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health care in North America
(thelemmy.club)
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this post was submitted on 18 Jun 2026
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Meanwhile in America we have similar levels of bureaucracy but it's corporate bureaucracy that's dead set on forcing you to file mountains of paperwork to get them to pay for anything.
Sorry, recently read a book that among other things lamented the fact that we as a society have stopped acknowledging corporate bureaucracy as bureaucracy
It helps that much of this bureaucracy is invisible to the patient. You just go to the doctor and they scan your insurance card. That's it for billing as far as you're concerned.
What happens behind the scenes is a horrible mess that has been in the process of being digitalized for the last decade. But they did put up a nice facade that hides most of this.
By the way, that part about quarterly EDIFACT files to change addresses is actually how it works for health insurances. Of course they regularly screw this up and then everyone else has to deal with the mess... But that's just everyone who tries to bill them. Patients didn't even know it's a thing.
I live for book recommendations! Please share the title and what you thought of the book!
A Utopia of Rules by David Graeber
It's a collection of 3 essays by him on the topic of bureaucracy and I enjoyed it a lot, but I enjoyed everything by him that I've read
I wondered if it was at all related to Bullshit Jobs