Slashdot Mirror


Chinese Hackers Targeted Insurer To Learn About US Healthcare (engadget.com)

hackingbear writes: When Anthem revealed a data breach that exposed the details of more than 80 million people, the incident raised a lot of questions: who would conduct such a hack against a health insurance firm? Investigators finally have some answers... and they're not quite what you'd expect. Reportedly, the culprits were Chinese hackers helping their nation understand how US medical care works. It may be part of a concerted campaign to get ready for 2020, when China plans to offer universal health care. Next, we should outsource politicians from China to fix our healthcare system.

107 of 157 comments (clear)

  1. Help by Anonymous Coward · · Score: 2, Funny

    Well now they have figured it out can they clue the rest of us in?

    1. Re:Help by viperidaenz · · Score: 4, Insightful

      They were trying to figure out how not to do it.

    2. Re:Help by arglebargle_xiv · · Score: 2

      That was my response too, if you want to see how not to do it, look at the US. For a country like China (socialist, centrally-controlled), look at countries in Scandinavia for your model on successful healthcare.

    3. Re:Help by jedidiah · · Score: 1

      There's a good chance that they just wanted it for data mining. There are some interesting relationships that you could probably infer from all of that patient data.

      Also plenty of juicy personal information is probably in there. It's likely an identity thief's wet dream.

      "Proprietary information" of the insurance company is probably less interesting.

      --
      A Pirate and a Puritan look the same on a balance sheet.
  2. Good Luck with that by Crashmarik · · Score: 4, Insightful

    Insurers exist to prevent people from understanding how healthcare works.

    1. Re:Good Luck with that by khasim · · Score: 1

      And it isn't because Anthem had crap security.

      It is because the Chinese government was behind the attack.

      Because the Chinese government wants ... to ... understand how healthcare works in the USofA. Yeah! That's it. Makes perfect sense.

      It makes perfect sense. Because the Chinese government will be implementing the same model we have.

      Oh, they won't? Their model will be more like one of the European nations'? Well it still wasn't because Anthem had crap security.

    2. Re:Good Luck with that by KGIII · · Score: 2

      No... They're learning what NOT to do so as to avoid the mistakes made in the US. Also, because the security that Anthem had was shit.

      Me? I can go to the VA for a lot of stuff. Because of my knee and back, I'm told I'm likely eligible for some sort of disability but I haven't looked in to it. I usually just go to the local doctors down in Farmington. I pay cash (well, use a debit card) and I don't think it's that expensive but I don't really have much in the way of health issues that I worry about. I had them run a fairly standard blood screen, redo my shots, and hit me with preemptive antibiotics prior to going on my latest adventure (just meandering around the country by car) and I think the total was $180 and that included the blood work.

      I'm not positive how it all works but I think they give me a discount for using cash. I have no idea how much it is. Farmington Family Practice has an online site somewhere as well as Franklin Memorial Hospital. Those are usually where I go and I think they make some financing information available but it's too much effort to Google for you guys. ;-)

      There is some sort of co-op? I'm not positive but I think I'm a member by grace of residency. The doctors all work together, are all tied in with the local hospital, and everything is pretty simple. It's a pretty small hospital in a pretty small town but they're actually being studied to be used as a model for other hospitals according to a placard they had on the wall. They used to operate, the doctors - or some of them, out of a different building but a remodel put a goodly number of them into a separate area of the building and the whole campus is pretty well connected.

      Which leads me to this... They do have electronic patient records. I can get them on a USB drive if I want. I understand that they have them on a separate, non-public-facing network and that they can transfer records over a separate network to other facilities, as needed, with just a little work. The whole campus is on the second network and the first network, the computers are entirely air-gapped as far as I know. You physically need to use two separate computers to move data from one network to the other.

      Yes, this is more difficult. Yes, I'm sure it costs more but it doesn't seem to cost a whole lot - as is evidenced by the prices that I pay. Why is this not standard practice? It has to be cheaper to insulate yourself than to deal with the outcomes of a hack that exposes personally identifiable information. I'm not an overly huge fan of regulation but, perhaps, there needs to be some motivation to ensure this data is kept secure - what happened to HIPPA? Perhaps we don't need to regulate how they do it but to fine them if there's a lapse in their security that causes a large-scale loss of data?

      Breeches are inevitable - they're unpreventable. Keep that shit off the network. Lock down terminals. Make sure the data loss can only be via complex or analog methods. I'm sure that you guys can think of all sorts of ways to fix this, I'm certainly not an expert but I know there are tools to mitigate the risks and I know some of the best practices. I think FMH (I've talked with the IT staff on numerous occasions) even prevents USB access on most machines, everything on the second network is wired, it's locked down by MAC address, people are logged out automatically, not everyone has access, and even still - long and complex passwords are required as far as I know. On top of that, none of the computers that are able to access this are in areas where a non-employee should be able to access it.

      The billing department doesn't need to be able to surf Facebook while on her break - not from hospital-owned computers. The receptionist doesn't need to have access to your records. These are isolated and disparate networks. I'm sure, with some work, I can do all sorts of mean stuff - they're running Windows and they allow me to bring in a USB key (for example) to get my records. There's a flaw right there - or a potential f

      --
      "So long and thanks for all the fish."
    3. Re: Good Luck with that by easyTree · · Score: 2

      Nice post. It could use a table of contents though :P

    4. Re: Good Luck with that by KGIII · · Score: 2
      1. TL;DR
      2. Rant
      3. Rant some more
      4. Off-topic
      5. Personal involvement
      6. Rant
      7. Rant
      8. Say sorry for rant and then not change anything
      9. TL;DR

      Slashdot seems to have changed the way Ordered Lists are done but, there you go. ;-)

      --
      "So long and thanks for all the fish."
    5. Re: Good Luck with that by easyTree · · Score: 1

      Lol; merci :-)

  3. Let me save you some trouble... by Anonymous Coward · · Score: 4, Funny

    " Reportedly, the culprits were Chinese hackers helping their nation understand how US medical care works. "

    If you're rich, you pay for your medical care out of pocket.

    If you're not rich, you pay for health insurance that doesnt cover anything and then you die.

    1. Re:Let me save you some trouble... by ArmoredDragon · · Score: 3, Interesting

      I'm not particularly rich, but my employer offered health care plan is going to cover my kidney transplant operation at 100% (no deductible payment required, regardless of whether or not I've used it already.)

      I feel bad for Chinese people, because the condition that caused what I have (IgA Nephropathy) is by far more common there, and due to a cultural quirk (the belief that the body needs to be buried whole,) practically nobody actually donates organs. The only option there is to pay a donor under the table, which with or without coverage you're looking at easily six figures worth of expense.

      So at least in China, you really do indeed need to be rich, and you will pay out of pocket. And what's worse, is that your donor barely gets enough money to buy crappy Apple products.

    2. Re:Let me save you some trouble... by Lead+Butthead · · Score: 1

      " Reportedly, the culprits were Chinese hackers helping their nation understand how US medical care works. "
      If you're rich, you pay for your medical care out of pocket.
      If you're not rich, you pay for health insurance that doesnt cover anything and then you die.

      ... wait, that's what the Chinese has already, today!

      --
      ELOI, ELOI, LAMA SABACHTHANI!?
    3. Re:Let me save you some trouble... by jedidiah · · Score: 1

      My employer offered health plan also covered my transplant. The deductible kind of sucked but it was still pretty tiny when compared to the cost of the transplant.

      Healthcare affordability in the US is more about people choosing to live beyond their means and never considering any sort of financial hick-up. They will blow money on crappy Apple products but expect doctors to be free.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    4. Re: Let me save you some trouble... by finlan · · Score: 1

      May you have a swift recovery.

    5. Re:Let me save you some trouble... by orlanz · · Score: 1

      Healthcare affordability in the US is more about people choosing to live beyond their means ..

      I doubt you would still say that if you were self-employed, unemployed, or worked for a small business back in 2008. Because there, you wouldn't be able to afford the insurance, let alone the surgery. Try and get insurance or medical coverage with preexisting conditions like Parkinson, early Alzheimer, chronic blood pressure, etc. Large companies pay ~$1000 a month for employee insurance. Good luck getting that on your own.

    6. Re:Let me save you some trouble... by CrimsonAvenger · · Score: 1

      Bone Marrow Transplant for me. From the time the decision was made to do it till they were pouring poison into me to kill my own bone marrow was a month or six weeks.

      "George" (my new bone marrow - yes, my blood has different DNA than the rest of me, so it deserves its own name) and I have gotten along extremely well since then....

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    7. Re:Let me save you some trouble... by rubenerd · · Score: 1

      This is true to an extent, but there are some unforeseen things that nobody in the middle class could reasonably afford, even if they do the financially responsible thing with savings, read their insurance plans, etc.

      My mother's cancer treatment nearly bankrupted our family, and we still had medical insurance, savings and a six figure income. Most people aren't as lucky as you and I in that respect.

      Here in Australia, the government recently tried to introduce a $7 co-payment before seeing a GP covered by our Medicare system, but the public backlash stopped them. Affordability is as much a question of the system as the public buying iThings.

      --
      Cheers, ~ Ruben
    8. Re:Let me save you some trouble... by KGIII · · Score: 1

      Don't really know ya but I've seen your posts. Good luck. Enjoy the opiates. I'm a Buddhist, we're a pragmatic lot, but I hope you get what's best for you.

      --
      "So long and thanks for all the fish."
    9. Re:Let me save you some trouble... by jedidiah · · Score: 1

      Prior to Obamacare, getting individual coverage was not a problem. The only reason I am still not on the individual plan that I had 10 years ago is because Obamacare killed it. It was always better and cheaper than any "corporate" plan I ever had.

      One of the few useful things Obamacare did was the "pre-existing condition" problem. However, I would not have to worry about changing health plans if not for Obamacare to begin with.

      Obamacare has not made insurance more affordable, not even for "low paid working stiffs". It hasn't lowered deductibles and it still allows for crummy HMO plans like what Walter White had on Breaking Bad.

      It also didn't eliminate the games that employers play with changing plans all the time and doing so mid year so that you have to pay a 2nd deductible.

      Ironically enough, the company that collected my premiums all of those years wasn't the one to pay for my transplant. Some other company did. That can't be healthy.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    10. Re:Let me save you some trouble... by Gavagai80 · · Score: 5, Insightful

      Obamacare has not made insurance more affordable, not even for "low paid working stiffs".

      It certainly has. I had to drop my catastrophic-only insurance coverage around 2008 because it was just too expensive even for the limited coverage. Now with the medicaid expansion I've got full socialized medicine.

      --
      This space intentionally left blank
    11. Re:Let me save you some trouble... by jedidiah · · Score: 1

      Fortune favors the prepared. There are lots of people that could be prepared but American consumer culture discourages it. If you don't buy twice as much house as you actually need, you're seen as a subversive (no joke).

      So plenty of people that could tolerate a catastrophe can't.

      People are too cheap to spend $7 on the most well trained members of society but will blow a lot more than that on other useless crap. We've been conditioned to think that our best and brightest should work for free.

      It's disgusting really.

      Even those that can't hold enough back for a rainy day still can afford doctors, they just choose to spend their money on other things.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    12. Re:Let me save you some trouble... by jedidiah · · Score: 1

      Medicaid isn't exactly "insurance". It's the option of last resort if you are completely desperate. I would personally avoid it like the plague. Too many patient horror stories.

      Medicaid doesn't pay doctors squat. They actively avoid it. It's like the worlds worst HMO but even worse. There are tighter restrictions on expensive drugs and procedures.

      Medicaid, like the VA are why you DON'T want American socialized medicine.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    13. Re:Let me save you some trouble... by orlanz · · Score: 4, Interesting

      Sorry it sucked for you. But I personally know two people that without Obamacare's exchanges, one would probably not be talking today, and the other would have moved to another country for the same medication and medical service but 1/5 the cost. Sorry, but prior to Obamacare, there were a lot of people like them who "just got by" because they weren't chronically sick to be taken in by emergency care, but were slowly wasting away because the healthcare market felt they were unprofitable.

      Obamacare is no where near perfect, but for gods sake, the US couldn't touch anything in Healthcare for over 3 decades! All those presidents and congressmen in that time were useless for the sick and needy of the US.

    14. Re:Let me save you some trouble... by facetube · · Score: 1

      Prior to Obamacare, getting individual coverage was not a problem

      As someone who was denied multiple individual policies from multiple companies over multiple years for... wait for it... a history of tension headaches (their words, printed on the denial letter) – you couldn't be more wrong. I even have a letter that basically says "We're pleased to offer your wife a policy, but just not you". Getting individual coverage before the ACA was an fucking nightmare that put six-figure income households on public assistance "high risk" pools.

    15. Re:Let me save you some trouble... by Type44Q · · Score: 1

      And what's worse, is that your donor barely gets enough money to buy crappy Apple products.

      I didn't realize that Chinese prisoners were allowed to have electronic devices...

    16. Re:Let me save you some trouble... by dave420 · · Score: 1

      And the rest of the developed world feels bad for you because your kidney transplant isn't guaranteed to be covered, regardless of whom you work for.

    17. Re:Let me save you some trouble... by Outta_the_way_peck! · · Score: 1

      Really? My health insurance costs through my company dropped 75% this year. Who are these 150 million people you speak of? Did Limbaugh tell you this?

  4. Sources by Anonymous Coward · · Score: 2, Insightful

    I'd rather trust the Chinese hackers over Engadget, thanks.

  5. Why hack? by Nutria · · Score: 1

    Couldn't they just ask? It's not like these are state secrets...

    --
    "I don't know, therefore Aliens" Wafflebox1
    1. Re:Why hack? by sound+vision · · Score: 1

      Some relevant stuff could be trade secrets though. Particularly about risk management and pricing. Health care in the US is a combination government/corporate system.

    2. Re:Why hack? by Nutria · · Score: 1

      Particularly about risk management and pricing.

      Aren't there books and research papers on risk management from Societies?

      --
      "I don't know, therefore Aliens" Wafflebox1
    3. Re:Why hack? by jedidiah · · Score: 2

      Hospital billing rates and contract insurance reimbursement rates are no great secret. Government reimbursement rates are certainly no secret (medicare/medicaid).

      --
      A Pirate and a Puritan look the same on a balance sheet.
    4. Re:Why hack? by NicBenjamin · · Score: 1

      Couldn't they just ask? It's not like these are state secrets...

      They're the Chinese Security State. They don't know that. They just know that we tell them that, and then refuse to tell them what the health system actually does on an individual level on the basis of privacy rights.

      Remember when the Russians places a super-deep-cover spy program in the US, and used it almost entirely to verify that what we write in out publicly available media is actually true?

      So I could actually believe some bureaucrat in China with a hacking team decided too get this data in hopes it would help him in some bureaucratic Kung-Fu when preparing their universal health program.

      OTOH, if you hear hooves horses are more likely then zebras. It's more likely that this was a criminal hack, probably to get people's names, birthdays, and SSNs.

    5. Re:Why hack? by mspohr · · Score: 1

      Contract insurance rates are a secret. Each hospital/doctor has to negotiate it's own discounts and the insurance companies don't want anyone to know what they have negotiated.

      --
      I don't read your sig. Why are you reading mine?
    6. Re:Why hack? by ColdWetDog · · Score: 1

      Hospital billing rates and contract insurance reimbursement rates are no great secret. Government reimbursement rates are certainly no secret (medicare/medicaid).

      It's really quite easy:

      How much money do you have?
      Give it to us ....

      --
      Faster! Faster! Faster would be better!
    7. Re:Why hack? by Nutria · · Score: 1

      It's more likely that this was a criminal hack, probably to get people's names, birthdays, and SSNs.

      That actually was my first thought... :)

      --
      "I don't know, therefore Aliens" Wafflebox1
    8. Re:Why hack? by jedidiah · · Score: 1

      Um... no.

      My employer sponsored plan pays on average about 33% of what's actually billed.

      It's like you people have never seen a medical bill ever.

      "Plan discounts" are common and tend to vary depending on the type of procedure and provider.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    9. Re:Why hack? by KGIII · · Score: 1

      Probably. But...

      I had papers published publicly and even some patents. However, we had lots of internal IP. Scads of it that probably wouldn't have been novel enough to warrant the negatives of publishing and proving another company was using it would have been difficult, so there was no patent and the research will never see the light of day while it still holds value. Sorry, but that's the way it is. We did fund some research at a university a few times, we retained the rights to that work (most of it) as well. Again, sorry, but that's how it works.

      So, if this company is like every other company then you can certainly read all sorts of papers but you won't get everything. It's like reading a recipe but not having the secret ingredient. You could read all the public information out there and, maybe, deduce some additional information but you won't have full access. I suspect that that, and the private data about people, were likely to be purloined.

      Ah well... Information wants to be free. *nods* (I keed, I keed! Sort of...)

      --
      "So long and thanks for all the fish."
    10. Re:Why hack? by KGIII · · Score: 1

      There's probably an appropriate adage but it's usually the people who know the least or at the least impacted that complain the loudest.

      It's like when I hear a crazy right-winger, who probably lives in a trailer park, yelling about taxing the upper class. I mean, sure, thanks for the defense and all - and I appreciate you thinking about me but I really don't mind the taxes - I just hate how they are spent. Hell, if you tax me more, it's not like I'm going to curb my spending habits or take my money out of the markets.

      I suspect that this is very similar. They just know that they're supposed to hate the pharmacies, the hospitals, and the insurance companies. Everything gets painted with a broad brush, skipping the details, and out comes gibberish. It would be like me telling you guys how to best program or administer servers.

      --
      "So long and thanks for all the fish."
    11. Re:Why hack? by KGIII · · Score: 1

      OTOH, if you hear hooves horses are more likely then zebras.

      Pfft! What if I'm out on an African safari? Hmm?!? What then, Mr. Smarty Pants?

      --
      "So long and thanks for all the fish."
    12. Re:Why hack? by r-diddly · · Score: 1

      Yeah it's weird, it's almost like the explanation is inconsistent, false, and/or propaganda of some kind. Chinese hackers this, Chinese hackers that. This "story" is the one that switched me over to Skepticism Land.

  6. Those hackers are still at work by Trailer+Trash · · Score: 5, Funny

    Next, they're going to hack German restaurants to get some tasty recipes. I hear they're also hacking into Martin O'Malley's email to figure out how to run a great political campaign. And looking for dental information from the English. Etc.

    1. Re:Those hackers are still at work by chipschap · · Score: 1

      No no no ... they made an agreement with Obama not to hack any more and of course we can trust them, after all we trust the Iranians.....

    2. Re:Those hackers are still at work by viperidaenz · · Score: 4, Insightful

      No, they hacked an American health insurance company to figure out how healthcare in American got so broken. They probably don't want to make the same mistakes.

    3. Re:Those hackers are still at work by KGIII · · Score: 1

      I think this predates the agreement. Not that it matters or detracts from your point but, still.

      --
      "So long and thanks for all the fish."
  7. I would like to see some evidence for once by Anonymous Coward · · Score: 2, Interesting

    Every time it is the Chinese, the Russians or even the North Koreans. I would like to see some evidence of this. I have no doubt they, and everyone else for that mater, are involved in these shenanigans, but I highly doubt that there is clear cut evidence, or even just circumstantial evidence.
    As far as I know every competent hacker uses zombies as proxies which leaves nothing to trace, if done properly.

    1. Re:I would like to see some evidence for once by Lead+Butthead · · Score: 2

      Every time it is the Chinese, the Russians or even the North Koreans...

      No evidence needed, but can be fabricated on demand.
      "USA is surrounded by enemies and under constant attack. Your government need more surveillance power to protect you."

      --
      ELOI, ELOI, LAMA SABACHTHANI!?
  8. Would it be that bad? by sigmabody · · Score: 2

    I mean, would a Chinese politician be any worse than a US politician, really? Any more corrupt? Any less likable? Moreover, the US a basically already implementing mechanisms of rights confiscation, ubiquitous domestic surveillance, state-controlled economy, a police state, etc. We're practically already China, in terms of how the government functionally operates. Would allowing Chinese politicians be all that bad?

    1. Re:Would it be that bad? by hackingbear · · Score: 2

      We're practically already China, in terms of how the government functionally operates.

      No, we package our shits much better. They have propaganda departments; we have marketing departments. They are starting to learn political marketing from us, however.

    2. Re: Would it be that bad? by easyTree · · Score: 1

      Lol. I recently learned that the Nazis learned propaganda tactics from us (the British) at the end of the second world war.

    3. Re: Would it be that bad? by Zontar+The+Mindless · · Score: 1

      Fat lot of good it did them then.

      --
      Il n'y a pas de Planet B.
    4. Re: Would it be that bad? by Anonymous Coward · · Score: 1

      That's because socialists can't innovate. They just copy.

  9. More frivolous accusations by Anonymous Coward · · Score: 1

    with no basis in reality. Eventually, people will realize that the accusations coming from a war-mongering country with murderous foreign policy onto a peaceful country simply doesn't hold up.

    1. Re:More frivolous accusations by Alypius · · Score: 1

      ...said the Chinese hacker/foreign ministry.

  10. bogus by igsmo · · Score: 2

    The China bashing in western media is just getting ridiculous.

  11. Very funny by rsilvergun · · Score: 1

    but the one thing you don't do is outsource your ruling class. Unlike the working class, they take care of their own...

    --
    Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
    1. Re:Very funny by spauldo · · Score: 1

      Sure you can. Japan did it in 1945, and South Korea did in the 50s.

      The marketing campaign to get Vietnam to outsource theirs failed, though.

      --
      Those who can't do, teach. Those who can't teach either, do tech support.
  12. Unlikely by Anonymous Coward · · Score: 2, Insightful

    The United States - the most utterly dismal health care system in the industrialised world, is the last place on earth that anyone would look for a good example of how to implement health care. This looks like more US propaganda. Slashdot is rapidly becoming the mouth piece of a mad US regime, obsessed with China and Russia. The Chinese certainly have nothing to learn from the catastrophic failures of private sector profit from the sick and dying in America. Europe is the place to learn about how to implement health care correctly. The US system is truly awful, amoral, and utterly inhuman. If I lived there, I'd certainly leave. What an awful country.

    1. Re:Unlikely by chipschap · · Score: 1

      If I lived there, I'd certainly leave.

      Evidently you don't live here and that's something we both can be glad about.

    2. Re:Unlikely by jedidiah · · Score: 1

      Fine. We have enough stupid liberals that buy into the eurotrash hype machine.

      Why don't you boycott American developed procedures and pharmaceuticals while you're at it (instead of just leeching).

      --
      A Pirate and a Puritan look the same on a balance sheet.
    3. Re:Unlikely by Richard_at_work · · Score: 1

      Our healthcare providers buy drugs and equipment at market rates, the only difference is that that cost is borne by general taxation rather than direct payment by the recipient of any care, so what's your problem? Your precious healthcare and pharma companies still get paid, just not directly by the sick.

  13. How embarrassing by JustAnotherOldGuy · · Score: 1

    "....when China plans to offer universal health care."

    Jesus, even China is going to offer universal (single-payer) health care. Incredible. I hope that someday the US, with only 1/3rd as many inhabitants, can someday be wealthy and compassionate and forward-thinking enough to offer something similar.

    The ACA (Obamacare) is a step in the right direction, but this country needs to step up and offer its citizens universal health care, the same way they do in countries like Canada, Morocco, Sweden, Israel, Singapore, Taiwan, Australia, Luxembourg, Ireland, Iceland, Germany, France, England, Switzerland, Scotland, Finland, Austria, Mexico, Belize, Trinidad, Thailand, Brazil, Argentina, Chile, Colombia, Peru, New Zealand.....etc etc

    Maybe, just maybe if we stopped waging wars at $3 trillion apiece we'd have money for kooky stuff like healthcare.

    --
    Just cruising through this digital world at 33 1/3 rpm...
    1. Re:How embarrassing by CanadianMacFan · · Score: 2

      There's lots of money once you cut out the insurance companies, lawyers, and too high malpractice suit awards but money isn't the issue in the US. There's a fear of socialism there and for some reason providing healthcare to everyone is viewed as almost the ultimate step towards it. Never mind that policing, fire fighting, and education are all public services and that providing healthcare would be a great boost to productivity. If people can go to the doctor when problems are starting then they remain healthier and it costs the system less money overall.

    2. Re:How embarrassing by jedidiah · · Score: 1

      We would have to seriously jack up the tax rate in order to pay for something like that. Even then, rationing is likely as it occurs in Canada and Europe. That even happens to a certain degree even in the US already with what public options we already have.

      There is no free lunch. All Europe does is play the role of nanny and take all of your money so you can't waste it on overpriced consumer goods.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    3. Re:How embarrassing by Waffle+Iron · · Score: 2

      We would have to seriously jack up the tax rate in order to pay for something like that.

      We shouldn't have to. We already spend twice as much per capita on health care than any other country, with worse outcomes. Half of our health care system is already socialized (Medicare/Medicaid). That means if we could just get costs and quality in line with the rest of the world, we could cover everyone, get better results, and eliminate all private insurance premiums using no more tax money than we're already spending.

    4. Re:How embarrassing by CanadianMacFan · · Score: 1

      Oh please! Yes, not everyone in Canada has a family physician and the mental health care sucks but if you want to see a doctor there are clinics you can get into. I needed to see a doctor urgently, but not for an emergency, a few weeks ago. My family physician couldn't see me until the next week but I was able to go to a clinic located within a grocery store and waited 15 minutes to see a doctor. I'll admit that I was lucky with the short wait time. If I have an emergency or come down with a serious illness such as cancer I know that the system is there. Sometimes for things such as hip replacements or other non-life threatening procedures the wait time is longer than what it is in the US but you will get it done. There is no rationing. The only thing we don't get is very expensive unproven procedures and medications. You wouldn't get them in the US from your insurance providers either.

      Yes, your taxes would probably go up a bit but you wouldn't have to seriously have to jack them up. You would come out ahead because the increase in taxes would be less than the amount you gain from not having to pay for health insurance anymore. The elimination of that deduction might be able to fund a significant portion of a universal health care program. Companies and people writing off insurance and medical expenses must cost the government a lot of money in lost revenue.

    5. Re:How embarrassing by jedidiah · · Score: 1

      > We shouldn't have to. We already spend twice as much per capita on health care than any other country,

      No we don't. That's just media propaganda.

      "Quality" is already fine and probably superior. If you think we're going to eliminate the cost of insurance premiums without replacing it with something then you're living in an innumerate fantasy land.

      You're like a bunch of Greeks.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    6. Re:How embarrassing by jedidiah · · Score: 1

      I know a number of international patients and I know what does and doesn't get covered. I also know people personally including a Canadian friend who was killed by Canadian medicine by lackluster diagnostic procedures when he was first diagnosed with cancer. They completely dropped the ball because they didn't bother to be thorough.

      For all the "saving money cutting out of the middle man" you think you people could be a little less stingy with the testing, especially when it's something serious like cancer.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    7. Re:How embarrassing by Waffle+Iron · · Score: 4, Insightful

      No we don't. That's just media propaganda.

      It's the damned truth. Look it up. It looks like you've been fed on a diet of too much talk radio propaganda yourself.

      We eliminate the cost of insurance premiums by getting rid of the ridiculous cost structure of health care in this country. There are dozens of countries who already do this just fine, and the people there live longer and healthier lives. This isn't rocket science.

    8. Re:How embarrassing by spauldo · · Score: 3, Insightful

      That's funny, I know a lot of Americans that have gotten shitty and incompetent health care, misdiagnoses, and poor coverage. As long as we're throwing around anecdotes, I know one guy that was forced to turn down a good job offer because their insurance wouldn't cover his cancer meds. I also know a woman who only stays with her abusive cheating husband because she can't afford insurance for her Crohn's disease.

      I never understand arguments like yours. Our health care system sucks. It's just as prone to poor care as any other system. It reduces freedom of the individual (unless you count corporate "individuals," where it adds one more control over their employees). It's expensive, it doesn't cover everyone, and we all end up picking up the tab for the uninsured anyway. It ties health care to employment, which is ridiculous - people making close to minimum wage can't afford it without subsidies, and if you lose your job, you lose your insurance. And the insurance companies will do everything they can to discourage you from going to the doctor in the first place; that's what the deductible is for, as well as the common practice of having all the "in network" doctors based in another city.

      No system is perfect, but ours is just downright bad. You want to say the Canadian system sucks, go ahead - but don't pretend that ours is great.

      --
      Those who can't do, teach. Those who can't teach either, do tech support.
    9. Re:How embarrassing by JustAnotherOldGuy · · Score: 1

      There is no free lunch.

      Thank goodness our non-stop never-ending wars are free. Thank goodness we haven't had to spend trillions upon trillions that might have been better spent here at home.

      Seriously, for the amount we've spent on these bullshit wars we could have given everyone cradle-to-grave healthcare.
      We could have fed and housed every homeless person in the entire US.
      We could have repaired most of our crumbling infrastructure (and created a shitload of jobs along the way).
      We could probably have cured AIDS and/or cancer and/or diabetes.

      I'm hard-pressed to think of a problem that couldn't be solved or seriously mitigated with a few trillion dollars.

      --
      Just cruising through this digital world at 33 1/3 rpm...
    10. Re:How embarrassing by Z34107 · · Score: 1

      He's right though. We spend much more per person on healthcare than even the yuuros do, and we die sooner despite that (fig 1). That's not to say that our hospitals are bad (though some states really fail at not killing people), or that we aren't awesomely good at treating specific diseases, but none of that means you'll live any longer than the slackers across the pond.

      Even worse, despite being a nominally private healthcare system, our government still spends more per person than even the UK (fig 3). As in, we'd have less government in medicine if we went full-retard universal care.

      That's not to say I'm a fan of single payor systems--our nanny state is already trying to micromanage how many ounces are in a soda even when they're not paying for your fat ass. But, it's simply wrong to say that the single-payor systems don't provide better care for less money.

      That said, I'd much rather we emulate Singapore. They make you pay for everything out of pocket from a savings account drawn off your paycheck. Paying cash for everything keeps prices in check, the mandatory contributions mean no one's "uninsured," and no insurer or HMO limits what you can buy. Subsidies help the truly indigent, and you can draw on it like a 401(k) in your dotage should you prove unusually resilient.

      The Little Red Dot lets you be as much of a fat-ass as you care to pay for, and ain't that the American way. Japan, in the meanwhile, has an honest-to-God fat tax.

      --
      DATABASE WOW WOW
    11. Re:How embarrassing by jedidiah · · Score: 1

      No we don't. Do you have personal experience? I do. You idiots don't even know the first thing about medical bills and you think you're qualified to comment on critical public policy.

      To paraphrase Disraeli, the numbers lie. They tell whatever narrative the narrator wants to spin. In the case of liberal reporters, it's the chicken little version of the American health care system.

      My own "big procedure" ended up being %25 of what the journalist class says it should be.

      Any time I see numbers, or stats, or rankings and I have any personal firsthand experience, it turns out to be bullshit.

      You're just being led around by the nose by the news media and twits with a political agenda.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    12. Re:How embarrassing by jedidiah · · Score: 1

      Seriously? The "in network" doctors are in another city? Are you on crack? Even the worst HMOs I've ever seen are not THAT bad.

      You're talking some batshit crazy nonsense that you must have gotten from the democrat version of a tea party website.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    13. Re:How embarrassing by Z34107 · · Score: 1

      You idiots don't even know the first thing about medical bills and you think you're qualified to comment on critical public policy.

      Odds are I wrote the software that gave you that bill, you insufferable mong. Your anecdote sure is compelling, though.

      --
      DATABASE WOW WOW
    14. Re:How embarrassing by quenda · · Score: 1

      Maybe, just maybe if we stopped waging wars at $3 trillion apiece we'd have money for kooky stuff like healthcare.

      But there is money! The US government already spends more per-capita on healthcare than most other nations in that list, but just does not get much for it. The US health-care system is far more expensive overall, and produces much worse outcomes (both medical and other) than other industrialised nations. However, sadly, doctors in Europe may not be paid quite as much, so they may be forced to drive around in a 3-year-old Mercedes. https://danieljmitchell.wordpr...

    15. Re:How embarrassing by dave420 · · Score: 1

      He just gave you evidence showing you are wrong, and all you can reply is with "No we don't", then make some sort of fallacious appeal to personal experience, as if you can experience every aspect of healthcare for oneself and expect that to represent the entire industry.

      You are lost. It's sad. The US pays more than most countries for healthcare, and the results are anything but great. You are like a battered spouse defending their partner. "They only hit me because they love me!"

    16. Re:How embarrassing by spauldo · · Score: 1

      No, I got it from my last job, actually.

      It was "cheaper" if all our service area was in Tulsa, so that's where our service area was. That's about a two hour drive from where my company was based.

      There are doctors here that accept that network, we just couldn't use them. My sister has the same insurance provider and has access to local doctors.

      I've talked to people in other jobs who have had similar arrangements. Some are lucky, and are given the choice to pay extra for local service. Some, like me, didn't have that option.

      I could have changed jobs, if I was willing to relocate or change careers. Having to change careers or move because you need better health care is not a point in favor of our current system.

      --
      Those who can't do, teach. Those who can't teach either, do tech support.
    17. Re:How embarrassing by JustAnotherOldGuy · · Score: 1

      But there is money! The US government already spends more per-capita on healthcare than most other nations in that list, but just does not get much for it.

      Yes, I know. At the same time, however, if we stopped pissing away trillions on blowing up schools, sand dunes, and hospitals we'd have even more money to spend on more worthwhile stuff.

      --
      Just cruising through this digital world at 33 1/3 rpm...
  14. Very ambitious. by 140Mandak262Jamuna · · Score: 4, Insightful
    My colleagues are Masters and PhDs and they hack out C++ to solve Maxwell's equations for a living. These are people who got 790 verbal, 800 quant and 790 analysis in GRE. They solve London Times Cryptic cross word puzzles for fun. They made several valiant attempts and have given up whimpering incoherently about copay, coinsurance and out of pocket maxima. (See I even learnt from them plural of maximum is maxima ). Again, they/we did not try to understand the whole US Healthcare, just our employee health benefit plan, the flex spending account, and the deductible partly kicked in by our employer.

    The Chinese trying to understand our healthcare system? GOOD. LUCK. BTW if you do figure it out, please explain it to us, Much obliged.

    --
    sed -e 's/Chuck Norris/Rajnikant/g' joke > fact
  15. Ocare-35 by Tablizer · · Score: 1

    Maybe they'll swipe healthcare.gov and fix the design, like they did the F-35.

  16. Holy fucking shit by easyTree · · Score: 2

    Dear USA

    Are you serious?

    Feel free to blame China for everything bad - even imaginary incidents or those you perpetrate yourself - we'll believe it.

    Noone is going to believe that China is stupid enough to even consider imitating your 'health'-care system.

    Is this an attempt to paint the US 'health'-care system as something worth imitating?

  17. Re: outsource consultants...from china? by easyTree · · Score: 1

    What the fuck, are you serious? The last thing we should be doing is accepting advice from communists from hostile governments.

    ... said a Chinese government spokesperson when asked if reports of Chinese involvement of the hack had merit.

  18. Re:outsource consultants...from china? by Applehu+Akbar · · Score: 1

    " The last thing we should be doing is accepting advice from communists from hostile governments."

    Relax. If China were to actually adopt the US healthcare system, it would be bankrupt in a decade. It would make as much sense as the US adopting the Chinese legal system. There has to be some other reason why they are looking into our system. Probably they are developing a new hit sitcom.

  19. How not to do it! by labnet · · Score: 3, Insightful

    I think they would be trying to find out NOT how to do it.
    The USA has the worst public healthcare system in the developed world on a cost benefit ratio.

      Americans seem to have this; well if you get sick its your fault attitude; and that general free public healthcare, as offered by almost every other industrialised nation, is akin to a communist assault.

    --
    46137
    1. Re:How not to do it! by jedidiah · · Score: 1

      Well, we are talking about goods and services here. Those guys deserve to get PAID and paid well. They should be able to fully exploit the capitalist system for all the work they put in. The same goes for genuine innovators in Big Pharma.

      The issue of "cost" is easy to distort since billing rates and actual reimbursement rates vary significantly.

      Being able to "bribe" someone for a better outcome is NOT a bad thing.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    2. Re:How not to do it! by sims+2 · · Score: 1

      Careful now bribe is such a harsh word. Here in the US we call it lobbying.

      --
      Minimum threshold fixed. Thanks!
    3. Re:How not to do it! by jedidiah · · Score: 1

      I was talking about "bribing" the doctors, not the politicians.

      Saavy people in communized countries often use bribes to get goods and services that they might not otherwise have access to.

      Want a consult with the biggest most well regarded expert in the country? Just f*cking pay cash for it. Put it on a credit card if you have to.

      Ask for a cash rate. You will likely find it less dire than you think.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    4. Re:How not to do it! by sims+2 · · Score: 1

      Huh learn something new every day still wouldn't think that they would call it bribery internally.
      Either way I would like to know more. The only country I have heard much about with universal health care is Canada and their nhs system and my understanding is that it covers pretty much everything except cosmetics and anything considered experimental. I haven't really looked into it all that much tho.

      As for the cash rate I am fairly familar with that here in the US. I talked about it last month on here.

      http://slashdot.org/comments.p...

      --
      Minimum threshold fixed. Thanks!
    5. Re:How not to do it! by labnet · · Score: 1

      Well, we are talking about goods and services here. Those guys deserve to get PAID and paid well. They should be able to fully exploit the capitalist system for all the work they put in.

      Australia runs a hybrid public/private system. Any emergency and urgent care is free and high quality, but if is non life threatening cases can end up in long queues.
      Most middle class people also have private insurance, which allows them to see the doctor of their choice in the hospital of their choice.

      We have the best of both worlds.

      --
      46137
  20. free giveaway by harvey+the+nerd · · Score: 1

    If you (China) want it for free, you can have it.

  21. So they want to learn more about our health care.. by interval1066 · · Score: 1

    ..Could they not have simple asked?

    --
    Python: 'And then suddenly you have a language which says "we're all stuck with whatever the whiniest coder wants".'
  22. I call BS by cpm99352 · · Score: 1

    I offer my services to the Chinese. For a mere $300K I will elucidate in greater detail if required. Medical insurance is not exactly rocket science (and you've already launched something to the moon! Congrats!)

    Let's break it down. There are a few components:

    Plans - but in a Communist country I'd expect everyone has the same insurance plan, right? Or is one animal great than another?

    Member Information - things like name, gender, age, tobacco user, dependents, etc. Again, though, given it is a Communist country, are there really dependents, or is everyone a participant?

    Provider information - things like provider name, address, tax ID. I hate to sound tedious, but in a Communist country I don't think you'd have PPO networks, right? Aren't all providers equal?

    Premiums - this ties the member to a plan. In a capitalistic society this gets pretty complicated, as there are a vast number of plans, and different rates based on member age/smoker status/gender, etc. As I have now stated ad nauseum, I expect under a Communist system everyone pays the same, so maybe this becomes a trivial issue?

    Claims processing - in a Capitalistic system one would take the billing codes, procedure codes, diagnostic codes, etc., match them against the date of service, connect this to the member and the plan, and adjudicate to determine if 1) the claim falls under the plan, 2) who gets paid what, 3) a bunch of other stuff (like lifetime deductibles). Now, if we were operating under a Communist plan, wouldn't all claims be covered?

    When I started writing my response, I sympathized w/ the Chinese, as I've been involved with a few claims processing systems, and there's a ton of institutional knowledge. However, under a Communist system, what really is there?

    Ps - Honestly, as an American who thinks theAmerican insurance & medical business is a complete scam, I'd love to hear what Sweden and other civilized countries need in the way of medical insurance software.

    1. Re:I call BS by cpm99352 · · Score: 1

      Oh, and I left out rx, and payments to (and clawbacks from) providers. We can also discuss vision and dental, but again, what is the point???

      The American medical insurance is so broken there is no believable reason another nation would wish to copy it.

      Why not adopt a more believable (and simpler) hypothesis that the reason medical insurance claims data was of interest was because of mental illness and sexual disease claims?

    2. Re:I call BS by cpm99352 · · Score: 1

      Oh, and congrats to the idiot Slashdot editors. The primary source for the article is paywalled: http://www.ft.com/intl/cms/s/0...

  23. Who told you about the 'culture quirk'? by Taco+Cowboy · · Score: 1

    ... I feel bad for Chinese people ... due to a cultural quirk (the belief that the body needs to be buried whole) ...

    There have been so many proclamations about what Chinese believe in, how the Chinese culture behaves, how the Chinese 'spell' their names, and so on ... it is as though the Americans have somehow become more "Chinese Expert" than the Chinese themselves

    I came from China - and as an ethnic Chinese I can tell you that most of the Chinese people are no longer burying their dead - cremation has been the preferred choice for most people in China, except for the moslems

    --
    Muchas Gracias, Señor Edward Snowden !
    1. Re:Who told you about the 'culture quirk'? by dave420 · · Score: 1

      Just to let you know, it seems "moslem" is a spelling favoured by xenophobes. "Muslim" is the correct, non-makes-you-look-like-a-nazi way of spelling it.

    2. Re:Who told you about the 'culture quirk'? by nospam007 · · Score: 1

      "There have been so many proclamations about what Chinese believe in, how the Chinese culture behaves, how the Chinese 'spell' their names, and so on ... it is as though the Americans have somehow become more "Chinese Expert" than the Chinese themselves"

      Sure, they hacked the Chinese health system to learn that.

    3. Re:Who told you about the 'culture quirk'? by nospam007 · · Score: 1

      The American Heritage Dictionary (1992) noted,"Moslem is the form predominantly preferred in journalism and popular usage. Muslim is preferred by scholars and by English-speaking adherents of Islam."

    4. Re:Who told you about the 'culture quirk'? by dave420 · · Score: 1

      A lot has changed since 1992! Now the vast majority of popular uses of the spelling "moslem" are by xenophobes ranting on about some nonsense they made up. If one wishes to not appear to belong to their ranks, using the more popular and less-loaded spelling will definitely help.

  24. Why not ask publicly? by Roodvlees · · Score: 1

    Don't countries happily share how their successful healthcare systems work?
    Also, they'd be better off learning from their fellow asian countries, several of which have very successful healthcare systems. By government actually safeguarding a free and fair market.

    --
    Thank you, Bradley Manning, Edward Snowden and so many others, for courageously defending humanity, my freedom and more!
  25. Oh bullshit by rebelwarlock · · Score: 1

    1. No one wants to know how the US healthcare system works.
    2. If they were looking for inspiration, they'd look at Taiwan. It's a lot closer, and people are actually taken care of.

  26. Ha ha by Anonymous Coward · · Score: 1

    Very funny. Who would target the worst health care system in the industrialised world to learn anything.
    Is this article really true. There seem to be an awful lot of pieces on slashdot these days, targeting China and Russia. I do but wonder if someone is running an orchestrated propaganda campaign.

  27. What the hell China, just ask! by sabbede · · Score: 1

    It's not like it's a state secret. Heck, every profession involved has conventions, just send someone to find out what they do! Ask people on the street, watch TV, read trade journals, read the laws and regulations (good luck)! There are a host of easier, legal, means to get that info.

  28. Re:Oh Gawd, why would they hack the US system? by dave420 · · Score: 1

    Yes, Obamacare is all of those things, but still better than what existed before. That should tell you something about just how messed up it was before.

  29. Whooo Chines hackers, I'm so scared ... by nickweller · · Score: 1

    Chinese Hackers Targeted Insurer To Learn About US Healthcare

    Wouldn't it have been simpler to 'invest' in a US healthcare provider ..