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hodgesrmyesterday at 6:42 PM1 replyview on HN

> What a passive way to say executives kept a larger share of profits for themselves, forcing workers to be stressed and do a sub-optimal job.

This is a very limited view of why things don't work. The main issue in my experience is whether the company values the outcome and ensures focus on optimizing for it. That can include everything from adequate staffing to comp to training to management focus. (A lot of the last one.)

You can spend a huge amount of money and still get a crappy outcome. US healthcare provides a rich field of examples.


Replies

nick238yesterday at 9:00 PM

US healthcare is a leader in administration fees (e.g. paying health system executives) compared to other countries around the world. High US healthcare cost isn't because of increased usage, but because of the higher admin fees and higher prescription drug prices. Prices are fixed high because law prevents the government from negotiating prices (o.b.o. Medicare/aid), and those provisions were inserted on behalf of pharmaceutical companies so their executives could make more money.

Paying individual workers more may have some benefits, but I think the key issue is usually overworking and burnout because the incremental cost of adding a whole new employee is way higher than just pressuring workers to do more work in the same time.