[WalterBright]

> Doctors for United have reported pressure to reduce time spent with patients, and make patients seem as sick as possible through aggressive medical coding tactics.

This is inevitable when government is handing out money. Recipients will always game the bureaucratic rules that specify payouts.

[palmfacehn]

https://www.forbes.com/sites/johngoodman/2018/10/02/employer...

Directly paying for cash-priced surgery has become cheaper than the heavily regulated insured coverage. Not only cheaper when including the overhead of having insurance, but cheaper in real terms of a single surgery event.

[bandrami]

This is inevitable when doctors bill per service. When they are paid by capitation that incentive disappears

[WalterBright]

Nobody has ever devised a bureaucratic rule that cannot be gamed.

Here, the test providers get paid by the test. Easy enough to kick back test payments to the doctors.

As for paying by capitation, why would they work extra hours to serve more patients? Or just see fewer patients and relax?

[bandrami]

That's generally what happens, yes. Good, fast, cheap: pick two

[ttyprintk]

My favorite is “Ayn Rand Institute accepts $1m PPP loan from The State”

https://news.ycombinator.com/item?id=23764542