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You're correct that the game is to make a lot of money but the key to making that work is ensuring transactions are beneficial to all parties. It doesn't matte
by xupybd 4y ago
You're correct that the game is to make a lot of money but the key to making that work is ensuring transactions are beneficial to all parties.
It doesn't matter how you structure things you end up with some way to climb the hierarchy. The problem with pure communist systems is they try to prevent all hierarchies. Human nature attempts to circumvent this, the only way to do so is via corruption and political power. Corruption and political power exist in abundance in free markets as well, but there is another outlet for personal ambition. People can get rich. The hope is that you can build a system that incentivizes people to get rich by providing value for everyone. You can have private for-profit healthcare but you have to make sure that people get a good deal out of that. Normally we rely on competition to ensure customers always get a good deal. I don't think that works in this setting. Healthcare is tricky, I don't think we've found a good way to setup incentives for heath systems to have the best outcomes. We will need strong government regulation no matter what we do. Competition will not provide sufficiently good outcomes.
In the US you have great hospitals but at astronomical costs, the entire system is distorted by insurance companies and massive bureaucracies. Here in NZ the hospitals are terrible underfunded socialist messes. We can't hold on to staff because we don't pay enough. Emergency waits are hours. My friends wife just spent 3 days before getting emergency surgery to reattach nerves and tendons in her hand. She had to travel 3 hours to another city to get that care. The last two times I required emergency care the wait was over 8 hours. I can't pay for better service and there is no private emergency option.
- diob 4y agoHate to say it but even with money here in the US you can't get emergency care these days. It's all about connections instead.
- roenxi 4y ago> It doesn't matter how you structure things you end up with some way to climb the hierarchy. The problem with pure communist systems is they try to prevent all hierarchies. That is a massive non-sequiter though, nobody is suggesting that factory workers rise up and sieze control of the hospitals. Or even that nurses do so. The proposals for healthcare usually involve the oligarchs being in control and the public enforcing standards. Which typically turns out to be unsustainable because the middle class is where the people who know how to run things come from and they just got cut out. The problem here is excessive centralisation where if (more practically, when) the government becomes corrupt or makes a bad decision it becomes illegal to do something different to the regulatory standard. Politics by people with communist leanings isn't helping the situation, but the fundamental issue here is people keep proposing 'solutions' that don't work and effectively block people from actually solving the problems. Eg, I bet someone with a good idea of how to organise an independent emergency healthcare service wouldn't be allowed to do it in England.
- xupybd 4y agoThe only reason I mentioned a pure communist system is to compare it to a pure capitalist system. I then argued that neither will solve this problem. I agree that centralization causes huge problems. My main point was that I don't think we've found a good system for providing hospital care and whatever that solution is I don't think it lies at either extremes of the left - right political spectrum.
- Valakas_ 4y agoWe need to change human genes. That's the best long term way out of this. Corruption is just gene trickery. "Best for me, not for thee". Unless "thee" is genetically related. Unbelieavable wealth and seeking power is gene survival. More wealth more survival resources. More power more survival and reproductive resources. Genes drive everything that is "wrong" with the way things are.
- noelherrick 4y agoIf a hospital were worked owned and controlled, they’re not gonna bribe their Tory buddies to shutdown public medical services because most people aren’t that ridiculously selfish and no one individual gets wealthy. And if it’s a private hospital, the doctors and nurses will use profits to pay themselves well and cut down on costs, because again, they are face to face with people trying to pay foe their medical care.