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On Thu, 14 Mar 2013 11:46:35 -0400, wrote:
On Wed, 13 Mar 2013 14:12:58 -0700, Urin Asshole wrote: On Wed, 13 Mar 2013 15:06:29 -0400, wrote: On Wed, 13 Mar 2013 09:50:56 -0700, Urin Asshole wrote: On Wed, 13 Mar 2013 12:12:20 -0400, wrote: You forgot the development/approval cost and the lawyer tax. It probably cost $50 million just to get through FDA testing on the pen and the first person to get a bad outcome will be suing for another $50 million. Bull****. You prefer to blame everyone except the right wingers and the money that's in the poliitical system from the med lobby. There is plenty of blame to go around but you can't deny that the FDA procedures are part of it. That is why drugs and devices usually show up in Europe years before they are approved here. It is also why things can be cheaper there. Tell that to the people who died because of the lack of oversight of drug mixing pharmacies. What a load of ****. You actually think we need fewer regulations when it comes to drug safety? That has nothing to do with drug approval. They were operating outside the scope of their license and doing it poorly. It has everything to do with oversight. The FDA commissioner said she wished she had oversight. They don't. People died. I can see the ad on TV "Did you use the insulin pen and suffer anything bad at all? Call Dewey, Chetum and Howe. We have money for you" Your solution is to prevent people from being justly compensated. Why don't you bring up the McDonnalds hot coffee case if you'd like to look really stupid. You deny there are ads on TV trolling for customers? Why don't you accept that the lawyers are a big part of the problem? They are big business too. They are PART of the problem, but not the biggest or even close to biggest. Feel free to **** in the wind complaining about lawyers. We do almost nothing in this country to actually control medical costs. If Medicare "under-reimburses," those "lost profits" are assessed against someone else, either an insurance company or an individual. The insurance company covers its "losses" by overcharging its clients. In my wife's field of psychotherapy, psychiatrists charge about $200 per patient visit, and what do most of them do during that visit, which, typically, lasts about 15 minutes? They try to find out if the meds they are prescribing are "helping." They don't provide any therapy; that is left to various non-medically-degreed mental health professionals. Ever paid $20 for a Tylenol in a hospital? Or $15 for a package of facial tissues? It's cost-shifting. Some of that is simply the red tape required to meet all of the compliance requirements. ALL drugs in a hospital have inventory controls you would expect for tracking plutonium. Some of it is simply to control theft but, again, a lot of it is to mitigate liability The nurse can't simply go shake a tylenol out of the bottle and give it to you. They need an order from a doctor, they log it out of the pharmacy and track it from there to the patient's mouth. Unfortunately they have similar BS for everything you get and virtually nothing can be logged back into the system. The last time I was in the hospital for an outpatient procedure they issued me a pee bottle. I gave it back to them, still sealed in the plastic. They said "keep it, we can't give that to another patient now" It was about $20. Yeah, a small part of it. You accepted that $20 pee bottle without complaint right.. because your insurance was paying not you. That's part of the problem too. Read the Brill article again. I did not have a choice. I already bought the bottle when they pulled it from stock. I didn't even see it until I was leaving and it was in the bag of crap they sold me. Tha'ts right. You DIDNT have a choice. That's why the chargemaster **** has to stop and why the government needs to get involved. It's not a market driven business when half the market can't make a choice. If I actually had any control over paying the bill, I would not have given them a dime for that bottle. Which is my and Brill's point. The market doesn't work when the customer is isolated from the payment process. The market can't work the way it's set up. There's too much disparity between the seller of health services and the pootentially dying person. Chargemaster is just the price list at full retail. They could change the name if it would make you feel better but the concept will still be there. It is like that price on the back of a hotel door. NO IT ISNT. There's no such thing as "full retail". It's a MADE UP ****ING NUMBER THAT HAS NO BASIS IN REALITY. That was in Brill's article for **** sake. Can you write a sentence without saying ****. You act like you just learned the word. What a child. **** no. Can you write a sentence that makes ****ing sense? What a hypocrit. - sentence without ****. Are you some namby pamby that is afraid of sailor speak? - another one without **** in it. Of course there is full retail. That is the highest price someone can charge for an item that is deeply discounted most of the time. I guess you pay sticker price for your cars too. There's a full retail price that's made up and nobody pays except maybe the foreign rich and certainly the poor or without adequate insurance. That's not the "highest price someone can pay." I guess you don't remember Saturns. No negotiation, but the prices were reasonable. |
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