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‘Out here, it’s just me’: one doctor for 11,000 square miles

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Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#131

Earlier quoted context omitted.

Why go through the costly process of training a physician, when in most healthcare a midlevel practitioner would provide appropriate evaluation and treatment? Also it seems that not all stakeholders in medicine are into restricting physician training[1]. (I come into the discussion with a physician’s perspective.) [1] https://www.modernhealthcare.com/article/20140730/NEWS/30730...

Because Americans all think they deserve attention from someone that fits their personal image of what a doctor should be—-in terms of race, gender, age and personality. Someone who is in the top .001% of intelligence and with twenty years of training. All to spend hours listening to them complain about their cold or achey knees. And they don’t want to have to wait. Also, they don’t think they should have to pay anyt…

That's not all bad though. I don't want to wait to see a doctor and I don't want to pay for it either. What's surprising about that?

Hell, I don't want to pay for anything but I acknowledge that people need to eat so I'm quite happy to have that payment be from my tax dollars.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#132

Earlier quoted context omitted.

I was only aware of them being a thing in the DC area, and not being mutually exclusive of insurance. Anyway, if the loss ratio of an insurance company is more than 85% by law, it seems like you can gain only so much by bypassing them. And why would you want to eliminate medical records?

I shouldn't say they're 100% mutually exclusive, but they tend to be for most routine services. They're probably still going to file a catastrophic claim if they find cancer, etc... >it seems like you can gain only so much by bypassing them. You do, but self-insuring on it's own saves a big chunk, so what's left is really just the complicated paperwork. The only reason it exists is to complicate insurance dictated ra…

"You do, but self-insuring on it's own saves a big chunk"

That doesn't save money because then you don't have insurance! The part of your premium that covers unexpected events can't be saved; only the part that pays for routine care. The word that comes to mind is "optionality" although I'm not sure it is the right jargon.

People always say that insurance is too expensive because it covers routine care, and I've never understood what that is about. It costs essentially zero to transfer money from one account to another, so just because you don't gain anything by having insurance pay, you (on average) shouldn't lose anything either. There can't be any fundamental problem with them providing a payment service.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#133

Earlier quoted context omitted.

What a fragile free market. You're telling me that the free market requires willing selflessness of players to function? That sounds more like the ghost of Christmas than the invisible hand to me..

No, a free market expects selfish players to function. The adjective "free", however, means an absence of a government that can be lobbied to restrict the market.

Did you just predicate your argument on the absence of government?

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#134

Earlier quoted context omitted.

Sustaining the infrastructure and support to maintain electronic medical records is probably the biggest. There are so many problems with the current systems that it's hard to know where to start. But related to the context of the article: You can't spread that cost out as a stand alone doctor practicing on rural areas. On top of this is added cost of data entry compared to old paper charts, the cost of training staf…

If computerizing a business makes it more expensive and labor intensive, someone's doing something wrong.

I'm just going to leave this link here.. in case anyone else is curious about what it takes to get EMR software certified in the US.

https://www.healthit.gov/topic/certification-ehrs/certificat...

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#135

The picture at the end of the article says it all, "No services next 74 miles". If you choose to live in rural US, you are signing up for this kind of lifestyle; you're on your own. As long as that's advertised I don't see a real problem. If you need health care then you should live near health care. Don't expect the same level of support in rural MN as you would get in NYC.

That kind of distance between towns is only around two states, Texas and Montana. As a rural denizen, I consider that to be desolate, not rural.

The title seems a little clickbaity to me. 11k sq miles is only 104 by 104 miles. That's about nine counties in west Kansas.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#136

Earlier quoted context omitted.

No, a free market expects selfish players to function. The adjective "free", however, means an absence of a government that can be lobbied to restrict the market.

Did you just predicate your argument on the absence of government?

That's the definition of "free market" - free from government interference. You can't call something a "fragile free market" if the market is not free.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#137

Earlier quoted context omitted.

I shouldn't say they're 100% mutually exclusive, but they tend to be for most routine services. They're probably still going to file a catastrophic claim if they find cancer, etc... >it seems like you can gain only so much by bypassing them. You do, but self-insuring on it's own saves a big chunk, so what's left is really just the complicated paperwork. The only reason it exists is to complicate insurance dictated ra…

"You do, but self-insuring on it's own saves a big chunk" That doesn't save money because then you don't have insurance! The part of your premium that covers unexpected events can't be saved; only the part that pays for routine care. The word that comes to mind is "optionality" although I'm not sure it is the right jargon. People always say that insurance is too expensive because it covers routine care, and I've neve…

>That doesn't save money because then you don't have insurance.

The employees are still insured, it just means the employer absorbs the risk instead of the insurance company. At a certain point, this becomes cheaper than paying the insurance company. But then the company might take out a separate catastrophic policy that covers anything over $X million in a year.

>The part of your premium that covers unexpected events can't be saved

This is just wrong. A significant portion of that amount can be saved. Some of it is statistics, and some financial structuring.

The insurance company isn't going to absorb a company's risk for free, but there are savings beyond the profit and (overly conservative) risk margins. Segregating your risk pool allows additional control over it, then you can reduce risk in a number of ways, but especially with wellness programs. (My premium contributions at work were cut 75% for participating in the company wellness program.)

I think" a company is also able to hold it's own reserve assets that are backing their risk, and there are additional tax savings with how money changes hands fewer times, but I'm fuzzy on the details.

Anecdotal, but my last two employers were extremely eager to qualify to self-insure, even while still using the insurance company to manage policies. (There's a multi year process to qualify involving financial stability, risk pool evaluation, and sometimes even reorganizing the company structure or re-incorporating.)

>People always say that insurance is too expensive because it covers routine care, and I've never understood what that is about.

They say that because it's no longer medical insurance, it's pre-paid health care plus medical insurance packaged together.

The biggest problem people have with the pre-paid routine care is that it's basically pooled just like the insurance part, and what's routine for me might not be routine for you.

Nonsmoker's, even if they're priced as tobacco-free, have to pay for a policy with smoking cessation coverage. Nuns and 80 year olds must have coverage for birth control. There's mandatory coverage for prenatal visits and labor/delivery, even if you never want to (or can't) have kids.

Insurance is meant to mitigate high cost risks, not be a bureaucratic middle-man for every routine cost. Affordable "risks" shouldn't be insured. Insurance that covers expected* costs isn't insurance. It's just quasi-socialized healthcare with the word "market" attached for political deniability.

In the non-segregatated pools, there's no incentive to keep costs down. You'll be paying for a portion of the weekly doc visits of the bored little old lady who goes and gets every little bruise and goosebump checked out, because why not? It's a no-cost routine visit for her.

Also, you have to pay for coverage for services you might already have free access to. Like if you work for a clinic and they offer employees free visits. You still have to pay for that coverage. Or I want to see a particular doctor that's out of network. I've got to pay out of pocket for a service that I've already paid for. If you forget to get pre-authorization before going to get a mole removed by the dermatologist? Same thing. They might not pay it, because you did it without their permission.

All of these "routine" costs are built into the price of your policy, and for most people it would be cheaper and much less of a hassle to pay-as-you-go for everything thats not catastrophic.

>It costs essentially zero to transfer money from one account to another

Except your money got thrown into slush fund shared with thousands of strangers, and you'll never get as much out as you put in (Unless you're talking about the case of a self-insured employer paying 100%, which is rare.)

>There can't be any fundamental problem with them providing a payment service.

If that was all they did, and you got rid of the pooled routine costs, and got rid of the billing-code/ coverage roulette, and got rid of the copay/ deductable/ out-of-pocket calculation hassles, and if it would just work as constantly as a debit card, then I think people wouldn't have a problem with it.

But that's sort what an HSA does (which is through the bank, not the insurance company.) In practice they're restricted to certain policy types, and don't really eliminate any of those problems, just reduces them.

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