A Rant About Healthcare
7th July 2023
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As I race toward decrepitude, my interaction with the healthcare system will increase, thus raising my awareness of its many faults. At this point, I am lucky to only have to see the doctor once a year for a physical. I have had occasional injuries in the past, but none of those required more than a single visit. Even so, the lunacy of the healthcare system is obvious even at this stage of my life.
The thing about the system is that it works to the interest of everyone except the patients, but we insist on calling it private healthcare. There is nothing private about it as every aspect is controlled by corporate interests, which both advance and direct government interests in the system. If you want to understand fascist economics, spend some time in the American healthcare system.
Something I did not mention in the show is that a sizable chunk of what passes for healthcare is either unnecessary or not healthcare. The legions of bureaucrats and functionaries that serve only the interest of the system are a great example of Pournelle’s iron law of bureaucracy. The system is an upside-down pyramid with the doctors and nurses at the bottom.