^^Preach on, brother^^
I had to get an MRI a few years back. The hospital charged me $10,000. More recently, I needed stitches -- $2000. Luckily, I was able to get approved for charity care, so both bills were covered 100%; but that's not a solution to our nation's health care problems. I am grateful for the charity, but we need a permanent solution.
A) There are NOT 47 million "uninsured" which was the fallacy used to pass ACA!
B) There are after subtracting 10 million that are NOT citizens, 14 million that ARE insured under Medicaid, and the biggest fallacy 18 million under age 34, that earn over $50k and PAY their health bills out of pocket... they are counted WRONGLY!
C) THUS THERE are less then 6 million truly uninsured that need coverage!
If that number had been used AND the acceptance that rising health insurance premiums were a direct result of hospitals that "padded and Passed" on to Medicare BECAUSE Medicare dictated in 1986 any hospital taking Medicare HAD to see any "uninsured" patient.
EMTALA!
Hospitals then began to do and PLEASE tell me what city you live in and I"ll show you the outrageous MARKUPS as you pointed out for MRIs that cost the hospital sometimes 5,000% less to do then they charged Medicare/insurance AND YOU!
For example
It cost Mount Sinai Medical $218 to do a MRI for which they billed Medicare $3,742 -- Markup 1,716%!
At Orlando Regional an MRI cost them $254.--BUT they billed Medicare $3,625 --Markup 1,427%!
Medical City in Dallas billed Medicare an average of $3,425 for 485 MRIs that cost them $189 each --A Markup 1,711%!
So the solution is "Uncompensated Health Insurance Services" (UHIS) a for profit under contract with the government that requires:
A) Lawyers pay 10% tax (after all ACA taxes tanning salons!!) Revenue $10 billion
B) Hospitals 10% premium of $60 billion "uncompensated care" Revenue $6 billion
This $16 billion is then used to provide the truly 6 million uninsured PREMIUM at $3k each.
All hospitals seeing "uninsured" must register the uninsured with UHIS and send the claims to UHIS!
PROBLEM solved because hospitals then can't "pad and pass" on to Medicare/private insurance and YOU the costs of servicing the "uninsured"! It would be illegal!
In 2008 28,000 MRIs were performed.
if at the average of the above $3,597 that figure was reduced because "padding and passing on was NOT accepted by Medicare but a modest markup of 300% or a bill sent
to Medicare/insurance/YOU of $661 instead of $3,597..
SAVINGS on 28,000 MRIs: $82 million.. and that's just on MRIs!
Medicare costs would decline. Private Insurance would decline! You wouldn't have to beg for charity!
All because
A) recognition there are less then 6 million NOT 47 million "uninsured"
B) Padding and passing markups of 1,000% illegal.
C) Lawyers reducing their lawsuits which GENERATED $600 billion according to 90% of physicians in "DEFENSIVE MEDICINE" costs each year!
All by recognizing the REALTY of the problem... EMTALA!!