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But can we afford to tear it down? The decision sounds just as radical in the private sector as the public sector. You don't just shut down your core product wi
by johnnyanmac 2y ago
But can we afford to tear it down? The decision sounds just as radical in the private sector as the public sector. You don't just shut down your core product without there being a very swift handover process.
The example here was doctor reimbursement. So, can we afford to just not reimburse doctors as we architect a new solution to solve corruption? That strategy seems to be what people whope to achieve with Social Security. Put it "on maintenance" for a few years to "weed out corruption".
- throwawaymaths 2y agoYou are arguing from this bucket > conversely if we delete funds nominally allocated to X or Y it means we don't care about X or Y I am saying you can't assume that because money was allocated for something it went to the critical thing you wanted. Like 45 billion for rural broadband. > The example here was doctor reimbursement. Yes. If the doctor reimbursement is improper you don't pay it out. It is the hospital's job to get things right when asking for money. If the hospital sent an invoice for a procedure the patient did not actually get (this was a large amount of the waste), you REALLY DO NOT PAY, if you pay then you are signaling to the hospital that it's OK to keep overcharging the VA.