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ObamaCare Discuss The Real Problem With America's Healthcare System at the General Forum; Originally Posted by GottaGo When I was first diagnosed with Type 1 diabetes, I made several inquires about paying cash ... |
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But the biggest contributor to keeping the market closed to generics is government regulation. Here is an article that goes into more detail. https://www.statnews.com/2019/02/19/...o-is-to-blame/
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![]() It is certainly true that when a third party pays the bills--or most of them, anyway--it may lead to an overuse of the medical system.
But both Medicare and most private healthcare insurance truncate the submitted charges--and quite considerably. (For instance, the submitted charges may be, oh, say, $1,000; and the negotiated amount just $300. This is fairly typical.) Of that, Medicare--and many private healthcare insurers--pay 80 percent. (My own insurance pays 85 percent.) So I am not sure that most people would profit by abolishing insurance (especially if they have PPOs).
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Analog insulin has not changed in any demonstrable way in 14 years. Animal based insulin is still available, and extremely inexpensive, but it is also not as reliable or stable as analog in it's actions. While certain overhead costs of manufacturing any pharmaceutical have increased, they are not comparable with the price increases, IF they pharmaceutical is even produced in the US where the regulations are more stringent.
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Where insurance is beneficial is for major needs... accident, injury, catastrophic illness. But the PPACA made sure to eliminate that option (which it now allows, but ONLY for those under 35 I believe) so everyone would be forced to be covered for things they didn't want nor need, so the premiums could be jacked (sort of like accessories if buying a new car) and the insurance companies profit margin would increase. I pay cash for as much as I can, and save money doing so, even though I have insurance. Chiropractor: Insurance co-pay $60 (specialist) cash price $45 (it just went up from $40 where it had been for a good 10 years) or a basic Dr office visit $20, copay $25. Xrays $150 or worse, a 3 set back xray, $50 cash. Insurance is not the end all, if people would just wake up to it. It is a method of payment, nothing more.
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Your life is the sum total of the choices you make. If you don't laugh at yourself, a whole bunch of people will volunteer to do it for you I never lose. I either win, or I learn.... |
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![]() I remember growing up, whenever I had gotten injured to the point of requiring stitches (I was quite active as a kid and had to be sewn up a number of times), my mother would take me to the family doctor. In and out for $15 - $20. No insurance, no excessive paperwork just a visit, a few stitches and I was back outside trying to rip them out again. ![]() However, if anyone ever had anything major that required a trip to the hospital, we had the insurance for it. And I'm sure it came with a deductible, but I have no memory of my parents ever fretting about it. Yes, if we could go back to that model, I believe that we could greatly reduce the HC costs in this country. That and some tort reform to bring the legal community under control.
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But PPOs typically do steer their policyholders toward certain hospitals and doctors. (Mine, for instance, pays just 60 percent of the submitted charges, as concerning doctors' fees, if one goes out of network; but it pays 85 percent of the negotiated charges if one stays within the network. As regarding hospitals, it pays 100 percent of the hospital bill--of course, doctors' bills are separate--if one stays in network; but, again, only 60 percent of the submitted charges if one goes out of network.) As you point out, however, pricing should be transparent; there should be no add-on charges. (Consumer Reports has crusaded against this sort of thing--and for good reason, I believe.)
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"In his second inaugural address, [Franklin D.] Roosevelt sought 'unimagined power' to enforce the 'proper subordination' of private power to public power. He got it…"—George Will, July 8, 2007 |
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![]() Originally, health insurance paid to the individual, not the healthcare provider.
To make this clear, I go to doctor and get bill for $300.00. I am responsible to the doctor for the bill. I send a copy to the insurance company and they reimburse me for the part they cover. This is still a third party pay, but the consumer feels the bite first and has incentive to keep the pocketbook pain level down. |
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america, healthcare, problem, real, system, the, with |
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