NTDF9

> I'm confused by your comment. How did you decide this was something worthy of fixing if it "doesn't show any good metrics"? If you can't quantify the issue in any manner, how do you determine it's worth doing?

Because sometimes some things without metrics are incidental to the actual thing you set out to do.

E.g. a large refactor that switches libraries which is necessary for your new service that give 10% lower latency. But that library refactor will need to be done and it will take 2 months.

> I feel like you're stating this as "Look how silly KPIs are!", but your CEO is correct. The issue isn't the KPIs; it's the team members who are willing to intentionally game a system in conflict with overarching company goals.

The real issue is - KPIs are used to incentivize or PIP employees. Why are you setting the employees in a game that is in conflict with your company's overarching goals?

What about things like "Stuck on XYZ because no one fixes it because it doesn't show any good metrics and management doesn't care about it. So I fixed it at the expense of my own time."

> Anything surgical is typically billed against a dozen or more CPT codes for a single procedure and often involves more than one provider.

This is the real startup gap. There are thousands of CPT codes. When a medical provider is trying to give an estimate, it should be easy for Medical providers to have packaged, template CPT codes for template procedures. Then, they should be able to add/remove CPT codes from the package (like drag and drop), and the prices should change automatically.

The template packages could even be put on a social marketplace for doctors so that the information is shared.

I have seen managers who were very effective at their work. But they actually understood the software in depth and were very skilled at shielding the team from politics.

> Other countries are able to execute proper fiscal policy without complex central banking paradigms or measures.

Which countries?

When you really think about it deeply, better production should depress prices because of econ 101.

However, the FED induced inflation in assets has made everything out of control.

What a great analogy!

I think this is a great analogy to bridge the gap between individualistic vs systematic thinkers about US education and healthcare

yup

I don't think the problem is lack of loans. The problem is the price of assets. This is a structural problem (this used to be something we used to tell developing countries and here we are)

Essentially, the asset prices need to match economic activity. Another way to think about this is that house prices should be affordable to the median household (teachers, nurses, office staffs, blue collar workers)

The reason it is not affordable is because of laws and unequal taxation.

Access to loans is NOT the problem!!