Chetzemoka

Critical care nurse here. The answer is esophageal varices.

It’s the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.

Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, “Yep, varices.”

https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices

Just did. Won our vote Wednesday night 💪

Bullshit

I’m born and raised in Appalachia, my daddy worked in the coal mines and drove an 18 wheeler. Certified redneck enough that I confuse the shit out of my New England neighbors.

I went out and marched with striking nurses when Bernie put out the call, and I’ve never voted Republican in my entire fucking life.

OP, you need to learn what a redneck is.

GOP death cult be like, “Hear me out, do you really NEED to live though?”

To me, it’s all about rational return on investment providing economic incentives to achieve what we want to achieve.

My favorite example to explain what I mean is my own personal health insurance. I have a chronic medical condition that requires constant medication, frequent visits to specialists, and expensive medical tests and procedures. There is simply zero chance that I will ever pay enough in a monthly premium to cover what I cost. Meaning I am always a net financial loss for a private, for-profit insurance company.

This gives a private company every incentive in the world to obstruct and deny my care in hopes that I’ll get frustrated and give up, or maybe even die and get off their books forever.

The government, on the other hand, has a positive financial incentive to keep me healthy. If I am healthy, I am working, paying taxes, buying goods and services that contribute to the economy, and hopefully contributing something beneficial to my community. Only the government (acting as a proxy for “society”) naturally profits from insuring my healthcare.

This is why I believe we should have fully socialized medical care. Because there are some specific things that only the government has natural positive economic incentives that align with what is beneficial for the general public.

Whatever those things are, they should be socialized. And generally those things are basic life sustaining things like food, housing, medicine, education, utilities.

I’m fine with privatized capitalism in a very restricted, heavily regulated niche form. But all the basic necessities should be socialized.

Tl;dw - European empires fucked everything up and we’re still living with the aftermath. Plus oil.

https://youtu.be/JN4mnVLP0rU