The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
Health care is turning into a consumer product
11–20 of 334 posts
Re: Health care is turning into a consumer product
#12The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
The simplest changes we could make would be to ban the addition of sugar to certain mainstream food categories (drinks, bread, sauces), and also to require nutritional information to be listed as per 100g, not per serving size. Follow that by banning burning of coal and oil, we also remove a significant amount of noise and air pollution. Next we can ban any hormone-disrupting chemicals (including as plastic additives…
Most things have added sugar in them.
Re: Health care is turning into a consumer product
#13Earlier quoted context omitted.
You think it’s the c-suite reaping all the financial gains?
Predominantly (there's also general overall bureaucratic bloat with absurd numbers of administrators at all levels) . It's certainly not the majority of healthcare workers. Physicians are often scapegoated as responsible for healthcare costs when in reality physicians in Canada, New Zealand and Australia earn similar salaries without the massive cost blowout.
https://www.physiciansweekly.com/how-do-us-physician-salarie...
Re: Health care is turning into a consumer product
#14Earlier quoted context omitted.
The simplest changes we could make would be to ban the addition of sugar to certain mainstream food categories (drinks, bread, sauces), and also to require nutritional information to be listed as per 100g, not per serving size. Follow that by banning burning of coal and oil, we also remove a significant amount of noise and air pollution. Next we can ban any hormone-disrupting chemicals (including as plastic additives…
Sugar is a drug. Have you ever reflected on sugar cravings? It's actually as addicting as many scheduled drugs. But it's in EVERYTHING! Most things have added sugar in them.
Re: Health care is turning into a consumer product
#15Earlier quoted context omitted.
Predominantly (there's also general overall bureaucratic bloat with absurd numbers of administrators at all levels) . It's certainly not the majority of healthcare workers. Physicians are often scapegoated as responsible for healthcare costs when in reality physicians in Canada, New Zealand and Australia earn similar salaries without the massive cost blowout.
There can be instances where physicians are paid the same or more outside the US (I've heard family practice can pay better in Canada), but overall US physicians earn much more . https://www.physiciansweekly.com/how-do-us-physician-salarie...
Also if you factor in earnings and expenses over a lifetime (including cost of studying and the fact that many of the countries mentioned have free healthcare and education and far lower insurance requirements) it evens out substantially.
More importantly, even the highest physician salaries are orders of magnitude less than insurance company CEO salaries.
Disclosure: I'm a physician, currently practicing in the US, previously in New Zealand and the UK.
Re: Health care is turning into a consumer product
#16The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
I'd be happy if the app could show medical expenses before the treatment.
Re: Health care is turning into a consumer product
#17Earlier quoted context omitted.
"- Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies." This should be step one, always. While those perverse incentives exist everything else is an uphill battle.
This probably also is the hardest part. And the most alien to the whole American model of which lobbying is an integral part. IMHO you can only counter lobbying by allocating more to fact checking so it would be harder for them lobby things which are objectively wrong.
Re: Health care is turning into a consumer product
#18The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
https://www.athenahealth.com/knowledge-hub/practice-manageme...
>>Here's some food for thought: The number of physicians in the United States grew 150 percent between 1975 and 2010, roughly in keeping with population growth, while the number of healthcare administrators increased 3,200 percent for the same time period.
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>>Supporters say the growing number of administrators is needed to keep pace with the drastic changes in healthcare delivery during that timeframe, particularly change driven by technology and by ever-more-complex regulations. (To cite just a few industry-disrupting regulations, consider the Prospective Payment System of 1983 [1]; the Health Insurance Portability & Accountability Act of 1996 [2]; and the Health Information Technology for Economic and Clinical Act of 2009. [3])
In contrast, areas of medicine which are subject to much fewer subsidies and regulations, as a consequence of being electives, have seen prices actually decline in inflation adjusted terms. [4]
[1] https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Paymen...
[2] https://www.hhs.gov/hipaa/for-professionals/privacy/laws-reg...
[3] https://www.hhs.gov/hipaa/for-professionals/special-topics/h...
[4] http://healthblog.ncpathinktank.org/why-cant-the-market-for-...
Re: Health care is turning into a consumer product
#19The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
From what I've seen, subsidies and regulations are the primary cause of inefficiency in healthcare: https://www.athenahealth.com/knowledge-hub/practice-manageme... >>Here's some food for thought: The number of physicians in the United States grew 150 percent between 1975 and 2010, roughly in keeping with population growth, while the number of healthcare administrators increased 3,200 percent for the same time period.…
I really want regulation in health care. I do not want medication to be a free-for-all like supplements are in the US. I'm not a doctor, after all, and they are slow to take supplements off the market even if they are harming or killing folks (take a look at diet pills to see this effect). I do not want average folks to be able to get antibiotics willy-nilly because I want to be able to take them when I'm old. And so on.
Re: Health care is turning into a consumer product
#20The greatest healthcare improvements in the US could be brought about by: - Dismantling the insurance/big hospital complex that milks the US population for the enrichment of c-suite executives. - Removing the capacity for lobbying by insurance companies, large hospital groups, device and pharma companies (so they're less able to price gouge consumers). - Price transparency on all links of the chain of healthcare deli…
The simplest changes we could make would be to ban the addition of sugar to certain mainstream food categories (drinks, bread, sauces), and also to require nutritional information to be listed as per 100g, not per serving size. Follow that by banning burning of coal and oil, we also remove a significant amount of noise and air pollution. Next we can ban any hormone-disrupting chemicals (including as plastic additives…
And it shouldn't be for financial reasons. I fully support someone's right to death, but I do not support creating systems that might encourage it. I also don't realistically care if the health condition is terminal: I care more that folks are suffering and want death to escape it.