4 ms·

"He better not make it tomorrow. Or I will blame u" to encourage a nurse to overdose a patient to hit 6mo life expectancy quotas (from the article). This is dis

"He better not make it tomorrow. Or I will blame u" to encourage a nurse to overdose a patient to hit 6mo life expectancy quotas (from the article). This is disgusting. Is there any fundamental reason the industry is so sketchy? Or just that it's a bit obscure (for young people who might start a business) and highly regulated, so little competition? Seems like "ripe for disruption" might actually be a good thing here. This kind of business really should be operated at a reasonable margin (20%?) by ethical, professional, competent operators. Not sure how to get that outcome quickly, but hope it can be solved before my family gets there.

downrightmike 4y ago
'Distruption' usually skirts and outright ignores laws. A lot of this requires RN to do the work and Doctors to oversee everything, So it'll cost a lot period. You'll not find anyone to risk their medical license for you. There is a shit ton of paper work and if things aren't documented correctly, everyone can get in trouble. A lot of the issue is the consolidation of the industry, which is usually the issue.
A4ET8a8uTh0 4y ago
I think the emotions and incentives involved make for such a breeding ground. The article seems to focus on the latter. And I think, at its core, this is the problem. The incentives are too strong and regulation too lax ( and people being people, optimize for those ). I want to offer a similar example from a seemingly regulated field and yet badly incentivized[1], where ambulance workers and doctors were involved in a scheme that involved getting money for funneling bodies to friendly funeral houses. I think you are right about the margin size. It attracts the type of person who will optimize for it at any cost. [1]https://www.cbsnews.com/news/polands-cash-for-corpses-scandal/ https://www.cbsnews.com/news/polands-cash-for-corpses-scanda...

downrightmike 4y ago

'Distruption' usually skirts and outright ignores laws. A lot of this requires RN to do the work and Doctors to oversee everything, So it'll cost a lot period. You'll not find anyone to risk their medical license for you. There is a shit ton of paper work and if things aren't documented correctly, everyone can get in trouble. A lot of the issue is the consolidation of the industry, which is usually the issue.

A4ET8a8uTh0 4y ago

I think the emotions and incentives involved make for such a breeding ground. The article seems to focus on the latter. And I think, at its core, this is the problem. The incentives are too strong and regulation too lax ( and people being people, optimize for those ). I want to offer a similar example from a seemingly regulated field and yet badly incentivized[1], where ambulance workers and doctors were involved in a scheme that involved getting money for funneling bodies to friendly funeral houses. I think you are right about the margin size. It attracts the type of person who will optimize for it at any cost. [1]https://www.cbsnews.com/news/polands-cash-for-corpses-scandal/ https://www.cbsnews.com/news/polands-cash-for-corpses-scanda...