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Republican health care reform
Comments
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Huh it's almost like having to deal with 5,000 different insurance companies and then trying to see what is covered and at what rate might be inefficient.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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 there was a system that had just a single payer. -
You are able to buy a tailored insurance for catastrophic care, not a one size fits all expensive plan mandated by the government.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data
Vote for me. Free market for those that can, medicade for those that can't
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And layers of government red tape, long waits, and death panels.UWhuskytskeet said:
Huh it's almost like having to deal with 5,000 different insurance companies and then trying to see what is covered and at what rate might be inefficient.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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 there was a system that had just a single payer.
I'm in! -
Nope, it's universally cheaper and has similar waiting times. You can still pick up your boner pills on a whim.RaceBannon said:
And layers of government red tape, long waits, and death panels.UWhuskytskeet said:
Huh it's almost like having to deal with 5,000 different insurance companies and then trying to see what is covered and at what rate might be inefficient.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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 there was a system that had just a single payer.
I'm in! -
Bull shitUWhuskytskeet said:
Nope, it's universally cheaper and has similar waiting times. You can still pick up your boner pills on a whim.RaceBannon said:
And layers of government red tape, long waits, and death panels.UWhuskytskeet said:
Huh it's almost like having to deal with 5,000 different insurance companies and then trying to see what is covered and at what rate might be inefficient.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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 there was a system that had just a single payer.
I'm in!
I wish it were so but it ain't -
The laws of health care economics must be different here than in the rest of the developed world or something -
Nah it really isn't. Canada has shitty wait times, which people like to quote, but most countries don't. US is pretty average in that respect.RaceBannon said:
Bull shitUWhuskytskeet said:
Nope, it's universally cheaper and has similar waiting times. You can still pick up your boner pills on a whim.RaceBannon said:
And layers of government red tape, long waits, and death panels.UWhuskytskeet said:
Huh it's almost like having to deal with 5,000 different insurance companies and then trying to see what is covered and at what rate might be inefficient.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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 there was a system that had just a single payer.
I'm in!
I wish it were so but it ain't
http://getbetterhealth.com/wait-times-for-medical-care-how-the-us-actually-measures-up/2010.02.02* Canada had the highest percentage of patients (36%) who had to wait six days or more for an appointment with a doctor, but the United States had the second highest percentage (23%) who reported that they had to wait at least this long. New Zealand, Australia, Germany, and the U.K. all had substantially smaller numbers of people reporting waits of 6 days or longer. Canada and the United States, in that order, also had the lowest percentage of persons who said they could get an appointment with a doctor the same or next day.
The US does very well in elective surgeries.
* The United States had the largest percentage of persons (61%) who said that getting care on nights, weekends, or holidays, without going to the emergency room, was “very” or “somewhat” difficult. In Canada, it was 54%, and in the U.K, 38%. Germany did the best, with only 22% saying that it was difficult to get after-hours care.
We are the richest country in the world. We should be able to take the best pieces from all systems and make it work.
* The U.S. also did very well on measures of wait times for non-emergency or elective surgery. Only 8% of surveyed patients in the United States reported a wait time of four months or more for elective surgery, compared to 33% in Canada and 41% in the U.K. Germany scored the best, with only 6% reporting a long wait for elective surgery. -
It's the Mexicans. Of which I am one now.AZDuck said:
The laws of health care economics must be different here than in the rest of the developed world or something -
It's almost like eating habit and exercise play a part in how much health care you consumeAZDuck said:
The laws of health care economics must be different here than in the rest of the developed world or something -
Take it like a man and die. It's God's plan.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data -
I know the US leads the way, but the entire Anglosphere is pretty fucking fat.dnc said:
It's almost like eating habit and exercise play a part in how much health care you consumeAZDuck said:
The laws of health care economics must be different here than in the rest of the developed world or something -
Lyft just added a new Taco Bell drive thru automatic request. THIS is why Americans are fat.
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Taco Bell is awesome. Diaffdoogie said:Lyft just added a new Taco Bell drive thru automatic request. THIS is why Americans are fat.
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Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data -
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data -
Yes but it's better if you go somewhere where you have to die.AZDuck said:
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data -
Latest profile in courage from the Senate: four senators have called a press conference offering to pass the "skinny repeal" so long as the House pinkie swears or something not to make it law.
You can't make this shit up. -
taco bell?Pitchfork51 said:
Yes but it's better if you go somewhere where you have to die.AZDuck said:
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data -
I laffed.Pitchfork51 said:
Yes but it's better if you go somewhere where you have to die.AZDuck said:
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data
Don't get cocky. -
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. -
Venezuela? North Korea? China?AZDuck said:
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
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.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
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
Cash doesn't require a staff of drones and massive storage of data
Deader than shit in all of 'em. -
And... scene.
John McCain finally did something useful. -
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafiaWoof said: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. -
I went to the ER a few times in college with no insurance and they took 75% off the bill themselves. I got it down to 10% though. That's what endowment funds are for.Woof said: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. -
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.pawz said:
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafiaWoof said: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.
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. -
Recent bill for a family members MRI:
$11,800
Insurance negotiated rate $2800
Discounts from UWMC $8990
Our final bill: $10 co-pay
So the cost of service is maybe $2500 or less but the initial bill is $11,000? -
Yes. So when freeloaders w/o insurance show up and demand service for which they voluntarily chose not to join and pay for, the Hospital can write off $11,000 more than covering the $2,500 actual cost.
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@RaceBannon true!?doogie said:Yes. So when freeloaders w/o insurance show up and demand service for which they voluntarily chose not to join and pay for, the Hospital can write off $11,000 more than covering the $2,500 actual cost.
