365 karma · joined April 4, 2020
no one is denying they should be paid for their work we're wish to deny them the right to fuck over working americans to line their pockets.
they can easily pass a bill to fund lodgings for congress critters in DC if they wanted. it'd certainly be cheaper for americans than this corruption.
that's a tooling issue not a monolith vs microservice issue.
tooling can allow the exact same speed of deployment for tiny background processing without the need to completely segment your code base.
price transparency does jack shit in such a market where the stakes are literally your health.
healthcare services do not compete on price they compete on quality of service.
the next step and what should have been the first step is a public option with a mandate that employers must offer it as one of the insurance coverages available. I'd even go further and say employers must offer public + 3 other private insurances and to opt out for an increase in base pay equal to what the employer contributes to the most expensive plan.
the natural pressures on the government to minimize wasteful spending on social services will take care of the rest as suddenly private insurance will have to compete with cheaper to you public insurance.
I'm asserting even if it was implemented fully it won't do shit. I have insurance why would I give a shit about the prices? my employer pays the majority of the costs. its only going to incentives the uninsured to go shopping and they're a very small market.
thats precisely the problem. lack of choices in the insurance market where the incentives are not aligned.
I see no difference between private insurance and government run except the government is constantly lambasted for overspending and medicare seems to have the lowest operating costs and payouts to healthcare providers.
which seems to be the exact metric you want.
edit: just move to a public option system and watch shit hit the fan in the market.