So instead of
/customers/1
/customers/2
You'll get something like /customers/4552956331295818987
/customers/3833777695217202560
Kinda similar idea to this library but you're encoding from an integer to another integer (i.e. it's format-preserving encryption). I like keeping the IDs as integers without having to reach for e.g. UUIDsI will grant you that in some specialties and smaller private practices what you describing is probably true.
Yes, the greedy doctors who are lucky to get a couple hours of medical coding training when they start practicing and get needled constantly by their billing department for underbilling actually have "years of learning" in how to screw over their patients.
Maybe they mean the man-years of time wasted arguing with insurance companies, shuffling around medications and care plans to please them, evenings and weekends spent in the EHR finishing up patient notes (because there's no time to get them done during the working day with 20 minute visits) and correcting and signing off on patient care for the PAs and NPs (cold-heartedly taking 100% of the malpractice risk burden for the nurses who actually care about "healing").
I'd encourage people this far gone on the deep end of visualizing physicians as hand-rubbing greed machines to spend a day actually shadowing one. Because you are very ignorant about how they spend their time and the amount of effort they put into caring for patients in spite of continual soul-crushing roadblocks put in their path.
* Yeah I know it's against site rules to say but I don't care it's true
Small firms it is common to have a single person board of directors, where that single person is the 100% owner.
When private equity takes a large firm private, they’ll often appoint a board full of their own partners and consultants/advisers-if you own 20 different firms, you don’t want to deal with all their CEOs, you want a layer between the CEO and you-which is where the board helps.
100% subsidiaries (such as a large multinational firm’s local subsidiary in each country) commonly have multi-person boards of directors, with a handful of local senior staff on it (e.g. country director, head of local finance, HR and general counsel) - they usually all just rubber stamp whatever HQ wants, although occasionally they might refuse (e.g if local counsel insists HQ’s demands are illegal and complying with them would make the directors personally liable)
[1]: https://archive.org/details/john-carmack-quakecon-keynotes