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How Corrupt Is Our Healthcare System?

Posted on 6/22/19 at 4:15 pm
Posted by OweO
Plaquemine, La
Member since Sep 2009
114040 posts
Posted on 6/22/19 at 4:15 pm
I watched an episode of Whistleblowers I dvr'd from last night. In short, a company was giving kickbacks to doctors to use their products.

Doctors started doing back surgery on a lot of people who didn't need it. The demand of those products resulted in that company getting them made from a mechanical shop, which wasn't made from the same material the South Korean company used to make them. The South Korean company's product was designed with material that wouldn't cause problems.. Like infections, etc.

There were 12 different doctors receiving kickbacks so every time they did these surgeries, they were getting tickets to Super Bowl and other sporting events, had wine flown in for them, prostitutes,etc.

You can check it out here.

LINK

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?

Or how many doctors get kickbacks for using a certain company's product, etc?
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 6/22/19 at 4:17 pm to
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?


Not common at all

quote:

Or how many doctors get kickbacks for using a certain company's product, etc?


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
Posted by Hangover Haven
Metry
Member since Oct 2013
26714 posts
Posted on 6/22/19 at 4:18 pm to
1 corrupt medical practice, and now all of them are...

Medicine is now the liberal's whipping boy... Just watch...

This post was edited on 6/22/19 at 4:21 pm
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120412 posts
Posted on 6/22/19 at 4:21 pm to
I love drug reps buying me steaks

Then I never prescribe their stuff because generics are often just as good and cheap AF
Posted by el Gaucho
He/They
Member since Dec 2010
53120 posts
Posted on 6/22/19 at 4:27 pm to
You’re just jealous you can’t go on the big pharma kickback cruise every year
Posted by Tyga Woods
South Central Jupiter Island, FL
Member since Sep 2016
30377 posts
Posted on 6/22/19 at 4:32 pm to
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
This post was edited on 6/22/19 at 4:35 pm
Posted by tLSU
Member since Oct 2007
8623 posts
Posted on 6/22/19 at 4:48 pm to
If you think life is bad when people get extra incentives to do things, wait till you see it when the government, which has no incentive at all, takes over.
Posted by meansonny
ATL
Member since Sep 2012
25775 posts
Posted on 6/22/19 at 5:18 pm to
If we want to fix the Healthcare mess, we need fixed plan pricing for healthcare.

The Healthcare provider gets to pick their price. But they charge that price to every one who gets the service. No exceptions.

What does this accomplish?
It is the first step of putting market forces back into Healthcare (they haven't been there in a long time).

If your Health insurance doesnt pay all of the bill, the patient can do one of 4 things.
1) pay cash for the difference.
2) switch health insurance companies
3) switch to a less expensive health provider
4) not get the procedure.

This goes for prescriptions from the pharmacy as well. Flat rate regardless of coupon, discount, promo, or prescription drug plan.

The fifteenth of each month, the provider publishes rates effective on the first of the month to allow the provider fluidity to adapt to market demands.
Scheduling a procedure 6 months out? The rate sheet locks in that appointment at a scheduled rate (similar to mortgage locks).

We are in a cluster-frick right now because we have the worst health system in the world. No market forces affect our healthcare system. High demand for the best health care providers drive prices up which the entire industry takes advantage of from the insurance payments.
Posted by WeeWee
Member since Aug 2012
40191 posts
Posted on 6/22/19 at 5:22 pm to
quote:

How Corrupt Is Our Healthcare System?


Not nearly as corrupt as it will be once we move to single payer.
Posted by The Torch
DFW The Dub
Member since Aug 2014
19426 posts
Posted on 6/22/19 at 5:34 pm to
Once Obama let the cat out of the bag it all went to shite, premiums up 300-400% as well as deductibles.

I remember our first meeting with United Healthcare after this and they calmly explained how we would be paying 3 times as much for a way inferior product.

Compare this to the average wage increase of 3% and he set the workforce back 10 years.

Posted by BeachDude022
Premium Elite Platinum TD Member
Member since Dec 2006
34879 posts
Posted on 6/22/19 at 6:11 pm to
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 by jeffsdad
Member since Mar 2007
21496 posts
Posted on 6/22/19 at 6:15 pm to
In small hospitals you will notice whenever a new CEO comes on new hospital beds are purchased....
Posted by jacksajester
Metry
Member since Jun 2014
1509 posts
Posted on 6/22/19 at 6:23 pm to
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 by Tigerbythetale
Las Vegas
Member since Aug 2014
1458 posts
Posted on 6/22/19 at 6:41 pm to
Dude!

In short , yes medical fraud is a big problem in USA !

Who knew ?!?!
Posted by Ric Flair
Charlotte
Member since Oct 2005
13681 posts
Posted on 6/22/19 at 6:44 pm to
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.
Posted by Cheese Grits
Wherever I lay my hat is my home
Member since Apr 2012
54792 posts
Posted on 6/23/19 at 7:44 am to
quote:

Or how many doctors get kickbacks for using a certain company's product, etc?


A friend is in the junket food delivery business and his biggest customers are government and doctors offices. Big drug companies will feed the entire offices and folks know this so the "staff" doubles or triples the day the drug companies are picking up the check.
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
65895 posts
Posted on 6/23/19 at 8:32 am to
OweO, if your aren’t happy with the current Healthcare system in the U frickin’ S of A, march your sorry arse over to the U.K. and go enjoy the NHS for a year or two.

To make omlets, you gotta crack some eggs.

PS: This message brought to you by the American Medical Association.
Posted by biglego
Ask your mom where I been
Member since Nov 2007
76547 posts
Posted on 6/23/19 at 8:56 am to
Thanks Obama
Posted by Ricardo
Member since Sep 2016
4917 posts
Posted on 6/23/19 at 9:07 am to
(no message)
This post was edited on 6/14/20 at 11:20 pm
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 6/23/19 at 9:13 am to
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? 




It doesn't matter. Let me tell you how this works.


You get a broken leg. You go to the hospital. The doctor takes x-rays, gives you pain meds, puts on a cast, tells you to follow up with Ortho in a couple weeks. You pay your $150 copay and leave.

The hospital sends a bill to your insurance provider for a broken leg. The insurance provider says "nah, this is what we think it should cost to fix a broken leg. Here's that money instead."

And then you only get that money if you're on the insurance companies "good list". If you're on their "shite list", you get some predetermined amount less- and that is where the corruption is. The insurance provider can essentially blackmail the hospital by threatening to put them on the shite list, and this is completely legal
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