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Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

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291–300 of 369 posts

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#291
post #157

Maybe it will not be easy to read this: In this particular case the US can learn something from past socialist regimes - or from Germany and many other western countries, which already learned, that OBLIGATORY state medical insurance solves such issues. It is not the ideal solution, but the best compromise available. Who would like to get cancer and fight with private insurance company while being ill?

> past socialist regimes

Ok, I agree with the spirit of your post, but don't ever hold up the USSR or Venezuela or any of the others. It's obvious you don't know how shit actually worked back then, so let me tell you. It was a prime example of an underfunded system that was forced to meet bullshit metrics and shit was falling apart. If you wanted treatment for anything more major than the flu you basically had to bribe the doctors. Otherwise you could e.g. go to the ER bleeding out, be left to bleed out and just be written off as "well he died outside the operating room, nothing we could do guv'nor, metric for people surviving the OR = met". Mixups were constant, corruption was rampant and the doctors who were in this mess were all day-drinking to cope with it. To this day government healthcare back home is underfunded and oversubscribed and you need to pass doctors bribes to get priority treatment. Or you can go to a private clinic that openly just takes money on top of your standard insurance, thank god.

Previous socialist regimes are what NOT to do when you're implementing government services. Look at what they did and do the opposite.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#292

Earlier quoted context omitted.

I know. To elaborate (and reply indirectly to will_brown) I think it's impossible to say how egregious $14k is for billing without knowing how severe a sprain it is and how much they had to do to diagnose it. Maybe he walked out with a bandage, but maybe he got an x-ray or mri? And ERs are expensive because they have to handle anything from a MI, stroke, poisoning, massive trauma, or ID case. If you go to one, you ha…

> I think it's impossible to say how egregious $14k is I live (well, lived. currently in the UK) in Australia, and the concept of a $14k bill for a sprained thumb is so out of my world. I cannot fathom how anyone would find that even remotely acceptable.

On the weekend my 83 year old mother in law fell and broke her ankle. One hour ambulance ride to a metropolitan ER. Examination and diagnosis by a trauma specialist and an orthopedist. X-ray. Moonboot applied, a night in hospital as community team were assigned to make her adjustments to her apartment for recovery period. Physiotherapist consultation and ongoing support. No insurance. Total cost zero dollars. In New Zealand and proud at times like this.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#294
post #32

Earlier quoted context omitted.

I don't think anyone can think about it realistically until they are in that situation. How much is another year of your life worth to you? And to your loved ones for that matter? (assuming we're talking terminal cancer here, which it might not be) I have family that suffered from cancer and spent a good lot of money prolonging their life by about eighteen months. They were not pleasant months, but I don't think for…

Take that lump sum or in another way of looking at it have that lump sum taken from them. Depending on the family situation this could cause knock on effect leading to financial burdens that who knows, could lead to suicide? Is that worth 18 months of a doomed persons life?

They wouldn't have the lump sum taken from them if they consented to it. And many do, sometimes with more enthusiasm than the person technically giving the money.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#295
post #64

>Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls Hell that's just insurance in America... if you just use it. I've been dealing with a bill where the insurance company decided that my kid's pediatrician was out of network all of a sudden. All the other visits to the same pediatrician have been covered, but they can't seem to fix this one bill.... There's no incentive for the company to…

A cynical viewpoint might add that if the patient has a terminal illness, and if they are overcharged, then the process can be dragged out past the patient's lifespan and their estate just might not get around to it.

I think they just expect I'll get tired of it and pay.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#296

Earlier quoted context omitted.

The U.S. actually has worse health outcomes overall than Japan and France who both have universal coverage (through different systems)

What are "health outcomes"? "5 year cancer survival" is a definable metric. "Health outcomes" is very vague. Is there a scoring system? Are different illnesses/conditions ranked?

"5 year cancer survival" is unfortunately a very weak metric. Consider this easy way to boost 5 year cancer survival rates - do prostate screening tests for everyone in the country every year. You will undoubtedly detect more cancers and thus increase 5 year survival rates, but this is also undoubtedly a net negative for society.

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#297
post #34

In Australia the Leftist government of Gough Whitlam introduced health-coverage-for-all in 1975 with a scheme called Medibank. In 1984 after a couple of governments, Bob Hawke's Leftist government created the Medicare scheme (Medibank became a government provider of private health insurance), which exists to this day. The most interesting stat I ever heard about Medicare was this: prior to Medicare the number one cau…

[deleted]

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#298

Earlier quoted context omitted.

The federal government cannot be crippled because it can issue currency ad-infinitem. As AOC is wonderfully publicizing, the notion that government finance works like household and business finance is finally starting to be debunked and at least talked about openly. There maybe other problems with universal healthcare, but financing it is not one of them.

It's truly worrying that comments like these are made unironically. Is there any amount of currency printing that you believe might be problematic? Or is the sky the limit? Perhaps most importantly: What happens if we accept your claim, spend and print money ad infinitem, and then you're wrong?

MMT sounds awfully like the Magic Pudding [1]. If governments can just print any amount of money they like to pay for everything whence cometh hyperinflation?

1. https://en.m.wikipedia.org/wiki/The_Magic_Pudding

Re: Cancer Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

#299

Earlier quoted context omitted.

The deductible might be huge, and there's also this magic new thing I've just discovered (or United invented out of nowhere) called "co-insurance" and "maximum out of pocket" which I call "deductible #2." Then when you actually try to use the insurance you pay monthly for (but don't get to use until you reach the deductible #1 and #2?) they may just send the bill to you with a lot of legalese that amounts to "we don'…

All of the terms you listed are easily understandable concepts clearly explained on healthcare.gov or any health insurance company's website, and they've been a thing for decades. How much clearer can maximum out of pocket be? Edit: I do think in network and out of network should be easier/faster to figure out though.

There are plenty of times when in/out network is an impossible thing to determine or plan for.

I had an out patient surgery about a year ago and while my doctor and every admin I talked said that everything would be in network, I still had someone sneak in who was supposedly out of network.

Then came the bill of what should have been ~$300 was around $2500. I got that BS waived only by called my doctor's office and talking with them about it. Once we talked it all through, the nurses called the _head management of company that ran the out patient surgery clinic_ in order to get it removed. It feels like people have to do you favors in order to get your actual correct billing.

Our health care system is so royally f'ed in the U.S. It desperately needs fixing and I hope it does before something serious happens to myself or my wife because it's currently feels like gambling with ruination. No $2.5k isn't ruination but health care is the only thing in this country where I go in knowing NOTHING about what my final bill will actually be.

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