Republican health care reform

Pitchfork51 said:

creepycoug said:

dflea said:

creepycoug said:

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.

salemcoog said:

Woof said:

pawz said:

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.

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.

UWhuskytskeet said:

PurpleThrobber said:

Woof said:

salemcoog said:

Woof said:

pawz said:

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.

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.

UWhuskytskeet said:

PurpleThrobber said:

Woof said:

salemcoog said:

Woof said:

pawz said:

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.

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.