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Dedication to, empathy for the humans that would otherwise die is the more likely conclusion. Most people aren't solely motivated by greed. Many nurses have a
by Red_Leaves_Flyy 6y ago
Dedication to, empathy for the humans that would otherwise die is the more likely conclusion.
Most people aren't solely motivated by greed.
Many nurses have actually had their pay cut during this pandemic and have kept slaving away in garbage bags and cloth masks despite their wholesale mistreatment.
- woahAcademia 6y agoYeah it's sad people feel pains. I'm also unhappy that those same people have used Regulatory capture to increase their wages at the expense of public health. Deregulate medical and there will be less burnout, but the pay will be cut in half.
- DanBC 6y ago> Regulatory capture Next time you need surgery give me a call. I don't have any relevant qualifications; I have no training; I don't have a professional registration; I don't have insurance; but yeah sure I can watch a few Youtube videos and give it a go.
- sixstringtheory 6y agoI will do it for half of whatever parent will charge. We also have ping pong and kombucha on tap in the waiting room.
- wooby 6y agoIf you have good Yelp reviews or if I could speak with happy patients I would consider taking you up on it. Seriously. I've received enough terrible medical and dental care from various "trained" and "registered" practitioners to value referrals much more than any credential or certification. If you yourself truly believe that a professional registration is satisfactory, then I trust you practice what you preach by never researching doctor reviews. To do so would invalidate your argument.
- earthtolazlo 6y agoUber for surgery! Move fast and break people. I swear HN is a self-parody sometimes.
- wooby 6y agoMoving fast and breaking people is, horrifically, the status quo. Special interests in healthcare, enabled by heavy regulation, go great lengths to insulate doctors from the consequences of providing poor care and the rewards of providing excellent care. We all suffer as a result. Your experience with healthcare might be different, but my own experience in the US has been this: I rarely see doctors that have later contacted me to see how the treatment they prescribed was working. Nearly every other service or product I purchase entreats me with a satisfaction survey at some point. I've asked myself: why don't doctors care about my outcome? I have concluded that while I am the one with the sick body and paying money to fix myself, I am not the only customer. The regulatory agencies, credentialing schools, special interest groups, pharmaceutical companies, and healthcare unions are too.
- alistairSH 6y agoThere are far more nurses and other health care workers who don't make mega-money than there are MDs making millions.
- i_haz_rabies 6y agoThere are way more MDs making much less than you'd think. Some specializations especially are also feeling the pain of tech disruption, like optometry (most optometry offices rely on glasses and contact sales, which are drying up thanks to online stores) or radiology (thanks to ML image processing).
- Red_Leaves_Flyy 6y agoThat's a good thing imo. Products should get cheaper as patents expire, economies of scale are realized, and processes are streamlined. Maybe we don't need as many optometrists today as we did a decade ago. This is where UBI would help a lot. Instead we see the protracted milking of customers that don't know better, highly trained people desperately trying to hang onto their job and lifestyle, and no ones happy except the three people bleeding the value chain dry.
- i_haz_rabies 6y agoI don't think it's a good thing at all when optometrists who paid for and went to school for 8+ years have to start driving ubers and those 3 bloodsuckers get to reap the rewards of destroying an entire field of medical practice... just so people can pay $30 less for ill-fitting glasses. Not to mention the result of detaching glasses from optometry care likely being fewer eye conditions caught while they are still treatable.
- Red_Leaves_Flyy 6y agoThe three people profiting should be regulated out of existence. Prescriptions are still needed for glasses and contacts literally everywhere I've looked so I don't think your argument about less ocular conditions being found for for stated reason holds any water. If you want to suggest that less conditions are found because people neglect their eyes because of cost then I'll agree and offer myself as an anecdote. Really, eye doctors are failing to compete on price and if that takes some skeletons out of the force then so be it. That's one part of capitalism I appreciate. Adapt or perish.
- AlexandrB 6y agoHealthcare is already under-regulated. That's how shit like homeopathy keeps showing up on pharmacy shelves. I'd prefer to be treated by an actual doctor, not an alternative health practitioner posing as one thanks to deregulation.
- woahAcademia 6y agoAlternative healthcare? Let me remind you of the opioid epidemic entirely caused by physicians. To buy dandruff medicine you need to get approval from a Physician, a pharmacist, and pharmacy. Not to mention the actual product regulations. We've had 140 years of regulation. It was to protect healthcare workers at our expense.
- AlexandrB 6y agoThe opioid epidemic was caused the the corrupting influence of money in the medical profession. And your solution is to remove the only countervailing force - regulation - and turn the whole thing over to money-driven incentives? I'm sure you're right, and without regulation doctors would be paid less. They'd make it up in direct sponsorships from pharmaceutical companies though.
- wooby 6y agoArguably, regulatory forces created the environment in which money could be used to so effectively manipulate doctors at the cost of patient outcomes. If doctors stood to lose business when they lost patients -- instead of fearing only for their license being revoked -- perhaps they'd be incentivized more to treat patients well than to engage in opioid schemes.
- Red_Leaves_Flyy 6y agoCrazy thought: Sometimes well intentioned regulation gets it wrong. Sometimes it's perverted in Congress. Sometimes it's designed to fail. It is congresses responsibility to police themselves as much as it is the people's. When regulation fails fix the regulation. That's hard when Republicans are dying on the hill of Government Bad.
- cycomanic 6y agoIs that why the US healthcare system which has less regulations than most other western health systems is also significantly more expensive?
- hollerith 6y agoHow do you know it has less regulations?
- fxtentacle 6y agoBecause US hospitals treat their employees in a way that would be illegal in pretty much the rest of the developed world.
- CyberDildonics 6y agoWhat are you basing that on?
- Red_Leaves_Flyy 6y agoEmployee rights !== medical regulations E.g. truckers still get screwed a dozen ways to Sunday before end of Monday every week, but they get their urine tested regularly and get a good nights sleep.
- 6gvONxR4sf7o 6y agoMy friends in healthcare are barely making rent. Not everyone is making MD bucks.
- appleseed538 6y agoYou think you know economics but you don’t understand the basic principle that a free market relies on information symmetry. You have to correct for market failures when there’s information asymmetry, like understanding what medicine is real and what “medicine” is bullshit. Go take your perfect libertarian ass somewhere else
- applegarw86 6y agoYou think you know economics but you don’t understand the basic principle that a free market relies on information symmetry. You have to correct for market failures when there’s information asymmetry, like understanding what medicine is real and what “medicine” is bullshit. Go take your perfect libertarian ass somewhere else