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POTUS 45.0: It was the best of times. It was the worst of times.

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Re: POTUS 45.0: It was the best of times. It was the worst of times.

I'm sure I'll be corrected, but I feel that the inflated costs of medical care come from the uninsured and under-served regions using the ER as their primary care doctor. Costs rise on the hospital, causing them to increase their charges. It's just a vicious circle.

It's really noticeable when a routine outpatient surgery is billed to Blue Cross at $24,000, and BCBS replies back: "We're paying 4k, the patient pays $100 deductable, go pound sand for the other $19,900."
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

Just to add to everyone's violent agreement...

Health insurance is not bad because it has the profit motive and has shareholders...and its not good just because it provides jobs. Health insurance outcome today is uniquely bad because of the following outcomes:

No price competition - health insurance is purchased in backdoor situations for corporations and with no easy cross shopping for individuals all of which makes price unimportant and pushes costs up. So all prices have only upward pressure. And being in the middle, insurance companies have power to control how the money flows.

Everyone must buy - due to the nature of health care, everyone has to have it or you could die. You see car insurance advertised all the time Geico. How often do you see health insurance companies advertise? Never. You're a captive market who will pay one way or the other.

Mostly not regulated - Energy markets are similar, but they are highly regulated. In theory, states manage health care increases...but they rarely if ever tell an insurance company they can't raise rates. Its unique that in spite of the other issues on this list that health insurance is not regulated.

Low value add - The service is simply taking your money and giving it to someone else. They are not finding the cure for cancer or creating the next Iphone here. In theory, anyone with large deposits could do it. From this they've ballooned out to be massive companies with major costs which we pay for. Again you could say...well at least it creates jobs. Sorry but that's not good enough. These jobs are not free, as a captive customer we're paying for them. A product/service must provide some significant benefit also (beyond just transferring money) or its a net loser.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

Kepler said:
It won't be but just imagine for a moment if it was. What a spectacular joke that would be on Ryan et al.
Click to expand...

I would take back 75% of the stuff I said about Hair Fuhrer...
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

aparch said:
I'm sure I'll be corrected, but I feel that the inflated costs of medical care come from the uninsured and under-served regions using the ER as their primary care doctor. Costs rise on the hospital, causing them to increase their charges. It's just a vicious circle.

It's really noticeable when a routine outpatient surgery is billed to Blue Cross at $24,000, and BCBS replies back: "We're paying 4k, the patient pays $100 deductable, go pound sand for the other $19,900."
Click to expand...

As of several years ago, 75% of medical care expense was for the treatment of chronic illnesses, such as diabetes, COPD, heart disease, etc.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

aparch said:
I'm sure I'll be corrected, but I feel that the inflated costs of medical care come from the uninsured and under-served regions using the ER as their primary care doctor. Costs rise on the hospital, causing them to increase their charges. It's just a vicious circle.

It's really noticeable when a routine outpatient surgery is billed to Blue Cross at $24,000, and BCBS replies back: "We're paying 4k, the patient pays $100 deductable, go pound sand for the other $19,900."
Click to expand...

Don't forget how some providers won't accept government insurance, because they either can't or don't want to pay out. I see it around here. And we're not even talking about big profits, just breaking even.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

burd said:
As of several years ago, 75% of medical care expense was for the treatment of chronic illnesses, such as diabetes, COPD, heart disease, etc.
Click to expand...

As a diabetic, I can see this... Hell, my insulin (MSRP/List Price) alone costs more than rent for an entire month and that isn't counting test strips, a meter, syringes, etc... Our system is broken and I will get behind anyone that can help this....
 
burd said:
As of several years ago, 75% of medical care expense was for the treatment of chronic illnesses, such as diabetes, COPD, heart disease, etc.
Click to expand...

It's just like the dirty little secret behind medical malpractice premium increases. A significant portion of those are because people no longer die due to a doctor's mistake, and instead continue to live with chronic conditions that can lead to millions in future medical costs instead of a one off payment for wrongful death.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

mookie1995 said:
Nobody spent time to get it right 8 yrs ago.

Stupid clinton's fukced us in 92 with their secret meetings :mad:
Click to expand...

See, and I'm not sure Single Payer is the answer either. However, maybe that's the only way to go at this point. We sure ****ed it up in the '40's.
 
ScoobyDoo said:
See, and I'm not sure Single Payer is the answer either. However, maybe that's the only way to go at this point. We sure ****ed it up in the '40's.
Click to expand...
So if Single Payer isn't the answer what is? Because every other civilized country seem to figure out Single Payer was the answer by the 60's.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

Jimjamesak said:
So if Single Payer isn't the answer what is? Because every other civilized country seem to figure out Single Payer was the answer by the 60's.
Click to expand...

I don't know. I'm open to ideas but there doesn't seem to be any. Maybe if we hadn't blew our wad on the Middle East and plutocrats bank accounts we'd have the money?
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

Nope, we're boned. Basic healthcare isn't a right in America - it costs money.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

Jimjamesak said:
So if Single Payer isn't the answer what is? Because every other civilized country seem to figure out Single Payer was the answer by the 60's.
Click to expand...

And it failed in the scope of a country such as this one. See: USSR.
 
Re: POTUS 45.0: It was the best of times. It was the worst of times.

ScoobyDoo said:
I don't know. I'm open to ideas but there doesn't seem to be any. Maybe if we hadn't blew our wad on the Middle East and plutocrats bank accounts we'd have the money?
Click to expand...

Some of those leaked email after Assange did his thing had some Obama officials (our diplomats to Britain?) saying that the Brits were in trouble because of their welfare and medical system expenditures. The context of the email exchange came following the London Olympics, and the Brits putting their national health system on display as part of the opening ceremonies.
 
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