biochem wrote:It's always taxpayers who are forced to pay for the incompetence and apathy of their government tormentors.
http://cfif.org/v/index.php/commentary/ ... at-the-cdc
The advantage of honest capitalism over honest socialism is that elimination of bunglers is automatic, rather than political. Voting with our money still makes sense.
There is no real competition in hospitals, outside dense urban centres, they are a natural monopoly as there simply is not enough demand to make starting a competing one worthwhile. Also often (see also MRSA) cleaning staff is the first to be squeezed or outsourced in the quest for economical competitiveness (which is the only criteria by which market-competition works). "You have five minutes to clean each room" is only icky in a hotel but actively dangerous here. The same goes for hiring unskilled people for peanuts.
Well you could deal with it the traditional government micromanagment way which it to put together list of best practices in 2016, enact them into rules, dump a huge compliance burden onto the small hospitals and driving them out of business and preventing the implementation of a better infection prevention process developed in 2018 because it is non-compliant.
Or you could enact regulations making executives personally responsible. If you put in place a regulation that required hospital executives to personally pay a fine out of their own pockets if MRSA (and other hospital acquired infections) reach unacceptable levels, then those executives would make very very sure that their hospital followed best practices, that the cleaning staff were competent even if they have to pay more and that those practices were regularly updates as better processes were discovered.
Requiring responsibility is far simpler and far more effective than micromanagement.
Only when the responsibility requirement is enforceable... and guess what that takes?
