The "healthcare" system isn't broken, it works perfectly.
You're just mistaken about what its purpose is.
It's one of the most beautiful examples of capitalism working as intended: When you're hurting or dying, your demand for healthcare is unlimited, and you're in no position to compare prices or services, so cost is determined by the maximum amount that can be squeezed out of you during your remaining lifetime.
To spell out the point here - healthcare isn't the point of the healthcare industry under capitalism - profit is. Any healthcare delivered is going to be the bare minimum required to separate you from your money.
I've worked in hospital systems since I graduated from college. There has been one meeting (out of all the meetings!) that I have absolutely never forgotten due to something that was brought up.
They thought it was super cool to talk about how much cash our new surgical center was bringing in. I know it was small in the scheme of things, but in my head a hospital should be super happy when they don't have to perform surgery on a person. They shouldn't be happy to perform surgery so that they can make money.
One of the most perfect parts of how powerful lobbies constructed it is that, unaffordable as it is, there IS no free market for care, you are forced into networks and PPOs, etc. so if someone DID offer a better price outside of your consumer funnel(sorry, insurance plan), your insurer would just deny the claim at the providers standard 20x cost price for uninsured procedures. Also, 100% price obfuscation so comparison shopping is impossible. It is end-game capitalism.
I want to downvote you simply because i hate this truth. I hate it, so, so much.
Yeah, no shit. I have a full time job, supposedly great health insurance, but I still can't actually afford to go to the doctor (never mind an ER). You're God damn right the healthcare system is broken!
Here's the fun part.
It's been like this for at least 20+ years.
I remember when my dad lost his job around 2002. I was a little kid and my mom told me to be careful when I'm playing outside, because if I broke my arm we could lose our house. That's something I don't think should ever be a reality, or something that parents or children should worry about in a functioning country.
all insurance is a scam but any insurance that doesn't cover you for the only thing it's selling is also fraud.
Fucking tired of people who suddenly see a problem when a) it happens to them or b) when they're no longer relying on the problem for their income.
It's the republican way. They live in delusion land and when reality hits them in the face they get all pissy about it.
"Rich person doesn't understand how to save money!"
Haha what a joker. Everyone knows you don't go to the ER for lightheadedness. You gotta self medicate, use WebMD, and ride that wave until you can get seen by your grandmama, your buddy who's a volunteer 1st responder, your friend's wife who's a nurse, or, if push comes to shove, the N.P. at the CVS Minute Clinic.
You never go full E.R. Gotta clip those coupons.
(Tongue in cheek.)
A couple years ago, I ended up in an ambulance due to what turned out to be a small urethra stone. At the hospital, I had an x-ray. When that didn't find the problem, they gave me a CT scan. Once they found the stone, they called in a urologist. I got a consultation, prescription, passed the stone later that day (it was tiny), and recovered very quickly. My total bill was 243'000 Korean won - just about $200 USD. I only had the mandatory insurance that was paid for by my employer. Something to the tune of $50 a month that they are legally required to pay.
The US's system is completely fucked. Broken beyond repair. I wish them luck.
In the US your 243000 would still be the correct amount, but it would be USD.
"Working as intended."
-Republicans
Make Congress abide by the healthcare they make us abide by and this will be fixed overnight.
They live on a different planet. Our representatives are completely out of touch and there's no bringing them back. For the few good ones there are 99 career polticians out there carving out a niche for themselves and their families.
Quite literally
On February 14 I met my max out of pocket for the year. I had an upper and lower GI taken which is the bulk of the cost. My insurance is already refusing to cover some of my diabetes medication, because some people use it to lose weight (Mounjaro). I need it to keep my A1C levels under 10. I already weigh the ideal weight for my height. Because it's so expensive and insurance doesn't cover it, I will end up going without for the rest of the year. My old insurance covered it, but my company switched insurance in January. New insurance has never equaled better insurance. I'm so tired of insurance being tied to my job.
I just want to make sure one of the options you tried was a different medicine. Doctors can be pretty good about playing the insurance game sometimes
I paid 1200 USD a month for a family of 3 for my health insurance to have the privilege of paying more a hospital bill.
I had to go to the ER because I slit my pinky on some glass and waited in the ER for 5 hours. They had to rip then dried blood and paper towel that was stuck on my finger because it took so long.
After all that, I had to pay 3000usd of my own money which didn't cover my minimum. Why DA FUCK DO I EVEN NEED INSURANCE!?!?!?
The fucking nurse on staff that came to help me for a few minutes was not within my network. Ya fuck that hospital too.
The fucking nurse on staff that came to help me for a few minutes was not within my network.
Oh, that's unfortunately quite common in the States -- the hospital itself might be in your network, but their own ER docs, etc. are technically contract employees who are not. So then you get out-of-network bills.
Imagine trying to sort through all this when, for example, you're having trouble breathing and need immediate medical care.
It's f**ked up, bad, and has been for years.
Remember when the liars were telling us that we wouldn't be able to choose our doctors without private insurance? We still cannot choose our doctors and also the ones chosen for us cost hundreds of thousands.
Remember when the liars were telling us...
Speaking of which, remember this whopper?
Apparently he's more comfortable with insurance company executives doing it.
For small wounds like that I generally recommend an urgent care clinic over the ER. Way cheaper and they can handle that shit. Save the ER for proper trauma.
It’s illegal for them to send you a bill because a provider isn’t your network. One of the few good things passed under Trump. Lmk if you need any specific help or information in disputing that bill.
Edit: assuming this ER visit happened on or after 1/1/2022. Or potentially earlier depending on your state.
If he thinks five grand is a big hospital bill, he's not living in the real world.
5 grand for something that can be fixed by quite literally buying salt and distilled water (obviously give or take a month, but that doesn't matter). Idk where you live but that shit is cheap where I am.
It's not that 5 grand is a big bill. It's that they're charging 5 grand for salt water.
Only $5000? Dude got lucky. Fuck American healthcare.
Fuck this joker. He’s the IDIOT that said, as the SURGEON GENERAL, “Seriously people - STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus, but if healthcare providers can’t get them to care for sick patients, it puts them and our communities at risk!” (Tweet was then deleted). He should lose his medical license and be imprisoned for the excessive number of deaths his lies caused.
When exactly did he say this? At the beginning of the pandemic when things were still uncertain?
I'm sorry, but I have to disagree with you if he said that at the beginning. To be clear, I know masks were an effective protection against the coronavirus. But at that time there was a lot of uncertainty, first, and second, he was half-right: there was a shortage of masks, and medical professionals needed them at a very critical time. I followed that advice. Then when the CDC said "oops, no actually DO wear masks!" I started wearing them.
So..... I'm not saying he was right. I'm just saying we should judge people in context. Don't pile him up with the true idiot anti-mask bundle.
Broken by design
I have a little experience with the medical billing system for this fantastic country that I'm lucky and unlucky enough not to live in (yes, both lucky and unlucky; different reasons).
It's messed up. There are band-aids in place to keep costs down for charges billed to medicare and medicaid, but that just makes the whole thing worse because it adds a lot of extra complexity and everyone else likely gets fleeced to make up for the new overhead. The medicare 8 minute rule itself isn't that complex, but add modifiers for activities performed by different providers (in therapy, this could be a PT and a PTA providing the same service, for different lengths of time, on the same visit)? It goes NUTS.
Single payer healthcare with optional private coverage would solve nearly everything. The cost to the patient first and foremost, but also the cost to the government itself, due to greatly decreased complexity. And private clinics and private insurance don't have to disappear, they can still provide more high-end services, or shorter wait times, for those who can ACTUALLY AFFORD IT.
Dr. Jerome Adams, who was the nation's top doctor from 2017 to 2021, said he was slammed with an almost $5,000 bill after being treated for dehydration at a Mayo Clinic emergency department, where he got labs and a few IV bags.
Awesome. I'm going there at the end of March.
Only $5000? He got lucky.
Oh look at that. The sky is blue. Oh, and water is... wet! It's wet everyone! Oh, no, not water, it's piss being thrown at us by our government's lack of representation, ethical apathy, and greed.
Really, did you need to go to the ER to know that? Shit has been broken for a while now.
Did he even get the full bill. Last time I went to an ER, I paid off something and then two years later got sent another bill. I called and said, this is a mistake, right? First lady said probably, everyone else said nope. This is your physician's bill. The other one was a hospital bill. I asked, why did I then get it for the first time after a visit from TWO years ago?? What was goin on in the mean time? "Oh we were transitioning companies, probably something to do with that?" I tried to fight it, I got a reduced price, but that was so insane to me
This isn’t news, it just underscores how out-of-touch some demographics are to what most of us deal with.
Yeah.. Because there's no place for downward pressure on health expenses. Hospitals are incentivized to raise prices as much as possible, because they know insurance companies will negotiate downwards. Insurance companies pass all costs back down to the pool while working as hard as possible to deny everything. Drug companies know they have a captive market, nobody else is making that medicine you need for survival so "Cha-Ching!". Employers are looking for the cheapest health plans possible which means the shittiest plans for their employees. And any company that sells medical equipment is looking at selling it for as much money as possible (or in a "package" that gets hospitals to overcharge on individually wrapped tylenol). Hospital Admins spend more time and money to make sure patients are charged $20 for a $0.10 pill than they trying to keep enough doctors and nurses on staff.
Medicare for all, that's the only way to start righting the ship here. Nationalizing the entire healthcare system would be the next step. It's beyond stupid that we run healthcare for profit.
As a Canadian, the idea of paying thousands, even in Canadian dollars, for a single healthcare visit, seems absolutely insane to me.
I can't imagine living under that kind of threat. I would be deathly scared of getting injured, by no fault of my own, and ending up in the poor house as a result. Forget having any.... More voluntary.... medical costs, like having a child. I couldn't imagine doing that knowing what it would cost me.
Honestly, if I was in that situation, I'd be scared of doctors too. Having to choose between having good health but being unable to afford the basics, or living with disorder or disease, would probably break me.
I read some senator or congress-person suggested before about doing medical tourism instead. Like you go visit Spain or Norway to get your knee or spine fixed for cheap.
This is the most Patrick Starr™ solutions I've ever heard for medical care.
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