81–90 of 182 posts
What you need is someone that tells you what do (or most likely not to do) before you get sick.
Herein lies the very big problem, if you don't get sick doctors have no job!
I think most countries with a civilized, social and sustainable healthcare system do this, right? Maybe this is the kind of market that can never be free, because you can never step away from a deal, as the alternative is often death. As such perhaps in these matters we should just have some faith in humanity. You know, it works for a lot of open source software. Capitalism is not a silver bullet, people have a consc…
Many countries with universal healthcare still pay by the act. In Canada, doctors are mostly independent service providers that bill the government directly. This can lead to two problems: a) they don’t do a whole lot of medical acts because it already pays so well that they can afford to slack off (e.g., work 3-4 days a week, see very little patients), or b) do a lot of unnecessary acts because it goes directly into…
P != NP, as far as we've discovered. As a non-doctor, I can still understand medical conditions. What I don't have are the heuristics to diagnose a medical condition. The way I see it, I'm hiring a doctor (or any other skilled knowledge professional) for their ability to generate a proof certificate (in the algorithms sense) that convinces me of their declared diagnosis. Any consultant who asserts "The answer is X" without being able to explain that answer to an intelligent non-domain-expert has not done their job.
Earlier quoted context omitted.
Many countries with universal healthcare still pay by the act. In Canada, doctors are mostly independent service providers that bill the government directly. This can lead to two problems: a) they don’t do a whole lot of medical acts because it already pays so well that they can afford to slack off (e.g., work 3-4 days a week, see very little patients), or b) do a lot of unnecessary acts because it goes directly into…
It's clear why performing unnecessary medical acts is problematic, but what is the issue if doctors being paid by the act work 3-4 days a week? Isn't this just piece work and you can add more doctors?
Less overwork results in better care, and more jobs. I'm all for it.
The article proposes prepayment options. Why not go to the "other, other obvious" solution, which is results-based payments? In healthcare, that's value-based care. In other industries w/ agent-principle problems, it's called "taking on risk". You're incentivizing results and outcomes, rather than whatever specific actions lead up to those results. It means that the focus is no longer on the activity provided by the…
Earlier quoted context omitted.
Many countries with universal healthcare still pay by the act. In Canada, doctors are mostly independent service providers that bill the government directly. This can lead to two problems: a) they don’t do a whole lot of medical acts because it already pays so well that they can afford to slack off (e.g., work 3-4 days a week, see very little patients), or b) do a lot of unnecessary acts because it goes directly into…
It's clear why performing unnecessary medical acts is problematic, but what is the issue if doctors being paid by the act work 3-4 days a week? Isn't this just piece work and you can add more doctors?
Earlier quoted context omitted.
That’s horribly ignorant considering that many diseases have a large genetic component and people are rarely 100% compliant with the things they need to do to prevent a disease. Even when a doctor lets them know how to prevent the disease. How would this work for a disease, for example, like Alzheimer’s where the onset is much earlier in life (40s) but doesn’t manifest until much later in life and has no diagnostic t…
Seconding your view points. If a patient dies from a hypertension related cause (say stroke), and the patient has not followed the strict low salt diet the doctor recommended, does the doctor pay for that? At what point does the doctor stop seeing patients who do not follow their recommendations to the exact letter?
The article proposes prepayment options. Why not go to the "other, other obvious" solution, which is results-based payments? In healthcare, that's value-based care. In other industries w/ agent-principle problems, it's called "taking on risk". You're incentivizing results and outcomes, rather than whatever specific actions lead up to those results. It means that the focus is no longer on the activity provided by the…