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(striking nurses are the innermost circle only)
(sh.itjust.works)
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this post was submitted on 06 Sep 2023
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Where is all the money going healthcare? I went to urgent care and was given ibuprofen for a herniated disc. I waited hours and the doctor spent 2 minutes with me before running back out. Was charged like $600. Who got that money if not the doctors and nurses? Even with overhead they were churning people.
Bonus question: where is all the money going in education? I’m passing $1200 for a physics class off 300 and the PhD student running it makes $28k/yr
The workers don't see that money, their owners do. and the shareholders see some of it sometimes.
But hospitals are normally owned by educational institutions or non-profits. Both of my sisters work for non-profit hospitals in a mid-sized city and both of those hospitals are in the top 5 biggest in that city (alongside the university’s hospital, a religious hospital, and a for profit one).
Pretty much all major educational institutions are government owned.
Most hospitals are not teaching hospitals and nonprofit hospital's primary goal is to expand until they're no longer profitable in order to justify greater C-suite expenses. Teaching hospitals have similar perverse incentives.
Non profit just means there aren't shareholders making bank, the c suits and board members are still getting 1/4 milli+ for one yearly meeting and free private jet flights to events. The company doesn't make money but the leaders still do.
HC: Insurance companies.
Uni: Administration. There are more administrators than teaching staff. A lot more.
That's funny, it seems like in every industry humanity has invented there's a tiny owner class just skimming a huge chunk off the top like parasites.
I guess they just tank the drain/hit until they keel over from exsanguination.
Those people used to be secretaries, janitors, laborers, farm hands, etc. Now we call the administrators, clerks, representatives, etc.
For universities, you're right. Tuition costs have linearly scaled with both reductions in state taxes devoted to universities and the number and salary of nonfaculty university employees, but the number of faculty or average faculty salaries haven't been strongly correlated with tuition over time. It used to be the case that each college had one dean, and now many have 10, and sometimes up to 30. Not to mention all of their administrative assistants, etc.
And worse, many of them pay people to sit on boards and do nothing but insert bureaucracy. Higher end colleges also pay famous people to be staff that don't teach but "advise" the boards and staff.