←back to thread

182 points tencentshill | 7 comments | | HN request time: 0.001s | source | bottom
Show context
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.)

replies(6): >>45065661 #>>45065822 #>>45066408 #>>45066413 #>>45066729 #>>45066795 #
SoftTalker ◴[] No.45065822[source]
That would have to come with some liability reform however. Injury lawyers are another cancer on society along with many practices of Private Equity.

When you take care of sick or disabled people, bad outcomes, even death, can come along with that. Nobody in their right mind is going to form a health care partnership with unlimited personal exposure to liability unless that is strictly limited to actual losses in cases of proven negligence.

replies(3): >>45066033 #>>45066749 #>>45066876 #
infecto ◴[] No.45066749[source]
This is the hard part imo. Thinking about the argument for a government run single payer system, someone is still having to make a calculation on appropriate treatment. It’s what happens at the NHS, perhaps a single payer can do it more efficiently and no I am not defending the American system but I do think there are a lot of hard to answer questions.
replies(1): >>45067174 #
tartuffe78 ◴[] No.45067174[source]
The American government hasn’t had a good track record for solving difficult problems in my life time.
replies(2): >>45067352 #>>45068168 #
1. nitwit005 ◴[] No.45068168[source]
Or, you never give them credit when they improve things. The most difficult problems aren't fully fixable. The improvements people make often go unnoticed.

Crime rates have fallen. Rather than giving anyone credit, people seem more anxious and angry than ever.

replies(2): >>45069808 #>>45071691 #
2. phil21 ◴[] No.45069808[source]
Murder may be down, but every other “minor” visible crime is up. Reporting it is useless.

Just this week about a dozen contractor vans in the neighborhood were broken into (windows smashed) by a professional crew caught on camera looking for valuables to steal. Zero of those contractors reported it since they know it’s a pointless waste of time with the local police department. Not even worth reporting to insurance since rates will more than make up for the claim in a short period of time and they expect it to happen a few times a year. The stats will report a perfect week of zero property crime.

This is a neighborhood where the cheapest property is over seven figures.

Shoplifting is effectively legalized these days. No one is enabled to stop it like we did 30 years ago when I worked a retail job. And no one wants to talk about the corrosive effect this has on society via second and third order effects. Just the liability fairy and “don’t get paid enough to deal with that”. Again, only a small percentage of such theft is ever reported these days when before it was a policy to detain and call the police for booking every single time you caught someone in the act.

So sure, violent crime is down. Misdemeanors are effectively legal where I’m at. Traffic laws more or less no longer exist on top of it all. Armed carjackings went from basically unheard of to a weekly occurrence in my neighborhood.

But all the stats state otherwise, other than perhaps the carjacking one.

It’s also a large reason folks are losing faith with institutions and experts. When the stats and “studies” match absolutely no one’s lived experience people eventually start to question things for good reason. Only so many times you can be told by wealthy suburbanites that crime is down until you tune them out.

We are rapidly moving from a high trust society to a low trust one and I think many people are being caught flat footed in the new reality.

That said, I don’t believe it’s really a government problem. It’s societal one.

replies(3): >>45070048 #>>45070059 #>>45071108 #
3. Der_Einzige ◴[] No.45070048[source]
This is all true, but the fact that people continue to pay 2 million, 3 million to live in these places shows that quality of life is objectively high even if trust in society is low.

Hell, I’d wager that low trust societies are more free. That’s why you see the lowest trust and the stuff you describe in the hippy liberal PNW. Highest trust society on earth, Singapore, has no real freedom of speech, of protest, of consumption, etc

I’ll take homeless, needles, and poorly reported property crime so I can have legal weed and mushrooms, and the best outdoors/weather in the world, plenty of tech jobs, and clean air and water, and almost zero fear of the cops, and low violent crime (very few homeless are armed).

Republicans used to love the word “federalism”. Don't tread on our liberal utopia, unironically.

4. nitwit005 ◴[] No.45070059[source]
Aside from actual reports of crimes, the government does surveys asking people what crimes they've been a victim of. Those numbers are also down: https://ncvs.bjs.ojp.gov/quick-graphics#quickgraphicstop
5. SoftTalker ◴[] No.45071108[source]
My local supermarket has an armed guard (off duty cop) with a Kevlar vest, I’m pretty sure nobody is walking out of there with unpaid groceries.
6. giardini ◴[] No.45071691[source]
"Crime rates have fallen."

Some murder rates have presumably fallen. But I would be wary of even that b/c I've seen the lengths that bureaucrats(police) and politicians(civilians) will go to alter statistics.

"Trust but verify." - Russian proverb.

replies(1): >>45072051 #
7. nitwit005 ◴[] No.45072051[source]
You could try to find another source instead of simply deciding the correct answer on your own.