Re:Tyranny of the Marginal User: why software gets worse, no...
by mhb on Thursday September 14, 2023 @06:14PM
(#37515529)
OK. But a single payer addresses none of those issues.
[ Parent
| on HN ]
Re:Tyranny of the Marginal User: why software gets worse, no...
by Sharlin on Friday September 15, 2023 @05:05AM
(#37520320)
Single payer has many, many more data points from which to draw conclusions.
Re:Tyranny of the Marginal User: why software gets worse, no...
by zbentley on Friday September 15, 2023 @11:38AM
(#37524694)
Well, it tries to. Whether or not it succeeds is the subject of lots and lots of debate, but single payer systems I'm aware of have accountability models driven by (usually public-sector) audits and quality controls that try to optimize for health outcomes. The rationale being that the payer (government) spends less overall, and is more likely to be supported (voted for), if the population has good health outcomes in areas that the government can influence via the healthcare system.
Re:Tyranny of the Marginal User: why software gets worse, no...
by mhb on Friday September 15, 2023 @01:41PM
(#37526596)
Paying and quality assessment don't need to be coupled. The government doesn't need to be paying for the healthcare in order to make recommendations aimed at improving health outcomes. It would probably be happy to swell its ranks by starting up a dental review board.
Though I'm not optimistic about either its ability to fund healthcare or assess its quality.