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An article about medical costs
If you want a VERY informative look at healthcare costs in the U.S. and
why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. |
An article about medical costs
On Mon, 11 Mar 2013 12:59:08 -0400, iBoaterer wrote:
If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. The word "Paymaster" is going to gain popularity in the US lexicon. |
An article about medical costs
On 3/11/2013 11:59 AM, iBoaterer wrote:
If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. Does it say why my premium has rose 8%, 9% and 18% in the last three years? He promised they would go down. Mikek |
An article about medical costs
On Mon, 11 Mar 2013 14:43:45 -0500, amdx wrote:
On 3/11/2013 11:59 AM, iBoaterer wrote: If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. Does it say why my premium has rose 8%, 9% and 18% in the last three years? He promised they would go down. Mikek Our premiums went up the smallest amount in 15 years. Less than 5% vs. between 10 and 15% each of the last 15 years. |
An article about medical costs
On Mon, 11 Mar 2013 10:10:39 -0700, jps wrote:
On Mon, 11 Mar 2013 12:59:08 -0400, iBoaterer wrote: If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. The word "Paymaster" is going to gain popularity in the US lexicon. There's for sure nothing biased about Time Magazine! Salmonbait -- 'Name-calling'...the liberals' answer to a lost argument! |
An article about medical costs
On Mon, 11 Mar 2013 17:03:18 -0400, J Herring
wrote: On Mon, 11 Mar 2013 10:10:39 -0700, jps wrote: On Mon, 11 Mar 2013 12:59:08 -0400, iBoaterer wrote: If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. The word "Paymaster" is going to gain popularity in the US lexicon. There's for sure nothing biased about Time Magazine! Salmonbait Hey stupid ****.. Time didn't write the article. Feel free to be an idiot. |
An article about medical costs
On 3/11/2013 5:03 PM, J Herring wrote:
On Mon, 11 Mar 2013 10:10:39 -0700, jps wrote: On Mon, 11 Mar 2013 12:59:08 -0400, iBoaterer wrote: If you want a VERY informative look at healthcare costs in the U.S. and why we need reform, get a copy of March 2013 time magazine. If you read it un-biased, you'll see that something HAS to be done and I for one am glad that we have a start. The word "Paymaster" is going to gain popularity in the US lexicon. There's for sure nothing biased about Time Magazine! LOL! Yeah, my bud in Florida sent me a subscription once, it was comical... Salmonbait -- 'Name-calling'...the liberals' answer to a lost argument! |
An article about medical costs
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An article about medical costs
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An article about medical costs
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An article about medical costs
On 3/11/2013 8:51 PM, jps wrote:
On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? And O'Bama is the great shaker downer of the masses. |
An article about medical costs
On 3/11/2013 7:51 PM, jps wrote:
On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek |
An article about medical costs
On Mon, 11 Mar 2013 20:07:39 -0500, amdx
wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. |
An article about medical costs
On Mon, 11 Mar 2013 23:02:41 -0400, wrote:
On Mon, 11 Mar 2013 17:39:00 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. And, your conclusion is that we should not regulate hospitals, insurance companies, or equipment manufacturers, or allow Medicare to negotiate prices with them. Also, according to you, big money flowing to politicians is just fine. Try to pay attention. I never said bribing congress was OK. On the contrary I have been saying that is why we are in as much trouble as we are in. There is nothing that is much more regulated than the medical industry, what we don't do is make the system any cheaper. The way it is set up, it will always be getting more expensive. If I could wave a wand, I would outlaw advertising for candidates, lawyers and the whole medical establishment. Try to be intelligent. Oh yeah, you can't. If you read the ****ing article you'd know how things can be fixed. If you could waive a magic want, I'd rather have a hellfire shoved up my ass. |
An article about medical costs
On Mon, 11 Mar 2013 19:02:42 -0700, Urin Asshole
wrote: On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. The top 1% own something like half the country. Sounds like the folks who are living off welfare checks probably don't own much, or have much to look forward to in terms of helping their kids get an education or having a retirement or living in anything resembling comfort. Those are naturally occuring consequences. But the fact that the middle class is under siege by the wealthy is something we should be paying attention to, since our economy depends on a healthy middle class. Otherwise, we're going to become Mexico. |
An article about medical costs
On Mon, 11 Mar 2013 22:33:07 -0700, jps wrote:
On Mon, 11 Mar 2013 19:02:42 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. The top 1% own something like half the country. Sounds like the folks who are living off welfare checks probably don't own much, or have much to look forward to in terms of helping their kids get an education or having a retirement or living in anything resembling comfort. Those are naturally occuring consequences. But the fact that the middle class is under siege by the wealthy is something we should be paying attention to, since our economy depends on a healthy middle class. Otherwise, we're going to become Mexico. I thought that was the dream of the 'progressives'. You liberals want open borders, no 'rich' (except liberal politicians, whom you never seem to discuss), and equality for all. Isn't that what becoming Mexico is all about, senor? Salmonbait -- 'Name-calling'...the liberals' answer to a lost argument! |
An article about medical costs
On 3/12/2013 7:29 AM, J Herring wrote:
On Mon, 11 Mar 2013 22:33:07 -0700, jps wrote: On Mon, 11 Mar 2013 19:02:42 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. The top 1% own something like half the country. Sounds like the folks who are living off welfare checks probably don't own much, or have much to look forward to in terms of helping their kids get an education or having a retirement or living in anything resembling comfort. Those are naturally occuring consequences. But the fact that the middle class is under siege by the wealthy is something we should be paying attention to, since our economy depends on a healthy middle class. Otherwise, we're going to become Mexico. I thought that was the dream of the 'progressives'. You liberals want open borders, no 'rich' (except liberal politicians, whom you never seem to discuss), and equality for all. Isn't that what becoming Mexico is all about, senor? Salmonbait -- 'Name-calling'...the liberals' answer to a lost argument! Carlos slim seems to be doing OK; much better than his fellow countrymen. |
An article about medical costs
In article om,
says... On 3/12/2013 7:29 AM, J Herring wrote: On Mon, 11 Mar 2013 22:33:07 -0700, jps wrote: On Mon, 11 Mar 2013 19:02:42 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. The top 1% own something like half the country. Sounds like the folks who are living off welfare checks probably don't own much, or have much to look forward to in terms of helping their kids get an education or having a retirement or living in anything resembling comfort. Those are naturally occuring consequences. But the fact that the middle class is under siege by the wealthy is something we should be paying attention to, since our economy depends on a healthy middle class. Otherwise, we're going to become Mexico. I thought that was the dream of the 'progressives'. You liberals want open borders, no 'rich' (except liberal politicians, whom you never seem to discuss), and equality for all. Isn't that what becoming Mexico is all about, senor? Salmonbait -- 'Name-calling'...the liberals' answer to a lost argument! Carlos slim seems to be doing OK; much better than his fellow countrymen. Much better than every country's men. |
An article about medical costs
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An article about medical costs
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An article about medical costs
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An article about medical costs
In article ,
says... On Mon, 11 Mar 2013 21:49:56 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 22:56:35 -0400, wrote: On Mon, 11 Mar 2013 17:37:37 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 19:39:55 -0400, wrote: On Mon, 11 Mar 2013 12:21:12 -0700, Urin Asshole wrote: Yep, and Medicare, by law can't negotiate with either hospitals of Pharma. That's quite a free market system isn't it. Go read the article again. Medicare pays about 10% of the Charge Master price on the bills they looked at. That was a big part of what Brill was saying. That isn't a negotiation. They're barred by law from negotiating. It's a fixed price that Medicare pays. And, 10% of complete bull**** is still complete bull****. the costs are way below that. Try again. The 10% is higher than the reality. Medicare pays more like 6-7% OK I will try quoting the article you didn't seem to read. Chest X ray $283 Medicare $20.44 Troponin Test $199.Medicare $13.64 CBC $157.61 Medicare $11.02 EKG $1200 Medicare $96 The list goes on Brill says Medicare does pay too much for medical equipment tho. What the **** is your problem? You said 10%. They don't negotiate. It's a fixed percentage for each item. You go read the ****ing article. I said 10% and it was actually lower than that. You are right, it is not a negotiation, they just say what they pay and the provider has the choice, take it or leave it. A lot of providers are "leaving it" and not taking Medicare patients. I laugh when I hear this. They might as well close shop. It's called "Pricing yourself out of the market." Or maybe "My business would be profitable if I had any ****ing customers." I've seen estimates that 70% of all health costs are charged for elderly care. Jesus, just look around the provider's waiting room. Then account for the multiple drugs and procedures the old farts are getting compared the the young. Half of all health care money to providers already comes from government. Health care has been for years the biggest socialist "business" going, after defense. It's like Northrop Grumman refusing any more defense contracts. Difference is Northrop Grumman can't be easily replaced by a hungrier health care provider. It's really funny hearing this argument. Besides that, +50% of ALL Medicare cost is spent to keep what might be called "vegetables" alive for their last 2 months of life. I don't take a stand end-of-life care, except for myself. But the solutions to all of this are pretty simple. Cut costs, or cut services, or pay up. |
An article about medical costs
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An article about medical costs
On Tue, 12 Mar 2013 01:45:00 -0400, wrote:
On Mon, 11 Mar 2013 21:49:56 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 22:56:35 -0400, wrote: On Mon, 11 Mar 2013 17:37:37 -0700, Urin Asshole wrote: On Mon, 11 Mar 2013 19:39:55 -0400, wrote: On Mon, 11 Mar 2013 12:21:12 -0700, Urin Asshole wrote: Yep, and Medicare, by law can't negotiate with either hospitals of Pharma. That's quite a free market system isn't it. Go read the article again. Medicare pays about 10% of the Charge Master price on the bills they looked at. That was a big part of what Brill was saying. That isn't a negotiation. They're barred by law from negotiating. It's a fixed price that Medicare pays. And, 10% of complete bull**** is still complete bull****. the costs are way below that. Try again. The 10% is higher than the reality. Medicare pays more like 6-7% OK I will try quoting the article you didn't seem to read. Chest X ray $283 Medicare $20.44 Troponin Test $199.Medicare $13.64 CBC $157.61 Medicare $11.02 EKG $1200 Medicare $96 The list goes on Brill says Medicare does pay too much for medical equipment tho. What the **** is your problem? You said 10%. They don't negotiate. It's a fixed percentage for each item. You go read the ****ing article. I said 10% and it was actually lower than that. You are right, it is not a negotiation, they just say what they pay and the provider has the choice, take it or leave it. A lot of providers are "leaving it" and not taking Medicare patients. Not many actually. Most take it and do just fine. Read the fricken article! I thought you were claiming to be well-read and reasonable? |
An article about medical costs
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An article about medical costs
On Tue, 12 Mar 2013 21:25:24 -0400, wrote:
On Tue, 12 Mar 2013 17:13:30 -0700, Urin Asshole wrote: On Tue, 12 Mar 2013 19:22:34 -0400, wrote: On Tue, 12 Mar 2013 16:04:30 -0700, Urin Asshole wrote: On Tue, 12 Mar 2013 11:08:49 -0400, wrote: On Tue, 12 Mar 2013 08:44:49 -0400, iBoaterer wrote: What in the article on health care costs do you disagree with and why? Please give examples proving it wrong. Brill did a lot of good research and I believe the cost numbers he wrote but I disagree that simply putting everyone on Medicare would fix anything. Perhaps if they would actually tell us what the tax increase in your FICA would have to be to do this, people would understand. Just to pay what Medicare actually costs for seniors right now, the tax needs to go up about 4% on your "first dollar" income with no cap (total, both sides). We spend well over two times what MC takes in with a 3% tax and the trend is going more in the red every day Cause you don't know what the **** you're taking about.. that's why you "disagree." Are you trying to say the SSA trustees report is a lie? I'm saying that when you say this **** "but I disagree that simply putting everyone on Medicare would fix anything" you're making **** up. Do I need to tell you what page of the article we are talking about? Start with the bold print "The way out of the sinkhole" So, perhaps you need to read that section?? You mean this: "I was driving through central Florida a year or two ago," says Medicare's Blum. "And it seemed like every billboard I saw advertised some hospital with these big shiny buildings or showed some new wing of a hospital being constructed ... So when you tell me that the hospitals say they are losing money on Medicare and shifting costs from Medicare patients to other patients, my reaction is that Central Florida is overflowing with Medicare patients and all those hospitals are expanding and advertising for Medicare patients. So you can't tell me they're losing money ... Hospitals don't lose money when they serve Medicare patients." or this: "If that's the case, I asked, why not just extend the program to everyone and pay for it all by charging people under 65 the kinds of premiums they would pay to private insurance companies? "That's not for me to say," Blum replied. In the debate over controlling Medicare costs, politicians from both parties continue to suggest that Congress raise the age of eligibility for Medicare from 65 to 67. Doing so, they argue, would save the government tens of billions of dollars a year. So it's worth noting another detail about the case of Janice S., which we examined earlier. Had she felt those chest pains and gone to the Stamford Hospital emergency room a month later, she would have been on Medicare, because she would have just celebrated her 65th birthday. If covered by Medicare, Janice S.'s $21,000 bill would have been deeply discounted and, as is standard, Medicare would have picked up 80% of the reduced cost. The bottom line is that Janice S. would probably have ended up paying $500 to $600 for her 20% share of her heart-attack scare. And she would have paid only a fraction of that — maybe $100 — if, like most Medicare beneficiaries, she had paid for supplemental insurance to cover most of that 20%. In fact, those numbers would seem to argue for lowering the Medicare age, not raising it — and not just from Janice S.'s standpoint but also from the taxpayers' side of the equation. That's not a liberal argument for protecting entitlements while the deficit balloons. It's just a matter of hardheaded arithmetic." |
An article about medical costs
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An article about medical costs
On 3/12/13 10:15 PM, Urin Asshole wrote:
On Tue, 12 Mar 2013 21:25:24 -0400, wrote: Are you trying to say the SSA trustees report is a lie? I'm saying that when you say this **** "but I disagree that simply putting everyone on Medicare would fix anything" you're making **** up. Do I need to tell you what page of the article we are talking about? Start with the bold print "The way out of the sinkhole" So, perhaps you need to read that section?? You mean this: "I was driving through central Florida a year or two ago," says Medicare's Blum. "And it seemed like every billboard I saw advertised some hospital with these big shiny buildings or showed some new wing of a hospital being constructed ... So when you tell me that the hospitals say they are losing money on Medicare and shifting costs from Medicare patients to other patients, my reaction is that Central Florida is overflowing with Medicare patients and all those hospitals are expanding and advertising for Medicare patients. So you can't tell me they're losing money ... Hospitals don't lose money when they serve Medicare patients." Cost shifting is the name of *the* game in paying for medical care in this country. Just about everyone in the game does it, too. Yesterday, I was running errands and picked up an Rx for a neighbor who has the flu. He is diabetic and takes insulin in those "handy" pen cartridges. The full "price" of the Rx for a month's supply (one shot a day, three shots per cartridge), was $800 and change. His co-pay amounted to about 20%, and his insurance company paid the rest. Now, you have to ask yourself, why is insulin so damned expensive? It's not a new drug, it's been around for a long, long time. It's not the packaging, the cartridges are no more complicated than a decent Pentel plastic pen. The needles are sold separately. The answer is that everyone along the way is making a huge profit off this relatively simple but life extending drug, and that includes the neighbor's insurance company. 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. We need to entirely restructure how we pay for medical care in this country. I don't see it happening, so we all will continue to be ripped off by the supply chain...hospitals, drug companies, insurance companies, and to a lesser degree, direct providers of services. |
An article about medical costs
On 3/13/2013 8:13 AM, F.O.A.D. wrote:
On 3/12/13 10:15 PM, Urin Asshole wrote: On Tue, 12 Mar 2013 21:25:24 -0400, wrote: Are you trying to say the SSA trustees report is a lie? I'm saying that when you say this **** "but I disagree that simply putting everyone on Medicare would fix anything" you're making **** up. Do I need to tell you what page of the article we are talking about? Start with the bold print "The way out of the sinkhole" So, perhaps you need to read that section?? You mean this: "I was driving through central Florida a year or two ago," says Medicare's Blum. "And it seemed like every billboard I saw advertised some hospital with these big shiny buildings or showed some new wing of a hospital being constructed ... So when you tell me that the hospitals say they are losing money on Medicare and shifting costs from Medicare patients to other patients, my reaction is that Central Florida is overflowing with Medicare patients and all those hospitals are expanding and advertising for Medicare patients. So you can't tell me they're losing money ... Hospitals don't lose money when they serve Medicare patients." Cost shifting is the name of *the* game in paying for medical care in this country. Just about everyone in the game does it, too. Yesterday, I was running errands and picked up an Rx for a neighbor who has the flu. He is diabetic and takes insulin in those "handy" pen cartridges. The full "price" of the Rx for a month's supply (one shot a day, three shots per cartridge), was $800 and change. His co-pay amounted to about 20%, and his insurance company paid the rest. Now, you have to ask yourself, why is insulin so damned expensive? It's not a new drug, it's been around for a long, long time. It's not the packaging, the cartridges are no more complicated than a decent Pentel plastic pen. The needles are sold separately. The answer is that everyone along the way is making a huge profit off this relatively simple but life extending drug, and that includes the neighbor's insurance company. 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. We need to entirely restructure how we pay for medical care in this country. I don't see it happening, so we all will continue to be ripped off by the supply chain...hospitals, drug companies, insurance companies, and to a lesser degree, direct providers of services. Krausie needs to get his facts in order before he makes dumb statements over the internet. You could help cut down excessive cost shifting if you would only limit your annual checkups to annually instead of monthly. Are you some kind of hypochondriac, or what. |
An article about medical costs
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An article about medical costs
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An article about medical costs
On Wed, 13 Mar 2013 12:12:20 -0400, wrote:
On Wed, 13 Mar 2013 08:13:26 -0400, "F.O.A.D." wrote: On 3/12/13 10:15 PM, Urin Asshole wrote: On Tue, 12 Mar 2013 21:25:24 -0400, wrote: Are you trying to say the SSA trustees report is a lie? I'm saying that when you say this **** "but I disagree that simply putting everyone on Medicare would fix anything" you're making **** up. Do I need to tell you what page of the article we are talking about? Start with the bold print "The way out of the sinkhole" So, perhaps you need to read that section?? You mean this: "I was driving through central Florida a year or two ago," says Medicare's Blum. "And it seemed like every billboard I saw advertised some hospital with these big shiny buildings or showed some new wing of a hospital being constructed ... So when you tell me that the hospitals say they are losing money on Medicare and shifting costs from Medicare patients to other patients, my reaction is that Central Florida is overflowing with Medicare patients and all those hospitals are expanding and advertising for Medicare patients. So you can't tell me they're losing money ... Hospitals don't lose money when they serve Medicare patients." Cost shifting is the name of *the* game in paying for medical care in this country. Just about everyone in the game does it, too. Yesterday, I was running errands and picked up an Rx for a neighbor who has the flu. He is diabetic and takes insulin in those "handy" pen cartridges. The full "price" of the Rx for a month's supply (one shot a day, three shots per cartridge), was $800 and change. His co-pay amounted to about 20%, and his insurance company paid the rest. Now, you have to ask yourself, why is insulin so damned expensive? It's not a new drug, it's been around for a long, long time. It's not the packaging, the cartridges are no more complicated than a decent Pentel plastic pen. The needles are sold separately. The answer is that everyone along the way is making a huge profit off this relatively simple but life extending drug, and that includes the neighbor's insurance company. 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. 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. 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. We need to entirely restructure how we pay for medical care in this country. I don't see it happening, so we all will continue to be ripped off by the supply chain...hospitals, drug companies, insurance companies, and to a lesser degree, direct providers of services. Sad but true. Maybe if the Charge master was posted on the hospital web site so everyone could see it, they might have to explain why it is what it is. No. Chargemaster needs to be outlawed. Or, they have to justify in writing each cost item, not just list their made for TV price. |
An article about medical costs
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An article about medical costs
On Wed, 13 Mar 2013 14:54:16 -0400, wrote:
On Wed, 13 Mar 2013 09:45:47 -0700, Urin Asshole wrote: On Wed, 13 Mar 2013 11:58:20 -0400, wrote: On Tue, 12 Mar 2013 23:02:08 -0700, Urin Asshole wrote: Maybe you are one of those Venus Project people who think we should do away with money but as long as we have money, you need to pay more than "cost" just to keep the wheels of commerce turning. "Cost" for the MRI, still does not pay for keeping the building running. At a certain point you are cutting the pay and benefits for the workers who do that. Huh? The cost of the building is built into the price that is figured for making a profit. Hospitals are pushing MRIs that don't need to happen and they are making huge money on the MRIs they have. Read the ****ing article. That is 2 different issues. Is it over priced and is it necessary in the first place. Two issues same result. Ripped off customers. When Brill talks about the cost of the various tests he is just talking about that test, not the total infrastructure that supports the whole operation. He talked about infrastructure also. Read the article. I agree they over use tests but as long as we have lawyers picking apart every bad outcome, doctors are going to test everything they think might insulate them from liability. And, yet again, read the ****ing article. Sure, some tort reform needs to happen, but it's not the "lawyers" fault for all or most of the medical cost explosion. It's an aspect, but it's mostly the profit motive, lack of regulation, and inability to negotiate. Ask your doctor that question. How many things does he do, just to protect him from being sued? What is his insurance? What does his insurance carrier pay in settlements before the suit is even filed? None of those numbers show up when tort lawyers cite the "cost of litigation". Ask him what? He doesn't do anything that's unneeded. He's never been sued as far as I can tell. He gets five stars in all reviews I've read. He's a great guy and helpful. Tort reform is needed but it isn't going to solve much. Small potatas. |
An article about medical costs
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? 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. I agree most people do not care because insurance covers it ... but I have been saying that all along You've been saying lots of **** all along. So much that nobody can figure it out. We need to entirely restructure how we pay for medical care in this country. I don't see it happening, so we all will continue to be ripped off by the supply chain...hospitals, drug companies, insurance companies, and to a lesser degree, direct providers of services. Sad but true. Maybe if the Charge master was posted on the hospital web site so everyone could see it, they might have to explain why it is what it is. No. Chargemaster needs to be outlawed. Or, they have to justify in writing each cost item, not just list their made for TV price. 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. |
An article about medical costs
On 3/11/2013 9:02 PM, Urin Asshole wrote:
On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. I think corporations are at least as smart as Willie Sutton. They are more likely to target those with money. I don't get people living in the land of plenty and having such a problem surviving let alone thriving. I've seen immigrants arrive here not speaking the language and have assets over a million dollars in twenty years. North Korea doesn't have those evil corporations, need a plane ticket? Mikek PS. The grim suggestion that North Koreans are turning to cannibalism were reported by the Asia Press, and published in the Sunday Times. They claim a 'hidden famine' in the farming provinces of North and South Hwanghae has killed 10,000 people, and there are fears that cannibalism is spreading throughout the country. http://www.independent.co.uk/news/wo...s-8468781.html |
An article about medical costs
On Wed, 13 Mar 2013 16:14:22 -0500, amdx wrote:
On 3/11/2013 9:02 PM, Urin Asshole wrote: On Mon, 11 Mar 2013 20:07:39 -0500, amdx wrote: On 3/11/2013 7:51 PM, jps wrote: On Mon, 11 Mar 2013 19:59:44 -0400, wrote: On Mon, 11 Mar 2013 12:10:12 -0700, jps wrote: Military and health care costs have spiraled out of control because no one wants to appear anti-defense or take on the huge $ in pharma, non-profit (cough, cough) hospitals, nor face the wrath of their campaign finance coffers. Medicine spends about 4 times as much lobby money into our politicians as the military industrial complex. That says where the $ is, doesn't it. Is there no end to Americans being shaken down for the enrichment of the wealthy? Is there no end to hard working taxpayers being shaken down for the enrichment of those who would rather while away the time until the first of the month to come around so they can get their benefits. Mikek Sure. That's the heart of the problem. Not the billions spent by the big corporations trying to get every last dime out of some guy who can barely feed his family. You're really either stupid or a ****. I think corporations are at least as smart as Willie Sutton. They are more likely to target those with money. They're in a commodity business... 4 billion hamburgs sold. You think McD's is tarketing Ronmey lookalikes? If so, you're pretty ****ing stupid. I don't get people living in the land of plenty and having such a problem surviving let alone thriving. I've seen immigrants arrive here not speaking the language and have assets over a million dollars in twenty years. Yeah, you don't get it. Most immigrants end up picking veggies in the fields for less than minimum wage, with no health insurance, and have to hide in the shadows. Or, they work in a meat packing family until either they're hurt of can't stand it any more. The immigrants that you're talking about typically have some sort of support network when they arrive, like Indians. North Korea doesn't have those evil corporations, need a plane ticket? Mikek I think I'd be happy to chip in on one for you. PS. The grim suggestion that North Koreans are turning to cannibalism were reported by the Asia Press, and published in the Sunday Times. They claim a 'hidden famine' in the farming provinces of North and South Hwanghae has killed 10,000 people, and there are fears that cannibalism is spreading throughout the country. http://www.independent.co.uk/news/wo...s-8468781.html So? What the **** does that have to do with medical costs? You ****ing slimeball. |
An article about medical costs
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An article about medical costs
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