3 ms·

Improving baseline access is a worthwhile goal, but you aren't describing changes to the system. Like how do you provide better emergency care to everyone with

Improving baseline access is a worthwhile goal, but you aren't describing changes to the system. Like how do you provide better emergency care to everyone without figuring out how to make the provision cheaper? The only answer to that question is that you spend more money.

mc32 4y ago
Or remove unnecessary things that add cost. Ability to buy drugs on the open market (including India), capping insurance payouts, reducing intermediaries, adding more people to the service side of things and removing people from the administration side.
- maxerickson 4y ago
  The "Medicare can't negotiate drug prices" is about Health and Human Services not being able to negotiate prices. The companies they contract with to operate Medicare Part D are free to establish formularies and negotiate prices on the open market.
yencabulator 4y ago
> Like how do you provide better emergency care to everyone without figuring out how to make the provision cheaper? > The only answer to that question is that you spend more money. You assume that the only costs are from the actual care provided. Eliminating all the middlemen and complications of billing, insurance coverage, etc, should already shave off plenty. One time, I needed emergency care in a Nordic country. I had strong acid in my eye. I stayed for just under two hours, but didn't need much more than saline solution, regular pH tests and a nurse that wondered in & out. When the eye's pH stabilized, they let me go. They never asked for my ID, and I didn't pay anything beyond taxes. The cost of that visit to the department was a bag or two of saline solution, some pH measurement strips, tape, gauze for drying things, some labor, and a bed that was occupied for two hours. Now imagine the "billed cost" and overhead labor in the US system.

3 ms·

Improving baseline access is a worthwhile goal, but you aren't describing changes to the system. Like how do you provide better emergency care to everyone with

by maxerickson 4y ago

mc32 4y ago
Or remove unnecessary things that add cost. Ability to buy drugs on the open market (including India), capping insurance payouts, reducing intermediaries, adding more people to the service side of things and removing people from the administration side.
- maxerickson 4y ago
  The "Medicare can't negotiate drug prices" is about Health and Human Services not being able to negotiate prices. The companies they contract with to operate Medicare Part D are free to establish formularies and negotiate prices on the open market.
yencabulator 4y ago
> Like how do you provide better emergency care to everyone without figuring out how to make the provision cheaper? > The only answer to that question is that you spend more money. You assume that the only costs are from the actual care provided. Eliminating all the middlemen and complications of billing, insurance coverage, etc, should already shave off plenty. One time, I needed emergency care in a Nordic country. I had strong acid in my eye. I stayed for just under two hours, but didn't need much more than saline solution, regular pH tests and a nurse that wondered in & out. When the eye's pH stabilized, they let me go. They never asked for my ID, and I didn't pay anything beyond taxes. The cost of that visit to the department was a bag or two of saline solution, some pH measurement strips, tape, gauze for drying things, some labor, and a bed that was occupied for two hours. Now imagine the "billed cost" and overhead labor in the US system.