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re: USA will have Socialized Medicine in 20 Years - It's Inevitable

Posted on 7/13/22 at 8:28 pm to
Posted by AMS
Member since Apr 2016
6495 posts
Posted on 7/13/22 at 8:28 pm to
quote:

Concierge medicine practices now are mainly internal medicine or family practice guys. If it goes socialized, expect concierge groups to bring in the Dermatologist, GI doc, cardiologist, etc.



you arent going to have meaningful amounts of concierge GI/cards

theres an awful lot of overhead for those folks. sedation/anesthesia, CT, nuclear EKGs, echos, ultrasounds and thats before any procedures like pacemakers, watchmen, valve replacements, scopes, angios. derm probably could transition.

the problem is big healthcare groups buying out private practices already for similar reasons. concierge isnt really going to make sense for the majority of non-IM/FM docs and it rarely even makes sense for them.
Posted by OvertheDwayneBowe
Member since Sep 2016
2875 posts
Posted on 7/13/22 at 8:28 pm to
quote:

I am as anti UBH as possible but I agree. It’s coming.

I’ve had some very bad experiences with billing departments and while I have no desire to see the government take over anything, hospital billing departments are complete and utter frauds.


I think this is the most reasonable take on it there can be.

You can be against the coming change, but what we have now is broken beyond repair. We pay a lot for our health care and have to spend time arguing on almost any service beyond a copay.

"Oh, you got a shot? Well your doctor used a surgical tray, so that's an outpatient surgery."

"We sent you to collections for this bill."
"What bill? I never got one"
"Well we sent it to you at XX because Cigna rejected your claim"
"I don't even have Cigna, I have BCBS"
"Well that sounds like your problem, this is what the doctor's office gave us"

Revenues on insurance alone are going to reach a trillion in a few years.

The hard part is that insurance has artificially created so many jobs.
Posted by Bobbi12
Texas
Member since Jul 2020
21 posts
Posted on 7/13/22 at 8:29 pm to
Health care is the biggest fraud in America.
Posted by LSUfan4444
Member since Mar 2004
53747 posts
Posted on 7/13/22 at 8:29 pm to
quote:

Medicare for All.


Medicare doesnt work for the people already eligible, even thinking it will be offered to everyone is a myth created by people to create hope in something for "nothing" in return for votes.
Posted by greygoose
Member since Aug 2013
11442 posts
Posted on 7/13/22 at 8:29 pm to
quote:

The healthcare system has been intentionally broken and fricked up over and over for decades by both political parties- everything they claim to fix just makes it worse, to only one end.

Medicare for All.

It's not just a talking point, it's a spoiler alert.

You don't have to like it. But you need to accept it.

It's coming.

Very Soon.
Agreed. I'm on a group health plan with the largest health insurer in my State. My monthly premium is now over $1700. Me, my wife, and my almost 17 y/o kid. None of us have any chronic issues. I see my doc every 6 months, my wife sees hers every 4. Just routine check ups and labs.
Posted by KiwiHead
Auckland, NZ
Member since Jul 2014
27406 posts
Posted on 7/13/22 at 8:30 pm to
It's basically here
Posted by Old Money
Member since Sep 2012
36333 posts
Posted on 7/13/22 at 8:32 pm to
Only on TD will people white knight for our current system. Incredible
Posted by TDTOM
Member since Jan 2021
14363 posts
Posted on 7/13/22 at 8:33 pm to
I hope I am dead before this happens.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13653 posts
Posted on 7/13/22 at 8:45 pm to
The biggest scam these days are managed Medicare plans. They will give you a free membership to the local planet fitness ($10/month) and even small perks like grocery gift cards. But if you need an MRI, procedure, or rehab/SNF placement, they will deny it. Peer to peer reviews back in the day used to be a genuine conversation, but now it’s just blanket denials.
Posted by SportsGuyNOLA
New Orleans, LA
Member since May 2014
16996 posts
Posted on 7/13/22 at 8:48 pm to
Other countries laugh at us because of our medical costs. They laugh and are outaged.

Socialized medicine or something like it is coming very soon.

Medical professionals, pharmaceutical companies,
and everyone involved in the US healthcare industry make far too much money for something that should be accessible to everyone for a fair cost. This shite has to end. And end soon
This post was edited on 7/13/22 at 8:51 pm
Posted by supadave3
Houston, TX
Member since Dec 2005
30241 posts
Posted on 7/13/22 at 8:52 pm to
quote:

We sent you to collections for this bill."
"What bill? I never got one"
"Well we sent it to you at XX because Cigna rejected your claim"
"I don't even have Cigna, I have BCBS"
"Well that sounds like your problem, this is what the doctor's office gave us"


I'm fighting some of this now. I received a collection doe a doctor I've never heard of at a time when I was completely healthy. It's tough to fight the system.
Posted by WW
Member since Dec 2013
2280 posts
Posted on 7/13/22 at 8:53 pm to
Medicare routinely denies services you provider orders and forces you to pay out of pocket or walk away. Much of the administrative costs and patients flooding the emergency rooms, again driving up costs, are those on government plans. I see nothing positive about eliminating private insurers.
Posted by 3nOut
Central Texas, TX
Member since Jan 2013
28848 posts
Posted on 7/13/22 at 8:54 pm to
quote:

You can be against the coming change, but what we have now is broken beyond repair. We pay a lot for our health care and have to spend time arguing on almost any service beyond a copay.

"Oh, you got a shot? Well your doctor used a surgical tray, so that's an outpatient surgery."

"We sent you to collections for this bill."
"What bill? I never got one"
"Well we sent it to you at XX because Cigna rejected your claim"
"I don't even have Cigna, I have BCBS"
"Well that sounds like your problem, this is what the doctor's office gave us"


My wife had surgery on both feet in 2018. Pretty invasive and 140k with $10k out of pocket so not obscene.

In 2020 one of the pins came loose and protruded from the skin. Doc said come get it out. Signed nothing. In and out in 15 minutes.

We get a $7k bill.

I asked for a line item and they said they don’t do that. I said I am going to have to see where the doc is worth $28k an hour because that’s what you’re charging me. They said they couldn’t do that.

So I said I’m not paying and they said it was headed to collections. I asked “is this call recorded?” And it was. So I said clearly, your institution is charging $7k for your faulty equipment and refusing to show where that cost came from. You cannot justify and will not produce paperwork to those costs. I will not be paying it until that’s provided.”

And never heard from them again.
Posted by WW
Member since Dec 2013
2280 posts
Posted on 7/13/22 at 8:59 pm to
quote:

Other countries laugh at us because of our medical costs. They laugh and are outaged.

So what

quote:

Medical professionals, pharmaceutical companies,
and everyone involved in the US healthcare industry make far too much money for something that should be accessible to everyone for a fair cost. This shite has to end. And end soon

How do you decide someone else's worth for the sacrifice they made to earn it? What is fair cost?
Posted by WW
Member since Dec 2013
2280 posts
Posted on 7/13/22 at 9:02 pm to
What kind of institution are you dealing with? I've never heard of a place that doesn't show itemized charges on a statement or by request. Do you have insurance? You should have received an EOB from them.
Posted by WylieTiger
Member since Nov 2006
12935 posts
Posted on 7/13/22 at 9:03 pm to
I'm paying a house note each month in premiums...a nice arse house, note.
Posted by OweO
Plaquemine, La
Member since Sep 2009
113936 posts
Posted on 7/13/22 at 9:05 pm to
Oh a dude on tigerdroppings started a thread about it. I am going to make a future bet on it because a well informed person is saying it will happen.
Posted by shoestring
Member since Nov 2012
257 posts
Posted on 7/13/22 at 9:07 pm to
Do you even know what a doctor goes through before he can practice medicine? How can you say they make too much money without knowing their sacrifice?
Posted by 3nOut
Central Texas, TX
Member since Jan 2013
28848 posts
Posted on 7/13/22 at 9:22 pm to
quote:

What kind of institution are you dealing with? I've never heard of a place that doesn't show itemized charges on a statement or by request. Do you have insurance? You should have received an EOB from them


Baylor Scott & White. Love the Drs there but the billing department can GSTDIAB.
Posted by Bourre
Da Parish
Member since Nov 2012
20215 posts
Posted on 7/13/22 at 9:25 pm to
A lot of them sure wasn’t advocating for best practices during COVID. Nearly all of them knew masking by the general public (including cloth mask) was bs but stood by and said nothing. Even better, remember the doctors who said protesting during the BLM riots wasn’t super spreader events because of racism and shite? Or how about the new breed of doctors from our most prestigious medical schools who can’t identify what a woman is all of a sudden? What about the doctors who throw “do no harm” out the window by advocating for genital mutilation for confused minors?

There’s a crisis of confidence in the healthcare community, you’re just blind to it
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