Earlier quoted context omitted.
These are all well documented: https://www.indy100.com/news/donald-trump-bad-things-list-b1... There are 55 things on the list. There’s a mixture of things he said and things he did. As president, his words have real consequences, so drawing the line at “things he said” is strange.
Are you serious about bringing that article/site to the table as a source to try and make your point? Or is this sarcasm?
Show HN: Compare prices that US hospitals charge patients, insurance companies
81–90 of 389 posts
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#82Earlier quoted context omitted.
Came here to post the same. My guess is he will go down as the worst president in US history, but even a terrible administration can have a few noteworthy accomplishments. This and the airline reforms (1) will probably be remembered as the best things that came out of the Trump administration. 1: https://www.inc.com/bill-murphy-jr/president-trump-just-sign...
Seems a sensible bill - amazing that some of them were not already the case. Eg. mininum rest times for cabin crew. However, what on earth has this got to do with aviation?! > authorizes $1.68 billion for relief for Hurricane Florence, which hit the Carolinas last month;
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#83It would be nice to be able to see the lowest & highest prices & other stats. I can manually find the lowest price by sorting by price but I can't seem to reverse it to show the highest price first... Anyway, it seems that there are orders of magnitude differences for the same service. The service 'MRI Lumbar Spine With & Without Contrast Material' has a lowest price of $210 while the closest and highest I personally…
> How can there be such a large difference in price for something that, I believe, is legally & medically the same procedure? I hope this never happens, but let’s say you got in a motorcycle accident and need that lumbar MRI to figure out the damage. What are going to do, get back on that wrecked motorcycle with a fucked up spine and go to that 210$ place? They do it because they can do it and get away with it.
The trouble is that emergency care isn't what drives the majority of healthcare spend. What does is actually chronic conditions: dialysis, diabetes, autoimmune disorders, chronic weight conditions.
That's what we need to worry about.
And if there was a real market here, you wouldn't need to shop around because all the people that do, would enforce some level of price discipline on the market.
Think about it. For any good sold at, say, Wal-Mart, say Gatorade, there are some people that want it a LOT, even NEED it, while others are more on the fence. There's only one price on the shelf and it's calculated to get a lot of people buying. So in effect, the people who are more indifferent (want it less) are actually doing a pretty significant service to the people who want it a lot, by guaranteeing the price will be set low for everyone.
There's no reason something like this can't apply in healthcare.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#84It would be nice to be able to see the lowest & highest prices & other stats. I can manually find the lowest price by sorting by price but I can't seem to reverse it to show the highest price first... Anyway, it seems that there are orders of magnitude differences for the same service. The service 'MRI Lumbar Spine With & Without Contrast Material' has a lowest price of $210 while the closest and highest I personally…
>How can there be such a large difference in price for something that, I believe, is legally & medically the same procedure? If no one publishes their prices how do you set yours? 2 dollars? 2000 dollars? 2m dollars?
Economic research confirms this. Mergers result in higher prices due to less competition.
What we need is way, way, WAY more competition in healthcare. 10x as many providers, 10x as many clinics, with prices posted on the wall. When they start losing business, they'll notice.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#85Appendectomy: MSDRG 343: at Kaiser in Santa Clara: $56,000
Appendectomy: MSDRG 343: at Holston Valley Medical Center, TN: $4,700
Our healthcare system is even more broken than I ever imagined.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#86Earlier quoted context omitted.
One of my businesses refuses to serve Americans simply because they have a habit of reaching for the legal system if they aren't happy with the service. All the Americans end up going to my competitor, who is currently in the midst of three lawsuits which will probably sink the company. Two of the lawsuits are with clients I turned away simply because they looked likely to sue! You can bet that as an American, you wi…
And then the hospital can't sue you if you can't pay the absurd bill?
If I rent you a jetski for an hour, it isn't my fault if you drive over your child with it... It's a jetski. It's dangerous. Don't expect someone else to pay if you mess up.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#87Oh wow, so a "Tonsil Removal (Patient Under 12)" procedure has a huge price-range: $298.00 $7,830.76 $7,299.85 $10,243.23 $13,964.19 --- How are these even comparable?
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#88Sometimes the cost is bigger than the cost in a different country plus the plane ticket.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#89Why are the prices so insane? Where do the money go? I'm from Eastern Europe so of course the prices would be different, but by an order of a magnitude at the minimum seems strange.
There is no incentive for doctors to be efficient so they aren't. They order too many supplies, do too many procedures quickly (when doing them slowly would be fine, and cheaper, etc).
Price discipline is like gravity. It affects everything. In most American businesses subject to market forces, there is an enormous push to optimize every single little bit of the business to control costs.
This force simply doesn't exist in healthcare.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#90Earlier quoted context omitted.
The GP was talking about losing your ability sue for malpractice not implying that every other country has inferior medical or legal care. A country can have a fine legal system for locals that's difficult or prohibitively expensive to access for non-citizens living outside the country.
One of my businesses refuses to serve Americans simply because they have a habit of reaching for the legal system if they aren't happy with the service. All the Americans end up going to my competitor, who is currently in the midst of three lawsuits which will probably sink the company. Two of the lawsuits are with clients I turned away simply because they looked likely to sue! You can bet that as an American, you wi…
You can bet that as a black person in our town, you'll pay substantially more than white folks, because most of us understand that black people have a reputation for this sort of stuff and general trouble, and we don't want to take the risk.
I really wish there was some kind of certificate to let us know which ones are the docile blacks...
(Note: It should go without saying that this is a tongue-in-cheek response)