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comment by user-inactivated
user-inactivated  ·  1213 days ago  ·  link  ·    ·  parent  ·  post: Why everyone hates the GOP's new healthcare plan

As I wrote it the thought came to my mind. Ha! Arguing for inefficiency was actually hard to type, but it was true so I wanted to stick with it. It's just an unintended consequence of industry nationalization when broad.

But I don't think that market inefficiency is the same as bureaucracy. Market forces are already paring away at this inefficiency through automation of accounting, billing, etc so that there are fewer people being inefficient than ever. If this was the government, there would be no profit incentive to push this change ahead. As an example, many companies are already outsourcing their accounting and payroll departments to businesses like ADP. So that inefficiency is not going to be possible forever.

goobster  ·  1212 days ago  ·  link  ·  

How about a retraining program and we can turn them into border guards and ICE agents!

user-inactivated  ·  1212 days ago  ·  link  ·  

Someone get this man a government agency to run!

OftenBen  ·  1213 days ago  ·  link  ·  

Minor point about 'automated billing/accounting.'

I work in medical research. I write up and authorize orders for a broad range of research sponsored medical testing. In theory, our system is set up in such a way that when I write the order, it sends the bill to my research account, and the patient never even knows that there was a charge. In practice, about half the time, my patients get a bill and are very vocal about it (Thankfully).

This isn't to shut down the point entirely, just to illustrate that automation when taken as a class, still has a lot of bugs to be worked out, and until such a time that happens, it actually takes more work than if the robo-biller hadn't been involved at all.

user-inactivated  ·  1213 days ago  ·  link  ·  

Totally agree there.

Honestly the whole thing confuses the hell out of me that healthcare is so expensive and so inefficient.

Why hasn't someone come out with a better business model yet? I've heard of these little medical co-ops and that interests me. You just pay a subscription fee to a doctor and then you have no other co-pays etc. But they're rare.

kleinbl00  ·  1212 days ago  ·  link  ·  

Healthcare is expensive and inefficient because the seller and the buyer must pass their interactions through a for-profit third party that has no responsibility to either the buyer or the seller. It's the same reason a divorce can be had for $400 in filing fees but a contentious divorce can be millions.

Three sides to every story

Concierge medicine is basically cutting the insurance company out of the equation. Unfortunately it rarely covers catastrophic events, trauma, any of that stuff you tend to have insurance for. We knew a few doctors in LA that offered concierge service, and we've looked long and hard at it ourselves. Why? Because you get to charge a monthly that you pretty much never have to provide any services for and the people who buy it are rich as fuck. Somebody who says "I'm going to pay $50 extra a month so that if I need to go to urgent care it's free" is a hypochondriac, not a genius. Make the umbrella big enough to cover the catastrophic stuff and suddenly you're Aetna. Ain't no concierge service gonna do shit for you if you develop cancer or lupus or MS.