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We need to outlaw for profit anything with healthcare. The incentives are misaligned with society’s needs.
Boy you people really love banning things don't you. Why on earth would you _outlaw_ people from being able to see their private, for-profit family doctor.
Earlier quoted context omitted.
Please correct me if I'm wrong here: You save $45 on the professional services, but you still pay the same facility fee (~$1000), the CT scan still costs the same (~$5000), labs are still the same (~$110)... etc. So maybe you have saved ~1% seeing an NP, hence why I said "billed the same", although you are correct that they are not the exact same. Now imagine that a NP orders a CT scan that was unneeded 1% more often…
Again - this is far too complex to "first principles" your way out of. You need to be clear who you're talking about when you talk about savings (savings to the patient?, to the private insurer?, to medicare/medicaid?,to the hospital?, to the taxpayer if it's a public health system?) and even still, it will vary massively given that much of our care is state-driven. Your figures e.g. for a CT scan are wildly wrong if…