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Cake day: June 16th, 2023

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  • I did not compare it to Germany. I used Germany only as a step into my post. It is over-simplified as it is not how it will be in the US. Can you draw a chart for the UK Health System without once mentioning the NHS? Between the government and the Doctors will be at least one institution that most possibly will be named “American Health Service” or something like that. Drawing a line from the Doctors to the Government makes it sound like people gonna send their bills to the White house. The reality is that the Government will only allocate the Funds for a certain subsidiary unit that will handle that worksload. The NHS in the UK employed 1.2 Million people. Leaving out that aspect is critical in a chart like that. In my view, the graph is too simplified. If you feel it is telling all you need to know, good for you. Apparently rough outlines like that are all you need.


  • My point was that a chart where your doctor sends the government the bill would be misleading. National Health Service in England, NHS Scotland, NHS Wales and Health and Social Care in Northern Ireland pay the bill (and are basically the government) and are the names people are using to either blame or praise the work of these systems. In a country as divided over the government work as the US is, I think it is a bad idea to say “Government pays the bills” as it neglects all the work and effort (and funding problems) that the subsidiary has to do. Government is just allocating the funds for the NHS to pay out to the doctors.


  • I think this is a bit too simplified. The “Government pays the bill” is not how it works at least in Germany. We have “Private health insurance” and “compulsory health insurance”. If you decide to leave the later, you do not pay into the system anymore, but have to get a private insurance (and you might not be able to get back into the compulsory insurance when you get older).

    Anyway, the way the system works is that there are many insurance companies that you can choose from with different profiles that take care of the bureaucratic underbelly of managing the whole process. These company has thousands of workers to take care of these processes and guide/deny their customers services. My Insurance company alone has 15.000 employees.

    If the “Government pays the bill”, then you might need something like 30.000 - 80.000 federal workers to take care of the bills/requests to guide the patients and prevent fraud. Will the government hire them? Is the plan like having a NHS like the UK?

    My point is, the Government will not pay your bills. A subsidiary with a over decades grown structure will do that. I can already see how people gonna hate the new structure, as it will struggle for the first 10-20 years to define their processes and layout the services. On the other side will be people with deep pockets still using private insurance. These companies will use their money to attack everything this new government system will do and will rile up people against it to gain back the market.

    I am absolutely pro-single payer system. I just hope no one is so naive to think it will be just like the graph shows it. It will be much more complex than that and people need to fight for it and endure some “finding phase” for the first two decade before one of their presidents will trash it again. I can already see fox news headlines about how people died because of the new system or how a grandma in ohio did not got the right care at the right time and therefore the whole thing is apparently a bad idea. It will be rough to say the least. Will americans have the voice to change the system? Will americans have the patience to overcome the problems? We can only hope so.





  • Doubt. A printer does not start printing unless the whole job has been converted into post script for the print processor/print server. I would say someone just did not checked the generated document before printing and therefore did not noticed the missing graphic. You could pull the plug on your pc and the printer would continue the process, as long as he got a complete and valid post script.

    If you want to avoid this, always export as PDF, check PDF and print from PDF. It is the industry standard since 35 years and post script is it for… idk… 50 years? We are talking early 80’s here when Desktop Publishing go into overdrive mode. Things like that just not happen all the sudden. It is mostly a Layer 8 Problem.