3 ms·

> The real issue here is not perks for physicians but the corrupt, inefficient, self-serving system that insurance companies and hospital bureaucrats have devis

> The real issue here is not perks for physicians but the corrupt, inefficient, self-serving system that insurance companies and hospital bureaucrats have devised for the American public. I agree with what you're saying, but if anyone's responsible for it, it's actually Congress, not the insurance companies and hospital bureaucrats. Private insurers and hospitals actually hate the status quo even more than you do, trust me. I've written about this in more detail on HN previously[0][1][2], and I'm on my phone, so forgive me if I just link to those instead of typing it out again. [0] https://news.ycombinator.com/item?id=8122377 https://news.ycombinator.com/item?id=8122377 [1] https://news.ycombinator.com/item?id=10479398 https://news.ycombinator.com/item?id=10479398 [2] https://news.ycombinator.com/item?id=12026273 https://news.ycombinator.com/item?id=12026273

discardorama 10y ago
> I agree with what you're saying, but if anyone's responsible for it, it's actually Congress And by Congress, it really means YOU, the (American citizen) reader, who keeps voting for the same crooks.
- jjoonathan 10y ago
  Right, I'll just choose the non-crook option next time! A foolproof plan.
  - toomuchtodo 10y ago
    Getting involved in politics is hard, but necessary, if we want change.
gleb 10y ago
Do you know of a study that shows real cost breakdown of medical care by payer type, including these cross subsidies to Medicare? Somebody must have put this together.
- slsii 10y ago
  I highly recommend Zeke Emanuel's "Reinventing American Healthcare" which covers the current status of the US healthcare system and the many reasons about why it turned out the way that it did. It's fairly comprehensive for a primer but is very accessible. If I remember correctly, the book covers the question you're asking directly. I don't have the book handy otherwise I would summarize it for you.

discardorama 10y ago

> I agree with what you're saying, but if anyone's responsible for it, it's actually Congress And by Congress, it really means YOU, the (American citizen) reader, who keeps voting for the same crooks.

jjoonathan 10y ago
Right, I'll just choose the non-crook option next time! A foolproof plan.
- toomuchtodo 10y ago
  Getting involved in politics is hard, but necessary, if we want change.

gleb 10y ago

Do you know of a study that shows real cost breakdown of medical care by payer type, including these cross subsidies to Medicare? Somebody must have put this together.

slsii 10y ago
I highly recommend Zeke Emanuel's "Reinventing American Healthcare" which covers the current status of the US healthcare system and the many reasons about why it turned out the way that it did. It's fairly comprehensive for a primer but is very accessible. If I remember correctly, the book covers the question you're asking directly. I don't have the book handy otherwise I would summarize it for you.