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> Nothing like this would ever happen in a Kaiser hospital. Kaiser’s mental health services were so bad that their providers went on strike a couple years ago.

by spease 2y ago

> Nothing like this would ever happen in a Kaiser hospital. Kaiser’s mental health services were so bad that their providers went on strike a couple years ago. They’re paid a fraction of what they could make in private practice. https://www.healthcaredive.com/news/kaiser-strike-mental-health-california-hawaii-deal/634917/ https://www.healthcaredive.com/news/kaiser-strike-mental-hea...

Teever 2y ago
What barriers prevent them from working in private practice? As a non-American I assume that Kaiser implements some sort of barriers to stop smaller competitors from rising up?
- llamaimperative 2y ago
  Yes, the healthcare industry is one of the main reasons FTC is trying to go after non-compete clauses. That plus as the insurers vertically integrate all the way down to care providers, they’re making it harder and harder for external providers to join their insurance network. Capitalism doing capitalism things, and we have enough rightwingers to neuter any possible intervention.
  - llamaimperative 2y ago
    Uh oh, downvotes from people who don't want to talk about actually solving this problem because it requires outing a particular group of people who want it to remain unsolved! FTC's attention on non-competes in healthcare: * https://www.sheppardhealthlaw.com/2024/04/articles/antitrust/what-the-ftcs-noncompete-ban-means-for-healthcare/ https://www.sheppardhealthlaw.com/2024/04/articles/antitrust... * https://gi.org/2024/05/03/ftc-finalizes-ban-on-non-competes/ https://gi.org/2024/05/03/ftc-finalizes-ban-on-non-competes/ For vertically integrated payer-providers pushing non-owned physicians out of their insurance networks, you need only read the quarterly filings or listen to investor calls for any of these entities. They brag about it as an efficiency gain. Regarding rightwingers neutering interventions: * The FTC vote on non-competes was precisely on party lines * Obviously the Trump admin would not allow FTC (or anyone else) to go after vertical integration + expansive, market-degrading non-competes in healthcare * There is no GOP proposal anywhere to solve this, nor is it mentioned in the GOP platform whatsoever * Project 2025 explicitly says the FTC should have no authority to analyze vertical integration as an enforceable anti-competitive behavior
pininja 2y ago
They primarily went on strike to address access-to-care issues, not to increase pay. Maybe they are paid a lot less too, but I’m not sure what that had to do with the strike. FWIW, Kaiser isn’t cheap for employers or individuals but it offers a no BS system for claims and great care.

by spease 2y ago

Teever 2y ago

What barriers prevent them from working in private practice? As a non-American I assume that Kaiser implements some sort of barriers to stop smaller competitors from rising up?

llamaimperative 2y ago
Yes, the healthcare industry is one of the main reasons FTC is trying to go after non-compete clauses. That plus as the insurers vertically integrate all the way down to care providers, they’re making it harder and harder for external providers to join their insurance network. Capitalism doing capitalism things, and we have enough rightwingers to neuter any possible intervention.
- llamaimperative 2y ago
  Uh oh, downvotes from people who don't want to talk about actually solving this problem because it requires outing a particular group of people who want it to remain unsolved! FTC's attention on non-competes in healthcare: * https://www.sheppardhealthlaw.com/2024/04/articles/antitrust/what-the-ftcs-noncompete-ban-means-for-healthcare/ https://www.sheppardhealthlaw.com/2024/04/articles/antitrust... * https://gi.org/2024/05/03/ftc-finalizes-ban-on-non-competes/ https://gi.org/2024/05/03/ftc-finalizes-ban-on-non-competes/ For vertically integrated payer-providers pushing non-owned physicians out of their insurance networks, you need only read the quarterly filings or listen to investor calls for any of these entities. They brag about it as an efficiency gain. Regarding rightwingers neutering interventions: * The FTC vote on non-competes was precisely on party lines * Obviously the Trump admin would not allow FTC (or anyone else) to go after vertical integration + expansive, market-degrading non-competes in healthcare * There is no GOP proposal anywhere to solve this, nor is it mentioned in the GOP platform whatsoever * Project 2025 explicitly says the FTC should have no authority to analyze vertical integration as an enforceable anti-competitive behavior

pininja 2y ago

They primarily went on strike to address access-to-care issues, not to increase pay. Maybe they are paid a lot less too, but I’m not sure what that had to do with the strike. FWIW, Kaiser isn’t cheap for employers or individuals but it offers a no BS system for claims and great care.