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I Now Have a Cardiologist

joecieplinski.com

151–160 of 189 posts

Re: I Now Have a Cardiologist

#151
> (a direct result of my resting heart rate being in the 113-120 bpm range)

Yeah that should have been a red flag in itself

Also remember that while it will give "true positive" results, there will be a lot of borderline or non-worrying alarms that will need to be checked.

Re: I Now Have a Cardiologist

#152
post #123

Earlier quoted context omitted.

When compared to health insurance almost anywhere else in the world, it's dire value for money.

It’s pretty good for my daughter. She was born with Spina Bifida and we’re paying $300 a month for an ACA plan. She’s cost probably a million dollars by this point so it’s worked out pretty well for us. In a country with socialized medicine they’d probably have just let her die, as the doctors had given her a prognosis that she might not last a year. My wife dug up some research on some treatments they hadn’t conside…

In the countries with "socialized medicine" it will just cost zero with same level of treatment.

Re: I Now Have a Cardiologist

#153
post #58

Earlier quoted context omitted.

Many countries rely on privately-managed health insurers (Germany, Switzerland, Netherlands, etc.). > Edit: and I have an anecdote about this too. Last year I had an episode of AFib. I've been taking medication since then. So after almost 1 year taking a certain medication, my insurance rejected it, saying they wouldn't pay for it and that I had to switch to something else. Now, why is it OK for an insurance company…

> Switzerland I moved from the US to Switzerland. The systems can't be compared. Yes Switzerland has private insurers but the industry is highly regulated: - Costs of medications and procedures are regulated and capped. - There's a mandatory level of insurance everyone must have. This covers basically everything except dental. - The pricing of this mandatory insurance has a cap based on age (younger people pay less),…

But it’s not single payer, it’s still insurance, and there is still a “middle man,” which is what OP was complaining about. That still means, for example, that the medical industry itself is largely privatized, as opposed to say the UK where NHS is a government entity and doctors are public employees.

Re: I Now Have a Cardiologist

#154
post #101

Earlier quoted context omitted.

I have 3 kids delivered by c-section. Total paid - €0. Performed by trained professionals in a nice hospital, not by villagers in a shed.

Given that you are quoting the price in Euros, I suspect the funding mechanism for your hospital is very different than the hospital costs the parent was talking about. I know nothing about how the financial side of European hospitals work though... but I assume they still have internal costs that are tracked and tallied. Your kids' deliveries may not have cost you, but there was a total cost somewhere in the system.…

In France a 1 day stand in hospital is billed around 1000€, of course it is almost entirely covered by insurance. You have to pay a fee of 17€ a day if you have some standard insurance package. If you 'stay' at the hospital then all costs are bundled in this price, if you only follow exams they can actually get more expensive in total (usually they offer you to stay the night if you have exams that would cost more than a "full-pension")

This was a few years ago so the prices may have changed.

Re: I Now Have a Cardiologist

#155
post #19

IDK about this. I find it kinda creepy to have my heart beat monitored & sent to a server far away and not under my control. I mean, ad companies already have so much data about me, do they also need to know how my heartbeat reacts to an ad? Does my insurer need to know it? I wonder whether it can detect sex and be used to e.g. track infidelity. On the other hand, of course it's great to save lives and help you detec…

The remote monitoring won't seem so bad once TPTB start setting up remote control.

Re: I Now Have a Cardiologist

#156

Here in Italy in order to subscribe to a gym you need to bring your ECG (not mandatory by law but a number of gyms will ask for it), and every year you need to make a new one, so I would say that the percentage of "active" population that is not regularly checked is small. How is this matter in the rest of the world?

I've never heard of a gym asking for an ECG, or anything like that, in the UK.

Re: I Now Have a Cardiologist

#157
post #141

Here in Italy in order to subscribe to a gym you need to bring your ECG (not mandatory by law but a number of gyms will ask for it), and every year you need to make a new one, so I would say that the percentage of "active" population that is not regularly checked is small. How is this matter in the rest of the world?

Israel used to be this way and it used to be a requirement by the government (not an ECG but a doctor note). Like a lot of other regulation it made it less likely for people to work out. Now it's a questionnaire instead. I think the new system works better here since it's one less hurdle to get over before you can sign up for a gym and work out.

I would say yes and not: yes it may become a barrier, but no, here most gyms organized that they have a doctor inside and for 40 euros they do the doctor checkup + ECG.

Re: I Now Have a Cardiologist

#158
post #154

Earlier quoted context omitted.

Given that you are quoting the price in Euros, I suspect the funding mechanism for your hospital is very different than the hospital costs the parent was talking about. I know nothing about how the financial side of European hospitals work though... but I assume they still have internal costs that are tracked and tallied. Your kids' deliveries may not have cost you, but there was a total cost somewhere in the system.…

In France a 1 day stand in hospital is billed around 1000€, of course it is almost entirely covered by insurance. You have to pay a fee of 17€ a day if you have some standard insurance package. If you 'stay' at the hospital then all costs are bundled in this price, if you only follow exams they can actually get more expensive in total (usually they offer you to stay the night if you have exams that would cost more th…

Thanks for the insight into how things work in France. Like I said -- I don't know much about how non-US healthcare systems are funded.

But, I think the main question I was trying to get at is -- how much are the French (or Japanese from a different thread) hospitals subsidized by the government. I expect for there to be indirect costs that might have to be covered by direct billing in one country, but not another. For example, electricity bills (or the cost of the building, etc)... is this covered by the 1000€ bill, or is is paid for by some other means? I recognize that US hospitals also get some level of subsidy, but there are hidden costs that aren't always apparent.

This is what I was trying to get at... that direct comparisons of costs aren't always that straightforward when comparing different systems. A 2000€ or $2000 bill might represent only a fraction of the actual cost of treatment. And given the opaque nature of heathcare billing, it's very hard to know.

Re: I Now Have a Cardiologist

#159

Earlier quoted context omitted.

The problem is response time. If you are currently on the road it's probably faster to head to the hospital than to wait for an ambulance.

Which hospital is nearest? Which can be reached within the self-driving capabilities of the car? Which has Advanced Cardiac Life Support staff and equipment? Which is still open? Which is not already handling another cardiac emergency? Which route has the least traffic? Paramedics and EMTs can work these questions quickly and they have lights and sirens to get through traffic. Your car will probably google "hospitals…

So what it is needed is that the car communicates with 911 and an automated system will tell it to wait for help, go to a destination where help will go to, or go to a help center (hospital or similar) where help will be waiting.

It could even work if you are at home and have an emergency. Call 911 and if they decide you should go to a health center on your own it will send where to go to your car.

Of course at first wait for help should be the default, but when automated driving improves, and the processing of emergencies improves too, an automated response system should be the norm for most of the time.

Re: I Now Have a Cardiologist

#160
post #123

Earlier quoted context omitted.

When compared to health insurance almost anywhere else in the world, it's dire value for money.

It’s pretty good for my daughter. She was born with Spina Bifida and we’re paying $300 a month for an ACA plan. She’s cost probably a million dollars by this point so it’s worked out pretty well for us. In a country with socialized medicine they’d probably have just let her die, as the doctors had given her a prognosis that she might not last a year. My wife dug up some research on some treatments they hadn’t conside…

The rumors of "death panels" in countries with socialized medicine are pure scare mongering. In France I've seen multiple cases of no expanses spared in clearly hopeless cases, to the point I think it was borderline excessive and that palliative care would have been better...
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