Live data from Hacker News

Simone Giertz – Back from brain surgery [video]

youtube.com

111–120 of 154 posts

Re: Simone Giertz – Back from brain surgery [video]

#111
post #62

Earlier quoted context omitted.

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

And if you live in the US and don't have good medical insurance the entire thing might leave you bankrupt and homeless. The ingenuity of humanity is amazing, but we still seem to get in our own ways a lot.

You are still alive though, if it's any consolation.

Now, many countries have this problem solved – for now. As the population ages, the solutions may have to change everywhere.

What I find interesting is that the discussion is almost never framed to address the actual issue: the medical industry in the US simply overcharges with impunity. I was shocked to discover that labor (as in, doctors) isn't even the biggest line item in many (most?) medical bills. Hospitals and clinics will simply crank the bill sky high and then have you or the insurance try to haggle it back down, sometimes at a 3 or 4 digits percentage difference. It's insane. There's also zero transparency on pricing, so it is difficult to shop around even if you have the time.

Re: Simone Giertz – Back from brain surgery [video]

#112

Earlier quoted context omitted.

Awe inspiring is correct! My grandmother was born in 1888. In her lifetime, she saw the first automobile, the first airplane (propeller-driven, followed by jet aircraft!), radio, "talkies" (movies with soundtracks), television (black & white, then colour!), stereo records, indoor plumbing and electrical service, electronic computers, rockets, artificial satellites, the moon landing, refrigeration(!), vaccinations and…

> someone from the year 900 could still recognize life in 1400. Where?

Possibly parts of Switzerland where they still speak Romansch.

Re: Simone Giertz – Back from brain surgery [video]

#113
post #107

Earlier quoted context omitted.

Yours (if you are a US citizen), mine, the 1%, the other 99%...at least a government mandated reform of the private healthcare system should be able to enforce transparent pricing structures and fight graft.

So everyone's wealth is free for the taking?

I merely gave a vague answer to a vague question. Allow me to be specific: The US has a progressive tax structure which could be put to better use taking care of it's own citizens instead of attacking the rest of the world, and letting mega-corporations subvert environmental protections.

Re: Simone Giertz – Back from brain surgery [video]

#114

We live in a world of marvels. Often we talk of the future and it's wonders waiting to be discovered, but the here and now has become equally astonishing. The breadth, depth and scale of human ingenuity and endeavour is jaw-dropping and here Simone and her story is another example. Maybe I'm being trite by looking for the good in the bad but pause for a moment and think of all that has been learned, how we have built…

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

Emergency services are so underrated. In minutes I can have medical experts, fire rescuers, or even a small army at my door.

And there's parts of the world where this is simply not a thing. We take it for granted.

Re: Simone Giertz – Back from brain surgery [video]

#115
post #44

Earlier quoted context omitted.

The whole system is awe-inspiring. Have a medical emergency? We'll send a several-ton box on wheels speeding your way within minutes. If you're in a city, the traffic lights will turn red as the emergency vehicle approaches to make passing safer. Paramedics trained in evidence-based pre-hospital medicine will perform the interventions most likely to save you based on their field impression. And when you arrive at the…

I have weirdly conflicted feelings when I see ambulances go by these days. Because part of me feels this sense of overwhelming pride watching that system work to save someone, people getting out of the way etc. But then I remember it's only happening because someone's in severe trouble in the first place so it's like "humanity is awesome...oh something not good is happening"

and then there are people who complain about ambulances blocking parking spaces or even roads... https://www.independent.co.uk/news/uk/home-news/man-paramedi...

Re: Simone Giertz – Back from brain surgery [video]

#116
post #102

Earlier quoted context omitted.

Costs associated with medical malpractice account for just 2.4% of healthcare spending in the United States. Source: https://hsph.harvard.edu/news/press-releases/medical-liabili...

That isn't addressing um_ya's point because doctors are just a part of the overall healthcare industry but bear the brunt of the malpractice costs. This is just one small piece of a broken healthcare system, but how we handle malpractice in this country is certainly broken. Fixing it wouldn't resolve all our problems, but it would definitely help.

I don't think it's broken at all. Tort law, in general, is what we use as an alternative to more aggressive regulation. You remove tort options, the side-effect will just be more regulatory measures.

Re: Simone Giertz – Back from brain surgery [video]

#117
post #2

So glad to see Simone back on her feet. The sh y robot nation needs its queen! As for that bill -- I'm curious: is there any resource I can look up to see how much of that the average Medicare/Medicaid/private insurance plan pays? I ask because I just had two teeth repaired after a bike accident and it'll cost me ~$100 after insurance covers the other ~$500. By that ratio, she'd be looking at ~$38,000 bill.

I remember someone on HN recommending to send a copy of the bill to some health billing transparency project, but I can't find the right link. Google comes up with https://www.fairhealthconsumer.org/ although I'm pretty sure it's a different service (they don't use the submitted bills from what I understand)

I thought NPR has/had one, but can't find a reference.

Re: Simone Giertz – Back from brain surgery [video]

#118

So this country doesn't make enough money to be able to keep some unlucky people alive without throwing them or their family into poverty? Or is it simply that nobody cares for anybody else as long as you are better off then them?

Decades of pop-econ has pushed the narrative that GDP or Purchasing Power Parity is somehow related to how individuals can access capital. It always finds the form of "America is the richest country in the world, yet they can't [insert problem]." This assumes that there is some objective resource need recognition system and misses that there is no overarching explicit capital allocation system to direct funds in such…

What's the counterargument to PPP/

Re: Simone Giertz – Back from brain surgery [video]

#119
post #2

So glad to see Simone back on her feet. The sh y robot nation needs its queen! As for that bill -- I'm curious: is there any resource I can look up to see how much of that the average Medicare/Medicaid/private insurance plan pays? I ask because I just had two teeth repaired after a bike accident and it'll cost me ~$100 after insurance covers the other ~$500. By that ratio, she'd be looking at ~$38,000 bill.

Two years ago my wife (25 weeks pregnant with twins) was admitted to the hospital because of some concerning ultrasound findings for one of the twins they wanted to monitor closely. Two months later they were delivered by c-section, both healthy but very small (3 lb 14oz, and 1 lb 13oz). The bigger one spent ~3 weeks in the NICU and the smaller one ~7 weeks. All told it was ~18 weeks of hospitalization (the only majo…

Our daughter arrived a few days late after a long weekend at the hospital when my wife decided 50 hours are enough. A cesarian at 2 in the night sure wasn't everybody's favourite but the big eyes of the little grey bundle staring at us in her first minutes is the thing we'll never forget. Didn't cost us a cent, not the US, obviously.

Re: Simone Giertz – Back from brain surgery [video]

#120
post #107

Earlier quoted context omitted.

So everyone's wealth is free for the taking?

I merely gave a vague answer to a vague question. Allow me to be specific: The US has a progressive tax structure which could be put to better use taking care of it's own citizens instead of attacking the rest of the world, and letting mega-corporations subvert environmental protections.

It wasn't vague and your reply demonstrates you knew exactly what I was talking about. The wealth of the US is not some collective pot of gold to be spent on X. It is owned by individuals and if you take it, spending on X is a mere detail. You are just arguing for Y instead of X.
Post reply on HN