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So how do patients have that alleged power, especially in the case of emergencies? You are basically at the will and whim of the healthcare provider. The healthcare giants wont sign off on the arbiter/advocate and you know that. Well maybe for the extra time spent with the fights causing longer stays...
Like I said, there is no magic bullet, but thats the best answer I have, sorry. If you want to drag your feet until there is perfection, there will be no progress.
Like I said, there is no magic bullet, but thats the best answer I have, sorry. If you want to drag your feet until there is perfection, there will be no progress.
So basically sitdown, shut up, take it, and then pay it. Got it.
Ohh, so you don't have regulations to comply with, billing issues to deal with, underwriting to figure out premiums, claims people to deal with paying people. Its like magic, this is amazing! Sign me up!
I'm in Canada.
I had a mammogram today. I went up to the reception desk, showed my health card, had my mammogram and left. The office staff would presumably electronically bill the government for the visit at a scheduled fee. No other paperwork.
In the past I've been given requisitions for x-rays. I just go to the reception desk, show my health card, have the x-ray and leave. The office staff would presumably electronically bill the government for the visit at a scheduled fee. No other paperwork.
When I see my GP or a medical specialist to who I have been referred to by the GP, again I simply show my health card and they bill the government.
When I was in hospital a couple of years ago, I paid for nothing and no one at the hospital kept track of how much my stay cost. My discharge papers covered the medical side only e.g. which drugs I was being prescribed.
I'm not sure where you get the idea that there are "billing issues to deal with, underwriting to figure out premiums, claims people to deal with paying people." That's simply not true.
Doctors know what they can and cannot bill. For example, if the results of expensive test will not change treatment, then the cost probably will not be covered, and the doctor will not order the test.
So MAYBE we can save ALMOST 15%....like I said, this waste is only a small portion of the problem. Its just a bunch of estimates with clever wording to make it sound better than it will likely be.
Literally not even remotely close to what I said, whatever.
It is called reading between the lines. I've seen similar tones from other posts of your's too... Also others can corroborate said tone. That said, if that wasn't what you said, what exactly do you mean? I'll be fair and let you redeem yourself in figuring out a response to the lack of people being able to truly speak up in regards to medicine and medical practices.
I had a mammogram today. I went up to the reception desk, showed my health card, had my mammogram and left. The office staff would presumably electronically bill the government for the visit at a scheduled fee. No other paperwork.
In the past I've been given requisitions for x-rays. I just go to the reception desk, show my health card, have the x-ray and leave. The office staff would presumably electronically bill the government for the visit at a scheduled fee. No other paperwork.
When I see my GP or a medical specialist to who I have been referred to by the GP, again I simply show my health card and they bill the government.
When I was in hospital a couple of years ago, I paid for nothing and no one at the hospital kept track of how much my stay cost. My discharge papers covered the medical side only e.g. which drugs I was being prescribed.
I'm not sure where you get the idea that there are "billing issues to deal with, underwriting to figure out premiums, claims people to deal with paying people." That's simply not true.
Doctors know what they can and cannot bill. For example, if the results of expensive test will not change treatment, then the cost probably will not be covered, and the doctor will not order the test.
25 years ago I would never have considered a trade for HC systems between the US and Canada but escalating costs, advancing age and decreasing access to any plan makes me start to see the national interest served in having a single payer public HC system.
I still think the US could do just fine by creating a govt pool where people could buy insurance at affordable rates and not face denials (since preexisting conditions would wash out in a large pool). However what is on the table in Congress won't work. It will result in millions without Insurance - mainly the young, unhealthy and unemployed. It is not a good "solution".
Problem is states regulate insurers, not federal government.
For an insurer say in New Jersey to offer plans in New York it would have to meet that state's laws and mandates. New York has a pretty extensive "must include" list including everything from IVF to transgender. So if you are an insurer in New Jersey just what would you do differently to have lower costs than native plans already in existence?
On the flip side if you aren't going to offer anything better or different why would people bother signing up?
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