posted on Oct, 6 2013 @ 08:49 AM
reply to post by solongandgoodnight
There are several reasons for such price.
1) The machines cost a lot, easily can costs 100,000s of dollars or even millions + the maintenance fees. I do not know for sure, although I am 90%
sure in the machine being expected to "earn" the cost back. Round here such thing does not exist, as the machines are bought by the government from
taxpayer´s money or by the hospital from donations. That way these are not expected to earn their money back. If a machine is bought from the
taxpayer´s money and then they are charged for using it in order to earn it back, it is absurd...
2) All the employees who work for the hospital (even the one´s who are not directly related to healthcare) need to get paid. In US the amount of
administration is very large compared to what it is round here due to lots of bureocracy and also too much "specialisation". That is what I learned
from the factory I visited in US, In the local service of the factory (the maintenance/equipment engineers) there was a specialist hired for every
field a´la the air guy, the pneumatics guy, the mechanic, electronics guy etc etc, which in total was over 10 people in a small factory + special
people running this groups paperwork. Even the most common sense things were required to be done by "specialist". I remember well when I had to
wait for half an hour in order for some guy to show up and connect air supply to the machine.When couple of years, I worked round here at factory
producing similar products (only about 10 times larger amount). There were a total of 4 people running the whole maintenance part of the factory and
fixing the machines which broke down in shifts of 2. Everybody were required to anything that needed to be done (from air to hydraulics problems to
mechical, IT & electronics issues & fill in the paperwork themselves & do safety measurements, make the maintenance etc etc). Everybody were required
to be "jack-of-all-trades" doing whatever had to be done in order to keep the factory running and to be honest, this was much more efficient
compared to the factory in US. Same goes to schools round here, where the total number of fully administrative stuff is 1 (economics). The other
administrative stuff is done by teachers and also usually the principal is a part-time teacher.
This was just one factory and I do not want to generalise, although from what I see, I know for sure, one of the problems in US lies in too much
bureocracy, too much specialisation (even for easy things that do not need specialist), which leads to too large administrative staff, who actually
does not produce anything except driving the costs up by being he middlemen.