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re: Zeke Emanuel and Rand Paul should talk subscription based health care

Posted on 2/22/17 at 4:28 pm to
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 2/22/17 at 4:28 pm to
quote:


Got a link there? Costs are far from fixed and highly variable on the number of patients present at any one time, which fluctuates week to week, month to month and year to year. Staffing is constantly moved to attempt to match costs and revenues, and you're talking about an industry that currently operates at about a 1% profit margin.



All of that is BS.
Anyone that can read financial statements can recognize a hospital's cost are mostly fixed. But here is a link even a doctor can understand.

LINK

quote:

Your stance: the government currently sets the floor for pricing and doesn't do a good job of it, so the government should mandate that you can't pay for only what you use anymore, and an entire third party industry should be dissolved...Am I understanding you correctly?


No you are not.

All of those things have been conjured up in your mind. BUT it would be wonderful if the cost of an entire industry were dissolved but that is not the case.

quote:

If you're going to make radical government-centric change,


What are you talking about?

Posted by Hopeful Doc
Member since Sep 2010
15058 posts
Posted on 2/22/17 at 6:00 pm to
quote:

Anyone that can read financial statements can recognize a hospital's cost are mostly fixed. But here is a link even a doctor can understand. 


Good use of the word "mostly". That article, if correct, points to about a 60/40 split, roughly in favor of fixed costs. The point I'm making is that costs vary more than you seem to acknowledge, and there is a fair amount of unpredictability.

The only way your proposed system works is for hospitals to make drastically more than they currently do.- again, they already operate at a 1-3% gain by accepting money for what they bill.
How do the hospitals get more/adequate money for operation without an increase in cost to the patient? And if it does increase cost to the patient, what's the point?

quote:

No you are not. 

All of those things have been conjured up in your mind. 


Then I'm misunderstanding your point. Are you suggesting legislation moving toward your new proposed model or simply encouragement of hospital systems to move to such a scheme?
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