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Started By
Message
re: How Do We Fix American Healthcare?
Posted on 8/18/19 at 11:37 am to dawgfan24348
Posted on 8/18/19 at 11:37 am to dawgfan24348
quote:
How Do We Fix American Healthcare?
Stop promoting fatness as something that is good, for one.
0
Posted on 8/18/19 at 11:39 am to PygmalionEffect
Here’s an small example of what’s wrong with government health coverage: diabetic test strips are limited by M/C to one testing per day if not using insulin even though Doc recommends testing twice per day. Problem is if Docs orders are followed test strips will be used before M/C will pay for refill. You can purchase out of pocket but they are expensive $1.25 per strip.
Posted on 8/18/19 at 11:56 am to birchbayduck
quote:
Paying over $4,500 each for a medication to live each year vs nothing 5 years ago is a load of crap.
What is their yearly income?
Posted on 8/18/19 at 11:59 am to Dale51
Tort reform. Getting rid of punitive damages for medical mistakes will drop prices for everyone.
If you are able bodied and able minded and you have not had a job in the past 2 years you get only the health care you can pay cash for.
If you are able bodied and able minded and you have not had a job in the past 2 years you get only the health care you can pay cash for.
Posted on 8/18/19 at 12:03 pm to the808bass
quote:Which has zero to do with what we are talking about. Your OOP is based on your policy, where you are with your deductible and maximum OOP. Easy enough to determine. Your OOP would have been the same whether your surgery cost $30K or $40k. Ask your insurance company if they knew to the penny what their hit was going to be.
Always could if you asked. Won't mean shite, but go for it. Sit down with the business manager and tell him/her exactly what they are going to do, how many iv sets you need, predict your OR times, anesthesia costs, time in the PACU, holding room pre and prior, charged by time.
And yet when I got my gall bladder out, they knew exactly what my OOP was to the penny. And they were right.
Posted on 8/18/19 at 12:08 pm to TGFN57
quote:NO SIR!
It costs more justlike it does here.
It doesn't "cost more just like it does here". To save her life, Natasha Richardson would have paid enough to buy her own personal Life Flight Chopper. It was not a matter of cost. It was a matter of availability. It was not a matter of cost. It was a matter of quality. In the United States availability is not apportioned due to costs. The cost of quality is high, too high, but your bill is the same as mine.
Posted on 8/18/19 at 1:09 pm to NC_Tigah
Look doc, sorry if you ate worried about not getting a Lamborghini for your old lady if some version of universal care come to the US. BUT, you need to calm down.
What happened to Natasha Richardson was a tragedy. I won't say it wasn't. But guess what, people die of brain bleeds every day. Even here. But what we have here as health care is a joke for a giant portion of folks. People like us don't have to worry about paying for health care or paying for food and a place to live. Many more of our neighbors than you would like to believe face just those choices every day.
Basic universal care works up in Canada. No matter your opinion or not.
What happened to Natasha Richardson was a tragedy. I won't say it wasn't. But guess what, people die of brain bleeds every day. Even here. But what we have here as health care is a joke for a giant portion of folks. People like us don't have to worry about paying for health care or paying for food and a place to live. Many more of our neighbors than you would like to believe face just those choices every day.
Basic universal care works up in Canada. No matter your opinion or not.
Posted on 8/18/19 at 1:17 pm to TGFN57
quote:If some version of universal care comes to the US, the only way it will impact me is in the diminution of care I'd receive as a patient. It would make not 1¢ of difference to me financially.
if some version of universal care come to the US.
Posted on 8/18/19 at 1:22 pm to TGFN57
Posted on 8/18/19 at 1:40 pm to TGFN57
quote:
Basic universal care works up in Canada. No matter your opinion or not.
Works for who? Waiting months for basic procedures, procedures using outdated surgical techniques? You think its ok to wait an average of nearly 20 weeks between seeing a GP for referral before seeing a specialist? My grandfather had to wait over 6 months for cataract surgery. You are clueless
Posted on 8/18/19 at 1:53 pm to Dale51
Been to an emergency room lately? I have. My wife has a narrowing of her esophagus. Sometimes food will stick there but only for a couple of minutes. This time it wasn't moving. After 5 hours in the ER we were told to wait for the food(chicken) to go down and if it didn't after 6 hours to come back and she would be admitted and the surgeon would scope and clear the obstruction. So we went back at 9am. At 7pm they finally got her to the OR.
Now from 1230am until 7pm, my wife couldn't eat or drink. They gave her 2 bags of fluid to keep her hydrated. Obstruction was gone but the bullshite about waiting happens here too. Had her airway been involved she would have been admitted right away. The dr. told me that unless a situation is acute then some kind of wait is normal.
Now from 1230am until 7pm, my wife couldn't eat or drink. They gave her 2 bags of fluid to keep her hydrated. Obstruction was gone but the bullshite about waiting happens here too. Had her airway been involved she would have been admitted right away. The dr. told me that unless a situation is acute then some kind of wait is normal.
Posted on 8/18/19 at 1:58 pm to TGFN57
quote:
But what we have here as health care is a joke for a giant portion of folks.
It’s not.
quote:
Basic universal care works up in Canada.
Eh. They spend over 11% of GDP on healthcare. The individual provinces fund their healthcare systems and it takes up about 40% of each province’s budget. Costs aren’t going down there either. From 2001 to 2016, their costs went up 116%. And that’s all with low access to what are common technological pieces of the healthcare puzzle in the US.
IOW, costs have skyrocketed there the same as here and they have longer wait times and less access to technology.
If you’d like to emulate that here, you are welcome to try.
Posted on 8/18/19 at 2:04 pm to Diamondawg
quote:
Your OOP is based on your policy, where you are with your deductible and maximum OOP. Easy enough to determine. Your OOP would have been the same whether your surgery cost $30K or $40k. Ask your insurance company if they knew to the penny what their hit was going to be.
That’s not exactly the case. You should know better. If the surgery is $30k billed charges and the insurance pays at 80% for the case rate (which wouldn’t be uncommon) and I’m responsible for a percentage of the remaining after my deductible is met, it’s a pretty significant difference.
It goes back the same point which you are studiously avoiding - hospitals don’t want us to know and to be able to shop by price.
Posted on 8/18/19 at 2:20 pm to TGFN57
quote:Oh my. Now NPO safety status is "bullshite about waiting."
the bullshite about waiting happens here too.
Posted on 8/18/19 at 2:24 pm to the808bass
quote:If you have an insurance that pays 80% after your deductible and you have not reached your max OOP for the year, I call bullshite on the business office giving you an amount "to the penny" of what your OOP would be.
That’s not exactly the case. You should know better. If the surgery is $30k billed charges and the insurance pays at 80% for the case rate (which wouldn’t be uncommon) and I’m responsible for a percentage of the remaining after my deductible is met, it’s a pretty significant difference.
quote:Didn't avoid. Addressed it in my very first post in this thread. It's impossible to do and have it make any sense.
It goes back the same point which you are studiously avoiding - hospitals don’t want us to know and to be able to shop by price.
ETA - out of curiosity, I just pulled up the procedural pricing for the hospital that I had a procedure done. There were over 65,000 items listed in the chargemaster. Of course it was list pricing which is pretty useless unless you are self pay. I challenge anyone to go to any hospital's chargemaster and estimate the cost of your gall bladder removal. I'll wait.
This post was edited on 8/18/19 at 2:59 pm
Posted on 8/18/19 at 2:28 pm to TGFN57
quote:
Obstruction was gone but the bull shite about waiting happens here too.
You're trying to make the anomaly the norm.
quote:
we were told to wait for the food(chicken) to go down and if it didn't after 6 hours to come back and she would be admitted and the surgeon would scope and clear the obstruction. So we went back at 9am. At 7pm they finally got her to the OR.
So basically it was more of a discomfort issue than anything else?
Posted on 8/18/19 at 2:42 pm to dawgfan24348
Why not go back to pre
Obama? Health care was not broken then.
Obama? Health care was not broken then.
Posted on 8/18/19 at 2:47 pm to NC_Tigah
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.
Posted on 8/18/19 at 2:52 pm to Dale51
She was dehydrated and needed IV fluids. Not discomfort and not acute but waiting in one of the best(by reputation) hospitals in Denver happens. This from one of the surgeons there. It doesn't sound like an anomaly to me.
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