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Originally Posted by Crow hunter
Originally Posted by wabigoon
Don't forget, the quality of the care.

Our health care system is fubar but the best quality care in the world has always been here in the USA. You have to be able to afford it, but it’s here. There’s a reason why if you drive by the airport in Rochester MN you’ll see a bunch of jets with Arabic writing on them. Those middle eastern sheiks didn’t go to Denmark, they flew twice as far to get here and they passed over a bunch of countries with socialized medicine to do it. If they do stop in Europe it’s at the American Hospital of Paris which is the only US accredited hospital in Europe and completely private, outside the French system. It’s also big $$$.

Your argument is completely valid, but the odds of Joe Blow getting care at the facilities in Rochester, MN are about the same as winning a $100,000 scratch ticket.

Joe Blow’s medical choices are a doc -in-the-box with a couple of harried PA’s or wait six weeks to see his family doctor, who will then refer him to a specialist with an 8 week wait.


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The USA model has been broken for at least three decades. It's not sustainable but the older I get the less I care.

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Originally Posted by STRSWilson
When you go in for anything, ask what is the self-pay rate. Most of the time its well below the insurance rate. Especially on imagining.

This is one example - https://radiologyassist.com/MRI.html

Went in for a medical test. At the time, I did NOT have Medicare. When the receptionist asked for insurance, I told her I was "cash pay".
The procedure was $5500.
Cash up front, cost was $1500!

Medicare has a schedule of payments. They have a specific payment for every procedure.
If you pay cash, most (not all) doctors will charge less than the Medicare schedule.
If you pay cash and file with Medicare, Medicare will pay more than the cash payment.
Medicare WILL NOT allow you to pay cash and tile with them. You could get rich.

EVERYtime I get a medical bill, my first question is, "What is your cash rate?".
Quite often, they will offer a significant discount. Last one gave me a 30% discount for prompt/cash payment.

Wife just had cataracts removed. Cash up front and Medicare was a significant savings.

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Originally Posted by BuckHaggard
The USA model has been broken for at least three decades. It's not sustainable but the older I get the less I care.

Yes sir. The ACA/Obamacare just threw gas on an existing dumpster fire.


“Life is life and fun is fun, but it's all so quiet when the goldfish die.”
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When I was working, I had employer paid health insurance. I paid the usual co-pays when service was rendered. Now I'm retired and on a fixed income. My insurance is still provided for by my (previous) employer, but Medicare has become my primary. Seeing that I paid into Medicare for the last 50 years I didn't think I'd be paying more now that I am receiving it. How wrong I was. I pay more for my health now than I ever did when I was working full-time.

Something is definitely wrong with this system.

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Originally Posted by Charlie-NY
When I was working, I had employer paid health insurance. I paid the usual co-pays when service was rendered. Now I'm retired and on a fixed income. My insurance is still provided for by my (previous) employer, but Medicare has become my primary. Seeing that I paid into Medicare for the last 50 years I didn't think I'd be paying more now that I am receiving it. How wrong I was. I pay more for my health now than I ever did when I was working full-time.

Something is definitely wrong with this system.

Actually, you paid for all of it while you were working. It was simply another way of compensating you for your work, given in lieu of higher wages. The upside is that such a benefit is usually not taxed so the employee comes out ahead.

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Originally Posted by Northman
Originally Posted by joken2
Denmark Population: 5.857 million (2021)

USA Population: 331.9 million (2021)


What does population have to do with it?


Everything...

California alone has almost twice the total population of Denmark on free Medicaid healthcare already and New York has a number equal to the entire population of Denmark on free Medicaid...

https://worldpopulationreview.com/state-rankings/medicaid-enrollment-by-state


Quote
...California has the highest number of Medicaid-enrolled individuals with 10,390,661. California has a total of 11,625,691 individuals in Medicaid and Children’s Health Insurance Programs (CHIP), an almost 50% increase since the first Marketplace Open Enrollment Period in October of 2013.

Here are the 10 states with the highest Medicaid enrollment:

California - 10,860,126
New York - 5,863,440
Florida - 4,735,250
Texas - 4,034,937
Georgia - 3,805,520
Pennsylvania - 2,980,867
Indiana - 2,787,617
Ohio - 2,687,107
Michigan - 2,476,774
Arizona - 1,791,620

Then there's this:

Denmark: #11 in the 2021 World Index of Healthcare Innovation


Quote
...Quality

Despite a life expectancy of 80.9 years, Denmark’s health care system ranks #19 overall in Quality. While Denmark has performed admirably in containing COVID-19 (#10, due to one of the lowest fatality rates of any European country in the Index), its ranking on measures of preventable disease (#18) indicates room for improvement to prevent hospitalizations and treat cardiac and cancer conditions. Additionally, Denmark needs a boost in infrastructure (#19), including more doctors, nurses and hospital capacity, to provide care at an optimal level.
Choice

Denmark ranks #24 overall for Choice. Though it has high access to new treatments, Denmark struggles to provide freedom to choose health care services (#29), largely because its citizens have only one option for insurance coverage while also having more restrictions on the choice of providers than most European countries. ...

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Originally Posted by MartinStrummer
Originally Posted by STRSWilson
When you go in for anything, ask what is the self-pay rate. Most of the time its well below the insurance rate. Especially on imagining.

This is one example - https://radiologyassist.com/MRI.html

Went in for a medical test. At the time, I did NOT have Medicare. When the receptionist asked for insurance, I told her I was "cash pay".
The procedure was $5500.
Cash up front, cost was $1500!

Medicare has a schedule of payments. They have a specific payment for every procedure.
If you pay cash, most (not all) doctors will charge less than the Medicare schedule.
If you pay cash and file with Medicare, Medicare will pay more than the cash payment.
Medicare WILL NOT allow you to pay cash and tile with them. You could get rich.

EVERYtime I get a medical bill, my first question is, "What is your cash rate?".
Quite often, they will offer a significant discount. Last one gave me a 30% discount for prompt/cash payment.

Wife just had cataracts removed. Cash up front and Medicare was a significant savings.
This is interesting!

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Originally Posted by KFWA
capitalism works when you have winners and losers in the market in competition with each other

The healthcare system is not incentivized to compete, the majority of people don't know what something is going to cost ahead of time and they are not encouraged to shop around. When you are facing a life or death decision, you aren't going to ask questions about how much is this going to cost - and the current system is designed to profit from that.
This is exactly right. The vast majority of Americans, me included, obtain healthcare with no idea as to costs. Nothing else we buy works that way. I price shop everything I buy except healthcare.

Th best government reforms would be forcing a price competition and disclosure mechanism within the healthcare industry.

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Daughter, when she was 18, needed surgery, BCBS 'might' not pay....

DRs said total if you have to pay is $7500.....

Surgery went well, the Bill, near $150,000, submitted to BCBS, DENIED 'this was elective'....

Appealed, making the case of 'Medical Necessity' with help of family physician, BCBS agreed to pay........

BCBS paid $7500 and everyone was happy........... !?!?!?!?

Some one gets to write off $147K.....

There's a scam in there somewhere...

The strange part, after the surgery and during the appeal process, daughter had scar revision surgery, scar from the 'denied' procedure..... BCBS paid for that with no question?????

Last edited by Muffin; 12/16/22.

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The bill for just an outpatient surgery is insane right now. Bills keep coming months after the procedure, with little to no explanation of the services provided. From a medical standpoint, it pays to be a member of the underclass these days. I hear they get to strut out without paying a thing. Just think of all the Mexicans working labor related jobs. They have to be getting injuries requiring surgery. Are they getting away with paying nothing?

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Sixty five dollars just to give a tetanus shot?


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A friend’s daughter was in the hospital for a needed procedure several years ago. Insurance was covering most all except for the copay amount. His wife noticed a charge for “Miscellaneous” on the bill for $800.

She called and asked about this and was told that it was a customary billing. She asked for the reason and told the hospital that she was going to inform their insurance company of issue unless she received an adequate explanation of the charge.

The billing office later replied that it was for necessary feminine use items.

John’s wife then asked what necessary feminine use items did a 4 year old girl require?

It was taken off of the bill.

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Originally Posted by Muffin
Daughter, when she was 18, needed surgery, BCBS 'might' not pay....

DRs said total if you have to pay is $7500.....

Surgery went well, the Bill, near $150,000, submitted to BCBS, DENIED 'this was elective'....

Appealed, making the case of 'Medical Necessity' with help of family physician, BCBS agreed to pay........

BCBS paid $7500 and everyone was happy........... !?!?!?!?

Some one gets to write off $147K.....

There's a scam in there somewhere...

The strange part, after the surgery and during the appeal process, daughter had scar revision surgery, scar from the 'denied' procedure..... BCBS paid for that with no question?????

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Originally Posted by RockyRaab
The root cause of high medical costs is insurance. It is a two-fold cause.

1. People opt for all kinds of unneeded or optional procedures/tests because "Insurance will pay for it."

2. Providers charge ridiculous amounts because "Insurance will pay for it."

Example: My wife recently had necessary surgery on two toes. The bill came to $70,000. And we haven't gotten the anesthesiologist bill yet. I forget the exact numbers, but Medicare and Tricare paid something like $8,000 - and that's what the doctor accepted. We owe nothing else.

Still the best answer. As long as the consumer has no “skin in the game”, there is no incentive to control cost and prices will continue upward. Make the patient directly responsible for a percentage of the cost and market forces come back into play. Nobody watches your money more carefully than you will. Dinesh D’Sousa has a great discussion of this on YouTube. Good call Rocky.

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Healthcare is a classic example of what happens to an industry when the government is the largest payer and has a direct role in limiting supply. Supply and demand applies to healthcare like every other good and service.



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Some people work crappy jobs if the insurance is good.

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Originally Posted by Whiptail
Healthcare is a classic example of what happens to an industry when the government is the largest payer and has a direct role in limiting supply. Supply and demand applies to healthcare like every other good and service.

I'm curious, how is the "supply" limited?

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Originally Posted by Northman
And Obamacare didn't create this mess...

No, but he fugged it up even more. I was paying $254 per month prior to Obamacare. It went to $1500 once he made it affordable. With the increased premiums and higher deductible I was an extra $22,000 out of pocket before they paid a dime. Thanks.


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From HeeHaw, Government aid, "They take a quart of blood from your left arm, and put in your right, and spill half of it on the way,"


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