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>Require a standard format. Pick JSON or CSV in some standard encoding. We don't need hospitals publishing XML files and Excel spreadsheets. Definitely CSV. Always CSV. It's easy to produce, easy to parse, and kind of human readable. And easy to do some basic analysis with tools that everyone has access to - Excel, Google Sheets etc.
Where to start... 1. Somehow in the mid-2010s congress decided that anyway that walks onto private property, demands care from a private organization, will receive it, even if they declare they will not pay a dime to the staff working. 2. Congress could have totally create/build a system of hospitals that provides "one time care" for those people, but doesn't. 3. Instead they pass the buck and say "figure it out" to…
It seems to make sense and align incentives to have members use the same public systems (eg transport, education, health, housing) as everyone else, otherwise they will never understand how their policies affect real people.
What a strange concept, "hospital price".
Here are some examples:
https://www.ktph.com.sg/patients/hospital-charges
https://www.sgh.com.sg/patient-care/visiting-specialist/char...
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> the solution to most social ills in America is to simply not be poor American healthcare works well if you have money and better than anywhere else in the world if you have money and a chronic condition. If you get in an accident, however, particularly while away from your posh neighbourhood, you’re getting the same overworked, hyper-indebted surgeon as the homeless man. (If you’re a billionaire or head of state, t…
Not just if you have money. If you have a lot of money. The majority of the country is one major accident away from being completely wiped out. It's the number one cause of bankruptcy. I had an emergency this year within a very tiny insurance gap between employers and now all of my savings and retirement are gone. I'm really not sure who it works out better for versus universal healthcare, but I can't imagine it's a…
Wrote Hacking Healthcare for O'Reilly, created ClearHealth/HealthCloud open source EMR, managed health systems for 15+ years, blah, blah, blah. It is very good there is are the transparency regulations. It is worth briefly explaining some of the reasons why many facitilities are having a hard time complying. There are some bad actors, absolutely true. However "Hanlons Razor" -- never attribute to malice that which is…
You are mischaracterizing MUMPS which is now called M and has been updated many, many times since its invention and has a robust standard library of functions from M vendors.
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Almost certainly the value of pensions. There are teachers on that list making $65k with "benefits" of 1mm, which is probably the NPV of ~20 years of pension income.
Doesn't seem to add up though, if you keyword search for "teacher" [0], the results are dominated by GCC with consistently elevated benefits. Once you get out of GCC dominated results, the numbers start looking a lot less surprising - until another GCC entry shows up. [0] https://transparentcalifornia.com/salaries/search/?q=teacher
Where to start... 1. Somehow in the mid-2010s congress decided that anyway that walks onto private property, demands care from a private organization, will receive it, even if they declare they will not pay a dime to the staff working. 2. Congress could have totally create/build a system of hospitals that provides "one time care" for those people, but doesn't. 3. Instead they pass the buck and say "figure it out" to…
What else in your analysis is terribly wrong?
1. https://en.wikipedia.org/wiki/Emergency_Medical_Treatment_an...
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cancer treatment costs can make anyone poor. just sayin'
That's why AFLAC offers cancer insurance. https://www.aflac.com/individuals/products/cancer-insurance....
> The out-of-pocket expenses displayed are estimated at 40% of the total medical cost, assuming that average major medical plans cover approximately 60% of the expense. Your major medical coverage may be more or less, and if an individual or family incurs expenses for non-covered benefits, these out-of-pocket expenses may increase potential unexpected costs. You will also need to pay for any limits or exclusions on your benefits which may include the number of refills for certain drugs, visits to certain specialists, or days covered for certain benefits.
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In my fantasy world there's a full-on constitutional amendment demanding that any monetary fine must meet or esceed the profits gained by breaking the law.
I've long advocated for a few variations of this: 1. fines must conform to a percentage of the targets earning wealth (e.g. someone who makes 30K a year gets fined $3000, someone who makes 300K gets a 30K fine etc) 2. flat out just as you said, fine must EXCEED by a multiple, the amount they gained (however, determining the gain is in many situations, requiring a lot of forensic accounting to sort out).
When High Deductible Insurance was introduced the supposed concept was to "give employees a stake in their costs, and therefore lower them for both employer and employee." However, even today doing so is very challenging, and before laws like this it was essentially impossible. There's no way to shop around American healthcare, with the system itself working against you at every turn (e.g. doctors prescribing named b…
The primary cause today of doctors prescribing name brand medications without the ability for substitution of generics is a form of institutional stupidity. EMR prescribing systems are driven by a common "formulary" that has an entry for each drug and defaults. Often the people that define formularies are a weird mix of technological people that don't know anything about the drugs/medicine and medicine people that do…
If you are a hospital, and you are shopping for an EMR to maximize revenue, is that a feature or is it a bug?
Evil, yes, stupid, no.