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Brave Care Has Closed

bravecare.com

21–30 of 160 posts

Re: Brave Care Has Closed

#21
post #20
post #16

Don't get the wrong idea about this announcement. The problem is not that pediatric urgent care is not a viable business. The problem is that it's not a great VC-funded business. VC investors are hoping for huge growth and eventually earning back multiples of their investment. That's going to be really hard to do in this segment of the health-care market. We've got a wonderful pediatric urgent-care place in our area,…

Geriatric care will be the gold rush of the 2040s. If I knew a solid way to invest in that, I would.

2040's? It is happening, now.

Re: Brave Care Has Closed

#22
post #13
post #8

Earlier quoted context omitted.

Any homeless person can walk into an ER and get care. What will happen to the bills? Effectively it is no cost care for those who are sufficiently poor.

Cool - that sounds a bit like our NHS. You also said "What will happen to the bills?" - what does that mean? Cheers Jon

Some of the bills are just written off as bad debt. Essentially thrown away. But in many cases the hospital back office will work to get indigent patients enrolled in Medicaid and then send the bills to the state government.

Re: Brave Care Has Closed

#23
post #20
post #16

Don't get the wrong idea about this announcement. The problem is not that pediatric urgent care is not a viable business. The problem is that it's not a great VC-funded business. VC investors are hoping for huge growth and eventually earning back multiples of their investment. That's going to be really hard to do in this segment of the health-care market. We've got a wonderful pediatric urgent-care place in our area,…

Geriatric care will be the gold rush of the 2040s. If I knew a solid way to invest in that, I would.

In Canada it has been the growth of old folks homes. I expect there will be a glut of them in 39 years or so. The companies behind them have likely made a killing.

Re: Brave Care Has Closed

#24
post #6

Earlier quoted context omitted.

"federal law to provide no-cost indigent care" Could you explain "indigent" here, please. It looks like a typo.

It's someone looking at the EMTALA requirement for emergency departments to provide stabilization without regard to ability to pay without also realizing that the US has public health insurance for the medically indigent.

There are still a lot of low-income patients that are not covered by medicaid

Re: Brave Care Has Closed

#25
post #15
post #4

Earlier quoted context omitted.

Very difficult to disrupt American healthcare when health insurance companies determine your rates, direct pay patients often the most vulnerable, and instead of focusing on patient care you have to focus on stupid administrative tasks to deal with different types of health insurance plans/pharmacy benefit managers/vendors. Thanks to decades of neo-liberalism (the idea of deregulation and "free market" economy). Amer…

>Americans have allowed corporations to form massive entities (in health insurance, UHC + optum bank + optima rx comes to mind) This is more an anti-trust problem than deregulation. In the 80s Robert Bork and some others led a charge within the court system to rewrite federal anti-trust law without actually rewriting the laws. The result was that merger/acquisition guidelines were loosened, and the focus was on wheth…

> This is more an anti-trust problem than deregulation

Loosened antitrust rules are a subset of deregulation, it can’t be any less deregulation than it is a matter of (too loose) antitrust.

Re: Brave Care Has Closed

#26
post #5

I never used this service but based on their site. It's aimed at pediatric care? With the decline in birth rates in the US, didn't seem like a sustainable model from the get go.

Decline in birth rates is generally at least matched by an increase in per-child spending.

Re: Brave Care Has Closed

#27
post #20
post #16

Don't get the wrong idea about this announcement. The problem is not that pediatric urgent care is not a viable business. The problem is that it's not a great VC-funded business. VC investors are hoping for huge growth and eventually earning back multiples of their investment. That's going to be really hard to do in this segment of the health-care market. We've got a wonderful pediatric urgent-care place in our area,…

Geriatric care will be the gold rush of the 2040s. If I knew a solid way to invest in that, I would.

This mindset (that it will be a goldrush) is why we can't have nice things. Can't trust capitalism to do this kind of stuff in a non-exploitative way

Re: Brave Care Has Closed

#28
post #18
post #10

Earlier quoted context omitted.

... are you joking? Healthcare is one of the most regulated industries in the United States. Want to be a doctor? You've got the aptitude, the knowledge, the mindset, and the will, but a government-guaranteed cartel of medical schools won't let you in, so too damn bad. Learn to code. Want to open a clinic? You really only need about a half-million in hardware to operate at the level of a 1980s hospital, but regulator…

You're confusing cause and effect. Health care used to be cheap because it couldn't really do much beyond treating some minor injuries and infections. Until about a century ago, what we had was barely a step above witch doctors. Health insurance or lack thereof only started to become a major issue when care delivery started to become more effective and expensive.

> Until about a century ago, what we had was barely a step above witch doctors.

By the late 19th century, we already had general anaesthesia (developed starting in the 1840s), antiseptics (we’ve had them for centuries but their use became much more common in the late 19th century as the germ theory received broad acceptance), smallpox vaccine (very late 18th century development), a number of drugs (some known since antiquity others newly discovered), etc. Yes doctors were a lot more limited in what they could do back then, but even within those limits they saved people’s lives all the time. If your arm had gangrene, they could amputate it under general anaesthesia, antiseptics to try to prevent infection, and provide post-operative pain relief - which could literally save your life. Women with breast cancer received mastectomies (known about since antiquity but became much more common in 19th century, especially as general anaesthesia made the surgery more tolerable)-due to the lack of chemotherapy or immunotherapy, that wouldn’t do much for those with more advanced cancer, but if the cancer was sufficiently localised could be curative and lifesaving

Re: Brave Care Has Closed

#29
post #27
post #20

Earlier quoted context omitted.

Geriatric care will be the gold rush of the 2040s. If I knew a solid way to invest in that, I would.

This mindset (that it will be a goldrush) is why we can't have nice things. Can't trust capitalism to do this kind of stuff in a non-exploitative way

We don’t have nice things because congress sucks. Keep Blaming capitalism, that wall has lots of screams to bear yet.

Re: Brave Care Has Closed

#30
post #4

Kudos to their founders and team for trying to disrupt this space. https://www.ycombinator.com/companies/brave-care https://www.bizjournals.com/portland/news/2021/10/07/brave-c... | https://archive.today/Qd8fQ https://techcrunch.com/2019/09/09/yc-backed-brave-care-raise...

Very difficult to disrupt American healthcare when health insurance companies determine your rates, direct pay patients often the most vulnerable, and instead of focusing on patient care you have to focus on stupid administrative tasks to deal with different types of health insurance plans/pharmacy benefit managers/vendors. Thanks to decades of neo-liberalism (the idea of deregulation and "free market" economy). Amer…

If you want to do the hard work of automating and abstracting the "fucking mess" of the financial layer of American healthcare, we're hiring: https://jobs.lever.co/juniperplatform

Or email me: chris@juniperplatform.com

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