|
iospace posted:You mean like how NASA spreads out it poo poo in the US too? yeah. both create massive opportunity for profit in their private contracting. idk what ur trying to say here.
|
#
?
Sep 5, 2018 15:08
|
|
|
|
| # ? Apr 26, 2024 09:21 |
|
|
Shaggar posted:nope. without a profit motive theres no way you're going to get people to do work. the myth of the virtuous worker who works for the people is the most hilarious garbage ever. building rockets and exploring space isn't work. i do it in kerbal space program for fun
|
|
#
?
Sep 5, 2018 15:09
|
|
|
BangersInMyKnickers posted:lol please tell me how salaried employees are in any way influenced by the profit motive happening many, many layers above them. just go whole hog man. if im a salaried government worker with no mandate to actually produce anything theres no way im gonna do any actual work. are you loving insane?
|
|
#
?
Sep 5, 2018 15:09
|
|
|
Shaggar posted:should be shot into the sun thanks to ksp i involuntarily twitch whenever someone says this
|
|
#
?
Sep 5, 2018 15:11
|
|
|
Shaggar posted:if im a salaried government worker with no mandate to actually produce anything theres no way im gonna do any actual work. are you loving insane? sounds like youre experiencing workplace alienation
|
|
#
?
Sep 5, 2018 15:11
|
|
|
Shaggar posted:if im a salaried government worker with no mandate to actually produce anything theres no way im gonna do any actual work. are you loving insane? government employees are generally crazy people that believe in what they do so the take a big pay cut to do it as opposed to say, normal computer janitors for medical insurance companies who need to be threatened constantly to do work
|
|
#
?
Sep 5, 2018 15:12
|
|
|
lmao you've never met a government worker in your life.
|
|
#
?
Sep 5, 2018 15:13
|
|
|
Shaggar posted:lmao you've never met a government worker in your life. you do know the dude in falling down worked for a contractor and not a government agency right
|
|
#
?
Sep 5, 2018 15:14
|
|
|
Shaggar posted:if im a salaried government worker with no mandate to actually produce anything theres no way im gonna do any actual work. are you loving insane? lmbo never grew out of your edgy teen phase after reading some rand, huh?
|
|
#
?
Sep 5, 2018 15:15
|
|
|
Shaggar posted:lmao you've never met a government worker in your life. I’m a government worker and i think it feels good to help people.
|
|
#
?
Sep 5, 2018 15:17
|
|
|
BangersInMyKnickers posted:lmbo never grew out of your edgy teen phase after reading some rand, huh? it really does sound like an insanely cynical outlook.
|
|
#
?
Sep 5, 2018 15:18
|
|
|
shaggar man your world outlook is extremely sad and its probably making your life actively worse to be that negative about everything
|
|
#
?
Sep 5, 2018 15:19
|
|
|
I only really deal with CMS so maybe my experiences are skewed by how bad they are
|
|
#
?
Sep 5, 2018 15:20
|
|
|
President Beep posted:it really does sound like an insanely cynical outlook. he works in maine for a medical company, of course hes cynical
|
|
#
?
Sep 5, 2018 15:20
|
|
|
BangersInMyKnickers posted:shaggar man your world outlook is extremely sad and its probably making your life actively worse to be that negative about everything your blind faith in terrible organizations you've clearly never dealt with is embarrassing and prevents any kind of actual resolution to these problems.
|
|
#
?
Sep 5, 2018 15:21
|
|
|
hobbesmaster posted:he works in maine for a medical company, of course hes cynical amazing to think that someone could work in the american medical industry and still believe in the slick efficiency of the private sector otoh people do tend to buy into whatever bullshit they need to justify their existence
|
|
#
?
Sep 5, 2018 15:26
|
|
|
Shaggar posted:I only really deal with CMS so maybe my experiences are skewed by how bad they are Hmmm yes, an agency that has been gutted by decades of GOP wanting to shut it down, so they're starving the beast. (Assuming you're talking about the Medicare/Medicaid office here)
|
|
#
?
Sep 5, 2018 15:27
|
|
|
i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system?
|
|
#
?
Sep 5, 2018 15:27
|
|
|
creationist believer posted:i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system? It's this.
|
|
#
?
Sep 5, 2018 15:27
|
|
|
creationist believer posted:i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system? mother of god..
|
|
#
?
Sep 5, 2018 15:28
|
|
|
creationist believer posted:i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system? um no im pretty sure its are taxes.
|
|
#
?
Sep 5, 2018 15:29
|
|
|
creationist believer posted:i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system? you mena the truht ix somewhere in the middle???
|
|
#
?
Sep 5, 2018 15:29
|
|
|
President Beep posted:um no im pretty sure its are taxes. my taxes pay youre salary, mr president
|
|
#
?
Sep 5, 2018 15:30
|
|
|
iospace posted:Hmmm yes, an agency that has been gutted by decades of GOP wanting to shut it down, so they're starving the beast. incorrect. CMS funding is at all time highs. They're a poorly managed organization and the only thing they're really effective at is ensuring providers are overpaid.
|
|
#
?
Sep 5, 2018 15:32
|
|
|
Shaggar posted:incorrect. CMS funding is at all time highs. might that also have something to do with more service consumers as boomers get older though? e: that’s not a rhetorical question btw.
|
|
#
?
Sep 5, 2018 15:34
|
|
|
Shaggar posted:incorrect. CMS funding is at all time highs. They're a poorly managed organization and the only thing they're really effective at is ensuring providers are overpaid. whats cool is you can reduce the increase of a thing below inflation and claim that funding is at an all time high while still reducing its effective funding
|
|
#
?
Sep 5, 2018 15:35
|
|
|
Shaggar posted:incorrect. CMS funding is at all time highs. They're a poorly managed organization and the only thing they're really effective at is ensuring providers are overpaid. psosibly because they ahve no ability to leverage their massive buying power and clientele to negotiate in bulk with providers and are required to pay more or less whatever the ******market rate****** is
|
|
#
?
Sep 5, 2018 15:35
|
|
|
iospace posted:"We're getting all this money, why upgrade the LEP to the LHC?" -CERN true story the LHC was basically europe trolling congress. They figured they could build an accelerator quicker and cheaper because they already had the tunnel. It would be smaller, less powerful but that produced way more data than the planned American one, the SSC: https://en.wikipedia.org/wiki/Superconducting_Super_Collider The SSC was killed by congress with the argument 'you've a choice, the ISS or the SSC'. Congress chose the ISS. The LHC was still built, and found the Higgs. The reason CERN and NASA can't be compared in terms of large scale infrastructure is because the agreement to fund a big fuckoff project at CERN can't be reneged on. They negotiate the entire cost beforehand and sign treaties with member states guaranteeing the funding for the lifetime of the project. NASA and US projects in general are stuck with the possibility of losing funding every time congress meets.
|
|
#
?
Sep 5, 2018 15:36
|
|
|
i wonder what would happen to prices if the medicare administration was allowed to say "hey u. mr pharmaphuck. i have these tens of millions of potential customers. if you want a piece of this pie your thousand percent profit margin is gonna have to come down to a marginal extent. otherwise i'll take my business elsewhere and you can watch your sales shrivel"
|
|
#
?
Sep 5, 2018 15:40
|
|
|
creationist believer posted:i've met government and corporate workers who are working with a subject they are passionate about and would do for free (especially in scientific research fields). also i've met government and corporate workers who don't care about the subject of their job and are just running the clock and trying to do the least necessary to not get fired. maybe its not a government vs industry issue but a result of alienation of labor under a capitalist system? Im sure people who have fun jobs might continue to do them for free if their other needs were taken care of, but that's the tiny minority of jobs. even then they're only gonna do it so long as it keeps their interest. nobody at CMS is getting all excited about claims adjudication. They do the job because they're paid to do it.
|
|
#
?
Sep 5, 2018 15:41
|
|
|
Shaggar posted:nope. without a profit motive theres no way you're going to get people to do work. the myth of the virtuous worker who works for the people is the most hilarious garbage ever. profit is a bit different than a living wage
|
|
#
?
Sep 5, 2018 15:44
|
|
|
President Beep posted:might that also have something to do with more service consumers as boomers get older though? partially. more so it has to do with things like Medicaid expansion and the overall increase in healthcare costs. hobbesmaster posted:whats cool is you can reduce the increase of a thing below inflation and claim that funding is at an all time high while still reducing its effective funding sure, but in the case of CMS their increases in funding are far beyond inflation. Jonah Galtberg posted:psosibly because they ahve no ability to leverage their massive buying power and clientele to negotiate in bulk with providers and are required to pay more or less whatever the ******market rate****** is not true (for the most part). CMS pays providers significantly less than private insurers. That said they could (and should) be paying even less for a lot of procedures. you may be thinking of medications, for which CMS is not allowed to negotiate pricing.
|
|
#
?
Sep 5, 2018 15:46
|
|
|
this Tylenol costs $240 when we hand it to you but surely the costs of medication are not a problem
|
|
#
?
Sep 5, 2018 15:50
|
|
|
CMS needs the ability to do long term planning for large structural change in the healthcare system, but they don't seem to have the internal drive to do so. idk how much of that is just incompetence and how much is shifting congressional mandates. like yes in comes trump and they start looking at making changes to things like ACOs, but for years prior to that CMS had failed to really manage the program properly. Is CMS to blame for the poor management in the pretrump years or is trump to blame for not giving them more time to fix their issues? How long should they be allowed to fail before someone steps in?
|
|
#
?
Sep 5, 2018 15:51
|
|
|
HAIL eSATA-n posted:this Tylenol costs $240 when we hand it to you but surely the costs of medication are not a problem seriously. where is that poo poo introduced?
|
|
#
?
Sep 5, 2018 15:51
|
|
|
Jonah Galtberg posted:i wonder what would happen to prices if the medicare administration was allowed to say "hey u. mr pharmaphuck. i have these tens of millions of potential customers. if you want a piece of this pie your thousand percent profit margin is gonna have to come down to a marginal extent. otherwise i'll take my business elsewhere and you can watch your sales shrivel" that's the big idea. they could also say "hey colton how's YOUR rapey nantucket family? Mine's doing good thanks. let's gently caress everyone over and pocket the remainder for our generational lacoste fund? sounds like a brilliant plan chap!" which is why you need to pull out the head chopper first
|
|
#
?
Sep 5, 2018 15:53
|
|
|
it cost them $24 to administer it to ten people and the other nine are broke
|
|
#
?
Sep 5, 2018 15:55
|
|
|
Tylenol is otc so it wouldn't be part of medicare part d. if you're talking about the cost of administering drugs in an emergency setting then yes that's one of those procedural costs that medicare needs to start pushing back on. a good place to start w/ costs in general would be to not allow providers to bill patients at all and only accept what insurance or cms will give them. That would get them off fee for service pretty quick
|
|
#
?
Sep 5, 2018 15:57
|
|
|
Jonah Galtberg posted:i wonder what would happen to prices if the medicare administration was allowed to say "hey u. mr pharmaphuck. i have these tens of millions of potential customers. if you want a piece of this pie your thousand percent profit margin is gonna have to come down to a marginal extent. otherwise i'll take my business elsewhere and you can watch your sales shrivel" for prescription drugs it would be pretty huge but the current medicare part d prevents it from happening. a fun fact is part d was written largely by pharmacy companies which should not be a surprise to anyone, but what is kind of fun is one of the major pharmacy backers ended up not being able to compete with other pharmacies for the contracts.
|
|
#
?
Sep 5, 2018 16:00
|
|
|
|
| # ? Apr 26, 2024 09:21 |
|
|
Death to capitalism
|
|
#
?
Sep 5, 2018 16:05
|
|