This mostly avoids the conflation of health care with health insurance which seems to baffle most politicians. Health insurance companies don't even run health insurance much less health care. The plan sponsors-employers or CMS for most Americans-run the system with a mix of incompetence and malice. All those provider networks need to be brought down by plan sponsors. The exception is private equity which should just be outlawed. Health is not the only industry they are looting.
Private equity* is one of the species of hollow wooden horses that would not survive even a cursory mouth inspection were it not that legality colors laws to paint who is inlaw & who is outlaw.
“Natural law” —real horses— concepts are subverted at every turn.
“The more I think about it, ol’ Billy was right, lets kill all the lawyers, kill ‘em tonight.”
But whether lawyers are conceived of as the rubber upon the road (hard & put up wet), or the axles, driveshafts, transmissions, or even engines of all this “creative” destruction, dreams of avarice, of power, backed up with fat rolls of bribe & wanna be fat rolls of bribe-takers from “the top” to the bottom are the demand that creates all the supply.
It could have been others, but it always was going to be somebody. Turned out to be Rockefeller's & Carnegies gangs who Flexner’d their bribe rolls.
Markets? Make bribery —both sides— a capital offense.
Customers, in charge of choosing (& having unfettered access to choice-points info).
Not patients, apportioned to planks by the pirates described above.
None of this prescription has ever been, or will ever be.
Simple, but people are simpler still, so impossible.
inequitable(adj.)
"unfair, unjust," 1660s, from in- (1) "not, opposite of" + equitable, which is ultimately from Latin aequus "even, just, equal." Related: Inequitably. The same formation in English has also meant "impassable on horses, unfit for riding over" (1620s), from Latin inequabilis, from equus "a horse" (see equine).
40% of people get health care via various government programs, and prices are set by how much health care groups can bribe, I mean lobby, our elected representatives.
Incredibly thorough breakdown of market concentration in healthcare. The dialysis stat is the one that floored me, two companies controlling 80% and charging private insurers 4x Medicare rates is wild. Working in healthtech, Ive seen firsthand how noncompete agreements lock doctors into these consolidated systems, cant believe some states only recently banned them for medical proffesionals. The private equity angle is gonna get worse before it gets better, watching it unfold in real time.
Your lesser consolidation model still doesn't solve the customer problem, when the customer is typically sick, needs an intervention, and possesses far less knowledge than the providers do. As the saying goes, would you pick a brain surgeon solely on the basis of having the lowest price?
This mostly avoids the conflation of health care with health insurance which seems to baffle most politicians. Health insurance companies don't even run health insurance much less health care. The plan sponsors-employers or CMS for most Americans-run the system with a mix of incompetence and malice. All those provider networks need to be brought down by plan sponsors. The exception is private equity which should just be outlawed. Health is not the only industry they are looting.
Yes.
Private equity* is one of the species of hollow wooden horses that would not survive even a cursory mouth inspection were it not that legality colors laws to paint who is inlaw & who is outlaw.
“Natural law” —real horses— concepts are subverted at every turn.
“The more I think about it, ol’ Billy was right, lets kill all the lawyers, kill ‘em tonight.”
But whether lawyers are conceived of as the rubber upon the road (hard & put up wet), or the axles, driveshafts, transmissions, or even engines of all this “creative” destruction, dreams of avarice, of power, backed up with fat rolls of bribe & wanna be fat rolls of bribe-takers from “the top” to the bottom are the demand that creates all the supply.
It could have been others, but it always was going to be somebody. Turned out to be Rockefeller's & Carnegies gangs who Flexner’d their bribe rolls.
Markets? Make bribery —both sides— a capital offense.
Customers, in charge of choosing (& having unfettered access to choice-points info).
Not patients, apportioned to planks by the pirates described above.
None of this prescription has ever been, or will ever be.
Simple, but people are simpler still, so impossible.
inequitable(adj.)
"unfair, unjust," 1660s, from in- (1) "not, opposite of" + equitable, which is ultimately from Latin aequus "even, just, equal." Related: Inequitably. The same formation in English has also meant "impassable on horses, unfit for riding over" (1620s), from Latin inequabilis, from equus "a horse" (see equine).
40% of people get health care via various government programs, and prices are set by how much health care groups can bribe, I mean lobby, our elected representatives.
I have no idea how to cure what ails us.
Incredibly thorough breakdown of market concentration in healthcare. The dialysis stat is the one that floored me, two companies controlling 80% and charging private insurers 4x Medicare rates is wild. Working in healthtech, Ive seen firsthand how noncompete agreements lock doctors into these consolidated systems, cant believe some states only recently banned them for medical proffesionals. The private equity angle is gonna get worse before it gets better, watching it unfold in real time.
Your lesser consolidation model still doesn't solve the customer problem, when the customer is typically sick, needs an intervention, and possesses far less knowledge than the providers do. As the saying goes, would you pick a brain surgeon solely on the basis of having the lowest price?