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Old 03-08-2017, 02:05 PM
 
18,802 posts, read 8,474,425 times
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Quote:
Originally Posted by t206 View Post
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!
Sure you do. But single payer makes office work much easier. Not that I support single payer. Just saying. Presently we have to deal with multiple third party payers, and that is more complex and time consuming. Not so much for me the doc, but more office overhead costs to deal with.

 
Old 03-08-2017, 02:08 PM
 
12,772 posts, read 7,979,187 times
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Quote:
Originally Posted by Hoonose View Post
Sure you do. But single payer makes office work much easier. Not that I support single payer. Just saying. Presently we have to deal with multiple third party payers, and that is more complex and time consuming. Not so much for me the doc, but more office overhead costs to deal with.
I really don't see this impact being at all measurable. There is still a ton of work to be done that isn't just magically going away.
 
Old 03-08-2017, 02:08 PM
 
3,637 posts, read 1,699,281 times
Reputation: 5465
Yes, but the top 1% will sure enjoy their tax cuts ! That was the goal in the first place, and they got it.
 
Old 03-08-2017, 02:09 PM
 
2,003 posts, read 1,168,634 times
Reputation: 1949
Why are they in such a rush to vote on this bill? A week? That alone is reason to enough to vote no.
 
Old 03-08-2017, 02:11 PM
 
31,910 posts, read 26,989,302 times
Reputation: 24816
Quote:
Originally Posted by t206 View Post
https://en.wikipedia.org/wiki/List_o...United_Nations)

Population as of 2016:

3 United States Americas Northern America 324,118,787
38 Canada Americas Northern America 36,286,378
53 Australia[b] Oceania Australia and New Zealand 24,309,330

So by "large" when you compare to the US you mean ~10% of our population?

Nitpick all you like, but the fact Oz can manage to provide for even roughly 25 million while the USA has 40 million uninsured adults alone speaks volumes.


https://en.wikipedia.org/wiki/Health..._United_States
 
Old 03-08-2017, 02:16 PM
 
18,802 posts, read 8,474,425 times
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Quote:
Originally Posted by t206 View Post
I'm actually all for a big shake up, I think there is much to be gained by technology disruption in their model like we have seen with Uber, Airbnb, and Amazon. But I will still make the argument that today, and after a shake up there is much value that they provide that outweighs the bad aspects.
I don't see it coming soon. For the most part medical technologies have raised, not lowered, the costs of HC. Mainly because in medicine they have been so expensive, especially when new. And our aging demographics needs and grabs so much of the new technology. Then the technologies allow people to live longer, grabbing more...

Telemedicine might afford some savings. But not for the really expensive medical stuff and encounters.

Watson or other AI might supplant lesser HC providers and eventually docs. But that's a long way off from today. And the professional component of any medical test is but a part of the total reimbursement. So the cost of doing the test still remains.

With Uber and Amazon, the consumer has the necessary knowledge to make the purchasing decisions, possibly along with a bit of internet research. Not so often applicable to medicine. So many times there is a great deal of uncertainty in a medical encounter. And in many cases the patient does not or cannot know enough before seeing the doc. And even then the doc might not have the answers. A very large difference is that in medicine, it is the doc that actually makes the medical spending decision for the patient. For the good or bad, but that makes it more difficult for medicine to act as a more typical free market.
 
Old 03-08-2017, 02:16 PM
 
12,772 posts, read 7,979,187 times
Reputation: 4332
Quote:
Originally Posted by BugsyPal View Post
Nitpick all you like, but the fact Oz can manage to provide for even roughly 25 million while the USA has 40 million uninsured adults alone speaks volumes.


https://en.wikipedia.org/wiki/Health..._United_States
Nitpick!? Are you kidding? The difference between 300M+ people is not nitpicking. You made a wildly inaccurate claim, no backing out of that by placing the blame on me, sorry.
 
Old 03-08-2017, 02:18 PM
 
Location: North Carolina
6,957 posts, read 8,493,779 times
Reputation: 6777
Where are all of those European hoards storming the shores of America to get that so-called, "best-in-the-world healthcare"? I guess they must be happy with what they have! Funny, I never read about German or French folks having to declare bankruptcy because they couldn't pay their healthcare bills! Why is that?
 
Old 03-08-2017, 02:19 PM
 
12,772 posts, read 7,979,187 times
Reputation: 4332
Quote:
Originally Posted by Hoonose View Post
I don't see it coming soon. For the most part medical technologies have raised, not lowered, the costs of HC. Mainly because in medicine they have been so expensive, especially when new. And our aging demographics needs and grabs so much of the new technology. Then the technologies allow people to live longer, grabbing more...

Telemedicine might afford some savings. But not for the really expensive medical stuff and encounters.

Watson or other AI might supplant lesser HC providers and eventually docs. But that's a long way off from today. And the professional component of any medical test is but a part of the total reimbursement. So the cost of doing the test still remains.

With Uber and Amazon, the consumer has the necessary knowledge to make the purchasing decisions, possibly along with a bit of internet research. Not so often applicable to medicine. So many times there is a great deal of uncertainty in a medical encounter. And in many cases the patient does not or cannot know enough before seeing the doc. And even then the doc might not have the answers. A very large difference is that in medicine, it is the doc that actually makes the medical spending decision for the patient. For the good or bad, but that makes it more difficult for medicine to act as a more typical free market.
End of conversation as far as I'm concerned.
 
Old 03-08-2017, 02:20 PM
 
18,802 posts, read 8,474,425 times
Reputation: 4130
Quote:
Originally Posted by t206 View Post
I really don't see this impact being at all measurable. There is still a ton of work to be done that isn't just magically going away.
One system and one set of rules vs many. It might be measurable. But it won't make my world much easier. I won't be getting rich. And I will be more susceptible to wage constriction with less competition and choice with single payer.

One reason I still support a public option vs single payer.
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