this post was submitted on 28 Feb 2024
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[–] [email protected] 236 points 10 months ago (30 children)

The "healthcare" system isn't broken, it works perfectly.
You're just mistaken about what its purpose is.

It's one of the most beautiful examples of capitalism working as intended: When you're hurting or dying, your demand for healthcare is unlimited, and you're in no position to compare prices or services, so cost is determined by the maximum amount that can be squeezed out of you during your remaining lifetime.

[–] [email protected] 115 points 10 months ago (25 children)

To spell out the point here - healthcare isn't the point of the healthcare industry under capitalism - profit is. Any healthcare delivered is going to be the bare minimum required to separate you from your money.

[–] End0fLine 33 points 10 months ago (2 children)

I've worked in hospital systems since I graduated from college. There has been one meeting (out of all the meetings!) that I have absolutely never forgotten due to something that was brought up.

They thought it was super cool to talk about how much cash our new surgical center was bringing in. I know it was small in the scheme of things, but in my head a hospital should be super happy when they don't have to perform surgery on a person. They shouldn't be happy to perform surgery so that they can make money.

[–] nybble41 3 points 10 months ago

When you have an actual functioning competitive market the money you bring in correlates with the value of the service you provide, so it makes perfect sense to be happy about the money the new surgical center is bringing in. That means it's useful.

The problem is that the health care market is regulated and subsidized in so many ways, many of them conflicting with each other, that competition is very limited and price discovery is reduced to "whatever the patient (and their insurance) can afford to pay" since they can't go anywhere else. Fix that and there won't be any reason for hospital owners or employees to feel guilty about making money.

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