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1
Posted on 4/5/14 at 11:43 am to Scruffy
quote:
That fatasses eating fast food
The lazy bastard sitting on his couch all day
The idiot smoking a pack of cigarettes every day
The moron alcoholic
That is the problem.
exactly
hell, the main reason i quit smoking in december was to avoid being a hypocrite when i criticized people contributing to our failing healthcare industry (and poor people who find money for cigarettes)
Posted on 4/5/14 at 11:44 am to real
quote:Not so sure about doctors, because that cost is often passed on. However, in terms of the overall US healthcare system, tort is far and away the biggest cost driver.
Doctors biggest cost is their need for insurance to protect itself from so happy lawyers.
Posted on 4/5/14 at 11:44 am to SlowFlowPro
The treatment is prevention.
This country seems to have the idea that hospitals are like auto shops.
"Der, der, der, I got chest pain from eating crappy and never exercising, der, I'm gonna go to hospital and get all better with an oil change."
This country seems to have the idea that hospitals are like auto shops.
"Der, der, der, I got chest pain from eating crappy and never exercising, der, I'm gonna go to hospital and get all better with an oil change."
Posted on 4/5/14 at 11:45 am to Draconian Sanctions
Actually, 99% of the time Westerners don't have access to the sex trades, at least not in Kyushu when I was there.Those were often "Japanese only", complete with signs on the door. Somebody REALLY had to vouch for you-I'm guessing or you had to be down with the Koreans who ran such things. You had to do it the old fashioned way-which as Jazzy Jeff could attest-were he not such a whiny limp dick-is ridiculously easy for a reasonably attractive Westerner.
Posted on 4/5/14 at 11:52 am to NC_Tigah
quote:
tort is far and away the biggest cost driver.
that's just pure horseshite for reasons i've already described.
Posted on 4/5/14 at 11:52 am to Scruffy
quote:
"Der, der, der, I got chest pain from eating crappy and never exercising, der, I'm gonna go to hospital and get all better with an oil change."
and progressive want a system to protect them and enable them to make even more shitty choices
Posted on 4/5/14 at 11:53 am to Draconian Sanctions
stupid people making stupid choices, and hospital ERs being forced to treat them, are the biggest cost drivers
Posted on 4/5/14 at 11:56 am to NC_Tigah
quote:
a high deductible plan + a savings account to store the deductible protects you from bankruptcy
and encourages an individual's frugality in seeking sub-deductible services.
It relegates insurance to the role of . . . insurance.
Thank god someone gets it.
Posted on 4/5/14 at 11:56 am to SlowFlowPro
quote:
ortho surgeons working in a hospital discussing what medicare pays for a hip replacement isn't exactly a good response
there is treatment, even othopedic, outside of hospitals
I've never understood why self described conservatives are so hell bent on defending parasitic corporate practices like price gouging people in vulnerable positions. It's like y'all have this Jordan Belford mentality that they deserve to be fricked over.
Take a look at this
quote:
According to NNU's data, thetop 10 Most Expensive Hospitals in the U.S. listed according to the huge percentage of their charges relative to their costs are:
1. Meadowlands Hospital Medical Center, Secaucus, NJ - 1192%
2. Paul B. Hall Regional Medical Center, Painsville, KY - 1186%
3. Orange Park Medical Center, Orange Park, FL - 1139%
4. North Okaloosa Medical Center, Crestview, FL - 1137%
5. Gadsden Regional Medical Center, Gadsden, AL - 1128%
6. Bayonne Medical Center, Bayonne, NJ - 1084%
7. Brooksville Regional Hospital, Brooksville, FL - 1083%
8. Heart of Florida Regional Medical Center, Davenport, FL - 1058%
9. Chestnut Hill Hospital, Philadelphia, PA - 1058%
10. Oak Hill Hospital, Spring Hill, FL - 1052%
quote:
The needless complications of the vast medical marketplace have provided far too many opportunities for profiteering. Numerous examples of hospital visit bills feature enormous overcharges on simple supplies such as over-the-counter painkillers, gauze, bandages and even the markers used to prep patients for surgery. That's not to mention the cost of more advanced procedures and the use of advanced medical equipment which are billed at several times their actual cost. These charges have resulted in many hundreds of millions of dollars in overcharges.
LINK
Posted on 4/5/14 at 11:56 am to Draconian Sanctions
quote:I know tort lawyers I'd never share a room with. They are to law what abortionists are to medicine. No doubt they'd attempt a dismissive facade. There is also no doubt in a debate on the subject of "tort reform" they would lose 100 out of 100 times.
I know tort lawyers here who would laugh you out of the room
Ambulance chasers' personal parasitic money interests aside, what occurred in Texas and elsewhere in the US is simply tweaking or revision of a broken system. It is not reform.
I have deep respect for law and lawyers with the singular exception of Tort chasers. They are a gross breed unto themselves.
Posted on 4/5/14 at 11:57 am to NC_Tigah
quote:
Not so sure about doctors, because that cost is often passed on. However, in terms of the overall US healthcare system, tort is far and away the biggest cost driver.
More complicated than that. Tort isn't the main driver, but definitely a bigger factor than DS will lead you to believe. The biggest factor in ordering unnecessary test is pt demand. This is a downside to consumer driver healthcare. If you don't do it, they'll just go somewhere else. And you lose a customer. At time's I feel like I'm an insurances best friend by talking pt's out of unnecessary procedures. Often times they don't understand the limits of the test nor the potential risk. And most times, very little chance of additional diagnostic info. That affects me more than CYA medicine. But, it's really hard to factor since we have been trained and indoctrinated to cover our asses at all times. Hell half of what I chart is unnecessary for care. It's just there in case a lawsuit is incurred. So, that extra time limits my productivity, increases overhead, and results in higher charges for my time ultimately.
Posted on 4/5/14 at 12:01 pm to real
quote:
Doctors biggest cost is their need for insurance to protect itself from so happy lawyers. Who the Democratic Party loves. Trails lawyers are doctors and healthcare's biggest enemy.
Not true. I pay less in malpractice than I do in health insurance. My malpractice is less than $5k/year now. Was $15k when we only had one carrier in the state after a megalawsuit ran the other company out of business. So, it used to be more of an issue. It was against a nursing home, but couple with a few other suits and they said frick it and left.
Posted on 4/5/14 at 12:04 pm to SlowFlowPro
quote:Yep. It is dumb as hell. When you take away the incentives to avoid a certain action, you get stuck with morons who act like morons.
and progressive want a system to protect them and enable them to make even more shitty choices
Plus, if you think it is bad now, prepare yourself if they ever do go to single payer. It will hit the fan.
You want to drive down healthcare costs, don't remove the burdens that appear when you are unhealthy. Those choices should have consequences.
And don't respond with, "oh, but what about trauma and illnesses from birth, blah, blah, blah."
The leading causes if death in the US are self-inflicted.
Heart disease - 600,000/yr
Cancer (lung is 4x higher than the next highest) - 575,000/yr
Cerebrovascular disease - 129,000/yr
Chronic lower respiratory diseases - 138,000/yr
Unintentional trauma - 120,000
Diabetes - 69,000/yr
And that is deaths. The number people living with those diseases and requiring constant treatment and expense is insane.
This post was edited on 4/5/14 at 12:08 pm
Posted on 4/5/14 at 12:04 pm to Draconian Sanctions
quote:You've described nothing related.
that's just pure horseshite for reasons i've already described.
But let's play a game of what motivates whom.
I have posted many times on this subject that I would propose taking current hospital/provider medmal insurance rates forward as is, no cuts, and employing them to fund a system which would double compensation rates or numbers for injured parties regardless of fault. European model.
Your objection to that is what?
Posted on 4/5/14 at 12:06 pm to SmackoverHawg
quote:Perhaps in Arkansas. However it is not the driver on the Eastern Seaboard.
The biggest factor in ordering unnecessary test is pt demand. This is a downside to consumer driver healthcare.
Posted on 4/5/14 at 12:06 pm to Draconian Sanctions
quote:When they are the cause of their own problems, should they not suffer the consequences?
It's like y'all have this Jordan Belford mentality that they deserve to be fricked over.
I no longer have pity for people who have diabetes, HTN, COPD, etc., due to a lifetime of crappy actions.
They are the problem and y'all just want to make it worse.
Posted on 4/5/14 at 12:07 pm to NC_Tigah
quote:
I have posted many times on this subject that I would propose taking current hospital/provider medmal insurance rates forward as is, no cuts, and employing them to fund a system which would double compensation rates or numbers for injured parties regardless of fault. European model.
Your objection to that is what?
If it meant getting collective price negotiations to prevent gouging we can do pretty much whatever the hell you want with medmal
This post was edited on 4/5/14 at 12:07 pm
Posted on 4/5/14 at 12:10 pm to Scruffy
quote:
When they are the cause of their own problems, should they not suffer the consequences?
I no longer have pity for people who have diabetes, HTN, COPD, etc., due to a lifetime of crappy actions.
They are the problem and y'all just want to make it worse.
I understand the role this plays and i don't really disagree with it per se, but just because New Orleanians didn't develop a better levee system that doesn't mean i was one of the people who said don't rebuild after Katrina.
health education combined with the shite that is put in our food is a huge issue in this country and definitely part of the problem, but for the purposes of this thread I'm treating that as a separate issue.
Posted on 4/5/14 at 12:16 pm to Draconian Sanctions
quote:The problem is you can't do that.
health education combined with the shite that is put in our food is a huge issue in this country and definitely part of the problem, but for the purposes of this thread I'm treating that as a separate issue.
That literally is the issue. All y'all are doing is focusing on the symptoms. It is easy to focus on the symptoms and blame the insurance companies, hospitals, or big pharma. They are easy scapegoats. Everybody has had problems with them at one time or another.
But they are nothing more than scapegoats.
It's like blaming welfare queens. They aren't the problem. The system that offers them the opportunity is.
Coming out and directly blaming this country's citizens for the problem, like we should, would be a death sentence though. No one is brave enough.
This is one of the reasons I'm deadset on pediatrics. It'll give me a chance to actually combat these issues at the start.
This post was edited on 4/5/14 at 12:17 pm
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