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The medical industry employs about 15 to 20 percent of all active US workers [0]. Some people read that and think it's a good thing, "wow, such job creators", l
by Buttons840 3y ago
The medical industry employs about 15 to 20 percent of all active US workers [0]. Some people read that and think it's a good thing, "wow, such job creators", like measuring software accomplishment by the number of lines.
No wonder my medical costs are so high. Every high premium and medical bill is my turn to personally support 20% of the nation. I wonder how much is left over for the doctor?
This will be difficult to solve because "make the system simpler and fire lots of people" is painful and not politically popular.
[0] https://www.census.gov/library/stories/2020/10/health-care-still-largest-united-states-employer.html https://www.census.gov/library/stories/2020/10/health-care-s...
- pnathan 3y agoI've had a lot of family time in the hospital systems in a relatively well-managed part of the US. And, I worked in the 'back office' of a medical system a while ago. Talking to billing people, etc, I came to the conclusion that "reform" with existing vested interests is... not going to happen. I don't know what a _good_ solution is, but I can imagine the least painful way is to have a parallel universe of MDs with a wholly different billing, licensing, board-certification regime. One interesting question is: why is one hospital's rate for procedure X different than another? how can providers work at different hospitals? The answer lies somewhere in the "it's a maze of subcontractor relationships", "it's a maze of one off insurance contracts"... It's a very good example of why vertical integration beats subcontracting. :)