The biggest administrative costs in health care are the insurance companies' costs. [0] To the tune of more than $200 billion dollars/year.
[0] https://time.com/5759972/health-care-administrative-costs/
[0] https://time.com/5759972/health-care-administrative-costs/
Repeating myself:
Another low hanging fruit is transition from free-for-service to rewarding wellness (capitation). Some are already doing this.
I'd like to understand if, how, why cost disease is a factor. https://en.wikipedia.org/wiki/Baumol's_cost_disease I have zero understanding, intuition about this. Feels like black magic. But some of the experts I've read say it's important.
There's no shortage of management efficiency and quality of care innovations to explore. In the spirit of Atul Gawanda's book Better, like specialized clinics for cystic fibrosis, diabetes, and whatnot. And whatever we're calling people traveling for procedures. Like USA people going to Thailand and Mexico clinics.
USA's R&D and regulatory overhead (FDA) carries the world. That first adopter expense might be easier to accept if the accounting was transparent.
Any way.
I designed, implemented, supported 5 regional healthcare exchanges. Even in our little corner of the problem space, there was so much room for improvement. Alas, most of it was prevented, because our participants were competitors, so the incentives were all wrong. A single payer system (or rough equivalent) completely moot most of those roadblocks.
2. Nobody has a right to earn a living by causing suffering to others.
2. Is a good slogan, but understand that most of those people don’t think they’re doing a bad thing. Spending too much time demonizing the line level workers at insurance companies is probably counterproductive.
But the principal still stands, no matter how much I may sympathize with someone they don’t get any right to make income from causing other people suffering.