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U.S. health care's widespread overbilling problem

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Re: U.S. health care's widespread overbilling problem

#261

Earlier quoted context omitted.

Black comedy, indeed.

I'm assuming you're ESL, ... in Polish you also call it literaly "black comedy". The proper term you're looking for is "dark comedy". In the US "black comedies" nowadays is a term referring to for/by African Americans; it's a whole sub genre.

Can't speak for American English but "black comedy" is standard in British English

https://en.wikipedia.org/wiki/Black_comedy

Re: U.S. health care's widespread overbilling problem

#262
post #261

Earlier quoted context omitted.

I'm assuming you're ESL, ... in Polish you also call it literaly "black comedy". The proper term you're looking for is "dark comedy". In the US "black comedies" nowadays is a term referring to for/by African Americans; it's a whole sub genre.

Can't speak for American English but "black comedy" is standard in British English https://en.wikipedia.org/wiki/Black_comedy

https://en.wikipedia.org/wiki/Black_comedy_(disambiguation)

At best in the US is a ambitious term and accepted colloquial term refers to comedy by/for AA audiences. At least places I live in the US (MI, CA, NY).

Anyways English is a fun, dynamic, and at the same terrible language. But I'll take your word for British flavor of the English language.

Re: U.S. health care's widespread overbilling problem

#263
post #261

Earlier quoted context omitted.

I'm assuming you're ESL, ... in Polish you also call it literaly "black comedy". The proper term you're looking for is "dark comedy". In the US "black comedies" nowadays is a term referring to for/by African Americans; it's a whole sub genre.

Can't speak for American English but "black comedy" is standard in British English https://en.wikipedia.org/wiki/Black_comedy

For this, shall we just stick to the English definition? They invented the language. African American Comedy sound more accurate for the other one.

Re: U.S. health care's widespread overbilling problem

#264
post #194
post #100

Earlier quoted context omitted.

To quote from my own comment when we discussed this six months ago (replying to https://news.ycombinator.com/item?id=13325022 ): "[…] there's adverse selection. The hospitals that make errors in the client's favor or that don't make errors at all are more likely to go out of business than the ones that make errors in their own favor. So guess which ones are still around when you need a hospital. In other words, just…

That's not a complete explanation, as it would likewise prove that every business errs as much as possible in their favor. It wouldn't explain what's different about hospitals and health insurance that makes them so brutal about it.

True. My assumption is that there's a complete lack of the usual consumer protections because (a) no ability to shop around and (b) no political will to fix it because most bills go to insurance companies who (i) are expert at questioning medical bills and (ii) have a negotiated relationship with providers so they don't pay sticker price anyway.

Re: U.S. health care's widespread overbilling problem

#265
post #210

While I do feel compassion for you and your pain, I need to point out to you that you are unreasonable, bordering on psychopathological irrational fear. The scenario in which "the entirety monetary value of my life's work could be destroyed in a moment by a medical issue" - is very uncommon, the stuff of scary stories, not reality. in reality, you are protected even if you don't have a good insurance. Think about "me…

> you that you are unreasonable, bordering on psychopathological We ban accounts that go in to personal attack like this, so please don't. Also, please don't use HN primarily for political or ideological argument; occasionally that's fine, but we ban accounts that exist only to comment that way, especially when they're use flamewar phrases like "Your doctor-bashing stance" and whatnot. https://news.ycombinator.com/ne…

Psychopathological - this is not a personal attack, but a doctor's observation that a person has gone far over the deep end into anxiety about a subject that is rationally not panning out, only for his lack of knowledge of what happens if he does get sick unexpectedly and without a solid insurance. I tried to reassure him.

Second, "doctor-bashing" may be an inflammatory phrase, but please look and see how many comments derogatory and unfair to physicians you tolerated without a word. So, one is to conclude that your moderating style allows certain disparaging and humiliating words, towards doctors, for example - but does not allow to call a person using such abusive language a doctor-basher? That is indeed interesting.

Finally, my comments/replies have no more "political" in them than the rest of posts in this thread. The post is about the cost of medicine.

Re: U.S. health care's widespread overbilling problem

#266
post #60

I would love to go to a doctor that had a price board hung in their waiting room so I'd know up front what the cost would be. Well-baby checkup: $120 School sports physical: $150 Blood tests: $80 Minor broken bone: $400 Major broken bone: $1200

This is the way it should be. Hopefully we are going in that direction.

Re: U.S. health care's widespread overbilling problem

#267
post #210

Earlier quoted context omitted.

> you that you are unreasonable, bordering on psychopathological We ban accounts that go in to personal attack like this, so please don't. Also, please don't use HN primarily for political or ideological argument; occasionally that's fine, but we ban accounts that exist only to comment that way, especially when they're use flamewar phrases like "Your doctor-bashing stance" and whatnot. https://news.ycombinator.com/ne…

Psychopathological - this is not a personal attack, but a doctor's observation that a person has gone far over the deep end into anxiety about a subject that is rationally not panning out, only for his lack of knowledge of what happens if he does get sick unexpectedly and without a solid insurance. I tried to reassure him. Second, "doctor-bashing" may be an inflammatory phrase, but please look and see how many commen…

Since I'm seeing no indication that you want to use this site as intended and several that you don't, I've banned this account. If that's wrong, you're welcome to email hn@ycombinator.com and show us otherwise.

Re: U.S. health care's widespread overbilling problem

#268

While I do feel compassion for you and your pain, I need to point out to you that you are unreasonable, bordering on psychopathological irrational fear. The scenario in which "the entirety monetary value of my life's work could be destroyed in a moment by a medical issue" - is very uncommon, the stuff of scary stories, not reality. in reality, you are protected even if you don't have a good insurance. Think about "me…

We detached this subthread from https://news.ycombinator.com/item?id=14737020 and marked it off-topic.

Re: U.S. health care's widespread overbilling problem

#269
post #264
post #194

Earlier quoted context omitted.

That's not a complete explanation, as it would likewise prove that every business errs as much as possible in their favor. It wouldn't explain what's different about hospitals and health insurance that makes them so brutal about it.

True. My assumption is that there's a complete lack of the usual consumer protections because (a) no ability to shop around and (b) no political will to fix it because most bills go to insurance companies who (i) are expert at questioning medical bills and (ii) have a negotiated relationship with providers so they don't pay sticker price anyway.

Right -- those factors would be more relevant, specific things to point to than "providers who err in their favor get more money than those who don't".

Re: U.S. health care's widespread overbilling problem

#270

Earlier quoted context omitted.

I had an equal and opposite experience getting an MRI. I also have a high deductible plan. When I was told I needed an MRI I went on my insurance provider's website to find MRI locations that are in network nearby. I called the first 5 on the list. I found that some place that was basically MRI-R-US was several hundred dollars cheaper than going to the local mega-hospital. Pricing isn't transparent because people usu…

This will result in many people choosing to spend nothing on 'day to day' healthcare. Subsequently, this 'deferred maintenance' will result in increasing rates of catastrophic events, which will drive up costs for that part of the system. Giving cash (or cash equivalents) to people is probably not a good solution.

Why do you care if someone chooses quality of life over longevity? Why do we get to make that decision for them?
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