Rising Cyber Attacks Costing Health System $6 Billion Annually
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@MattSpeller Yep. healthcare is some of the worst I've seen. I won't even apply to most of them. Think I've posted some of the job descriptions here before they alone scare me away. with things like administering windows server 2000/2003. IIS 5.0/6.0 etc etc.
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The problem is the that regulatory requirements that they have to endure are very behind.
A great example. Many of the CT machines systems are based on XP. They aren't upgraded because Windows 7, 8, 8.1, etc have not been certified by the FDA for diagnostic radiology.
This is constantly the problem. Additionally once a vendor creates a solution, they never go back and update it (or at least rarely does so).
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@MattSpeller said:
Still not enough to get most of them to stop using XP FFS!!!!!!
That's because healthcare is not a traditional business but is a monopoly. The companies that hold healthcare data are not vendors to the people whose data they have. So they lose no business in a breach and have no concern for that data since the people whose data it is cannot opt to not have their data there. This is a flaw in the US medical system that puts people at a crazy level of risk by removing all of the traditional government controls found in most countries and removing the protections that would be afforded by an open market economy where at least people who take their business elsewhere.
Effectively, there is no reason for any healthcare provider to protect private data. No incentive at all.
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how would you fix that?
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@Dashrender said:
how would you fix that?
I fixed it by moving to Europe where they care. Until Americans care about healthcare, the government isn't going to work to fix it. No incentive.
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How would I fix it if I could convince people to care? I'd look at working healthcare systems like France, Italy, Switzerland and Japan and modeling on what works great there and picking and choosing the best of them. They all have phenomenal systems that cost a fraction of what the US healthcare costs while delivering far better quality. Their populations care, their governments care and their doctors care. Caring is the first step.
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Funny - that's how you fixed it for you.. now how do you think we could fix it for the country (USA)?
How do you make Americans care about health care?
The only thing I can think of is by making them be part of the billing process again. But then all the providers (insurance and medical) will need many more billing people to answer the questions that will come pouring in.
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@Dashrender said:
How do you make Americans care about health care?
How do you make people care about anything? Who knows. First you probably address other aspects of the culture rather than trying to pinpoint that one thing. So ask... why do Americans defend one of the world's top examples of failed healthcare? Why do so many people love paying the most and getting third world level support? Why do we not just accept it, but often claim it is unmatched?
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We're well off into the weeds now but I suppose it's related.
For my $0.02 watching people argue against a system that makes health insurance cheaper and cover more people was like something out of the twilight zone. Most of my friends and I chatted about it ages back and offered up a collective "wtf?!"
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@Dashrender said:
The only thing I can think of is by making them be part of the billing process again. But then all the providers (insurance and medical) will need many more billing people to answer the questions that will come pouring in.
If you have insurance companies between people and the healthcare, you cant have a working system.
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@MattSpeller said:
We're well off into the weeds now but I suppose it's related.
For my $0.02 watching people argue against a system that makes health insurance cheaper and cover more people was like something out of the twilight zone. Most of my friends and I chatted about it ages back and offered up a collective "wtf?!"
that's because Americans are all about the "impression" of capitalism but have no idea what it actually means.
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Maybe fix education first so that in a generation people will be prepared to rationally understand where previous generations went wrong.
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@scottalanmiller teaching kids to think critically instead of force feeding them crap to remember would be an awesome start!
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@MattSpeller said:
@scottalanmiller teaching kids to think critically instead of force feeding them crap to remember would be an awesome start!
But first, you need people who care....
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I'd like to know why car insurance works yet healthcare insurance doesn't?
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@Dashrender said:
I'd like to know why car insurance works yet healthcare insurance doesn't?
Easy. It's optional and transparent. No one "needs" a car. No one buys a car in a panic because they are walking to work and their feet break and they need take to a car shop by ambulance. And insurance is optional, self insuring is completely legal (everywhere that I know.)
Health insurance is not negotiated by anyone and it is a legal requirement. The hospital can charge anything that they want, you often have no choice. There is no open market here. The insurance can refuse to pay anything that they want, there is nothing you can do about it. You get no free will in deciding emergency health care, no cost assurances, no transparency and the insurance company has no need to represent you nor to pay the bills.
One is an open market, one is not. Healthcare is a utility (when it matters.) You can't treat a utility service like an open market, that's the worst possible situation. Capitalism works, but only when it is real. Without an open market, you have nothing resembling capitalism.
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Scott's previously told me that he sees the people of a country as a commodity that the country itself needs to maintain in good working order, this is why he feels that national healthcare is a good thing (at least it is how I understood what he was saying - please correct me if I misstated).
And to that end I can understand that.
What I don't understand is that I'm told that in places like Canada, Germany, etc. If you need a kidney transplant you're more likely to die than ever see that transplant. Furthermore, our media machine also tells us that the line at the doctors office is worse than what we have in the US.
Now frankly I don't know if that's true or not, I've never been part of the healthcare system in either country (or any other for that matter).I hear that the US has the best healthcare if you have a rare disease because there is money to be made there, you'll pay an ass load, but you'll get good care NOW. Unlike the socialized countries where you get put on a list, and you stand in line with everyone else who has that problem, and again, the media is telling me that most of those people die before they get treatment.
Additionally, look at the tax load the social medical situation has put on those countries. Vat is 18%. and of course it's completely hidden from you, because the price you pay is just what you see on the self.
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With car insurance, your rates go up as you become a risk. If you are too risky, you can't drive anymore. Simple. Do you want people to lose insurance when they get too sick? Is "they should die" the right answer to extreme costs?
The things that make bad drivers unable to be insured doesn't work with healthcare. The last thing we want is for health insurance to only exists for those that are healthy and the act of getting sick or insured (or old) to mean that the insurance you have been paying for goes away.
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Also, it is in the interest of the populace that bad drives be kept off of the roads. Insurance acts like a mitigated form of punishment for making mistakes.
It is not in the interest of the populace that health issues make people unable to work and be effective in society. So the logic that makes one form make sense makes the other very bad (even for the healthy people.)
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@Dashrender said:
What I don't understand is that I'm told that in places like Canada, Germany, etc. If you need a kidney transplant you're more likely to die than ever see that transplant. Furthermore, our media machine also tells us that the line at the doctors office is worse than what we have in the US.
Now frankly I don't know if that's true or not, I've never been part of the healthcare system in either country (or any other for that matter).This isn't true... just something our media machine dreamed up one day. People in areas with socialized medicine generally have the same if not better access to medical care and treatments then we do in the US. The "list" the media keeps talking about generally points to the elective surgeries that are not life threatening.
Also... if you are put on a transplant list in the US you have an equal chance of dying as any first world country.
