• eestileib@sh.itjust.works
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    1 year ago

    Look at Kaiser; they run a vertically integrated shop. They’re fanatical about

    • not paying for any elective treatments even if it would improve quality of

    • preventive care to cover all the diseases they’re legally required to cover

    • minimizing org-to-org friction

    • using the cheapest means of communication whenever possible (text > video >> in-person)

    I never had my blood pressure and lab work more scrutinized, never had more help offered to lose weight, etc, than when I was a KP patient.

    Turns out I have special medical needs and there is a specialist clinic near me, so I switched insurance. But I always felt that my doctor wanted to keep my ass out of the hospital because that is where his bonus came from.

    Now SURGEONS, that’s a different story.