- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: How Corrupt Is Our Healthcare System?
Posted on 6/22/19 at 6:04 pm to pngtiger
Posted on 6/22/19 at 6:04 pm to pngtiger
quote:
Way to show you have no clue how the healthcare system works. I, as a provider, do nothing to pick my price, if I take insurance. The contract I sign with each insurance company says how much they will pay me for something. And, you as the patient don’t have to pay any more than is allowable by the insurance company.
For example, say I charge $2000 for a gallbladder surgery, insurance says max allowable is $1400. They will pay their portion, dependent on what your plan says. If you’ve hit your deductible and in an 80/20, they’ll pay $1120, and you’ll be on the hook for $280.
Sure, you could find another provider to look for a better price, but everyone in the region will be paid the same by insurance.
And lastly on that, everyone is charged the same exact rate, no exceptions because it is mandated by GOVERNMENT. I can’t give you a discount because we’re best friends, I can’t give you a discount because you can’t pay, I can’t give you a discount just because I like you and want to help, and I can’t barter with you.
quote:
because we have the worst healthcare system in the world
We may not be listed as best, but we are far, far, far away from worst. And honestly the rankings are crap, since every countries statistics are based on different metrics. Our infant death rate is higher than most, but that’s because we include many things other nations do not include. Our life expectancies are worse, but that’s because we have a severely unhealthy, sedentary, and overweight population, that refuse to go to the doctor until they’re on deaths door, refuse to take medications, or refuse to make themselves healthier.
Lastly, everyone expects a Ferrari when all they can afford is a Kia. A certain segment of the population (uneducated) expect everything done to save grandma and grandpa, when the best they’re ever going to be is lying there in bed. And we spend billions on these people to keep them alive for years. And most of these families skip town when their loved ones are ready for discharge, so they just lie there in bed, wards on the state, constantly rolling up the cost.
Thank you for saving me 25 mins of typing to say exactly what you just said.
I am a private practice physician as well and we get absolutely nothing from big pharma.
There are no kickbacks. No fancy vacations. Nothing but an occasional free lunch that my office girls fight over like it is 24k gold.
2
Posted on 6/22/19 at 6:11 pm to OweO
Being in medical sales, I’ve seen A LOT. Sex, wild trips, and even drugs. It can be a dark world if you get involved with the wrong docs.
Posted on 6/22/19 at 6:15 pm to OweO
In small hospitals you will notice whenever a new CEO comes on new hospital beds are purchased....
Posted on 6/22/19 at 6:23 pm to OweO
quote:
But how common do you think it is for companies to charge insurance companies for things that are not needed or for items much more expensive than what was actually used?
0%- I’m a medical device rep, and in my experience, insurance companies spend tons of time trying to avoid paying for procedures/ Products unless there are very clear indications of medical necessity.
Posted on 6/22/19 at 6:23 pm to SECdragonmaster
A lot of people have no clue how things work, and it’s so complex, even we don’t truly know. I just try to educate as much as I can. Providers are always made to be the boogie man by many, but we are peons in this whole thing. Provider reimbursement is 8% of total healthcare cost (down from 10-12% before ACA) and they want to cut more thinking it’ll save anything substantial.
Costs have blown up, and the only changes I’m really seeing is more administrators to be compliant with more bureaucratic BS. And EMRs...such a waste. Those are single-handedly bankrupting hospitals. Notes on EMRs are great for the bean counters, but they are worthless. Have to wade through tons of worthless to get a nugget on needed info. Old notes were concise and on point.
Girls at my office were pissed at me a couple weeks ago after I sent a rep away. They asked why and I said it’s an inferior product that costs more than what I use now; I’ll just never use it. They said I could have just let him provide lunch for them, listen to what he has to say, and say no thanks.
Costs have blown up, and the only changes I’m really seeing is more administrators to be compliant with more bureaucratic BS. And EMRs...such a waste. Those are single-handedly bankrupting hospitals. Notes on EMRs are great for the bean counters, but they are worthless. Have to wade through tons of worthless to get a nugget on needed info. Old notes were concise and on point.
Girls at my office were pissed at me a couple weeks ago after I sent a rep away. They asked why and I said it’s an inferior product that costs more than what I use now; I’ll just never use it. They said I could have just let him provide lunch for them, listen to what he has to say, and say no thanks.
Posted on 6/22/19 at 6:32 pm to WeeWee
quote:
Not nearly as corrupt as it will be once we move to single payer.
shill for ama says cutting prices in half is corruption.
Posted on 6/22/19 at 6:41 pm to OweO
Dude!
In short , yes medical fraud is a big problem in USA !
Who knew ?!?!
In short , yes medical fraud is a big problem in USA !
Who knew ?!?!
Posted on 6/22/19 at 6:44 pm to OweO
Doctors in the 80’s/90’s got sweet golf trips, Ruth Chris dinners, etc.
Now, doctors cannot accept over 10-15 bucks or so in a meal benefit. There is a website with all reported benefits listed.
Most people I know don’t even mess with drug reps these days. More trouble than its worth.
Now, doctors cannot accept over 10-15 bucks or so in a meal benefit. There is a website with all reported benefits listed.
Most people I know don’t even mess with drug reps these days. More trouble than its worth.
Posted on 6/22/19 at 8:53 pm to Tyga Woods
quote:
My best friend is a surgeon and he’s taken me with him on several trips/outings paid for by drug reps and medical device salesmen. Golf, guided fishing trips, courtside NBA seats, etc
ETA He hasn’t been handed cash or told he will get abc if he does xyz, but it’s kinda understood
Does he have his own private practice?
Posted on 6/22/19 at 8:55 pm to Mingo Was His NameO
quote:
None, it's very illegal now.
None of this is to say that healtchcare isn't too conviluted or that it's hindered by government intervention, but your specific questions don't happen
Yes it does.
Posted on 6/22/19 at 9:00 pm to pngtiger
quote:
A certain segment of the population (uneducated) expect everything done to save grandma and grandpa, when the best they’re ever going to be is lying there in bed. And we spend billions on these people to keep them alive for years.
My biggest gripe with our health care system (although I have other problems with it). It's astonishing how much money is spent to simply keep people alive who are just laying in beds waiting to expire.
Posted on 6/22/19 at 9:07 pm to VABuckeye
quote:
My biggest gripe with our health care system (although I have other problems with it). It's astonishing how much money is spent to simply keep people alive who are just laying in beds waiting to expire.
I don't understand people who would rather see their loved one suffer.. and live than to be at peace and die.
This is more towards people who have loved ones on a machine hoping that they will suddenly get better, but I know it cost money every day they keep them alive..
Posted on 6/22/19 at 9:11 pm to OweO
I watched my father-in-law wither away in hospice care. He was 88, stuck in a bed in my house and was not only non-functional as a human being but was a tremendous strain on our family. But the meds kept rolling in. At some point, it's a quality of life issue but wait, some corporation is still being paid so let's keep him alive instead of simply letting nature take its course.
ETA: This may have come across as harsh or uncaring but when it's my time I do not want to be a burden on my family or on others.
ETA: This may have come across as harsh or uncaring but when it's my time I do not want to be a burden on my family or on others.
This post was edited on 6/22/19 at 9:14 pm
Posted on 6/22/19 at 9:29 pm to pngtiger
Ok, so let me ask you a question that I've always wanted to ask a doctor. Who the frick comes up with the pricing for medical procedures? Like how do you determine that a surgery can cost $25,000 as opposed to $2,500? I understand that there are overhead costs associated, but are the overhead costs really that much?
Posted on 6/22/19 at 9:38 pm to VABuckeye
quote:
ETA: This may have come across as harsh or uncaring but when it's my time I do not want to be a burden on my family or on others.
No. It's true. I think there are certain situations when people should be "put to sleep" instead of having them lay lifeless for who knows how long, until they die.
I mentioned this awhile back, but there are people who care in homes.. Who physical therapist go see.. The PTs will say they need wheelchairs or other types of medical equipment, their insurance pays for it, within a year they pass away and not once use the equipment that they "needed".
One day I had to get something fixed on my chair and the repairman at the place I was going agreed to meet me at the place on a Saturday morning (they didn't open on weekends) and evidently he had to get some stuff off his chest because he told me all about how "things go down".
So I know from a medical equipment side of things there is a lot of "corruption".. or unethical business practices that go on and these places take advantage of people who are literally on their deathbed.
Posted on 6/22/19 at 9:46 pm to brass2mouth
quote:
Yes it does.
No it doesn't, and when it does people get caught and end up in jail and losing their medical license. The law and codes of ethics are quite clear on this.
Posted on 6/22/19 at 9:48 pm to RealityTiger
quote:
Who the frick comes up with the pricing for medical procedures? Like how do you determine that a surgery can cost $25,000 as opposed to $2,500? I understand that there are overhead costs associated, but are the overhead costs really that much?
The tools and equipment they use or really expensive. An instrument or device being used on you could cost several millions of dollars plus the expertise needed by the doctor to perform the procedure.
Posted on 6/22/19 at 10:08 pm to RealityTiger
quote:
Ok, so let me ask you a question that I've always wanted to ask a doctor. Who the frick comes up with the pricing for medical procedures? Like how do you determine that a surgery can cost $25,000 as opposed to $2,500? I understand that there are overhead costs associated, but are the overhead costs really that much?
I want to know who comes up with the price Acadian charges. A few years ago I had to have my gallbladder removed. It was the absolute worst pain I can remember being in. There was no way I was going to be able to get in my chair then transfer into the car, I could barely move.
Call 911 and I am taken to the ER by ambulance. Get a bill from Acadian.. $10k. I call them and they said my insurance didn't pay, I called insurance and they told me it is covered for me to not send them any payment.
About 2 months later they send me another bill for $10k. I called my insurance and they tell me it had been paid. I called Acadian and said that my insurance informed me they paid it. She tells me but that is the amount I owe. $10K after my insurance paid! I told them they were out of their mind because I wasn't going to pay $10k. After going back and forth with this woman she eventually tells me to disregard the bill. I have a $0 balance.
Posted on 6/22/19 at 10:16 pm to Mingo Was His NameO
My mil died at our house last year on hospice,they were really good people.But the thing that bothered me was when she needed something like zinc oxide for her butt or adult diapers they would order it instead of buying at Walmart.So FedEx would deliver this box with one little tube zinc oxide,box would be big enough to hold probably 1000 tubes,same way with diapers or anything else they ordered.Wondered if hospice company getting kickback from medical supply company.Certainly Medicare was being gouged,the postage on the box would be more than the price of the item at Walmart.
I worked in hospitals 35 years and certainly there were a few sleazy moneygrubber
doctors,but by far the biggest sleazebags of all are hospital administrators.They are bullshite artists extrodinaire,only worked for one that was in it for the right reasons and felt like the patients came first.Of course,they all say that.
I worked in hospitals 35 years and certainly there were a few sleazy moneygrubber
doctors,but by far the biggest sleazebags of all are hospital administrators.They are bullshite artists extrodinaire,only worked for one that was in it for the right reasons and felt like the patients came first.Of course,they all say that.
Posted on 6/22/19 at 10:46 pm to LSUA 75
quote:
the postage on the box would be more than the price of the item at Walmart.
Yeah, that's abuse of tax dollars right there.
Page 2 of 5
Popular
Back to top
Follow TigerDroppings for LSU Football News