Some fixes that might help to control medical costs

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Old Texas Reb, Jul 19, 2018.

  1. Old Texas Reb
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    Old Texas Reb Member

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    1. Give Medicare the right to negotiate drug prices directly with the manufacturers as the VA does, eliminating the Pharmacy Benefit Managers and other middlemen.
    2. Require hospitals, doctor's offices and pharmacies to CLEARLY post the prices (with & without insurance) of the most common medical procedures, prescriptions and insurance copays at their places of business. That way patients can comparison shop and know what their out of pocket costs will be. Also require that patients be able to get a cost estimate from the provider of more complicated services UP FRONT before making a decision on treatment.

    Would you sign a contract for remodeling your house without an estimate of the cost up front?
     
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  2. Kosh
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    Kosh Quick Look Over There! Supporting Member

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    • Informative Informative x 1
  3. Desperado
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    Desperado Gold Member

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    Prohibit Prescription drug commercials, if you can;t buy it without a prescriptin you can't advertise it at all
     
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  4. candycorn
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    candycorn Alis volat propriis

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    Ewwww look dear, there is a special on the quadruple by-pass. Forget that double that your doctor recommended.
     
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  5. Markle
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    Markle Gold Member Gold Supporting Member Supporting Member

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    Yes, Medicare should be able to negotiate prices.

    People will not comparison-shop unless the money is coming out of their pocket.

    Impossible to get a cost estimate of more complicated procedures. Too many things can happen or go wrong. 103 years ago I went in for a simple appendectomy. No big deal, most surgeons could probably do it blindfolded. I was in surgery for almost five hours.

    A far more doable and effective would be tort reform. I don't feel that many things in England are better than the United States but we do need to adopt their civil suit judicial policies. Briefly, loser pays. If I sue you, and I lose, I pay your legal fees and my own. It does not prohibit an attorney from taking a case on a contingency basis. However, they and/or their client will pay the defendants costs if the plaintiff loses.

    The medical field especially is the victim of countless frivolous lawsuits. Many know they have no serious case but know that the deep pockets will pay something to just make them go away.
     
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  6. Markle
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    Markle Gold Member Gold Supporting Member Supporting Member

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    I agree it is illegal to advertise hard alcohol and cigarettes. Both items are legal over the counter products if you meet the drinking age.
     
  7. dblack
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    dblack Gold Member

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    If someone else was paying for it? Maybe. Why would I care?
     
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  8. Dan Stubbs
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    Dan Stubbs FORGET ---- HELL

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    They need to look into price gouging and price fixing.
     
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  9. dblack
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    dblack Gold Member

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    You all have it backwards. Price transparency isn't the problem, it's merely a symptom. The reason doctors get away with hiding their prices, or even 'gouging' or 'price-fixing', is that health care consumers don't care. They're not spending their own money. If anything, the cost incentives are reversed. Once you've gone past your deductible, you might as well choose the most expensive option at every opportunity.

    This would help, but Congress will never vote for it:

    Free Our Health Care, Stop Big Insurance
     
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  10. Cecilie1200
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    Cecilie1200 Diamond Member

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    How is withholding information from the actual healthcare consumers - the patients - helpful?
     

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