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re: Spinoff: The Commonwealth Fund Healthcare 2017 rankings. US basically ranked last

Posted on 7/20/17 at 2:01 pm to
Posted by the808bass
The Lou
Member since Oct 2012
111597 posts
Posted on 7/20/17 at 2:01 pm to
quote:

So I just did the math (we order 109 MRIs per 1,000 Americans) and if we saved $400 on each MRI we would save 13.9 billion.


Do you know how many MRIs there are in Canada?
Around 180

Know how many MRIs there are in California? Around 1500

You're looking at one slice of data. Medicare and Medicaid already get rock bottom pricing on a lot of things. There's not blood coming out of a stone. And I'm conflating a number of different facets of the argument, I'm aware. But you're not saving $14B on drug pricing. And you're not saving half of that on imaging by "better negotiations." You may succeed in forcing them to charge other countries more money. Not sure that helps us as much as we pretend it will.
Posted by the808bass
The Lou
Member since Oct 2012
111597 posts
Posted on 7/20/17 at 2:04 pm to
quote:

Slightly off topic but if we reduced all 203,000 primary care physicians (includes pediatrics too) pay to that of Germany we would save 19.5 billion


frick me you're an idiot.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/20/17 at 2:19 pm to
quote:

Do you know how many MRIs there are in Canada? Around 180 Know how many MRIs there are in California? Around 1500


More people live in California than Canada

Your statistic doesn't prove anything. We order 109 MRIs per 1,000 patients they order 54 per 100,000. That's the number that matters.

But why do we pay so much more for a single MRI in the US?
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/20/17 at 2:20 pm to
quote:

frick me you're an idiot.


Why? I'm not suggesting we pay doctors less

I'm just illustrating how physician salary has little to do healthcare costs considering they are the main facilitators of healthcare.
Posted by the808bass
The Lou
Member since Oct 2012
111597 posts
Posted on 7/20/17 at 2:25 pm to
ok. I retract.

If you took the profit at the top 10 non profit hospital systems, you'd probably get $3B. That's a guess.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/20/17 at 2:36 pm to
I think we are saying the same thing in different ways. I guess what I'm trying to say is someone other than doctors is making a lot of money

And I think our current model of reducing reimbursement rates is an arse backwards approach

All that does is incentivise doctors to see more patients in a shorter period of time (worse care) and perform more diagnostics and procedures to make up what they have lost in reimbursement rates
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