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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

#171
post #14

Every gas station and convenience store I go into has a glass jar with somebody's family picture and a handwritten note pleading for money to help them afford a life saving operation. Most times it's that f*cker, cancer.

I spent a few years in Belize and sadly this is the de facto public health insurance program there. Everyone who gets cancer or has a major accident has local fundraisers to get help from the community.

This is essentially what single-payer is, except people are free to determine who the actually want to cover. A bunch of normal folks setting aside money.

Unless people just expect 'the rich' to pay for everything.

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

#173

>Or the Tennessee couple who want to get pregnant, but whose insurance doesn’t cover the $20,000 worth of “medications, surgeries, scans, lab monitoring, and appointments [that] will need to be paid for upfront and out-of-pocket” for in vitro fertilization. Would an ideal healthcare system cover in vitro for anyone, full stop? Took a buzz through the NHS requirements[0] and there are definitely restrictions. And in v…

Agreed. Were the US to adopt a system similar to the NHS, I would hope that electives like IVF would continue to not be covered. Presumably it was chosen because the number is more shocking than the typical $500-2,000 request to cover a deductible or the less kindly viewed request to cover living expenses during a medical situation.

So poor people should not get kids?

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

#174
post #163

Earlier quoted context omitted.

I will be down-voted to hell, but I have worked in health insurance company. Large insurance companies have doctors and layers that basically sit down and make decisions about how much they will pay (if ever) for treatment. Your scenario has real life basis.

Isn't that how it has to work, if you want your insurance premiums to be finite?

In normal countries treatment guidelines are set by an independent committee of physiciant and ethicists. Britain has the NICE committee. Having the insurance company decide on what treatment will be paid only guarantees infinite payouts to the CEO.

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

#175
post #108

Earlier quoted context omitted.

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.

Part C is not an upgrade, it’s soup to nuts. The gov’t just writes the check to the insurer.

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits.

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

#176
post #163

Earlier quoted context omitted.

Isn't that how it has to work, if you want your insurance premiums to be finite?

In normal countries treatment guidelines are set by an independent committee of physiciant and ethicists. Britain has the NICE committee. Having the insurance company decide on what treatment will be paid only guarantees infinite payouts to the CEO.

As far as I know NICE decisions are public whereas in the US you can’t know whether they will decline you or not. No transparency

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

#177
post #14

Earlier quoted context omitted.

I spent a few years in Belize and sadly this is the de facto public health insurance program there. Everyone who gets cancer or has a major accident has local fundraisers to get help from the community.

This is essentially what single-payer is, except people are free to determine who the actually want to cover. A bunch of normal folks setting aside money. Unless people just expect 'the rich' to pay for everything.

Really? Single payer healthcare is the same as holding a bake sale so your daughter can be treated for leukemia?

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

#178

Earlier quoted context omitted.

> I’d still prefer the state over private insurance companies (Medicare is well run and popular). And I vote accordingly. Thats perfectly reasonable, but no need to make a single payer system for that. Just allow medicare to compete in the open market. Thats a much smaller program with a lot less risk. Unfortunately the chances of such a plan to succeed are nil. Thats why big healthcare reform proposals want to stron…

The NHS “competes in the open market”, so to speak - you pay taxes to get free healthcare for everyone, then you can get private insurance which picks and chooses what it wants to treat and dumps complex cases back on the NHS. Routine treatment is also dealt with by some combination of the NHS and private pharmacies (for flu jabs etc), generally speaking. Unsurprisingly, private health insurance is not very popular h…

If you get private health insurance, do you get your NHS contribution back? Thats what would make it "competing" in the open market. If you have to pay for it no matter what, there is no competition, there is double charging.

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

#179

Earlier quoted context omitted.

Who stops you from buying insulin outside the US and re-selling it in the domestic market?

conanbatt: you don't get clinical research from universal healthcare HN: wrong, here's why conanbatt: but medical tourism HN: doesn't apply, here are reasons conanbatt: the price goes up because of regulation HN: wrong, here's why conanbatt: what stops you fro buying in Canada --- I haven't seen such blatant shifting of goalposts on HN in a while.

You need to work on your reading skills.

Focusing on the last:

> conanbatt: the price goes up because of regulation

> HN: how did regulation make insulin expensive

> conanbatt: what makes you unable to import cheap insulin?

> HN: Law

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

#180

Earlier quoted context omitted.

Yes! It was supposed to be over the top satire with a comical tone, but then it just ended up depressing me because it started to feel far too realistic...

It reminds me a bit "Running Man" by Stephen King. I think King probably had the better idea by having the audience be able to punish wrongdoers instead of helping the downtrodden. If you could add some good mob rule hurt-the-bad-guys to your mix, it could be a hit. And that's messed up.

I think the reason a reality show for funding healthcare is so plausible is that it would be filling a gap left by a corrupt and failing system. I don't think anyone believes that there is a gap in the administration of law enforcement and punishment in the US.
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