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Health care costs

Posted on 8/1/20 at 1:02 pm
Posted by Jax-Tiger
Port Saint Lucie, FL
Member since Jan 2005
24741 posts
Posted on 8/1/20 at 1:02 pm
I had a conversation with my son about the cost of healthcare. He's 21 and knew it was expensive, but didn't know how much it cost. We picked up a $200 prescription, and he was shocked. So I sat down with him and went over the costs for our family of 5, using bronze level ACA coverage costs:

Premiums: $20,500/year (about $1700/mo)
Deductible: $13,000/yr
Out-of-pocket Max $17,000/yr

So basically, the first $33,500 is out of pocket. After that, I pay %20 in network and a co-pay for prescriptions until I reach the $37,500 out of pocket, at which time the plan covers everything.

My son thinks healthcare is a scam, after seeing the numbers.

Is healthcare getting better, given how much we spend? No. We're doing healthcare by flow chart. Doctors are asking pre-programmed questions and the prescribing drugs - it's about treating symptoms and not wellness. We are getting teledocs and nurse practitioners. We spend less time with the doctors as care is more about getting patients in and out than spending personal time with them. Treatment protocols are influenced by insurance companies - what's covered and what's not.

All of the corner cutting and efficiency measures I mentioned should be driving costs down, but they continue to go up. What can we do?
Posted by Lawyered
The Sip
Member since Oct 2016
29287 posts
Posted on 8/1/20 at 1:03 pm to
quote:

son thinks healthcare is a scam, after seeing the numbers.


Tell him welcome to adulthood. It only gets worse
Posted by 93and99
Dayton , Oh / Allentown , Pa
Member since Dec 2018
14400 posts
Posted on 8/1/20 at 1:04 pm to
quote:

All of the corner cutting and efficiency measures I mentioned should be driving costs down, but they continue to go up. What can we do?



Get a job with good health insurance.
Posted by PUB
New Orleans
Member since Sep 2017
18206 posts
Posted on 8/1/20 at 1:05 pm to
Your son is completely correct. The entire system is a SCAM.
Really is well beyond a SCAM and thank CORRUPT CONgress AGAIN.
Pharma and insurance companies are making records profits and have paid billions in bribes to CONgress.
Capitalism for profits and Socialism for Losses.
This post was edited on 8/1/20 at 1:06 pm
Posted by Chief One Word
Eastern Washington State
Member since Mar 2018
3688 posts
Posted on 8/1/20 at 1:08 pm to
That's fricking CRIMINAL.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 8/1/20 at 1:08 pm to
This is part of the problem.

Self-employment has become almost a prohibitively inefficient way to live your life.
Posted by ChunkyLover54
Member since Apr 2015
6529 posts
Posted on 8/1/20 at 1:15 pm to
Yeah just got a $340 bill from March for a penicillin shot. On top of my $50 co pay. Pay 1300/month for family. Feels fricking awesome
Posted by Taxing Authority
Houston
Member since Feb 2010
57223 posts
Posted on 8/1/20 at 1:17 pm to
quote:

My son thinks healthcare is a scam, after seeing the numbers.
It's not healthcare that's the scam. It's the government that's enabling the moochers to conduct the scam. That's who he should be pizzed about. All the greedy people that take healthcare and do not pay for it dumping it off on other innocent people.

quote:


Is healthcare getting better, given how much we spend?
Depends. Are you a producer? Then no. If you're a moocher, then yes.
This post was edited on 8/1/20 at 1:19 pm
Posted by Taxing Authority
Houston
Member since Feb 2010
57223 posts
Posted on 8/1/20 at 1:20 pm to
quote:

Self-employment has become almost a prohibitively inefficient way to live your life.
And now you know why The Chamber of Commerce and other big business lobbyists loooove them some Obamacare!
Posted by Shoalwater Cat
Pville
Member since Dec 2017
696 posts
Posted on 8/1/20 at 1:27 pm to
I went 4 years without insurance. Wife (no pics) and I are self employed. We paid cash for a few surgeries. BTW,,you can negotiate with the doctors if you offer cash. Saved over $90k vs Obamadencratcare...Also, I never paid the Obamahahlah penalties. As long as you owed the IRS payments on your 1040, they can never collect. Stupid shite is for congress to read the bill after it is passed. So far so good.
Posted by Junky
Louisiana
Member since Oct 2005
8375 posts
Posted on 8/1/20 at 1:30 pm to
quote:

My son thinks healthcare is a scam, after seeing the numbers


Now do social security
Posted by Taxing Authority
Houston
Member since Feb 2010
57223 posts
Posted on 8/1/20 at 1:32 pm to
quote:

We paid cash for a few surgeries. BTW,,you can negotiate with the doctors if you offer cash. Saved over $90k vs Obamadencratcare...Also, I never paid the Obamahahlah penalties.
You're a smart man. $1,875/month at 8% is ~$1.1M over 20 years.

Modern "insurance" is nothing of the sort. You're just paying for it over time.
Posted by TigerDeBaiter
Member since Dec 2010
10265 posts
Posted on 8/1/20 at 1:37 pm to
quote:

Get a job with good health insurance.


Dumbest response.

Someone is still laying for it.

Totally agree with the OP. Healthcare is a joke these days. Over 50% of the doctor couldn’t care less. They just go through the motions and rely on the lower level health care workers to administer their orders. Which are inconclusive more often than not.

It’s a sad state of affairs.
Posted by tiggerthetooth
Big Momma's House
Member since Oct 2010
61224 posts
Posted on 8/1/20 at 1:40 pm to
Did you tell him all of that extra money goes to pay for someone who is sick or someone who cant or wont pay at all?
Posted by LSUJML
BR
Member since May 2008
45545 posts
Posted on 8/1/20 at 1:55 pm to
quote:

Get a job with good health insurance.


The worst part of owning / small business partnership is health insurance
I went from a 0 cost 200 deductible to 440 a month to 6500 deductive that had to be purchased through the healthcare marketplace
Last year it went up to 495 a month
When I tried to cancel through healthcare.gov they show I don’t have insurance & if I did I shouldn’t be paying 495 but 470 a month
They have opened a ticket & it should be resolved within 30 days

How can anyone have faith in the govt doing anything right after using healthcare.gov & seeing how inept USPS is?
Posted by lowspark12
nashville, tn
Member since Aug 2009
22368 posts
Posted on 8/1/20 at 2:00 pm to
It’s a scam... just use it as a lesson to teach your son to eat healthy and take care of his body... obviously won’t solve every issue, but it’s a great start.
Posted by Auburn80
Backwater, TN
Member since Nov 2017
7503 posts
Posted on 8/1/20 at 3:28 pm to
I’m a Conservative, but healthcare is so out of whack it doesn’t bother me if government takes it over. They already control over 50% of it, and over 70% of the hospital business. Either they need to take over all of it, or give it to the insurance companies and require them to cover everybody equally. There are true freeloaders out there, but also hardworking people who are being bankrupted by high deductibles or employers who don’t provide insurance. And you are right about small businesses having trouble. The current system is broken badly.
Posted by tigergirl10
Member since Jul 2019
10310 posts
Posted on 8/1/20 at 3:34 pm to
Screw that. I’d just pay the $1,500-3,000 a year to a top notch family doctor for concierge services and cash for visits instead of insurance companies.
Posted by HighDesert43
SE Idaho
Member since Apr 2020
190 posts
Posted on 8/1/20 at 3:39 pm to
At a minimum, make healthcare and health insurance nonprofit. Ideally, single payer or medicare for all. No one should go bankrupt because they get sick.
Posted by cajuncarguy
On the road...Again!
Member since Jun 2013
3135 posts
Posted on 8/1/20 at 3:39 pm to
quote:

I’m a Conservative, but healthcare is so out of whack it doesn’t bother me if government takes it over. They already control over 50% of it, and over 70% of the hospital business. Either they need to take over all of it, or give it to the insurance companies and require them to cover everybody equally. There are true freeloaders out there, but also hardworking people who are being bankrupted by high deductibles or employers who don’t provide insurance. And you are right about small businesses having trouble. The current system is broken badly.


This is exactly wrong and is what they want. They can totally control you if they control your health.

If it was a total free market like other things you buy and price would go straight down. Health car providers, drug makers and insurance companies would have to compete based on quality and price. Why are they protected now?

This post was edited on 8/1/20 at 3:40 pm
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