Widgets Magazine
Page 23 of 23 FirstFirst ... 181920212223
Results 551 to 562 of 562

Thread: Obamacare

  1. #551

    Default Re: Obamacare

    Quote Originally Posted by Eric View Post
    So much this. My biggest peve about the health care industry is that you don't know the price until after you have received the service. This is the biggest sham ever. When they first started trying to sell Obamacare, I thought this was going to be a focus. Alas, it was just a sell out to insurers.
    Sure, but a lot of the lack of transparency is driven by (i) multiple payers, each of whom has negotiated different reimbursement rates with the physician groups and hospitals; (ii) the inherent uncertainty of each medical procedure; (iii) the large number of people who either don't pay because of EMTALA or because they've otherwise proven themselves to be deadbeats; and (iv) the medical coding/billing process which has proven itself to be an absolute nightmare.

    It's just much more complicated than purchasing a used car from one dealership or another. If there was an easy solution, I'd like to imagine it would have been implemented already.

  2. #552

    Default Re: Obamacare

    Quote Originally Posted by Midtowner View Post
    I don't believe the premise is true that it's an either or thing. We can have decent MRIs and not have to pay $14,000 for one. We could have lower costs and the same or better standard of care. I know this because the rest of the developed world already has this.
    You can believe what ever you want. It's just the opposite of how reality works in every other situation. There are very VERY few exceptions.

    And yes MRI's may cost $14k at one provider, but they may cost $200 bucks across the street. This has been shown to exist (maybe not this very example, but wild variances within the same zip code). You can't just talk about prices as if they are some universal thing across the industry.

  3. #553

    Default Re: Obamacare

    Quote Originally Posted by Midtowner View Post
    If you're in a car wreck and have to be mediflighted to the nearest level 1 trauma center, where you undergo hours of life saving emergency surgery, I'm pretty sure all of those providers are going to simply charge you the maximum they think they can get away with. The helicopter ride alone will set you back $25,000, conservatively. The rest of those injuries, what is not covered is probably going to be enough to wipe out all of the equity in your house if you pay it. You will not have shopped for the best value. There is no free market here.

    Your money or your life is not a negotiation the patient will ever be treated fairly in.
    ER care, actual emergent care, represents a very small proportion of medical spending. By and large medical services are planned in advance.

  4. #554

    Default Re: Obamacare

    Quote Originally Posted by chuck5815 View Post
    Sure, but a lot of the lack of transparency is driven by (i) multiple payers, each of whom has negotiated different reimbursement rates with the physician groups and hospitals; (ii) the inherent uncertainty of each medical procedure; (iii) the large number of people who either don't pay because of EMTALA or because they've otherwise proven themselves to be deadbeats; and (iv) the medical coding/billing process which has proven itself to be an absolute nightmare.

    It's just much more complicated than purchasing a used car from one dealership or another. If there was an easy solution, I'd like to imagine it would have been implemented already.
    I do understand that it is complicated. I just think there are some things that could be done to further the goal of transparency. I'm not sure who is really against them. The spread of cash only clinics makes me think the doctors would just as soon price out their run of the mill services. This would probably address a huge part of overall services. I understand some circumstances dictate a more complicate bill. Granted. I just think that is a small portion of the overall services, and why should we base our whole system off of a minority.

  5. #555

    Default Re: Obamacare

    Quote Originally Posted by Eric View Post
    You can believe what ever you want. It's just the opposite of how reality works in every other situation. There are very VERY few exceptions.
    You say this, yet multiple countries have very successfully implemented universal health care. They spend less on it than we do and they get similar outcomes. Why are you against paying less money to get the same thing? The insurance market and healthcare market are structurally incapable of addressing the long term reality that they can't continue to increase prices by double digits every year without something eventually breaking.

  6. #556

    Default Re: Obamacare

    Quote Originally Posted by Midtowner View Post
    You say this, yet multiple countries have very successfully implemented universal health care. They spend less on it than we do and they get similar outcomes. Why are you against paying less money to get the same thing? The insurance market and healthcare market are structurally incapable of addressing the long term reality that they can't continue to increase prices by double digits every year without something eventually breaking.
    They spend less and have the quality of care they have largely because of our system and the way it works (almost the opposite of theirs). You act like the decision made would happen in a static environment with absolutely no repercussions on anything else. The health care sector is ****ing huge. It touches a ton of stuff.


    Honestly what makes you think that this would work, when it doesn't work in any other industry. I mean it will be like public housing. It's ok, and it won't kill anyone. But that's not really what we want. People are going to expect the level of care we have now for less money. And that just ain't gonna happen. There aren't really unicorns and **** out there either.

  7. #557
    Join Date
    May 2008
    Posts
    12,660
    Blog Entries
    3

    Default Re: Obamacare

    Quote Originally Posted by OKC Guy View Post

    One example I can give is drivers liscense and reg renewal. Having lived in other states where their state runs these offices its pitiful. Plan on at least half a day of waiting with rude uncaring workers. In OK I can go in anywhere I want and get no line, immediate help, smiling faces and great customer service. In and out in 15 or so minutes. Quite a diff Gov vs Private.
    No way is that fully true. At my local tag agency, I've learned to try to avoid coming there on Fridays to avoid a long wait.

  8. #558

    Default Re: Obamacare

    Quote Originally Posted by Midtowner View Post
    You say this, yet multiple countries have very successfully implemented universal health care. They spend less on it than we do and they get similar outcomes. Why are you against paying less money to get the same thing? The insurance market and healthcare market are structurally incapable of addressing the long term reality that they can't continue to increase prices by double digits every year without something eventually breaking.
    Give examples. What countries? What are the taxes the citizens in those counties have to pay? How is the quality of healthcare? How long do you have to wait to see a specialist?

  9. #559

    Default Re: Obamacare

    Quote Originally Posted by Midtowner View Post
    If you're in a car wreck and have to be mediflighted to the nearest level 1 trauma center, where you undergo hours of life saving emergency surgery, I'm pretty sure all of those providers are going to simply charge you the maximum they think they can get away with. The helicopter ride alone will set you back $25,000, conservatively. The rest of those injuries, what is not covered is probably going to be enough to wipe out all of the equity in your house if you pay it. You will not have shopped for the best value. There is no free market here.

    Your money or your life is not a negotiation the patient will ever be treated fairly in.
    Thats a very good point. But I would add:

    1. Emergency care is a small amount of overall medical care

    2. I don’t have all the answers but maybe this is where some type of supplemental insurance or states could help? EMSA is already an add in to water bill which covers the ride. Would have to get creative in the actual emergency care.

    Which leads me to Obamacare. Everyone agrees there was problems in existing system but instead of focusing on smaller parts that were bigger problems Obama redid the while thing. Thats where it failed. All of it was not broken. So if we tackle the weak segments of private care maybe we can find better solutions. Heck, had we just tackled uninsured alone maybe we find some solutions that all/most were willing to help with. I think most would be more willing to help supplement costs for uninsured and if we did that alone it would have helped the medical system overall too, which may have dropped costs for those with insurance. Mandating insurance was the wrong approach imo.

  10. #560

    Default Re: Obamacare

    Quote Originally Posted by OKC Guy View Post
    Thats a very good point. But I would add:

    1. Emergency care is a small amount of overall medical care

    2. I don’t have all the answers but maybe this is where some type of supplemental insurance or states could help? EMSA is already an add in to water bill which covers the ride. Would have to get creative in the actual emergency care.

    Which leads me to Obamacare. Everyone agrees there was problems in existing system but instead of focusing on smaller parts that were bigger problems Obama redid the while thing. Thats where it failed. All of it was not broken. So if we tackle the weak segments of private care maybe we canfind better solutions. Heck, had we just tackled unisured alone maybe we find some solutions all or most were willing to help with. I think most would be mlre willing to help supplement costs for unisured and if we did that alone it would have helped the medical system overall too, which may have dropped costs for those with insurance. Mandating insurance was the wrong approach imo.
    That use to be what insurance was for before it became necessary for every little thing. The fact that we still call insurance, insurance is a joke really.

    For the old timers or historians, in what decade did it pretty much became impossible to pay out of pocket?

    On a related note at what point did education become a second mortgage after graduation.

    Things are going to change this century one way or another.

  11. Default Re: Obamacare

    Quote Originally Posted by Bunty View Post
    No way is that fully true. At my local tag agency, I've learned to try to avoid coming there on Fridays to avoid a long wait.
    The two-step system of getting DLs here in OK is stupid and horribly inefficient, I much prefer the way it was when we lived in IL and WA - no long lines, no rude workers, just go in one office, do everything, walk out with a DL 15 minutes later. No way OK's system compares to that one, just by its very nature. Of course, once you've gotten one, it's easy enough to renew, but getting one initially when we moved back was painful.

  12. #562

    Default Re: Obamacare

    Considering nothing has been done, so far, to create an acceptable compromise plan, perhaps dumping the entire thing will be the only way to force the sides to do something.

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Obamacare keeps getting better every day.
    By OKCretro in forum Politics
    Replies: 2
    Last Post: 11-21-2013, 02:34 PM
  2. Obamacare implementation
    By PennyQuilts in forum Politics
    Replies: 122
    Last Post: 08-27-2013, 10:42 PM
  3. Defund obamacare
    By Prunepicker in forum Politics
    Replies: 34
    Last Post: 08-22-2013, 07:05 PM
  4. Obamacare Unconstitutional
    By Kerry in forum Politics
    Replies: 209
    Last Post: 02-16-2011, 12:59 PM
  5. Thanks to Obamacare
    By Easy180 in forum Politics
    Replies: 33
    Last Post: 12-23-2010, 11:25 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Single Sign On provided by vBSSO