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  • what will it take

    so today as the media continues its meltdown over Baltimore,
    I saw another story where San Francisco (where tourism is a major industry) is losing a huge 40 million dollar convention, the group decided their attendees no longer feel safe there. or would not show up for convention. Perhaps it is a good way to spread the tourist dollars to other worthy / clean cities.

    I am wondering WHAT will change the path they are on businesses shuttered as no tourist or people willing to go to city? ... Perhaps an major health epidemic ? ..at least it is now on the national debate stage, although I think locals should feel the financial hit of cleanup. we need a different approach but these few who seem surprised or say things like "it is not that bad" like a commissioner in Baltimore said today.

    I am hoping these conventions pick some midsize deserving city that will appreciate the influx of convention dollars.
    I am disappointed that so many places I might have wanted to see are now too gross or dangerous to visit. I do not want to "just stay in this small area it is OK" so sad and embarrassing as the rest of the world watches.

    I often think some of us that may not travel a lot do not really see the issues except on news or if we have been through one of these cities.
    I live close to one city ( often mentioned in news) with a homeless problem that our state government just made worse by creating rules without seeing the pitfalls.

    I am shaking my head as I watch the fallout of the newest inane policy making it harder to evict so now companies are making the hurdles to rent even harder to qualify for, so they do not get stuck with non paying tenants.
    I should buy stock in tarps and tent manufactures.


  • #2
    I haven't heard about San Fran, but that's a shame as that's a great city with so much fun stuff to see and do.

    What will it take to change? I'd say it will always come down to money. Look at NYC. Years ago, midtown was a dump, filled with homeless people, prostitutes, peep shows, and the like. Then there was a renaissance. Disney and others came in and cleaned it up, closed down the junky stuff, forced out the riff raff, built gorgeous new theaters or rehabbed old ones that were in disrepair, new shops and restaurants opened, and now it's a tourist mecca.

    A lot of cities are seeing significant population growth as younger folks migrate back into the city from the suburbs. They want walkability, easy access to shopping, dining, and entertainment. They don't want to have to depend on driving to get around. Along with that population shift comes tax dollars and discretionary spending to support rehabilitation.

    We were recently in Dallas and one day instead of taking the highway back to our hotel, I took a local street. Driving along, it was blatantly clear that the area had seen very hard times but was in the midst of gentrification. Just across the street from an abandoned building was a gorgeous new luxury condo complex. A block away from a deserted lot was a street filled with boutique shops and restaurants. Numerous things were under construction and others were in various stages of demolition to make way for more new things.

    I think it's all part of a normal cycle.

    As for traveling, every city everywhere, US and abroad, has always had areas that were safe to visit and areas that were best to avoid. The problems arise when things change so that the area where the tourists want to go declines to be among the not so safe areas. I don't know if that's what has happened in San Fran as I haven't followed that story.

    As for smaller "deserving" cities picking up the slack, that's really not feasible in many cases. There are only a handful of cities that have the infrastructure in place to handle the major conventions. If you've got a few hundred or maybe one thousand or so people coming, sure. They can be housed many places. But when you're talking about the big groups that have 10,000 attendees or more, the list of available cities gets pretty small.
    Steve

    * Despite the high cost of living, it remains very popular.
    * Why should I pay for my daughter's education when she already knows everything?
    * There are no shortcuts to anywhere worth going.

    Comment


    • #3
      ok so where do those people in that area GO?
      Sure young people can come in buy condos and throw in a few Starbucks but as you stated above " forced out the riff raff " where did they go? nothing fixed just relocated ?

      I understand most places have bad areas but in the article I read on this convention pulling out they said they only could suggest a two block hotel area as safe and clean seems pretty limited to me.

      Comment


      • #4
        Originally posted by Smallsteps View Post
        ok so where do those people in that area GO?
        Sure young people can come in buy condos and throw in a few Starbucks but as you stated above " forced out the riff raff " where did they go? nothing fixed just relocated ?
        Oh, maybe I missed your point. Yes, one problem when an area undergoes gentrification is people get displaced. Poverty doesn't go away. It just gets relocated.
        Steve

        * Despite the high cost of living, it remains very popular.
        * Why should I pay for my daughter's education when she already knows everything?
        * There are no shortcuts to anywhere worth going.

        Comment


        • #5
          I can see that private investment to revamp run down areas are probably they only way it can be done. That is also why so many things are simply kick the can ( problem or issue)down the road.

          I think even if we ( taxpayers) revamped all the boarded up areas and picked up all trash until people take pride some who could run down an area in record time.

          I see talking points and BS spewed every day and I think if people would just shut up and face the core not just symptoms and relocate the issue.
          Poverty and wealthy gap ( such a misleading term) can only be fixed by taught financial skills and job skills.



          Comment


          • #6
            Originally posted by Smallsteps View Post
            Poverty and wealthy gap ( such a misleading term) can only be fixed by taught financial skills and job skills.
            Education is certainly important, but I don't think that would fix everything either. There needs to be strong safety net too for the folks who aren't able to learn, aren't able to work, etc. Not everyone has the physical or mental capacity to get a high-paying job. We also need far, far better mental health care in this country. A high percentage of homeless people have significant psychiatric problems. And we need universal health insurance so that people aren't going bankrupt due to medical bills.

            As much as people like to say poverty is due to bad decisions, it just isn't that simple. Government and private businesses and charitable organizations all need to be working together to address the multitude of issues that result in people living in poverty.
            Steve

            * Despite the high cost of living, it remains very popular.
            * Why should I pay for my daughter's education when she already knows everything?
            * There are no shortcuts to anywhere worth going.

            Comment


            • #7
              Originally posted by disneysteve View Post

              Education is certainly important, but I don't think that would fix everything either. There needs to be strong safety net too for the folks who aren't able to learn, aren't able to work, etc. Not everyone has the physical or mental capacity to get a high-paying job. We also need far, far better mental health care in this country. A high percentage of homeless people have significant psychiatric problems. And we need universal health insurance so that people aren't going bankrupt due to medical bills.

              As much as people like to say poverty is due to bad decisions, it just isn't that simple. Government and private businesses and charitable organizations all need to be working together to address the multitude of issues that result in people living in poverty.
              Also need to accept the fact that there is a pretty significant segment of society that just doesn't give a rip and is quite content living on the streets or in pretty rough conditions.
              You can't give them a clean new house or apartment and a weekly food allowance and expect that they will change their ways. They'll soon have it trashed out and living just like they were before.
              Look at the housing projects or any Indian reservation to see living proof of that.

              Comment


              • #8
                Psychiatric care (especially) and medical care require the patient to be INVOLVED if they want to get well.... and No plan will change that regardless of single payer or as it is now.

                I keep hearing of surprise bills are these your part after insurance pays that people simply forget their plan covers 80% so 20 % is their responsibility ?.. yes it is a big shock when a surgery or something happens and your 20% adds up quick.
                In the moment of injury or crisis people would empty a wallet at a hospital to get help but after 60-90-120 days after the crisis passed they start wanting to say "lets make a deal" or "nope, too much I am not paying" .

                OR perhaps it is the fly by night billing groups that TRY to charge people the discount rate between charge and accepted insurance payments.
                This happened to me and when I called them ( independent biller for an ER dr group ) out and got BBB and my state insurance office involved they said and I quote " oh well for every person like you that catches it 10 will pay cause we threaten collections". As long as there is no prosecution for that scammers will scam.

                I think we can help those who truly need it but the current blanket system shows you how to become "needy" to get help. In both income and healthcare.
                I can tell you of a co-worker applying for hospital charity care all while planning days off w/o pay to attend a concert weekend with ticket that cost $400. Too many scammers not enough integrity.

                We are not addressing the CORE in healthcare, just the symptoms.
                In my life the people whom had the most problems with medical often they had a serious part in the cost and outcome.

                #1 Not seeking treatment......
                Example had a friend whom had plenty of symptoms ( had decent insurance) but put off looking into matter until she was in for an injury then they discovered the issue in April and her funeral was August. She complained of bad pain and symptoms for 2 yrs prior if she had made a appt perhaps 2 years earlier that would not be the outcome. MEANWHILE between april and august they spent hundreds of thousands on last ditch efforts.
                The family was pissed about their 20% of the Hail Mary options. I just shook my head at whole thing this was only one example in the same timeframe of putting off causing huge bills after an item was too far gone for basic treatment.

                #2 Not following DR orders or basic directions on medication. ..
                The last time I saw a survey it said about 75 % do not take medication correctly ( perhaps a issue with the addiction issue) ...I can only imagine how many smokers/ heavy drinkers that do not quit or Obese who will not even try to lose weight to save themselves.
                Think of the cost, I know a few healthcare workers injured/ disabled by trying to help move severely obese patients.

                #3 TORT reform... those opposed to single payer always talk about lack of care or long lines but no one tells the public that MOST all universal systems have strict limits ( even on errors) no million dollar malpractice suits.

                #4 incomplete or false medical history given..... I have seen many, many issues from this one. can only imagine how many a DR encounters.


                I never question the HIGH cost of our medications over other countries when I read a person WITHOUT a prescription, taking his wife's pills ( illegal ) got a settlement from the makers of Vioxx.
                That nonsense simply would not be acceptable in a system like the UK or Canada. rewarding a person whom never should have been taking this product damages. Listen to ads they state the most obvious items probably because some one came after them. "Tell your dr if you have had a transplant"

                Why is so many people on so many medications???....
                if lets say NO one in a basic general practice is below the AVG for statin recommendation...... maybe the AVG is too low as the odds of a general practice having 100% needing this once you get on you never get off drug seem impossible to believe. how often is HBP or statin meds discontinued after patient reaches target? not many I bet there is a co-pay and pills bought every month or if lucky 90 days.

                If I was a drug manufacture I would build up a reserve for that kind of crap. Want pills super CHEAP give them the blanket legal protection vaccines get.

                NONE of ABOVE is brought up in the debate of healthcare.

                No one will admit to extra tests to play CYA. I don't blame medical people, even suggesting you see another person not because you need specialist but some doctors have a sixth sense of passing the problem patient on.

                The original point of my post is how did some of this squalor get so out of hand ( years of ignoring or remedies that do not work) and how long can we just look away.
                When will someone see throwing money at a problem is giving OXYGEN to a fire not fixing it.

                The post was Not especially about healthcare, UNLESS we start getting TB/Typhus flea and RAT borne illnesses that are being seen in Los Angeles become an epidemic.

                Bad personal decisions DO play a BIG part in both poverty and healthcare as long as we excuse that, based on a very small percentage, we will have problems.

                Comment


                • #9
                  Originally posted by Smallsteps View Post
                  Bad personal decisions DO play a BIG part in both poverty and healthcare as long as we excuse that, based on a very small percentage, we will have problems.
                  Until we stop blaming poverty on the poor, we will have problems.
                  Steve

                  * Despite the high cost of living, it remains very popular.
                  * Why should I pay for my daughter's education when she already knows everything?
                  * There are no shortcuts to anywhere worth going.

                  Comment


                  • #10
                    Originally posted by disneysteve View Post

                    Until we stop blaming poverty on the poor, we will have problems.
                    that is the reason nothing is done
                    there are 2 camps super simplified it goes as follows....

                    camp one : we can show you the steps and counsel for support but the hard work and making good decisions are still on you.

                    camp two: Nothing is your fault it is just ( insert excuse here). Everyone else should just pick up you slack.

                    Comment


                    • #11
                      Originally posted by Smallsteps View Post

                      that is the reason nothing is done
                      there are 2 camps super simplified it goes as follows....

                      camp one : we can show you the steps and counsel for support but the hard work and making good decisions are still on you.

                      camp two: Nothing is your fault it is just ( insert excuse here). Everyone else should just pick up you slack.
                      Well then there are at least 3 camps because I'm not in either of the ones you listed.
                      Steve

                      * Despite the high cost of living, it remains very popular.
                      * Why should I pay for my daughter's education when she already knows everything?
                      * There are no shortcuts to anywhere worth going.

                      Comment

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