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Started By
Message
re: How Do We Fix American Healthcare?
Posted on 8/18/19 at 2:53 pm to Big4SALTbro
Posted on 8/18/19 at 2:53 pm to Big4SALTbro
bullshite.
1
Posted on 8/18/19 at 2:55 pm to member12
quote:Not many people will understand that health care is not broken.
Is it broken
Posted on 8/18/19 at 2:56 pm to TGFN57
Tgfn, if single payer European style healthcare is so obviously superior, why have deep blue states like California and Vermont shelved plans fo institute it??
Posted on 8/18/19 at 3:06 pm to HailHailtoMichigan!
I don't know. Is it possible that it could only work if it's done on a national basis. Do they have expanded Medicare/cade in place. Like I said, I don't know.
Posted on 8/18/19 at 3:06 pm to dawgfan24348
I like Bongino’s idea of drs being able to provide care to the indigent as a Tax write off
Posted on 8/18/19 at 3:15 pm to dawgfan24348
Get the government out of it
Posted on 8/18/19 at 3:21 pm to BamaGradinTn
quote:
$150 charge like you do when your car needs a new battery and move on.
A doctor visit shouldn’t cost that much to begin with unless you are having a major test or advanced imaging.
A typical doctor visit although billed at absorbent rates for insurance are only reimbursed at the cost of a typical deductible.
It is a shame that family coverage has gone well over 1k a month. At that price and high deductible plan, a typical family could spend nearly a half or 1/3 of their income on health care. At that point it is no longer insurance but a tax.
Posted on 8/18/19 at 3:41 pm to dawgfan24348
quote:
How Do We Fix American Healthcare?
make the bourgeoisie pay for it and give it to the proletariat for free?
Posted on 8/18/19 at 4:04 pm to TGFN57
quote:
This from one of the surgeons there.
To what extent??
quote:
It doesn't sound like an anomaly to me.
If "it happens"...does not make it anymore than an anomaly.
* is that a common complaint in that Denver hospital? If not, how is it any more than something that "happens"?*
This post was edited on 8/18/19 at 4:07 pm
Posted on 8/18/19 at 4:06 pm to Tarps99
quote:
A typical doctor visit although billed at absorbent rates for insurance are only reimbursed at the cost of a typical deductible.
Get the two ply. It’s extra absorbent.
Posted on 8/18/19 at 4:10 pm to Diamondawg
quote:
I challenge anyone to go to any hospital's chargemaster and estimate the cost of your gall bladder removal. I'll wait.
You either don’t know what you’re talking about or you’ve backed yourself into an argument corner and don’t know how to get out. Common procedures should be priced for public consumption. And they could be. You continue to over complicate the discussion.
An MRI is $650. A CT scan is $450. A daily rate for c-section is $1750. For vaginal birth, it’s $1500. You could easily accomplish all of that. And the hospitals don’t want to.
Posted on 8/18/19 at 4:24 pm to the808bass
quote:
You’re incorrect. The hospital knows and the hospital tells them.
The hospital knows and tells them after the fact.
The hospital will bill the insurance company, the insurance company will pay their portion and the remainder is passed along to the patient. BCBS is going to say procedure X is worth $Y. Then they'll look at their agreement between themselves and the patients and pay their portion and the hospital is then allowed to bill the remainder to the patient.
quote:
But they don’t want that information to be oublic, because hospitals don’t want to compete on price.
Every hospital I've ever worked at will give the cost out if you want it and ask.
Posted on 8/18/19 at 4:26 pm to Dale51
Dr. that did the procedure on the wife told me unless a patient's condition is acute that waiting is normal. All I can speak to is the wait we encountered. 1230 am till 7pm when procedure was done. Then waited for discharge at 945pm.
Posted on 8/18/19 at 4:31 pm to birchbayduck
quote:
My niece and brother pay $380 each after insurance every month for insulin. 4 years ago their insurance paid all of it which was less than $150 TOTAL. Paying over $4,500 each for a medication to live each year vs nothing 5 years ago is a load of crap.
There's a lot to this statement. Some insulin is a little newer, better, and more expensive. Some is older and cheaper.
Health plans vary widely as well. I'm young and healthy. The max out of pocket for a high-deductible plan for me is $5500/y. For me, paying a low premium and have $5500 sitting aside reserved for medical care every year is the smartest option. But I'm on the hook for the first $5500 before the insurance pays a dime, and they pick up 100% of the tab after that.
If I were in a different position in life, this wouldn't be a good plan, and being on a plan that covered expensive medications may make more sense to me.
In any event, they should have access to their formulary and benefits. If this is unsustainable, they should call their insurance company, talk with their doctor, and - if those are unfruitful- change plans if feasible.
Posted on 8/18/19 at 4:39 pm to TGFN57
quote:TGFN57, when you conflate a few hours waiting to ensure requisite NPO safety with several years painfully hobbling around in a Canadian hip replacement queue, and someone calls you on it, it is not because they are "triggered". It is because the conflation is obtuse.
It's in response to that video link 51 posted. Man you sure are triggered, to use a trumpkin word, by anything not agreeing with your stance.
Oh and just FYI, your wife did not undergo surgery that evening. She underwent a procedure -- endoscopy with esophageal dilation. But that procedure does involve anesthesia. Pointing that out is not being "triggered". It is being informed.
Posted on 8/18/19 at 4:44 pm to NC_Tigah
Yea sure dr. condescension whatever you say.
Posted on 8/18/19 at 4:51 pm to the808bass
quote:
An MRI is $650. A CT scan is $450. A daily rate for c-section is $1750. For vaginal birth, it’s $1500. You could easily accomplish all of that. And the hospitals don’t want to.
The hospitals are required to charge a flat rate. The MRI has a specific cost, maybe $650, but BCBS pays $700, Humana pays $670, Medicare may pay $400, and someone else may pay up to $1000. The hospital operates on a thin margin and shoots to optimize its max return on its contracts because some contracts don't even cover the cost of the procedure in discussion, and they don't want to make procedures unavailable to patients if they can help it.
So you get an inflated price available which means nothing outside of the context of what the insurance is going to pay on it.
To do what you're suggesting would work quite easily if patients were required to bill insurance companies for reimbursement themselves. But the current system definitely sucks. But the hospitals aren't totally to blame. They're working within the convoluted rules written for them to operate within.
Posted on 8/18/19 at 5:27 pm to the808bass
quote:have you gone to the chargemaster for the hospital that did your procedure and calculate the cost of your surgery to the penny? It’s there. It’s required by law. Useless; but it’s there. You want an Amazon Prime pricing list. Not happening. No two patients are the same.
You either don’t know what you’re talking about or you’ve backed yourself into an argument corner and don’t know how to get out.
Posted on 8/18/19 at 6:22 pm to Diamondawg
quote:In many (perhaps most) cases, hospital administrations are breathtakingly uninformed as to costs, potential cost savings, and purchasing impacts. A transactionally opaque, anticompetitive pricing environment enables operational incompetence. Often no one, from top to bottom, has a clue as to costs.
have you gone to the chargemaster for the hospital that did your procedure and calculate the cost of your surgery to the penny?
Ironically, requisite changes facilities fear would help most of them, in time. The more transparent, the better.
Posted on 8/18/19 at 6:24 pm to deeprig9
quote:
Price posted publicly
"I need insulin to live."
"Okay! The price is $700 per."
"I can't afford that, and I'll die without it."
"What are you talking about? I just told you the cost up front. The Healthcare system works!"
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