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In the US the game comes from the fact that different people pay difference pricing depending on what combination of cash and insurance they have. Basically "l

by lbotos 5y ago

In the US the game comes from the fact that different people pay difference pricing depending on what combination of cash and insurance they have. Basically "list" vs "actual" pricing depending on what "discounts" you are eligible for.

lotsofpulp 5y ago
Because the end game is expanding access to healthcare by increasing supply of less qualified (or lower quality) healthcare providers, and then price segmenting different populations to different qualities of healthcare. You pay more, you get higher probability of access to MDs. You pay less, you get higher probability of access to PA/NP. And many other variations of that. You can accomplish the goal of politically expanding access to healthcare, but without the costs of getting everyone access to the same healthcare.
- erosenbe0 5y ago
  We could just train more MDs and/or make that training process more efficient like Germany. Also, medical training and residency need not infringe on the health and safety of pregnant women and the unborn for no purpose whatsoever with 24 hour shifts and other complete nonsense for internist trainees. As some budding doctors would like to have 5 or 6 children in their twenties. Edit: we could also generally waste less human potential and train more people by you know, having college kids go to school 48 weeks a year instead of 36, like real adults who enlist in the military or trades.
  - lotsofpulp 5y ago
    Of course, I think doctors who were lobbying to restrict supply overplayed their hands and many future doctors are now stuck "supervising" 10 NP/PA. Whoever or whatever was preventing supply of doctors from increasing for the past few decades really did the doctors who worked 1980s to 2010s a big favor, but a big disservice to pretty much all future doctors.
snarfy 5y ago
"How much does it cost?" "How much you got?" Mobsters.
- mellavora 5y ago
  Huh, sounds like how they price tuition for my daughter's college education (private college w/ a good name). They also talk about how they are making it more affordable for everyone.
- themaninthedark 5y ago
  But isn't this what we have been advocating for on some levels? Everyone pays according to their ability? Rich pay more and poor pay less.
  - colejohnson66 5y ago
    Except that the rich people have insurance that can negotiate a lower rate than the poor people
SkeuomorphicBee 5y ago
The simple solution to this is to completely disconnect insured patients from hospital billing. If a person is insured then they only pay to the insurance company, a specific dollar amount copay they previously agreed on their insurance contract, all hospital billing should be handled by the insurance company.

by lbotos 5y ago

lotsofpulp 5y ago

Because the end game is expanding access to healthcare by increasing supply of less qualified (or lower quality) healthcare providers, and then price segmenting different populations to different qualities of healthcare. You pay more, you get higher probability of access to MDs. You pay less, you get higher probability of access to PA/NP. And many other variations of that. You can accomplish the goal of politically expanding access to healthcare, but without the costs of getting everyone access to the same healthcare.

erosenbe0 5y ago
We could just train more MDs and/or make that training process more efficient like Germany. Also, medical training and residency need not infringe on the health and safety of pregnant women and the unborn for no purpose whatsoever with 24 hour shifts and other complete nonsense for internist trainees. As some budding doctors would like to have 5 or 6 children in their twenties. Edit: we could also generally waste less human potential and train more people by you know, having college kids go to school 48 weeks a year instead of 36, like real adults who enlist in the military or trades.
- lotsofpulp 5y ago
  Of course, I think doctors who were lobbying to restrict supply overplayed their hands and many future doctors are now stuck "supervising" 10 NP/PA. Whoever or whatever was preventing supply of doctors from increasing for the past few decades really did the doctors who worked 1980s to 2010s a big favor, but a big disservice to pretty much all future doctors.

snarfy 5y ago

"How much does it cost?" "How much you got?" Mobsters.

mellavora 5y ago
Huh, sounds like how they price tuition for my daughter's college education (private college w/ a good name). They also talk about how they are making it more affordable for everyone.
themaninthedark 5y ago
But isn't this what we have been advocating for on some levels? Everyone pays according to their ability? Rich pay more and poor pay less.
- colejohnson66 5y ago
  Except that the rich people have insurance that can negotiate a lower rate than the poor people

SkeuomorphicBee 5y ago

The simple solution to this is to completely disconnect insured patients from hospital billing. If a person is insured then they only pay to the insurance company, a specific dollar amount copay they previously agreed on their insurance contract, all hospital billing should be handled by the insurance company.