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rotor
Jun 11, 2001

classic case of pineapple derangement syndrome

Shaggar posted:

\
insurance companies have a clear motive to decrease costs

so do governments. organizational inefficiency is directly proportional to the size of the organization and has nothing to do with public vs private.

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Shaggar
Apr 26, 2006
the government actually has no reason to control costs since there are no penalties for high government spending and every reason in the world to promise people who vote for you that you will spend money on them.

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here

Shaggar posted:

its not theft in the least. its exactly what those legislators wanted for their districts.

insurance companies have a clear motive to decrease costs and when it comes to profits most are already regulated wrt the amount of profit they're allowed to make. This is the opposite of the single payer system which doesn't aim to solve any problems, just to make sure there arent any problems funneling money into hospitals.

we need more focus on process controls in healthcare to fix these problems before we worry about payment, because once you start assuring these guys they have unlimited funds the desire to fix real problems will disappear.

this is one of the more true things shaggar has said i think

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here
i still think a single payer option is the only way to make it work for real though

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

Shaggar posted:

insurance companies have a clear motive to decrease costs and when it comes to profits most are already regulated wrt the amount of profit they're allowed to make.

oh hello tori how's the work at your nonprofit this morning

computer parts
Nov 18, 2010

PLEASE CLAP

Shaggar posted:

the government actually has no reason to control costs since there are no penalties for high government spending and every reason in the world to promise people who vote for you that you will spend money on them.

there's also effectively no penalty to just denying claims either and that fulfills their "keep costs low " interest

rotor
Jun 11, 2001

classic case of pineapple derangement syndrome

Shaggar posted:

the government actually has no reason to control costs since there are no penalties for high government spending

sure there are.

there's also plenty of reasons that the supposed incentive for private companies to decrease costs is a fallacy as well. Sure, it's there. But there's lots of other factors at work. Just like with the govt.

large organizations are inefficient, full stop, and if you disagree, you've either never worked in a large organization or you've never been exposed to executive decision making processes.

rotor
Jun 11, 2001

classic case of pineapple derangement syndrome
I'd say that there are probably more penalties for going over budget as a typical government agency than there are at the average for-profit.

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

rotor posted:

sure there are.

there's also plenty of reasons that the supposed incentive for private companies to decrease costs is a fallacy as well. Sure, it's there. But there's lots of other factors at work. Just like with the govt.

large organizations are inefficient, full stop, and if you disagree, you've either never worked in a large organization or you've never been exposed to executive decision making processes.

have you ever used the services of a large business but became frustrated because they were slow or messed stuff up? the answer is yes, because we all have. we've all used a private non-government large business that made us want to tear our eyeballs out - cable companies, phone companies, car companies, the list is endless

if you work for a large company, you can guarantee that your company is wasteful. even small businesses waste money. who hasn't seen a company they work for waste money they know could be better spent elsewhere?

so large businesses aren't that incredibly efficient and they are wasteful, just like governments can be. yes, in terms of requiring revenue to operate, a business is like a government

but governments don't have to generate a profit, and their end goals are completely different

maniacdevnull
Apr 18, 2007

FOUR CUBIC FRAMES
DISPROVES SOFT G GOD
YOU ARE EDUCATED STUPID

rotor posted:

you've never been exposed to executive decision making processes.

its simple!
1. stuff quarters into your butt hole
2. fart while standing over a large empty floor
3. count how many are heads. even number, do plan a, odd number do plan b.

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here

maniacdevnull posted:

its simple!
1. stuff quarters into your butt hole
2. fart while standing over a large empty floor
3. count how many are heads. even number, do plan a, odd number do plan b.

the free-est market

rotor
Jun 11, 2001

classic case of pineapple derangement syndrome

maniacdevnull posted:

its simple!
1. stuff quarters into your butt hole
2. fart while standing over a large empty floor
3. count how many are heads. even number, do plan a, odd number do plan b.

no, it's more like "Which of these choices will most benefit the tiny empire I've built within this company?"

Shifty Pony
Dec 28, 2004

Up ta somethin'


Shaggar posted:

the government actually has no reason to control costs since there are no penalties for high government spending and every reason in the world to promise people who vote for you that you will spend money on them.

i mean in theory yes the government could spend a ton on anything but in practice so many people have gotten elected on a platform of "controlling wasteful spending!" that that the laws involved with government procurement are actually aggressively tilted toward "don't pay one cent more than absolutely required". often to the point of being penny wise and pound foolish when you consider the extra time and administrative load involved.

rotor posted:

I'd say that there are probably more penalties for going over budget as a typical government agency than there are at the average for-profit.

kick a contract to your buddy in the private sector and get fired if caught, do the same in government and the DoJ gets involved. also it is harder to hide because everything involved is public or subject to FOIA requests and the other bidders are watching you like a hawk.

maniacdevnull
Apr 18, 2007

FOUR CUBIC FRAMES
DISPROVES SOFT G GOD
YOU ARE EDUCATED STUPID

rotor posted:

no, it's more like "Which of these choices will most benefit the tiny empire I've built within this company?"

Yeah but they have no idea how to evaluate which is the one to do that so they normally resort to quarterly reporting as ive outlined above

Forums Terrorist
Dec 8, 2011

speaking of waste it would probably just save everyone a lot of time to ban shaggar from talking about politics on pain of being forced to argue with cremnob on why aapl is a bad buy

GameCube
Nov 21, 2006


this is really bad. gently caress you.

GameCube
Nov 21, 2006

i'm going to counter that loving terrible link with a gawker link http://valleywag.gawker.com/startup-founder-hacks-investor-s-voicemail-in-attempt-t-1651252437

quote:

It's hard to cast a better clusterfuck—or a worse caricature of Silicon Valley hustle—than what happened to tech investor Jason Calacanis. "Someone hacked my voicemail and changed my outgoing message to get me to invest," he wrote on Instagram yesterday, along with a recording of the new message.

That someone was Avi Zolty, a graduate of Y Combinator, the prestigious Mountain View accelerator and the founder of Skurt, a startup that promises to "disrupt the $24bn a year US car rental market." (It's never a good sign when your pitch starts with hackneyed buzzword, followed by a meaningless number about the size of a market.)

Shaggar
Apr 26, 2006

rotor posted:

sure there are.

there's also plenty of reasons that the supposed incentive for private companies to decrease costs is a fallacy as well. Sure, it's there. But there's lots of other factors at work. Just like with the govt.

large organizations are inefficient, full stop, and if you disagree, you've either never worked in a large organization or you've never been exposed to executive decision making processes.

no there arent. theres literally no reason for the federal government to decrease spending other then "well these tea partiers don't like it!" and you just need to toss them a little penny pinching anti-welfare crap while you approve the latest a multi-billion dollar Lockheed contract.

also more than anything my primary opposition to single payer is based on the timing. healthcare in this country is totally hosed at the provider level and we need to fix that before we talk about throwing money at it. if we switch to single payer without fixing poo poo then its all gonna get swept under the rug and the system will fall apart as the boomers flow through it like the diseased garbage they are.

if we fix things and then want to go to single payer, fine. whatever. we'll all be 100 years dead by the time that happens though.


Shifty Pony posted:

i mean in theory yes the government could spend a ton on anything but in practice so many people have gotten elected on a platform of "controlling wasteful spending!" that that the laws involved with government procurement are actually aggressively tilted toward "don't pay one cent more than absolutely required". often to the point of being penny wise and pound foolish when you consider the extra time and administrative load involved.
when it comes to the smaller programs its very easy to talk big about cutting them because they sound big, despite being peanuts compared to overall spending. welfare and education are probably the biggest victims of this. The problem is no one will ever ever ever go after the actual huge money pits because those things support boomers.

quote:

kick a contract to your buddy in the private sector and get fired if caught, do the same in government and the DoJ gets involved. also it is harder to hide because everything involved is public or subject to FOIA requests and the other bidders are watching you like a hawk.

transparency doesn't matter if no one cares that we don't need f22s or f35s. this isn't about corruption its about making legitimate and completely legal legislative decisions to spend money on poo poo we don't need. when im talking about overspend in single payer im talking about legitimate payments for things that are overpriced because of provider incompetence. not only is it a waste of money but it also hides the real problems with patient care that are the source of a lot of these costs.

There are parts of the ACA that start to address this by penalizing providers for poor quality metrics and its a great start, I just wish they wouldn't bundle quality reform in with payment reform.

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

Shaggar posted:

no there arent. theres literally no reason for the federal government to decrease spending other then "well these tea partiers don't like it!" and you just need to toss them a little penny pinching anti-welfare crap while you approve the latest a multi-billion dollar Lockheed contract.

also more than anything my primary opposition to single payer is based on the timing. healthcare in this country is totally hosed at the provider level and we need to fix that before we talk about throwing money at it. if we switch to single payer without fixing poo poo then its all gonna get swept under the rug and the system will fall apart as the boomers flow through it like the diseased garbage they are.

if we fix things and then want to go to single payer, fine. whatever. we'll all be 100 years dead by the time that happens though.

when it comes to the smaller programs its very easy to talk big about cutting them because they sound big, despite being peanuts compared to overall spending. welfare and education are probably the biggest victims of this. The problem is no one will ever ever ever go after the actual huge money pits because those things support boomers.


transparency doesn't matter if no one cares that we don't need f22s or f35s. this isn't about corruption its about making legitimate and completely legal legislative decisions to spend money on poo poo we don't need. when im talking about overspend in single payer im talking about legitimate payments for things that are overpriced because of provider incompetence. not only is it a waste of money but it also hides the real problems with patient care that are the source of a lot of these costs.

There are parts of the ACA that start to address this by penalizing providers for poor quality metrics and its a great start, I just wish they wouldn't bundle quality reform in with payment reform.

i hope that one day the government runs everything thus rendering private business obsolete

Assepoester
Jul 18, 2004
Probation
Can't post for 10 years!
Melman v2

Werthog 95 posted:

this is really bad. gently caress you.
Why

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here

H.P. Hovercraft posted:

i hope that one day the government runs everything thus rendering private business obsolete

I'm gonna nationalize dat rear end

FMguru
Sep 10, 2003

peed on;
sexually
guys, private industry is head and shoulders more efficient when it comes to allocating resources and cutting costs than any government agency

*writes off $6.2 billion acquisition of aquantive*
*writes off $900 million of unsold surface 1 inventory*
*buys nokia for $7.2 billion*

heh. stupid money-wasting bureaucrats

Shifty Pony
Dec 28, 2004

Up ta somethin'


Werthog 95 posted:

this is really bad. gently caress you.

she's into vidjagames and i think falling for the same mental trap that a lot of those involved are getting caught in by viewing the blowback against the misogynistic assholes it as a personal attack on them.

but one thing that she kinda hits on is that gawker and all of these new media groups pretty much only exist by bouncing from inflammatory position to inflammatory position. the demographics look really really tempting but you are playing with fire by associating with them. especially because if you do something they don't like and pull your ads these media outlets have the will to poison your company with the exact same demographic you were targeting in a way that old media like newspaper and tv wouldn't do.

basically don't just slather ads everywhere without thinking.


lol. biting the hand that feeds you is so disruptive.

Shifty Pony fucked around with this message at 19:02 on Oct 27, 2014

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here

Shifty Pony posted:

she's into vidjagames and i think falling for the same mental trap that a lot of those involved are getting caught in by viewing the blowback against the misogynistic assholes it as a personal attack on them.

but one thing that she kinda hits on is that gawker and all of these new media groups pretty much only exist by bouncing from inflammatory position to inflammatory position. the demographics look really really tempting but you are playing with fire by associating with them. especially because if you do something they don't like and pull your ads these media outlets have the ability to poison your company with the exact same demographic you were targeting in a way that old media like newspaper and tv wouldn't do.

basically don't just slather ads everywhere without thinking.


lol. biting the hand that feeds you is so disruptive.

the actual problem with putting ads on gawker is the audience associating the quality of your product with the quality of the content on the website, not whether or not they take an inflammatory position.

theflyingexecutive
Apr 22, 2007

healthcare is just one of those things too important to be left up to market forces and profit motive, you know? idk how we can have industry subsidies and not a basic system of care for all people in the country. poo poo, even let dental and optical be their own market, but there are too many medical bankruptcies for this poo poo. single payer would also let gov control the crazy drug prices we get charged as a subsidy for the rest of the world

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

theflyingexecutive posted:

poo poo, even let dental and optical be their own market

this bugs the hell outta me

like your eyes and teeth aren't part of your body and therefore aren't included in "healthcare"

Shifty Pony
Dec 28, 2004

Up ta somethin'


Rexicon1 posted:

the actual problem with putting ads on gawker is the audience associating the quality of your product with the quality of the content on the website, not whether or not they take an inflammatory position.

but that has already been a thing for a long time in the print and tv world. surely they wouldn't be stupid enough to think it wouldn't be a thing online?

if advertisers start thinking long and hard about the quality of the medium affecting their brand perceptions, where does that leave 99.99% of in app ads?

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

Shifty Pony posted:

but that has already been a thing for a long time in the print and tv world. surely they wouldn't be stupid enough to think it wouldn't be a thing online?

if advertisers start thinking long and hard about the quality of the medium affecting their brand perceptions, where does that leave 99.99% of in app ads?

i'm the preponderance of home gym ads on the scifi channel

rotor
Jun 11, 2001

classic case of pineapple derangement syndrome

Shaggar posted:

no there arent. theres literally no reason for the federal government to decrease spending other then "well these tea partiers don't like it!"

departmental budgets get cut all the time so I really have no idea what the gently caress you're talking about

Notorious b.s.d.
Jan 25, 2003

by Reene

Shifty Pony posted:

if advertisers start thinking long and hard about the quality of the medium affecting their brand perceptions, where does that leave 99.99% of in app ads?

99.99% of app ads come from extremely shady third party brokers

the last time i was involved in that space, we served filler content for most of our mobile impressions because it was impossible to sell space directly to brands, but the third party brokers could only rarely serve ads that would meet our requirements e.g. no porn, no obvious scams

(needless to say those apps lost money hand over fist, but MOBILE FIRST!!!!!!!)

Notorious b.s.d. fucked around with this message at 19:44 on Oct 27, 2014

Notorious b.s.d.
Jan 25, 2003

by Reene

Shaggar posted:

no there arent. theres literally no reason for the federal government to decrease spending other then "well these tea partiers don't like it!"

did you miss the part where "these tea partiers" have a death grip on the budget process?

Shifty Pony
Dec 28, 2004

Up ta somethin'


H.P. Hovercraft posted:

i'm the preponderance of home gym ads on the scifi channel

and gold ads on fox news.

Shaggar
Apr 26, 2006

Notorious b.s.d. posted:

did you miss the part where "these tea partiers" have a death grip on the budget process?

yeah they're always cutting medicare and social security. just all the time. it never causes budget overruns or anything.

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

Shifty Pony posted:

and gold ads on fox news.

i walk by the lifelock offices omw to the train station

each time i think about how all of those computers and computermen are paid from scamming olds via limbaugh ads

FMguru
Sep 10, 2003

peed on;
sexually

Shifty Pony posted:

and gold ads on fox news.
cable news ads are the best:

reverse mortgage/medigap insurance policies/mobility scooters/mail-order catheters/boner pills/asbestos lawsuits

hmmm i wonder what their target demographic might be?

qirex
Feb 15, 2001

when I worked at zonealarm lifelock approached us about doing a bundle deal and everyone who looked at their service was like :stare: nope

Munkeymon
Aug 14, 2003

Motherfucker's got an
armor-piercing crowbar! Rigoddamndicu𝜆ous.



theflyingexecutive posted:

single payer would also let gov control the crazy drug prices we get charged as a subsidy for the rest of the world

they already could but don't because congress is corrupt as gently caress

doesn't make shaggar right

I mean he is right in that providers waste a fuckton of time and money but it's actually in dealing with useless shitbag insurance companies

Shaggar
Apr 26, 2006
actually most of it is in poor patient care due to complete lack of process controls.

the insurance poo poo is an insane copout from them not being able to understand the EHR they spent millions on and constantly trying different procedure codes to extract the most possible money from a patient.

Rexicon1
Oct 9, 2007

A Shameful Path Led You Here

H.P. Hovercraft posted:

i walk by the lifelock offices omw to the train station

each time i think about how all of those computers and computermen are paid from scamming olds via limbaugh ads

remember when the life lock guy taunted people by saying his identity could never be stolen. then it was stolen hours later.

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GameCube
Nov 21, 2006

qirex posted:

when I worked at zonealarm lifelock approached us about doing a bundle deal and everyone who looked at their service was like :stare: nope

what the hell do they even do? all i know is that they watch your credit report to see if anybody opened a credit card in your name, which, uh, just freeze your credit

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