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by spwa4 125 days ago
Purchase? You're misunderstanding how government consultancy works (this is what EU states use consultancy firms for, and that's what Palantir really is)

A purchase works as follows: I like ice cream. I give you 5$. You give me an ice cream. I enjoy ice cream.

This is: government likes private health data. Hospital gives Palantir 5$, and your health data, repeat for 1 million patients. Palantir gives the health data to government, employs the nephew of the head of the healthcare regulator. Your unemployment gets denied because the doctor said you could work.

Buying means exchanging money for goods and services. This is exchanging money AND goods AND services for nothing. It's highly illegal for private companies, if you try it you'll get sued by the tax office the second they see it and find all company accounts blocked "just in case", but of course if you are the government, directly or indirectly, it's just fine and peachy.

And you might think "this makes no sense". But you'd be advised to check out who appoints the head of the hospital first. It does make sense. (In fact just about the only break on this behavior in most EU countries is that the Vatican still has control over the board of a very surprising number of hospitals. Needless to say, the EU governments really hate that, but there tend to be deals around this. For example, in Belgium the hospitals get 50% less per resident. These sorts of deals were made, but they now mean that if the government wants the Vatican out of the board ... they have to increase spending on that hospital, often by a lot. I'd call them "Vatican hospitals" but one thing government and the Vatican really agree on is that they do not want patients to know the underlying financial arrangements around hospitals, and in many cases it's quite difficult to find who controls a hospital even though it's technically public information)

2 comments

> Palantir gives the health data to government

Ice cream was sellers when they were selling it, but not the data, data belongs to someone else, who didn't explicitly allow selling it

The problem with today's society is you walk into a hospital bleeding and they make you sign an ultimatum.

Legally this should be treated as signing under duress and invalidated.

If someone's life or well-being depends on it, and undergoing services in not a choice, terms and conditions should not be legally allowed to be unilaterally dictated by one party.

Fun fact: it’s illegal to open new hospitals without the permission of the government.

There are multiple layers of corruption at work here. (They also cap the number of doctors, and clinics, etc).

> it’s illegal to open new hospitals without the permission of the government.

This doesn't seem surprising on its face given that a hospital is, not unreasonably, a heavily regulated entity.

“on its face” is doing the heavy lifting here. Banking is highly regulated but you don’t need government permission to open new branches. The food supply chain is heavily regulated but you don’t need government permission to start new restaurants.

The supply of medical care, from operating rooms to doctors themselves, is heavily controlled by the state. There are billions, perhaps trillions of dollars that would flow into reducing the cost and increasing the availability of high quality medical care in the US if this were not so.

The demand is through the roof and will continue to rise. But the right to supply is only handed out to cronies.

> Banking is highly regulated but you don’t need government permission to open new branches.

The closer economic unit would probably be a bank itself, and to my understanding you do effectively need the government’s permission to open one of those.

> don’t need government permission to start new restaurants

Zoning, construction permits, occupancy permits, patio permits, food licenses, liquor licenses, health inspections, dumpster permits, etc

in Western history, culturally, Church was a founding force for the existance of hospitals, full-stop. Repeat with more money and more fallable humans and yes some of what you say is accurate. But, if you start naming the behavior as if it is synonymous with the original founders of Hospitals, you a) create an intellectual dishonesty on your part, b) attract wing-nuts and sociopaths who are looking for a place to join in the chanting, c) obscure important details while the casual readers focus on the glaring finger pointing.

If you want to actually contribute to this very difficult topic, please refrain from welding disparate labels together in the introductory materials.

Oh I fully realize that the original hospitals were ... let's say better than the gutter by about 10%, and no more than that. Both for the patients and everyone else in the street or even city.

And I do realize the only reason the Vatican management is better is because the Vatican is ALSO corrupt ... but with different masters. The improvement is coming from the conflict between these groups. I do get the impression the Vatican is actually the more moral of the two parties, meaning compared to the government, but not by a huge margin.

The way I read it, GP is saying that the Vatican's influence reduces such unethical distribution of medical information. Your response reads like a rebuttal, but I'm not sure what you're trying to say, nor rebut.
>in most EU countries is that the Vatican still has control over the board of a very surprising number of hospitals.

>Needless to say, the EU governments really hate that

> if the government wants the Vatican out of the board ... they have to increase spending on that hospital, often by a lot. I'd call them "Vatican hospitals"

> one thing government and the Vatican really agree on is that they do not want patients to know the underlying financial arrangements around hospitals

> in many cases it's quite difficult to find who controls a hospital even though it's technically public information)

I am responding to these somewhat "breathless" statements that imply more than they delineate. My rebuttal is that these words frame a kind of inquiry that is common among conspiracy-attracted commentors.

The subject deserves more rigor and less insinuation IMO.