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re: How are vets able to perform surgeries and prescribe meds so much cheaper?
Posted on 12/24/24 at 11:34 pm to WaydownSouth
Posted on 12/24/24 at 11:34 pm to WaydownSouth
quote:Because if we had to pay for it upfront and out-of-pocket, we'd put down our sick relatives like we do our sick pets, instead of getting years of expensive, life-prolonging or life-saving treatment.
You have to pay for pet visits before you leave
If everyone paid their hospital bill, before going home, things would be much cheaper.
Also, we've definitely had a payment plan on a very large vet bill before.
This post was edited on 12/24/24 at 11:39 pm
Posted on 12/25/24 at 12:15 am to rpg37
Investors run human healthcare and they have profits to maximize.
Posted on 12/25/24 at 1:06 am to Zappas Stache
quote:
Investors run human healthcare and they have profits to maximize.
And people that choose to invest or build vets near large populations of GoldenDoodles hate profit? Please, dude, you build new vet shops near where there are rich women. A large animal vet (who knows the economic value of large animal) charges you different than a bullshite suburban vet that mostly works on animals less than 30 pounds.
Posted on 12/25/24 at 7:46 am to rpg37
Government rules and regulations
The amount of rules to operate a surgery center, supply anesthesia, etc is about 10,000 pages long.
The vet can do that in the back of his office with a bottle of ketamine.
Oh and they don’t get sued
The amount of rules to operate a surgery center, supply anesthesia, etc is about 10,000 pages long.
The vet can do that in the back of his office with a bottle of ketamine.
Oh and they don’t get sued
Posted on 12/25/24 at 8:25 am to WaydownSouth
quote:
You have to pay for pet visits before you leave
If everyone paid their hospital bill, before going home, things would be much cheaper.
Instead we have folks that use the ER like their PCP and will never pay a dime
That and pet insurance hasn't taken over yet.
When it does watch out.
Years ago people only carried major medical for things like hospital stay. Everything else was cash.
The insurance and docs figured out they could inflate the shite out of cost and make people buy insurance it was a huge profit win dumped on the consumers.
Posted on 12/25/24 at 9:32 am to WaydownSouth
quote:
If everyone paid their hospital bill
Comes out of my paycheck every week. wtf are you talking about?
And guess what? I didn’t even use the hospital or go to the doctors office once this year.
Still paid it.
This post was edited on 12/25/24 at 9:33 am
Posted on 12/25/24 at 9:34 am to thejudge
quote:
The insurance and docs figured out they could inflate the shite out of cost and make people buy insurance it was a huge profit win dumped on the consumers.
It’s a giant wealth transfer from the healthy to the sick.
Posted on 12/25/24 at 9:55 am to rpg37
Now do canine dental work.
frickers want $1200 to pull and clean a few teeth.
frickers want $1200 to pull and clean a few teeth.
Posted on 12/25/24 at 10:05 am to rpg37
TL/DNR: It's a LOT more complicated than just lawsuits.
Let me count a few of the ways:
-Expensive health care surveyors (Medicare, Medicaid, Radiology, Joint Commission, ad -nauseam) who make "recommendations" that are expensive. In the case of Joint Commission, submitting to the survey itself it expensive.
-Because of the increased inefficiency of electronic medical records (EMR), more nurses are needed to do the same job as was needed pre-EMR.
-There are an increasingly large number of insurance programs (the worst offenders I'm told are Medicare Advantage insurance, especially Humana, United Health and Aetna. that discount services provided by the. hospital. Frequently the entire hospitalization is denied. This usually occurs after the services have already been provide, but sometimes happens during the hospitalization. Medicare Advantage insurance programs. Lots of times the reimbursement is discounted to a lower level. The hospital will try to recoup those losses from other pateints/insurances.
-Defensive medicine. The threat of lawsuits and unhappy patient results in a lot of medically unnecesary testing. Should everyone with a simple, uncomplicated concussion really need an expensive CT scan?
-An increasing large number of physicians and /mid-level are utilizing a large number of expensive tests to make a diagnosis or determine treatment. I know someone who recently had a degenerative meniscus tear (a common knee injury that normally heals on it's own without complications). The ortho made the diagnosis by taking a careful histiory and carrying out a good examination. A cortisone shot was given and the patient was back to normal as predicted in a few weeks. OTOH, many would've done an MRI, oftentimes even before seeing the patient, and still given the same cortisone shot. Many of those patients would end up being referred to an Ortho unnecessarily for a number of reasons.
-Pharmaceuticals are becoming increasingly more expensive both for the hospital as well as from the pharmacy. Our dog took lisinopril for heart failure. It was prescribed and provided by the vet. The same medication for my grandmother bought from a pharmacy was much more expensive. The increaing cost of meds will continue to worsen as the huge box pharmacies like Walgreens take over pharmacy. I've talked to some independent pharmacists about the price structure of medicines and the struggle independent pharmacies to stay open. I still don't understand the complicated price structure.
Let me count a few of the ways:
-Expensive health care surveyors (Medicare, Medicaid, Radiology, Joint Commission, ad -nauseam) who make "recommendations" that are expensive. In the case of Joint Commission, submitting to the survey itself it expensive.
-Because of the increased inefficiency of electronic medical records (EMR), more nurses are needed to do the same job as was needed pre-EMR.
-There are an increasingly large number of insurance programs (the worst offenders I'm told are Medicare Advantage insurance, especially Humana, United Health and Aetna. that discount services provided by the. hospital. Frequently the entire hospitalization is denied. This usually occurs after the services have already been provide, but sometimes happens during the hospitalization. Medicare Advantage insurance programs. Lots of times the reimbursement is discounted to a lower level. The hospital will try to recoup those losses from other pateints/insurances.
-Defensive medicine. The threat of lawsuits and unhappy patient results in a lot of medically unnecesary testing. Should everyone with a simple, uncomplicated concussion really need an expensive CT scan?
-An increasing large number of physicians and /mid-level are utilizing a large number of expensive tests to make a diagnosis or determine treatment. I know someone who recently had a degenerative meniscus tear (a common knee injury that normally heals on it's own without complications). The ortho made the diagnosis by taking a careful histiory and carrying out a good examination. A cortisone shot was given and the patient was back to normal as predicted in a few weeks. OTOH, many would've done an MRI, oftentimes even before seeing the patient, and still given the same cortisone shot. Many of those patients would end up being referred to an Ortho unnecessarily for a number of reasons.
-Pharmaceuticals are becoming increasingly more expensive both for the hospital as well as from the pharmacy. Our dog took lisinopril for heart failure. It was prescribed and provided by the vet. The same medication for my grandmother bought from a pharmacy was much more expensive. The increaing cost of meds will continue to worsen as the huge box pharmacies like Walgreens take over pharmacy. I've talked to some independent pharmacists about the price structure of medicines and the struggle independent pharmacies to stay open. I still don't understand the complicated price structure.
Posted on 12/25/24 at 10:55 am to dgnx6
quote:
Comes out of my paycheck every week. wtf are you talking about? And guess what? I didn’t even use the hospital or go to the doctors office once this year. Still paid i
Do you struggle to read?
You leave the hospital and get a bill after the fact.
Something like 60% of hospital patients cannot pay their bills in full.
Comes out of my paycheck every week. wtf are you talking about? And guess what? I didn’t even use the hospital or go to the doctors office once this year.
I'm assuming you are talking about insurance premiums, which has nothing to do with hospital bills... again reading comprehension.
If you aren't and you are still paying a hospital bill after a year, then congrats you are part of the 60%
Posted on 12/25/24 at 11:02 am to rpg37
quote:
Took my dog to the top vet in OS for a spay and meds and everything was under $250.
Damn, I can remember getting a pet spayed for around $25.
Posted on 12/25/24 at 11:11 am to rpg37
Less liability. Ambulance chasers aren’t suing vets
Posted on 12/25/24 at 11:13 am to rpg37
Because of Lawyers baw. You don’t get $10M when your wiener dog dies. You just get a dead dog and a bill
Posted on 12/25/24 at 11:17 am to WaydownSouth
quote:
If everyone paid their hospital bill, before going home, things would be much cheaper.
Took my granddaughter to the doctor before she was covered, cost me an extra $150 before I could even see the doctor.
They seem to punish cash payers more.
Posted on 12/25/24 at 11:17 am to rpg37
Did that include pre-an panel? If so, that’s close to cost. Vet must have a lower business overhead. Also, as stated previously, animals can’t talk, earn or sue.
Posted on 12/25/24 at 11:37 am to deltaland
quote:
Health insurance and malpractice lawsuits drive up costs for humans
This is partially true. The dearth of regulations mandated by Federal Law and a huge glut of Adminstrators in hospitals are equally if not more at fault.
Posted on 12/25/24 at 11:49 am to Sneauxghost
quote:
Vet must have a lower business overhead.
Well until the recent corporate purchasing boom most practices are owned by the vet where human hospitals aren’t.
So as much as people compare them, it’s apples and bananas.
Most industries are considered financially healthy running 20-30% profit margins. Vet offices are lucky to get 10-15%
Posted on 12/25/24 at 11:59 am to More beer please
quote:
So as much as people compare them, it’s apples and bananas.
What do you have against oranges, sir?
Posted on 12/25/24 at 12:35 pm to rpg37
Cause it’s less blowback if a animal dies… them not having a soul in all
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