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> * American healthcare is too expensive. The problem is long known and nobody wants to solve it. That problem is administrative inefficiency. Solving that prob
by handrous 5y ago
> * American healthcare is too expensive. The problem is long known and nobody wants to solve it. That problem is administrative inefficiency. Solving that problem means terminating the a large segment of a massive industry (destroying a massive number of jobs). Drugs are expensive too, but drug pricing problems impacts specific persons that when averaged across the entirety of the population become only a tiny part of the industry wide problem.
My impression from looking at this for many years now is that the problem is everything. Every single individual and entity involved—and that's a whole bunch—is taking too much money. That's why it's so hard to point at any one problem and dig deeper and fine all the money. Every time, you find some of it, and usually a lot, but not all of it.
Doctors and other people actually providing care? Too few of them, and (or, "therefore") they're making too much money. Hospitals? Consolidation of hospitals and smaller providers into "networks"? Yes and yes, but still, that's not all. Administration costs? Yep, but not all of it. Insurance overhead? Yes, but... well, you get the idea.