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Respectfully, single payer does not solve the fundamental problem that health care costs too damn much - as much as 20 times more than it should, or more
Single payer does not solve the problem that he wholesale acquisition cost (WAC) for a 12-week course of ombitasvir-paritaprevir-ritonavir for Hepatitis-C is $76,653, which corresponds to a cost per day of $912.
Single payer does not solve the problem that an MRI scan is priced at 20 times more than it is across the border in Canada.
Single payer does not solve the problem that there are 2.5 trained billing clerks for every doctor, just to fill out the damn insurance paperwork.
The problem is NOT the insurance; the problem is the underlying price tag of health care in the USA.
Respectfully, single payer does not solve the fundamental problem that health care costs too damn much - as much as 20 times more than it should, or more
Single payer does not solve the problem that he wholesale acquisition cost (WAC) for a 12-week course of ombitasvir-paritaprevir-ritonavir for Hepatitis-C is $76,653, which corresponds to a cost per day of $912.
Single payer does not solve the problem that an MRI scan is priced at 20 times more than it is across the border in Canada.
Single payer does not solve the problem that there are 2.5 trained billing clerks for every doctor, just to fill out the damn insurance paperwork.
The problem is NOT the insurance; the problem is the underlying price tag of health care in the USA.
Good Lord. Think this through.
Single payer means that everyone is covered, so the hospitals and clinics don't have to overcharge those with insurance to cover the cost of care for those without coverage.
Canada has single payer. Maybe that's the reason their MRI scans are so affordable.
Single payer means that medical practices are not dealing with a dozen different insurance companies. Reimbursement could be done online, speeding up the process and cutting down on the number of billing clerks needed.
Insurance itself adds around 30% to the cost of care. Cut out the middle man and costs go down.
And, single-payer means, like Medicare, providers are limited to a set fee for their services.
The GOP plan is back to the future, as is so well-stated, here:
Quote:
Originally Posted by shamrock4
We have already had rural hospitals and clinics close in my state as the expansion of Medicaid was refused.
The state high risk pool was a joke - high premiums, little prescription coverage and too few doctors accepting that "insurance". Yes, people died - I knew at least two personally who just gave up and stopped trying to access care. They had chronic illnesses and eventually just were too worn out to constantlybattle the system.
Our state senators know that, as well as our legislature, as it has been well reported. They. Do. Not. Care.
We always had good company insurance and now are on Medicare, but the time has come for this patchwork of health insurance plans to give way to a single payer plan for health CARE. Insurance companies looking for huge profits, plus obscene salaries and bonuses for their execs, have milked this country dry. As a civilized country, it is time to accept health care as a right for all citizens, not as a money-making bonanza for big pharma and insurance companies.
Add to that, it isn't only big pharma and the insurance companies. Hospitals and providers also share a part of the blame.
A doc who posts on health insurance forum has said when docs agree be part of an insurance company network, they are NOT told what their reimbursements will be for a particular service ahead of time. So, over time, they play a game of submitting higher and higher charges until they discover how much a particular insurance company will pay for what service. This guessing game probably accounts for the ridiculous charges submitted v. actual reimbursement to the doc. Which leaves the uninsured exposed to these outrageous charges.
The opacity of the system is stunning.
Last edited by Ariadne22; 06-24-2017 at 04:02 PM..
I've been pointing this out for years. For voters, yes this is a problem. Granted, someone like Trump will acknowledge the problem but do nothing but (D)'s refuse to even admit there is a problem here.
Obama completely blew his opportunity to address the mess that is the V.A.
Can the next VA leader break the cycle of corruption?
We should NOT still be asking this question. I've pointed this out before........this gives those who are against UHC a winning argument against it. It MUST be addressed.
Its not even outright fraud lol. A lot of it is fraud that where the charge cant even really be levelled.
My primary care physician schedules 2 patients for every 15 minute window.
The majority of these appointments are "follow-ups" that imo are mostly unnecessary.
Majority of his patients are medicaire eligible. I'm sure they like the followups and extra attention.
Meanwhile he's charging and getting reimbursed 100's of dollars for these followups as well as copays.
How ironic and sad that the Republicans, the so-called conservatives who supposedly believe in individual freedom and limited government, create their own version of collectivism every chance they get. The two right-wing authoritarian parties in this country are a complete joke. Human freedom has no chance in the land of tyrants.
Just a perfect example of how evil and hateful Republicans are. Screw all the Americans who aren't in the top 2% is what this bill basically says.
And Republicans/Trump supporters love it. Their devotion to their god Trump and their hatred of liberals causes them to rejoice at Republicans destroying their lives and killing off their families.
Ironically, most people who will be hurt the most by this healthcare bill are Trump voters.
Republicans are evil??? Seriously, you know Hillary is more evil than Satan, right?
And, single-payer means, like Medicare, providers are limited to a set fee for their services.
The GOP plan is back to the future, as is so well-stated, here:
Add to that, it isn't only big pharma and the insurance companies. Hospitals and providers also share a part of the blame.
A doc who posts on health insurance forum has said when docs agree be part of an insurance company network, they are NOT told what their reimbursements will be for a particular service ahead of time. So, over time, they play a game of submitting higher and higher charges until they discover how much a particular insurance company will pay for what service. This guessing game probably accounts for the ridiculous charges submitted v. actual reimbursement to the doc. Which leaves the uninsured exposed to these outrageous charges.
The opacity of the system is stunning.
That is happening locally, here. I recently saw a statement that listed a charge for a routine office call at $400., with $100. actually paid by Medicare. A year ago, the same doctor and clinic billed $165. and was paid $85. So, if someone without coverage visited this clinic, this game of upping the charges to the breaking-point, would result in a $400. bill out-of-pocket. That's what would be facing the many millions who would have their coverage cancelled by the proposed legislation. How many former Trump-supporters will be generated by this debacle?
As a small business owner. My health insurance has been destroyed by the Obama disaster of healthcare.... 1000 a month for my family with high deductibles .. total garbage...
I don't care how it get done. GET RID OF OBAMACARE. It is a cancerous bill designed to destroy the middle class.
Yes because it's all about YOU in America!! The American people must answer to Jimmy! Maybe run a better business model so those costs aren't as hurtful to your wallet
I thought you cons and anti ACA-
types were ALL about high deductibles as the magic alternative to UHC. As long as someone other than YOU had to deal with high deductibles and health care costs, it's fine, right? The minute the self-proclaimed "better half" has high deductibles- get rid of the whole system. But if your employees had them and not You- you'd tell them to go find ANOTHER job and quit their entitled whining right?
I've been pointing this out for years. For voters, yes this is a problem. Granted, someone like Trump will acknowledge the problem but do nothing but (D)'s refuse to even admit there is a problem here.
Obama completely blew his opportunity to address the mess that is the V.A.
Can the next VA leader break the cycle of corruption?
We should NOT still be asking this question. I've pointed this out before........this gives those who are against UHC a winning argument against it. It MUST be addressed.
Seriously..do you think that fraud isn't committed against regular insurance companies as well? What about the car accident doctor mills who keep people in treatment for 'soft tissue injuries' for years? I'm not sure why you think this problem is unique to medicare and medicaid.
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Seriously, you know Hillary is more evil than Satan, right? 
