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by jbz 5794 days ago
Did you read the article in full? I know its a rude question to ask but it really seems like you didnt because youre falling prey to exactly the type of thinking it highlights as the problem. The solution doesnt "feel" right, and we humans are without peer in justifying our discomfort avoidance in cloaks of righteousness, truth, etc. That the correct solution just happens to coincide with the solution that avoids self-doubting discomfort is serendipity. Even this serendipity is so rarely noticed, let alone questioned, doesn't this seem odd?

Take for instance healthcare, its spiraling costs. A doctor ordering what some would call excessive tests for a patient is doing the right thing. It is better to be safe than sorry after all. The trial lawyers, insurance companies, government handouts and so on are the reason its skyrocketing.

What about the human fault of judging ones own immoral actions and impropriety on a relative scale of those around us? What about compounding that by generally giving everyone an "i am a good person" foundational belief. To examine it with no intention of challenging it will cause most people to feel a tangible unease because they're treading on some dangerous ground, a sense of fear that its best not to mess around in this place in case you break something accidentally. Each human with an intact "i am good" core applies goodness to all their actions by default, meaning if a person is not truly judging their motives or reasoning they are deemed to be "good" actions with pure motives because they are good and nothing specifically shows they're doing "bad" right that moment.

When the city with one of the fastest rising health costs in the US was examined it was found that the rising costs had a partner along for the trip, medical procedures and tests were rising as well. The doctors were doing nothing illegal, and obviously none of them thought they were doing anything wrong. So why the rise? It was just doctors increasingly exploring that grey area that doesn't challenge your central belief of your own goodness. Patient complains of headaches, and worries about something they read online about brain tumors, the doctor thinks its unlikely but its better safe than sorry, and imagine if he does have a brain tumor not only would i have missed it i might be sued too. Repeat this process over and over and goalposts move, more behavior is acceptable such as "ok so maybe she didnt need hip replacement surgery right now, but she definitely would have needed it soon, and im a far cry from Doctor EvilCompetitor, i cant believe he talked that poor shmuck into allowing brain surgery!".

Consider the complicated medical conditions that homeless contract on the streets with illness on top of illness requiring weeklong ICU visits, it becomes drastically reduced if a person is living in a home. A single avoided hospital visit of that kind alone can justify the free apartment for year or two or three.

Im trying to find that article again, will post link when i find it.

1 comments

> Did you read the article in full?

My point is that the article doesn't contain all relevant data.

> A doctor ordering what some would call excessive tests for a patient is doing the right thing.

May be doing the right thing. Some people think that my life is worth $X. Who's to say that they're correct?

> Consider the complicated medical conditions that homeless contract on the streets with illness on top of illness requiring weeklong ICU visits, it becomes drastically reduced if a person is living in a home.

Assumes behavior not in evidence. Homeless in SF have "not street" options that they refuse. What makes you think that they'll take different options AND that their risks will chance correspondingly.

I note that lots of folks with homes manage to get "street illnesses" so it's not true that homes solve disease. There's a decent correlation for current "homed" populations, but that doesn't tell us what would happen if we "homed" other populations.