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No, what we should do is build our systems so that human nature is taken into consideration. There will always be good and bad people.

Medical pricing should be simple, upfront and direct. It should not require lots of clerks and "billing professionals"

It shouldn't required armies of expensive lawyers to settle disputes. Whether the bill was not paid by the customer, or the doctor failed to deliver what the customer paid for.



Yup. I first learned this from Donald Norman's Design of Everyday Things. Try to apply that heuristic to all my efforts.


Agreed... but you don’t think there is an ugly backend administrator to <insert your favorite public healthcare system>? Of course there is. You don’t think the NHS has lawyers and billing professionals, they’re there, just behind the scenes.


They have lawyers, but everyone has lawyers over a certain size and the NHS is huge.

As for billing, who would they bill - I've never had a bill from the NHS or even heard of someone getting a bill from the NHS? In some parts of the UK you have to pay a small amount for prescription medicines but that doesn't go to the NHS etc.

It literally is "free at the point of delivery".

Edit: The NHS directly employs about 1.4 million people https://fullfact.org/health/how-many-nhs-employees-are-there... - and that's not including people who work in GP practices or dentists or opticians who do NHS work but aren't employed by the NHS.


Perhaps. Though I'd hope the centralized system is more lean, transparent, and capable than say an opaque market ruled by big players leveraging regulatory capture to fleece patients and providers alike.




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