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Old 01-08-2018, 05:03 PM
 
Location: Arizona
6,137 posts, read 3,866,449 times
Reputation: 4900

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Even in the winter-time now it looks the medical system is on the verge of collapse during the seasonal cold and flu season

Severe flu brings medicine shortages, packed ERs and a rising death toll in California - LA Times

Obesity is up 169% since 1990. Back in the 1990s, 9 states had obesity rates below 10%. Now, half of all states have obesity rates over 30%.

https://obesity.procon.org/view.reso...ourceID=006026

The over 65 population is expected to increase from 47 million in 2015 to 72 million by 2030, so that means that there will be an increase of 25 million seniors from 2015 to 2030 at the very least..

https://www.census.gov/content/dam/C.../cb17-ff08.pdf

https://www.census.gov/prod/2014pubs/p25-1140.pdf

There is also going to be huge increases in international travel which makes the nation more likely to have third-world epidemics

It is also inevitable that Medicare and Medicaid reimbursement rates will likely decrease, which means that commercial health insurance rates will likely have to skyrocket with the lions share of the cost going to employers.
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Old 01-08-2018, 05:24 PM
 
18,804 posts, read 8,477,217 times
Reputation: 4130
Quote:
Originally Posted by lovecrowds View Post
Even in the winter-time now it looks the medical system is on the verge of collapse during the seasonal cold and flu season

Severe flu brings medicine shortages, packed ERs and a rising death toll in California - LA Times

Obesity is up 169% since 1990. Back in the 1990s, 9 states had obesity rates below 10%. Now, half of all states have obesity rates over 30%.

https://obesity.procon.org/view.reso...ourceID=006026

The over 65 population is expected to increase from 47 million in 2015 to 72 million by 2030, so that means that there will be an increase of 25 million seniors from 2015 to 2030 at the very least..

https://www.census.gov/content/dam/C.../cb17-ff08.pdf

https://www.census.gov/prod/2014pubs/p25-1140.pdf

There is also going to be huge increases in international travel which makes the nation more likely to have third-world epidemics

It is also inevitable that Medicare and Medicaid reimbursement rates will likely decrease, which means that commercial health insurance rates will likely have to skyrocket with the lions share of the cost going to employers.
Our HC costs will continue to rise and HC will continue to consume more of a percentage of our GDP moving forward for all sorts of reasons. If we do not spend/plan for the necessary future HC related infrastructure and providers, the system will buck.
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Old 01-08-2018, 05:27 PM
 
34,279 posts, read 19,380,515 times
Reputation: 17261
Meanwhile countries with universal healthcare spend half of what we do for comparable results...
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Old 01-08-2018, 05:30 PM
 
Location: Arizona
6,137 posts, read 3,866,449 times
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Quote:
Originally Posted by Hoonose View Post
Our HC costs will continue to rise and HC will continue to consume more of a percentage of our GDP moving forward for all sorts of reasons. If we do not spend/plan for the necessary future HC related infrastructure and providers, the system will buck.
Wonder if the spending will be Medicare, Medicaid or from employer insurance?

It seems like Medicaid and Medicare reimbursement rates will likely decrease, so the difference will have to be made with increased commercial employer insurance rates.

Looks like as of 2017 employer-based annual premium cost is 18,764, will be interesting to see what that number is 2030 when there are 25 million more seniors, obesity-rates continue to increase and medicare and medicaid reimbursement rates are likely to decrease.

https://www.kff.org/health-costs/rep...nefits-survey/
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Old 01-08-2018, 05:35 PM
 
Location: Arizona
6,137 posts, read 3,866,449 times
Reputation: 4900
Quote:
Originally Posted by greywar View Post
Meanwhile countries with universal healthcare spend half of what we do for comparable results...
https://obesity.procon.org/view.reso...ourceID=004371

Most of them have about one-third of the obesity rate of the United States and many of the obese in those countries are likely in much better shape than here in the States.

Seems like many of those buying $5 million plus mansions are doctors and then there are $85 nurses in parts of the nation also.

http://www.nationalnursesunited.org/101-salaries

I doubt those countries with government health-care have doctors buying massive mansions and nurses in many cities making well into the six-figures.
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Old 01-08-2018, 05:48 PM
 
34,279 posts, read 19,380,515 times
Reputation: 17261
Quote:
Originally Posted by lovecrowds View Post
Most of them have about one-third of the obesity rate of the United States and many of the obese in those countries are likely in much better shape than here in the States.
Please. Trying to blame Americans for it is kind of transparent. Most of them arent paying 3-16X the price for top selling drugs either.

Costs of comparable surgeries-similarly high. These things have NOTHING to do with obesity,and everything to do with costs.

Its not about obesity, its about the actual costs. Plus we add in a middleman thats all about making money.

The obesity argument is simply put, a attempt at a morality play that is unsupported by facts.
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Old 01-08-2018, 05:53 PM
 
Location: Eastern Tennessee
4,385 posts, read 4,393,204 times
Reputation: 12689
Medical corporations (both 'for profit' and non-profit) will increasingly rely on primary care provided by nurse practitioners and physician assistants. I expect they will even arrange to pay the way for NP students through school in exchange for long term contracts. I also expect they will figure out a way to triage non emergent patients out of the ER and into urgicare clinics on campus so ER crews aren't backlogged trying to treat colds and flu.
Medical doctors will more and more become secondary and tertiary care providers.


The government (both state and federal) may even lead in this shift toward more non-physician primary care.

We will probably continue to see more and more foreign trained medical graduates who may be willing to work for medical systems for lower salaries.
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Old 01-08-2018, 05:54 PM
 
45,232 posts, read 26,457,645 times
Reputation: 24993
It doesnt matter what other countries have, our health care system system is what it is due to govt meddling. The last thing we need to do is turn the keys over to it.
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Old 01-08-2018, 05:54 PM
 
5,719 posts, read 6,449,725 times
Reputation: 3647
Quote:
Originally Posted by greywar View Post
Meanwhile countries with universal healthcare spend half of what we do for comparable results...
There is some savings in having an economy of scale, but mostly that comes from rationing.

Americans are used to “I’ll go to whatever damn doctor I want whenever I want for whatever reason I want, and twice on Sundays.” The savings come in when you take away that consumer choice. Americans just won’t tolerate it.
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Old 01-08-2018, 07:06 PM
 
18,804 posts, read 8,477,217 times
Reputation: 4130
Quote:
Originally Posted by lovecrowds View Post
Wonder if the spending will be Medicare, Medicaid or from employer insurance?

It seems like Medicaid and Medicare reimbursement rates will likely decrease, so the difference will have to be made with increased commercial employer insurance rates.

Looks like as of 2017 employer-based annual premium cost is 18,764, will be interesting to see what that number is 2030 when there are 25 million more seniors, obesity-rates continue to increase and medicare and medicaid reimbursement rates are likely to decrease.

https://www.kff.org/health-costs/rep...nefits-survey/
All will increase, Medicare and Medicaids slower increase due to central controls. The rates and differences are always being negotiated by third parties and providers.

An obesity pill, essentially an early satiety pill, if safe and effective would be worth $T's!
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