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Congress is set to ban most surprise medical bills

nytimes.com

101–110 of 440 posts

Re: Congress is set to ban most surprise medical bills

#101
post #19

Earlier quoted context omitted.

The existing health insurance industry is far from free market. Try getting a price for a procedure or visit beforehand. Compare that to dental insurance. I’m always shocked when I get a treatment plant after 5 minutes that outlines exactly what the dentist needs to do, how much insurance will pay, and how much I will need to pay. Of course the set of possible treatments for dental work is a lot smaller, but it seems…

Price discovery doesn't help you. If you get knocked out, heart attack, your arm cut off, whatever (i.e. a lot of the expensive stuff) you just go to the nearest hospital, no consumer market finagling is even possible other than trying to live near a good hospital. Other times with chronic conditions where theoretically price discovery could help, the problem is that you need care badly so all the chronic care provid…

Blackmail. I believe that is the word. Then end of life care comes along and you better own your house, because that is going to be gone after all the bills come in for end of life care.

Re: Congress is set to ban most surprise medical bills

#102
post #28

Earlier quoted context omitted.

It's just appalling to see a nation as smart, rich and well accomplished as the U.S. being straight up retarded when it comes to healthcare.

That is inappropriate word choice here or anywhere. Remove your slur.

Take a read about "The Euphemism Treadmill"

Re: Congress is set to ban most surprise medical bills

#103
post #28

Earlier quoted context omitted.

That is inappropriate word choice here or anywhere. Remove your slur.

re·tard verb past tense: retarded; past participle: retarded /riˈtärd/ delay or hold back in terms of progress, development, or accomplishment. "our progress was retarded by unforeseen difficulties" It seems to me that the word's usage is an accurate description of America's lack of progress in this area...

At least here in the US, it's generally no longer considered appropriate.

https://www.specialolympics.org/stories/impact/why-the-r-wor...

Re: Congress is set to ban most surprise medical bills

#104

That it takes such effort to pass a bill like this - 80% public approval, banning a clearly predatory practice, has turned me from a pure free market thinking into a believer in single payer healthcare. The free market just doesn't work when there is very little elasticity in consumption. I've been on the receiving end of a $15K air ambulance bill (thankfully covered by insurance) as well as the out of network specia…

> The free market just doesn't work

And where did you experience free market healthcare out of curiosity? In the US there is no such thing.

Re: Congress is set to ban most surprise medical bills

#105
post #28

Earlier quoted context omitted.

That is inappropriate word choice here or anywhere. Remove your slur.

re·tard verb past tense: retarded; past participle: retarded /riˈtärd/ delay or hold back in terms of progress, development, or accomplishment. "our progress was retarded by unforeseen difficulties" It seems to me that the word's usage is an accurate description of America's lack of progress in this area...

The word itself isn’t wrong per se, but it has a negative connotation that’s associated with “slow” people (from the medical terminology “mental retardation”). It’s a playground insult to call someone “retarded” because they’re “stupid”. It could just be an American thing, but using it like that is very common.

I think a good comparison is “fag”. Sure, it means a cigarette, but it is (was?) a common insult towards gay people.

Should we not use the word? I don’t know. I’m just explaining why dpeck wrote their comment.

Re: Congress is set to ban most surprise medical bills

#106
post #19

Earlier quoted context omitted.

The existing health insurance industry is far from free market. Try getting a price for a procedure or visit beforehand. Compare that to dental insurance. I’m always shocked when I get a treatment plant after 5 minutes that outlines exactly what the dentist needs to do, how much insurance will pay, and how much I will need to pay. Of course the set of possible treatments for dental work is a lot smaller, but it seems…

> The existing health insurance industry is far from free market. Try getting a price for a procedure or visit beforehand. Oh, I know. I've tried getting prices in the past. Traditional providers can't do it. One thing that has opened my eyes is using a Direct Primary Care (DPC) provider. I pay $75 a month for direct access to my doctor (email, text message, cell phone etc.). The access is great, but an unexpected si…

I had a full blood screen....first number $2000, Negotiated price $1600, Out of Pocket $48.

It's all funny money til it lands in my lap, then suddenly it's real.

Re: Congress is set to ban most surprise medical bills

#107
post #94

Earlier quoted context omitted.

I wouldn't reject this out of hand, but I do find that the complexities around healthcare and the obvious political implications lead to a lot of exaggeration and outright falsehoods being propagated. it's my understanding that the affordable care act requires insurers to treat any emergency services (if covered at all) as in-network. can anyone explain either a.) how I am wrong, or b.) how this can be circumvented?

Regarding how it can be circumvented, insurance companies, in my experience, try to say that this or that service was not actually part of the emergency. For instance, they may want to begin some of the long term maintenance of your new condition while you're still in the hospital. Whether the insurance company is successful or not, they may at least try to say this isn't covered. Eventually, you and your loved one a…

> and you just missed four weeks of work and need the job to keep the insurance you now need more than ever.

Just a note, if you're in the US and a loved one is injured or ill there is the Family Medical Leave Act which should protect your job (in the short-term). It's not a huge safety net but if someone needs it it does help.

Re: Congress is set to ban most surprise medical bills

#108

That it takes such effort to pass a bill like this - 80% public approval, banning a clearly predatory practice, has turned me from a pure free market thinking into a believer in single payer healthcare. The free market just doesn't work when there is very little elasticity in consumption. I've been on the receiving end of a $15K air ambulance bill (thankfully covered by insurance) as well as the out of network specia…

The only statistic you need to know to justify America being a shitty country with even shittier healthcare is that it is only one of two countries in the entire world that allow pharma companies to directly advertise to consumers.

Re: Congress is set to ban most surprise medical bills

#109
post #84

When we had our first child, we carefully selected a pediatrician that was covered by our insurance. It turns out that doctor was only billable to our insurance for delivery, any follow up visits were not covered by the insurer because that same doctor was not considered part of that hospital org. The org she did routine pediatric work was somehow different, yet in the same building. We discovered this as we were lea…

You make it sound like it's the doctor group that chose not to work with that insurance company. The fault probably goes both ways.

Re: Congress is set to ban most surprise medical bills

#110

That it takes such effort to pass a bill like this - 80% public approval, banning a clearly predatory practice, has turned me from a pure free market thinking into a believer in single payer healthcare. The free market just doesn't work when there is very little elasticity in consumption. I've been on the receiving end of a $15K air ambulance bill (thankfully covered by insurance) as well as the out of network specia…

There's no "market" in healthcare in the US. Long ago, it became illegal to open a hospital without a 'certificate of need' from the State. That's why so many towns have only one hospital - it's a government granted monopoly like cable companies in the 80s. Differential pricing is also illegal. You fly cheap on Sunday at 3am, expensive on Monday at 9am. Healthcare providers are not allowed to charge less when it's ch…

Exactly. Many people think that free market healthcare is bad because the US healthcare system. Once you are pointing out it is not a free market system they are surprised. The 20% profit cap also not very open market like.
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