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re: How Corrupt Is Our Healthcare System?

Posted on 6/22/19 at 5:18 pm to
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 pngtiger
Mobile
Member since May 2004
1819 posts
Posted on 6/22/19 at 5:56 pm to
quote:

The Healthcare provider gets to pick their price.


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.
This post was edited on 6/22/19 at 5:59 pm
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