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Show HN: I mapped US medical prices. Save thousands by driving a few miles

bestmedicareprice.com

141–150 of 229 posts

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#141
Medical prices are so outrageous in the US that, in theory, the medical business is a good field for startup disruption.

Real disruption, not showing prices on a page but having actual good doctors at a good price.

There is a monopoly today controlled by few.

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#142

This is cute, but it is based on a flawed premise. There are not "prices" for medical procedures and even the providers don't know what they are going to charge. Anecdata: when my wife was pregnant I asked the hospital what are the basic charges for normal obstetric delivery, since we were paying out of pocket. I got a reply in writing that it was $20k, a suspiciously round number without itemization. The baby comes…

Dispute all of it and the bill will likely be way less than 20k. I had mallet finger once and I got a bill of thousands of dollars and charge for a broken finger, then a set, and multiple check up visits. In reality I went to the doctor once, got an xray, he gave me a splint and said don't take it off for 8 weeks. I never went back for a second visit because it wasn't needed assuming I followed the treatment of did n…

This is exactly why I get so pissed about the Affordable Care Act! We are not solving the problem of why medical care in USA is so outrageously expensive, we instead are solving the problem of how to pay for it. The problem is, once most people have insurance, there will be no political will to solve the much more complex and important problem of reducing the healthcare costs for everyone.

Incidentally, totally agree. In any hospital, all you have to do is dispute the charges and demand documentation, and all of the sudden the bill is slashed tenfold! So, basically, the system is setup to screw the uninsured americans who may not know their rights or have the ability to challenge the hospital.

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#143

Excellent POC - Obamacare needs to pick this up and run with it, to provide the next level of detail, for all insurers. Can you tell us about the technology under the hood? Ruby or Node (or whatever)? What APIs did you use? Programming-wise, what was easy and what turned out to be tricky?

Hey. The technology i used focused on speed of deployment. My DB and "backend" is all parse (I don't have a traditional backend). My hosting service is site44, which is simple dropbox hosting so i don't have to setup a server. The rest of it is just js/html/less files. I used bootstrap for the styling and jquery/google maps API for everything else.

I did do some pre-processing on the data in python to geocode the locations (ie: change the street addresses to long/lat coordinates). I used geopy to do that, and pandas to manage the data.

The total product took me three days to build and design

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#144
post #118
post #114

Earlier quoted context omitted.

Yes, in France its about 100 to 200 euros.

That's the total cost to the French medical system for a normal delivery? I find that hard to believe. In Canada that rate is a couple thousand dollars. Or is that what the patient has to pay?

What the patient has to pay is close to zero, even with anesthesia (which is more or less compulsory -- you would have to make a big scene to avoid it) and complications.

If you want a doctor to attend (instead of simply a midwife) you have to pay him out of pocket (but if you have private insurance it might cover that too).

What it costs to the French medical system is anyone's guess. The French medical system is financed by the taxpayer. In theory, it's financed by a tax on salaries, but since it's in perpetual deficit and the deficit is covered by the state, it's in fact paid for by the taxpayer -- which is just as well, since everyone is covered.

It's a system of fully socialized medecine; there are pros and cons to such a system; it's not all good, but it's certainly not as bad as the American system (before or after Obamacare).

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#145
post #102

This is cute, but it is based on a flawed premise. There are not "prices" for medical procedures and even the providers don't know what they are going to charge. Anecdata: when my wife was pregnant I asked the hospital what are the basic charges for normal obstetric delivery, since we were paying out of pocket. I got a reply in writing that it was $20k, a suspiciously round number without itemization. The baby comes…

WOW just wow. Would have been cheaper to fly first class to any other country in the world and get the baby there. It's really time for significant overhaul of the health care system here in the US

Yes, if I had to pay 20k to just have a baby and could fly somewhere else where it's free, I'd chance it.

There might be a problem that many airlines won't let pregnant women fly past a certain number of months, for fear they will deliver the baby in the air; so maybe you have to move to the target country months in advance, significantly adding to the total cost...?

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#146
post #114
post #102

Earlier quoted context omitted.

WOW just wow. Would have been cheaper to fly first class to any other country in the world and get the baby there. It's really time for significant overhaul of the health care system here in the US

Yes, in France its about 100 to 200 euros.

Really? In Poland the state pays ~$500 and that's it. And they are not famous for being generous :)

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#147

Earlier quoted context omitted.

Come to the UK, it's free.

It's also free in Norway.

It certainly is not. It is paid for by one of the highest tax rates in the world. I currently work in Norway and pay more than 50% in income tax and social contributions - and that does not even include other taxes and excise duties like the 25% VAT, the 9USD/gallon gas price (mostly tax) or the new car tax of something like 150-200%, property taxes, road taxes, vehicle taxes, alchold and tobacco taxes...

So no, it is certainly not "free".

(And yes, people in Scandinavia stating things are "free" is a rant-trigger for me.)

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#148
These procedures look a lot more frightening when they're written in all capital letters. If this is bothersome for you too, it's an easy fix in javascript. If it were any other element I would have said CSS, but text-transform:capitalize doesn't apply when applied to select tags. Here's how to do it in JS: http://pastebin.com/cnVJwds1

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#149

This is cute, but it is based on a flawed premise. There are not "prices" for medical procedures and even the providers don't know what they are going to charge. Anecdata: when my wife was pregnant I asked the hospital what are the basic charges for normal obstetric delivery, since we were paying out of pocket. I got a reply in writing that it was $20k, a suspiciously round number without itemization. The baby comes…

Point is, you got robbed and didn't go to court for it.

Re: Show HN: I mapped US medical prices. Save thousands by driving a few miles

#150
post #135

Earlier quoted context omitted.

It's not something we are "upset" about, and considering the level of English you used throughout the rest of your post and response, I'm not sure "not a native" is a valid excuse. I suspect if you aren't a native, the reason you say "my friends and me" is because it's a bad habit you've picked up from natives, like typing "gonna". I think anyone who can make a sentence such as, "We cleaned up the procedure names man…

Thanks :) I fix it then :)

It is utterly unfair to complain about errors made by non-native speakers who are making a good faith effort to communicate in English.
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