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Started By
Message
Why Are American Health Care Costs So High?
Posted on 6/7/16 at 6:05 am
Posted on 6/7/16 at 6:05 am
29
Posted on 6/7/16 at 6:11 am to Phat Phil
Bc the costs covers things that are largely preventable such as cad, diabetes, stroke, obesity, etc
Posted on 6/7/16 at 6:11 am to Phat Phil
Obama
Posted on 6/7/16 at 6:12 am to Phat Phil
quote:
Why Are American Health Care Costs So High?
2 reasons:
Litigation nation
Captive audience
Posted on 6/7/16 at 6:17 am to Phat Phil
quote:why do you say we get 'nothing' in return?
Why do we spend more tax money on healthcare and essentially get nothing in return?
Posted on 6/7/16 at 6:19 am to Phat Phil
1.) insurance
2.) Medicaid
2.) Medicaid
Posted on 6/7/16 at 6:20 am to Phat Phil
Control the peoples healthcare access, you will control the people. This is yet another example of the 1% (politicians) in control while 90% sit here like sheep and wait to get screwed. the remaining 9% have figured this out and no longer get pissed off by right vs left games and lead much happier lives outside of missing a significant portion of their paychecks to useless "services"
Posted on 6/7/16 at 6:20 am to Phat Phil
Coast are high from litigation and fraud ..
We actually get a lot for health care in the US. I have lived in other countries under other systems and I'm glad to be back in the US system.
We actually get a lot for health care in the US. I have lived in other countries under other systems and I'm glad to be back in the US system.
Posted on 6/7/16 at 7:11 am to Phat Phil
A large determinant are the nations own choices. The more unhealthy choices we make, the more expensive healthcare will be because of the greatly increased demand.
Posted on 6/7/16 at 7:14 am to Phat Phil
quote:
Why Are American Sick Care Costs So High
FIFY
As a society we do not value health
We scoff at the importance of:
Nutrition
Activity
Sleep
Stress management
We have traded health for convenience. We work in complete opposition to our environment (in a word, mismatched)
The system is designed to treat the sick, not maintain the healthy (that my friend is on you/us...)
Posted on 6/7/16 at 7:16 am to Phat Phil
Because "insurance" is used to hide the true costs and pay for routine treatment. The whole pricing system evolved under this stupid model.
Posted on 6/7/16 at 7:17 am to Phat Phil
Because the system is a mixture of the worst of private and public. Neither has the appropriate combination of incentive and ability to control costs.
So we end up with the combination of the most expensive and most mediocre medical outcomes in the developed world. The system rocks if you are a really wealthy person for whom the costs are irrelevant. The system isn't that bad if you are a pretty poor person - there are at least some treatment options if not great facilities anxious to care for you. The system is not a great deal at all if you are neither poor nor very wealthy. For the majority of Americans systems ranging from Taiwan to Europe would do a more efficient job - resulting in better health outcomes overall.
So we end up with the combination of the most expensive and most mediocre medical outcomes in the developed world. The system rocks if you are a really wealthy person for whom the costs are irrelevant. The system isn't that bad if you are a pretty poor person - there are at least some treatment options if not great facilities anxious to care for you. The system is not a great deal at all if you are neither poor nor very wealthy. For the majority of Americans systems ranging from Taiwan to Europe would do a more efficient job - resulting in better health outcomes overall.
Posted on 6/7/16 at 7:18 am to Phat Phil
Many legitimate points in this thread.
One that hasn't been touched on is the fact employers need to get out of the health insurance business. If they want their employees to hold insurance and be healthy as possible, subsidize it by giving them a monthly allowance and let the employee go to the market place and purchase their own policy that suits them.
This will in turn make the insurance companies accountable to the 'actual' customer and not just the customer that does the buying but not the using. As it is right now the insurance companies only have to make the employers that supply the benifits happy, they don't give a frick if the actual person receiving the coverage is happy.
This also makes the insurance companies have more a'la crate plans.
One that hasn't been touched on is the fact employers need to get out of the health insurance business. If they want their employees to hold insurance and be healthy as possible, subsidize it by giving them a monthly allowance and let the employee go to the market place and purchase their own policy that suits them.
This will in turn make the insurance companies accountable to the 'actual' customer and not just the customer that does the buying but not the using. As it is right now the insurance companies only have to make the employers that supply the benifits happy, they don't give a frick if the actual person receiving the coverage is happy.
This also makes the insurance companies have more a'la crate plans.
Posted on 6/7/16 at 7:37 am to Phat Phil
Because Obama.
Posted on 6/7/16 at 7:42 am to Phat Phil
quote:
Why do we spend more tax money on healthcare and essentially get nothing in return?
Basically two main reasons:
1 - Our healthcare system is not set up to pay on outcomes. Hospitals, specialists and big pharma benefit the most when you are sick. Insurance companies, PCPs and the actual patient benefit the most when you are healthy. The money is in being sick.
2 - Americans are stupid, fat and lazy
Posted on 6/7/16 at 7:45 am to Phat Phil
No "real world" cost for service anymore.
What the hospital asks, what insurance pays the hospital, what hospital or insurance claims they pay on your bill, and the amount you are asked to pay at the end are 4 VASTLY different numbers. And each number is bullshite.
The hospital bill is a number they KNOW they will never see.
The dirtiest number is "covered by insurance" that amount of $$$ never changed hands.
End of life care was mentioned. This is very valid as well. But again the numbers are padded.
What the hospital asks, what insurance pays the hospital, what hospital or insurance claims they pay on your bill, and the amount you are asked to pay at the end are 4 VASTLY different numbers. And each number is bullshite.
The hospital bill is a number they KNOW they will never see.
The dirtiest number is "covered by insurance" that amount of $$$ never changed hands.
End of life care was mentioned. This is very valid as well. But again the numbers are padded.
Posted on 6/7/16 at 7:50 am to Phat Phil
B/c our population is full of fat arse unhealthy people who eat fast food 8 times a week.
It puts a strain on the system having to take care of them.
It puts a strain on the system having to take care of them.
Posted on 6/7/16 at 8:02 am to Phat Phil
Lack of price fixing and lack of competition in the insurance market.
Government oversight.
Litigation/Frivolous malpractice lawsuits requiring Drs to have ridiculous malpractice insurance.
Medicaid/Medicare.
Government oversight.
Litigation/Frivolous malpractice lawsuits requiring Drs to have ridiculous malpractice insurance.
Medicaid/Medicare.
Posted on 6/7/16 at 8:03 am to Phat Phil
1. ER abuse
2. luxury items in treatment (like private rooms)
3. lack of wait time
4. defensive medicine (to avoid litigation)
5. aggressive medicine (esp for neonatal care)
6. unhealthy population compared to our peers
7. research and developmental costs
the biggest conceptual reason is that patients AND doctors are removed from the price point for services. insurance and governmental reimbursements dominate the repayment so much that the providers have no clue what the costs actually are
a lot of these costs have higher prices b/c of waste/abuse, primarily ER abuse by poor people. on top of this, we're much more unhealthy than our peers (esp the poor). our lowest class fricks up all sorts of things (education, crime, etc) , and healthcare is no different
lastly, we develop drugs. a lot of drugs. other countries free ride off of our R/D, while our population has to have those costs passed down to them
2. luxury items in treatment (like private rooms)
3. lack of wait time
4. defensive medicine (to avoid litigation)
5. aggressive medicine (esp for neonatal care)
6. unhealthy population compared to our peers
7. research and developmental costs
the biggest conceptual reason is that patients AND doctors are removed from the price point for services. insurance and governmental reimbursements dominate the repayment so much that the providers have no clue what the costs actually are
a lot of these costs have higher prices b/c of waste/abuse, primarily ER abuse by poor people. on top of this, we're much more unhealthy than our peers (esp the poor). our lowest class fricks up all sorts of things (education, crime, etc) , and healthcare is no different
lastly, we develop drugs. a lot of drugs. other countries free ride off of our R/D, while our population has to have those costs passed down to them
Posted on 6/7/16 at 8:03 am to Phat Phil
marketing costs
our insurance co's will pay it
our insurance co's will pay it
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