 1935.

Dems. - 9
Repubs. - 1

You don't have to call me names just because you were wrong.

 

[pcgeek11]

Trump voter deeply concerned about facts, lol.

Well it is clear the poster I'm responding too isn't.

 

[Fenixgoon]

103rd - 1993 - 1995 under Clinton
111th - 2009 - 2011 under Obama
117th - 2021 - 2023 under Biden

you'll never guess what happened in 1994!
edit: and a 50/50+1 that was really 48+2 senators in superposition doesn't really count for 2021-2023

 

[pcgeek11]

you'll never guess what happened in 1994!

Is it a secret?

 

[Paratus]

You brought up the 60 seat majority.


No, I showed that the Democrats have held a 60 seat majority 9 times since 1935. The last one was in 1977 - 1979.

The last time Republicans held a 60 seat majority was 1909 - 1911.

I'm saddened you can't handle the truth. The Democrats have held a 60 seat Majority in the Senate many more times than the Republicans since 1935.
Dems. - 9
Repubs. - 1

Since we are using party as a proxy for policy stating times when Dems and GOP held control but their policies were nothing like they are today doesn’t make a reliable point.

You’d have to look at post “Southern Strategy” political power when the Dems and GOP positions majorly reset their positions.

Since then the Dems were able to reliably overcome the filibuster for few months in 2009 until Ted Kennedy passed away.


In that time they gave us the ACA healthcare reform a major policy goal of the Dems. Other major policy goals required more than a few months of control to implement.


You don’t think that gun control, economic recovery, global warming, etc could have all been implemented by the slimmest majority 14 years ago in a few months?

 

[pcgeek11]

Since when does just having a majority in the Senate mean anything unless you have 60 solid votes? Have you conveniently forgotten about the filibuster? 60 vote three fifths supemajority needed to overcome cloture. Oy.

Since we are using party as a proxy for policy stating times when Dems and GOP held control but their policies were nothing like they are today doesn’t make a reliable point.

You’d have to look at post “Southern Strategy” political power when the Dems and GOP positions majorly reset their positions.

Since then the Dems were able to reliably overcome the filibuster for few months in 2009 until Ted Kennedy passed away.


In that time they gave us the ACA healthcare reform a major policy goal of the Dems. Other major policy goals required more than a few months of control to implement.


You don’t think that gun control, economic recovery, global warming, etc could have all been implemented by the slimmest majority 14 years ago in a few months?

My post was in response to MrSquished, read his post quoted above yours.

I am of the opinion that neither party had done an adequate job for this problem (and many others) in a very long time.

Just to restate: I am all for proper gun controls as I have said many times.

 

[eelw]

This is like the lame ass segment CNN was pushing last week. The found that Biden supported increasing age of retirement. He also tried to cut social security programs. BACK IN 1975!!!!

Like it’s a lifetime ago these policy changes just like those super majority congresses. But Repugnican ass backward policies haven’t changed over these decades though.

 

[Fenixgoon]

My post was in response to MrSquished, read his post quoted above yours.

I am of the opinion that neither party had done an adequate job for this problem (and many others) in a very long time.

Just to restate: I am all for proper gun controls as I have said many times.

#bothsides

 

[ch33zw1z]

Well it is clear the poster I'm responding too isn't.

They clearly are. It’s just run of the mill to blame democrats. Go ahead, vote GOP and we can have continued gun violence that are cause for celebration cuz more guns will make it better.

Lol, you vote for lies based on more lies.

 

[brycejones]

@pcgeek11 none of what you posted absolves you of voting for candidates who refuse to implement the policies you claim to support. Just admit it isn’t that big of a deal to you and ranks low are your reasons for voting for a candidate instead of trying deflect.

 

[pcgeek11]

#bothsides

Yes, it is both sides. If it wasn't it would have been fixed by now.

 

[pcgeek11]

They clearly are. It’s just run of the mill to blame democrats. Go ahead, vote GOP and we can have continued gun violence that are cause for celebration cuz more guns will make it better.

Lol, you vote for lies based on more lies.

I'm saying that neither side has tried to fix it. They are both unreasonable with their tribalism.

And you are being dishonest.