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Health care is turning into a consumer product

economist.com

11–20 of 334 posts

Re: Health care is turning into a consumer product

#11

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…

May this new California attempt succeed

Re: Health care is turning into a consumer product

#12

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…

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

#13
post #8

Earlier 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.

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...

Re: Health care is turning into a consumer product

#14

Earlier 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.

Have you ever craved food? It's a drug too!

Re: Health care is turning into a consumer product

#15
post #13

Earlier 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...

I guess it depends on your comparison - that article didn't include Australia, NZ or Canada.

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

#16

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…

> Its very typical of modernism (especially in the US) to think that the way to address everything is a nice app with a better UI.

I'd be happy if the app could show medical expenses before the treatment.

Re: Health care is turning into a consumer product

#17

Earlier 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.

We had such a congressional fact check organization. It was called the OTA (Office of Technology Assessment). Sadly it stood in the way of institutionalized lobbying (The K Street Project), so the Republicans eliminated it shortly after they came to power in congress in 1994.

Re: Health care is turning into a consumer product

#18

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…

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.

*

>>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

#19

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…

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.…

Regulations and subsidies do not seem to make other countries' systems inefficient. They make it so that folks are safe and that they can actually get health care.

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

#20

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…

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…

So, folks under 70 get out of suffering, but someone dying in their 30's can't get euthanasia? This seems cruel, especially so given the number of folks that suffer and die before they reach 70.

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.

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