Comment by whodidntante
11 hours ago
What I should have said is that the system is corrupt, not that there is corruption in the system. There will always be profit to made in the system (there has to be for it to work), and there will always be corruption to some degree in the system, but having a system that is corrupt is a different type of thing.
I believe our health system itself is corrupt. There is no one person or group of people that are causing the problem, it is the way the entire system works that is the problem.
Looking at the amount of health spend as a percent of GDP, it has gone from 5% 60 years ago, to 12% 30 years ago, to 18% today. This is clearly a trend that is unsustainable. Compare this to the EU which is more like 10%-12% of GDP (not that they do not have problems)
This increase is bad enough, but we also have a system that is worse in all the ways that count - percent of population that is covered, outcomes at every class level, and the complexity of the system.
From a societal perspective, the health system is simply out of control - it continues to grow and profit in excess of what the economy can support while at the same time provides less and less value than what is clearly possible by looking at other countries.
The answer is not to simply cut spending and fire people in a random manner
The answer is also not to simply tax and spend more.
And, no, I do not know how to fix this.
No comments yet
Contribute on Hacker News ↗