Late Stage Capitalism
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Introduction to Socialism (external links)
Marxism-Leninism Study Guide: Advanced Course
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It's more of a relationship that is partially adversarial and partially cooperative.
Unlike single payer public option where the incentive is to both save money and maximize healthcare available, so it seeks a balance between keeping costs low enough to be affordable (at a societal level) while paying enough that doctors want to provide the services.
Basically it goes
Hospital: Holy fuck insurance pays more than peons can, increase the prices! 2 chewable asprins are now 200 dollars.
Insurance: Hey, fuck you, you cunt. We're not paying 200 dollars for 10 cents of chewable asprins. We'll pay 50.
Hospital: Hey, fuck you, you got the money, give us 125.
Insurance: Go fuck your whore mother, You're getting 100 and not a dollar more
Hospital: Fine, Deal.
Self Pay Patient: How am I supposed to afford to pay for the asprin when this is how it goes..