Is Honor a myth?

In my earlier post on the Mechanics of Cartels, I opined towards the end that being a good guy might actually be a reasonable strategy in a competitive world. In an environment where everyone else is being a cutthroat, it seems unreal to be decent and trustworthy. But in this article, I am going to show that there are unique benefits to being a good guy, being trustworthy, and not stabbing people in the back.

George Herbert once said, “Honor and Profit lie not in one sack”. And indeed, we read many stories about how the honest person lives a life of penury, whereas the dishonest crook is always rolling in wealth. However, I believe that the dishonest person can only go so far. After a point, they cannot get any richer without becoming honest. It’s like a chess player who has great talent, but hasn’t studied strategy. They can be great club players, but to reach the top league, they have to learn hitherto un-studied theory.

Image Credit: godchased

Honor

In cartels, we have seen how doubt about another person’s trustworthiness can cause the cartel to break up. As an example, in India, the iPhone was released by two major companies (Airtel and Vodafone) almost simultaneously. When I say almost, I mean that Vodafone released it one day after Airtel. In the United States, the iPhone costs only $200. However in India, it was released for $775 by both companies. They had obviously come to an agreement beforehand that they were going to release it together at that price.

Perhaps someone here who knows more can enlighten me as to whether or not they could have been taken to court for that for violating anti-trust policies?

In any case, it must have been an interesting negotiation complicated by the fact that Vodafone released the iPhone one day after Airtel committed to selling it at $775. If the next day Vodafone had released the iPhone for say $300, Airtel would have been devastated. No way anyone was going to buy it from Airtel for $775 if Vodafone released it for $300!

Vodafone had a chance to cheat on Airtel and capture the entire iPhone market share. Yet they did not do this. Why? Were they too decent? Did they feel sorry for Airtel? Did they feel that they can’t let Airtel down? After all, I’m sure there was no written contract. That would most certainly be illegal.

I am confident that Vodafone did it because they have to be perceived as trustworthy – not only by Airtel, but by the whole world. If Vodafone had reneged on it’s implied contract, they would lose their  image as a trustworthy business partner. In the modern day world, large portions of wealth are created by partnering with others. And these partnerships frequently require that each party stick their necks out for the greater good. No one wants to do business and form a partnership with someone who is untrustworthy.

Vodafone gave up some of it’s short term profits in order to gain long term credibility. How can you make sure that other people view you as a credible person? After all, they cannot look inside your head. They have to gauge you by your actions. I had written an earlier post on how people use signals to form their opinions. By not letting Airtel down, Vodafone signaled to the rest of the world that it was a good and trustworthy business partner, and thus laid a stronger foundation for it’s future business practice.

So we see that,at least in this case, selflessness is just another way of being selfish in the long run. Of course, it’s much easier to be selfless if you really feel like being selfless. Maybe this is why nature has given us the capability to feel this way. Perhaps this is why nature has implanted us with concepts like righteousness, trustworthiness, and honor. Because as I said, in the long run, they pay off.

Health Insurance Companies Take Advantage of Doctors

In response to my last post regarding health insurance companies, I received a comment from a physician who noted that health insurance companies try to make it difficult for doctors to collect payments. I could not agree more. It is the classic example of a big business trying to take advantage of the little guy.

Any regulation scheme that is added to a system adds additional layers of costs. When health insurance companies demand a certain format for billing submissions, this requires the physician’s office to either outsource their billing to a third party vendor with expertise in billing, or it requires the hiring of a skilled biller in the office. Both of those options essentially add the equivalent of another person to payroll. If you think you can find an administrative assistant or a medical assistant with skill in billing, then you are wrong.

Health insurance companies are aware that they are the 800 pound gorilla and can push around the small doctors. They have several strategies to prevent physician reimbursement. One easy strategy is to simply not pay claims at all or in a timely manner. A large percentage of claims go unpaid this way because doctor’s offices simply do not have the manpower to chase down unpaid bills. Sometimes the insurance company will simply deny payment and request additional documentation. You can imagine that a typical doctor’s office doesn’t have the time and energy or the infrastructure to track down and reconcile their billing.

Perhaps the most treacherous tactic by insurance companies is to pay less than the physician requests. For example, the doctor will bill out $100, and the insurance company will pay $20. There is no recourse for the physician other than to accept the payment or just stop doing that service for his patients. When health insurance companies offer you cheap insurance quotes, don’t be naive and think that they aren’t taking advantage of the doctors.

I like to relate this whole concept as a scam in which you provide service first but do not get paid. In any other industry this would be unacceptable. Non-payers would quickly go out of business because they would get the reputation for not paying and people would cease to do business with them. Unfortunately, there is collusion in the health insurance system, and there are not that many payers. There is no competitive process as everyone is pegged to Medicare rates.