The Systemic Squirrel

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[The Systemic Squirrel @thesysquirrel]

Morocco’s Casablanca-Settat region contributes no less than 60.6% of the country’s tax revenue @ChefGov_ma

https://t.co/XRGK5L7Z7M

[The Systemic Squirrel @thesysquirrel]

@YusufCatStevens Incredible

[The Systemic Squirrel @thesysquirrel]

Morocco’s surge in popularity following their world cup stunt in numbers @FRMFOFFICIEL
https://t.co/UWHShUuw88

[The Systemic Squirrel @thesysquirrel]

@dw_environment Exactly

[The Systemic Squirrel @thesysquirrel]

Morocco is leading the way in advancing renewable energy https://t.co/lgVENuX7cq

[The Systemic Squirrel @thesysquirrel]

@balajis Democracy is a utopia at the world’s scale. Power dynamics exist. But those with power have to wield it somewhat benevolently to keep the peace.

[The Systemic Squirrel @thesysquirrel]

@balajis The League of Nations that preceded WW2 failed because powerful countries did not dominate.

The UN reflects this reality by giving WW2 winners extra power to reflect their economic and military influence.

[The Systemic Squirrel @thesysquirrel]

That means that providers have no incentive to operate in a lean way since every service will be reimbursed by a private payer that ends up diverting its costs to companies.

[The Systemic Squirrel @thesysquirrel]

Patients in US healthcare have a low price sensitivity once they have insurance. And it is companies rather than the patients themselves that pay for it. 🧵

[The Systemic Squirrel @thesysquirrel]

You can divide administrative expenses in health care into categories including but not limited to the following: 1) financial transactions ecosystem, 2) administrative clinical support functions.

[The Systemic Squirrel @thesysquirrel]

Is there a "productivity imperative" in US healthcare delivery today?
https://t.co/YWG3exqT0x

[The Systemic Squirrel @thesysquirrel]

So, all things considered, the U.S. uses the not-so-cost-effective system it operates in pretty efficiently.

(2/2)

[The Systemic Squirrel @thesysquirrel]

Given its multi-payer system, the U.S. would be expected to spend more than it actually spends on non-medical, health-care costs. So basically all those related to administration and insurance.

(1/2)

[The Systemic Squirrel @thesysquirrel]

U.S. health care has:

- a diverse and competitive multi-payer system
- multiple, different state regulations

From an administrative level of analysis, this makes it too complex.

No wonder administrative costs take up 25% of U.S. health care spending (vs. 17% in Canada).

[The Systemic Squirrel @thesysquirrel]

@BuzzBuzz4417 @DanPriceSeattle That's fair but isn't it the case that only the president uses it?

[The Systemic Squirrel @thesysquirrel]

@nemesix11 @DanPriceSeattle Well, there is that.

[The Systemic Squirrel @thesysquirrel]

That's exactly right. Private and public insurance work the same way.

The only difference is that the money that ends up going to executive pay in a private solution could go elsewhere.

For example, to cover the 31 million Americans uninsured if it were public.

[Dan Price @DanPriceSeattle]

If we get universal health care and my taxes end up going for other people's health care ...

I won't care at all because my premiums already pay even more for other people's health care plus a insurance executive's yacht.

[The Systemic Squirrel @thesysquirrel]

Interesting chart.