Recent comments in /f/nyc

MiamiHeat0603 t1_jadfr61 wrote

Reply to comment by NeedsMoreCapitalism in Montefiore residents and fellows to unionize by DrogDrill

The point is that this is actually NOT reality, despite what hospitals are financially incentivized to claim. Residents provide cheap labor and keep hospitals afloat. The alternative is hiring more PA and NP who are by the nature of the way things are set up demand higher pay, or hiring more attending physicians who get paid even higher than that. Residents’ entire salaries are paid for by the federal government as explained above, providing free labor to hospitals. The vast majority of hospitals are such that in certain units the residents are the only doctors/“providers” there overnight. In what world can it be claimed that this is a net negative for the hospital?

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CollinHell t1_jad9psf wrote

Reply to Salvia divinorum by [deleted]

Any smoke shop in the East Village that's been around longer than the weed rush should have it. Get some 10X or 20X and make sure you have a sober friend with you when you try it. If the store says they have anything over 80X, it's likely all fake and you can't even trust the 5X.

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tikihiki t1_jad9ag3 wrote

Reply to comment by Neoliberalism2024 in Consultants Gone Wild by ToffeeFever

Government employees are "incentive-neutral", as they aren't rewarded or held accountable for what they do. In an ideal world this could change (better rewards, pride in public service), but that's a whole other story.

But consultants have negative incentives, as they are specifically rewarded for not getting things done, not spending efficiently, asking for more funding - that wasted money ends up back in their own hands.

Yea, you could argue that because of corruption, connections, bribes, the government employees have those same negative incentives. But that's why honing in on outsourcing could be an approach to fixing these problems. Make it harder to sign these contracts, and easier to hire full time staff.

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