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@CultLeader4Hire@lemmy.world

Post #1847348

2026-04-24 03:24 UTC

I always ask myself “could this ideology produce a world class hospital” when thinking about if I agree with an ideology. Do you think a gift based communist economy could produce one? Not being snarky, I’m genuinely on the fence on one hand I say no but on the other hand, from an altruistic perspective a world class hospital is in everyone’s best interest so… maybe, yeah, it feels at least possible if you got a lot of other stuff right?

Replies (3)

  • @linguinus@lemmy.zip 2026-04-24 14:57

    I think your approach for evaluating political economic systems is sound, and it's worth pointing out that, despite decades of unimateral embargo from the us, Cuba has some of the best doctors in the world. They developed their own covid vaccine. From Wikipedia: > Cuba provides more medical personnel to the developing world than all the [G8 countries](https://en.wikipedia.org/wiki/Group_of_Eight "Group of Eight") combined. I think it makes a strong case that a political system oriented towards common good can overcome crippling material restrictions imposed by a hostile neighboring superpower to provide free, high quality, universal healthcare.

    Open ##1847360

  • @GuyIncognito@lemmy.ca 2026-04-24 17:57

    Future communism (as opposed to primitive communism, the mode of production of hunter-gatherer bands that preceded agriculture) is a completely theoretical mode of production that is theorized to come after socialism. Basically, the idea is that the state will eventually wither away. How exactly this occurs is a problem for later, but it doesn't preclude *any* form of organization, just no state.

    Open ##1847361

  • I'm not convinced a hospital is the best place to heal the sick. Indigenous health outcomes got a lot worse after colonisation, even when Indigenous people weren't classed as fauna. A lot of Indigenous people get diagnosed with a serious illness, travel hundreds of kilometres to a hospital, and die there. Because at the hospital, they're isolated from their family, their community, their home, their country. I grew up in white culture, and I still find hospitals to be isolating places as a patient. It's gotta be way worse for someone who didn't grow up in that kind of environment. Instead, imagine a travelling doctor service where the doctor has hours to get to know you while they treat you, where you feel valued as a patient. The biopsychosocial benefits should be obvious. There's just one problem: patient volume. Fortunately, communism has some great solutions to the patient volume problem. For example: - No more tobacco companies - No more gambling companies - No more financial incentive to push hard drugs - No more financial barriers to preventative medicine - No more 80 hour workweeks to support your family - No more dangerous working conditions in the name of profit - No more fossil fuel companies - No more car pollution Capitalism makes people sick in the name of profit, and then sells them the cure. In a communist system, doctors would have more time to treat their patients like people.

    Open ##1847362