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 <[email protected]> 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. > > > .-- .- -. - / .- -.-. - .. --- -. ..--.. / -.-. --- -. .--- ..- --. .- - . > FRIAM Applied Complexity Group listserv > Zoom Fridays 9:30a-12p Mtn UTC-6 bit.ly/virtualfriam > un/subscribe http://redfish.com/mailman/listinfo/friam_redfish.com > FRIAM-COMIC http://friam-comic.blogspot.com/ > archives: > 5/2017 thru present https://redfish.com/pipermail/friam_redfish.com/ > 1/2003 thru 6/2021 http://friam.383.s1.nabble.com/ > -- Merle Lefkoff, Ph.D. Center for Emergent Diplomacy emergentdiplomacy.org Santa Fe, New Mexico, USA mobile: (303) 859-5609
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