I have no idea what the answer is here, but I do know this: it's funny as fuck that the average American is so fucking stupid that they can't quite figure out how to support the policy that they'll benefit from, and oppose the policy that will fuck them.
Our fellow countrymen are pretty fucking helpless at the end of the day.
So much for liberty and all that. When you're really fucking stupid, you can't be free.
I have no idea what the answer is here, but I do know this: it's funny as fuck that the average American is so fucking stupid that they can't quite figure out how to support the policy that they'll benefit from, and oppose the policy that will fuck them.
Our fellow countrymen are pretty fucking helpless at the end of the day.
So much for liberty and all that. When you're really fucking stupid, you can't be free.
salemcooger might as well be living life in solitary.
Brilliant timing and content per usual flea.
Now, back to the show ...
Don't fucking talk to my fellow alumnus like that you fucking donkey!!! Kewg bros are bros forever and always; and we stick together like puke on a sorority girl's hair after the frat party.
You hold girls hair back while they puke after they take a million shots and bang a bunch of other dudes.
I can't be everywhere; besides, if I showed up at a frat party now I have a feeling the police would be summoned.
@RaceBannon getting blisters WTF'ing me today. I think we hit a nerve with the Mexican talk.
I have no idea what the answer is here, but I do know this: it's funny as fuck that the average American is so fucking stupid that they can't quite figure out how to support the policy that they'll benefit from, and oppose the policy that will fuck them.
Our fellow countrymen are pretty fucking helpless at the end of the day.
So much for liberty and all that. When you're really fucking stupid, you can't be free.
salemcooger might as well be living life in solitary.
Brilliant timing and content per usual flea.
Now, back to the show ...
Don't fucking talk to my fellow alumnus like that you fucking donkey!!! Kewg bros are bros forever and always; and we stick together like puke on a sorority girl's hair after the frat party.
You hold girls hair back while they puke after they take a million shots and bang a bunch of other dudes.
Every time I showed up at a frat party the police were summoned.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I'm going to carefully consider your propositions. Thoughtful.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still incentivize them to do that.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still incentivize them to do that.
You must have skipped over the bolded parts above.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still chincentivize them to do that.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still incentivize them to do that.
Post signs. Unless authorized to be here, you're trespassing. Arrest the freeloaders without service. Some will die. As word spreads, behavior WILL change.
I have no idea what the answer is here, but I do know this: it's funny as fuck that the average American is so fucking stupid that they can't quite figure out how to support the policy that they'll benefit from, and oppose the policy that will fuck them.
Our fellow countrymen are pretty fucking helpless at the end of the day.
So much for liberty and all that. When you're really fucking stupid, you can't be free.
salemcooger might as well be living life in solitary.
Brilliant timing and content per usual flea.
Now, back to the show ...
Don't fucking talk to my fellow alumnus like that you fucking donkey!!! Kewg bros are bros forever and always; and we stick together like puke on a sorority girl's hair after the frat party.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still incentivize them to do that.
Post signs. Unless authorized to be here, you're trespassing. Arrest the freeloaders without service. Some will die. As word spreads, behavior WILL change.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still chincentivize them to do that.
Look Guys... Jordan's been in the program 2 years now. I for one think this whole chin thing needs a breather until the kid at least leads Husky Jacks.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still chincentivize them to do that.
Look Guys... Jordan's been in the program 2 years now. I for one think this whole chin thing needs a breather until the kid at least leads Husky Jacks.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
We're pretty much in agreement.
Re: your point about the freeloaders
A few years ago I did some analysis on claims data for a couple smallish self-insured plans. It was pretty interesting to see the how the costs were spread out across the population. The pareto principle held, and about 10%-ish of the covered lives were responsible for 80%+ of the costs. When you dive into the top 10% and looked at the really high-cost people, there was a pretty even mix of horrible things that could strike anyone (e.g., kid with cancer, complex brain tumor, etc.) and the total slobs. The slobs were almost uniformly smokers with heart disease, high cholesterol, diabetes, and a litany of all of the other things you get when you eat cheeseburgers for every meal and sit on the couch all day. They literally use ambulances as taxis to get to the ER. Some insurance companies will pay nurses to visit these people on a daily basis, as it saves money for the plan overall. There aren't that many of them, but those are the people that need death panels. ASAP.
If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafia
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment.
On the surface it looks good. But with that plan we would end up with even shittier healthcare providers than we have now. You peeples single payer government run health insurance works in Socialist countries like Switzerland!!! because their providers don't make much more than their ditch diggers. That shit won't fly here.
I don't want the government to run healthcare insurance. I definitely don't want government to be the healthcare provider. Medicaid is what it is; a crappy entitlement that is bleeding our countey dry because baby boomers haven't paid their fair share.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
I have ZERO problemos (see, I'm sensitive to our messican 'visitors') with really BASIC healthcare for everyone - once per year checkups/welness visits, maybe bankroll a couple WTF/cold/emergency visits during the year.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
They go to the emergency rooms because they can't be refused service. Your system would still incentivize them to do that.
I just paid three bills at 50 cents on the dollar because I don't have insurance
WTGWT
The fact that providers gladly take half price to avoid insurance should tell you something
If you have half a brain
The fact that the numbers make that a better deal for me is also revealing
If you have half a brain
If only we had half brains, we would let Medicare and Medicaid negotiate compensation rates and drive down charges for everyone. But we don't do that.
You slap the label "socialized medicine" on something and the fat, Middle Americuh drones automatically hate it, even though if you gave it some prettier, less threatening euphemism, they'd approve.
Comments
@RaceBannon getting blisters WTF'ing me today. I think we hit a nerve with the Mexican talk.
It hurts my feelings man. Please stop.
What I do think we need is a benefit that ensures everyone can go to the doctor once a year to get a check up (proven to save lives) and a safety net so that getting cancer doesn't mean a life of poverty. That leaves a giant gap for private insurance. Government would really only function as a reinsurer, and the costs would actually be pretty low, given the size of the risk pool.
In the meantime, please poast moar.
What I do have problems with are the zero-give-a-fucks who think it is their god-given right to have EQUIVALENT coverage to those who pay for additional benefits. These are the fucks who end up in the emergency rooms for colds and sore throats and shit, sucking up resources and causing disruption in cost-structures that are ultimately passed on to working stiffs who DO give-a-fuck about personal responsibility.
It's also be time for the health care providers to seriously take a look at the ethics of the hippocratic oath - that shit was awesome in Plato and Socrates time when a few herbal mixes and some offerings to the gods passed for healthcare. You fuck physicians want to save the world for zero compensation, go right the fuck ahead - lawyers call it 'pro-bono' work. But giving us the higher morals excuse that you are bound by some fucking oath - therefore, you HAVE to provide service - you're just hypocrites, not hippocrates. You and your Providence/Multi-Care/KaiserPermanent fucks are just accounting magicians playing hide the sausage with billing costs. Somebody is paying for that 'honorable' medical service. And it sure as fuck ain't coming out of doctor's paychecks despite how loud they cry about it.
Re: your point about the freeloaders
A few years ago I did some analysis on claims data for a couple smallish self-insured plans. It was pretty interesting to see the how the costs were spread out across the population. The pareto principle held, and about 10%-ish of the covered lives were responsible for 80%+ of the costs. When you dive into the top 10% and looked at the really high-cost people, there was a pretty even mix of horrible things that could strike anyone (e.g., kid with cancer, complex brain tumor, etc.) and the total slobs. The slobs were almost uniformly smokers with heart disease, high cholesterol, diabetes, and a litany of all of the other things you get when you eat cheeseburgers for every meal and sit on the couch all day. They literally use ambulances as taxis to get to the ER. Some insurance companies will pay nurses to visit these people on a daily basis, as it saves money for the plan overall. There aren't that many of them, but those are the people that need death panels. ASAP.
Here's an extreme example you can read about: http://wtop.com/news/2014/03/dc-judge-assigns-medical-guardian-to-excessive-911-caller/wtop.com/news/2014/03/dc-judge-assigns-medical-guardian-to-excessive-911-caller/