371–380 of 1001 posts
Her most recent gig was in Antarctica. I mean, cool, right?
Perhaps allowing modern MBAs to cost optimize most every single thing we do isn't the best way to assure mid and long term security and profitability.
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I was under the impression that nurses were paid pretty well (generally speaking).
They're paid alright (generally speaking), but most devs wouldn't even consider a job at that rate. And the bar for entry is way higher: years of competitive and expensive schooling. And that's ignoring the other factors that GP mentioned. I don't get assaulted on a daily/weekly basis. I'm not getting coughed on by COVID-infected patients who want to kill me because they don't believe that COVID is real. I don't endu…
Lots of people ... most people work jobs that fall into that category.
I'm not sure that means much. I don't know how many folks who go into nursing are likely to just chose to be a developer or if it is that simple for them.
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Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
> insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less That's not always the case. The reason I stopped writing mobile applications long ago was because the mobile carriers were doing exactly this, and not even providing enough paperwork for you to argue with them about it. People like to lambast the Apple…
Earlier quoted context omitted.
Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…
> * I strongly believe that only physicians should be running hospitals. Certainly not administrators whose only education is an MHA and only experience is working for for-profit health companies. The skills need to run a hospital are quite different than those required to be a doctor. I'm not saying hospitals aren't unique - I believe they are and their adminstration is highly specialized. Doctors should inform the…
Why do you think law firms and accountancies are partnerships? Because the best proffesional for managing lawyers/accountants/develipers is such a proffeshional with loads of experience. Thats why we have progression, you gain management skill as you bevome more senior but you still know how the industry works and the people you manage
While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…
Insurance companies. Everything is controlled by insurance companies. You can’t do anything unless it’s exactly how insurance wants and only for what insurance will pay. It limits everything, including how every profession can be compensated simply because you can’t easily hire somebody for more than what insurance will pay for their services. You can, but the funds have to come from somewhere.
https://www.verywellhealth.com/health-insurance-companies-un....
In theory, this sounds like a great way to make sure insurance companies aren't just taking unreasonable profits, and that they are spending money on medical care, not administration, keeping the business lean.
In _practice_, what it means is that profits are constrained by medical costs, so the insurance companies are literally incentivized to pay _more_ for medical services. Originally, insurance companies were supposed to be an intelligent negotiator on behalf of their customers. After all, their experts should know much more than a layperson every will.
But with the poisoned incentive to raise costs, customers are basically held hostage by a bag faith negotiator. Not bad faith as in malicious, but in terms of having an enormous conflict of interest.
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capitalism is the reason for hospitals choosing to serve patients covered by Medicare which will give them a blank check with tax payer money?
They go with Medicare because the pay-out rate (i.e. "collect-ability") for billable services is much higher--and much more predictable--than if they attempted to collect/negotiate with non-governmental providers. A LOT of money is lost by hospital systems due to unpaid patient responsibility (e.g. insurance deductibles), which they can minimize by offering only services already guaranteed to be covered by Medicare.
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No one wants to hear the truth. There’s near-infinite demand for healthcare and a constrained (mostly artificially) supply. Insurance, people and government can’t solve the problem of the supply and demand by throwing money on it. You either expand supply or remove demand. Given removing demand is... not desirable. The only alternative to fix the issue is remove regulation and expand supply. That’s it. Insurance make…
You should educate yourself about how most of the western world manages to have a functioning semi social health care system. US is broken because of this blind fantaic faith in free markets deregulation simplifications. The problem is a large swath of the population that believe in all earnestly that squeezing profit is some magical tool for a functioning economy. Too bad US is so good at PR, this mind virus is wrea…
In france your public insurance allows you to walk in a private clinic or hospital too, as a relative did and they cover her post-cancer treatment better than in the public hospital (by her account at least).
So yeah, "free market deregulation" may be an oversimplification but you have a problem in the US that's also far more than just being for-profit. We have for-profit over here and it works.
And that includes private & public institution doing medical R&D and selling their products to the national health services and private clinics, like quite a bunch of spanish companies do, for example. I say this becase it weirdly pops as an argument when it's totally unrelated, and it may be only a tiny fraction of the total cost.