AnonymousActuary
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User ID: 2163
it's worth mentioning how much of the admin is just due to complying with the regulatory burden that comes from being in the health care industry. The typical way we try to control costs is by rolling out complex programs that require more detailed coding, data tracking, etc.
This is even better in the books. Denethor and Theoden each have their moments of great competence, countered by the Witch-King. Saruman is arguably incompetent, but still a fearsome adversary just due to numbers and the timing constraints the free peoples are operating under.
they actually did that in Rise of Skywalker, with Rey using force lightning semi-accidentally (to not-kill Chewbacca)
I was a more strident advocate for DST being dumb, but I now think it is more appropriate, as trying to get kids up in the morning when it is pitch black outside is pretty rough.
In a world where school started at a more reasonable hour you probably wouldn't need it, but then there's all the knock-on effects from school also functioning as daycare...
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functionally speaking this is the current status quo - commercial prices are generally somewhere around 1.5-2.5 of the Medicare price for a given service.
The hospital transparency stuff is hidden behind massive massive JSON files and poor data quality. Numerous startups are working in the space to make it actually transparent - still a work in progress.
The insurers themselves are doing some of the work by using eg variable copays to drive utilization to cheaper contracted hospitals. Only works in urban cores though.
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