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If spending drops by $1t, it will come out of someone's paycheck. Yes, some are greedy folks who will be just fine making 20% less a year. But many will be nurs

If spending drops by $1t, it will come out of someone's paycheck. Yes, some are greedy folks who will be just fine making 20% less a year. But many will be nurses or hospitals or some combination of providers.

ThrowawayTestr 2mo ago
That you actually believe that is so sad. No, the money would come out of the pockets of insurance CEOs.
- Barrin92 2mo ago
  it would not because the margins in the insurance industry aren't high. The OP is entirely correct, insurers are a source of payment, not a driver of cost. Insurers don't benefit from hospitals charging them high prices, they try to negotiate cost down, that is their service. They don't enjoy paying hospitals more money. What is driving the actual cost is the high expenses hospitals have, and the biggest source of that is labour cost, as in any other industry. American healthcare workers, doctors and nurses, earn about 2-3x as much as their peers in the developed world. One of the biggest benefits of a national healthcare system for consumers is that the government becomes a monopsony buyer of healthcare workers. The British system is half as expensive because the government gets to set the prices for its healthcare workforce and that gets passed on to the patients.
  - ThrowawayTestr 2mo ago
    I'm sure the army of middle been between patient and doctor have nothing to do with it.
    - Barrin92 2mo ago
      they don't, for the simple reason that if they did all you'd need to do is go to the hospital and pay out of pocket, most US states don't require you to have health insurance. (or switch your insurance provider, as you pointed out there are many). There's no logic in what you're trying to argue. Healthcare providers charge for their service, insurance companies negotiate that cost down, next to risk management that collective bargain power is the reason you buy insurance in the first place. Again if what you're saying is true all you'd need to do is just buy your healthcare from the hospital directly, if you end up in the ER take a look at the bill and tell me how that went
      - ThrowawayTestr 2mo ago
        The doctor's bill the government directly for a set price. You don't need a negotiation on every medical procedure. There is no need for a middleman.
        Barrin92 2mo ago
        The United States government does not set prices for doctors bills, what are you talking about? Healthcare providers in the US operate privately and set prices based on market rates. Again, if you want to, you can go and purchase whatever healthcare you like already without a middleman, the point is, it isn't going to be cheaper, which is why people, voluntarily, purchase insurance.
        ThrowawayTestr 1mo ago
        That's how it works in civilized countries.

ThrowawayTestr 2mo ago

That you actually believe that is so sad. No, the money would come out of the pockets of insurance CEOs.

Barrin92 2mo ago
it would not because the margins in the insurance industry aren't high. The OP is entirely correct, insurers are a source of payment, not a driver of cost. Insurers don't benefit from hospitals charging them high prices, they try to negotiate cost down, that is their service. They don't enjoy paying hospitals more money. What is driving the actual cost is the high expenses hospitals have, and the biggest source of that is labour cost, as in any other industry. American healthcare workers, doctors and nurses, earn about 2-3x as much as their peers in the developed world. One of the biggest benefits of a national healthcare system for consumers is that the government becomes a monopsony buyer of healthcare workers. The British system is half as expensive because the government gets to set the prices for its healthcare workforce and that gets passed on to the patients.
- ThrowawayTestr 2mo ago
  I'm sure the army of middle been between patient and doctor have nothing to do with it.
  - Barrin92 2mo ago
    they don't, for the simple reason that if they did all you'd need to do is go to the hospital and pay out of pocket, most US states don't require you to have health insurance. (or switch your insurance provider, as you pointed out there are many). There's no logic in what you're trying to argue. Healthcare providers charge for their service, insurance companies negotiate that cost down, next to risk management that collective bargain power is the reason you buy insurance in the first place. Again if what you're saying is true all you'd need to do is just buy your healthcare from the hospital directly, if you end up in the ER take a look at the bill and tell me how that went
    - ThrowawayTestr 2mo ago
      The doctor's bill the government directly for a set price. You don't need a negotiation on every medical procedure. There is no need for a middleman.
      - Barrin92 2mo ago
        The United States government does not set prices for doctors bills, what are you talking about? Healthcare providers in the US operate privately and set prices based on market rates. Again, if you want to, you can go and purchase whatever healthcare you like already without a middleman, the point is, it isn't going to be cheaper, which is why people, voluntarily, purchase insurance.
        ThrowawayTestr 1mo ago
        That's how it works in civilized countries.