Earlier quoted context omitted.
It’s a vicious cycle, but something needs to pump the brakes before the metaphorical engine explodes. * Stop tying healthcare to private insurers and employers. State-level single-payer models by default via fixed payroll deductions per employee, and let the government dictate or negotiate costs. * Re-work incentives for efficient utility usage. Incentivize self-generation for power through lower electric rates if a…
> Stop tying healthcare to private insurers and employers. State-level single-payer models by default via fixed payroll deductions per employee, and let the government dictate or negotiate costs. Most state-run workers compensation and Medicaid funds are already insolvent. Until that gets resolved, no attempt at creating a single payer fund is possible. > stop subsidizing huge consumers (like data centers) by raising…
What's driving rising business costs?
21–30 of 70 posts
Re: What's driving rising business costs?
#22Narrow banking now.
This is something the Federal Reserve can actually fix. Give every single US person (I am not a lawyer and I can't define what counts as a US person) a fee-free bank account with the Federal Reserve. Cut out the middle men of commercial banks. I think that alone will go a long way to drive down business costs.
Re: What's driving rising business costs?
#23This hits TFA's culprits, rising insurance and utilities costs. They're just the symptoms, not the source.
Re: What's driving rising business costs?
#24We really need to switch to a National Health Service style of administration of health costs. Right now we have Medicare which makes unilateral cost determinations, and doctors and hospitals end up accepting below-cost reimbursement that because how could they turn away all the retired people, but they end up subsidizing these unilateral decisions with money from private insurance payors (namely everybody who's work…
That's partly because we have a doctor shortage here (medical schools collude to limit the number of new doctors created each year).
Another part of the problem is the bloated administrative bureaucracy of hospitals in the US, we well as the fact that you aren't allowed to build a new hospital (and yes, this is actually true) unless you can prove that a hospital is needed in a particular community.
With no competitive market for healthcare providers, nor a competitive market for places where they work, why shouldn't they extract as much as they can from the rest of us?
They get away with it, too, because "medical doctor" is one of the highest trusted and most reputable professions. It's badthink to discuss these things in polite company.
Until we fix those things, it simply doesn't matter how the insurance/payment system works. Every time I hear that we need to get rid of private insurers, nobody can seem to explain how doing that will save more than 10-15% despite the fact that insurance companies have a statutorily-limited profit margin.
Re: What's driving rising business costs?
#25Let us not worry about "the whole economy". Yes, we know there is massive Executive overreach with tariffs and immigration. Yes, we know Congress is deadlocked to the point of being worse than useless. Yes, the SCOTUS also has its own problems with a majority of the public no longer having any faith in the judiciary. Lets start with things the FEDeral Reserve can fix, right here, right now. Narrow banking now. This i…
Never, ever going to happen.
Re: What's driving rising business costs?
#26Let us not worry about "the whole economy". Yes, we know there is massive Executive overreach with tariffs and immigration. Yes, we know Congress is deadlocked to the point of being worse than useless. Yes, the SCOTUS also has its own problems with a majority of the public no longer having any faith in the judiciary. Lets start with things the FEDeral Reserve can fix, right here, right now. Narrow banking now. This i…
Re: What's driving rising business costs?
#27Let us not worry about "the whole economy". Yes, we know there is massive Executive overreach with tariffs and immigration. Yes, we know Congress is deadlocked to the point of being worse than useless. Yes, the SCOTUS also has its own problems with a majority of the public no longer having any faith in the judiciary. Lets start with things the FEDeral Reserve can fix, right here, right now. Narrow banking now. This i…
And in the process make every member of congress less more rich tomorrow. Never, ever going to happen.
Re: What's driving rising business costs?
#28Until the early 2000s, things were built to last, solid build, simple.
Now, even fridge has AI in it like what the actual f!!! Cars are tablets on wheels, Tesla and others, rather than just being cars.
And this weird desire to please modern audience costing movies, products, videos games billions of dollars, closing studios thousands of jobs lost unable to make the investment back as consequences and yet, companies seem to do not read the room.
Re: What's driving rising business costs?
#29Let us not worry about "the whole economy". Yes, we know there is massive Executive overreach with tariffs and immigration. Yes, we know Congress is deadlocked to the point of being worse than useless. Yes, the SCOTUS also has its own problems with a majority of the public no longer having any faith in the judiciary. Lets start with things the FEDeral Reserve can fix, right here, right now. Narrow banking now. This i…
fee free banking + KYC + free instant transacting = ooo eee modern banking infra
What you said, fee free banking + KYC + free instant transacting is something we definitely need, even if it hurts JP Morgan Chase a little bit.
Re: What's driving rising business costs?
#30We really need to switch to a National Health Service style of administration of health costs. Right now we have Medicare which makes unilateral cost determinations, and doctors and hospitals end up accepting below-cost reimbursement that because how could they turn away all the retired people, but they end up subsidizing these unilateral decisions with money from private insurance payors (namely everybody who's work…
The dirty little not-so-secret is that we pay doctors too much in the US. To the tune of several times as much as other large developed countries, like Germany, France and England. Medical care in the US will never ever be as cheap as those countries as long as the providers here earn 2x or 3x. That's partly because we have a doctor shortage here (medical schools collude to limit the number of new doctors created eac…
Odd how the most popular programs in the US, social security + medicare, are the ones with zero means testing.
Maybe let's not blame one of the few only noble professions left in our greed fueled world.
Blame the hospital administrators or pharmaceutical reps before you start blaming doctors.