repair in modern society-- your plumber finds a new leak, your mechanic finds a cracked head, your contractor's subcontractor fails to do a job...
It seems like a large part of the problem is that medicine is still billed like piecework. If you bring your boat in for repair, every part and action is billed-- not only are you billed by the hour for sanding the hull, but also for each sheet of sandpaper. Sound familiar?
We have this curious arrangement of public and private hospitals, with some of the private ones being for-profit. I'm not sure of the difference between non-profit and for-profit, except non-profits have some more rules and don't pay taxes.
Duplication of effort is endemic-- "making the rounds" is team sport, with your doctor followed by a half dozen others who say nothing but sign charts and submit bills.
When my mother had a severe heart problem, it couldn't be handled by the hospital her doctor was admitted to, so they sent her to the large regional hospital where she did receive excellent care. But, since her doctor and hospital were not to be trusted, she had a complete workup done by the big guys and spent over 10 grand doing it. They found a few things and scheduled more tests, until they reluctantly talked to her doctor and found they existed for years and were being watched.
But enough of that-- we now have a system where the federal government administers Medicare, Medicaid, VA, Indian Health Service, Public Health Hospitals, and who knows how many others.Then we get down to state, county and municipal services and plans, and even further down to private services and plans.
I haven't seen how MOFA or any other "plans" can organize this mess. Seems no one remembers how difficult it was to get Obamacare through, and how it was, and still is being, eviscerated.
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