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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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    David Chapman‏ @Meaningness 8 Jan 2018
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    David Chapman Retweeted Dave Chase

    Something *like* this must be true and important, but the graph says the number of healthcare administrators quadrupled between 1992 and 1995. That’s not plausible. Anyone know of a reliable analysis?https://twitter.com/chasedave/status/950224258659098624 …

    David Chapman added,

    Growth of physicians and administrators 1970 to 2009. Virtually all growth is in administrators.
    Dave ChaseVerified account @chasedave
    By now, I'm sure everyone has seen this graphic but it's worth reminding this is where most of the headcount growth has come from. pic.twitter.com/Ilqhsno3aF
    Show this thread
    8:00 AM - 8 Jan 2018
    • 1 Retweet
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    • sol Ceasar Bautista michael pawluk Dan listens to the sudden reconfiguration Kevin Ellie K ♕ Paul Blinn
    4 replies 1 retweet 6 likes
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      2. David Chapman‏ @Meaningness 8 Jan 2018
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        The graphic says it comes from “Health Care Costs: A Primer” from the Henry J. Kaiser Foundation. That is online, and I couldn’t find this data there.https://www.kff.org/report-section/health-care-costs-a-primer-2012-report/ …

        2 replies 0 retweets 2 likes
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      3. David Chapman‏ @Meaningness 8 Jan 2018
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        The military has a memorable, vivid metaphor for this: the tooth-to-tail ratio. Caudal hypertrophy—a rapidly growing tail, which also afflicts universities, for instance—must be the main cause of cost disease. https://en.wikipedia.org/wiki/Tooth-to-tail_ratio …

        0 replies 0 retweets 6 likes
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      4. End of conversation
      1. David Chapman‏ @Meaningness 8 Jan 2018
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        Replying to @diachronist

        I’m not really a good person to ask… but I’d suggest working through an introductory textbook, and consulting online videos and the Wikipedia whenever you get stuck

        0 replies 0 retweets 1 like
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      2. Henk Poley‏ @HenkPoley 8 Jan 2018
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        Replying to @Meaningness

        Maybe some of it is in FTE? Eg healthcare professionals spend more time keeping logs.

        1 reply 0 retweets 0 likes
      3. David Chapman‏ @Meaningness 8 Jan 2018
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        Replying to @HenkPoley

        Good point… wouldn’t explain the cost explosion, though?

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. Taylor Hodge‏ @jtaylorhodge 8 Jan 2018
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        Replying to @Meaningness

        Taylor Hodge Retweeted David Chapman

        Extra insight into the previously posted graph from @Meaningness. I especially appreciate the introduction of the "tooth-to-tail ratio" which I was previously unfamiliar with.https://twitter.com/Meaningness/status/950396824061292544 …

        Taylor Hodge added,

        David Chapman @Meaningness
        Something *like* this must be true and important, but the graph says the number of healthcare administrators quadrupled between 1992 and 1995. That’s not plausible. Anyone know of a reliable analysis? https://twitter.com/chasedave/status/950224258659098624 …
        Show this thread
        0 replies 0 retweets 0 likes
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      1. Aaron Rath‏ @AaronRathAuthor 8 Jan 2018
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        Replying to @Meaningness

        I occasional see similar comments about college costs, pointing toward an explosion of administrators - wait, I see you mention that below. I've always wanted to see some graphs or explanations of how that one has developed, too.

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