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re: Medical Debt Should Not Ever Be Used to Harm Credit Worthiness

Posted on 5/8/24 at 11:13 pm to
Posted by Sooner5030
Desert Southwest
Member since Sep 2014
1719 posts
Posted on 5/8/24 at 11:13 pm to
quote:

Getting sick or injured is not a decision made by the sick or injured.


Not all healthcare is the same.

Routine and preventive care is a lot different than catastrophic care.

We should be able to treat routine and preventive care like any other free market like service. Neither the seller or buyer have any kind of advantage.

The problem with catastrophic care is the provider has all the negotiating power. No one has the ability to get quotes and read reviews when you're having a heart attack. This has created a lack of natural market price pressure on the service.

During the evolution from health insurance to HMOs to what he have now we have linked all health care together in some massive costs sharing program with only the insurance provider caring about the costs. And they are regulated to pool all costs...not just risks (which is what the insurance model was built for).

The current system also incentivizes going to the doctor or ER if there is any doubt.

Once we went to HMOs it was all down hill from there. People stopped having control of their care and wanted everything packaged into one nice cheap plan.

deregulate and delink healthcare from employment. There will be a disruption but things will resettle once people take charge of their care and insurance companies can go back to just insuring against risks.

If you go for a check up....freaking pay for it. It's your health.
Posted by DocYatesVA
Yukon, OK
Member since Oct 2022
104 posts
Posted on 5/9/24 at 10:55 am to
"Not all healthcare is the same."

A long time ago when I was in residency, I went to a medical meeting where the speaker was talking about Levamasol, a drug that was being targeted to treat colon cancer. Ironically, it is also a worm treatment given to sheep to treat them for flukes I believe. The speaker gave some great information on the drug and its effectiveness thru the trials they had sponsored. When question time came, an old guy in the back stood up and said "Sir, I am a farmer and doctor from (some midwestern state). I use this drug to treat my sheep and and I have also used it during the trial on some of my patients. The question I have is about the price. The drug when I buy it at the Co-op is $1.50 a pill to treat my sheep, however the same dose to treat my patient is over $300 per pill, why is that...."
After a few moments, the speaker looked up and said "Sir, simply because we have never been sued by a sheep."
One reason we have such high costs for medications and for treatments is directly related to the unfair tort laws that allow people to sue for side effects and reactions. The companies build this in to the initial model for release because they anticipate a crazy number of suits.

No one paid back a dime of my school loans except for me. And medical school was expensive. I remember my first day at registration I was asked to write a check for more than I had made working during the previous two years. I didn't have it, but they said write it anyways and we will hold it until the loan paperwork is finalizsed. That was an eye-opener.
This post was edited on 5/9/24 at 11:37 am
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