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syborg tt 08-26-2017 05:56 AM

Well said Greg.

Our deductible is 3,500 per person (family of 4) and 80-20 on the billing.

Last year we spent an additional 30 grand after paying premiums because they found three new nodules in my left lung. This year has been just as bad because my wife had a few procedures and my youngest daughter is missing 7 adult teeth so the cosmetic dental work is going to be close to $20.000. Funny that forced dental insurance that we have to pay for doesn't cover any of it. We are still battling with the insurance as this is actually considered necessary dental work not cosmetic. Even though they call it cosmetic.


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out2kayak 08-26-2017 07:36 AM

Sorry for the rant, but here are my thoughts...

Actually, there are things that are much simpler to O'care and government purchased everything that could be done to fix the system.

The fundamental issue, in my humble estimation, is there are significant structural forces that have completely screwed up healthcare.

First and foremost - the consumer must have transparency to cost. How many times have you gone to have a procedure without any clue as to what it will cost and what your total out of pocket cost will be.

Imagine what would happen if you were having some work done on your car. You drive up to the mechanic and simply say "fix it". A time period later, you get your car back and everything is working. You drive away happy, because the thing that was broken is now fixed.

Over the course of the next six to twelve months you get random high dollar bills. One for the engine specialist. One for the body guy. One for the paint booth owner. ... and so on.

Now, imagine that the government passes laws saying that there are certain things on your car that you cannot have access to. It will cause your car to be dangerous, they say, to give to the general public. This includes things such as tires, brake pads, etc. You must go through your mechanic to have them install these, else you'll endanger everyone else on the road.

This is exactly what we have in healthcare. Imagine if the law required that, doctors and hospitals could charge whatever they wanted, but every single procedure they offer must have prices publicly listed and whatever price they post is what must be paid.

Imagine if people had access to the wide variety of drugs that today are only available to doctors. Instead of keeping people ignorant and must go to the doctors for prescription, drug makers must inform the population on the pros and cons of their offering.

Finally, imagine if there were real competition between doctors and hospitals. Consumer reports or similar would yearly compare, much the same way happens in the auto industry, cost / quality / overall value for different procedures.

O'care did none of these. Instead it made things far, far worse. People are much further abstracted from the whole of payer, provider and consumer process.

Sigh... Enough of a rant. Thanks for the indulgence.

out2kayak 08-26-2017 08:07 AM

Quote:

Originally Posted by GregWeld (Post 664528)
Just had another ERCP where they clean out my liver stents. Take biopsies etc. They have once again declared me 100 % cancer free. In fact. Said I'm the picture of perfect health.

Sorry, had my rant first. This is really wonderful news Greg! Congrats!

:cheers:

ProTouring442 08-26-2017 09:43 AM

Quote:

Originally Posted by GregWeld (Post 664636)
If a people can't afford to pay for medical school -- fine -- we'll pay for it - and you can pay it back with giving an equal amount of time to one of the community clinics or hospitals. You'll get a basic salary - and when you're done you can do whatever you want with the rest of your career.

I won't get into the lack of Constitutional authority the Federal Government has to undertake such a program, but instead will focus on how this idea could work.

Start a foundation with this goal! :gitrdun: I love it! When do we get started? Where can I contribute?

syborg tt 08-28-2017 09:38 AM

That is an interesting concept and I think a great idea.

Quote:

Originally Posted by out2kayak (Post 664665)
Sorry for the rant, but here are my thoughts...

Actually, there are things that are much simpler to O'care and government purchased everything that could be done to fix the system.

The fundamental issue, in my humble estimation, is there are significant structural forces that have completely screwed up healthcare.

First and foremost - the consumer must have transparency to cost. How many times have you gone to have a procedure without any clue as to what it will cost and what your total out of pocket cost will be.

Imagine what would happen if you were having some work done on your car. You drive up to the mechanic and simply say "fix it". A time period later, you get your car back and everything is working. You drive away happy, because the thing that was broken is now fixed.

Over the course of the next six to twelve months you get random high dollar bills. One for the engine specialist. One for the body guy. One for the paint booth owner. ... and so on.

Now, imagine that the government passes laws saying that there are certain things on your car that you cannot have access to. It will cause your car to be dangerous, they say, to give to the general public. This includes things such as tires, brake pads, etc. You must go through your mechanic to have them install these, else you'll endanger everyone else on the road.

This is exactly what we have in healthcare. Imagine if the law required that, doctors and hospitals could charge whatever they wanted, but every single procedure they offer must have prices publicly listed and whatever price they post is what must be paid.

Imagine if people had access to the wide variety of drugs that today are only available to doctors. Instead of keeping people ignorant and must go to the doctors for prescription, drug makers must inform the population on the pros and cons of their offering.

Finally, imagine if there were real competition between doctors and hospitals. Consumer reports or similar would yearly compare, much the same way happens in the auto industry, cost / quality / overall value for different procedures.

O'care did none of these. Instead it made things far, far worse. People are much further abstracted from the whole of payer, provider and consumer process.

Sigh... Enough of a rant. Thanks for the indulgence.


GregWeld 08-28-2017 10:04 AM

Quote:

Originally Posted by out2kayak (Post 664665)
Sorry for the rant, but here are my thoughts...

Actually, there are things that are much simpler to O'care and government purchased everything that could be done to fix the system.

The fundamental issue, in my humble estimation, is there are significant structural forces that have completely screwed up healthcare.

First and foremost - the consumer must have transparency to cost. How many times have you gone to have a procedure without any clue as to what it will cost and what your total out of pocket cost will be.

Imagine what would happen if you were having some work done on your car. You drive up to the mechanic and simply say "fix it". A time period later, you get your car back and everything is working. You drive away happy, because the thing that was broken is now fixed.

Over the course of the next six to twelve months you get random high dollar bills. One for the engine specialist. One for the body guy. One for the paint booth owner. ... and so on.

Now, imagine that the government passes laws saying that there are certain things on your car that you cannot have access to. It will cause your car to be dangerous, they say, to give to the general public. This includes things such as tires, brake pads, etc. You must go through your mechanic to have them install these, else you'll endanger everyone else on the road.

This is exactly what we have in healthcare. Imagine if the law required that, doctors and hospitals could charge whatever they wanted, but every single procedure they offer must have prices publicly listed and whatever price they post is what must be paid.

Imagine if people had access to the wide variety of drugs that today are only available to doctors. Instead of keeping people ignorant and must go to the doctors for prescription, drug makers must inform the population on the pros and cons of their offering.

Finally, imagine if there were real competition between doctors and hospitals. Consumer reports or similar would yearly compare, much the same way happens in the auto industry, cost / quality / overall value for different procedures.

O'care did none of these. Instead it made things far, far worse. People are much further abstracted from the whole of payer, provider and consumer process.

Sigh... Enough of a rant. Thanks for the indulgence.




This is a great idea!



The other thing that just kills me <is that the wrong expression in a healthcare discussion?>.... if a procedure is "retail" $5,000 -- but they have an agreement with the insurance company where it only pays $2,000...... then that is the value of that procedure. Don't bill me $5,000 for it!! WTF

When I worked (pre WWI) - a store was not allowed to advertise something as being "on sale" -- or discounted from a price -- unless they could show that they actually had offered and had sales of that item at the higher price prior. Period. Otherwise the "sale price" was the price -- so stating that it was "on sale" was complete BS.

Why bill an uninsured person $5,000 when you're willing to do the procedure for only $2,000. You'd probably stand a better chance of collecting on the 2K bill than the 5K (or 50K - or 500K) bill.

syborg tt 08-28-2017 10:41 AM

Quote:

Originally Posted by GregWeld (Post 664739)
Why bill an uninsured person $5,000 when you're willing to do the procedure for only $2,000. You'd probably stand a better chance of collecting on the 2K bill than the 5K (or 50K - or 500K) bill.

Agree 100%

Hospital billing it total bullsh.T

glassman 09-11-2017 01:05 PM

Quote:

Originally Posted by GregWeld (Post 664626)

Thanks Mike - see you on Hall of Fame tour?

Unfortunately no. Car wasn't done from the repaint in time and it went way over budget :bang: (wouldn't do it again, but it was effed up under the paint) so that bucket is empty. Plus i really wanna take Pam, but her back is fried (not to mention the menopause)

What car u driving?

Hopefully they'll do a May one again....

bummed

Anyways, hope all is well!!!! BTW, the money i spent on paint i coulda bought your stang track car or Nates fastback for da track, oh well....

Fluid Power 09-12-2017 11:24 AM

Glad to hear GW!

This is worth 11 minutes of time. If I was a Dr. This is what I would be doing.

https://www.youtube.com/watch?v=bGZa...ature=youtu.be

Darren

GregWeld 09-12-2017 03:03 PM

I use a "annual pay" doctor here for normal stuff -- a "concierge" doctor I think they're called. So that's ON TOP of the insurance premiums and deductible.....

I like the ACCESS! Call and you're in! Plus I like the doctor - he talks to me like I talk to my friends (in other words - not nice and doesn't beat around the bush).

IMHO "Obamacare" totally hosed the insurance that we HAD and liked --- costs have gone WAY WAY up - deductible is double or more... and coverage is less. All typical and expected when the "government" gets involved.


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