Wednesday, January 15, 2025

Rectified Medical Specialists

 If you pay the medicine man when you get sick, the doctor wants you to get sick as often as possible. Ideally, to get sick and stay sick. Sales as a service, uh I mean medicine subscription, no, wait hold on I lost it.

 If you pay the medicine man when you're well and stop paying when you're sick, you want to get healthy as quickly as possible and he wants you to get healthy as quickly as possible, so you can start paying him again. 

 It's obvious, honestly. Nobody who spent more than ten seconds of thought on this would ever do it the first way, unless they wanted their quacks to make them as sick as possible. Nevertheless, I'm told the second way was first invented by traditional chinese medicine. Good for them.


 If you stop paying when sick, then you don't need [[health insurance]]. The treatment itself doesn't cost you anything. 

 Of course, those who refuse to buy into the system and get sick would have to pay full price, and they wouldn't have any money. They would stay sick and/or die. Naturally this is a feature, not a bug. The demographic that will complain anyway is highly predictable...

 Speaking of features with poor optics, if the treatment is expensive, the patient old, and the prognosis poor, the medic may choose to forgo treatment. What if we just let old folks die of old age instead of paying zillions to stuff them full of tubes and then they die anyway.
 If the patient is never going to be well again, the medic has no incentive to treat. 

 As usual, peasants need a lord. You can work this stuff out in the fine print, but the peasant becomes cognitively overloaded. His lord should do the negotiation on his behalf, inform him when he's likely to regret his health choices, tell him what conditions are covered and what isn't, and generally navigate the system on the peasant's behalf.

No comments: