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FTA - "The problem is that healthcare giants’ primary obligation no longer appears to reside with patients, but with their financial results", that, in a nutshe

FTA - "The problem is that healthcare giants’ primary obligation no longer appears to reside with patients, but with their financial results", that, in a nutshell, is the core of everything wrong with US healthcare: it focuses first on shareholders, and secondarily on patients. It's no surprise the US spends more on healthcare per capita than any other country in the world and yet gets far worse outcomes.

zeroCalories 3y ago
[flagged]
- freeone3000 3y ago
  “Everyone always acts in their own self-interest” is a hyperstition — if enough people believe it, this will become true. But it is also possible that most doctors go into medicine to cure patients and that most nurses want to do the job they signed up for. That humans are inherently social creatures who have intrinsic desires which can be things other than personal financial gain, and that the social context in which they experience these desires affects whether it’s a “good idea” to act on them. You are discarding every bit of pure altruism, every bit of pride in a job well done, every bit of contributing to your community for the good of all. The rise of the American administrative sociopath is neither a fait accompli nor a laudable end-goal.
  - zeroCalories 3y ago
    Can you show me a single situation in which this has happened at scale? Has any communist country not had major productivity problems? The explanation is simple, really. Social groups were never meant to be larger than a town, and human empathy breaks down when considering millions people.
    - itishappy 3y ago
      I don't understand the focus on communism. The US healthcare system is rated well behind similar capitalist countries. https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022 https://www.commonwealthfund.org/publications/issue-briefs/2... If socialized healthcare makes a country communist, then I'd argue exchanging capital for goods makes China capitalist. > The explanation is simple, really. Social groups... https://xkcd.com/592/ https://xkcd.com/592/
      - zeroCalories 3y ago
        Did I ever say the U.S system is perfect? Do you think other countries have no problems? You people focusing on "people over profits" is literally communism, and is worthless. You're never going to get people to care about others beyond a superficial show of solidarity. That's why I said we need to align people's outcome to profit. Do you think that means an ancap healthcare system? And nice comic. I completely agree that your attempts to change human psychology will fail.
        itishappy 3y ago
        > Did I ever say the U.S system is perfect? Not explicitly, but I'm reading between the following lines: > That's why I said we need to align people's outcome to profit. Where do you think the US rates from a "focused on profit" perspective?
        zeroCalories 3y ago
        Focusing on profits isn't the issue.
        itishappy 3y ago
        Right, you said it's the solution. In your mind, what drives the measured disparity? What is the issue?
        taylodl 3y ago
- BriggyDwiggs42 3y ago
  [flagged]
- triceratops 3y ago
  > At scale people will always act in their own self interest That assumes self-interest == money. Doctors and nurses go into the profession because they're interested in the work. So their self-interest is a combination of "good work" + "money". Like there's easier ways to make doctor-level pay than going to medical school and residency for most of a decade, and graduating with nearly a half-million in debt. FAANG, finance, big law. So there are more incentives here than mere dollar bills. You don't have to be a "commie" to see this.
  - zeroCalories 3y ago
    Never said it was. People go into creative fields because they enjoy it. That's called supply and demand. Putting aside doctors, do you know we have a massive nursing shortage? Becoming a nurse is relatively easy, jobs are plentiful, and it pays really well. But it turns out that wiping the ass of a psychotic homeless man isn't something people enjoy. Realistically the shortage would be even worse if the job didn't pay well.

zeroCalories 3y ago

[flagged]

freeone3000 3y ago
“Everyone always acts in their own self-interest” is a hyperstition — if enough people believe it, this will become true. But it is also possible that most doctors go into medicine to cure patients and that most nurses want to do the job they signed up for. That humans are inherently social creatures who have intrinsic desires which can be things other than personal financial gain, and that the social context in which they experience these desires affects whether it’s a “good idea” to act on them. You are discarding every bit of pure altruism, every bit of pride in a job well done, every bit of contributing to your community for the good of all. The rise of the American administrative sociopath is neither a fait accompli nor a laudable end-goal.
- zeroCalories 3y ago
  Can you show me a single situation in which this has happened at scale? Has any communist country not had major productivity problems? The explanation is simple, really. Social groups were never meant to be larger than a town, and human empathy breaks down when considering millions people.
  - itishappy 3y ago
    I don't understand the focus on communism. The US healthcare system is rated well behind similar capitalist countries. https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022 https://www.commonwealthfund.org/publications/issue-briefs/2... If socialized healthcare makes a country communist, then I'd argue exchanging capital for goods makes China capitalist. > The explanation is simple, really. Social groups... https://xkcd.com/592/ https://xkcd.com/592/
    - zeroCalories 3y ago
      Did I ever say the U.S system is perfect? Do you think other countries have no problems? You people focusing on "people over profits" is literally communism, and is worthless. You're never going to get people to care about others beyond a superficial show of solidarity. That's why I said we need to align people's outcome to profit. Do you think that means an ancap healthcare system? And nice comic. I completely agree that your attempts to change human psychology will fail.
      - itishappy 3y ago
        > Did I ever say the U.S system is perfect? Not explicitly, but I'm reading between the following lines: > That's why I said we need to align people's outcome to profit. Where do you think the US rates from a "focused on profit" perspective?
        zeroCalories 3y ago
        Focusing on profits isn't the issue.
        itishappy 3y ago
        Right, you said it's the solution. In your mind, what drives the measured disparity? What is the issue?
      - taylodl 3y ago
BriggyDwiggs42 3y ago
[flagged]
triceratops 3y ago
> At scale people will always act in their own self interest That assumes self-interest == money. Doctors and nurses go into the profession because they're interested in the work. So their self-interest is a combination of "good work" + "money". Like there's easier ways to make doctor-level pay than going to medical school and residency for most of a decade, and graduating with nearly a half-million in debt. FAANG, finance, big law. So there are more incentives here than mere dollar bills. You don't have to be a "commie" to see this.
- zeroCalories 3y ago
  Never said it was. People go into creative fields because they enjoy it. That's called supply and demand. Putting aside doctors, do you know we have a massive nursing shortage? Becoming a nurse is relatively easy, jobs are plentiful, and it pays really well. But it turns out that wiping the ass of a psychotic homeless man isn't something people enjoy. Realistically the shortage would be even worse if the job didn't pay well.