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Old 12-29-2019, 09:40 AM
 
15,431 posts, read 7,487,193 times
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Quote:
Originally Posted by Roselvr View Post
He had to wait his turn to be seen or something like that. Couldn't just go to any cancer center like we can
For stage 4 cancers, you have to look at overall statistics for all patients, and not single cases, as it's impossible to say whether or not a single patient would have survived with earlier treatment. I have some personal skin in this game, as I had a very rare(less than 100 per year in the US) stage 2 cancer that was fairly aggressive. I had to wait an extra month for radiation treatment while my doctors and the insurance company argued over whether proton therapy was appropriate.Medicare routinely approves proton therapy, while private insurers insist it's experimental and not medically necessary.
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Old 12-29-2019, 01:23 PM
 
Location: Haiku
7,132 posts, read 4,767,560 times
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Quote:
Originally Posted by Roselvr View Post
My hub beat stage 4 tonsil cancer that was HPV positive. Friends of ours in Canada, the husband had the same cancer but he died. No thank you to UHC
Who knows what all was going on with this anecdote? Anecdotes don't mean much when comparing healthcare systems. There are numerous orgs that track performance of healthcare by each country and Canada consistently beats the US. And not just Canada, but many countries with UHC beat the US.
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Old 12-29-2019, 01:40 PM
 
13,284 posts, read 8,452,873 times
Reputation: 31512
During a family members 3 month stint in three different hospitals..I had to hire a forensic accountant. With 100's of pages of Billings. Labs,specialist,testings. It was a hot mess. Never mind that insurance capped based on these figures and our family was already in grief from this family loss. Took over two months to clear up the Billings. The coding...the excessive billing for the same procedure by three different entities. Short story: over 25 per cent of the bill was duplicated line items. 20 per cent was accounting transposing.. and we finally had to take the billing to court. The insurance company just paid til it capped. We had to hold them accountable. I continue to stress to folks to check those bills...each line. Verify. Confirm and sometimes question that line item. To this day I still get ired that a doctor charged our insurance $200 to consult with another doctor for 4 minute phone call to ask if a certain med would be okay to prescribe. It wasn't a life saving med..it was not something that the pdr didn't already note. It was just another thing the physician was seeking to charge for charge sake.
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Old 12-29-2019, 01:51 PM
 
Location: equator
11,054 posts, read 6,643,077 times
Reputation: 25576
Quote:
Originally Posted by Roselvr View Post
He had to wait his turn to be seen or something like that. Couldn't just go to any cancer center like we can
What? You have to be "in network" in the U.S. Another way they scam you.

Plenty of long waits in the U.S. I had to wait 3 months for my hip replacement in Texas. Yes, painful.

I'm STILL getting "out of network" charges 4 yrs. later for somebody they snuck in. Not paying it.
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Old 12-29-2019, 01:58 PM
 
Location: equator
11,054 posts, read 6,643,077 times
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Quote:
Originally Posted by SanyBelle View Post
I seriously would like to hear an answer to this. How is medical care only $80 a month/no deductibles in your country? Is someone/something subsidizing it? TIA!
Because it is not "for profit" here. We do have a 12% VAT tax so maybe that plays into it. No other taxes though except for $45 property tax. After age 65, the VAT tax gets reimbursed. Also, no medical malpractice here, so that saves the doctors a lot and their medical school is not nearly so costly.

For those who can't afford the $80 charge, medical care is free.

I am so perplexed by the anti-UHC sentiment, when the whole rest of the world uses it.
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Old 12-29-2019, 04:00 PM
 
5,424 posts, read 3,490,487 times
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Quote:
Originally Posted by Sand&Salt View Post

I am so perplexed by the anti-UHC sentiment, when the whole rest of the world uses it.
I'm not against it. I just don't understand it enough. Is doctor's pay low in your country?
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Old 12-29-2019, 04:45 PM
 
8,007 posts, read 10,426,646 times
Reputation: 15032
Quote:
Originally Posted by Nov3 View Post
During a family members 3 month stint in three different hospitals..I had to hire a forensic accountant. With 100's of pages of Billings. Labs,specialist,testings. It was a hot mess. Never mind that insurance capped based on these figures and our family was already in grief from this family loss. Took over two months to clear up the Billings. The coding...the excessive billing for the same procedure by three different entities. Short story: over 25 per cent of the bill was duplicated line items. 20 per cent was accounting transposing.. and we finally had to take the billing to court. The insurance company just paid til it capped. We had to hold them accountable. I continue to stress to folks to check those bills...each line. Verify. Confirm and sometimes question that line item. To this day I still get ired that a doctor charged our insurance $200 to consult with another doctor for 4 minute phone call to ask if a certain med would be okay to prescribe. It wasn't a life saving med..it was not something that the pdr didn't already note. It was just another thing the physician was seeking to charge for charge sake.
It's not just the insurance companies. Hospitals over bill too. Don't forget that they are for-profit businesses too. My SIL is an insurance lawyer (health insurance). I've had to have her call both insurance companies and hospitals to get things straightened out on more occasions than I can count. After my Dad died, we got a bill from the hospital that we knew was wrong. She had to get involved. They were over billing the insurance company by $30,000. The hospital insisted the bill was valid until a lawyer got involved, when suddenly they realized their "error."

Don't get me wrong, insurance companies are just as bad. She says they routinely deny claims without even looking at them because they hope people just won't pursue it.
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Old 12-30-2019, 05:05 AM
 
9,952 posts, read 6,674,272 times
Reputation: 19661
Quote:
Originally Posted by CarnivalGal View Post
It's not just the insurance companies. Hospitals over bill too. Don't forget that they are for-profit businesses too. My SIL is an insurance lawyer (health insurance). I've had to have her call both insurance companies and hospitals to get things straightened out on more occasions than I can count. After my Dad died, we got a bill from the hospital that we knew was wrong. She had to get involved. They were over billing the insurance company by $30,000. The hospital insisted the bill was valid until a lawyer got involved, when suddenly they realized their "error."

Don't get me wrong, insurance companies are just as bad. She says they routinely deny claims without even looking at them because they hope people just won't pursue it.
Most hospitals are non-profits. They have to cover the cost of uninsured patients, so those with the most uninsured patients tend to overkill the other (insured) patients more than hospitals that cover more insured patients to keep themselves from going under.
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Old 12-30-2019, 01:04 PM
 
8,007 posts, read 10,426,646 times
Reputation: 15032
Quote:
Originally Posted by RamenAddict View Post
Most hospitals are non-profits. They have to cover the cost of uninsured patients, so those with the most uninsured patients tend to overkill the other (insured) patients more than hospitals that cover more insured patients to keep themselves from going under.
Good read:

https://thehealthcareblog.com/blog/2...ofit-hospital/
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Old 01-02-2020, 06:19 PM
 
2,222 posts, read 1,326,475 times
Reputation: 3396
Has anyone done a cost comparison of the various specific medical surgical procedures of the different states?
If a visit to the ER in the U.S. amounts to US$5,000, then local ER in Vancouver, B.C. for foreigners and non-residents is only C$1,015 per visit.


We also have Accredited non-Hospital Medical Surgical Facilities in British Columbia
Call them up for a price estimate.
https://www.cpsbc.ca/files/pdf/NHMSF...Facilities.pdf
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