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Why Medical Bills Are Killing Us (2013) [pdf]

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Re: Why Medical Bills Are Killing Us (2013) [pdf]

#41
post #38

Earlier quoted context omitted.

You seem to have some firsthand knowledge of the situation, maybe you can help me with the question I posed earlier. This medical center in Texas seems to be providing a great level of service. I am wondering why patients need to attend directly to get this level of care. I thought that medical findings were published in journals and shared among professionals in the field. If M.D. Anderson has a dozen (or a hundred)…

Your questions are very good, and I answer them below briefly in the interest of expediency, not to be rude. 1. Some knowledge is shared in journals; most knowledge isn't published until years after it's established. Much is never published, and is learned through word of math, and institutionally encoded. MD Anderson is world-renowned for being a center for excellence in cancer care. 2. Doctors don't read every arti…

[deleted]

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#42
post #22

These debates about insurance and payment models are important, but still ignore the biggest issue. US healthcare expenses increasingly go to treating conditions caused by poor lifestyle choices: obesity, substance abuse, and sedentary lifestyles. Certainly there are ways to cut waste and shift costs around more equitably but unless we can improve those root cause factors we're only going to be kicking the can down t…

Current insurance plans don't help much with preventative care. While a yearly 'physical' involving an 8 minute talk with a doctor is covered, insurance only pays 10% of lab work and a basic blood panel would cost me $900. Checking things like vitamin D levels aren't covered at all.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#43
If anyone is interested, you can look up what single payer costs[1] are for various procedures in Australia, you can pay more than what is listed if you go private, but it still isn't anywhere near the cost of what procedures cost in the USA.

[1] http://www.mbsonline.gov.au/internet/mbsonline/publishing.ns...

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#45
post #22

These debates about insurance and payment models are important, but still ignore the biggest issue. US healthcare expenses increasingly go to treating conditions caused by poor lifestyle choices: obesity, substance abuse, and sedentary lifestyles. Certainly there are ways to cut waste and shift costs around more equitably but unless we can improve those root cause factors we're only going to be kicking the can down t…

The root cause is aging. You can exercise religiously and never touch sugar, and at best that will result in racking up huge medical bills in your eighties rather than your sixties.

Also if you die in your 80s you will have collected way more social security money then if you die in your 60s. I wouldn't be surprised if things like smoking which tend to kill you right before retirement age actually saves us money as a society.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#46
post #42
post #22

These debates about insurance and payment models are important, but still ignore the biggest issue. US healthcare expenses increasingly go to treating conditions caused by poor lifestyle choices: obesity, substance abuse, and sedentary lifestyles. Certainly there are ways to cut waste and shift costs around more equitably but unless we can improve those root cause factors we're only going to be kicking the can down t…

Current insurance plans don't help much with preventative care. While a yearly 'physical' involving an 8 minute talk with a doctor is covered, insurance only pays 10% of lab work and a basic blood panel would cost me $900. Checking things like vitamin D levels aren't covered at all.

Please clarify "Current insurance plans" - Current ACA insurance plans? Because I just checked my recent physical including blood panels and, yes, Vitamin D levels, and all I paid was a $15 copay.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#47
post #8

Earlier quoted context omitted.

The democrats couldn't do it when they had WH and Congress... they had to go with Plan B - "Obamacare". Personally, I believe that Plan B was written to fail. Government creates problems. How do you solve the problem? More government. Obamacare, imho, was created as the groundwork for single payer. I just don't think they expected it to fail so hard and so fast. I have no faith in single payer... for example, look at…

Single payer works well in many places other than the US. People on private insurance plans in the US die or suffer while waiting for care their plans allegedly offer, while executives of those private insurance companies get "lavish bonuses".

The US is the wrong level of government for a healthcare system. If a place like California wanted to offer free healthcare to its residents, that's fine, but the federal government should only be responsible for war, negotiating trade deals, handling immigration, and other external issues.

Keep in mind that "many other places" are smaller than a single US state.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#48

Earlier quoted context omitted.

Relevant quote from the article re: what an effective solution needs to achieve: >The real issue isn’t whether we have a single payer or multiple payers. It’s whether whoever pays has a fair chance in a fair market. Congress has given Medicare that power when it comes to dealing with hospitals and doctors, and we have seen how that works to drive down the prices Medicare pays, just as we’ve seen what happens when Con…

I agree with most of this, but > We should outlaw the chargemaster. I don't know how that would work. My thought was to require it to be published.

Or rather the chargemaster should at least be based on the price you could purchase an item on Amazon.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#49
post #46
post #42

Earlier quoted context omitted.

Current insurance plans don't help much with preventative care. While a yearly 'physical' involving an 8 minute talk with a doctor is covered, insurance only pays 10% of lab work and a basic blood panel would cost me $900. Checking things like vitamin D levels aren't covered at all.

Please clarify "Current insurance plans" - Current ACA insurance plans? Because I just checked my recent physical including blood panels and, yes, Vitamin D levels, and all I paid was a $15 copay.

The plans can vary, they just have to cover standard set of things:

https://www.healthcare.gov/preventive-care-adults/

Lab tests aren't on the list. So your plan probably has some additional stuff that it covers.

Re: Why Medical Bills Are Killing Us (2013) [pdf]

#50
post #39

Earlier quoted context omitted.

Definitely not - but in cases where healthcare is involved, especially cancer, people are motivated to travel to what is considered the best. In cancer's case, it's the big three: MD Anderson, Sloan-Kettering, or the Mayo Clinic.

One more data point: Our pediatrician has always been great and keeps up with new treatments and such. When her husband was diagnosed with cancer, she said immediately they were leaving Iowa to get better cancer care. That said a lot.

The reasoning seems pretty cut and dry as well in consideration with cancer - the patient wants to live, and is likely going to be spending tens of thousands of dollars on care already - what's another few thousand to relocate and live where the best care is available?
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