4 ms·

The most infuriating part of all of this is that you know it was some middle project manager who got some minor bonus in the grand scheme of things (probably in

The most infuriating part of all of this is that you know it was some middle project manager who got some minor bonus in the grand scheme of things (probably in the tens of thousands) for introducing some practice that is literally ruining people’s lives. It is absolutely maddening to look at this entire system and see what it has become because of above happening tens of thousands of times over.

newsbinator 8y ago
I wonder how often that middle manager looks back and regrets the move. Or how often he/she doesn't. It might be the reality that those people in society who ruin 9/10 lives are amorally oblivious, and stay that way through long, comfortable lives of their own.
- hrktb 8y ago
  Actualy if the life of that middle manager is mildly miserable they won’t have the time to look back or regret, or really think about what they are doing for a living. And by definition they’re sandwitched in a hierarchy, that can be a hell of its own. I’d argue the health of our society could come from healthier life for these corporate workers.
  - lazulicurio 8y ago
    I don't know if you've seen The Gervais Principle[1] before. It's a cynical but interesting way to think about some of the amoral behavior you see in corporations. It touches on how middle management gets stuck with the short end of the stick between upper-level management and lower-level employees. I'm not really sure how you could change the incentives to make things better for mid-level employees. [1] https://www.ribbonfarm.com/2009/10/07/the-gervais-principle-or-the-office-according-to-the-office/ https://www.ribbonfarm.com/2009/10/07/the-gervais-principle-...
- jononor 8y ago
  Self-selection ensures that the number is relatively high, the persons who have a problem with the practice tends to quit, persons who don't have a problem stays.
C1sc0cat 8y ago
Its the same way open plan offices imposed by building services happen. The building Services manger gets a bonus or more likely an annual appraisal that saves them from a pip or rif - totally ignoring the cost in reduced efficiency and recruitment costs.
- TeMPOraL 8y ago
  The principal-agent problem. You can notice it everywhere. Every time you hear the word "kickback", you know someone is paying money so that someone else can harm a group of people.
Spooky23 8y ago
The more infuriating thing is that these cost controls exist because CPAP is a hot prescription that’s being overused. On the other side, there’s a revenue maximizination consultant pushing doctors to prescribe unnecessary equipment like inhalers and CPAP.
- chiph 8y ago
  I think that for the people that need it, CPAP is what lets them get a good nights rest (and possibly not die overnight). But looking at all the commercials for the machines - I get the impression that it's the new "Scooter Store", taking advantage of the federal & private money available for durable medical equipment. https://en.wikipedia.org/wiki/Scooter_Store https://en.wikipedia.org/wiki/Scooter_Store

newsbinator 8y ago

I wonder how often that middle manager looks back and regrets the move. Or how often he/she doesn't. It might be the reality that those people in society who ruin 9/10 lives are amorally oblivious, and stay that way through long, comfortable lives of their own.

hrktb 8y ago
Actualy if the life of that middle manager is mildly miserable they won’t have the time to look back or regret, or really think about what they are doing for a living. And by definition they’re sandwitched in a hierarchy, that can be a hell of its own. I’d argue the health of our society could come from healthier life for these corporate workers.
- lazulicurio 8y ago
  I don't know if you've seen The Gervais Principle[1] before. It's a cynical but interesting way to think about some of the amoral behavior you see in corporations. It touches on how middle management gets stuck with the short end of the stick between upper-level management and lower-level employees. I'm not really sure how you could change the incentives to make things better for mid-level employees. [1] https://www.ribbonfarm.com/2009/10/07/the-gervais-principle-or-the-office-according-to-the-office/ https://www.ribbonfarm.com/2009/10/07/the-gervais-principle-...
jononor 8y ago
Self-selection ensures that the number is relatively high, the persons who have a problem with the practice tends to quit, persons who don't have a problem stays.

C1sc0cat 8y ago

Its the same way open plan offices imposed by building services happen. The building Services manger gets a bonus or more likely an annual appraisal that saves them from a pip or rif - totally ignoring the cost in reduced efficiency and recruitment costs.

TeMPOraL 8y ago
The principal-agent problem. You can notice it everywhere. Every time you hear the word "kickback", you know someone is paying money so that someone else can harm a group of people.

Spooky23 8y ago

The more infuriating thing is that these cost controls exist because CPAP is a hot prescription that’s being overused. On the other side, there’s a revenue maximizination consultant pushing doctors to prescribe unnecessary equipment like inhalers and CPAP.

chiph 8y ago
I think that for the people that need it, CPAP is what lets them get a good nights rest (and possibly not die overnight). But looking at all the commercials for the machines - I get the impression that it's the new "Scooter Store", taking advantage of the federal & private money available for durable medical equipment. https://en.wikipedia.org/wiki/Scooter_Store https://en.wikipedia.org/wiki/Scooter_Store