It's always fascinating to see that even compared to prices you pay as a self-paying patient in Germany (which are already 1.5x - 2x higher than what the "public" insurances, ie. 85% of the population, pay for the same procedures), the prices in the US are about 5x to 10x higher. The standard of care seems to be quite comparable if you look at outcomes, so there must be huge inefficiences in the American system (doct…
Show HN: Compare prices that US hospitals charge patients, insurance companies
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Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#212It's always fascinating to see that even compared to prices you pay as a self-paying patient in Germany (which are already 1.5x - 2x higher than what the "public" insurances, ie. 85% of the population, pay for the same procedures), the prices in the US are about 5x to 10x higher. The standard of care seems to be quite comparable if you look at outcomes, so there must be huge inefficiences in the American system (doct…
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#213Earlier quoted context omitted.
Come to Brazil. The best Brazilian hospital (Albert Einstein Hospital in Sao Paulo) charges 1.7k USD for a C section (my son was born recently there), while the lowest I've found in that site is 2.6K USD (don't know about the quality) and median seems to be 8K USD. I bet the other procedures have similar price differences. You can pay for the trip, get the best care (it is a really good, international level, hospital…
And what about an MRI? This website lists rates around 2k USD, while in Brazil you can get one (in high-end modern hospitals in São Paulo) for around R$ 600 (== $120).
There are laboratories even at walking distance of the USA haha ( https://www.google.com/search?tbs=lf:1,lf_ui:4&tbm=lcl&q=lab... )
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#214Earlier quoted context omitted.
So it's a step towards a complete policy. What is the complete policy? Granted we might not see it enacted now, but it would at least clarify where the administration was headed.
The current tax code incentivizes insurance as compensation, which drastically distorts the market. The ACA made things even worse by introducing the individual mandate.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#215Earlier quoted context omitted.
County level vs national level
which in a lot of european countries, doesn't even exist as a differentiator.
I'm not suggesting that Italy or Greece or Germany are actually homogeneous culturally but with smaller populations and significantly less immigration than the US I suspect that the variances are smaller and perhaps more surmountable.
Germany's population (83 million) is only about 1/4 of the US and as you go down the list the countries only get smaller.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#216This is made possible thanks to the current administration’s CMS price transparency rule which went into effect Jan 1,2021 http://www.cms.gov/hospital-price-transparency Edit: By “current” I mean the Trump administration.
Out of curiosity, how much will this reduce the cost of health care? The idea, as it's been explained to me, is that visibility into the cost of medical care will result in downward price pressure. How much?
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#217Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#218Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#219The problem seems to be figuring out a revenue model, and translating all the medical terms in to human.
Re: Show HN: Compare prices that US hospitals charge patients, insurance companies
#220Earlier quoted context omitted.
It’s too bad that all the other insane things he did will overshadow literally anything of value that he accomplished.
Could you enlighten me and name some of those things? Not things he said, but things he did according to you.
One of the significant changes that the tax reform brings is an increase in the cost of capital raised in the form of debt. That is a good thing. The deductibility of interest on corporate debt creates an enormous distortion that causes firms to favour leverage, which leads to greater instability in the economy. Should interest be tax deductible? Well, whether or not you think it should be, it is. And so reducing the corporate tax rate makes that deduction less valuable than it was before.
The tax reform is hugely regressive in reducing the top marginal tax rates for high income earners. That is a giant negative IMHO, because wealth and income inequality are a huge problem in American society. So, personally, I believe the only good from the tax reform is on the corporate taxation side by, effectively, making things a little more efficient than they were before.
Other things that I think were a positive:
1. Rejecting Chinese firms' from the 5G network build-out. His diplomacy and trade policy were really random, but this was one move that worked out well.
2. Operation Warp Speed. While Hillary Clinton likely would have done a FAR, FAR better job of handling the pandemic overall, credit is due to Trump for getting behind the advanced purchase of billions of dollars worth of vaccines before they were even approved.
3. Greatly increasing the standard tax deduction for low income earners. "For income earned in 2020, single people pay no income tax on their first $12,400, heads of household on their first $18,650, and married couples on their first $24,800." [2]
Again, it's too bad that all the insane stuff he did and all the things he neglected will overshadow his accomplishments. History will likely judge Trump harshly, which I think is richly deserved.
[1] https://pubs.aeaweb.org/doi/pdf/10.1257/jep.32.4.73
[2] https://www.theatlantic.com/ideas/archive/2020/12/the-things...