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GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

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Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#111

Earlier quoted context omitted.

In Canada, 16% of the money spent on health care is spent on administration; in the U.S., 28%. Tell me again how the free market is more efficient?

The US healthcare market is not a free market. I know this well enough to commit to a challenge: name me any two actors in the space and I can name you how each one is screwing the other one thanks to a law or regulation.

Maybe the problem there is multiple actors rather than regulations.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#112

Earlier quoted context omitted.

In universal care you dont get access to 'clinical trials and research and things like that, where people need access to leading-edge potential treatments' You are also not eliminated the need to get funds, you are changing who you are asking them from. And let me tell you that government officials are seldom generous.

Access to leading-edge potential treatments is a minor concern in health care: few need it, fewer qualify, and fewer are helped. Even then, your statement is false: leading edge medical research is carried out in all countries with universal health care. The U.S. has an infant mortality rate worse than 43 other countries because large numbers of pregnant women can't access routine prenatal care. That's but one exampl…

Can't access, or don't?

Medicaid will pay for prenatal care, and there are other options as well.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#113

GoFundMe is comical, every day there is a new idiot asking for money for not buying (or invalidating) their travel insurance . Little Fred is sitting in hospital now with bills over $xx,xxx due to a motorbike accident whilst backpacking in XYZ, please give generously so Little Fred can keep his iPhoneX and his large family don't have to put their hands in their pocket. e.g. https://www.gofundme.com/injured-by-scooter…

This is what bothers me... I once donated to a GoFundMe run by someone I know (not really friends) - their house got heavy water damage in Houston a couple of years ago.

Only a couple weeks later to see pictures of them buying a new car from a dealership to their son.

I do not know... Perhaps it is because me, who unlikely to ever buy a new car (despite having several Xs of income than that family) or perhaps the fact they were not committed 100% to solve their immediate problem themselves first and instead looked for someone to donate some extras - it pissed me off. Unlikely to ever donate to anyone ever again, unless I know for sure people are in genuine trouble.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#114
post #58

I like to write short stories in my free time. One that I’ve been working on over the last year is one where the concept of “crowdfunded healthcare” evolves into a dystopian game show where people go on TV and share their sob story on why they need money. Then the viewers at home get to choose who gets the show’s prize money each season through a bracket style voting system that crowns a champion at the end. I had to…

> On that note, I find it supremely fucked up that people have to turn to crowdfunding to get their unexpected healthcare costs covered by benevolent internet citizens. So who should pay for it? All taxpayers instead? All countries that have tried that are now in the red. The only good solution, I think, it to work to make healthcare a lot cheaper in the long run.

We all pay for it now, just not necessarily through taxes.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#115

We need to get rid of health insurance companies. They are the reason all of our costs are massively inflated. The same thing is happening in education: universities know that a large percentage of students are getting financial aid, so the true costs are buried in a layer of bureaucracy. Fees and administrative fees continue to go up and the universities will always get their money. The students are then on the hook…

I agree, that in a form current insurance companies exists - i.e. perpaid medical discounts plan, they should be removed. People should be getting insurance from insurable events - i.e. accident, heart attack, etc. Not from routine vaccination, annual checkup, seasonal cold. High-deductible plans are a hack to get people to pay for more of routine stuff and I think it moves into the right direction.

Except even on a high-deductible plan, the provider bills the insurer, they play their games with the price, and eventually you get a bill.

There is no up-front price. There is no market pressure. You still don't know what you will need to pay until weeks or months later.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#116

GoFundMe is comical, every day there is a new idiot asking for money for not buying (or invalidating) their travel insurance . Little Fred is sitting in hospital now with bills over $xx,xxx due to a motorbike accident whilst backpacking in XYZ, please give generously so Little Fred can keep his iPhoneX and his large family don't have to put their hands in their pocket. e.g. https://www.gofundme.com/injured-by-scooter…

You can make your point without doxxing this guy

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#117

Earlier quoted context omitted.

Access to leading-edge potential treatments is a minor concern in health care: few need it, fewer qualify, and fewer are helped. Even then, your statement is false: leading edge medical research is carried out in all countries with universal health care. The U.S. has an infant mortality rate worse than 43 other countries because large numbers of pregnant women can't access routine prenatal care. That's but one exampl…

Can't access, or don't? Medicaid will pay for prenatal care, and there are other options as well.

Can't. The U.S. has well documented problems with the working poor being unable to afford insurance or qualify for medicare; even if they qualify, medicare is not universally accepted (because it doesn't pay market rates) and there's no legal requirement for medical professionals to do so.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#118
post #32

Earlier quoted context omitted.

Universal healthcare. It works well in the majority of civilized world.

In universal care you dont get access to 'clinical trials and research and things like that, where people need access to leading-edge potential treatments' You are also not eliminated the need to get funds, you are changing who you are asking them from. And let me tell you that government officials are seldom generous.

Clinical trials are mostly free for the patients who are chosen for them. But I think what you’re saying is government healthcare won’t pay for experimental treatment (currently in a trial stage). However, that is true even for private insurance here in the US. My regular insurance doesn’t cover experimental treatments. I have a separate add on that pays for some experimental treatments.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#119
post #108

Earlier quoted context omitted.

I’d still prefer the state over private insurance companies (Medicare is well run and popular). As Steve Jobs said about Dropbox, you’re a feature (insurance companies) not a product.

You realize Medicare Part C and D are entirely run by private companies right?

I am. Part C is optional (Medicare Advantage, akin to an upgraded private insurance plan in European universal healthcare systems), and D is prescription drug coverage that a single payer system can administer as part of its system for all participants.

Re: GoFundMe CEO: ‘Gigantic Gaps’ in Health System Showing Up in Crowdfunding

#120
post #102

Earlier quoted context omitted.

It means there are things the US healthcare provides that universals systems don't, and in a practical way that affects people, not purely in the world of ideas. The great folly of the world universal is that it implies everything would be available, and its a step in the opposite direction: a set of things will be made available, and the things that aren't will be delivered by the private market. Private care is sti…

Do you know what else affects people in a practical way, and not purely in the world of ideas? Having to choose between medicine and the rest of life's necessities. "Can I afford both my kid's insulin and my rent this month?" That's a real-world consequence which, offhand, only the US healthcare system offers.

I disagree, I think this is the real-world consequence of the US regulatory environment.
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