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318 points alexzeitler | 3 comments | | HN request time: 0.642s | source
1. kelseyfrog ◴[] No.42188946[source]
> Can you imagine if the insurance company started arguing with the repair shop, asking them—no—telling them that they would only pay the $18,000 and not the additional $20,000 because that was the original estimate?

Well yeah, because there's not an inherent power imbalance like there is in employment.

Part of this imbalance results in the ability for managers to employ Taylorization upon their directs. The majority of the time Taylorization hinders workers but management loves it because they can have more control in outcomes. What ends up happening though, is that an shadow work plan ends up getting established that management has less control over unless they want to drive out top talent by employing technocratic solutions to social problems.

replies(1): >>42189104 #
2. bigstrat2003 ◴[] No.42189104[source]
Also, insurance does do stuff like that.
replies(1): >>42189464 #
3. kelseyfrog ◴[] No.42189464[source]
They do, I considered adding that, but felt like it detracted from the point.

Any passing glance at the healthcare system immediately reveals that doctors don't give patients cost estimates, inflate costs for insurers, and then settle at negotiated rates. Often they tack on procedures that aren't necessarily part of the initial plan due to unforeseen circumstances while the patient is unconscious and unable to consent, and you can go into a hospital that is ostensibly covered only to find out that a particular provider isn't. It's like if your treads were discovered to be bare, they decided to replace them and then the guy who does wheels sends you his own bill a month later.