• boonhet@sopuli.xyz
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    8 hours ago

    We don’t need doctors and nurses as long as we have claim approvers!

    But that would actually allow to reduce the amount of claim approvers.

    Why the fuck can’t you see a better solution would be nationalizing the rest of the healthcare providers

    It’s a better solution, but much harder to achieve, particularly in such a large country. How do you forcibly nationalize hundreds of thousands of healthcare providers at once? Keep in mind, most of them aren’t Kaiser Permanente sized. Tons of businesses are one or two doctors, their nurses and front desk, if they even have a front desk employee.

    Medicare for all could easily be a start, it does not preclude building a bigger nationally-owned network of providers.

    Imagine this: All the VA hospitals remain government owned exactly as they are now, but everyone gets access to them, not just veterans. But since there aren’t enough for everyone, you can alternatively go to a private provider if they’ve signed a medicare contract, and to you the cost is the same - and to the government, the cost is decided by a regulatory body, NOT the private healthcare provider. If the private provider doesn’t agree to that pricing, they lose access to the medicare network and get fewer patients. Some doctors at the top of their specialty will refuse, because people will be willing to pay extra to see them, but most providers would prefer having the ability to treat literally everyone without having to worry about billing issues.

    The government can then build more nationalized hospitals, particularly in areas where there aren’t enough private providers that choose to partner up with medicare.

    Even most (all?) countries that have nationalized healthcare, allow for private providers, and many allow private providers to provide services to the national health insurance system if they agree to the terms. Medicare for all could be a stepping stone towards a similar system, where the share of nationalized providers can grow over time.

    • givesomefucks@lemmy.world
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      8 hours ago

      , particularly in such a large country

      That’s almost 100 year old propaganda…

      Nationalization is easier the larger a country is, not harder.

      How do you forcibly nationalize hundreds of thousands of healthcare providers at once?

      The same way the federal does anything, slowly and step by step. I also think you’re saying “provider” like employee and not corporation.

      Like, all the employees already work for a provider, you don’t bring them over one by one, you bring the entire organization over. They still work at the same place, with the same people and the same equipment.

      There’s just noote ceo or board eating up profits.

      I didn’t read your whole comment tho, because anything you’ve built off that misunderstanding, is useless.