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Health Costs - US vs ...

Nov 28, 2010
84,975
38,962
113
Maryland
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We’re a country of fatties.

RESULTS: Adults with obesity in the United States compared with those with normal weight experienced higher annual medical care costs by $2,505 or 100%, with costs increasing significantly with class of obesity, from 68.4% for class 1 to 233.6% for class 3. The effects of obesity raised costs in every category of care: inpatient, outpatient, and prescription drugs. Increases in medical expenditures due to obesity were higher for adults covered by public health insurance programs ($2,868) than for those having private health insurance ($2,058). In 2016, the aggregate medical cost due to obesity among adults in the United States was $260.6 billion. The increase in individual-level expenditures due to obesity varied considerably by state (e.g., 24.0% in Florida, 66.4% in New York, and 104.9% in Texas). CONCLUSIONS: The 2-part models of instrumental variables, which estimate the causal effects of obesity on direct medical costs, showed that the effect of obesity is greater than suggested by previous studies, which estimated only correlations. Much of the aggregate national cost of obesity-$260.6 billion-represents external costs, providing a rationale for interventions to prevent and reduce obesity

 
I have Medicare and I still pay in the Japan-UK range per year out of pocket. And that's with hardly any doctor visits and only 2 generic drugs.

God forbid we should have true Medicare, much less Medicare for All.

That said, I wonder how much Biden will be able to accomplish. Unless I missed it, none that will benefit me. But maybe it will down the road.

The other question is whether anything he does will survive a Republican victory in 2024. Not much, I'd guess.
 
Adults with obesity in the United States compared with those with normal weight experienced higher annual medical care costs by $2,505
So . . . if we weren't a bunch of fatties, we'd only be paying twice as much as Japan or Britain.

Good argument for a robust anti-obesity campaign.

Terrible argument for claiming that we are better than other developed nations. Not that you were claiming that, but many do.
 
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So . . . if we weren't a bunch of fatties, we'd only be paying twice as much as Japan or France.

Good argument for a robust anti-obesity campaign.

Terrible argument for claiming that we are better than other developed nations. Not that you were claiming that, but many do.
Doesn’t solve our health care costs by any means but accusing doctors of “fat shaming” for bringing up a patients weight ain’t helping things.

 
Lots of obesity.

I assume nobody wants to pay doctors and nurses less. I think in the past people have said both earn less in Europe but I could be wrong.

Is it a given the government could administer healthcare so much cheaper than private companies that billions would easily be saved every year? If that’s true why can’t a very liberal state that would easily pass legislation be given a chance to prove it by testing it out. Seems like a small liberal state with the backing of congress could make it happen.
 
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Doesn’t solve our health care costs by any means but accusing doctors of “fat shaming” for bringing up a patients weight ain’t helping things.

At first blush I agree. But when I went to the cited NPR article, I saw this. With which I also agree:
"We run the risk of doing significant harm to kids who are 6 or 8 by telling them that they have a disease" — obesity — "simply based on their weight status," says Dr. Kim Dennis, a certified eating disorder specialist and co-founder of SunCloud Health, a treatment center for eating disorders and other mental health issues.​

What do you think?

 
Right, they don't have as many middle men wetting their beaks with funds spent on healthcare while not providing any actual healthcare services. I'm sure it's all just because Americans are fat and get gouged to pay for cheap drugs in other countries.

This. Health Insurance in America has become a joke. We pay huge premiums, then pay crazy amounts out of pocket on top of that. At this point, all it's good for is making sure you don't go bankrupt if you have a catastrophic medical event. I'm in my late 30's and I've never come close to hitting my deductible (knock on wood).
 
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When insurance companies are willing to fly their clients to San Diego so they can buy prescription drugs in Tijuana, because it's STILL cheaper doing it that way, that has to say something about our system. We're getting ripped off. Again, residents of other countries don't want to trade with us. They're all doing it right. We're not.
 
This. Health Insurance in America has become a joke. We pay huge premiums, then pay crazy amounts out of pocket on top of that. At this point, all it's good for is making sure you don't go bankrupt if you have a catastrophic medical event. I'm in my late 30's and I've never come close to hitting my deductible (knock on wood).
Like I said yesterday, I was just prescribed an IBS med from my doctor. Insurance said no. That is beyond effed up.
 
Like I said yesterday, I was just prescribed an IBS med from my doctor. Insurance said no. That is beyond effed up.

Their whole business model is flawed. Collect as much money as possible in premiums, then pay out as little as possible in claims. Capitalism at it's finest! I suppose that's the business model for all insurance companies, but when it can affect life and death, it matters more.
 
Their whole business model is flawed. Collect as much money as possible in premiums, then pay out as little as possible in claims. Capitalism at it's finest! I suppose that's the business model for all insurance companies, but when it can affect life and death, it matters more.
Yet Republicans were crying about fake death panels.
 
We’re a country of fatties.

RESULTS: Adults with obesity in the United States compared with those with normal weight experienced higher annual medical care costs by $2,505 or 100%, with costs increasing significantly with class of obesity, from 68.4% for class 1 to 233.6% for class 3. The effects of obesity raised costs in every category of care: inpatient, outpatient, and prescription drugs. Increases in medical expenditures due to obesity were higher for adults covered by public health insurance programs ($2,868) than for those having private health insurance ($2,058). In 2016, the aggregate medical cost due to obesity among adults in the United States was $260.6 billion. The increase in individual-level expenditures due to obesity varied considerably by state (e.g., 24.0% in Florida, 66.4% in New York, and 104.9% in Texas). CONCLUSIONS: The 2-part models of instrumental variables, which estimate the causal effects of obesity on direct medical costs, showed that the effect of obesity is greater than suggested by previous studies, which estimated only correlations. Much of the aggregate national cost of obesity-$260.6 billion-represents external costs, providing a rationale for interventions to prevent and reduce obesity

By your post it increased medical costs by 2500 per year. That doesnt come close to explaining the difference in cost.
 
Like I said yesterday, I was just prescribed an IBS med from my doctor. Insurance said no. That is beyond effed up.

I see both sides because denying it discourages Doctor and medication shopping. I'm sure there is an alternative that will either work or fail that you will have to try first and depending on that result, the original medication will either get approved or denied. It's actually a cost-cutting measure, and I've been in your position before.
 
At first blush I agree. But when I went to the cited NPR article, I saw this. With which I also agree:
"We run the risk of doing significant harm to kids who are 6 or 8 by telling them that they have a disease" — obesity — "simply based on their weight status," says Dr. Kim Dennis, a certified eating disorder specialist and co-founder of SunCloud Health, a treatment center for eating disorders and other mental health issues.​

What do you think?

I think we have an obesity problem amongst children and shouldn’t be more worried about hurting their feelings than their health.
 
Lots of obesity.

I assume nobody wants to pay doctors and nurses less. I think in the past people have said both earn less in Europe but I could be wrong.

Is it a given the government could administer healthcare so much cheaper than private companies that billions would easily be saved every year? If that’s true why can’t a very liberal state that would easily pass legislation be given a chance to prove it by testing it out. Seems like a small liberal state with the backing of congress could make it happen.
CA is looking into it.
The problem is that it will be hard to manage as anyone can just drive into CA so CA taxpayers will start carrying the healthcare costs of people along the borders. NV, OR, etc.
 
Those countries have better outcomes in a lot of indicators too.

Lots of love for BCBS for some reason. They add nothing.
 
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Right, they don't have as many middle men wetting their beaks with funds spent on healthcare while not providing any actual healthcare services. I'm sure it's all just because Americans are fat and get gouged to pay for cheap drugs in other countries.

My understanding is that a great deal of cost is added because all the doctors and hospitals have to pay people to make sure they are getting their money from people and bill the insurance companies.
 
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Their whole business model is flawed. Collect as much money as possible in premiums, then pay out as little as possible in claims. Capitalism at it's finest! I suppose that's the business model for all insurance companies, but when it can affect life and death, it matters more.
That's not accurate.
 
Lots of obesity.

I assume nobody wants to pay doctors and nurses less. I think in the past people have said both earn less in Europe but I could be wrong.

Is it a given the government could administer healthcare so much cheaper than private companies that billions would easily be saved every year? If that’s true why can’t a very liberal state that would easily pass legislation be given a chance to prove it by testing it out. Seems like a small liberal state with the backing of congress could make it happen.

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.
 
I see both sides because denying it discourages Doctor and medication shopping. I'm sure there is an alternative that will either work or fail that you will have to try first and depending on that result, the original medication will either get approved or denied. It's actually a cost-cutting measure, and I've been in your position before.
Not in my case. This has been a problem for decades and I have tested negative for everything that he can think of that would cause it. I have had 6 colonoscopies already, and have never been prescribed a med before. PLUS, their excuse for denial was a BS excuse where even the doctor's office couldn't believe they used it as an excuse. "I've never heard that as a reason for a med to be denied before." They just didn't want to pay for it.
 
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I think we have an obesity problem amongst children and shouldn’t be more worried about hurting their feelings than their health.
You should see what parents pack in their kids' lunches. Not a lot of healthy stuff in them. Parents have too often given up making their kids try foods. Picky eaters drive me nuts.
 
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Lots of obesity.

I assume nobody wants to pay doctors and nurses less. I think in the past people have said both earn less in Europe but I could be wrong.

Is it a given the government could administer healthcare so much cheaper than private companies that billions would easily be saved every year? If that’s true why can’t a very liberal state that would easily pass legislation be given a chance to prove it by testing it out. Seems like a small liberal state with the backing of congress could make it happen.
Massachusetts did, under Romney. It worked and became the basis for the ACA which is also working.
 
I think we have an obesity problem amongst children and shouldn’t be more worried about hurting their feelings than their health.
Sure, but why not be concerned about both?

If the choice is to tackle obesity in children without attaching stigma, or tackling it without regard to attaching stigma, I prefer the former. Don't you?

Just because some people may seem to be overemphasizing the stigma issue doesn't mean we should ignore it.

Caring about kids' feelings isn't being woke, it's being decent.
 
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