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First recorded activity by BoatBanter: Feb 2013
Posts: 968
Default An article about medical costs

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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