The only places I regularly hear Americans talk about therapy in a normal way is like online queer spaces. And I wonder how much of that is a holdover from medical gatekeeping of medical care for trans people.
this post was submitted on 08 Feb 2025
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Mental Health
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Very common to talk about at work now, because everyone is exhausted, burt out or incredibly disengaged, but strangely still not common in social or family circles.
The medical industry aggressively denies, discourages and inhibits ease of care for all services because profit, and mental health care is no different. During the pandemic carriers were required to provide telehealth services for the first time and the carriers and their providers were completely swamped. Americans are overworked to the point of dying from it and don't have any time to drive to an appointment but video therapy sessions are quite possible for more people. Even getting an appointment, because you have to often go through a carrier network leaves you stuck with therapists who often might not be that compatible. Waitlists can be 3-6 months. So like everything else in america, it's "dealt with" at the emergency level (suicide hotlines, police 911, prison industry or funeral industry).
Employers are now advertising access to "work life balance apps" /gag like "Calm" as part of their mental health offerings as they know their actual medical care services are unavailable, unaffordable or both.
Is life actually that much harder in America compared to other countries? I've watched a YouTuber who moved from Germany to America and he said Americans are working way much more and have less free time. Is that true?
There is still no federal vacation required. Many employers offer it but pathetic number don't. The "good jobs" used to be salaried, but unregulated capitalism has pushed tons more work on them while cutting employee numbers, many of those jobs now work 10-12 hour days--and are then expected to be "always on" from laptop, phone, etc. no mental rest. Add in insanity of commuting and traffic and it's physically and mentally exhausting. Those are the good jobs. The federal minimum wage hasn't increased since 2009. It's currently way below poverty wages, so government approved poverty. As a result, many Americans work for companies who pay them poverty wages, take tax incentives for hiring "the poor". Government sponsored poverty because government long ago was captured by lobbiests for capitalists. On top of that, medical care is unattainable expensive.
I don't know if that means it's "harder" than in other countries, but even in poor countries there is less focus on work, more time off, social healthcare or better mixes of the above options. It's truly now the most raw, unbridled survival of the vicious countries now. And that was the case before the developments of the last few weeks and the next 4 years, which will exacerbate all of the above items.