Yeah I mean anyone who has whatever motivation to actually care about people isn't working for the NHS, or anywhere you can take your insurance in America. The business of practicing medicine for insurance (and, largely, government) money is tightly transactional. You generate a billing code every 15 minutes, for 40 hours a week, or you're out of business. I don't think most doctors are particularly money savvy or profit motivated. It's more that there's an enormous fixed cost just to keep the doors open, and caring about people doesn't pay that bill.
Which isn't to say that they're saints in a difficult situation, either. More than most people, they do what they are taught and what they are told. The people running things do have an enormous financial stake in the clockwork production of profit and, obviously, don't give a shit about you.
Now, for what is perhaps controversial. I think the business is poorly managed, and I think it is poorly managed because it is managed by doctors and they are bad at it. Big Tech is evil, but America still makes the best software in the world. Big Medicine is evil, and America does, frankly, a pretty shit job of providing medical care. The quality is about average for a developed country, but the cost is off the charts, which leads to access issues, which further make our outcomes bad. No one looks to America as an example of how to do things right.
(post is archived)