rdmcfee
Joined 16 years ago
Joined 16 years ago
The unit cost of healthcare is so much higher than in other developed countries.
In British Columbia, physicians bill at total of around $31 CAD ($23 USD) for a standard office visit. They pay all their overhead out of this fee. Typically doctors keep 65% of their billings and the offices take 35% for overhead. From what I can tell, a similar visit in Washington State will run between $60 and $200 USD when billed to insurance.
Why is this the case? What are the factors in the American system that prevent reasonable pricing?
http://www2.gov.bc.ca/assets/gov/health/practitioner-pro/med...
The first issue is that it's extremely difficult to run a long term controlled study on nutrition. Adherence to diet interventions is difficult to measure and it drops off over time. As a result most nutrition studies are epidemiological cohort studies which are not particularly good at determining causality.
The second issue is a question of funding. Diet and exercise interventions are not something that are typically monetized be the pharmaceutical industry. As such there is little private sector funding going into nutrition studies. Couple that with the fact that they're extremely expensive and you have a serious deficit in studies.
Your interest costs will be proportional to your leverage so you need the asset to outperform your interest rate to realize anything.
In Seattle now and it's a great compromise. Similar wages to the Bay Area but similar geography and outdoor access as Vancouver. And even with the exchange rate housing is cheaper than Vancouver.
As a collateral effect, even Vancouver's population skyrocketed growing from around 13,700 in 1891 to over 100,000 in 1911.
https://en.wikipedia.org/wiki/Demographics_of_Vancouver#Popu...
It's great to see a tool like this which both encourage software engineers to negotiate their salary, and help them strengthen their bargaining position.
To infer causality in an epidemiological study such as this you need very large cohorts with very specific results.
Even with huge cohorts you still have relatively indefensible results. The 7 country study is a good example: https://en.wikipedia.org/wiki/Seven_Countries_Study
In this particular case, coinciding the interventions of your diet change and exercise regiment make it very difficult to know the respective contribution of each to your results.
Interesting anecdotes nonetheless.