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RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 8:20:09 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
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quote:

ORIGINAL: DesideriScuri

It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.



well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

(in reply to DesideriScuri)
Profile   Post #: 101
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 8:46:21 AM   
MsMJAY


Posts: 515
Joined: 3/17/2013
Status: offline

quote:

ORIGINAL: eulero83


quote:

ORIGINAL: DesideriScuri

It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.



well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.


Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!


(in reply to eulero83)
Profile   Post #: 102
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 10:52:25 AM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: DesideriScuri

Does anyone really think that nationalizing the US health care system will result in a 30-50% reduction in current costs?

nope, I don't think nationalizing the US health care system would reduce costs at all.. but its cuz to stifle greed would be just plain un-American.. and therefore unthinkable to those powerful greedy 1%ers that pull the strings of/behind govt..

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

(in reply to DesideriScuri)
Profile   Post #: 103
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 11:10:40 AM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: MsMJAY


quote:

ORIGINAL: eulero83


quote:

ORIGINAL: DesideriScuri

It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.



well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.


Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!



"if a hip replacement in the U.S. costs $65,000 and you have to pay $19,500 (30 percent), then going to Costa Rica and paying $11,500 is a huge saving."

"A handful of large insurance companies, like Aetna and WellPoint, as well as several smaller ones, have partnered with employers to offer international coverage as a way to trim premiums and save up to 90 percent on major claims."


http://www.mensjournal.com/health-fitness/health/medical-tourism-overseas-and-under-the-knife-20131122

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

(in reply to MsMJAY)
Profile   Post #: 104
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 1:05:07 PM   
joether


Posts: 5195
Joined: 7/24/2005
Status: offline
quote:

ORIGINAL: MsMJAY
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.

well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!


The #1 reason for the average American to go bankrupt is due to medical expenses. I'm baffled why people would want to scrap the ACA and 'go back to how it was before'. Just out-right lunatic-ish. But that does indeed sum up the Republican/Tea Party and their tens of millions of 'low information voter' minions: lunatic-ish.

(in reply to MsMJAY)
Profile   Post #: 105
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 1:39:40 PM   
papassion


Posts: 487
Joined: 3/28/2012
Status: offline
I think its safe to assume building costs to maintain a 100,000 square ft sized hospital in the US would be roughly the same as a 100,000 square ft. sized hospital in the UK or any other country. The Real estate maintainance costs of a certain sized building would be roughly the same, no matter where it was. Thus, the problem boils down to US Doctors, and hospital workers SALARIES. And the expensive Diagnostic equipment in USA hospitals.


State of the art diagnostic equipment is expensive, but a desireable thing, so the obvious variable left is Doctor's and hospital worker's salaries, from the CEO on down. The homeless, drug addicts, mental cases, ect, will not buy insurance and will continue to use the ER for their healthcare. This is probably true in every country.

The fact that insurance pays a lot of the bill, people won't shop around for the best hospital deal. Maybe these high deductables will cause -people to look for the best deal.

(in reply to tj444)
Profile   Post #: 106
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 2:22:55 PM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline

quote:

ORIGINAL: papassion

I think its safe to assume building costs to maintain a 100,000 square ft sized hospital in the US would be roughly the same as a 100,000 square ft. sized hospital in the UK or any other country. The Real estate maintainance costs of a certain sized building would be roughly the same, no matter where it was. Thus, the problem boils down to US Doctors, and hospital workers SALARIES. And the expensive Diagnostic equipment in USA hospitals.


State of the art diagnostic equipment is expensive, but a desireable thing, so the obvious variable left is Doctor's and hospital worker's salaries, from the CEO on down. The homeless, drug addicts, mental cases, ect, will not buy insurance and will continue to use the ER for their healthcare. This is probably true in every country.

The fact that insurance pays a lot of the bill, people won't shop around for the best hospital deal. Maybe these high deductables will cause -people to look for the best deal.


Ok but if you are feeling lancinating pain in your abdomen will you look for the best deal or the closest ER?
Look at the bill in the OP $6,983 for a CT scan that least between 30 minutes and 1 hour, let say one hour how is the pay of a doctor and a tecnician for an hour work? around $50 and $250? Is it higher? let's do other $50 for the paper robe and cleaning? there are still $6600 for one use, a CT scan costs 180 grands, I don't know how many times it can be used but I'm sure it is way more than 27, it is a huge profit and from the pockets of a persons that has no other option because in an emergency state.

(in reply to papassion)
Profile   Post #: 107
RE: 20 yr olds Medical bill...viral of the day - 1/6/2014 4:25:05 PM   
Politesub53


Posts: 14862
Joined: 5/7/2007
Status: offline

quote:

ORIGINAL: papassion

I think its safe to assume building costs to maintain a 100,000 square ft sized hospital in the US would be roughly the same as a 100,000 square ft. sized hospital in the UK or any other country. The Real estate maintainance costs of a certain sized building would be roughly the same, no matter where it was. Thus, the problem boils down to US Doctors, and hospital workers SALARIES. And the expensive Diagnostic equipment in USA hospitals.


State of the art diagnostic equipment is expensive, but a desireable thing, so the obvious variable left is Doctor's and hospital worker's salaries, from the CEO on down. The homeless, drug addicts, mental cases, ect, will not buy insurance and will continue to use the ER for their healthcare. This is probably true in every country.

The fact that insurance pays a lot of the bill, people won't shop around for the best hospital deal. Maybe these high deductables will cause -people to look for the best deal.



Agreed, we dont have any technical equipment in the UK, it makes you wonder how the hell we manage to live longer.

The notion building and maintenance costs are equal is somewhat laughable, given the high price of UK real estate, especially in Cities. And your attempt to blame patients for not shopping around seems odd. Do insurance companies allow patients carte blance when picking a hospital ?

(in reply to papassion)
Profile   Post #: 108
RE: 20 yr olds Medical bill...viral of the day - 1/7/2014 6:32:44 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: MsMJAY
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.

well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!


It is madness. I'm not willing to knee-jerk to a system that isn't proven to reduce those costs to a more sane level, though. No one can show that costs will drop. Everyone can show that costs are different. From everything I've seen, costs are different because the rate of increase in medical costs (what I call medical cost inflation) is higher than the rest.

I believe that if we solve the high cost problem, the medical cost inflation rate will also drop.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to MsMJAY)
Profile   Post #: 109
RE: 20 yr olds Medical bill...viral of the day - 1/7/2014 6:56:56 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: MsMJAY
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.

well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!


It is madness. I'm not willing to knee-jerk to a system that isn't proven to reduce those costs to a more sane level, though. No one can show that costs will drop. Everyone can show that costs are different. From everything I've seen, costs are different because the rate of increase in medical costs (what I call medical cost inflation) is higher than the rest.

I believe that if we solve the high cost problem, the medical cost inflation rate will also drop.



there is an issue of comunication, I call costs the amount of money a provider pays to crate the service, I call price the amount of money the provider ask to perform that service, I call profit the difference from the former two, I call expenditure the amount of money people use to have that service. What we are telling is expenditure will drop because costs and prices will be the same, thing that is far from true in the private system, but comparing this bill and the actual costs of other countries we think it is. Now can you tell us what are the differences in costs (by mine definition) from us and the rest of the world?

(in reply to DesideriScuri)
Profile   Post #: 110
RE: 20 yr olds Medical bill...viral of the day - 1/7/2014 7:32:08 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
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quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: MsMJAY
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.

well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!

It is madness. I'm not willing to knee-jerk to a system that isn't proven to reduce those costs to a more sane level, though. No one can show that costs will drop. Everyone can show that costs are different. From everything I've seen, costs are different because the rate of increase in medical costs (what I call medical cost inflation) is higher than the rest.
I believe that if we solve the high cost problem, the medical cost inflation rate will also drop.

there is an issue of comunication, I call costs the amount of money a provider pays to crate the service, I call price the amount of money the provider ask to perform that service, I call profit the difference from the former two, I call expenditure the amount of money people use to have that service. What we are telling is expenditure will drop because costs and prices will be the same, thing that is far from true in the private system, but comparing this bill and the actual costs of other countries we think it is. Now can you tell us what are the differences in costs (by mine definition) from us and the rest of the world?


You continually use the "50% reduction" claim because, generally, prices are twice as high here. To claim that there will be a 50% reduction in prices implies that there is that much profit. If you can show that, please do.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to eulero83)
Profile   Post #: 111
RE: 20 yr olds Medical bill...viral of the day - 1/7/2014 8:58:42 AM   
freedomdwarf1


Posts: 6845
Joined: 10/23/2012
Status: offline
quote:

ORIGINAL: DesideriScuri
You continually use the "50% reduction" claim because, generally, prices are twice as high here. To claim that there will be a 50% reduction in prices implies that there is that much profit. If you can show that, please do.

I already did that desi - several times now.
Look at the specific example I gave you.

The scanner costs around £22k to buy from the manufacturer.
The local private hospital is run by BUPA I believe (it used to be).
For them to buy it, it would cost them the whole £22k.
Even if all the BUPA run private hospitals in the contry bought one, how many would that be?
Maybe a dozen at best? Maybe a few more?  So... not much of a discount.

The NHS has dozens and dozens of hospitals running into the hundreds.
There are also many teaching/training hospitals as well.
As a group, the NHS negotiated the price of the scanner (per hospital) at £8k.
I have no idea how many they bought in total, just that my local NHS hospital paid £8k for it.

So.... each NHS hospital that bought one saved £14k on the scanner alone!!
That is direct PROOF of savings and prices coming down - on just ONE single item.
That's not conjecture or guesswork - that's what we were told by the technician that it costs (£8k).
I actually phoned the local private hospital to see if we were able to use theirs as it was a lot closer and was promptly told they didn't have one because it would cost £22k to buy and their budget didn't allow for that sort of expenditure.
That's where I got my prices from; not guesswork.

Now imagine that process happening for everything that any hospital spends money on.
Every single piece of equipment, every bed, even down to cleaning supplies and building maintenance.
That's some huge savings and certainly more than 50% on the scanner.
And incidentally, it's an American scanner.
What would that scanner cost in the US?? I dread to think! $300k+++???

Let me quote another example of directly negotiated savings... on floor cleaning solution.
When I was caretaker of Meopham Village Hall, I used to buy 5 gallons a month of this stuff in 1 gallon plastic containers. The supplies company charged us almost £8 a gallon and that was a discount for buying 5 at a time as they were £9.95 a gallon in single units.
In our local Bookers (Catering Wholesalers), they are £6.99 a gallon with an RRP of £12.99 to the public.
The NHS buy this stuff by the pallet-load. 40 units (gallon containers) per layer, 5 layers high, shrink-wrapped, usually 5 or more pallets at a time to the local NHS supplies depot.
So that's 1,000 gallons per order, at a price of...... £0.85p per gallon!!!!!!!!!
Do the maths - that's better than 90% saving on that one product.
So when a hospital orders 20 gallons of it, they pay the NHS supplies department (all part of the NHS) just the 85p per gallon, not the RRP of £12.99 per single unit.


That, is where the savings come from!
Can you really not see that??

No, I can't produce the invoice.
But that is the process whereby huge cost savings are made across the board in all single-payer systems.
They negotiate a bulk-buy deal from suppliers and manufacturers because they are buying for all the NHS hospitals.
All the single-payer systems use this strategy and they all save huge amounts.

So, despite your rantings... it is NOT conjecture at all.

(in reply to DesideriScuri)
Profile   Post #: 112
RE: 20 yr olds Medical bill...viral of the day - 1/7/2014 9:31:01 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: MsMJAY
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
It is assumption and conjecture. You're assuming there is enough profit in the system to absorb the drastic price cap. Unless you have proof of that, it's conjecture.

well I don't have proofs but just consider that with the average price of an MRI in new yourk it's cheeper to fly to Rome have it in a private hospital, dinner at resturant, hotel, and fly back.

Wow- when you put it like that, it really highlights how ridiculously high US healthcare costs are. That is madness!

It is madness. I'm not willing to knee-jerk to a system that isn't proven to reduce those costs to a more sane level, though. No one can show that costs will drop. Everyone can show that costs are different. From everything I've seen, costs are different because the rate of increase in medical costs (what I call medical cost inflation) is higher than the rest.
I believe that if we solve the high cost problem, the medical cost inflation rate will also drop.

there is an issue of comunication, I call costs the amount of money a provider pays to crate the service, I call price the amount of money the provider ask to perform that service, I call profit the difference from the former two, I call expenditure the amount of money people use to have that service. What we are telling is expenditure will drop because costs and prices will be the same, thing that is far from true in the private system, but comparing this bill and the actual costs of other countries we think it is. Now can you tell us what are the differences in costs (by mine definition) from us and the rest of the world?


You continually use the "50% reduction" claim because, generally, prices are twice as high here. To claim that there will be a 50% reduction in prices implies that there is that much profit. If you can show that, please do.


you confuse me with someone else I never used 50% and considering that in germany italy and uk the same procedure costs to the NHS between $4100 and $4800 or they give you a new car with the procedure or the price is more than 10 times higher not just twice. So I'm asking in your personal opinion what costs so much that justify just the CT scan to cost more than the whole procedure in europe? Do the surgeon ask 40 grands for the procedure? Do CT scanners in US cost one milion instead of 180 grands like in europe? One day in hospital costs in italy $410 he payed for "room and board" $4878 was there a high class prostitute to keep him happy?

(in reply to DesideriScuri)
Profile   Post #: 113
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