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Posted on 10/31/25 at 2:43 pm to GumboPot
You are not supposed to say this.
Posted on 10/31/25 at 3:57 pm to GumboPot
I agree on the lack of competition, but I think it arises from the very particular structure of US health care. Because of insurance, few people actually pay the full price, or are even aware of the full price, for health care and pharmaceuticals. As a result, they have no incentive to shop around. Indeed, in many cases, the copayment is the same for the patient, regardless of whether they go to Doctor A or Doctor B (as long as both are in network). So, nobody shops on the basis of price and medical providers have no incentive to compete on the basis of price, but instead, they compete on non-price aspects of care--better offices, better food or rooms in hospitals, which further drives up costs and prices. There needs to be a way to motivate patients to care about price and shop based on price. That would help competition and drive down costs.
Posted on 10/31/25 at 4:03 pm to GumboPot
quote:
Democrats created it 15 yrs ago and Republicans have never fixed it, and still now have not presented a plan to our GOP conference
Moar Government: the cause of, and solution to, all our problems!
Posted on 10/31/25 at 4:06 pm to GumboPot
quote:
Well, she would be 1 of the 218 to make it better so there's that.
Nah, she would be one of 218 to vote on (hopefully) someone else's idea to make it better.
Posted on 10/31/25 at 4:10 pm to the808bass
quote:
Slightly off-topic but tangentially, then you get assigned an anesthesiologist that is purposefully out of network at the hospital where they’re performing services. And you get an out of network bill for something you had zero control over.
That's illegal in Florida. If you advertise yourself as "in network" then anybody who touches the patient is also assumed to be in the network and they have to bill accordingly. We had to show the text of the law to one surgery center to get them to STFU.
Posted on 10/31/25 at 4:15 pm to GumboPot
quote:
These people are not serious. They know no one is paying that.
Actually, the reason the fees are set where they are is that some insurance policy somewhere DOES pay the full fee for any given outrageous line item.
It might only be one policy out of 2000 (one thing people don't understand is how many different policies there are in America. I've been to conferences before where I've been told that BC/BS alone has issued over 50,000 different policies in the US, all with different terms), but they roll the dice that someone at some point is going to have one of those policies and they will hit the lottery for the day.
Another reason they do it is if the billing entity is out of network with the insurance company they actively negotiate reimbursement. You don't want to start negotiations near the going rate...you want to be WAY above it so that you can give ground and still be ahead of the game. I'd guess that the average out-of-network negotiation ends up getting 2-3 times the contracted in-network rate.
Posted on 10/31/25 at 4:25 pm to GumboPot
We are still can’t solve “the empathy crisis”. Sorry I had to.
Posted on 10/31/25 at 4:55 pm to Powerman
quote:
shouldn't look at what any other country is doing because all of those countries are evil and socialist.
We can look at what other countries are doing, but other countries aren't us.
In fact, because the US operates like we do, we actually enable most other countries that would be in any way comparable to us to do what they do with the degree of success that they are able to do it at.
Posted on 10/31/25 at 5:03 pm to SlidellCajun
OLOL got buildings all over BR. Have to spend that not-for-profit money that they get from illegal immigrants ER visits reimbursed from Medicaid
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