[FRIAM] health care logistics

[Merle Lefkoff]

Please resend the post about the new game about a dystopian future.  I've
been trying to download STEAM so i could watch, and I lost the post.
Thanks.

On Thu, Jan 20, 2022 at 3:33 PM glen <gepropella at gmail.com> wrote:

> Yes, insurers are a big part of the problem. But it's not the whole
> problem. I can't find the link now. But I linked to a story about how
> Louisiana (I think) had "magnetized" the majority of their hospitals such
> that the capacity for broad spectrum care was isolated to few locations,
> difficult to get to for many people. That's just one example of bad
> logistics. I also think we've discussed EMTALA <
> https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA>, which
> *sounds* great. But the reality is that EDs don't cover area or population
> well at all. And it's a bit ridiculous that EDs are expected to accept
> psych patients just so they can be sedated and occupy a bed. Etc. These
> issues are largely independent of insurance.
>
> I think it's more related to our obsession with individualism, the
> rationalist conceit that we all want to, or even *can*, pick and choose
> what's best for us. And the myth of meritocracy doubles down on it because
> stupidity, greed, and myopia aren't immediately painful ... if they're
> painful at all. It doesn't even work when, say, choosing to eat fast food,
> much less when choosing whether to pay into a risk pool.
>
> Individualism extrapolates up to the myopic focus of corporations on
> quarterly performance over longer term robustness and niche-filling
> products/services. And I suppose it extrapolates up to states as well. Even
> if there are multiple paths to nearly equivalent optima, each unit (human,
> hospital, corporation, state) has to share some values with the others in
> order for the the optima to be commensurate.
>
> On 1/20/22 11:41, Marcus Daniels wrote:
> > It seems largely constrained by insurers.   They specify how hospitals
> and patients need to ask request service.   I wonder how the states vary in
> how they handle public health overrides of the insurers, like with
> COVID-19?   How can any random person get to the best possible hospital for
> a treatment?  That just isn't optimized in general.
>
> --
> glen
> Theorem 3. There exists a double master function.
>
>
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-- 
Merle Lefkoff, Ph.D.
Center for Emergent Diplomacy
emergentdiplomacy.org
Santa Fe, New Mexico, USA

mobile:  (303) 859-5609
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