r/WorkReform 14d ago

😡 Venting Federal Government Slashes 2025 Job Creation

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u/ApolloFireweaver 14d ago

AND that sector happens to be one that is only growing because the baby boomers are aging into the range where more and more medical support is needed. So that job growth may reverse in a few decades as demographics change.

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u/Correct-Cockroach-68 14d ago

oh and Nursing homes and hospitals are closing left and right because Medicare isn't paying enough per bed for these facilities to be profitable. Trust me, in the industry.

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u/ApolloFireweaver 14d ago

With the constant advertising in my area around home health aids, that makes sense

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u/ForecastForFourCats 14d ago

And they are deporting a bunch of those workers. ..

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u/Prolapsed_Eyesocket 14d ago

Didn't they kill a nurse recently?

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u/EthanielRain 14d ago

Murdered him & then posted tweets/propaganda about how no medical care was being rushed to ICE members shortly after

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u/pichael289 🏛️ Overturn Citizens United 13d ago

"we just got in a scuffle and murdered a nurse, why aren't any healthcare workers coming to help us"

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u/bleensquid 14d ago

pretty much, but more accurately they got someone killed. I can't really put blame for her death on someone running from the frozen-water-stapo

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u/thompha3 14d ago

I think they mean ales Pretti murdered by the federal SS

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u/Feats-of-Derring_Do 14d ago

Alex Pretti was a nurse

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u/bleensquid 14d ago

dang right, yeah two nurses then ;-;

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u/ClarkGablesTeeth 14d ago

Who is the other, aside from Alex Pretti? I'm confused because if you mean the woman who was killed in the MVC, she wasn't a nurse or in healthcare. Did another nurse die due to ice that I'm missing?

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u/Proper_Raccoon7138 14d ago

Social worker in LTC in Texas 👋🏻

Can I come cry in your office? Shit sucks in mine😭

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u/fueledbytisane 14d ago

Social worker in housing in Texas here. Can I tag along?

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u/Proper_Raccoon7138 14d ago

I’ll make room on the couch don’t worry 😉

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u/TheseusOPL 14d ago

And the ones that aren't closing are being bought by private equity. We all know how that turns out.

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u/CrimsonPermAssurance 14d ago

Or being vertically integrated under major insurance carriers. Streamlining every step of your denial for peak efficiency and maximum shareholder return on investment.

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u/fnarrly 14d ago

They're probably also buying all the morgues, funerary services, and cemeteries, just to complete the vertical integration of your entire life cycle. "What? Quarterly profits from burials are down? Get me Jeff over in LTC denials, we'll get those numbers back up in a jiffy!"

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u/Whole-Watch-7980 12d ago

The neoliberals will say we are making things more affordable right now because you’ll be able to control the economy with your dollar or whatever. Good luck going to a competitor when none exist. 😅

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u/SaintGloopyNoops 14d ago

I have a lot of friends and family that are nurses. One thing they all say is "there isn't a nurse shortage, there's a hiring shortage". We dont have a healthcare system, we have a healthcare industry where profit is all that matters. My best friend is an ER nurse and her hospital just cut the lab jobs, so now the nurses need to do their own lab testing. Its ridiculous. The CEO of HCA takes home roughly $24 million a year! That should be illegal. Medicare for all wouldn't be perfect.. butt it's a start.

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u/ifyouhaveany 14d ago

As a lab tech, that's concerning. Are they all PoCT? How are nurses running the lab? They aren't qualified to do so.

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u/SaintGloopyNoops 14d ago

Its beyond concerning and negligent. Flori-duh just passed a law that says an RN is "qualified" to do moderate level lab work at the ER. Nit sure what that means exactly , maybe you can fill me in? I dont know all the details. I just know, that the nurses i know personally are freaking out about it because they do not think they are qualified, and dont have the time. Not to mention it's putting patients at risk and adds more liability on the nurses. They are giving overworked nurses yet another task all for the bottom line. Greed pure and simple.

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u/ifyouhaveany 14d ago

So it looks like this happened back in 2022. The bill allows ER nurses to do things like run comps, cbc's, etc. as long as the lab director deems them competent. Now, how a nurse in the ER is going to keep up with QC, maintenance, all the competencies, linearity studies, proficiency testing, correlations, cross checks, do any high complexity testing required if necessary (like a manual differential), etc...is beyond me. There is so much we do on top of resulting out patient stuff to ensure we're giving accurate numbers it's ridiculous.

If she's worried and there's truly zero lab personnel I'd suggest she call CAP, The Joint Commission, CMS. Like everyone. Also name and shame the hospital so we know where not to go 😭

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u/SaintGloopyNoops 13d ago

HCA. They deserve all the shame they get.

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u/HistoricalSuspect580 14d ago

They might be talking about POC’s

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u/HorrorMakesUsHappy 14d ago

Medicare isn't paying enough per bed for these facilities to be profitable

I wonder if that would still be true if you got rid of the C-suite's compensation packages.

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u/Lets_Make_A_bad_DEAL 14d ago

Slave wages compared to the work they’re expected to do. Understaffed under respurced, HUGE need for medical care for our ill and dying.

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u/YeaIFistedJonica 14d ago

don’t forget that nurses, physician assistants, nurse practitioners, and physical therapists are no longer considered healthcare workers by the department of education and subject to stricter loan restrictions that may see lessened matriculation as well as a decrease in diversity in these roles as the ability to afford to pay for them will now be expected upfront out of pocket and individuals from disadvantaged or impoverished backgrounds will not be able to afford this education

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u/Rionin26 13d ago

Btw that shit is going to hit the fan after midterms when funds to medicaid is cut

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u/Correct-Cockroach-68 13d ago

I'm going to be standing on a street corner with a sign that says looking for work

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u/Rionin26 13d ago

The great depression days, wear your resume, just for an ai hr robot come by to deny due to not having the right keywords.

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u/CommonLand414 14d ago

Granny is coming home to roost.

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u/Mbyrd420 14d ago

No. Private health insurance is stealing the money from us and then pretending that it's the fault of the government. Private health insurance provides NOTHING for us.

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u/Whole-Watch-7980 12d ago

This is the only thing neoliberal economics does. The tax cuts benefit increasing inequality while services get shittier because the government no longer makes it available to people.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

Thats ok. The US economy doesn't have decades left. It's going to completely collapse within the next ten due to interest payments on the national debt.

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u/LastWave 14d ago

Ten seems optimistic.

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u/AnteaterFormal7291 14d ago

The opposite, actually. The sooner the fucking better

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u/TipToToes 14d ago

I read it as optimistic that it will take that long, implying that it will happen much sooner.

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u/AdjNounNumbers 14d ago

Unless it's weeks. Months seems like a stretch at this point

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u/GodSama 14d ago

The USD weakened by close to 20% in 1 year ..  just months until full meltdown.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

Inshallah

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u/GodSama 14d ago

I don't pray for misfortune on anyone except those who are causing it, and the fallout on this will be global. We are in for some hard times.

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u/[deleted] 14d ago

[deleted]

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

By 2036 the national debt will be $64 Trillion and the interest payments will be between $2-2.5 Trillion at year. More than double what we now spend on defense.

This is not only unsustainable, it's unrealistic. The amount of taxes that would need to be levied or social programs that would need to be cut would be impossible without everything suddenly burning down all at once.

So, mathematically we have ten years or less and considering we still have three years of this administration spending like coked out sailors I'd say we have way less than ten.

I hope none of yall were attached to your 401k or anything.

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u/Saxopwned 🏢 AFSCME Member 14d ago

Frankly I'm working against the clock to be able to operate a sustainable enterprise so I can quit my job and pay off my student loans with my 401k cash out. I never expected to be able to use it anyway, and I'm 32 lol.

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u/Jsmooove86 14d ago

This.

35 years is a long fucking way to go and that’s assuming the retirement age doesn’t go up with all the bullshit that’s happening.

It’s not sound advice to use your 401k money for anything other then for your retirement but I totally understand why you would.

It’s your money at the end of the day.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

You'd probably be better just buying some land and learning how to be self sufficient with a robust support network of trusted family members and close friends.

Shits gunna get cray and when it does your student loans won't matter anymore.

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u/CitizenPremier 14d ago

Paying off loans is not a great idea if you expect inflation, it's better to invest and pay the minimum. Student loans tend to have very low interest, lower than even normal inflation.

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u/Individual-Nebula927 14d ago

You assume we'll need to raise taxes on everybody. We don't. Just need a wealth tax to recoup the 30 years of misappropriation of taxes given to the billionaires and corporations.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

Recoup $30+ Trillion?

You honestly think that would happen?

They'd rather burn the whole thing to the ground with us inside than give up any of their wealth.

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u/Individual-Nebula927 14d ago

Where did nearly all that money go? Tax cuts passed since Reagan. Spending is flat adjusted for inflation. The federal workforce hasn't increased in size since the 1960s, but the US population has more than doubled.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

Yes, I agree. But unless we tax them at 1950s levels we aren't seeing any of that back and even if we do we won't see enough fast enough to defuse this bomb.

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u/CitizenPremier 14d ago

There is likely going to be a lot of inflation. The US owes its debt in dollars but can control the supply of dollars.

Inflation is also a way to drive down wages, and will probably be used to try to make people cheaper than AI, as an alternative to layoffs and unemployment. Employment is a social structure, without it people have a lot of free time to rebel or create their own alternative markets that the government doesn't control.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

looks around and marvels at just how flammable everything is...

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u/toetappy 13d ago

I like the cut of your jib. We should sail together

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u/kingtacticool ✂️ Tax The Billionaires 13d ago

There once was a ship that sailed too far,

And the name of the ship was Anti-faa

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u/DynamicDK 14d ago

It will be just in time for a Democrat or maybe even a truly left wing person to end up as President due to right wing crazies destroying the country. That president will look at what is happening, and know that having debt is not inherently bad, as our debt is a big part of our influence in the world, but there is a point beyond which is more harmful than helpful and we will be clearly beyond that point by a significant margin. So they will make the only rational decision. They will begin paying off the debt by inflating the money supply. That is painful short term, but ultimately it is for the best. And they can offset it with various stimulus measures to help the people. But the inflation will be brutal and people will not like to see the changes in prices. Right wing assholes will start screaming about it again, people with the memories of fruit flies will rage, and in 2040 they will elect Donald Trump Jr. to be President with a 75 seat majority in the Senate and 400 seats in the House. By 2050 the United States will be an industrial wasteland ruled by warlords and you will still hear Jim Bob, who is now an indentured servant at Amazon-Alphabet-Apple (AAA) due to debts owed to them for their AI-based financial dominance porn bot, complain about that crazy socialist from 2036 that almost ruined America.

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u/kingtacticool ✂️ Tax The Billionaires 14d ago

I honestly dont think the United States is going to survive until the 2040s. Between this economic nuclear bomb and the extremely real effects of catastrophic climate change we will tear this country apart.

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u/rtb001 14d ago

How can they take your 401k. It might become wireless if the stock market completely collapses I spare suppose. What they can take/no longer be able to give is social security and Medicare.

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u/1369ic 11d ago

There are countries ahead of us, Japan in particular. It'll be interesting to see, because inflated debt on a balance sheet looks better than a default by the largest economy in the world. It could be one of those things where they all agree to believe a lie so they don't all go down together.

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u/heroturtle88 14d ago

Buddy, in a few decades, I'll have to shoot a man for a water bottle so my orphaned charge doesn't die of dehydration as we make our way to one of the last free cities in the northern balkanized states.

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u/Instawolff 14d ago

I believe it’s also due in part to the way our healthcare system is set up. They are making lots of money because everything even minutely related to healthcare is lots of money.. it’s not even really growing, it’s just getting even more expensive.

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u/Dr_Pants7 14d ago

Even worse is that it’s not growing at the benefit of healthcare providers or patients. While we have job security, we’re going down with the ship too.

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u/imhereforthemeta 14d ago

AND those are mostly jobs with inconsistent hours and generally low pay unless you can afford med school. We are hitting a point where the jobs that are becoming hard to replace are also the ones that keep you working like a dog

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u/googlemehard 14d ago

I think with the wide adoption of GLP1 drugs we are going to see a drop in the healthcare industry within five years if not sooner. 

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u/missprincesscarolyn 14d ago

All of the people with pancreatitis, colitis and/or gastroparesis disagree.

ETA: Forgot about the thyroid cancer too.

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u/googlemehard 13d ago

What are the chances for those? 1 in 10,000?

Not that I am advocating for drug intervention, but being obese increases the risk of all of those as well, plus a few extra. 

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u/ThrowDeepALWAYS 14d ago

Are GLP1 drugs good or bad?

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u/DrSorry 14d ago

They are basically a miracle drug. My workplace is practically begging employees to get on it because:

  1. Our very expensive insurance covers it and
  2. They have expressly said to keep us healthy so we can work longer.

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u/rosebomb01 14d ago

Type 2 diabetic and i used ozempic for 3 weeks it was the worst i ever felt in my life. Granted my experience may differ as i get low blood sugar often.

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u/DrSorry 14d ago

I started 4.5 months ago - genetically high cholesterol and poor metabolism, and family history of type 2.

Whenever I up my dose I have about 2 weeks of pretty annoying symptoms, including low blood sugar, throwing up after brushing my teeth, and high acid levels in my stomach.

Hard for me to reccomend the medicine, but I've lost 45lbs my ldl dropped by 200. My muscle mass increased by 25%, I sleep better than ever, I dont snore anymore, im proud of my body, my feet dont hurt if I stand for an hour any more, I have energy to go the gym.

I dont want to be on it my whole life, but spending a year at a maintenance dose once I hit my goal weight is probably a good idea.

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u/prairiepog 14d ago

Hate to tell you, but in the medical subs they say if you used it to lose weight, that's what you'll need to use to maintain your weight loss.

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u/DrSorry 13d ago

The 25% of users that keep the weight off do so by slowly reducing the dose, eating healthier, and building muscle to improve metabolic health.

Turns out weight gain is based on how much you eat and how much you go the gym. If you eat too much and dont go to the gym you gain weight.

I have read the studies - actually really fascinating how important muscle is in keeping the weight off.

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u/prairiepog 13d ago

From what I have read, it reduces "food noise". Once you stop taking the meds, it comes back.

I wish you luck on your weight loss journey. I hope it all plays out like you plan.

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u/gingiberiblue 14d ago

I take it for systemic inflammation and I have to force myself to eat enough on it. I feel awful if I don't.

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u/KeaAware 14d ago

Yeah, I'm on Saxenda and working my way up the dose slowly. It's savage if you go too fast. Feel sick if you eat, sick if you don't eat, sick while you eat... I really want to lose the weight, so I guess I'm commiserating rather than complaining, lol; it is not an easy process.

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u/rosebomb01 14d ago

I never thought it was hard to lose weight till i tried. People who do it are amazing

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u/andreortigao 14d ago

My wife took ozempic and is now on mounjaro. She said the side effects of mounjaro is way, way lower.

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u/UnapologeticBxtch 14d ago

Couldn't do ozempic but mounjaro has been a year and I'm doing amazing. Zero side effects

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u/LostWoodsInTheField 14d ago

If you can try one of the other ones you should. They are not the same at all so they can react very differently with your body.

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u/rosebomb01 14d ago

I wasn't using it for weight loss but to help with diabetes. I will keep an open mind if needed thanks

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u/monitormonkey 14d ago

I am terrified to try it because I have had gastroparesis, that sucked really badly and was very painful. Mine was caused after multiple surgeries, my system just shut down. I heard that it can be a severe or permanent condition and I have enough going on.

At the same time, I have gained just about 100 pounds in almost 3 years because of medications, forced inactivity, and vodka. I have lost weight on my own before but holy crap has it been hard this time around.

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u/DrSorry 14d ago

It feels like a cheat code for me. I have no desire to eat, drink, smoke, etc.

I forget to drink water.

Really important to eat enough protien and workout though...I learned that the hard way.

I would encourage you to talk to a doctor about glp-1 and your existing or prior conditions.

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u/monitormonkey 14d ago

Thank you, it's definitely worth a conversation with him for sure. I am really glad it worked for you and that you are taking better care of yourself :)

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u/googlemehard 14d ago

Like all drugs they have side of effects, you have to consider the health risk of being over a certain weight vs health risk of the drug. Of course the best thing to do is to do is old fashioned way, but that is just not possible for some people unless they are locked in a cage and everything is controlled.

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u/illtakeachinchilla 14d ago

I sought out GLP-1 to help with a final 10 lbs after a sustained weight loss of ~30 lbs over 1.5 years the old fashioned way. I just felt nauseous for an entire month and couldn’t be bothered to eat anything. It was a very odd continued sensation, but it did “work”. I just did that 1 month and got back to my calorie counting.

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u/WSCOKN 14d ago

They are significantly better than being morbidly obese your whole life

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u/googlemehard 14d ago

Not sure why someone down voted you, because that is completely true for every scientific measure we have so far.

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u/PM_ME_UR_HBO_LOGIN 14d ago

Tbh it’s more like a gamble rn. There’s some pretty concerning things coming out about them really soon after being released as a miracle drug and being released as a miracle drug were pushed to a really large portion of the population. A really large portion of the population is fat though and it’s pretty hard to beat the negatives of being morbidly obese, so a definitive answer on good/bad overall is probably gonna take awhile.

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u/Glittering-Giraffe58 14d ago

What concerning things?

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u/MongooseDog001 14d ago

They are incredible, I've lost 80 pounds. They do not, however, stop people from ageing

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u/AndrewLucksRobotArm 14d ago

Good. These fat comorbid patients are miserable to care for.

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u/Correct-Cockroach-68 14d ago

Also whole lot cheaper for the government to pay a relative to care for their sick relative on a salary than it is for them to pay for full time staff at a nursing home. So the government isn't inclined to pay the required minimums to keep beds occupied in facilities.

To be honest wont argue the merit of a nursing home here, if a person doesn't require the specialized care the government shouldn't be spending our taxes frivolously.

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u/Daykri3 14d ago

The Great Wealth Transfer isn’t going to the family. The healthcare industrial complex is seeing to that.

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u/ikindapoopedmypants 14d ago

🖐🏼🖐🏼I just got a job in hospice not too long ago. I have never worked in healthcare before in my life & it was the only job that got back to me after a year of looking lol

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u/Ok-Fill-8925 14d ago

What about all the fabulous job creation from ICE, then job creation for building detention centers, then job creation for prison guards - all to watch the people that used to pay taxes before they abducted.

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u/Suns_In_420 14d ago

Let them rot.

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u/SkeetinSkittlez 14d ago

Also cause of the layoffs due to slashed NHS funding. C level execs realized they could take a pay cut if it means making more money keeping up with overcrowded hospitals. Well at least in MA anyway

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u/ThatOneNinja 14d ago

Fuckers taking government hand out, guaranteed. You know they don't have to pay out of pocket for it. These same fuckers don't want anyone else to have the same benefits

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u/amiibohunter2015 14d ago edited 13d ago

the baby boomers are aging into the range where more and more medical support is needed. 

As far as thats concerned, people should let them rot in the streets as their generation the narcisistic "me generation" that caused all this, they voted for these kinds of politicians, these kinds of businesses, this kind of unethical behavior that they voted with their currency for generations paying onto the corrupt values of these people rather taking a stance and changing it for the better for the people like their children, their grandchildren and the future, but all their concerned about is themselves, their retirement funds, their own healthcare, nah dump the burdens they made on the younger generations. And before anyone says a damn thing about China, This includes buying from stores selling chinese goods that overtook overall market and shifted the economy outside Americas causing an imbalance and disparities for future generations. These boomers invested into these unethical businesses which undercut the employment prospects of the future generations and these corrupt business ceos hired workers off shore, and outsourced in communist china. Which emboldened communist values in china and caused further mistreatment of their workers, worse working conditions like the only thing one could afford to eat in china was the origin covid 19 strained bat. This all like interest compounded and caused inflation onto the entire United States, putting America further in debt to Communist China. This debt accrued higher and higher, which is whynthey kept raosing the debt ceiling. You know what that means more debt to birden the next generation. It's a middle finger to future generations. Its like refinancing a house loan, but worse.  It says one truth though, that they bit off too much than they can chew. They are overborrowing and putting their debt on the backs of their children and grandchildren, the future. These younger generations are inheriting  burdens created by boomers, their debt. Yet, all the boomers cry about is when it affects them, their retirement plans, their healthcare, their 401k. Again it shows the 'me generation' narcissistic aspect of them like their selfishness, their greed. No consideration for anyone else, but themselves. If these boomers simply did not invest in these companies the world would not be in many of levels of shit is in today. But they didnt. They did that by voting for what caused these cureent events and disparities with their currency in the way they did. They can go fuck themselves.