Is America a third world country?

@Flarbalard, I was curious about nurse practitioners & what they can do in the different states. Each is different with either full, reduced or restricted practice authority ( Nurse Practitioner Practice Authority: A State-by-State Guide | NurseJournal.org ). I didn't look it up the specific education required, but I'm sure each state has their own standard as well.

We've seen a Certified Nurse Practitioner for years & she's been just as good as any MD that we've had. Now it's not uncommon for specialists in our area to have either a CNP or PA assisting them in seeing their of patients.

A while back, my husband & I was talking to our CNP about degrees. She said you had to have either a masters or a doctoral degree & mentioned that Ohio was thinking about making it a doctoral. That hasn't happened yet, but will be interesting to what they will do. After seeing what they go through in Ohio, it seems that it will closer to the point of having the same amount of schooling as a GP MD.

I can honestly say that when I was in the hospital, the nurses I had was more in tune in with their patients than the doctor on duty. I was throwing up for 30 hours & the two nurse said I needed a NG tube. One of them called the doctor & told him to write the order for it so they could do it. That stopped it immediately.
 

The concept that the US is declining comes from the idea that there was once a happy, shining era, where all was right in the world. And now it's lost. Truth is there never was such a time. Every era was filled with wars, riots, injustices, etc., and human suffering. It's easier to remember the good times, and forget other times. Plus, we now have a global economy, where the Third World is becoming economically equal to other nations. No longer is wealth confined to a few nations.

I believe your spot on & said what I was thinking.
 
@Flarbalard, I was curious about nurse practitioners & what they can do in the different states. Each is different with either full, reduced or restricted practice authority ( Nurse Practitioner Practice Authority: A State-by-State Guide | NurseJournal.org ). I didn't look it up the specific education required, but I'm sure each state has their own standard as well.

We've seen a Certified Nurse Practitioner for years & she's been just as good as any MD that we've had. Now it's not uncommon for specialists in our area to have either a CNP or PA assisting them in seeing their of patients.

A while back, my husband & I was talking to our CNP about degrees. She said you had to have either a masters or a doctoral degree & mentioned that Ohio was thinking about making it a doctoral. That hasn't happened yet, but will be interesting to what they will do. After seeing what they go through in Ohio, it seems that it will closer to the point of having the same amount of schooling as a GP MD.

I can honestly say that when I was in the hospital, the nurses I had was more in tune in with their patients than the doctor on duty. I was throwing up for 30 hours & the two nurse said I needed a NG tube. One of them called the doctor & told him to write the order for it so they could do it. That stopped it immediately.
Thank you for the link , I am most familiar with full practice NP's. I have no problem with NP's or medics , but it greatly varies from person to person. My wife quite literally, is alive today because of an NP.

NP's and Physician Assistants can be able to handle a number of medical situations, that don't really need an MD. In the case of my wife, the MD seeing her is a great guy, but with so many possibilities from the presented symptoms, he chose the wrong path. As luck would have it when she had deteriorated to the point she was admitted was a Friday, there are no MD's present on Fridays. Often they're working at satellite locations elsewhere.
 

There has been a mix of thoughts as far as the woman in the video from the original post. This is just mine...

IMO, she is making money being an influencer. She's one of those people who picks a topic that's hot at the moment & then preys on those who will take the bait that is posted & will send money. Quite a while back, someone else had posted another female who had a similar videos.

I'm curious on how much money influencers like her can take in over a year. It's all taxable income no matter how much or little she makes & is subject to IRS rules whether she lives in the states or abroad. She can also be responsible for paying taxes to the country she is in. Do they pay their fair share? Who knows?

I understand people can hit rough spots in life through no fault of their own & honestly need help. Helping them get back to where they were so they can be independent again isn't an issue. What ever happened to encouraging people rather than teaching them self-pity or that it's ok to keep taking?

It's sad when you have someone scamming the system taking from those who are legitamately in need. Has anyone ever watched their local news reports showing drive-thru food pantries that open up during the holidays? There are people in line claiming they don't have money for food, but are able to make payments for the not-so-cheap cars their driving.
 
America is not a 3rd world country.

ms gamboolgal and I lived and worked in West Africa for almost 20 year while I worked for megaoil corp before retiring. We lived in the places no one goes to vacation at. The poverty and corruption was just sad - folks have no idea what goes on. So many sad things happen that never make the main stream media.

Having said that, we have lots of issues of our own in-house.

I will say that the feeling of coming back to Texas after being overseas for months was wonderful every time.
 
There has been a mix of thoughts as far as the woman in the video from the original post. This is just mine...

IMO, she is making money being an influencer. She's one of those people who picks a topic that's hot at the moment & then preys on those who will take the bait that is posted & will send money. Quite a while back, someone else had posted another female who had a similar videos.

I'm curious on how much money influencers like her can take in over a year. It's all taxable income no matter how much or little she makes & is subject to IRS rules whether she lives in the states or abroad. She can also be responsible for paying taxes to the country she is in. Do they pay their fair share? Who knows?

I understand people can hit rough spots in life through no fault of their own & honestly need help. Helping them get back to where they were so they can be independent again isn't an issue. What ever happened to encouraging people rather than teaching them self-pity or that it's ok to keep taking?

It's sad when you have someone scamming the system taking from those who are legitamately in need. Has anyone ever watched their local news reports showing drive-thru food pantries that open up during the holidays? There are people in line claiming they don't have money for food, but are able to make payments for the not-so-cheap cars their driving.
there

There are always examples of people scamming the system. It is scarier when it comes from the top.
 
yes that's it decribed exactly... but it's endemic throughout the UK, no difference between the services in the city compared to the rual shires... everyone is getting the same treatment... they've gone from Nurse practitioners at my GP surgery..to Paramedics seeing the ''less important'' maladies...
Here it seems most of this is being driven by corporate medicine. An example of this would be our optometrist. We have the same Doctor, who is just fine, but a few years ago they sold the practice and dispensary to a corporation. All the office staff and opticians were replaced and it simply isn't even close to the quality of service, of 2 years ago. Especially important when scheduling, or refusal to do so, of post op exams or the fitting of eye glasses.

I am pleased at least for traditional medical concerns we have access to care, whether it be our GP, the on call MD (M-Th) or an NP. A few of the specialties that used to be on a rotating calendar now require people to travel to other towns, 60+ miles or so. We also don't have access for medical helicopters as we did a few years ago-- out about 5 minutes flight time, now they closest one I know of is about 30 minutes out flight time, not maybe that big a deal, unless your one of the people that was severely injured in farm, or vehicle accident.
 
What I consider a third world country is one where you  cannot get help when you need it.

Starving? Well, sorry, THERE IS NO FOOD. The fields have been burned and the relief shipments are not getting through.

Sick? Well, sorry, THE HOSPITAL HAS BEEN BOMBED AND THERE ARE NO DOCTORS. You're free to lay your dying child there in the destroyed courtyard and fan the flies off him.

Homeless? Sorry, there's not even an old piece of canvas to shelter your family. There's plenty of sand and dirt, though. Just watch out for the mines

In the United States, you CAN get help. But you have to help yourself, too. There are shelters, there are food banks, the are free medical clinics. You have to utilize them, but too many people want manna to fall in their laps. There's a nice warm homeless shelter to sleep in but those meanies won't let me shoot up while I'm here so WAAAH! I have to sleep in the alley.

I could go on, but I won't. Off the soapbox.
 
After reading all of the posts here, I am grateful not to have to pay for any
medical insurance, medical, dental or vision care.

I feel very fortunate to be living in the greatest country on the globe. (My opinion.)
That doesn’t mean we couldn’t be better. I do believe that our military is number one.
I just hope we never have to prove it. We have learned a lot from the many wars we have fought.
 
Classifying countries as First, Second, Third, and Fourth World is an old concept, created after the end of World War II in 1945.

I wasn't around to know how most Americans felt from 1939-1945. I've been told there was a strong sense of patriotism in America during those years. The Great Depression of 1929 was a very different story, when Americans felt a whole range of emotions, including fear, loss of control, and despair, as they lost their jobs, homes, and savings.

Feelings change depending on circumstances.

I feel differently when I hear "America The Beautiful" now than I felt when I heard Ray Charles sing it in 1972.
 
I think if you look into this you'll find that hospitals have 2 separate pricing schedules, one is what they charge you if you're paying cash. The other is what they bill the insurance companies.
Oh yeah, that's right. Cash gets you at least 20% off here. Same with dentists and oral surgeons. When I didn't have dental insurance, I always got a 20% discount. That came in really handy when my son broke his 2 front teeth attempting a backflip at the grocery store.

The floors were ceramic tiles on cement foundation and my son was a 10yr-old idiot. 😝
 


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