https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511963/
The reason administrative costs in the US are so high is because each hospital has to deal with many different insurance providers offering many different complex plans. Billing patients is incredibly complicated and time consuming. Some hospitals have to employ more billing staff than they do healthcare staff, to cope with this. This has absolutely nothing to do with government regulation and everything to do with the private insurance system in the US - countries with publicly funded healthcare have MUCH lower administration costs in every single case.
Another reason for the high costs is the high cost of drugs and medical equipment. Individual hospitals have very little bargaining power with big pharma so generally cannot negotiate prices well, which is also why costs vary so much across the country. Again this has nothing to do with government regulation and everything to do with the fact that healthcare is governed by individual private providers. Drug costs in other countries where the public sector negotiates said costs, are a fraction of in the US.
Another issue is physician compensation. Most physicians are compensated via fee-for-service type models, which lead to huge amounts of unnecessary visits, tests and treatments which rack up the costs while sometimes compromising necessary care or providing unnecessary care. Again nothing to do with muh government regulation.
These are what healthcare economists identify as the main causes of high healthcare costs in the US compared to other nations, based on the data. None of them are a problem of government, rather they are a problem of the for-profit system which is why they don't happen anywhere else.
Be honest with me man, you've never once researched this or committed any mental resources to it whatsoever. Some other conservative told you that healthcare is expensive because of muh government involvement which he heard from some other conservative which he parroted from some other equally ignorant cretin. And that's the extent of it.
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11-22-2019, 09:59 AM #451Misc Crypto Crew
BTC to $200k
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11-22-2019, 11:21 AM #452
Who exactly is stopping you from collective bargaining?
Also, If medical service in the US is such a money maker, then tell me why competing services aren't being offered and dropping the price? Pharmaceutical companies can set their prices as sky high as they want with no little to no consequences BECAUSE the government through over-regulation and picking the winners and losers, has made competition illegal.
How exactly would the country charging your medical services/care to other people lower the cost of said medical services?Last edited by Thankless; 11-22-2019 at 11:48 AM.
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11-22-2019, 11:31 AM #453
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11-22-2019, 11:55 AM #454
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11-22-2019, 11:58 AM #455
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11-22-2019, 12:20 PM #456
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11-22-2019, 12:29 PM #457
Telling everyone that taxation and public services are horrible while working in a public service funded by taxes is hypocritical. I just think healthcare needs a public option open to all, for which there's no hypocrisy if I work in an unrelated private industry.
You are a professional scam artist and not very smart to boot. Not sure why you are responding to me like I care.Misc Crypto Crew
BTC to $200k
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11-22-2019, 12:35 PM #458
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11-22-2019, 12:54 PM #459
For your first point, not entirely. Medicaid is actually incredibly complex to bill. Moreso than private. Medicare is less complex so you have two sides to it. You also have people abusing the system creating more administrative work so you have to take that into account. Alot of the admin costs are also passed down to hospitals and doctors and what not. Medicare/Medicaid also have a lot of regulations to sift through.
For your second point, and who created that environment for the big pharma to have such a monopoly? If you look at patent law loopholes it is almost criminal. We at least partially fund the bill for the government to develop new drugs in which licensing deals with pharma companies were made. Government is the biggest funder of early research into these drugs ... which is later funded through big pharma. People basically pay twice, through taxes that go into the development of the drug and for the actual drug itself. With all the regulations that go into developing a drug, combined with the lack of competition, government is a big reason why drug prices are high.
Third point, so how does introducing a socialized/universal model of health care where basically anybody can go as many times as they want for free prevent the amounts of unnecessary visits?
Alot of what you have identified is not necessarily rectified by shifting to a medicare-for-all model. Bernie Sanders and Elizabeth Warren have both put out Medicare for all plans but it isn't clear how all of that chit is going to be paid for? Bernie's plan covers only about 16-17 trillion of the conservative estimates of 30-40 trillion that it is going to cost over a decade. This is including the supposed savings. So unless he taxes the rich for 90% of their money, and everybody else for a lot more then he is proposing, this is not going to get covered. Warren's plan is a bit more mysterious as she doesn't go into specifics aside from im going to tax corporations and the rich. If some candidate actually came up with a more comprehensive plan on how they actually plan to fund it that is reasonable I think more people would be ears. How will imposed cost control by the government effect the quality of care provided by hospitals, supply of physicians, etc.
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11-22-2019, 01:33 PM #460
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11-22-2019, 03:46 PM #461
Actually reading the history of the healthcare system in the US is extremely interesting and instructive. It becomes immediately apparent that monopolies and government interference are what broke it. Specifically:
1910: the American Medical Association lobbied the states to strengthen the regulation of medical licensure and allow their state AMA offices to interfere with medical schools. The states have been subsidizing the education of the number of doctors recommended by the AMA.
1925: prescription drug monopolies begun after the federal government started allowing the patenting of drugs.
1945: buyer monopolization begun after the Roosevelt Administration exempted the business of medical insurance from most federal regulation, including antitrust laws.
1946: favored hospitals received federal subsidies.
1951: employers become the dominant insurance buyer after the Internal Revenue Service declared group premiums tax-deductible.
1972: the Nixon Administration started restricting the supply of hospitals by requiring federal certificate-of-need for the construction of medical facilities.
1974: the Employee Retirement Income Security Act exempted employee health benefit plans offered by large employers (e.g., HMOs) from state regulations and lawsuits (e.g., brought by people denied coverage).
1984: the Drug Price Competition and Patent Term Restoration Act permitted the extension of pharmaceutical patents beyond 20 years.Follow my 2018 competition prep here:
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11-22-2019, 05:42 PM #462
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