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

Posted on 2/22/17 at 4:45 pm to
Posted by roadGator
Member since Feb 2009
141598 posts
Posted on 2/22/17 at 4:45 pm to
quote:

You do not think their cost are mostly fix so you really don't have any idea.


Um, I don't? Weird.

There is still some pricing by the day depending on what the service is.

quote:

There is no market reason that healthcare cost have exceeded the rate of inflation now for twenty years.


Um, there are very good reasons. Maybe not acceptable to you though. I would tend to agree.

The government doesn't affect how I purchase healthcare direclty other than ACA bullshite.

Your subscriprtion scenario needs some more thought.

Will you have a pharma sub, a radiologist sub, a surgeon sub, mental health sub, etc.

That's lots of subscriptions unless I'm not understanding you.
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 2/22/17 at 4:54 pm to
quote:

Um, there are very good reasons.


Name one beside government increase in reimbursement.

One.

quote:

Will you have a pharma sub, a radiologist sub, a surgeon sub, mental health sub, etc.


I will not have anything. The providers can offer whatever subscription cover they want and I can pick and choice between providers.

One might say for "X per month you get basic hospital usage and that includes a,b,c" if you want ER services it is this much more and on and on. Nothing is keeping the providers from offering cash services too.

Until the cost are attacked and doctors quit being paid so much and hospitals so much and drug companies so much then cost will not go down. If a GP is seeing 1000 patients a year now and making $300k we need him to see 1200 or take $250k for 1000. The best way to do that is to change the pricing model and get government out of the direct purchasing of health care services and let the people receiving the service do the shopping.

By encouraging moving to subscription based pricing health care shopping will be much easier and the cost to subsidize poor people to government will be easier to define.
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