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Meaningness's profile
David Chapman
David Chapman
David Chapman
@Meaningness

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David Chapman

@Meaningness

Better ways of thinking, feeling, and acting—around problems of meaning and meaninglessness; self and society; ethics, purpose, and value.

meaningness.com/about-my-sites
Joined September 2010

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    1. David Chapman‏ @Meaningness 2 Apr 2019
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      David Chapman Retweeted tyro

      Massively inspiring. When I said the actual cost to provide healthcare is 10-20% of what we pay in the US, people thought I was nuts. Seems I was wrong—it’s even less. ♻️ @_TamaraWinterhttps://twitter.com/DoubleEph/status/1113068382763483137 …

      David Chapman added,

      tyro @DoubleEph
      Remarkable one man war against Baumol’s Cost Disease https://www.bloomberg.com/news/features/2019-03-26/the-world-s-cheapest-hospital-has-to-get-even-cheaper …
      Show this thread
      6 replies 30 retweets 147 likes
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    2. David Chapman‏ @Meaningness 2 Apr 2019
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      Providing best-practice medical care to everyone in India is a collossal challenge, and eventually doable I imagine. Happy side-effect if progress toward that goal shames developed-world costs down 90%! Which is feasible right now, just needs political will.

      2 replies 0 retweets 10 likes
      Show this thread
    3. Stephen Pimentel‏ @StephenPiment 2 Apr 2019
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      Replying to @Meaningness @_TamaraWinter

      As I never tire of repeating, diagnosis and prescription are very different things, the more so, the complex the social phenomenon in question. I suspect you and I very largely agree on our diagnosis of the U.S. health care system.

      1 reply 0 retweets 1 like
    4. Stephen Pimentel‏ @StephenPiment 2 Apr 2019
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      Replying to @StephenPiment @Meaningness @_TamaraWinter

      I remain deeply skeptical that an effective solution involves government provision and "just needs political will."

      1 reply 0 retweets 1 like
    5. David Chapman‏ @Meaningness 2 Apr 2019
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      Replying to @StephenPiment @_TamaraWinter

      By “political will” I meant broad knowledge that we are drastically overpaying, and demand that it stop. Dysfunctional regulatory overhead is clearly a large part of the problem, and a genuinely free market is likely the best solution; but “how” is secondary to “when.”

      1 reply 0 retweets 2 likes
    6. Stephen Pimentel‏ @StephenPiment 2 Apr 2019
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      Replying to @Meaningness @_TamaraWinter

      It sounds like we may agree more on prescription than I supposed! I'm particularly sensitive to the prescriptive piece because I hear many well-meaning proposals that I believe will actually make the bad U.S. system even worse.

      1 reply 0 retweets 1 like
    7. David Chapman‏ @Meaningness 2 Apr 2019
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      Replying to @StephenPiment @_TamaraWinter

      I think the key is to adopt zero-based cost estimates, instead of tinkering with the existing structure. Whenever I visit my mom in hospital or tske her to a medical appointment, I sum market salaries and equipment cost, add floorspace and 20% for SG&A to come up with actual cost

      1 reply 0 retweets 1 like
    8. David Chapman‏ @Meaningness 2 Apr 2019
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      Replying to @Meaningness @StephenPiment @_TamaraWinter

      Ultimately it doesn’t matter exactly where the 80-90% waste goes; it just matters to know we *could* provide the same service for 10-20% of the current cost.

      1 reply 0 retweets 1 like
    9. Stephen Pimentel‏ @StephenPiment 2 Apr 2019
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      Replying to @Meaningness @_TamaraWinter

      I concur with your estimates. I also believe that many who are most active on this issue would fight tooth-and-nail against the only effective means of reducing prices to near the actual costs, screaming about the evils of "Uberization," etc.

      1 reply 0 retweets 3 likes
      David Chapman‏ @Meaningness 2 Apr 2019
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      Replying to @StephenPiment @_TamaraWinter

      I believe you are right. OTHO, if India does it, it will be hard to say we can’t.

      10:59 AM - 2 Apr 2019
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        2. David Chapman‏ @Meaningness 2 Apr 2019
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          Replying to @Meaningness @StephenPiment @_TamaraWinter

          Also, important to emphasize that provider salaries are NOT where the money is going, and decreasing them is not part of the solution. Most are already underpaid by US standards, and the zero-based analysis shows they are a small fraction of the cost.

          1 reply 0 retweets 1 like
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