🗑️ 🧵 Untitled Thread
Anonymous at Sun, 17 Nov 2024 22:34:49 UTC No. 16479856
How does all this added administrative expense contribute to the improvement of medical care?
Anonymous at Sun, 17 Nov 2024 22:44:15 UTC No. 16479882
>>16479856
it improves profit.
theres about 2 nurses, 10 doctors and 20 administrators that watch you get worse from a 50 year old still incurable illnesses all getting paid to watch you die.
Anonymous at Sun, 17 Nov 2024 22:50:56 UTC No. 16479893
>>16479856
It doesn't. It's mainly for compliance with hundreds of different insurance companies and their thousands of different policies.
Anonymous at Sun, 17 Nov 2024 22:52:21 UTC No. 16479900
>>16479856
That chart is absurdly misleading and the reason why Elon posted it is because he knows it plays well with low-IQs. Obviously, when you start off with only a few people handling minimal record-keeping and you grow that to over a hundred people to deal with new security compliance frameworks, you’d see that as several thousand percent increase. Health care organizations with a few thousand physicians don’t grow those practices nearly as fast when they just need to follow local population growth. The reason why this political think tank or whatever lowlife hack put out a chart in percentage of growth is specifically to create a massively dishonest comparison because it would excite low-IQs and more importantly attract the attention of propagandists and political actors looking for high-impact visuals to show low-IQs. Everything on this fucking planet revolves around power dynamics to get a piece of the pie. Truth is purely incidental.
Anonymous at Sun, 17 Nov 2024 23:01:19 UTC No. 16479914
Why exactly did we devolve into an insurance-based model of healthcare?
We don't get food insurance, water insurance, gas insurance, electricity insurance, etc... the costs would be much lower if everything was just out of pocket for everyone.
Anonymous at Sun, 17 Nov 2024 23:06:34 UTC No. 16479922
>>16479900
>Obviously, when you start off with only a few people handling minimal record-keeping
True which begs the question... Why did the US-American healthcare system function reasonably well (in comparison with Europe/Japan) with only few administrators when the modern-day healthcare system lags behind despite a 3000 % increase in administrators. I don't know how bloated administration in that sector is, but the lack of efficency/actual accomplished results implies to me that it is just bloating up mainly from what >>16479893 described.
Anonymous at Sun, 17 Nov 2024 23:15:03 UTC No. 16479934
>>16479922
Insurance companies do not want to pay. It takes an army of administrators to get paid these days.
You are trying to argue against the symptom rather than the cause.
The fix is, of course, single-payer, but that's where you want to go to play your "b-but government regulation" card.
You are insincere.
Anonymous at Sun, 17 Nov 2024 23:51:06 UTC No. 16479970
>>16479934
It doesn't even have to be single payer, gut the regulations to 1980 level and give power to practice medicine back to the MDs. Right now insurance can only have a profit of 5% of total money moving through the system so they have to bloat up waste to increase total dollars of profit and can make doctors jump through hoops so patients treatment is paid for as currently a payor coercively choosing not to pay is not seen as practicing medicine.
All it would take to fix this is saying refusing to pay for a doctors treatment is effectively practicing medicine without a licence and all this bloat goes away.
Additional bonuses would be removing finance from medicine. It should be like law where only people licensed to practice law can own firms. Obama and the ACA banned doctors from owning hospitals, that is the inverse of what should be. All members of a medical organization leadership should have a medical license on the line when making a financial decision just like lawyers and the bar.
There I just fixed medicine and kept it private.
Anonymous at Mon, 18 Nov 2024 00:02:42 UTC No. 16479981
>>16479934
The problem with government single payer is it essentially enslaves the doctors to the government. Its why the UK and several other European health system are shitting the bed. The public sees medical care as an inalienable right. The problem with this is it takes 6 - 14 years to train a doctor depending on the system and field. Doctors aren't as smart as physicist in quant or the engineers making 300k + stocks but they are damn close and they are still in the top 1% on a bell curve to be able to handle the material. You can see this as nurse practitioners and PAs in states with the right to independent practice laws have worse outcomes and spend more money to accomplish these worse outcomes.
Unless you live in a communist system where education is completely free and everyone is a poor mud farmer smart people will just give up being doctors. Britain has this problem right now. Everyone with a commonwealth citizenship goes to Australia or Canada to be doctors because britain pays a middle class wage for their consultants and they have to import third worlders who cheat and bribe their way through exams to keep the healthcare system going. Smart brits all go finance or compsci
Anonymous at Mon, 18 Nov 2024 00:23:04 UTC No. 16480012
>>16479914
>We don't get food insurance, water insurance, gas insurance, electricity insurance, etc
Wrong, you actually do. Check your bills. You pay an electricity insurance charge on your electricity bill, you pay a gas insurance charge on your gas bill, and you pay a water insurance charge on your water bill.
For food, you do pay a food insurance bill through the local HHS health code inspection which is posted on the front of the store certifying that it meets your county/city/state health code standards.
Anonymous at Mon, 18 Nov 2024 03:54:58 UTC No. 16480186
>>16479856
>How does all this added administrative expense contribute to the improvement of medical care?
Two things:
-Record keeping increases exponentially as population increases, people age, and increase access to healthcare is provided to more people, administrative expenses increase. Obamacare has managed to get 45 million Americans (previously uninsured) onto some kind of healthcare program.
A person like Elon Musk probably thinks some of these people can be fired, or automated, by I guarantee you nobody within his economic bracket would tolerate an "push 1 to access a nurse, push 2 to access emergency response, please hold while we connect you to a person" kind of automated healthcare system.
-Insurance. Insurance companies LOSE money when they provide healthcare to people; Insurers are financially motivated to bloat a system in order to prevent pay outs. It's just that simple. These Anons have already explained in length: >>16479893 >>16479922 >>16479934
The biggest failure of "insurance" as a system I can think of is probably House Insurance in California and Florida. These states simply have too many fires and storms, forcing too many pay-outs, and so housing insurance companies have fucked off and refused to insure houses in those states. Florida, infamously, has begun to adopt a publicly funded state-house-insurance program because so many private insurers have fucked off.
>>16479914
>We don't get food insurance, water insurance, gas insurance, electricity insurance, etc.
You do actually.
You don't notice though because food, water, gas, and electrical insurance are more of a tax-payer, state-or-federally-managed, kind of affair. This year (I think?) the department of agriculture handed out almost 500 billion dollars in agriculture subsidies to insure and insulate farmers from bad weather, disease, drought, bugs, etc.. Granted, maybe you don't consider that 'food insurance' though.
Anonymous at Mon, 18 Nov 2024 04:05:33 UTC No. 16480193
>>16479981
>Doctors aren't as smart as physicist in quant or the engineers making 300k + stocks but they are damn close and they are still in the top 1% on a bell curve to be able to handle the material.
It's mostly mindless rote memorization.
Anonymous at Mon, 18 Nov 2024 04:51:12 UTC No. 16480210
Crazy how all these so-called smart people don't know what Baumol's cost disease is.
Anonymous at Mon, 18 Nov 2024 05:02:31 UTC No. 16480218
>>16480210
>Crazy how all these so-called smart people don't know what Baumol's cost disease is.
Because the graph in Op's picture isn't on wage growth, but the growth of employees/the expanding administrative work force.
The graph even says on the bottom: "Bureau current population survey". Baumol's cost disease certainly effects healthcare, but I'm under the assumption this thread is more about answering the question, "why so many admins?"
Anonymous at Mon, 18 Nov 2024 06:28:45 UTC No. 16480269
>>16479900
Except he didn't make the graph, he is just one of the many low-IQ retards who fell for its misleading weighting.
Anonymous at Mon, 18 Nov 2024 06:30:03 UTC No. 16480273
>>16480012
No, you pay homeowners insurance and if there is some electrical, gas or water problem, the insurance deals with it.
Anonymous at Mon, 18 Nov 2024 18:39:05 UTC No. 16481021
>>16479882
Remove regulations and that mode of profitability vanishes. Statist morons add fuel to the fire.
Anonymous at Mon, 18 Nov 2024 18:40:07 UTC No. 16481027
>>16479893
>It's mainly for compliance with hundreds of different regulations
Fixed
Anonymous at Mon, 18 Nov 2024 18:41:16 UTC No. 16481035
>>16479934
>>16479922
>mandates insurance companies using government
>acts shocked when your government mandate fucks everything up
Statists are morons.
Anonymous at Mon, 18 Nov 2024 18:42:33 UTC No. 16481041
>>16480193
>It's mostly mindless rote memorization.
Doesn't mean they're not in the top 1%. Dysgenics and its consequences.
Government uses welfare to speed up dysgenics.
Anonymous at Mon, 18 Nov 2024 18:44:00 UTC No. 16481043
>>16479970
>gut the regulations to 1980 level
1880s. Gut the regulations so utterly that there's not even a license to be a doctor. Trial and error always works: it's evolution.
Anonymous at Mon, 18 Nov 2024 18:52:53 UTC No. 16481061
>>16479970
>insurance can only have a profit of 5% of total money moving through the system so they have to bloat up waste to increase total dollars of profit
Yep. And that's the exact sort of regulation that a statist makes. The morons think they're helping by capping returns at 5%, all it does is make it worse, because statists are morons.
Anonymous at Mon, 18 Nov 2024 19:16:38 UTC No. 16481098
OP, you seem to be under the false impression that a private healthcare system is about improving medical care. It's not, it's about increasing shareholder value. More administrators means more middle men between the patient and their doctor. Denying claims is what returns profit, not care.
Anonymous at Mon, 18 Nov 2024 19:18:55 UTC No. 16481101
>>16481035
Why not get rid of insurance companies entirely by making them illegal? There is nothing more useless on this planet than a health insurance company.
Anonymous at Mon, 18 Nov 2024 20:28:10 UTC No. 16481204
>>16479856
It seems the admin growth undergoes a spurt before the new laws come into effect. How peculiar.
Anonymous at Tue, 19 Nov 2024 21:37:14 UTC No. 16483495
>>16480273
Wrong, if the homeowners insurance company has to pay a claim they subsequently drop you and you become uninsurable. If you don't own your home outright then the bank forecloses on your mortgage because the mortgage requires that you have homeowners insurance. The insurance company will inform you of this if you try to make a claim.