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This is much more true in the American system than single payer systems. But absolutely, this is an industry where the incentives are misaligned and the patient
by ebiester 3y ago
This is much more true in the American system than single payer systems. But absolutely, this is an industry where the incentives are misaligned and the patient suffers.
- ETH_start 3y agoIn the single payer system, the only difference is the taxpayer gets financially abused instead of the patient. The problem of the patient receiving sub-par care remains. The doctor that is the subject of this story was over-prescribing heart procedures for patients enrolled in a single payer program.
- hef19898 3y agoTax payers = patients. And by the way, not every single payer system is using tax money.
- ETH_start 3y agoWhat I mean is that the cost from a particular case of fraud is socialized across the population, at the point of taxation (or higher premiums for the mandatory insurance), instead falling on the patient at the point of use.
- hef19898 3y agoWhich is exactly howbinsurance works, spreading the risk over large enough a population to make insurance affordable for everyone. One of the things Bismarck put on place, that socialist.
- ETH_start 3y agoSpreading the cost of each instance across everyone doesn’t make it more affordable, since the reduction in magnitude of harm from each instance is offset by a directly proportional increase in the frequency of instances each individual pays for.