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Health Costs - US vs ...

Many in those countries supplement with private insurance. I could be mistaken, though.
If true, curious what those expenditures amount to.
 
I had a similar experience as Tom. My Dr diagnosed me with something, gave me something to treat it- and insurance denied the claim. I gave up on it, just pay out of pocket
 
Data from CIA Factbook. And yes, we are the WORST on these measures.

CountryInfant Mortality / 1000Life Expectancy
USA5.1280.75
Germany3.1481.72
Sweden2.2882.8
France3.1082.79
Canada4.3183.99
Australia2.9683.28
UK3.7982.05
Japan1.8885.0
Thanks, this isn't terribly surprising to me, disappointing, but not shocking, I wonder how much responsibility for this falls on the FDA versus big pharma... Seems like we have a lot more processed foods than these other countries.
 
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Your premiums paid for that lobby
 
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I had a similar experience as Tom. My Dr diagnosed me with something, gave me something to treat it- and insurance denied the claim. I gave up on it, just pay out of pocket
Today I had to do a peer to peer to overturn a denial. A private insurer didn't think a patient in their mid 80s with a pelvic fracture and could barely stand up needed rehab. Thought they should just go home without any help or therapy.

This is not an uncommon occurrence.
 
Apologies to our resident physicians, but everyone in the industry needs to take a haircut to get costs back under control. Hospitals, pharma, med device, suppliers, and yes, physicians.

The problem we’ve run into lately is hospitals gobbling up practices and then you’re dealing with hospital add ons. I mentioned a son’s minor broken arm that cost us close to $1,000. Try finding a pediatric ortho place that’s not part of a hospital. We couldn’t.

One other recent example for me, a routine imaging test I need every year. Used to have it done at my doctors’ office and paid the regular specialist copay around $75. No biggie. Then the hospital bought the practice so now I had to go to the hospital to get the imaging test done. More of a hassle but still billed me normally ($75 or so).

A few months ago I show up at the hospital and they tell me me my patient responsibility was $1,950. I said GTFO and walked out. Found one of the remaining independent practices that could do the imaging test and paid $65. $1,950 at the hospital vs $65 in a physician’s office - exact same test. That’s ****ed up.
 
I might have read the infant mortality rate is somewhat explained by how premature births and deaths are logged/not logged in stats.
 
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Apologies to our resident physicians, but everyone in the industry needs to take a haircut to get costs back under control. Hospitals, pharma, med device, suppliers, and yes, physicians.

The problem we’ve run into lately is hospitals gobbling up practices and then you’re dealing with hospital add ons. I mentioned a son’s minor broken arm that cost us close to $1,000. Try finding a pediatric ortho place that’s not part of a hospital. We couldn’t.

One other recent example for me, a routine imaging test I need every year. Used to have it done at my doctors’ office and paid the regular specialist copay around $75. No biggie. Then the hospital bought the practice so now I had to go to the hospital to get the imaging test done. More of a hassle but still billed me normally ($75 or so).

A few months ago I show up at the hospital and they tell me me my patient responsibility was $1,950. I said GTFO and walked out. Found one of the remaining independent practices that could do the imaging test and paid $65. $1,950 at the hospital vs $65 in a physician’s office - exact same test. That’s ****ed up.

Agree with much of this. Surgical specialists in particular could take a cut. We pay for procedures in this country, rather than for primary care docs and preventative care. PCPs make 20% or less than what many surgical specialists make.

I also don't understand why a test costs x as an inpatient, y as an outpatient. And that's not including the pricing differences based on the insurance company.

But most of the excess costs is related to the useless middlemen, administration, and their counterparts at the private insurance companies.
 
Agree with much of this. Surgical specialists in particular could take a cut. We pay for procedures in this country, rather than for primary care docs and preventative care. PCPs make 20% or less than what many surgical specialists make.

I also don't understand why a test costs x as an inpatient, y as an outpatient. And that's not including the pricing differences based on the insurance company.

But most of the excess costs is related to the useless middlemen, administration, and their counterparts at the private insurance companies.
Every specialist I know is loaded. Luxury cars, massive homes, consulting gigs, etc. Millionaires many times over, and if they own their own practices they are rolling in it.

I also know PCPs who don’t make jack squat compared to their education and value.
 
The problem with doing this on the state model is nations can somewhat control the flow of people in and out states can't.

If I am uninsured and find out I have cancer, I can't just go into Canada and get free healthcare. Because I am not a Canadian citizen they will expect me to at least pay for it if not outright refuse. Because I havn't spent my life in Canada paying into their system.

If a state does it all by themselves than I can simply move to that state when I get cancer, get my expensive treatment without ever having paid into the system.

The constitution requires that all of the states allow Americans to move between them with no hinderance. Being able to come in and out without hinderance doesn't work well with a system that requires everyone to pay into it to work.
One reason why a national health service is better - for people and states.
 
Every specialist I know is loaded. Luxury cars, massive homes, consulting gigs, etc. Millionaires many times over, and if they own their own practices they are rolling in it.

I also know PCPs who don’t make jack squat compared to their education and value.
Yep. And I should have said 20% of what the specialists make. Not 20% less. Many PCPs are pulling low to mid 200s when many proceduralist can pull in over a million easily.
 
Yep. And I should have said 20% of what the specialists make. Not 20% less. Many PCPs are pulling low to mid 200s when many proceduralist can pull in over a million easily.

Wow, I had read someplace that they were having trouble getting doctors out of med school to become PCP's and that all of them wanted to be specialists.

With a pay difference that big, it's no wonder they are having trouble getting PCP's.
 
Healthcare keeps people tied to employers, what we have is by design
Everything in this country is designed to keep us indebted to the corporate state. Have you noticed the push around the country the last few years to eliminate independent contractors and force them to become employees? Same goal.

A dependent class makes for cheap and reliable labor.
 
Thanks. Some very interesting comparisons there.

Check out the "self-reported health" numbers for different countries, for example.

We Americans take pride in our rugged individualism - and report much more satisfaction with our health - despite objective measure showing most of us to be fatter and sicker. Of course I'm just guessing on the rugged individualism explanation. Could be other factors.
 
Thanks. Some very interesting comparisons there.

Check out the "self-reported health" numbers for different countries, for example.

We Americans take pride in our rugged individualism - and report much more satisfaction with our health - despite objective measure showing most of us to be fatter and sicker. Of course I'm just guessing on the rugged individualism explanation. Could be other factors.
First thing I noticed and it made me lol.

When asked "How is your health in general?" 88% of people in the United States reported to be in good health, much more than the OECD average of 68% and one of the highest scores across the OECD.
 
Healthcare keeps people tied to employers, what we have is by design
Yeah. We have a complicated history here. Labor fought hard to get health care - against brutal and dishonest corporate power. See The Big Myth to learn more.

Then when Obamacare or Bernie's Medicare for All tried to get health care for everybody, the most successful unions didn't want to let go of their hard won gains. Really can't blame them. But they need to get on board if ALL Americans are going to get good health care.
 
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Today I had to do a peer to peer to overturn a denial. A private insurer didn't think a patient in their mid 80s with a pelvic fracture and could barely stand up needed rehab. Thought they should just go home without any help or therapy.

This is not an uncommon occurrence.
Medicare Advantage?
 
The cost of healthcare in the US is actually the cost of the actual healthcare plus the cost of healthcare insurance.

Do you ever wonder who pays for the Medicare Advantage add and bothersome phone calls? Let alone what the private healthcare insurance officers are paid.
 
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You want to lower health care costs. Stop going into McDonalds and Kwik Star and start hitting the gym. It’s really simple.
 
Then you would be bitching that hospital lobbies looked like a shithole.
I've worked in hospitals from 1971 to 2017. In 1971 I worked for a 600+ bed hospital that had a lobby that was smaller than a typical living room. The hospital that I worked in in 2017 had a larger lobby but still modest.

During my later years, my hospital became a part of a large hospital system where the parent or flagship institution had large extravagant lobbies. Department in the hospital had lobbies larger than my hospital's main and only lobby.
 
Apples to oranges comparisons.

I'll say! Our ROI on medical expenditures compared to other OECD nations is far worse by a much larger degree. We're paying Rolls Royce level insurance rates for Yugo level health outcomes.

  • The U.S. spends more on health care as a share of the economy — nearly twice as much as the average OECD country — yet has the lowest life expectancy and highest suicide rates among the 11 nations.
 
You want to lower health care costs. Stop going into McDonalds and Kwik Star and start hitting the gym. It’s really simple.

So you are in favor of employers underwriting employees for health insurance? 5 metabolic factors. Stay in range, or pay more.

1.) Abdominal obesity
2) High blood pressure
3) Impaired fasting glucose
4) High triglyceride levels
5) Low HDL cholesterol levels
 
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So you are in favor of employers underwriting employees for health insurance? 5 metabolic factors. Stay in range, or pay more.

1.) Abdominal obesity
2) High blood pressure
3) Impaired fasting glucose
4) High triglyceride levels
5) Low HDL cholesterol levels
All I know is if you’re a fat tub of lard a hospital should be able to refuse care.
 
First thing I noticed and it made me lol.

When asked "How is your health in general?" 88% of people in the United States reported to be in good health, much more than the OECD average of 68% and one of the highest scores across the OECD.
I know a guy who is easily 150 pounds overweight and drinks at least 12 diet cokes a day who would call himself healthy.
 
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Data from CIA Factbook. And yes, we are the WORST on these measures.

CountryInfant Mortality / 1000Life Expectancy
USA5.1280.75
Germany3.1481.72
Sweden2.2882.8
France3.1082.79
Canada4.3183.99
Australia2.9683.28
UK3.7982.05
Japan1.8885.0
Not exactly comparing apples to apples. How does the US white population compare to the top 6…. Which are a lot more white. I know the black population has a higher infant mortality rate and lower life expectancy.
 
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