when BLAM! His left rear tire exploded right in front of our house. As the sound echoed up and down the street I thought to myself, "what a great blog post this would make on the dangers of letting government use the lowest-bidding-contractor for medical services..."
Your Humble Host
2008-08-18
Socialized Medicine?
This guy was full lights and siren racing to an emergency
when BLAM! His left rear tire exploded right in front of our house. As the sound echoed up and down the street I thought to myself, "what a great blog post this would make on the dangers of letting government use the lowest-bidding-contractor for medical services..."
when BLAM! His left rear tire exploded right in front of our house. As the sound echoed up and down the street I thought to myself, "what a great blog post this would make on the dangers of letting government use the lowest-bidding-contractor for medical services..."
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8 comments:
Um, what's the problem? You draft a specification for services, and agencies compete in the market to provide the service at the lowest price. How else should the government do it? Top bidder? Do it themselves? Cut all services, including basic functions like infrastructure and emergency services, and let everyone fend for themselves?
Sometimes government agencies screw up.
Sometimes private contractors hired by contractors who were themselves hired by contractors working for the government screw up too.
Sometimes private contractors, hired in no-bid contracts to perform services that only the government has any business doing really screw up.
Sometimes private contractors, hired in no-bid, price-be-damned contracts because they were the "very very best," really really fuck up bad.
Or is your point that a vehicle operated by a private company can never experience any kind of malfunction, because they have a profit motive to make sure that this never happens?
just because an ambulance having a tired explode, you question the principle of socialized medicine?
what if they had another ambulance head to the emergency by radio, and delivered the service anyway?
and tire explosions only happen when you have the work done by lowest-bidding-contractor?
a thing looks big when it happens in front of you, but you can't generalize one true event to the whole.
Project "Bait Scott & Yoko":
success.
no wait... make that
HUGE SUCCESS
(damn strike tag isn't accepted in comments!)
man, thank god.
i was little worried...
i thought your analytical thinking got numb because of crappy job at the clinic....
phew~
OR! or, you really don't have something to say to back you up...
Whatever. It's not like photography is real art anyway. The camera does all the work.
Also Nine Inch Nails sucks, Bjork sucks, Warcraft sucks, Chiba sucks, and I hope Korea annexes your crappy little island.
"Also Nine Inch Nails sucks, Bjork sucks, Warcraft sucks, Chiba sucks, and I hope Korea annexes your crappy little island."
Ouch, upset that he made you do all that research? If it helps I really enjoyed reading it. Honestly though, what system gets the government the best quality service?
The difference between the infamous $100 hammers and the amazingly efficient rebuilding of the freeway overpass that got burned down a year or two ago is astounding.
My theory is that a bid system is the best, but it would be one where the services offered are what's being bidded. In other words, the government offered a very good amount of pay for a certain job, then different companies eager for that amount of money will bid on it and offer different levels of quality or additional services. There would need reviews/oversight done by government inspectors or an auditing company to ascertain the level of quality that is being given, and it will be recored to rate that contractor for consideration for future bids.
In simpler terms, I think if you have a high paying job, you are more likely to get qualified people fighting for it.
The only thing that concerns me is perhaps the oversight might become lax and will confuse additional details/ services for quality.
The problem with bidding is that it's possible to write specifications so strict that only your favored contractor can possibly qualify. If anyone asks, you're just being really thorough.
very good point, smaller companies can't handle things that require their own whole department.
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