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Gordon's avatar

Even though the vast majority of the people involved in the US medical care system experience the stupidity and ineffectiveness of many aspects of the system, it helps to remember that the people who control the system benefit from it as it is now. Every cost you want to cut or efficiency you want to implement is seen by someone in the system as their bread and butter, or their end-of-year profit. If we talk about reducing the total cost of medical care in the US by 50% so that it corresponds more closely with costs in other developed countries, where the outcomes are as good or better than in the US, that is still moving some 8% of US GDP away from the people that it now keeps employed. Could they be more effectively employed elsewhere? Clearly, but vested interests are not interested in changing what works for them, and the rest of us have neither the expertise nor the urgency to force the change.

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William Bell's avatar

Evidently I'm not psychologically normal. Should I seek help?

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