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Started By
Message
re: How does the cost of Healthcare come down?
Posted on 6/29/25 at 7:03 am to The Scofflaw
Posted on 6/29/25 at 7:03 am to The Scofflaw
Stop making working people pay for non working people. Same reason car insurance is going up so much. The amount of uninsured drivers is a huge factor in the cost. Make everyone contribute or it’s going to keep going up.
0
Posted on 6/29/25 at 7:24 am to rltiger
quote:
Plus there are already BS/MD and similar programs where you can go to Med School after 3 years of undergrad.
Their are, but that accounts for probably 2-5% of all medical school graduates who undergo that. Just because it exists doesn't mean it's usage is widespread
Posted on 6/29/25 at 8:20 am to RougeDawg
quote:
Before health insurance hospitals/doctors had to charge what a regular person could afford. Now with health insurance it is an elaborate Ponzi scheme to charge whatever the frick they dream up because insurance will pay it.
Also, back then you didn’t have the legions of pencil pushers and administrators in the upper levels of health care that can make more than doctors and work half the time. Then you also have hospitals that would rather pay travel nurses more than local staff.
Another avenue to look at is how “nice” some of those facilities have become and some that have even have been built debt free. While the hospitals complain about reimbursement rates and get government cheese for capital projects.
I am not saying that all of these projects are bad and you need to sacrifice patient experience. There just needs to be a balance.
This post was edited on 6/29/25 at 8:24 am
Posted on 6/29/25 at 8:25 am to ArmydawgMD
quote:Correct.
The shortage of doctors is artificially created
quote:There really is no such pressure from medical groups.
Remove the medical interest group limits for medical school and residency slots
In fact it is one issue (perhaps the only one) I can recall the AMA being on the right side during my professional career. The AMA has argued for more slots.
Primary residency funding and training capacity is determined vis-a-vis .... wait4it .... THE FEDERAL GOVERNMENT!
CMS is the primary source of funding. CMS sets caps on the number of funded residency slots per hospital—these were mostly frozen in 1997. Increases in funded slots since then have been limited and incremental (e.g., 1,000 new Medicare-funded slots added in the 2021 Consolidated Appropriations Act). The idiotic Federal premise is doctors are generally greedy and bad. So, more doctors will equate to unnecessary care, and will cost more. In fact, subsequent to the 1997 freeze, the Clinton Admin went so far as to pay medical systems to shutdown slots.
Posted on 6/29/25 at 9:05 am to pngtiger
quote:
That’s not how it works. Insurance (CMS) sets the rates of what they will pay. Hospitals can charge $1 million for a Tylenol, doesn’t mean that’s what insurance will pay.
Hospital: You owe us $1 million for a Tylenol.
Insurance: We only pay $500,000 for Tylenol.
Hospital: O.k., you owe us $500,000 for Tylenol.
Insurance to insurees: Rates have to go up because having great health care is expensive!
Posted on 6/29/25 at 9:37 am to The Scofflaw
Start by getting rid of the pharmaceutical lobbyists and electing politicians who will stand up to these greedy companies.
Regulate the health care industry. Our reliance on markets allows everyone in health care to charge whatever they can get away with.
Insurance companies are a scam. They only care about their profits, not your health.
Force health care providers to be more transparent about their costs.
Regulate the health care industry. Our reliance on markets allows everyone in health care to charge whatever they can get away with.
Insurance companies are a scam. They only care about their profits, not your health.
Force health care providers to be more transparent about their costs.
Posted on 6/29/25 at 9:45 am to The Scofflaw
Stop producing fat frick Americans. That’s a start.
End the corruption on the back end with Insurance Companies, hospitals/Doctors, Pharma.
Stop giving money to illegal pieces of shite.
Stop giving obese lower class people free ambulance rides to the ER so that they can get their drugs
End the corruption on the back end with Insurance Companies, hospitals/Doctors, Pharma.
Stop giving money to illegal pieces of shite.
Stop giving obese lower class people free ambulance rides to the ER so that they can get their drugs
Posted on 6/29/25 at 9:48 am to The Scofflaw
Using Medicare to cap Rx prices at what other countries pay is going to be the most effective way to bring down costs. Also moving hospitals away from cost to charge methodology and to fee for service.
Posted on 6/29/25 at 10:02 am to SallysHuman
quote:
Quit funding illegal immigrants who go to the ER for sniffles
It isn’t JUST illegal immigrants.
Posted on 6/29/25 at 10:07 am to The Scofflaw
More transparency in health care services provided and prices of those products and services.
This followed with Insurance rebate system for when heath care facilities charge for services/supplies that are not performed.
This followed with Insurance rebate system for when heath care facilities charge for services/supplies that are not performed.
Posted on 6/29/25 at 10:34 am to theballguy
quote:
The govt has to be 100% out of
This is the way…
Posted on 6/29/25 at 10:35 am to NC_Tigah
Great post!!
Your example about the opioid crisis sounds exactly like the rant I give.
Your example about the opioid crisis sounds exactly like the rant I give.
Posted on 6/29/25 at 10:44 am to RougeDawg
quote:
Hospital: You owe us $1 million for a Tylenol. Insurance: We only pay $500,000 for Tylenol. Hospital: O.k., you owe us $500,000 for Tylenol. Insurance to insurees: Rates have to go up because having great health care is expensive!
If you read the rest of my post, insurance doesn’t pay for the Tylenol directly. The hospital gets a set payment for your treatment based on your diagnosis.
And the insurers are the ones that set what they pay to hospitals/physicians. And guess how insurers figure out how much to pay? CMS.
Posted on 6/29/25 at 10:48 am to CDawson
quote:
The govt has to be 100% out of
quote:The health care industry would love this. The patient not so much.
This is the way…
Posted on 6/29/25 at 11:30 am to BuckI
quote:
Regulate the health care industry.
It’s arguably the most regulated market.
You think regulation decreases costs. It doesn’t.
Posted on 6/29/25 at 11:36 am to pngtiger
What happens if you decline the Tylenol and just take one from the bottle your wife brought from home? It seems being able to contest charges with an itemized billing statement would be a good thing.
Posted on 6/29/25 at 11:39 am to the808bass
quote:Regulated by big pharma lobbyists to maximize profits.
It’s arguably the most regulated market.
quote:The current system sure hasn't.
You think regulation decreases costs. It doesn’t.
Posted on 6/29/25 at 11:40 am to SmackoverHawg
quote:
The providers and systems providing the care are going broke for the most part while big insurance and PBM's make bank.
I am not a PBM fan. But their margins aren’t huge. Hospital margins are similar to PBM margins, in the 5% range.
Much of what drives their profitability currently is their vertical integration of specialty pharmacy products and administration.
Posted on 6/29/25 at 11:41 am to BuckI
quote:
Regulated by big pharma lobbyists to maximize profits.
Eh. Pharma sucks. It’s far from the only issue in driving costs.
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