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What I learned from reading a thousand emergency room bills

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Re: What I learned from reading a thousand emergency room bills

#501
post #446
post #268

Earlier quoted context omitted.

Most people don't/can't pay their hospital bills.

So prices are excessive because too many people don't pay their bills, leading more people to be unable to pay their bills, leading to even higher prices.

That is what we continue to be told, yes.

So my 15 minutes $600 allergy appointment that insurance refused to cover (after covering the same damn appointments for 12 years) is that high because of others, or so I keep hearing...

Re: What I learned from reading a thousand emergency room bills

#502
post #411
post #268

Earlier quoted context omitted.

Most people don't/can't pay their hospital bills.

Most? Like, over 50%? If this is true, the system is completely broken. If it's not true, then the system is completely broken, but in a different way.

Depends how you measure, but I feel pretty confident saying that most US hospital bills have never been fully paid off.

Re: What I learned from reading a thousand emergency room bills

#503

Earlier quoted context omitted.

Are you saying that the richest country in the world can't accomplish something that already exists in plain view in some of the poorest countries in the world?

You really should get the facts on how those systems actually operate. I'm currently living in an european country that has a national health service that supposedly ticks all the socialist talking points, including free (in theory) access to emergency care, but not only is the service largely inoperational with year-long waiting periods for surgeries, including cancer treatments, but also has a disgruntle workforce…

How many of your fellow citizens declare bankruptcy because of of their medical expenses, debts?

Re: What I learned from reading a thousand emergency room bills

#504

I was a victim of the surprise out of network bill in the Portland, OR area. I did all my research before hand: hospital in network, surgeon in network, etc. but ONE person in that operating room was not in network and SURPRISE i'm out thousands of dollars. The worst part about this is my state passed a bill to stop this prior to my surgery, but the bill's effective date was roughly 3 months later. Talk about bad tim…

I'm at a loss as to why the US is still dead set to have no meaningful health coverage. I got burned by this in California a decade ago. A dentist charged me $4,500 to fix a broken tooth (panic!) and fill in a cavity on a Sunday. Had I known then what it might have cost I'd have simply flown back to Europe in the next flight ($600-800 at the time) and get the same thing done for under $100-200 with a full refund from…

There was a story about an Indian guy - he flew all the way from California, spent two weeks in India, took a bunch of MRI etc scans and went back. The entire of the trip, including airfare, hotel, scans etc was less than the cost of a scan in the U.S. Not sure how much of this is true (and yes, I do realize I shouldn't be comparing US with a developing country like India, cost wise), but it is definitely believable.

Re: What I learned from reading a thousand emergency room bills

#505
post #465

Earlier quoted context omitted.

> Price discovery requires pricing some people out of the market. I don't see the connection between posting prices and pricing people out of the market.

If no one is priced out and you are operating in the free market then you need to raise your prices. Repeat until you maximize profits.

Does it have an end goal of maximizing profits, though? Couldn't the goal of price discovery be to find the point where supply = demand, without necessarily maximizing profit?

Granted, this ignores the human trait to increase consumption when removed from directly paying all associated costs (e.g., my behavior at Golden Corral)

Re: What I learned from reading a thousand emergency room bills

#506
post #377

Earlier quoted context omitted.

"Don't let The Perfect be the enemy of The Good." We are overspending on the quality of health care we get today. Further there is a lot of fear mongering about socialized medicine. I've experienced medicine in both the UK and the US. I can tell you, there isn't a difference in quality. Further, when I got a cold and went in, wait time wasn't 6 hours or whatever other BS people claim. Wait time was ~10 minutes. In fa…

Why did you go to a doctor for a cold? That seems to be a problem. You send someone to school for 10 years and they spend their time talking to patients about a runny nose due to a common cold. And for what? To write a prescription?

I wondered the same thing. My mother was a registered nurse who rarely ever took us to a Dr unless we were very sick for several days. For colds she simply treated the symptoms. If we had a fever it meant bed rest and sipping 7-Up to help settle the stomach. The only time she took me was for ear infections and tonsillitis.

Re: What I learned from reading a thousand emergency room bills

#507

Earlier quoted context omitted.

"Don't let The Perfect be the enemy of The Good." We are overspending on the quality of health care we get today. Further there is a lot of fear mongering about socialized medicine. I've experienced medicine in both the UK and the US. I can tell you, there isn't a difference in quality. Further, when I got a cold and went in, wait time wasn't 6 hours or whatever other BS people claim. Wait time was ~10 minutes. In fa…

> I've experienced medicine in both the UK and the US. I can tell you, there isn't a difference in quality. My experience was very different. In January-February this year I had to visit (unfortunately) both the Emergency Room in NYC and the A&E in London. While the quality of the medical equipment in London matches the one in NYC, the understaffing is much more severe. In neither place was my wait time only 10 minut…

I think for most people in the bottom 80-90% of earners would happily take a six hour wait to avoid a $1000 fee.

Re: What I learned from reading a thousand emergency room bills

#508

Earlier quoted context omitted.

"Don't let The Perfect be the enemy of The Good." We are overspending on the quality of health care we get today. Further there is a lot of fear mongering about socialized medicine. I've experienced medicine in both the UK and the US. I can tell you, there isn't a difference in quality. Further, when I got a cold and went in, wait time wasn't 6 hours or whatever other BS people claim. Wait time was ~10 minutes. In fa…

> I've experienced medicine in both the UK and the US. I can tell you, there isn't a difference in quality. My experience was very different. In January-February this year I had to visit (unfortunately) both the Emergency Room in NYC and the A&E in London. While the quality of the medical equipment in London matches the one in NYC, the understaffing is much more severe. In neither place was my wait time only 10 minut…

This weekend I was feeling incredibly sick and there were ketones in my urine (potentially deadly for me). We got there at 9p.m and weren't seen until 2a.m. They stuck us in the room where they keep patients with potential mental health issues because they were so full so I didn't even have access to a charging outlet. We have good insurance. The US healthcare system is often times just as understaffed. Both can be terrible experiences but one can potentially bankrupt me.

Re: What I learned from reading a thousand emergency room bills

#509
post #14

Exhibit A for why "free market healthcare" is an oxymoron. I have yet to hear a coherent explanation for how anyone can reasonably expect for price discovery to even pretend to function in a market where the consumers can't even guess the prices until after they've already purchased and frequently couldn't reasonably be expected to refuse service even if they did believe it was overpriced.

One big issue is that healthcare is something you can spend infinitely on.

Re: What I learned from reading a thousand emergency room bills

#510

Earlier quoted context omitted.

But, as described in the article that system does not function . Acquiring insurance does nothing to ensure that the facility you visit will accept that insurance. Further, even if the facility you visit does accept the insurance, that's no guarantee that all doctors within that facility accept that insurance. Even further, there's no guarantee you'll be conscious to validate that you go to a facility that accepts yo…

Proper insurance pays you for insured losses you incur. When my car is damaged in an accident, I take it wherever I want to have it repaired. I don't have to think about whether the shop is "in network" or not. My insurance pays for the cost of the repair, up to the limits of my coverage. Simple.

in real life your car insurance company will tell you where to take it
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