The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
This explains the system of values that revolve around it, such as for example the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
The servant was not expected to leave its master, that was not OK.
Or that you are expected to be available at all times, even though the contract only mentions 40h, and that is perfectly OK and even interiorized as acceptable by most people, which will even go to the extent of defending that state of affairs.
What I see in the workforce is a desperate need for people to continuously prove the need for their own role, as automation and informatization eat away more an more jobs.
It's a game of face time, who sends most emails past midnight, and who is willing to sell more of their personal life and squeeze other people out of theirs, often to do "important" tasks that are often completely unnecessary.
I had a couple of jobs where I was working overtime, running for deadlines all the time, sending emails left an right, meetings, you name it. One day I had enough and I left, and to my surprise, I was never replaced :-)
> such as for example the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
Your entire post is overgeneralization and dramatizing to prove some poorly thought out hypothesis but this here is the most obvious example. When there is enough choice people change jobs all the time - the demand in my local dev market went through the roof last couple of years for multiple reasons - I see people change 2 jobs within a year, demand all sorts of things - last round of job interviews I did the interviewers spent double the time explaining why their company was a great fit for me instead of actually interviewing me for position - compared to the usual narrative of asking why I fit them.
The situation is pretty much dictated by supply/demand and both sides take advantage. Firing and quitting can have negative implications for both sides, just depends on scenario.
What's your supply and demand explanation for the following norms?
- It's considered professional for employees give their employers two weeks notice before leaving. It's considered completely reasonable for employers to terminate employees and not even pay them for the rest of the day.
- It's considered unprofessional to talk about what you're getting paid.
- It's considered normal for potential employers to do background checks, call references, and even run credit checks on potential employees. Ask a potential employer for references or any information on their financials, and that's weird. The latter is particularly strange, because the employer is paying the employee, so the employee has a much larger interest in making sure the employer can pay them.
Termination without notice or payment is definitely considered bad form, short of the company closing due to bankruptcy.
I have never worked anywhere that did not provide notice or some severance. Even at a startup that cut 50% prior to going down in flames, they paid those half that were released two weeks pay and two weeks insurance coverage. (even though they were asked to leave immediately)
Large corporations tend to offer minimums plus based on years of service at termination.
Even termination with cause (performance, not legal) will generally be after a half year of 'remediation' training, then plenty of notice to find a new job.
Are you US-based? Because severence packages are absolutely an exception, rather than the norm. Most of the US has "at-will" employment, which states that employers can terminate employees at will, for any reason, without warning. And companies take advantage of this all the time.
The other thing is that you seem to be speaking as a developer. Everyone knows that our industry treats employees better than average. You really need to look at the broader landscape though.
"Most of the US has "at-will" employment, which states that employers can terminate employees at will, for any reason, without warning"
I think this is a misleading (although frequently stated) comment.
Large companies I've worked for have a bureaucratic procedure before they fire anyone, and generally allow people to save face even when they really want you gone.
Technically it's "at will", but I think it's primarily the mom & pop businesses that are going to fire on a whim.
Furthermore, you are implying that there are no constraints on companies in the US, like for instance the WARN act.
"primarily the mom & pop businesses that are going to fire on a whim"
Talk to some people in the hospital business who are over 50. I have a friend who worked for a huge hospital, was good at her job, had been doing it for many decades. One day an HR person called her into the office, said she needed to take a test, and said she had to leave that day until she took the test, administered by some 3rd party. A younger worker, doing the same job, also didn't have this credential they invented, but she got to stay. She wasn't making as much money because she hadn't been there as long.
My friend had a couple of weeks to study for this test, which was about the physics of the machine she had been using for 30 years. She failed the 1st time, they wouldn't tell her her score, and wouldn't tell her what she got right or wrong. The test itself was ridiculous: how many of us could explain in detail the physics of how our hard drive works? She was given a small severance and told to sign papers that I'm guessing gave up her rights to sue. And besides, it's well known in my area that suing a hospital is a fool's errand. The local lawyers do so much business with hospitals that they won't even take cases against them.
If you tell someone "your job ends today, but we'll give you a month's pay if you sign these papers", many people have no choice but to sign: they can't afford to have zero income starting today.
A quick search suggests that "many" firms pay severance, but I couldn't find hard numbers. In my experience it's not that unusual for people to give no notice or less than 2 weeks notice when they leave blue collar jobs like restaurant work.
Sure, but that goes back to the point that supply and demand are driving these sort of concessions by employers. Devs are in high demand and low supply, so the concessions are much higher than say, a retail job. I would say severance is common in "professional" roles, whether that be an accountant or middle manager. It's certainly less common in blue collar work and lower skill work. Despite the existence of at-will employment in some states, many companies in these states still choose not to fire indiscriminately. I think that it's smart business practice to offer severance, because companies are reviewed these days on sites like Glassdoor. A company with a bad reputation for treating employees is going to have a hard time attracting talent.
The couple times I've been laid off, the severance was dependent on signing over new legal requirements like new non solicits for who they didn't lay off.
My explanation is you are just wrong about all of those things. A firm that let people go without severance would be considered extremely unprofessional in professional contexts. Talking about how much you get paid is not only normal it’s protected by law and you should definitely be doing both legal and financial research on any perspective employers.
> A firm that let people go without severance would be considered extremely unprofessional in professional contexts.
Not everyone works at "firms": this is extremely common in food service, for example.
> Talking about how much you get paid is not only normal it’s protected by law
Citation? I've worked at least one place where it was explicitly against the rules to share what you were paid with your coworkers (although this was years ago--I'd be happy to hear if the situation has changed).
> you should definitely be doing both legal and financial research on any perspective employers.
Obviously, but you simply don't have the same tools to do that. Have you tried asking employers for references?
It is not a norm for non-professionals to provide 2 weeks notice. Leaving a good service job without providing notice will have no ramifications on your food service worker reputation.
I routinely ask my perspective boss for references. I also routinely ask for financial data before accepting a job. It has never caused even an eyebrow to be raised.
"Nope." is cute and shows you're cocksure about that. However, the reality is that this happens all the time and is never punished by culture as "unprofessional" for a corporation to do. Who would punish them? The customers?
Future potential employees. If I go on glassdoor and read about this happening I'm either going to
A: raise my rates as I need to keep a larger emergency fund to deal with these guys
B: decline to work there at all
They end up only ever getting entry level kids to work for them. The system sort of works in that regard if you come from a non-traditional background you can work for a year or two at a job like that, skill up and move on.
There have been many threads on HN where the debate is "Do employees have enough power to [punish companies] if they need" but none of them have really every made a coherent case one way or the other, but they seem to lean "no"
Disclaim: My personal Anecdote^
Most of your points feel out of date and just not true unless you're working in the boonies ie backwater areas with only 1-2 dominant employers
> It's considered unprofessional to talk about what you're getting paid.
This is no longer the case. Some companies have even taken the transparent route where everyone's salary is publicly available.
> Ask a potential employer for references or any information on their financials, and that's weird
You can work for a publicly traded company if you really want access to financial data. Even some startups will provide it if you just ask.
You can also glean insight through sites like Glass Door. They have existed well over a decade now. This issue mainly stems from employees not habitually doing enough due diligence on companies, unless there are legal and financial barriers that I missed.
>What's your supply and demand explanation for the following norms?
OK. You can't just assert things and then when someone disagrees challenge them to come up with their own explanation. The null hypothesis is "I don't know".
>If that hypothesis is true, then they can use that hypothesis to explain the existent phenomena
Why would that be the case? It is true that supply/demand largely explains what happens in the job market. It is also true that there are are socio/political/cultural forces at play. For example, supply and demand is not a good explanation for why you can't come into most work environments in your undergarments.
> For example, supply and demand is not a good explanation for why you can't come into most work environments in your undergarments.
Sure, when we get to ridiculous cases. But things just short of that, supply/demand is a huge contributor to. Showing up to work in shorts and flip flops? How acceptable this is depends a lot upon how hot the job market is.
Of course, no matter how hot the demand situation is-- it is never going to cause one to tolerate behavior so egregious that it scares away other employees and makes the supply picture worse.
Showing up to work in shorts and flip flops? How acceptable this is depends a lot upon how hot the job market is.
That's really more of a cultural question, though, where the culture obviously takes the kind of job into account. Specifically, showing up to a programmer job in shorts and flip flops is going to remain accepted in most places even when the job market gets less hot, until culture changes for some unrelated reason.
The supply-demand situation is only relevant when people are going against the culture.
I was disagreeing with the one-sided claim, "The situation is pretty much dictated by supply/demand and both sides take advantage."
But you said something more balanced which I agree with: "It is true that supply/demand largely explains what happens in the job market. It is also true that there are are socio/political/cultural forces at play."
What proportion of the total jobs market [in your country || in your supply chains] are you looking at though.
The parent might be a generalisation but you're objecting based on the thinnest sliver of contrary occupations. Seems like the parent could well be on the money for all menial roles?
The whole thing is much better explained through supply demand and security. When job supply is low you want to maintain a close relationship with your employer because you hope this grants job security. When the demand outpaces supply suddenly people are forced to bid up wages - I agree that the culture might need time to catch up - like initially the risk averse will still be stuck in this mode and few will change jobs, but as the demand ramps up the terms get better and switch job becomes much more common - culture changes and even the most cautious cannot ignore the market trends - I've seen this first hand in my local market over the last few years where the salaries went up 2x in 3 years.
How medival servitude explains any of this better is beyond me.
Have a look a low wage/low skill jobs. There is no such thing as security, employees are subject to their employer's benevolence. They even have to accept circumstances that might violate laws. They can't fight it because they need the job, even if they hate it.
I'm too busy to do the research for you, but Amazon warehouse workers are the first examples that come to my mind.
It’s the opposite. Low wage workers leave much more often than get fired. Consider Uber where drivers earn a very low net wage. Only 4% remain after a year. Maybe some are fired but I suspect he overwhelming majority just move on.
Amazon has the highest turnover of any Fortune 500 company in 2013. That’s because their workers quit. They have options even at a low wage. That’s why they recently raised wages.
If it's like when I worked menial jobs then the bosses just do something to make you quit like scheduling you for only 1 hour a week, assign you to only do the shit work that was previously spread out, etc. I think that muddies the water a bit in terms of those stats
Why should they? They're typically underpaid and in not so great conditions, but even if they aren't, why should they feel shape for quitting for a better job? If you fulfill your contractual obligations, you don't owe your employer anything and leaving any job for a better one is totally not something to be ashamed about. If anything, shame on the employer for doing a bad job in retaining their employees.
Yes and how do they find a better job without education? You are very fortunate that you were able leave that behind you. But do you realize there are millions of people in this world who have no means of pulling themselves out of the dirt?
Let me be sarcastic: Yes, it is very easy to have sufficiently fast internet (or even a computer) in a non-industrialized country. Even in the US it is perfectly viable to work 2-3 low wage jobs to keep your family fed and healthy and then bring up the energy to do a hacking boot camp. Also, because the basic education is so great in under developed regions regions, it is a breeze to grasp higher concepts of math. And analphabetism does not exist.
It wasn’t easy or fair in preindustrial times. People worked a few hours less on average, but they received less wealth in exchange and had no opportunity to educate themselves and grow wealth. Serfs were not given a choice of job or even the ability to leave or marry without their lord’s permission. Peasants were stuck for life, unlike someone who works low paid 2-3 jobs today.
I've never heard about anyone being ashamed of leaving a company in any market. Even ones that have small demand. In fact, I've heard countless people saying that they never quit interviewing entirely.
Ever done manual labor? Or something that requires both intense manual labor and intellectual problem solving, like carpentry or many of the building trades?
Or think about all the various fields that require intense intellectual output, with nothing like the rewards and security of software engineering.
We've got it good. Though, really, the ideal would be for all workers to be treated more like we are, and less like replaceable, abusable cogs in a machine.
Agree. Ever have to stand waist deep in cow shit? I have. One of the things that encouraged me to go back to college. After the farm job I twisted wrenches for a living. Six day fifty hour weeks were the norm, the pay was meh, and I had over $8K of my own money invested in tools at the end.
Yes, this career has been awesome. Awesome, and fun. Non-stop learning the entire time.
Yes - I have. I worked construction; worked on a loading dock; drove a delivery truck for bulk freight. Not having to do manual labor doesn't make a job 'easy' though. And certainly not the 'easiest'
Yes. Being a software developer is easy. It's not necessarily the case, but I can think of no other trade that pays so well and offers so many opportunities for so little ability, effort, accountability, responsibility and stress.
Where do you work? I'm in operations and spent 10pm-3am last night responding to an incident. There's a lady here going bald in her early 30s. Stress is high, responsibility is high, accountability is high, effort is high.
I can think of literally 1000s of jobs that are easier
Yep. I've been a grocery store manager, an interior contractor, a whole slew of other jobs, ... and a software engineer. Software engineer is by far the easiest job I've worked.
Back in the day, Merrill Lynch had a rep for hiring really green people on the cheap, doing a very good job training them up, and then not paying them according to their new value in the market. When you would leave, managers would often lay the guilt trip about "What you owe us..." (to which the proper response is the line from Goodfellas -"F* you. Pay me.")
There was a sitewide IT town hall in NY when I was there and some senior MD brought this problem up. "We're investing a lot of money in training people and then having difficulty retaining them." From the crowd of around 1000 a voice cried out "Stop training them!"
I don't think it's purely cultural because chances are you have co-workers who don't have these issues at all just as I know people who are limiting themselves because of feelings like this - I would say this is more individual.
To flip it around - do you feel other people who leave the company did something shameful ? Do you see judging from others (especially outside of co-workers where it's incentive based) ?
I think as job market turns from oversupply to undersupply the culture changes simply out of nececity.
No worker would ever get hired if he or she were open with that they would leave the company the very instance a better offer came around. Companies, on the other hand, have no trouble hiring even when they admit that they'd fire you the very instance someone who can do the job for less pay comes around.
Loyalty in the work place is a one-way street. It goes from the worker to the company but not the other way around.
That depends on demand/supply. Tech companies in cities with high demand for engineers have no problem hiring people who will leave as soon as something better shows up.
That is subtly different from what I wrote. :) I wrote that no one who were open about it would be unable to find a job. If you told your interviewer that your only objective is to maximize salary they would (rightly) treat you as a sociopath. A company whose only objective is to minimize salaries (and therefore maximize profits) is also a "sociopath" but that is somehow acceptable.
Yeah, that's true, I guess you'd normally wouldn't say that. Although I've worked a guy once that said something similar and got hired anyway. He still works in the same place after a couple years and still has the same attitude. I think that most people make it up to be a lot less socially acceptable than it actually is.
Well, isn't also the case that a toddler still hasn't fully developed their empathy and other mental faculties, and thus aren't capable of understanding the full extent of how their behavior affects others (and indeed why they should care).
I'm not saying that anyone should feel ashamed to negotiate for better compensation (quite the opposite!), but I'm also not sure that you can look at those little uncooked narcissists and conclude "this is how a human being naturally behaves". I think it's pretty normal for a person with mature emotions to feel at least a bit bad when making demands.
Ask yourself why you feel these emotions, because the culture you're in had to have made you learn them. The companies you have worked for sure as hell do not care about you once you leave.
>Your entire post is overgeneralization and dramatizing to prove some poorly thought out hypothesis but this here is the most obvious example.
What kind of garbage comment is this statement? Argue the points of disagreement but saying something offensive like this serves no purpose and is just plain wrong, rude and disgusting.
>the demand in my local dev market went through the roof last couple of years for multiple reasons
Do you think your local development market is remotely representative of the nature of national employment trends in general? And you accuse the OP of "over-generalization"?
In the past, there definitely was such norm. The "job hopping" was seen as negative.
Even today, I software development and especially sillicon valley is a bit of outlier - people in our industry change more often then in other industries.
…proceeds to extrapolate from "my local dev market" to economy with thousands of sectors and tens of millions of workers without a trace of irony or self-awareness. Um, ok.
As others have pointed out, being in software engineering at this particular point in time is probably not super representative.
>Your entire post is overgeneralization and dramatizing to prove some poorly thought out hypothesis
I find that the main thesis is actually pretty sound. Historically speaking, the current (capitalistic) labour / production system is a direct descendant of the medieval feudal labour relations that existed in Europe 900 years ago. When you truly look at it, they are pretty identical in their core mechanics. There is a class system, there is servitude, there is limited social mobility.
It's just that the outer appearance is different, that some aspects are improved (in degree, not in kind, if I'm making myself understood), and finally that the technological advances mask the inequality and the problems in the system (a world where one person has 500$ and the other 500,000$ seems better than one where one has 1$ and the other 1,000$, but they are equally unequal).
Simple rules that work for me: a) don't take my work laptop home, no corp provided phone (if they insist I'd keep the phone at my work desk, where it belongs). b) work 40 hours on average per week. Just go home already! Helps if you're a late sleeper (like me), you can simply arrive later at work to compensate for the hours you've recently donated to your employer. This works very well for me, although I'm based in Europe, ymmv.
This is what I did too, leave the laptop at work, arrive relatively late, as I knew I had to leave late anyway.
It makes it more bearable, but it still kind of sucks, and everyone in your team is doing it (taking laptop home, answering calls), eventually, it's going to cost you.
You get to work in the morning, and there is this long email thread about how something was "urgent" or went wrong and they tried to reach you and they couldn't... all that good email delivered peer pressure stuff, passing the bucket blame it on the absentee kind of thing.
I think that BS only persists because not just because people allow it to, but some people positively get off on it. They love the opportunity to be the hero "I was up from 4 til 7 rebuilding the database -- you're welcome" and the ability to differentiate themselves without actually being competent at their jobs.
Some roles (junior investment banking analysts, junior lawyers, etc) the long hours and weekends are part of an apprenticeship type weeding out process, and are almost a form of hazing ("I did it - you have to do it too") But at least in those cases there is an expected path out.
It sounds like you are in a dysfunctional shop. If it's possible, move. It's not like that everywhere.
> "I was up from 4 til 7 rebuilding the database -- you're welcome" and the ability to differentiate themselves without actually being competent at their jobs.
Some do this because it's in their nature. They don't spend their free time doing enjoyable, fulfilling tasks for whatever reason, so work is really the only form of stimulation they have. Older women without children (or adult children) seem to be particularly susceptible to this.
I would argue not only that early rising is totally unnatural but also that lying in bed half awake - sleep researchers call this state "hypnagogic" - is positively beneficial to health and happiness. A good morning doze of half an hour or more can, for example, help you to prepare mentally for the problems and tasks ahead.
I wish I could wake up naturally, when I feel rested, but my 2 y.o. Won’t let me. Also, my wife is nuts and thinks it’s lazy to sleep past 7. I want to wake up at 9... but have to be up around 5:30-6 every day. Thing is, I’m self-employed and have nowhere to be, no one to answer to. What went wrong...
Not taking your laptop home is poor information security practice. We had a break-in where dozens of laptops were stolen. We had to do key rolling, password resets, etc for the whole organization. Many people couldn't even work until new computers were shipped in. Of course me and the people who took our laptops home were fine.
Eyes on the building. Bars/shutters on the windows. An alarm system. Caltrops on the floor. A locked room with a decent door for the laptops, and/or a strongbox. Africanized killer bees. Full-disk encryption on the laptops themselves.
There's plenty of reasonable measures that organizations can take to protect their equipment and data. "Give the laptops to the employees, they might be stolen if left in the building" is not one of them, not if they care at all about information security.
This is a curious statement. Why would someone having a bunch of laptops require password resets? Weren’t the laptops properly configured so physical access != network access? If not, then having people commuting with these timebombs is not a good idea. As it’s much more likely that a laptop will be stolen from a worker’s home or car or anywhere than the office.
Somehow I don't think you know much about medieval serfdom. While the serf was not allowed to leave neither was the lord allowed kick the serf out of his land. The only way the lord could "fire" a serf was to sell the associated land in which case he would simply become the serf of another lord. By contrast employees are not attached to their place of work and are free to leave. The two systems have nothing in common.
> The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
Where can i read more about this assertion? I was not aware that serfdom would specify such details as the number of hours. I guess that serfdom would be a very different institution in each country, or even within each province; (I guess corvée service might have been a more detailed contract, but I am not aware of the details) so I would like to hear some more details.
>I was not aware that serfdom would specify such details as the number of hours.
I'm not sure they did, but your work day was effectively limited to when the sun was up. Candles were quite expensive well through the middle ages as they were mostly made from beeswax, lower class persons would use fires or candles made from soaking things like rushes in animal fat - neither of which provided light conducive to any sort of work.
the landlord still had to allow his serfs to work their own plot/cottage on occasion; so they had to agree on some form of time management, even without clocks or candles.
It has everything to do with power. You don't even need to consult the history.
Large organizations very rarely need any particular drone. The drones always need money to survive, their health insurance, stability for their family, a clean professional reputation. So the big guys takes advantage of the little guys.
Early in my career, I worked a lot and was compensated poorly for the value I brought to the business. Then I built systems that made me very difficult to get rid of without losing all the money I was bringing in. Now I make double and work 30 hours a week when I'm busy.
For any reasonably large corporation, your employer is not your friend. They deserve professional courtesy, but never loyalty or personal respect. Always look out for yourself, what you bring to the table, and what you're getting out of it. Forget anything else. If you want something personal, go home to your wife and kids at a reasonable hour. They love you.
>The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
You're claiming the opposite of what the article does. Medieval serfs did not work a 40h week.
>This explains the system of values that revolve around it
No.
>such as for example the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
Says who? This is so overbroad that it doesn't actually match reality. Lots of people quit jobs all the time.
>The servant was not expected to leave its master, that was not OK.
Come on.
You have an angle you want to argue but you can't just distort reality to fit your conclusion. Nothing you argued is broadly true, though I'm sure you can find individual examples.
> The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
Well, in Europe it is more the estate system and urban manufactures, I think, that have influenced the culture of work. In the US, you have something much worse even. I found this recent article eye-opening for me:
[1] M. Desmond. In order to understand the brutality of american capitalism, you have to start on the plantation. New York Times Magazine, Aug 18 2019.
> a desperate need for people to continuously prove the need for their own role, as automation and informatization eat away more an more jobs.
While I agree with this (go @AndrewYang! ;), I don't think it is the only (or even the biggest) factor. It is the long shadow of WWII and the resulting demographic imbalance coupled with a self-serving but fundamentally wrong narrative around "economic growth". This has led to what some have called "the big institutional lie" where throughout society you have institutions that rely on promises of advancement or necessity to lure the fresh blood but that can not keep these promises to all of them. It's basically a pyramid scheme. Peter Turchin pointed to this as a contributing factor to polarization as the educated "elite" of such countries/societies must increasingly fight among itself for the increasingly rare places or resources (relatively speaking). → revolutionary potential
The big lie is all the lavish promises people made to their future selves. Expensive medical treatments (Medicare), retirement funds (social security/pension payments), expensive infrastructure (constant access to clean water/electricity/gas/sewage/etc).
Maybe the biggest lie is pretending to be able to predict the future. All those aforementioned promises require future resources, population, growth, technological advances, all of which are just guesses as to what will be available in the future.
As a person which lives in Russia and Germany, I'm really interested in what you mean by solved?
Universal healthcare in Russia is a total mess. Universal healthcare (edit: in Germany) have a lot of problems too, of which the most significant is underpayment, low salaries, and such a lack of personnel, that CDU people did really suggest to use conscription to draw the free workforce.
The very flaw of positive rights is that you can't guarantee them, since they cost money. If you have no money, your positive rights end there. Yet people still believe that one could guarantee such rights.
First, I'm not sure if you're aware, but the price of a procedure in the US is not necessarily related to its cost. There's been several news articles showing the same procedure can cost 100x more in one hospital vs the other in the same city. Hospitals literally pull prices out their ass and justify it by saying "no one pays that price". Then they bludgeon people with these completely fictitious numbers when insurance doesn't play ball.
What you're also failing to realize is the US does have a universal health care system, it's just really shitty and inefficient: its called the emergency room. Doctors can't just leave people to die if they can't pay.
Stories from the great US paid healthcare system:
When my wife had to get her gall bladder removed. The hospital charged us $25k for 1 hour use of the surgery room, and $20k for 1 hour use of the recovery room. It took insurance almost a year to resolve, and in the meantime both sides kept bothering us. Hospital told us not to worry though because things usually get resolved once both sides start threatening eachother with lawsuits. I asked what happens if insurance still doesn't pay it, and they said that the hospital usually writes it off. Sounds GREAT!
The above was on top of ~10k other general hospital bills, plus 3.6k anesthesiologist, 25k surgeon, and a couple k in post operation followup. Total charged price for one of the most common operations in the country: about 85k. Completely sustainable.
In another instance, we needed something done that we thought wasn't covered by insurance. When trying to figure out what the price would be, it took several weeks worth of phone calls, and tens of hours on the phone to figure out with our local hospital what it would cost. Then when we got there, someone said it didn't include something. But it was OK because insurance covered the whole thing for various reasons. We said OK. They were wrong though, insurance still didn't cover it. This is important because medical places usually have an "insurance price" and a "cash price", and we got screwed out of the cash price by going through insurance.
We also had a close friend deliver her own baby in a hospital hallway and get charged $30k for the delivery.
My sister was charged $1.2k for the removal of a cotton ball from her ear while waiting in a line.
My brother had a $5k ambulance ride.
I always think twice before interacting with the healthcare system in the US.
Could you elaborate how anything of this is relevant to what I wrote?
The point was that you can't guarantee positive rights, since positive rights require some commitment.
>Stories from the great US paid healthcare system
Did I said it is great? Why you emphasize "paid" when any healthcare system is paid?
Your services are flawed in a typical American way, i.e. overregulated crony mess where all the burden lies on
an avg Joe since he has no leverage on a political system while lobbyists do.
I bet my head that if you implement a universal healthcare, you would end up in a mess like that which Russia have, rather than something more decent.
I had a friend who had an appendix removed, the bill was $80K, similar to what you quoted. He didn't have insurance, however, so he haggled on the bill. Eventually they settled and accepted $8K, or 10% of the sticker price, for the procedure. I don't know how insurance companies settle these things behind the scenes, but I imagine many are overpaying and we're all paying the cost through higher insurance prices.
Insurance companies have zero incentive for real procedure prices to ever be listed; they provide 'value' both in terms of their negotiation services and in terms of pointing to how expensive getting anything done is.
However the true result is presented to wall street: If the insurance company is making more than a very meager profit we're getting screwed out of what should be universal affordable care.
The legal maximum out of pocket cost for a calendar year for in network providers (providers who agree to a price with your insurance company) is $13.5k. You should budget at least that much for a childbirth in the US (in case of complications such as C sections and other common issues after birth), if you can manage to plan your child being born between ~May to Oct, as you can then likely have all your expenses be in one year, otherwise another year's out of pocket maximum will come into play.
I am Russian, and Russia is a total mess, full stop.
To address positive rights - societies don't just "run out" of money. As has been repeated a million times, a country with a sovereign currency is not run like a household budget.
And the "right to clean water" is rather useful in making sure we don't have outbreaks of the plague and other fun stuff
Money is a proxy for power. That power comes from the ability to trust the government issuing the money and the people the government represents (i.e. the country). You can claim the right to clean water all you want, but unless you fund infrastructure development, and have access to aquifers or fresh water lakes, it doesn't matter how much money a government issues. Similarly, if a country isn't producing enough children to support the elderly, it doesn't quite matter if they've been promised nursing homes.
Social programs do. Price goes up due to natural reasons, budget goes down due to natural reasons, your government can't provide a service anymore.
The most common example is social security, the pension system. Demography changed, age of retirement goes up, payments go down, and you can't do anything about it.
Sure, the governments try to deflate the price, but there are no miracles, and artificial price deflation causes deficit, for example a deficit of medical personnel or scarcity of a service.
To address positive rights - societies don't just "run out" of money. As has been repeated a million times, a country with a sovereign currency is not run like a household budget.
Sure, a country with a sovereign currency can create as much currency as they wish. They can never "run out" of money, literally. Practically, though, creating more currency doesn't result in more products being made and services being performed. Most countries are aiming for their currency to hold its real value relatively steady in accord with its nominal value, and you cannot do that if you create more money whenever you "run out" of it. So yes, countries cannot "run out" of money literally, but practically they can and do.
It means that in Europe universal healthcare is almost a solved problem, according to WHO (World Health Organization) 6 out of the first 10 and 16 out of the first 20 highest ranked healthcare systems are in Europe.
>20 highest ranked healthcare systems are in Europe.
It's not a rank, it's a (bad) efficiency metric, which says that Ukrainian and Kazakhstan HC is "more efficient" than Russian, and that Chilean HC is "more efficient" than that of Denmark.
If you assume this metric shows what's better, it's safe to assume that this metric is garbage. To lazy to dive into the methodology, they weight the date using avg schooling years and other vague staff, but the results rendering this paper totally unsound.
Comparing different countries using a single "performance" metric is nearly always garbage, since all sorts of important nuances are being omitted.
> It's not a rank, it's a (bad) efficiency metric, which says that Ukrainian and Kazakhstan HC is "more efficient" than Russian, and that Chilean HC is "more efficient" than that of Denmark.
They are, according to the World health Organization.
Ukrainian healthcare system is more efficient than Russian because you don't have remote regions that have very little or no chances of being reached in case of emergency.
Chile and Denmark are basically at the same level, it shouldn't be a surprise that many South American countries rank at the same level of some western countries.
If you look at the ranking created by other entities, it's more or less the same, even though they used different metrics.
You will always find mostly European countries in the top 20s.
Italy and France really are among the best in the World when it's about healthcare.
USA really is shitty, even though they have the highest spending per capita.
The methodology is well explained, there's an entire chapter explaining it, they are not 'Comparing different countries using a single "performance"', your rebuttal is rebutted.
I guess my comment was specific to the US, but pay in the medical field is vastly lower in Europe than in the US. Regardless, Europe is still subject to the biggest factor, which are demographic changes and they will have an impact on the availability of future benefits. I would say these past 20 years and maybe next 10 will have been the peak, and then there will be visible cuts in services or quality of services due to lack of people (and/or taxes) to service the debt.
Compared to the system in the US it is. How did one researcher put it? "Every healthcare system has its flaws, but the US somehow manages to have all of them."
Compared to the US it is. Obviously there are going to be ongoing problems in any large undertaking, but Sweden pays half the cost for healthcare per capita. A 50% discount for equal quality care. Americans like myself are getting absolutely screwed in terms of the cost of healthcare.
> This explains the system of values that revolve around it, such as for example the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
This looks very USA-centric to me. In Germany, the mentality is rather that both directions are to be ashamed of.
You don't even imagine how much employers do to favor employees. This jaded view from corporate america, by corporate employees, ignores that the majority of employment comes from small businesses that eat up losses all the time to not lose valuable employees.
It is something to be ashamed of for employees to leave their employers? Where? I've worked in a few places in the US and I never sensed any "shame" when an employee left. I have sensed that employers feel shame when laying people off though.
I think the modern wage labor relation is very different than medieval serfdom, on both sides. Marx does a good job of explaining this Kaptial Vol. I. What is the same is the basic exploitation that underlies that relationship.
I agree 100% with the rest of what you say though, there are too many people taking BS jobs too seriously.
At my last company, there were several employees who spent the vast majority of their time trying to convince people their jobs are important. Whether I thought they were or not is kind of irrelevant, but it seems insane to work a job where the majority of your time spent is convincing people it makes sense for you to have a job.
At a place I previously worked, I heard a rumor that the entire job of someone who was fairly high up was to email a simple report to someone higher up every day. As someone put it, the job of a crontab entry.
Since then, I started a job that was ostensibly non-technical, and it seems like people are overly impressed by anyone who can provide a dashboard style report, and it's as though you're assumed to be putting forth significant effort every time you make a new one.
If I was able to act in a more strategic manner, I would not let on that I had automated such things, and soon my entire job would be pushing a button three or four times a day.
> The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
Not really, they come as rather significant modifications of early capitalist servitude, won at a substantial cost in lives.
Early capitalist servitude did itself evolve directly from feudal servitude, but it got much worse, in economic terms, in the process. It usually came with at least notional political freedom, though.
>Early capitalist servitude did itself evolve directly from feudal servitude, but it got much worse, in economic terms, in the process.
No it didn't. This Roussaunian idealization of rural subsistence living must really die. People aren't idiots, you don't move to urban factory work (as bad as it was compared to modern day) unless rural life was much worse.
> People aren't idiots, you don't move to urban factory work (as bad as it was compared to modern day) unless rural life was much worse.
Rural life was worse not because rural feudal tenancy was worse than urban factory servitude, but because the technology advances which made it possible to support the latter also simultaneously produced a population boom and reduced the total (not just per capita) quantity of rural labor demanded, producing a whole lot of surplus rural labor.
You think subsistence living was great before technological progress? Why do you think there was a population boom? How do you think population size was controlled before technological advances?
Standard of living rose by some measures on moving to the cities; however, the dependence on an employer was much greater than the old dependence on your lord.
> however, the dependence on an employer was much greater than the old dependence on your lord
I'm not sure the dependence was much greater, but it was less likely to be honored restart than mercilessly abused by the employer, because capitalism arose in the context of a huge labor surplus created by agricultural productivity revolutions, whereas feudal tenancy arose in tighter labor conditions and had grown traditions (and in some cases legal structures) based on that. Which is not too say that feudalism was without massive abuses of dependent relationships, itself.
> The 40h a day week and modern-day work contracts come as a direct evolution of medieval servitude, with little modification.
Citation needed
It really come from workers rights to have a life outside the workplace AND a salary even when they could not work (what we call safety).
In medieval servitude there was no life outside the workplace, nor safety.
Pre-induistrial workers worked less, on the average, because they were surviving
They were working when they needed money and not working (AKA doing some other job for the house or the family, like farming or breeding cows and pigs) when they had enough to go on for maybe a week or so.
Life was on the edge back then.
You had an accident, any kind of accident, you were ruined.
There was no safety net, of any kind.
> it's a game of face time, who sends most emails past midnight, and who is willing to sell more of their personal life and squeeze other people out of theirs
It's not in Europe, for example, where we don't think that socialism is a curse word, we think it is necessary for the progress of society as a whole.
I will quote one of my favourite computer scientist ever, Joe Armstrong, creator of Erlang, that unfortunately recently passed away.
> Yes - happy days. At the time I was working a 6 hour day due to the enlightened Swedish child care policies. Parents of young children are entitled to work 80% of full time - good for creativity and family life. Result 2 kids and a new programming language.
> Pre-induistrial workers worked less, on the average, because they were surviving
> They were working when they needed money and not working (AKA doing some other job for the house or the family, like farming or breeding cows and pigs) when they had enough to go on for maybe a week or so.
Especially they worked depending on the season. During planting or harvest they were on the fields from dawn till dusk. In winter they took care of the animals and stayed by the fire place inside.
Manufacturing work had similar cycles.
Only industrialisation brought working cycles independent from season and daylight.
This is a cohesive response.
The definition of work is itself a manifestation of industrialization, post-U.S. revolution.
Previously, in the teleologically-oriented universe of the Medieval period and early Enlightenment, there was little if any distinction between work and life. Exceptions were for those who sought to become members of Guilds -- the architects, alchemists, millers, bakers and too herbalist apothecaries whose guild was closesly associated to the early Catholic church and later, loosely, with Luther's heresy.
> the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
Did you just make this up? The stigma is the exact opposite. Western society makes it quite difficult to fire employees. Hell, it's even illegal to fire striking employees. You'd be hard-pressed to find any employer willing to fire an employee without thoroughly documented evidence of the employee's malfeasance.
The only time anybody gets fired is when they really really deserved it. In contrast, many employees leave their jobs capriciously with little to no consequence.
You appear to live in quite the bubble if you really believe this with absolute certainty.
> Western society makes it quite difficult to fire employees.
Have you worked in a US "right-to-work" state? It's incredibly easy to fire people. Large companies are typically the only businesses that bother with "thoroughly documented evidence of the employee's malfeasance". And even that is rare.
> You'd be hard-pressed to find any employer willing to fire an employee without thoroughly documented evidence of the employee's malfeasance. The only time anybody gets fired is when they really really deserved it.
I'm just a single data point. I'm a bit of a workaholic. I'm also a perfectionist. And I'm someone who always busts his ass at every job. In the last 20 years in TN, I have encountered the following occasions:
- During college, I worked part-time at Books-a-Million in their little cafe. I had the laziest, most unreliable cafe "manager" I've ever met—she would regularly be 30+ minutes late to shifts, causing me to be late to classes and events; she would constantly offload managerial tasks to me when we shared a shift; she would spend vast majorities of her shifts talking on the phone with family and friends; she wouldn't respond to customers at the counter if I was busy (because she was on the phone), and would ignore them waiting for me to get to them; when I would follow her shifts, she never spent any time at all cleaning up after herself, and left the entire area a fucking mess; the list goes on. When Spring Break hit, I'd had a pre-approved vacation on the books for nearly 3 months—a road trip to Chicago with friends. My ride showed up 15 minutes before my shift ended and came in for a coffee to wait for me to be relieved by the manager. One hour later, I finally called the manager. She was at home watching TV (yes, she told me that directly). I asked if she was aware she was supposed to be relieving me so I could leave for vacation, and she said yes. I told her my ride had been waiting for over an hour by this point, and needed to leave because it was a long drive. She complained about having to work on a Saturday. Said she guessed she'd go get in the shower and start getting ready for work. I decided I'd had enough of this behavior after nearly 1 year—I told her that I would be leaving in 30 minutes whether she was there or not. And since she's the manager, an 18-yr-old kid shouldn't be displaying more responsibility, reliability, and dedication to his part-time job than she, as a 30-something, gave to her full-time job. Then I thanked her and hung up. I then wrote all this up in the cafe log book—a book we were supposed to write important notes for store management in that they would review daily. She showed up right at 30 minutes later, and I left. Upon returning from the vacation, she called and asked if I'd come in and cover a shift for her. I agreed. Upon arriving at the store, she was there, and she and the store manager told me I was fired for insubordination. I had expected it, of course, but that's beside the point. I'm sure I really really deserved to be the one fired in that situation, right?
- Nearly 20 years ago, I was fired from Best Buy. I'd worked there for somewhere close to 9 months, I think. Never missed a day. Even walked to work after my clutch went out on the interstate. The day before departing for an approved vacation, I declined the female store manager's advances and being asked out. The day I returned, I was asked to sign a document declaring that the reason for my firing was poor job performance and missing work. My direct manager on the pre-Geek Squad declined to sign the form—telling me privately afterward there was no way he could sign such a statement because he absolutely depended on me and was now fucked without a replacement—but wouldn't you know it ... lucky for Best Buy there was a store manager who was happy to do it. I declined to sign the form, informing them I'd happily sign a form that declared I was being fired after declining to go out with a superior. They declined to provide such a form, so I wrote it myself on their form, after striking through their bullshit reason, and signed that statement. But again, surely I really really deserved being fired there.
- 17 years ago, I worked as a temp worker with Randstad for Maytag in one of their customer service centers. It was a pretty easy job—just take calls all day and help people figure out appliance problems. One day, Maytag announced they were moving a US factory to Renosa, Mexico. There were quite a few jobs being lost. That night, at home, on my personal computer, I was doing some research into US companies moving factories to Mexico. There was a particular organization in Texas that helped facilitate such moves who mentioned working with Maytag on their website. They had a form on their site you could fill out for more information, or to ask questions. So, I filled out the form—asked some specific questions about working conditions, average pay rates of Mexican workers compared to US workers, time to spin up factories, worker treatment, and a few other things. I put my name, email, and phone number in the form. There was an input that asked where I worked that was required—so I just typed in Maytag without thinking and moved on. The next morning, I arrived at my desk to a couple managers waiting for me. Followed them into the office, where they showed me a printout of the form I had filled out the night before on my personal computer at home. All the questions I'd asked. They asked what I thought I was doing. I simply explained—in absolute honesty—I was very curious about how factory moves work, how workers are treated and paid in Mexico, especially compared to union workers at Maytag's existing US factories, and had found that site saying they could provide such information. They told me I was a customer service rep and had no business looking into such matters, and then informed me I was being fired for impersonating Maytag company personnel and misrepresenting their interests. But, of course, I really really deserved it.
> Hell, it's even illegal to fire striking employees.
- Oh, this is a funny one. About 15 years ago, I was fired after getting involved with union organizing, and sharing some literature and discussing unions with my coworkers. This was in a factory, where part of the employees were already unionized, but the company was subcontracting jobs out to cheaper, non-union workers like me. I mean, it's supposed to be illegal to fire someone for union organizing. Ah, the beauty of a right-to-work state—where every employee is an at-will employee, and you can pretty much make up any excuse to fire them. But alas, I'm sure I really really deserved it.
I moved into sales for a few years after that, and did really well. Then I finally decided to put my computer skills to use as a software developer 12 years ago—and subsequently turned that into running my own business for the last 7 or 8 years. The tech world has been quite different—though there are still plenty of issues that could be improved. However, the lessons of my years of "normal" employment were quite clear—in right-to-work states, it's absolutely okay for employers to terminate any employee, any time, for any reason. Real reasons. Utter bullshit reasons. It doesn't matter. The employer has all the power, and the employee has to just take it or lose their job and income.
This explains the system of values that revolve around it, such as for example the notion that it's somewhat something to be ashamed of for an employee to leave its employer, while it's perfectly OK for the employer to terminate the employee at any time.
The servant was not expected to leave its master, that was not OK.
Or that you are expected to be available at all times, even though the contract only mentions 40h, and that is perfectly OK and even interiorized as acceptable by most people, which will even go to the extent of defending that state of affairs.
What I see in the workforce is a desperate need for people to continuously prove the need for their own role, as automation and informatization eat away more an more jobs.
It's a game of face time, who sends most emails past midnight, and who is willing to sell more of their personal life and squeeze other people out of theirs, often to do "important" tasks that are often completely unnecessary.
I had a couple of jobs where I was working overtime, running for deadlines all the time, sending emails left an right, meetings, you name it. One day I had enough and I left, and to my surprise, I was never replaced :-)