Live data from Hacker News

We Need to Design Health Care Reform That Puts Patients Before Profits

rooseveltinstitute.org

51–60 of 206 posts

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#51

It maybe is obvious, or maybe it's controversial, but patients will never be put before profits by for profit corporations.

Agreed, which is why for profit companies should be kept as far away from healthcare as possible.

How does this distinguish healthcare from anything else?

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#53

Earlier quoted context omitted.

Large hospitals systems have been forming regional monopolies for the last few decades. First they would buy other hospitals to increase negotiating leverage with insurers, then they started buying outpatient clinics to control patient flow. They can also increase the amount they charge at outpatient clinics once the larger hospital system buys them. Hospital spend represents 30% of US healthcare spend, and physician…

Healthcare stocks comprise a not insignificant part of many Americans' 401k portfolios, the downstream economic effects of dismantling healthcare would extend way beyond the hospital/pharma industry.

That 401k isn't going to be very useful if you can't afford healthcare.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#54
More than that, we need to design a system that puts general health/wellness before health care. That is, we need to live a more healthy and have a prevention mindset.

If we prevent the preventable those resources can be used for the unpreventable. But if overall demand drops, so will price/cost.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#55
post #16

I know a medical provider who works for a small family medicine practice recently purchased by a large hospital group in our area. They're being told, "You guys need to be sending more people to our hospitals." So for these organizations, patients who are sick and suffering are seen as a product. A day of reckoning is coming for these organizations because the sick and suffering are getting fed up with being treated…

> "You guys need to be sending more people to our hospitals."

This is true even in a socialized system like the military or VA, where the folks in leadership positions are seen in their own system. And that saves money, in no small part by reducing the amount of testing, improving continuity of documentation, etc. That savings doesn't just pad some executive's bank account. It makes it easier to give the nurses a raise, or keep a few more on staff through a recession. Makes it easier to buy that new 3 Tesla MRI for better resolution imaging, etc.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#56
post #47

Earlier quoted context omitted.

Is it obvious? I went to a fancy Japanese dinner last night. It was, obviously, a for-profit venture. At any point during that dinner, was anyone in the restaurant worried about the restaurant putting its "profits" above its patrons?

They weren't worried about it, but it was happening anyway.

I doubt the restaurant was a monopoly with literal powers of life, death, and bankruptcy over its patrons.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#57
Honestly, I'm not gonna read this thing. This is just the usual weekly "health care is fucked" HN post. They always say the same thing, they always show the same data, rarely suggest any real path forward (one that works in the context of lobbies, corruption, for-profit institutions, etc). In my book (and I'm not an expert even though I've worked in the benefits industry), 2 things are completely fucked up in this domain: 1) insurance being tied to your employer, 2) not being able to know the cost of a procedure before hand. Fix that, and you're done.

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#58
post #47

It maybe is obvious, or maybe it's controversial, but patients will never be put before profits by for profit corporations.

Is it obvious? I went to a fancy Japanese dinner last night. It was, obviously, a for-profit venture. At any point during that dinner, was anyone in the restaurant worried about the restaurant putting its "profits" above its patrons?

Greedy insurers don’t pay your restaurant bill and thus do not control the quality of service (by squeezing restaurant owners for every penny they can save)

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#59
post #52

This can be done by converting "for profit" corporations into "not for profit" corporations and having them finance investments with debt instead of equity.

And what about the rights of the stakeholders of those for-profit corporations?

Re: We Need to Design Health Care Reform That Puts Patients Before Profits

#60

Earlier quoted context omitted.

Healthcare stocks comprise a not insignificant part of many Americans' 401k portfolios, the downstream economic effects of dismantling healthcare would extend way beyond the hospital/pharma industry.

That 401k isn't going to be very useful if you can't afford healthcare.

And even less useful if you're bankrupted by it.
Post reply on HN