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 HOME   Who, In your Estimation, is Responsible for High Health Care Costs?
Who, In your Estimation, is Responsible for High Health Care Costs?
Published by: mike 2010-03-21
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  • The Role of Nutrition in Maintaining Health in the Nation's ::
    Reference Finder Paste in your own text to find books that relate to your topic. Appendix H: Summary of Cost Estimation Methodology for Outpatient For example, the high utilization scenario used 30 percent as the assumed on 1998 data from Office of the Actuary, Health Care Financing Administration.
    http://www.nap.edu/openbook.php?record_id=9741&page=357
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    Additionally, Why is it So Expensive?


  • The government, in their attempts to regulate it.

    If the health care system was less regulated (and no, I'm not a republican, but it does make sense here) there would be more of a chance for the free market to take over and drive costs down.

    Then you have affordable healthcare without a socialist system or insane taxes to cover it.


  • Insurance and government, whoever is paying

    Americans are great shoppers. They can weigh the value of cable versus a better car (and higher payment), wine versus milk, and make choices for the best value (to them) of the purchases they make.

    But no one shops healthcare because we don't pay for it. Oh sure, we pay collectively for our gevernment program through tax and our private insurance through payroll deductions, but when was the last time you sat down with your doc and talked about buying a service? If you had to choose between going to the ER and actually shelling out $600, or waiting and calling a doc or community clinic and shelling out $80 for your child with a runny nose, you would be shopping. Some might pick each, but it would be a value judgment. If they are both free (in the immediate sense that no cash changes hands) then the shopping and values go away. Even a copay doesn't help because the value of the copay, say $30, is probably the same for either the ER or the doc's office, and doesn't reflect the true difference in cost of services.
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    The same argument when considering MRI vs CT, new drug vs old drug. As long as the cost to the consumer is roughly the same, we take value shopping out and everyone will ask for the newest and most advertised, even if it is not better.

    So the healthcare industry knows this and advertises expensive care directly to consumers, and portrays any effort by insurance or government to selectively shop for the consumer as blocking access to the best care, and the media supports this sensationalism.

    If we want to control costs, we need to let Americans do what they do well, shop. We can still have insurance and safety nets, but the consumers need to personally feel some of the differences in costs of the medical options they have, so they can start to make choices based on cost vs benefit, like they do for food, cars, clothes and entertainment. This is starting to happen in more prescription drugs with insurances only paying for some and not others, but it needs to expand to decisions about tests, treatments, surgeries and the entire healthcare system.



  • I believe that insurance companies ought to pay more than they are paying now.

    While health care costs are rising, so is early detection of disease and people are living longer lives. This may lead to several lifelong diseases being treated. The cost of which adds up fast! However, it is better than letting the conditions go untreated, because the patient can't afford increasing co-pays and "over the limit" fees.
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    Estimate Your HSA Savings. Here are some handy worksheets to help you see how an HSA can benefit you financially. HSA-qualified High Deductible Plan . their net healthcare costs would have been $5400 (net premium cost under
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    This is a very important issue to me, personally. There are a couple of necessary treatments that I must wait (who knows how long?) for, because I can't afford to pay a few thousand $$ more to a hospital. Those with chronic conditions end up paying a heck of a lot of money just to live. Is that fair?


  • It's multifactorial. Countries with socialized systems are experiencing a rise in health care costs, too.

    1) Advances in technology. For instance, a new MRI machine and accompanying A/C unit and software easily exceeds a million dollars and requires sophisticated staff and technical support. Cost account this over the life of the machine and you get an idea why an MRI test costs so much. There are many other examples.

    2) Increasing standard of care: what was once acceptable is no longer acceptable. Higher standards = higher costs. Allied with this issue is defensive medicine, ordering tests to reduce the possibility of a malpractice suit.

    3) Higher drug costs. This includes the increased costs of getting a drug approved by the FDA and a good measure of corporate greed.
    An Alternative Approach to Estimating Medical Costs: The Case of ::
    Objectives: We estimate a cost function for Bariatric surgery without using in health care because the fixed component of total costs is large. medical procedures that require high out-of-pocket payments. Communication - Bulk email tools to help your administrators send reminders and responses.
    http://www.allacademic.com/meta/p93497_index.html
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    4) Increased cost of everything necessary to operate a private office, a clinic or a hospital. Rent, utilities, salaries, overhead, complying with OSHA, CLIA, etc.

    5) Administration costs of private insurers exceeds 20% of the premium. Look at the salaries of the top officers of various health insurance companies.

    6) Often ignored is the cost of a medical education. Tuition for in-state residents averages around $15,000 per year, and for out-of-state and private schools it averages over $35,000 per year. (I found these figures after a quick Google. I'll wager the real figures are higher.) After four years of med school and three to seven years of residency, debt for a young doctor can exceed $200,000. Given the meager reimbursements for primary care, you can see why so few are entering those specialties in favor of the more lucrative.


  • There is a basic flaw in Adam Smith's ideal of free markets, and that is, while free markets may "evolve" to something that is responsive to customer needs, it can equally "evolve" into basically a racket that doesn't necessarily serve the best for customers. Economic Darwinism can be expected to deli ever results as well as natural Darwinism, which is where oftentimes a few alligators survive into adulthood after eating up all the smaller alligators. Even if the government swoops in and institute anti-trust and other laws curtailing anti-competitive practices, there's still another scenario that can happen, and that's where the actors in the market are not deliberately colluding or conspiring to fix the market, but nonetheless, with each of them acting in their own interests, such unspoken collusion or conspiracy can occur. As an example, hospitals charge extraordinarly high rates (more than what the Waldorf Astoria charges) per day per room. The patient is billed. There's usually a co-pay in the patient's insurance, usually around 20%. The insurance companies pay the other 80%. But at the same time, insurance companies CHARGE the same hospitals extraodinarly high rates, thereby recovering their costs! What's the net result? The patient ends up paying most if not all of the actual costs. Both the hospitals and the insurance companies have a lot of "funny money" on the books and billing, so it looks like costs are very high and the insurance companies are taking the brunt of it, but in fact it is the patients that are taking the true brunt of it. This is exactly the reaosn why the Obama-Biden plan calls for ACCURATE and transparent reporting of true hospital and insurance costs to stop this funny business. Unfortunately, the true picture of the healthcare crisis is far more complicated than this, there are so many monetary pathways between all the actors involved, nobody right now has a clear picture of how the entire system is behaving, or why it is behaving the way it is---very much like how and why we're expereincing a collapse on Wall Street, which is in fact largely due to the derivatives market, something very few people even know about, much less understand. Both the healthcare industry and Wall Street practices are an indictment on Adam Smith's overly simplistic ideals of the free market, and "Reagonomics" which is founded on it. What needs overhauling is the very notion of the ideal of an unfettered free market being the best to deliver just what the customer wants and needs.





  • Heres my question?
    Why would someone get bored with doing IT for 10 years?

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