6 ms·
Precisely why government mandated third-party payer plans are a terrible idea.
by mrlatinos 8y ago
Precisely why government mandated third-party payer plans are a terrible idea.
- tdb7893 8y agoHonest question, why is government mandated the problem here? I don't really understand from the context
- mrlatinos 8y agoThe employers were able to get them to "critical mass."
- smogcutter 8y agoIn that case wouldn't the alternative be having no insurance at all? How would that help? Edit: I'm taking "government mandated third party payer" to mean something like the ACA mandate. If you meant a government mandated monopoly, then yes that's a terrible idea
- Spooky23 8y agoThe economics associated with modern healthcare demand consolidation, which basically means local cartels or monopolies for hospitals and health networks.
- sjg007 8y agoMost of the rural hospital income is based on medicare/medicaid.
- brandonmenc 8y agoBecause it guarantees customers for a product that - sans compulsion by law - would not have been purchased due to its high price.
- jellicle 8y agoThe price gouging here comes from owning the only hospital that serves a particular area, not from any sort of evil government insurance mandate. Your choices are: a) pay high prices at the door of the hospital b) pay high insurance prices (to the same entity that owns the hospital) c) do without healthcare Insurance mandates don't play any role here.
- sjg007 8y agoI would be interested in a map that details distance to a major hospital vs price and also whether 95% of customers would be better served by air ambulance to the major hospital vs the local one. One example is the hospital in El Granada just outside of Half Moon Bay. This hospital serves the local community yet it is only 30-45 mins over the hill to get to Stanford or Burlingame by car and less by helicopter. Considering that, the hospital is under utilized. Even further south in Pescardero you would go up to Stanford via La Honda typically. That is at the limit of the golden hour though. So here you have an example of a hospital that doesn't really need to exist except for widow maker events where you need to be seen as fast as possible (within the golden hour). So one question is, can you have smaller hospitals with lower revenues to serve this market. Even in rural hospitals if you need specialist care you will be transported out or otherwise wait several hours.
- brandonmenc 8y agoCould you argue that, with UPMC owning the hospital and also offering the best insurance plan for the area, the mandate increases the number of people buying their plan who otherwise would not? > evil government insurance mandate Don't try to gin us up. Honestly, I'd prefer single-payer. The stop-gap insurance mandate is far from optimal, which is why a lot of us don't like it - not because we think it's "evil."
- deleted 8y ago[deleted]