Discussion in 'ObamaCare' started by Dont Taz Me Bro, Mar 4, 2018.
What was the reasons before the ACA?
There are times of the year that the exchanges are dead and there is literally no work to be done yet people still have to show up for work and still get paid..My wife bitches about how boring it is....
Fellow Americans, as a US Citizen living in Canada, I’m here to testify about health care from the Great White North: you’re doing it wrong south of the border. My taxes in Canada are no higher than they were in the US, but this care is what I get for them here. Universal coverage can and does work, in Canada and all over the world.
--Canada has about one tenth the population of the US--so it's easier to have that type of healthcare organized and implemented??
how much do they spend on the military vs US?
thanks for replies
6 Reasons Healthcare Is So Expensive in the U.S.
1. Administrative Costs
2. Drug Costs
3. Defensive Medicine
Yet another big driver of the higher U.S. health insurance bill is the practice of defensive medicine. Doctors are afraid that they will get sued, so they order multiple tests even when they are certain they know what the diagnosis is. A Gallup survey estimated that $650 billion annually could be attributed to defensive medicine. Everyone pays the bill on this with higher insurance premiums, co-pays and out-of-pocket costs, as well as taxes that go toward paying for governmental healthcare programs.
4. Expensive Mix of Treatments
U.S. medical practitioners also tend to use a more expensive mix of treatments. When compared with other developed countries, for example, the U.S. uses three times as many mammograms, two-and-a-half times the number of MRIs and 31% more Caesarean sections. This results in more being spent on technology in more locations. Another key part of the mix is that more people in the U.S. are treated by specialists, whose fees are higher than primary-care doctors, when the same types of treatments are done at the primary-care level in other countries. Specialists command higher pay, which drives the costs up in the U.S. for everyone.
5. Wages and Work Rules
Wages and staffing drive costs up in healthcare. Specialists are commanding high reimbursements and the overutilization of specialists through the current process of referral decision-making drives health costs even higher. The National Commission on Physician Payment Reform was the first step in fixing the problem; based on its 2013 report, the commission adopted 12 recommendations for changes to get control over physician pay. Now it is working with Congress to find a way to implement some of these recommendations.
“There is no such thing as a legitimate price for anything in healthcare,” says George Halvorson, the former chairman of health maintenance organization Kaiser Permanente. “Prices are made up depending on who the payer is.”
The Bottom Line
Most other developed countries control costs, in part, by having the government play a stronger role in negotiating prices for healthcare. Their healthcare systems don’t require the high administrative costs that drive up pricing in the U.S. As the global overseers of their country's systems, these governments have the ability to negotiate lower drug, medical equipment and hospital costs. They can influence the mix of treatments used and patients’ ability to go to specialists or seek more expensive treatments.
So far in the U.S., there has been a lack of political support for the government taking a larger role in controlling healthcare costs. The most recent legislation, the Affordable Care Act, focused on ensuring access to healthcare, but maintained the status quo to encourage competition among insurers and healthcare providers. This means there will be multiple payers for the services and less powerful control over negotiated pricing from providers of healthcare services.
Read more: 6 Reasons Healthcare Is So Expensive in the U.S. | Investopedia 6 Reasons Healthcare Is So Expensive in the U.S.
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Then they need to start paying. American citizens shouldn't have to pay more so Canada doesn't have to have a military. And I understand all the arguments against making other countries pay us for our military. I know it wont' be an easy fix but no one told Trump government would be easy. He assumed he would be able to fix everything and now he has to deliver.
Curiously the article compares premiums but not the content of the plans. The ACA mandated a higher level of care than what was previously available and increased the number of people covered so it makes sense that premiums would go up. What I'd like to know, and can't tell from the article, is whether total, annual, family health costs increased under ACA. I'd also like to know if the health of Americans did better once more were insured and going to the doctor.
I took my daughter to get her arm looked at --she twisted it or something
the doctor could not have talked to us for more than 5 minutes
overall charge: $200
and the arm wasn't broken or anything....
Why don’t doctors and dentists post their prices? This industry needs to be regulated and modernized and integrated into how the private market works. Show us your prices. How come they don’t show us their prices for things they do?
plus time per patient including Xrays etc--but not waiting time
waiting room content starts at 1:20 mark
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