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Notorious b.s.d. posted:i used to have unlimited vacation there's a local firm here named kimley-horn that tracks billable time for all of its employees and makes it internally viewable to everyone if your billable time ratio gets bad enough you will be fired, so what ends up happening is that people who want to go on vacation end up working lotsa overtime so that using their PTO doesn't hurt them too badly i learned this after a coworker left for there after getting a good offer and lol they made it less than a year in that awful place
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Apr 17, 2018 16:55
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Work sucks, someone give me a lot of money so I can retire
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Apr 17, 2018 16:58
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at my last job a brand new hire out of college in germany got more vacation than the us guy who'd been there for 37 years he died before he could retire
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Apr 17, 2018 17:01
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infernal machines posted:when did that change? Jan 1, 2018
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Apr 17, 2018 17:02
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tk posted:I feel like maybe calling off every Tuesday isn't the best way to use unlimited vacation. it sounds like 10 weeks/year tho
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Apr 17, 2018 17:04
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Schadenboner posted:I'm hoping for more "Shooting Insurance CEOs in the goddamn head" than the term "Social Democracy" usually encompasses though? insurance companies are only 2-3% of the dollars in the entire system i mean, yeah, if you could claw back a couple percent of two trillion dollars, that would be nice, but it's not going to revolutionize healthcare in america. at least not in any way that is helpful. Schadenboner posted:Generally speaking, Social Democracy, sure. But nationalize the entire goddamn Medical and Pharma sectors, lab-top to bed-side. lol 1/6th of gdp and 1/10th of employment you really think americans are going to let you nationalize the jobs of their friends/family/neighbors?
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Apr 17, 2018 17:05
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nationalization probably doesn't eliminate those jobs just like how intuit probably would just shift into irs contract work if congress were to pass a prefilled tax filing law
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Apr 17, 2018 17:08
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H.P. Hovercraft posted:nationalization probably doesn't eliminate those jobs no, but if you wish to cut healthcare costs, the first step is to cut wages of healthcare workers what other reason is there to nationalize?
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Apr 17, 2018 17:09
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Notorious b.s.d. posted:no, but if you wish to cut healthcare costs, the first step is to cut wages of healthcare workers eliminating the perverse incentives associated with for-profit medicine and tbf some jobs would likely be eliminated due to reducing duplication of effort if nothing else
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Apr 17, 2018 17:12
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yeah like the entire industry of people whose job's to untangle and process insurance filing forms like tori
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Apr 17, 2018 17:13
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there are just as many if not more of these people handling CMS filings. The solution is to eliminate fee for service and switch to capitated payments.
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Apr 17, 2018 17:16
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Bhodi posted:yeah like the entire industry of people whose job's to untangle and process insurance filing forms like tori I don't process poo poo like that, the stuff I work on bills claims and adds admin fees.
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Apr 17, 2018 17:17
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Pittsburgh Fentanyl Cloud posted:I don't process poo poo like that, the stuff I work on bills claims and adds admin fees. all for streamlining this and cutting those fees
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Apr 17, 2018 17:20
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Shaggar posted:The solution is to eliminate fee for service and switch to capitated payments. This is probably the solution, and (...is therefore...) roughly as probable as my policy suggestion. 
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Apr 17, 2018 17:23
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Notorious b.s.d. posted:no, but if you wish to cut healthcare costs, the first step is to cut wages of healthcare workers How the god-damned gently caress do you think nationalization = lower pay? The point of nationalization is to be able to provide services that are otherwise unprofitable and remove the profit motive.
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Apr 17, 2018 17:24
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Bhodi posted:yeah like the entire industry of people whose job's to untangle and process insurance filing forms like tori right that entire industry is only a couple percent of the total costs. it's not nothing, but it won't move the needle for the average american the main reason healthcare sucks and the costs keep building is that changing anything requires really hard choices. you can't just say "we'll eliminate the paperwork!," or else it would have been done already
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Apr 17, 2018 17:25
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the fees are limited by law. in my case these are self-funded claims, ie: you break your leg. the hospital wants to charge $28k. we say "gently caress off, we negotiated $10k" and we pay this $10k claim. we then bill your employer $10k and a small administrative fee on top of that. the value add is that we've got negotiated prices with providers.
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Apr 17, 2018 17:25
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Avenging_Mikon posted:How the god-damned gently caress do you think nationalization = lower pay? The point of nationalization is to be able to provide services that are otherwise unprofitable and remove the profit motive. there is surprisingly little profit to wring out of the system most of the money is kept by staff. whenever you hear someone talk about cutting healthcare costs, they are implicitly talking about cutting pay for doctors and nurses. (and that is why the ama fights this poo poo viciously) edit: it also bears mentioning that american doctors are hilariously overpaid relative to other countries. but you ain't gonna have an easy time changing that.. Notorious b.s.d. fucked around with this message at 17:28 on Apr 17, 2018 |
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Apr 17, 2018 17:26
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Notorious b.s.d. posted:right that entire industry is only a couple percent of the total costs. it's not nothing, but it won't move the needle for the average american the answer is "run it at a loss as government-owned service" op
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Apr 17, 2018 17:27
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H.P. Hovercraft posted:the answer is "run it at a loss like a government-owned service" op that is already how most hospitals work, hph. they run at massive losses made up for by local and federal funding healthcare is not a hugely profitable sector unless you are a healthcare worker, or a pharmaceutical company with a nice patent portfolio.
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Apr 17, 2018 17:27
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sounds like they're ripe for nationalization then
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Apr 17, 2018 17:31
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DELETE CASCADE posted:actual result for company's average employee, a young healthy person: this but also older employees basically anyone a sensible work from home when sick policy exists and we still have people come in dog tired sick, which makes even less sense we only carry a bit of sick time and get a bunch of floatable holidays, so theres less incentive to hold it and yet they do
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Apr 17, 2018 17:31
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Notorious b.s.d. posted:there is surprisingly little profit to wring out of the system Blep, sorry, I jumped off the handle. I was raging against people being against nationalization in general.
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Apr 17, 2018 17:33
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they should just make it easier and cheaper to become a doctor too. pay should figure itself out as supply meets demand.
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Apr 17, 2018 17:35
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fits my needs posted:they should just make it easier and cheaper to become a doctor too. pay should figure itself out as supply meets demand. get out
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Apr 17, 2018 17:36
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iirc america only pays certain specialists more compared to other countries - and they're the ones concerned with rich people problems like dermatology most other flavors of doctor are actually in-line, if not lower relative to other places, particularly primary care and family medicine, which is the plurality of practitioners (e: plurality of practitioners in the world - we have a crazy high number of specialists which fucks things up a ton) of course this was extremely not true during the infinite money golden doctor era of the 80s & 90s holy poo poo did boomer doctors make bank, even accounting for cost of living differences H.P. Hovercraft fucked around with this message at 17:45 on Apr 17, 2018 |
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Apr 17, 2018 17:39
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the last time i went to see a doctor he glanced at me with about the same level of interest as a convenience store clerk
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Apr 17, 2018 17:44
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i probably wouldn't get too emotionally invested either if my job involved dealing with hosed up dying people on the reg glad i'm not a cop lol
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Apr 17, 2018 17:48
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H.P. Hovercraft posted:lol unlimited is such a scam only if youre a sucker.
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Apr 17, 2018 17:54
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PokeJoe posted:Work sucks, someone give me a lot of money so I can retire
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Apr 17, 2018 17:57
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my bitter bi rival posted:only if youre a sucker. trading a defined benefit for a nebulous promise that incentivizes management to foster a "never use it" work culture is indeed a scam, especially when its implied that you will be fired or have your career damaged for exceeding the "suggested" use amount like nbsd sees a significantly better deal would be a generous defined benefit like 4 weeks vacation annually, coupled with unlimited sick time - why do you think something like that's not popular instead with these companies
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Apr 17, 2018 18:02
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H.P. Hovercraft posted:i probably wouldn't get too emotionally invested either if my job involved dealing with hosed up dying people on the reg i mean, i don't think there was even an exam. i just kind of sat in a waiting room for a long time and then they took my pulse and told me to get out
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Apr 17, 2018 18:02
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H.P. Hovercraft posted:trading a defined benefit for a nebulous promise that incentivizes management to foster a "never use it" work culture is indeed a scam, especially when its implied that you will be fired or have your career damaged for exceeding the "suggested" use amount like nbsd sees i agree a defined benefit is better, but i have an unlimited policy and personally have no problem using it as much as i want.
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Apr 17, 2018 18:11
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H.P. Hovercraft posted:trading a defined benefit for a nebulous promise that incentivizes management to foster a "never use it" work culture is indeed a scam, especially when its implied that you will be fired or have your career damaged for exceeding the "suggested" use amount like nbsd sees da share (holder profit) zone
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Apr 17, 2018 18:12
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Schadenboner posted:This is probably the solution, and (...is therefore...) roughly as probable as my policy suggestion. its actually far more probable as its already happening
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Apr 17, 2018 18:12
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fits my needs posted:they should just make it easier and cheaper to become a doctor too. pay should figure itself out as supply meets demand. it’s called a physician assistant
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Apr 17, 2018 18:13
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Shaggar posted:its actually far more probable as its already happening Can we still shoot at least a couple of Heath Insurance c-levels though? 
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Apr 17, 2018 18:14
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Notorious b.s.d. posted:there is surprisingly little profit to wring out of the system this is not entirely true. there is still a shitload of profit in imaging and other tests. again though its a provider side issue and not insurance
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Apr 17, 2018 18:14
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Schadenboner posted:Can we still shoot at least a couple of Heath Insurance c-levels though? no because it wouldn't help and is actually more likely to hurt since those c levels are the ones most likely to both support and work on a move to capitated payments. if anyone should die it would be hospital administrators and CMS
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Apr 17, 2018 18:15
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"unlimited" vacation policies are analogous to hippie communes that were supposedly democratic but had no real defined policy for making decisions since there were no defined rules, they always ended up being autocracies/oligarchies of strong personalities liberalism as law is almost always trash and its 1000% better to have things explicitly defined
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Apr 17, 2018 18:16
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