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re: Data for you to ponder tonight: insurers are not the villain. Providers are
Posted on 12/11/24 at 7:56 pm to HailHailtoMichigan!
Posted on 12/11/24 at 7:56 pm to HailHailtoMichigan!
I honestly don’t think those salaries are anything crazy. They work a shite ton and even with reform they could strike a good balance between doctor pay and patient costs.
I can tell you I wouldn’t do 15 years of post secondary education for $155k
I can tell you I wouldn’t do 15 years of post secondary education for $155k
This post was edited on 12/11/24 at 8:04 pm
Posted on 12/11/24 at 7:57 pm to HailHailtoMichigan!
quote:
How do you justify this?
How do you justify my family member, a doctor at a world renowned medical facility, making roughly $20-25/hr for 6 to 7 years?
Posted on 12/11/24 at 7:57 pm to HailHailtoMichigan!
People should really dig deeper than these pretty ribbon charts....
UHG details
UHG had $371.6 Billion in income. Of that, they paid out $241.9 Billion on medical providers. So, because they exist, 35% of that income went to things than the providers providing care. ONE HUNDRED AND TWENTY NINE POINT SEVEN BILLION DOLLARS.
$129.7B for pushing paperwork around and giving you great things like 6 copies of a medical card, killing 3 trees to send you mail every time you have a procedure done or fill a prescription. Not to mention pre-authorizations and deductibles. Super.
I'm not in favor of eating the rich this is shite is comical. Thanks for taking the time to post this so we can have a more meaningful discussion around why this is so insane.
UHG details
UHG had $371.6 Billion in income. Of that, they paid out $241.9 Billion on medical providers. So, because they exist, 35% of that income went to things than the providers providing care. ONE HUNDRED AND TWENTY NINE POINT SEVEN BILLION DOLLARS.
$129.7B for pushing paperwork around and giving you great things like 6 copies of a medical card, killing 3 trees to send you mail every time you have a procedure done or fill a prescription. Not to mention pre-authorizations and deductibles. Super.
I'm not in favor of eating the rich this is shite is comical. Thanks for taking the time to post this so we can have a more meaningful discussion around why this is so insane.
Posted on 12/11/24 at 7:58 pm to Mingo Was His NameO
I pointed this same thing out in the first UNH assassination thread and the socialists jumped on me. HHM is spot on with this OP.
It's a 6% profit margin for that company, it's a publicly held company, so their financials are public and auditable. What about all these "charitable" and "private" non-public providers, where's their financials? I guarantee you it's more than 6% margin.
Now that my aunt and uncle are deceased I could probably tell you more, they ran a private practice primary care ripping off insurance and the government for millions over decades, bragged about it. How to code this, how to code that. Customer/patient thinking they are dropping $20 copay for $500 worth of services then blame the insurance company when their premiums and deductibles are so high. It's because at the window, it only costs them $20 for their care. But they are paying so much more to the ins co's so it must be the ins co's that are the bad guy. They don't realize that 95% of the money they pay to their ins co's goes straight to the providers they think so highly of.
It's a 6% profit margin for that company, it's a publicly held company, so their financials are public and auditable. What about all these "charitable" and "private" non-public providers, where's their financials? I guarantee you it's more than 6% margin.
Now that my aunt and uncle are deceased I could probably tell you more, they ran a private practice primary care ripping off insurance and the government for millions over decades, bragged about it. How to code this, how to code that. Customer/patient thinking they are dropping $20 copay for $500 worth of services then blame the insurance company when their premiums and deductibles are so high. It's because at the window, it only costs them $20 for their care. But they are paying so much more to the ins co's so it must be the ins co's that are the bad guy. They don't realize that 95% of the money they pay to their ins co's goes straight to the providers they think so highly of.
Posted on 12/11/24 at 8:01 pm to deeprig9
Click the link I just provided. Both sides need reform but the medical insurance "industry" is a fricking joke.
Posted on 12/11/24 at 8:01 pm to HailHailtoMichigan!
$371 Billion is a lot of money to take in while providing zero value to their customers, and still making their rate payers pay again to the actual providers when they actually need it. Parasites tend to have a symbiotic relationship with their hosts, while slowly bleeding them dry.
Posted on 12/11/24 at 8:06 pm to NYNolaguy1
quote:
while providing zero value to their customers
So why do people purchase their product?
Posted on 12/11/24 at 8:06 pm to HailHailtoMichigan!
I am in the field and often talk about this when people complain about profits. The one thing I will say is that the fact that they own Optum and Optum’s biggest customer is UHC means money flows across the books in some interesting ways.
I don’t necessarily agree with United’s approach to some things but providers, big pharma, and the big food industry all have to come together for change.
I don’t necessarily agree with United’s approach to some things but providers, big pharma, and the big food industry all have to come together for change.
Posted on 12/11/24 at 8:07 pm to HailHailtoMichigan!
How much of that salary goes to malpractice insurance?
How much debt does a medical doctor incur prior to making that salary?
How much debt does a medical doctor incur prior to making that salary?
Posted on 12/11/24 at 8:08 pm to HailHailtoMichigan!
quote:
and the one with the largest market share. Its net profit margin is just 6.11%:
How much profit would they make if their ceo made 2 million instead of 51 million?
Posted on 12/11/24 at 8:08 pm to HailHailtoMichigan!
I literally know of ZERO doctors who charge exorbitant bills and expect to receive any of it
Doctors are not the issue at all
Doctors are not the issue at all
Posted on 12/11/24 at 8:09 pm to Delacroix22
quote:
Doctors are not the issue at all
Posted on 12/11/24 at 8:10 pm to HailHailtoMichigan!
quote:
How do you justify this?
Improved wait times, surgeons with significantly better training, UK salary data not necessarily reflective of the number of folks who work in both systems (most of them) would be a start.
Posted on 12/11/24 at 8:10 pm to deeprig9
The brief time I was in the rehabilitation facility after my stroke ,I caught them trying to give me unnecessary medication.
Then when I was going through the billing afterwards
I was only there for thirty days they probably slipped in a good $6000 on medication that I never took and a couple of grand in nurse visits that I never had
Then when I was going through the billing afterwards
I was only there for thirty days they probably slipped in a good $6000 on medication that I never took and a couple of grand in nurse visits that I never had
Posted on 12/11/24 at 8:12 pm to HailHailtoMichigan!
And yet, no mention of drug prices.
Walmarts cheap because they buy a ton of stuff.
The USA should have the cheapest drugs in the world. Here we pay 1500$ a month for a drug that people pay 200$ a month for in China.
Walmarts cheap because they buy a ton of stuff.
The USA should have the cheapest drugs in the world. Here we pay 1500$ a month for a drug that people pay 200$ a month for in China.
Posted on 12/11/24 at 8:19 pm to junior
quote:
And yet, no mention of drug prices.
Walmarts cheap because they buy a ton of stuff.
The USA should have the cheapest drugs in the world. Here we pay 1500$ a month for a drug that people pay 200$ a month for in China.
Those countries with super cheap drugs have socialized medicine, the money still comes from their taxes they pay their whole lives. 80% tax rate, here's your discounted statin. 20% tax rate, your statin costs $20 a month.
Pick your poison.
Posted on 12/11/24 at 8:20 pm to HailHailtoMichigan!
quote:
The actual people charging you an arm and a leg for your care, and putting you at risk of medical bankruptcy, are the providers themselves
Wrong. You think the pediatrician or internist making less than 250k are doing this? Try all of the hospitals and the bullshite number of people they have to hire and the amount of hurdles they have to maneuver to satisfy Joint Commission and CMS regulations.
Posted on 12/11/24 at 8:20 pm to junior
quote:
The USA should have the cheapest drugs in the world. Here we pay 1500$ a month for a drug that people pay 200$ a month for in China.
Thank the PBM’s which are owned by…. You guessed it, the insurance companies
Posted on 12/11/24 at 8:24 pm to HailHailtoMichigan!
There are a few issues with these salary comparisons. First, with many physicians they bill based on numbers of encounters, not in a prescribed hours/day workday. Overseas are more like a daily wage, see a minimum quota of patients, but not in the bulk of American doctors. This is a reason for the long wait times for many overseas patients.
The next is the national healthcare shortage. Most docs are working a 1.5-2.5 FTE equivalent. So what’s often reported isn’t a “typical” salary but reflective of that calm and overage burden. There are numerous other factors and healthcare providers aren’t blameless, but it’s much more nuanced than these simplified graphs.
The next is the national healthcare shortage. Most docs are working a 1.5-2.5 FTE equivalent. So what’s often reported isn’t a “typical” salary but reflective of that calm and overage burden. There are numerous other factors and healthcare providers aren’t blameless, but it’s much more nuanced than these simplified graphs.
Posted on 12/11/24 at 8:29 pm to HailHailtoMichigan!
Our medical providers are better than anywhere else in the world. Our system of insurance, unhealthy people clogging the system, and hospital administrations (which is largely required to deal with insurance and the government) is broken.
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