4 ms·

If a business can't handle its own scale without negatively affecting its customers, it should probably stop growing. It's the same issue we see with Google acc

If a business can't handle its own scale without negatively affecting its customers, it should probably stop growing. It's the same issue we see with Google accounts being seemingly randomly terminated. Since that probably won't happen, heuristic usage should at least come with penalties attached, otherwise the incentives are lopsided. If an airline's overbooking heuristics fail and get you bumped, you either get put on another flight and/or receive financial compensation. If an insurance company's "heuristics" fail and deny a legitimate claim, there should be a penalty. If Google terminates your account because of a mistake, they should pay a fine. They shouldn't be allowed to have their cake and eat it too.

JumpCrisscross 3y ago
> If a business can't handle its own scale without negatively affecting its customers The scale probably helps. The point is if every billable decision is medically reviewed for more than a few seconds, a material fraction of the healthcare workforce needs to be diverted from patients to review. There is simply no solution, given the current industrial structure, to avoid some combination of non-expert, high-speed review without making even stupider trade-offs.
- NoraCodes 3y ago
  Sounds like we need to replace the structure, given that it's not fit for purpose.
  - JumpCrisscross 3y ago
    > Sounds like we need to replace the structure, given that it's not fit for purpose We soundly agree. Health insurance, where risk is pooled, makes sense. Health "insurance," where payments are pooled with a bunch of needless intermediation, is unnecessary.
    - ethbr1 3y ago
      *(catastrophic) risk pooling