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The provider side skates by with very little scrutiny in the US, when they make more than anywhere else in the world while also crying poverty and whining about

The provider side skates by with very little scrutiny in the US, when they make more than anywhere else in the world while also crying poverty and whining about Medicare/caid reimbursements. They're gonna have to figure out how to make it work with those rates because commercial spending levels are unsustainable, and the rate of medical inflation is unsustainable. I haven't said anything about "more government intervention". Hospitals, doctors, and device makers are making bank, and are still greedy for more. They are the ones causing medical inflation higher than general inflation, it is not a fact of nature. It's on them to figure it out and to learn to live within a smaller budget.

IG_Semmelweiss 2y ago
You lost me at greedy. Why is it greedy for doctors to seek reimbursement for a career that included hundreds of thousands of school debt, living off junk food at odd times, and losing your best years trapped in monolithic buildings with poor ventilation ? And then getting calls from patients are 10pm on a saturday night for the rest of their life because patients are anxious about an article they read online ? Sorry, doctors should be making as much as they are now and then some, if the govt insists on having lamborghini healthcare standards in the US. How we pay for it is another story, but how we got here is certainly not the doctor's fault. (or insurers, for that matter). Or lets bring it close to home since this is HN. Is anyone calling developers greedy? Last I checked, US devs make more than a mid-level in the US, with zero sacrifices. Are devs greedy ? The reality is that older generations and their representatives in congress got us in that mess, and shifting blame to others that are providing valuable service is a copout from actually putting your finger on the wart that is bureaucrat-managed lamborghini healthcare.
- blactuary 2y ago
  Yes, greedy. Spare me the noble sacrifice theme when they are all choosing high-paying specialties and not primary care. And no sympathy for the debt when they chose the profession willingly and then make 250k+ once they start working. It is nuts to me to say they should make this much or even more when our spending is completely unsustainable. We can't continue to outpace general inflation. And it's not just the docs themselves, it is the entire provider side. "Non-profit" hospital just means a bunch of execs keep the profits. Playing games with ER/urgent care to squeeze both payers and the patients. They are the bureaucrats managing the lamborghini healthcare, because they want to charge a lot of money for it.
  - IG_Semmelweiss 2y ago
    You are conflating too many things and casting a wide net. You are right in that there's too many specialists, but again, they are behaving like rational actors in a game that is rigged against them. Why not understand how the rigged game came to be instead ? Do you know the history of why hospitals are nonprofits ? Do you know the history of socialized medicine ? Hint: its not pretty, at all. What other industries you see outpacing inflation ? Hint: its not cell phones, cars, or airplane tickets. I'd recommend looking deeper into those 3 if you really want to understand the causes and the philosophy that is driving spending in lamborghini healthcare. Because what you are advocating is going to literally break patient service. We are already seeing a version of that disaster in the UK, and more recently, in CAN. Its lovely to waive the "they are too greedy" index finger. Its simple. It is comforting because it is binary and assigns blame. Yet the world is more complicated than that. But who's not greedy ? Are you not greedy as a dev with 250K ? Who are these angels that are not greedy? Where do these angels live ? Its funny that its always the other person that is greedy, its never the one saying the word.

IG_Semmelweiss 2y ago

You lost me at greedy. Why is it greedy for doctors to seek reimbursement for a career that included hundreds of thousands of school debt, living off junk food at odd times, and losing your best years trapped in monolithic buildings with poor ventilation ? And then getting calls from patients are 10pm on a saturday night for the rest of their life because patients are anxious about an article they read online ? Sorry, doctors should be making as much as they are now and then some, if the govt insists on having lamborghini healthcare standards in the US. How we pay for it is another story, but how we got here is certainly not the doctor's fault. (or insurers, for that matter). Or lets bring it close to home since this is HN. Is anyone calling developers greedy? Last I checked, US devs make more than a mid-level in the US, with zero sacrifices. Are devs greedy ? The reality is that older generations and their representatives in congress got us in that mess, and shifting blame to others that are providing valuable service is a copout from actually putting your finger on the wart that is bureaucrat-managed lamborghini healthcare.

blactuary 2y ago
Yes, greedy. Spare me the noble sacrifice theme when they are all choosing high-paying specialties and not primary care. And no sympathy for the debt when they chose the profession willingly and then make 250k+ once they start working. It is nuts to me to say they should make this much or even more when our spending is completely unsustainable. We can't continue to outpace general inflation. And it's not just the docs themselves, it is the entire provider side. "Non-profit" hospital just means a bunch of execs keep the profits. Playing games with ER/urgent care to squeeze both payers and the patients. They are the bureaucrats managing the lamborghini healthcare, because they want to charge a lot of money for it.
- IG_Semmelweiss 2y ago
  You are conflating too many things and casting a wide net. You are right in that there's too many specialists, but again, they are behaving like rational actors in a game that is rigged against them. Why not understand how the rigged game came to be instead ? Do you know the history of why hospitals are nonprofits ? Do you know the history of socialized medicine ? Hint: its not pretty, at all. What other industries you see outpacing inflation ? Hint: its not cell phones, cars, or airplane tickets. I'd recommend looking deeper into those 3 if you really want to understand the causes and the philosophy that is driving spending in lamborghini healthcare. Because what you are advocating is going to literally break patient service. We are already seeing a version of that disaster in the UK, and more recently, in CAN. Its lovely to waive the "they are too greedy" index finger. Its simple. It is comforting because it is binary and assigns blame. Yet the world is more complicated than that. But who's not greedy ? Are you not greedy as a dev with 250K ? Who are these angels that are not greedy? Where do these angels live ? Its funny that its always the other person that is greedy, its never the one saying the word.