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re: Why Are American Health Care Costs So High?
Posted on 6/7/16 at 8:28 am to Phat Phil
Posted on 6/7/16 at 8:28 am to Phat Phil
What I've seen is the huge number that you see on a bill is never what they are willing to accept as payment. You and your insurance company combine to pay about 10-20% of that total. It reminds me of the MSRP on a new vehicle. Nobody pays sticker.
Posted on 6/7/16 at 8:36 am to SuperSaint
quote:
I seriously don't have a single person in my immediate family or any of my friends that are fat slobs like you describe.
The avg height/weight in America for men is like 70" and 195 lbs with a 39" waist. For women it's like 68 inches and 166 lbs with a 37" waist.
So yeah, Americans are fat and out of shape. They don't exercise and don't eat right. They don't see a PCP regularly, don't get annual blood work or screenings, use specialists or urgent cares as PCPs and end up with comorbidities they don't monitor. It isn't necessarily the company I keep either but it is average american.
It's a vicious cycle where you alot of people don't have access to a good PCP to help them stay healthy. The good PCPs are overworked because there are so few of them that are good. PCPs are easy to find and the big hospital based groups are making that so. There is very little intention for them to keep you healthy but rather for them to filter you to their specialists and outpatient clinics.
Much like the education problem the country faces, the people have to want better to get better. They can't just become healthy or smart overnight but the only way to fix the problem is for the individual to take the first step.
Posted on 6/7/16 at 8:41 am to Phat Phil
A big part is because we accept a business model that no sane person would accept under any other circumstances.
Where else could a service provider not list prices for goods/services ANYWHERE? They tell you what you need, dont tell you what it costs there vs somewhere else, so you cant shop around, and then you get a bill. Sick people dont ask questions they know this.
The government gets a bad rap(rightfully so)
The insurance gets a bad rap (rightfully so)
The medical industry gets a pass in large. People just assume they are all Florence Nightingale.
Where else could a service provider not list prices for goods/services ANYWHERE? They tell you what you need, dont tell you what it costs there vs somewhere else, so you cant shop around, and then you get a bill. Sick people dont ask questions they know this.
The government gets a bad rap(rightfully so)
The insurance gets a bad rap (rightfully so)
The medical industry gets a pass in large. People just assume they are all Florence Nightingale.
Posted on 6/7/16 at 8:41 am to LSUSUPERSTAR
quote:
No one gets turned away for care. We need better triage in ERs to determine if someone really needs to be seen right then, or if they can wait until the next day. IMO.
It's been tried at several different places I have worked over the years. Eventually somebody gets burned or somebody goes to the media with their story. The process then slowly goes away.
Posted on 6/7/16 at 8:42 am to Phat Phil
Because nurse practitioners can practice independently and order all kinds of meaningless tests.
Posted on 6/7/16 at 8:44 am to Isabelle81
quote:
Capitalism.
you're wrong. most of the pathologies in health care are from public pressure
Posted on 6/7/16 at 8:49 am to Phat Phil
quote:
Why Are American Health Care Costs So High?
Consumers pay insurance.
Insurance pays doctors.
Doctors raise prices.
Insurance raises prices.
Consumers pay more to insurance.
Doctors and insurance continue cycle.
Healthy consumers start to consider dropping insurance to combat this system.
Obama passes law that makes this system mandatory.
Insurance and doctors cream pants.
Posted on 6/7/16 at 8:54 am to PrivatePublic
most doctors are stuck to charging prices in line with government-mandated rates, and this is pre-ACA
Posted on 6/7/16 at 9:06 am to SlowFlowPro
Doctors can charge whatever they want being free entities. The rates affect what insurance will pay. Most doctors accept that. Some don't. Will depend on the regional insurance for sure. Try telling a doctor who doesn't accept your insurance what rate he has to charge.
Posted on 6/7/16 at 9:13 am to Isabelle81
quote:
Capitalism.
This couldn't be further from the truth. Most recent example is the mandate to buy insurance. That's the opposite of capitalism.
Posted on 6/7/16 at 9:41 am to Phat Phil
quote:
Why Are American Health Care Costs So High?
1. Americans are fat
2. Americans sit on their arse too much
3. Americans smoke too much
4. Americans like to go to the ER inside of a PCP
5. Americans are fat
6. American drug companies pass the cost of research onto Americans disproportionally because the socialist medicine systems refuse to pay "market price."
7. The American healthcare system has been outdated for the last 25 years, but everytime the government tries to fix it they make it worse.
8. The American healthcare system does not have the same legal protections against lawsuits that the european systems do.
In summary the main reason that healthcare costs so much is because we spend too much money treating conditions that could be prevented by simply putting down the fork, exercising, and not smoking or drinking excessively.
Posted on 6/7/16 at 10:05 am to lsucoonass
quote:
Bc the costs covers things that are largely preventable such as cad, diabetes, stroke, obesity, etc
nothing preventable with type 1 diabetes.
it is amazing that in our country Poor people are fat. Think about that for a sec.
Also Doctors/hospitals/drug companies charge whatever they want because they no they get paid by insurance or consumers. They raise price insurance passes that to us. And on top now we got to pay for the poor fat people..
Who in the hell thinks that makes any sense!!!!!
Posted on 6/7/16 at 10:09 am to bayouvette
quote:
Consumers pay insurance.
Insurance pays doctors.
Doctors raise prices.
Insurance raises prices.
quote:
Also Doctors/hospitals/drug companies charge whatever they want because they no they get paid by insurance or consumers. They raise price insurance passes that to us.
If this is just the last page, I'm frightened to read through the whole thread.
Posted on 6/7/16 at 2:40 pm to Phat Phil
Been to an emergency room lately?
All of those welfare babies that are sick have NO health insurance to speak of, so they go to the ER to see a doctor. PLUS the cost of medication is ridiculous. If you want to make big money, go into pharmaceutical sales.....do you see the same connection I see?
BTW, I am a 38 year insulin dependent diabetic....think there isn't a cure for that? If they cured the disease, Eli Lilly, Medtronic, Becton-Dickinson, etc would lose money....and that's what it's all about.
All of those welfare babies that are sick have NO health insurance to speak of, so they go to the ER to see a doctor. PLUS the cost of medication is ridiculous. If you want to make big money, go into pharmaceutical sales.....do you see the same connection I see?
BTW, I am a 38 year insulin dependent diabetic....think there isn't a cure for that? If they cured the disease, Eli Lilly, Medtronic, Becton-Dickinson, etc would lose money....and that's what it's all about.
Posted on 6/7/16 at 2:48 pm to putt1058
quote:
BTW, I am a 38 year insulin dependent diabetic....think there isn't a cure for that?
A cure for your pancreas not producing enough insulin? Like, a single pill that will suddenly flip on the "on-switch" for one of your vital organs?
If you're a type 1, I can understand your frustration.
If you developed your insulin dependence, and are making the above statement, you're what alot of this thread has been about.
This post was edited on 6/7/16 at 2:50 pm
Posted on 6/7/16 at 2:55 pm to YipSkiddlyDooo
Interesting dramatic spike during the Clinton Administration
Posted on 6/7/16 at 3:07 pm to LSUwag
quote:
Because Obama.
Yes because health care was so great before Obama got in office.
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