Janneke Parrish
banner
jannekeparrish.bsky.social
Janneke Parrish
@jannekeparrish.bsky.social
Tech organiser. Former Texan. Wrote a guide to forming a tech union: http://tinyurl.com/5pyfp4yv She/Her,Zij/Haar. 🇳🇱 / 🇺🇸 . 🏳️‍🌈
That's a valid point, and you're not wrong that businesses do have a tendency to view fines as a cost of doing business. However, this precedent still exists, and is still meaningful, and will at least make a difference in the lives of the workers impacted by these (non)hiring decisions.
January 16, 2025 at 3:56 PM
Arguing that the problem is doctors being overpaid is like saying the problem with climate change is that the beach is now too close to your house. Sure, that's true, but you're missing the much, much more pressing reality of the broken system.
December 10, 2024 at 7:29 AM
What made the Anthem policy bad was not just that it would negatively impact health outcomes - because, let's be clear, it would - but that it was furthering the sheer bureaucracy of a dystopian system.
December 10, 2024 at 7:28 AM
The insurance bureaucracy also means that doctors bill for individual services rather than visits, further driving up costs and yes, increasing the incentives for unnecessary tests and machines. www.harvardmagazine.com/2020/04/feat...
David Cutler on trimming U.S. healthcare costs | Harvard Magazine
Administrative costs, greed, overutilization—can these drivers of U.S. medical costs be curbed?
www.harvardmagazine.com
December 10, 2024 at 7:28 AM
There's also the reality of what makes US healthcare so expensive. It isn't doctor salaries. It's the sheer bureaucracy of insurance and the cost it takes to uphold it. Roughly 33% of US healthcare spending is on the costs of insurance administration, a number that dwarfs other developed nations.
December 10, 2024 at 7:27 AM
More forms, more time spent not seeing patients, more time not spent on individually billable activities, time spent asking for compensation, that - as we know from things like mental health care - will not come.

It's simpler to rush a surgery that threatens to go long than to spend time on forms.
December 10, 2024 at 7:25 AM
But what the article is missing in arguing that Anthem's policy would have benefitted patients is the realities of what US healthcare looks like.

First, the argument that doctors could appeal if surgeries go over time misses that that is then even more paperwork doctors would have to do.
December 10, 2024 at 7:24 AM
All this is to say that I spent an hour today filing DMCA notices against a site that scraped my vegan recipe blog and reposted its contents, then posted them all again to Bluesky. So thanks, content thieves. You stole my content and an hour of my life. But you'll never steal my heart. <3
November 21, 2024 at 12:29 PM
By my understanding, you're responsible for the conduct of your thiefbot, but it's an interesting little gap in the law. If the design of the system is such that you're ingesting too much content to reasonably know whether you've stolen it, and those you steal from can't check, did you steal at all?
November 21, 2024 at 12:28 PM