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re: USA will have Socialized Medicine in 20 Years - It's Inevitable

Posted on 7/14/22 at 10:14 am to
Posted by Wiener
Member since Apr 2019
29 posts
Posted on 7/14/22 at 10:14 am to
quote:

This would require health care providers to be transparent about costs....we can't have that now can we?

Do you mean doctors? Hospitals? Insurers?
Posted by Bronc
Member since Sep 2018
12646 posts
Posted on 7/14/22 at 10:38 am to
quote:

Do you mean doctors? Hospitals? Insurers?



All of the above is a problem for a various number of reasons.

Though what the poster in question seems to want(or imply, even if he isn't aware) is to transition America to an entirely POS(point of service) system, which, I guess you could do through federal regulation, and there is probably some validity to the underlying logic(not sure it's the best solution overall) because the asymmetrical nature of the market and the often unexplainable variances in pricing from even hospitals nearly across the street from one another is a real problem. Not to mention one of the dynamics once thought true, that larger health insurers benefit from better negotiated reimbursement rates is often not true, and for inexplicable reasons. Economies of scale and competition, which is often a defense used by people defending for-profit private insurance, is completely broken in the employer insurance space specifically. The entire pricing dynamics in health care are incredibly broken and warped. Anyone that tries to apply normal economic assumptions to this space is showing their ignorance to how much of the market fits the economic definition of a market failure. Not their elementary understanding of perfectly competitive markets that you almost always hear uninformed status quo defenders apply to these conversations to dismiss calls for reform.


Anything investigated by Sarah Kliff is pretty good at illustrating how broken the system is

LINK
LINK


This post was edited on 7/14/22 at 10:44 am
Posted by kennypowers
AR
Member since Mar 2009
510 posts
Posted on 7/15/22 at 11:53 am to
Doctors and Hospitals. Insurance companies only blur the conversation. I got a bill the other day from a local hospital where my daughter had appointment.

Billed Price - $3,800(no detail...just hospital "costs")
Insurance allowed price - $273.46
Insurance covered - $225.00

Patient owes - $48.46

It's all a nonsensical charade.
This post was edited on 7/15/22 at 11:54 am
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