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182 points tencentshill | 1 comments | | HN request time: 0s | source
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JumpCrisscross ◴[] No.45065373[source]
Healthcare, especially the patient-facing part, isn’t like other services.

If we want private ownership of this infrastructure it has to look more like either a utility, where the state has a direct say in service changes and pricing, or a partnership, where unlimited liability flows through to the owners. I’m a fan of the latter.

Limited liability was an amazing invention. But it’s not appropriate for healthcare. Turn these services into partnerships and you’ll see the give-a-shit factor quintuple overnight. (You’ll also probably see a reduction in leverage.)

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lokar ◴[] No.45065661[source]
I agree, there should be no limited liability for for-profit healthcare organizations.

And non-profit health care orgs should have strict regulation, and the state should appoint some of the members of the board.

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whimsicalism ◴[] No.45065849[source]
given the absolutely nutso judgements juries award in the US, nobody would open a practice if this were true
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lokar ◴[] No.45065901[source]
They do it every day. Many (most?) doctors work in partnerships. And they have insurance.
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whimsicalism ◴[] No.45065996[source]
No, only a small proportion (less than a quarter) work in partnerships and a large driver of the decrease is the American liability environment. But sure, doctors in some specialties choose to take the gamble that the liability doesn’t exceed their insurance limits. But such a gamble would be extremely risky for a system or hospital employing hundreds of caregivers.
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lokar ◴[] No.45066167[source]
My goal is to force the large systems into being non-profit
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1. lotsofpulp ◴[] No.45066771[source]
I can’t even name a single large for profit system other than HCA.