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As in "deal with Medicaid" do you mean improve it or do away with it or what?
well, i dont like to try to save the whole world at once. i want to just go in the right direction to get to a better place. so firstly, it would be to improve it. you may never be able to get rid of it but we could work towards reducing costs and improving quality.
well, i dont like to try to save the whole world at once. i want to just go in the right direction to get to a better place. so firstly, it would be to improve it. you may never be able to get rid of it but we could work towards reducing costs and improving quality.
Would you agree that more people enrolled in Medicaid or a Medicaid-style program would wield more bargaining influence for cost of treatments/procedures?
Would you agree that more people enrolled in Medicaid or a Medicaid-style program would wield more bargaining influence for cost of treatments/procedures?
no. you cant make that blanket claim especially when talking about government.
Then what's your reasoning for the US paying far more for health care and prescriptions than other countries that have universal healthcare?
i would need more information to address that.
do you want to pick a country to compare with the US? so how much does that country spend per enrollee on average and how much does the US spend? how about how much medicaid spends on average per enrollee?
Would you agree that more people enrolled in Medicaid or a Medicaid-style program would wield more bargaining influence for cost of treatments/procedures?
With doctors, it has an inverse relationship. Since many of us take a loss on medicaid patients, the more you give us, the more we will want to be paid. For me, my payer mix has a very reasonable amount of medicaid patients. I dont mind, and in fact, I feel like I am giving back. If you were to suddenly double my medicaid patients, in the absence of higher payments, I would have to stop accepting medicaid.
Would you agree that more people enrolled in Medicaid or a Medicaid-style program would wield more bargaining influence for cost of treatments/procedures?
Lone among western (and even some eastern) developed nations the United States does not have a full national health scheme. More to the point this country does not have what France, UK, Germany and others do; a board or whatever set up by government who sets/negotiates or whatever prices for *all* pharmaceuticals. Indeed laws were enacted that specifically prevent that sort of thing from ever happening.
Outside of Medicare/Medicaid, VA, and (IIRC) federal employee health insurance everything else is largely a free market. Various insurance companies, hospitals, healthcare networks or whoever all negotiate their own drug prices.
Lone among western (and even some eastern) developed nations the United States does not have a full national health scheme. More to the point this country does not have what France, UK, Germany and others do; a board or whatever set up by government who sets/negotiates or whatever prices for *all* pharmaceuticals. Indeed laws were enacted that specifically prevent that sort of thing from ever happening.
Outside of Medicare/Medicaid, VA, and (IIRC) federal employee health insurance everything else is largely a free market. Various insurance companies, hospitals, healthcare networks or whoever all negotiate their own drug prices.
Americans pay the highest drug prices in developed world. And Big Pharma isn't about to let that gravy train stop.
This is what I'm referring to more. We've allowed big pharma and all health care sectors to just dictate everything we pay with no limits. Why wouldn't they charge Americans more for something if there is nothing stopping them and it's the only thing that helps with a specific condition? I don't agree with allowing a free-market on everything, especially when it comes to the lives of people in this country. There needs to be something like what you've mentioned established in the US.
And no, I don't trust that our current government would get this done. It should, but I don't trust anyone to fix anything right now. One day hopefully, and maybe with more push depending on who we elect for the next President.
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