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> The spreadsheet-using agency is Health New Zealand (HNZ) which was established in 2022 to replace 20 district health boards in the expectation it would be mor
by alpaca128 2y ago
> The spreadsheet-using agency is Health New Zealand (HNZ) which was established in 2022 to replace 20 district health boards in the expectation it would be more cost-effective and deliver more consistent services.
Austria did the same with their national health insurance, to reduce costs and organisational overhead. It massively increased costs and organisational overhead.
- _ink_ 2y agoInteresting, as a German annoyed by having 100+ insurances I always thought Austria is doing the right thing. Do you have a link for that? I am interested in understanding why the costs increased.
- alpaca128 2y agohttps://www.derstandard.at/story/2000137202435/krankenversicherung-erwartet-zusaetzliches-budgetloch-von-jaehrlich111-millionen-euro-ab-2023?ref=rss https://www.derstandard.at/story/2000137202435/krankenversic... tl;dr: they promised savings of one billion Euros but it instead cost over 200 million.
- _ink_ 2y agoOk, the costs saving was promised by the populists Kurz and Strache. No further questions. Thanks for the link, tho! I am not saying Germany should merge all insurances into one, but I still think 100+ is one order of magnitude too much.
- FirmwareBurner 2y agoDoesn't 100+ insurances mean more competition leading to better prices? OR so I'm told capitalism works.
- _ink_ 2y agoI am only talking about the statutory health insurance providers not the private ones. For the private ones you might be correct. The statutory ones, they have a catalogue of services, which they are required to pay for. While there are some minor differences between the providers, they all offer the same benefits essentially.
- Suppafly 2y ago>Doesn't 100+ insurances mean more competition leading to better prices? OR so I'm told capitalism works. I'm sure this was /s but capitalism doesn't work for things like insurance.
- FirmwareBurner 2y agoDid the Austrian government or any other social western government ever manage do do anything that lead to a decrease in bureaucratic waste? From my PoV, no matter what they do, no matter their marketing messages, the costs always go up and efficiency goes down.
- alpaca128 2y agoDid any government, western or not? Without making other things significantly worse I mean.
- FirmwareBurner 2y agoMaybe Denmark?
- vasco 2y agoSometimes with big policy stuff I wonder how much is the effect of the policy vs the effect of the overall societal inertias and momentums there are. Like regardless of that policy, would costs have massively increased (inflation, financialization of healthcare)? Would organizational overhead have increased? Has it decreased in other industries? The policy might still have made it worse, of course.
- threatripper 2y agoIt's most likely that technical problems are turned into organization departements. The people making the decisions lack the knowledge and tools to solve them efficiently. They gain nothing from solving the problem itself but they gain from growing the organization in size. The solution is obvious while the path to get there can be very convoluted.
- rrr_oh_man 2y agoI had a minor role in that project... A total shit show.