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  1. #451
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    Originally Posted by knightofday View Post
    This clown really just blamed the cost and inefficiency of private insurance on the private company and not the Government that created it through regulations. The whole system is slow inefficient and pricey because of government involvement, not from lack of it. You're trying to sound smart and well researched but you come off as an idiot to me srs.

    I vote to ban this idiot spewing lies and mis-truths from posting in this discussion. Just kidding, they should have their say Ill leave the censoring to the Left.

    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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  2. #452
    Registered User Thankless's Avatar
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    Originally Posted by isingmodel View Post
    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.


    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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  3. #453
    Cold Hearted SOB Dave22reborn's Avatar
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    Originally Posted by knightofday View Post
    This clown really just blamed the cost and inefficiency of private insurance on the private company and not the Government that created it through regulations. The whole system is slow inefficient and pricey because of government involvement, not from lack of it. You're trying to sound smart and well researched but you come off as an idiot to me srs.

    I vote to ban this idiot spewing lies and mis-truths from posting in this discussion. Just kidding, they should have their say Ill leave the censoring to the Left.
    He hates the private sector in general.
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  4. #454
    Registered User isingmodel's Avatar
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    Originally Posted by Dave22reborn View Post
    He hates the private sector in general.
    I work in the private sector bud, which is more than you can say for yourself. You're never earned a dime which didn't come from taxpayer money yet you sit talking about how awful the idea of publicly funded services are.

    You're known as dumb dave for a good reason.
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  5. #455
    Cold Hearted SOB Dave22reborn's Avatar
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    Originally Posted by isingmodel View Post
    I work in the private sector bud, which is more than you can say for yourself. You're never earned a dime which didn't come from taxpayer money yet you sit talking about how awful the idea of publicly funded services are.

    You're known as dumb dave for a good reason.
    You're right, I never worked in the private sector before I became a cop....

    Also, you working in the private sector kind of makes you a hypocrite.
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  6. #456
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    Originally Posted by isingmodel View Post
    You're known as dumb dave for a good reason.
    Dave is a superior person. Insults from you mean nothing.
    Helping one person may not change the world, but it could change the world for one person.
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  7. #457
    Registered User isingmodel's Avatar
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    Originally Posted by Dave22reborn View Post
    You're right, I never worked in the private sector before I became a cop....

    Also, you working in the private sector kind of makes you a hypocrite.
    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.

    Originally Posted by Mark1T View Post
    Dave is a superior person. Insults from you mean nothing.
    You are a professional scam artist and not very smart to boot. Not sure why you are responding to me like I care.
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  8. #458
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    Originally Posted by isingmodel View Post



    You are a professional scam artist and not very smart to boot. Not sure why you are responding to me like I care.
    Says a Jeremy Corbyn supporter

    Thankfully you are the only one that takes your posts seriously
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  9. #459
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    Originally Posted by isingmodel View Post
    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.
    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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  10. #460
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    Originally Posted by dazitmayn View Post
    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.
    Gotta pass it, to see what's in it.
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  11. #461
    Registered User sy2502's Avatar
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    Originally Posted by knightofday View Post
    This clown really just blamed the cost and inefficiency of private insurance on the private company and not the Government that created it through regulations. The whole system is slow inefficient and pricey because of government involvement, not from lack of it. You're trying to sound smart and well researched but you come off as an idiot to me srs.

    I vote to ban this idiot spewing lies and mis-truths from posting in this discussion. Just kidding, they should have their say Ill leave the censoring to the Left.
    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.
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  12. #462
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    Originally Posted by isingmodel View Post
    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.
    Please, you want free college, free healthcare, and UBI, and never give a logical answer on where all of this money is going to come from, to support your fantasy.

    I mean, Jesus Christ guy, tell us how you feel about Cortez, most people think she's a moron, you probably worship her.
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