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re: Study: significant increase in patients who can't afford to pay full hospital bill

Posted on 6/28/17 at 12:18 am to
Posted by Jax-Tiger
Port Saint Lucie, FL
Member since Jan 2005
24779 posts
Posted on 6/28/17 at 12:18 am to
quote:

The healthcare industrial complex is nothing but a bunch of criminals.


This reference to the military industrial complex is good. The question is, "Who is in control, the governmwnt, or the healthcare providers?"
Posted by Mr.Sinister
South Carolina
Member since Dec 2012
4956 posts
Posted on 6/28/17 at 12:47 am to
quote:

Saying flurp durp ibuprofen $10/pill?!!? is indicative of ignorance of the system and a basic concept of needing to pay for overhead.


This is ignorance in itself. $10/pill for ibuprofen when its $4.50 for a bottle of 50 at your local pharmacy store? Please explain that system for the ignorant then.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 12:53 am to
quote:

Ever looked at the itemized bill from a hospital? Costs are grossly inflated.


Costs were inflated in 2014. The decrease in payment of the bill isn't related to the inflation in any significant way.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 6/28/17 at 12:53 am to
Haircuts across the board are a necessary start. Good article here about why health care is so fricked up and is so hard to change:

Why an Open Market Won’t Repair American Health Care
Posted by texashorn
Member since May 2008
13122 posts
Posted on 6/28/17 at 12:57 am to
Cutting the salaries of current and aspiring American doctors (homegrown, that is) isn't going to happen.

If you force lower salaries by government mandate, you'll end up getting doctors who speak English but you can't understand, nonetheless. See: otherwise liberal white woman in Canada wailing about "where's my white doctor? I can't understand you."
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 12:59 am to
quote:

Those items are inflated to account for the losses from the non- or under-paying patients.


And because of Medicaid and, to a lesser extent, Medicare reimbursement.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 1:01 am to
quote:

This is ignorance in itself. $10/pill for ibuprofen when its $4.50 for a bottle of 50 at your local pharmacy store? Please explain that system for the ignorant then.


It's ridiculous to look at the $10 charge for an ibuprofen when you have no idea of how the hospital's contract with your insurance is set up. They could charge $10B for the pill and your insurance may still be paying a simple per diem rate for your stay.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 6/28/17 at 1:02 am to
quote:

It's ridiculous to look at the $10 charge for an ibuprofen when you have no idea of how the hospital's contract with your insurance is set up. They could charge $10B for the pill and your insurance may still be paying a simple per diem rate for your stay.


That's ridiculous.
Posted by Mr.Sinister
South Carolina
Member since Dec 2012
4956 posts
Posted on 6/28/17 at 1:03 am to
quote:

The decrease in payment of the bill isn't related to the inflation in any significant way


Trust me 808, I understand that my comment wasn't related to the OP. It was more along the lines of stating that no healthcare bill will ever really be successful as long as healthcare itself is a monopolized business and we're their test subjects. Once you toss in some lax FDA testing, kickbacks from pharmaceutical companies to DR's for pushing their shite, and some politician payoffs... you end up more or less where we are now.

Money has long been the bottom line of the healthcare industry not actual well being.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 1:03 am to
You know 0 about hospital contracting. It's ok. Keep complaining about things you know zero about.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 1:04 am to
quote:

kickbacks from pharmaceutical companies to DR's for pushing their shite


Welcome to 1995.
Posted by Mr.Sinister
South Carolina
Member since Dec 2012
4956 posts
Posted on 6/28/17 at 1:07 am to
quote:

Welcome to 1995.


I didn't realize there was a timeframe of discussion about the unethical practices of the healthcare industry.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 6/28/17 at 1:10 am to
quote:

You know 0 about hospital contracting. It's ok. Keep complaining about things you know zero about.


The point which you seem to be missing is that the billing system is completely fricked in the head.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 1:11 am to
quote:

I didn't realize there was a timeframe of discussion about the unethical practices of the healthcare industry.


You can talk about unethical practices all you'd like. The pharma companies self-regulate the hell out of rep/doctor interactions. Every dollar is accounted for. There's no "entertaining." There's limited speaking fees compared to even 10 years ago. And doctors don't care about a nice steak dinner. They can buy that themselves. They're not going to write a product over another because of a steak from Morton's.
Posted by the808bass
The Lou
Member since Oct 2012
111608 posts
Posted on 6/28/17 at 1:13 am to
quote:

The point which you seem to be missing is that the billing system is completely fricked in the head.


Ok. The billing system is disconnected from payment. You can say that's fricked up and I'd agree. But it's stupid to complain about a $10/ibuprofen as an end user when it likely has zero effect on you. Complain about a lack of price transparency which could allow better competition. Don't get distracted by shiny objects.
Posted by Captain Rumbeard
Member since Jan 2014
4188 posts
Posted on 6/28/17 at 1:13 am to
The company that owns Blue Cross is up almost four times over what it was just five years ago.

"Non Profit" hospitals are doing capital expenditures of massive proportions to, on paper, stay non profit while they pay themselves massive salaries.

This is not a market on the verge of collapse. This is a market with no pressure to compete on price because the government is so deeply involved.
Posted by Mr.Sinister
South Carolina
Member since Dec 2012
4956 posts
Posted on 6/28/17 at 1:23 am to
quote:

Every dollar is accounted for. There's no "entertaining." There's limited speaking fees compared to even 10 years ago


That's not really what I'm talking about though. I will be the first to admit that the whole healthcare business isn't my thing. Outside looking in though, shite just doesn't add up to me. Why are basic over the counter meds so jacked up? Who owns that market and what stops some entrepreneur from buying all of CVS's ibuprofen and undercutting the current supplier? The only logical answer to me seems to be more or less a monopoly, secured by contracts, and enforced by political persuasion. The healthcare system can't get healthy for the common man under those circumstances, IMO.

I will add I almost never go to the DR outside of my yearly checkup, I have amazing insurance through my company, and I'm not really the target market for this industry. Just seems a system overhaul is in order but its tragic in the fact that it almost certainly will not happen.

That's my $0.02 on the matter. Not really looking for an argument, just some knowledge on the subject from people in the know.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 6/28/17 at 1:28 am to
quote:

Ok. The billing system is disconnected from payment. You can say that's fricked up and I'd agree. But it's stupid to complain about a $10/ibuprofen as an end user when it likely has zero effect on you. Complain about a lack of price transparency which could allow better competition. Don't get distracted by shiny objects.


It's ridiculous on its face that anyone would dare to charge something like that. If you're not "protected" by insurance, you're not in a position to argue with them. And don't think this is limited to ibuprofen. See for example this article:

Why US health care costs defy common sense

Me, I'm "protected" by insurance, very expensive non-Obamacare insurance I buy for myself, which is actually cheaper than Obamacare would be for me, though it doesn't cover as much. As much as it costs, it doesn't even cover standard recommended tests like screening colonoscopy or mental health services. I do get a free annual wellness checkup, but my doctor always codes it as something else, which I get billed for. To correct the problem, I end up on the phone for an hour trying to control my temper with the billing department. It's pure nonsense. And this is picayune shite compared to what other people have to deal with.
Posted by PrimeTime Money
Houston, Texas, USA
Member since Nov 2012
27325 posts
Posted on 6/28/17 at 1:58 am to
I broke my ankle several months ago and had to have a 45 minute surgery to put in some screws and a plate and I went home after it was done.

The bill was $85,000

As if anybody could actually pay $85,000 for a short, fairly common surgery, and as if it actually cost that much.

My portion with insurance was like $1500.
This post was edited on 6/28/17 at 2:00 am
Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 6/28/17 at 5:02 am to
Fox and their right wing friends have really done an incredible job of hiding the core of the GOP healthcare plan when people like the OP are posting threads like this condemning the ACA when the replacement in the pipeline is set to make this specific problem of high deductibles much worse. By design mind you. As higher deductibles are a core tenant of GOP reform.

And the Conservative darling Rand Paul is deeply devoted to such reform pathways as well.

If the concern is total out of pocket expenses for the consumer, we are heading in a direction where the opposite is scheduled to take place.
This post was edited on 6/28/17 at 5:05 am
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