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I hope you don't actually believe that providing health care is exorbitantly expensive. Providing health care is absolutely not exorbitantly expensive. It just
by jewayne 3y ago
I hope you don't actually believe that providing health care is exorbitantly expensive. Providing health care is absolutely not exorbitantly expensive. It just isn't. Paying the prices that our hospitals, insurance companies, and drug companies charge is exorbitantly expensive.
- afavour 3y agoI think it depends on the definition of “exorbitantly”. US healthcare costs are absolutely extreme but even European countries with universal healthcare still struggle with healthcare expenditure. > The report shows that global spending on health continually rose between 2000 and 2018 and reached US$ 8.3 trillion or 10% of global GDP https://www.who.int/publications-detail-redirect/9789240017788 https://www.who.int/publications-detail-redirect/97892400177...
- jewayne 3y agoI'm trying to decide why we need to clutch our pearls because health care is 10% of global GDP? Is health care somehow an illegitimate expenditure?
- TheGRS 3y agoI think people just scoff at the price tag of a lot of medical expenses, though the bill you see your insurance provider get is pretty fake IMO.
- nradov 3y agoHow would you propose to resolve that? Should we cut physician pay in half to match their European peers? https://www.medscape.com/viewarticle/997263 https://www.medscape.com/viewarticle/997263
- GiorgioG 3y agoI propose cutting administrative costs by 90%. A bunch of paper pushers in meetings all day making too much money driving up the cost of everything they touch.
- nradov 3y agoThat is not a realistic proposal. What specific costs can be eliminated?
- rpmisms 3y agoJust layoff hospital staff until it hurts. Easy.
- nradov 3y agoWhich staff?
- rpmisms 3y agoAnyone who can't explain what they do in a single sentence.
- nl 3y ago> Just layoff hospital staff until it hurts. This is so obviously the wrong answer it is painful that anyone would write it down even in an internet forum. https://dd17w042cevyt.cloudfront.net/pdf/vision/healthcare-dollars/healthcare-dollars-visualization.pdf https://dd17w042cevyt.cloudfront.net/pdf/vision/healthcare-d... shows that while it is easy to blame administrative costs for healthcare, most money goes to "patient benefits" This sounds great, but really what it is doing is transferring money to pharam company profits: https://www.zippia.com/advice/us-pharmaceutical-statistics/ https://www.zippia.com/advice/us-pharmaceutical-statistics/ > Easy. It really isn't.
- the_why_of_y 3y agoThat's a good area to start, although 90% might be optimistic. See this paper: Pozen, Alexis and David M. Cutler. 2010. Medical spending differences in the United States and Canada: The role of prices, procedures, and administrative expenses. Inquiry 47(2): 124-134. https://dash.harvard.edu/bitstream/handle/1/5343032/Medical%20Spending%20Differences%20in%20the%20U.S.%20and%20Canada.pdf?sequence=1 https://dash.harvard.edu/bitstream/handle/1/5343032/Medical%... Look at Table 1 and Table 2, page 19/20; the difference in cost due to salaries/income is $490 per capita, the difference in cost due to administrative overhead is $616 per capita.
- callalex 3y agoThrow it all away and go single-payer like the rest of the world. This isn’t some unknown mystery to be discovered. It’s been implemented and proven over and over again.
- nradov 3y agoPayer profit margins only account for a small fraction of total spending. Single payer won't solve the problem.
- mattmcknight 3y agoThat doesn't save much money. You have to attack the costs. The rest of the world is not on single payer, you know?
- jewayne 3y agoAgain, the "costs" are not the problem. The prices are. Please stop perpetuating the cost myth.
- nl 3y agoFirst fix the difference in drug pricing between the US and other countries. > Prescription drug prices in the United States are significantly higher than in other nations, with prices in the United States averaging 2.56 times those seen in 32 other nations. ... The gap between prices in the United States and other countries is even larger for brand-named drugs, with U.S. prices averaging 3.44 times those in comparison nations. ... “Brand-name drugs are the primary driver of the higher prescription drug prices in the United States https://www.rand.org/news/press/2021/01/28.html https://www.rand.org/news/press/2021/01/28.html
- nradov 3y agoSo you're asking for price fixing? Who should set the prices?
- mattmcknight 3y agoThe simple answer here is to just allow us to buy it in other countries to get around the price discrimination.
- mattmcknight 3y agoI think breaking the hold of the AMA on things like residency slots that has caused physician shortages. Increasing supply should eventually have an effect on wages. We could also move to 5 or 6 year degrees for doctors, like Ireland, instead of 4+4 schemes. We can do more targeted immigration for doctors. We can continue to expand the activities that can be done by non-doctors. We can massively reduce the number of things that require a prescription.
- mattmcknight 3y agoCan you read? That's literally what I said. (with the exception of insurance, which is just a reflection of the prices charged by providers and drug companies)