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I agree with you on this. There are doctors who are moving away from taking health insurance all together and using membership models of care. There are some who have proven that this can be done for an affordable price to the consumer. I'd like to see more of this in terms of primary care. I'm still stuck on how this could work for the bigger things but I do believe that there are solutions that we could come up with that don't involve for profit insurance companies or the government.
And this can be a nice arrangement for both doc and patient. But the patients still need some form of HC insurance for the unexpected hospitalizations, expensive drugs, surgeries, emergencies and catastrophic.
This idea does fill a needed HC niche for both doc and patient, but will do little in controlling our overall HC costs. The big buck HC encounters still needing more conventional private for profit and public sector HC concerns will not be going away.
This is because government and corporations are in cahoots. Obamacare was a giant giveaway to insurance industries and the status quo. That is why I laugh at liberals who think that Obamacare is really "change," it's not, it's just ensuring that the insurance fat cats and the big pharma continue to get rich. The fact that hospital execs and administrators have gotten in on the action is not surprising.
Do you think Republicans would have been more receptive if the ACA included factors common elsewhere in the developed world? MD comprised Compariative - Effectiveness Panels, common in the rest of the developed world to determine medical protocols, were deemed " death panels" and eventually scrubbed from the final legislation. Republican majority Congress denied Medicare, the largest payer of prescription meds, the ability to negotiate prices twice in the decade before the ACA. Do you think Republican's would have been open to capping the reimbursement of mobility devices to a Walmart index?
The rest of the developed world does a better job of managing healthcare costs by imposing substantially greater government controls than does the US. No two countries do universial healthcare the same way. All do have common elements, compulsory insurance, government negotiation of prescription meds, government involvement in hospital fees and MD comprised Compariative - Effectiveness panels to determine protocols.
And this can be a nice arrangement for both doc and patient. But the patients still need some form of HC insurance for the unexpected hospitalizations, expensive drugs, surgeries, emergencies and catastrophic.
Yep, we absolutely would need to figure out solutions for the unexpected, surgeries, catastrophic, etc. That's the part that I believe that we could come up with some solutions for if we are willing to think outside of the current system. Maybe it would ultimately involve some sort of insurance or other cost sharing system. I'd love to hear ideas from anyone who has any.
However, we must be careful not to punish success or handcuff the job creators. These people may have relatively high incomes but by the time you get through paying taxes on $3-5 million there's not as much left as many people think.
Moreover, a rising tide raises all boats. The money these folks earn money will eventually find its way back into the pockets of the middle class.
lol.. no. taxes on 3 to 5 mill still leaves them with millions.
most of these people can afford to hire someone to shelter their money as well.
They have to manage hundreds of people from Drs. to Janitors and multi-million dollar budgets.
Senior hospital administrators in the rest of the developed world also manage hundreds ( thousands) of people from Drs to Janitors and multi- million dollar budgets.
What they don't generally do is compete, build the brand, acquire or destroy the competition and acquire medical practices( pipelines).
Senior hospital administrators elsewhere are not financially rewarded for laying off healthcare workers or negotiating a 1% raise for workers.
Whatever cultural, societal, or political problems drove all these people from the countries they were born in, will be brought to the USA, all their ****ed up problems, will become our problems now too.
My post referred only to illegal Mexicans for a very good reason. They above all epitomize the hypocrisy of those who would claim free market superiority in all things economic while "enticing/luring/coaxing/allowing" illegals to enter so that the so-called free market believers can avail themselves of the cheapest labour possible.
In other words hypocrites of the first order, creating the situation of job losses for their own demographic while claiming to be free market individuals ...the "I'm all right Jack; fugg you" types that are bringing your country down......definitely NOT those seeking a better life for themselves, as all immigrants since time began.
The same people show up on here shouting about how the CEO's paid huge salaries for overseeing outlandish profits made by insurance companies should not be pilloried because they're the engine driving the economy while they themselves busily go about negotiating the cheapest price possible for a new pool or walkway with someone they know cannot afford to turn the job down lest the "free marketer" turns them over to the INS.
They worship the CEO's because they identify with them every time they save a buck or two by screwing over somebody themselves. It's all about the perspective and which side of the chequebook you're standing on.
Baucus had the insurance industry write the damn bill.
It's forced insurance on every American. Insurance companies are going to get your money and your tax money for those that get subsidized.
FIRE economy...Finance..bubble and burst, RE..bubble and burst and now I...a never-ending revenue stream of premiums thanks to Obamacare.
The basis for universal healthcare in the rest of the developed world is compulsory, non discriminatory healthcare insurance. All subsidize the cost for low/ no income.
No two countries do healthcare the same. Some trend public single payer. Some use private insurers ( including subsidiaries of US insurers). And most have a combination of public and private insurance.
Some countries own and or operate most hospitals. Some rely on mostly private for profit hospitals and cap profit. In Japan, every other MD owns his own small bed neighborhood hospital.
Despites all the differences, most countries have equal or better outcomes at less cost than happens in the US.
The US survival rate for some Cancers is better than elsewhere. Given the majority of those with a Cancer diagnosis are 65 and older is a point in favor of Medicare.
Don't confuse them with reality when they get up a head of steam. lol.
ER doc in Miami is probably paying 150-200k a year for malpractice insurance.
Malpractice conditions and caps vary state to state.
One of the reasons so many practices are being acquired by hospitals in many parts of the country is that the hospital can negotiate a group malpractice rate versus an individual rate. The hospital determines the medical protocol, not the MD.
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