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> The USA has a rather distorted health care and medicine system, in that it's viewed here as a profit center, not as a basic societal necessity. In contrast, p
by sprayk 4y ago
> The USA has a rather distorted health care and medicine system, in that it's viewed here as a profit center, not as a basic societal necessity. In contrast, police and judicial services are not really viewed as an investment opportunity (let's skip private prisons), just a basic necessity.
The profit center vs societal necessity way of looking at these things is super interesting and definitely new to me (at least in such a concise form). In this framing, I'm not sure I want healthcare to move, since everything I can think of on the societal necessity side of the spectrum is slow moving and underfunded. Police departments tend to be underfunded and slow to adopt new technology (though maybe that's a feature), while hospital facilities and medical treatments seem to advance quickly to adapt to new discoveries/tech despite insane FDA regulations as a barrier.
If we flipped a switch and made law enforcement a profit center, what would that look like? I'll go first, but I sincerely want to hear your take, as I'm sure I'm missing something. I assume they still have to enforce local/state/federal laws, but they will somehow be subject to the same tug of war over tech/efficiency advances and regulations around safety/civil rights. I hope we pay them directly/willingly, rather than them simply making bank on speeding/redlight cameras or parking tickets. Maybe we have to pay some kind of crime insurance, where rates (i.e. risk) changes depending on crime stats in the area defined by the insurance companies, which could incentivize the police to meaningfully reduce crime. Insurance would pay out when crimes are solved, and any attempts to fudge the numbers by the police would be insurance fraud. Sounds wild.
- ajb 4y agoPrivate policing was indeed Wild: https://en.m.wikipedia.org/wiki/Jonathan_Wild https://en.m.wikipedia.org/wiki/Jonathan_Wild