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I wasted $40k on a fantastic startup idea

(tjcx.me)
851 points swyx | 1 comments | 18 Jan 21 20:01 UTC | HN request time: 0.213s | source
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a-dub ◴[19 Jan 21 07:00 UTC] No.25830760[source]▶
> "Hmmmm," she said, picking at her fingernails. "Not directly. Of course I always have the best interests of my patients in mind, but, you know, it's not like they'll pay more if I prescribe Lexapro instead of Zoloft. They won't come back more often or refer more friends. So I'd sorta just be, like, donating this money if I paid you for this thing, right?"

this is the problem. the incentives in healthcare are messed up. doctors are paid for their time, not for their outcomes. if a patient comes in and is prescribed a therapy, and they don't have to come back, the doctor should receive more than if the patient returns because the therapy had an issue.

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1. vasco ◴[19 Jan 21 07:28 UTC] No.25830872[source]▶
Maybe we should also pay programmers based on outcome then, and you get less if your % of bugs is higher than the team average, sounds like a great idea, eh? Maybe a day without pay if you bring down the live service? I'm pretty sure this wouldn't work. The first place to put it in place, be it a hospital or a tech company, would just have most people quit. Sometimes things are hard and people need to know the business has got their backs as long as they try their best. Reducing pay on bad outcomes is institutional blame culture on overdrive.