3 ms·

I call them the four pigs at the trough: -insurance companies -doctors and hospitals -drug and device and medical supplies companies -trial lawyers Each of

I call them the four pigs at the trough: -insurance companies -doctors and hospitals -drug and device and medical supplies companies -trial lawyers Each of these four pigs has any major component to the exorbitant cost in US healthcare. And just like this particular article, one of them would just point at one of the other three or all the other three to blame when questioned. Insurance companies have gigantic management structures, because insurance companies can't show high profits. So the sociopath MBAs flooded into their management structure to suck up the excess revenue as bonuses.

nozzlegear 2y ago
I understand the other three, but can you explain trial lawyers? What's their role?
- BizarroLand 2y ago
  I am not a lawyer, but my opinion is the people who hate on trial lawyers do so because they sue for astronomical amounts of money when the doctors fuck up and accidentally ruin peoples lives. People who hate on "trial lawyers" driving up the cost of medical services in America should shut their traps because Doctors are not saints. For instance, Dr. Paduch: https://nypost.com/2024/11/20/us-news/disgraced-nyc-urologist-darius-paduch-sentenced-to-life-in-prison-for-perverse-and-pervasive-sexual-abuse-of-male-patients-including-minors/ https://nypost.com/2024/11/20/us-news/disgraced-nyc-urologis... Do you think that the hospital who employed the Doctor who used his medical practice to enable him to molest young boys so horrifically that they gave him life in prison should not be at least somewhat responsible for the crimes he committed? Should they not provide oversight? I'm sure those victims are going to get a lot of money, and it's going to come from the insurance that the hospital paid for to protect itself from these kinds of insane scenarios. If it weren't for trial lawyers, victims would go on being victims, and it's not like the hospitals would charge less just because they didn't have high insurance premiums, they would just get to pocket more of the money themselves.
  - amyfp214 2y ago
    There's two sides to that. Police accidentally ruin lives most days and generally have a degree of immunity for example. Arguably the needle has moved too far with doctors - they treat every medical note as a legal document, almost a mini contract carefully written and cautiously hedged. Imagine writing all your code and notion documentation very cautiously and legally carefully so as to leave no impression that you may have had fault, being ambiguous here and there and non-committal to not nothing. Unironically that is how it works fully in medicine in the present, and I feel that detracts from an ideal world where a doctor may express what they think straight up, clearly. If anyone is meant to read their notes it ought to be the patient, not the lawyer. It doesn't serve much to point to platitudes and extremes one way or the other, let's look at the average case, the average case is the average doctor writes every note with fear and caution with regards to legalities and missteps. One of the most notorious examples is radiologist hedging, here's an example: https://ajronline.org/doi/10.2214/AJR.19.21428 https://ajronline.org/doi/10.2214/AJR.19.21428 So why are doctors studying law here exactly?
  - AtlasBarfed 2y ago
    Judgement costs are priced out to someone else. Insurance premiums are priced to someone else. You think hospital administration has a line item reduction on their yearly bonus for trial losses? Trial lawyers are cost direct and indirect. They aren't the biggest pig, but they are there
  - bdangubic 2y ago
    there are sooooo many great doctors and you picked a monster here to prove what point? that there are monsters in every profession? say I work at Microsoft and am also a monster and commit heinous crimes. say I bring my own device to work connected to Starlink and in my office while I am coding new awesome feature to “Co-Pilot for your DOS Prompt” I also sell snuff films and child pornography. Is Microsoft liable for this? Should they hire a firm to go into each office and inspect everything there, go through every employee’s personal device to see what is on there and what whether they are involved in anything? I am neither defending the hospital (who probably could have done more) and of course not the monster doctor but as with everything else in america everything is blank and white. one monster goes through high school and college and med school and residency and … undetected as being a monster and trial lawyer goes “hey why don’t we extract millions of dollars from the employer…”

nozzlegear 2y ago

I understand the other three, but can you explain trial lawyers? What's their role?

BizarroLand 2y ago
I am not a lawyer, but my opinion is the people who hate on trial lawyers do so because they sue for astronomical amounts of money when the doctors fuck up and accidentally ruin peoples lives. People who hate on "trial lawyers" driving up the cost of medical services in America should shut their traps because Doctors are not saints. For instance, Dr. Paduch: https://nypost.com/2024/11/20/us-news/disgraced-nyc-urologist-darius-paduch-sentenced-to-life-in-prison-for-perverse-and-pervasive-sexual-abuse-of-male-patients-including-minors/ https://nypost.com/2024/11/20/us-news/disgraced-nyc-urologis... Do you think that the hospital who employed the Doctor who used his medical practice to enable him to molest young boys so horrifically that they gave him life in prison should not be at least somewhat responsible for the crimes he committed? Should they not provide oversight? I'm sure those victims are going to get a lot of money, and it's going to come from the insurance that the hospital paid for to protect itself from these kinds of insane scenarios. If it weren't for trial lawyers, victims would go on being victims, and it's not like the hospitals would charge less just because they didn't have high insurance premiums, they would just get to pocket more of the money themselves.
- amyfp214 2y ago
  There's two sides to that. Police accidentally ruin lives most days and generally have a degree of immunity for example. Arguably the needle has moved too far with doctors - they treat every medical note as a legal document, almost a mini contract carefully written and cautiously hedged. Imagine writing all your code and notion documentation very cautiously and legally carefully so as to leave no impression that you may have had fault, being ambiguous here and there and non-committal to not nothing. Unironically that is how it works fully in medicine in the present, and I feel that detracts from an ideal world where a doctor may express what they think straight up, clearly. If anyone is meant to read their notes it ought to be the patient, not the lawyer. It doesn't serve much to point to platitudes and extremes one way or the other, let's look at the average case, the average case is the average doctor writes every note with fear and caution with regards to legalities and missteps. One of the most notorious examples is radiologist hedging, here's an example: https://ajronline.org/doi/10.2214/AJR.19.21428 https://ajronline.org/doi/10.2214/AJR.19.21428 So why are doctors studying law here exactly?
- AtlasBarfed 2y ago
  Judgement costs are priced out to someone else. Insurance premiums are priced to someone else. You think hospital administration has a line item reduction on their yearly bonus for trial losses? Trial lawyers are cost direct and indirect. They aren't the biggest pig, but they are there
- bdangubic 2y ago
  there are sooooo many great doctors and you picked a monster here to prove what point? that there are monsters in every profession? say I work at Microsoft and am also a monster and commit heinous crimes. say I bring my own device to work connected to Starlink and in my office while I am coding new awesome feature to “Co-Pilot for your DOS Prompt” I also sell snuff films and child pornography. Is Microsoft liable for this? Should they hire a firm to go into each office and inspect everything there, go through every employee’s personal device to see what is on there and what whether they are involved in anything? I am neither defending the hospital (who probably could have done more) and of course not the monster doctor but as with everything else in america everything is blank and white. one monster goes through high school and college and med school and residency and … undetected as being a monster and trial lawyer goes “hey why don’t we extract millions of dollars from the employer…”