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A free market solution to some people's health care problems...
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It's called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.

http://finance.yahoo.com/...nthly-131907240.html

Now if the Gov. will just let this happen...

Apparently this was tried in NY but the state shut it down. Yay!

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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My wife has a sick chicken so I'm going to shoot it if it's not better tomorrow night. 22LR is more effective and cheaper than fucking around with liquid calcium and shit.

Murikah!!!!!!!!!!!!!!!!!!!!
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Re: A free market solution to some people's health care problems... [owen.] [ In reply to ]
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Huh?

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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Makes about as much sense as your post.
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Re: A free market solution to some people's health care problems... [owen.] [ In reply to ]
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At least your chicken is getting the treatment it needs rather than the solution the HMO want's to sell the insurance company.
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Re: A free market solution to some people's health care problems... [owen.] [ In reply to ]
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owen. wrote:
Makes about as much sense as your post.

How so?

I linked to a story about a way for poeple to manage their own healthcare by making financial arrangements with their doctor.

What is not making sense to you.

I'm totally missing what point you're trying to make. Seriously.

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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That without collectivism and regulation, you're going to get one doc who simply shoots his patiences and another doc who goes bankrupt treating his.

Give it up, your lame ass country has a broken health care system... rather than try reinventing the wheel how about try copying a system that already works?



Merikah!!!!
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Re: A free market solution to some people's health care problems... [owen.] [ In reply to ]
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Read the thread title carefully.

Then try to understand the concept of the practice described in the article I linked to.

I'll help you out...

It's two parties making a contractual agreement. Sure there's risk involved. Risk is good. If you understand what risk is you will understand this.

This arrangement will be a good healthcare solution for some people (as losing as The State stays out of the way).

What is the problem with this arrangement? Is it that it won't work for everybody? Is that your beef?

Why is the idea of "one system for all is the best" axiomatic?

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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Why is the idea of "one system for all is the best" axiomatic?

Control.









"People think it must be fun to be a super genius, but they don't realize how hard it is to put up with all the idiots in the world."
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Re: A free market solution to some people's health care problems... [vitus979] [ In reply to ]
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vitus979 wrote:
Why is the idea of "one system for all is the best" axiomatic?

Control.

Yes, and judging from my experience of almost daily interaction with government agencies, having these types of people in these types of systems in charge of my healthcare is truely frightening.

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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Duffy wrote:
vitus979 wrote:

Why is the idea of "one system for all is the best" axiomatic?

Control.


Yes, and judging from my experience of almost daily interaction with government agencies, having these types of people in these types of systems in charge of my healthcare is truely frightening.

These types of people are already in control of your healthcare.

_____
TEAM HD
Each day is what you make of it so make it the best day possible.
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Re: A free market solution to some people's health care problems... [TheRef65] [ In reply to ]
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TheRef65 wrote:
Duffy wrote:
vitus979 wrote:

Why is the idea of "one system for all is the best" axiomatic?

Control.


Yes, and judging from my experience of almost daily interaction with government agencies, having these types of people in these types of systems in charge of my healthcare is truely frightening.

These types of people are already in control of your healthcare.

Not totally. At least not mine. I usually pay cash and go to doctors who are friends. I'll do it this way as long as I can.

Callusing the mind through pain and suffering

- David Goggins
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Re: A free market solution to some people's health care problems... [owen.] [ In reply to ]
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owen. wrote:
Makes about as much sense as your post.

Can't agree ... your post makes more sense, actually!
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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So they charge you a monthly fee of about $150, and there are no copays. How exactly does this differ from a regular insurance plan? Where is the massive cost savings achieved? Do they cut you off when you are seriously ill and require more than primary care?

If it sounds too good to be true ...
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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I have direct primary care, just like that discussed in the article. I pay $1,000 a year to a local doctor for my membership, and am very pleased with it. I've talked to others in our community who also happen to be members, and they're very happy as well.

My 2017 Internet resolutions: No personal attacks; no arguments; and no more than a single view and post per thread.
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Re: A free market solution to some people's health care problems... [Jim @ LOTO, MO] [ In reply to ]
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Jim @ LOTO, MO wrote:
I have direct primary care, just like that discussed in the article. I pay $1,000 a year to a local doctor for my membership, and am very pleased with it. I've talked to others in our community who also happen to be members, and they're very happy as well.

What happens when you need an MRI? Or cataract surgery? How does that work?
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Re: A free market solution to some people's health care problems... [eb] [ In reply to ]
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I'm confident there's a clause in his contract that says he's not allowed to get an MRI. And if he gets a cataract, he goes blind and deals with it like a man.








"People think it must be fun to be a super genius, but they don't realize how hard it is to put up with all the idiots in the world."
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Re: A free market solution to some people's health care problems... [Jim @ LOTO, MO] [ In reply to ]
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We can re-invent the wheel. Just give us your money!

Lunatics...



Jim @ LOTO, MO wrote:
I have direct primary care, just like that discussed in the article. I pay $1,000 a year to a local doctor for my membership, and am very pleased with it. I've talked to others in our community who also happen to be members, and they're very happy as well.
Last edited by: windschatten: Mar 19, 17 23:13
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Re: A free market solution to some people's health care problems... [eb] [ In reply to ]
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eb wrote:
Jim @ LOTO, MO wrote:
I have direct primary care, just like that discussed in the article. I pay $1,000 a year to a local doctor for my membership, and am very pleased with it. I've talked to others in our community who also happen to be members, and they're very happy as well.


What happens when you need an MRI? Or cataract surgery? How does that work?


I have a cataract, damnit. Surgery next week (cataract + vitrectomy. blah). And I live in communist un-America.
I'm interested to know what control I am lacking.

A few points:
I chose my surgeon, based on recommendations. He's a world leader in his field. Even google agrees.
He chose the hospital, it's about 25km away from my home. Possibly not my first choice, but if its where he runs his clinic that seems fair enough, and the eye surgery facilities there are very highly regarded, apparently.
I chose the date. No significant waiting time (booked in for 3 weeks after surgery was decided).
My out of pockets will be $0.00. I have no private health insurance, never have done.
Those basic facts were the same as when I had really major neurosurgery about 18 months ago, except then I chose a more local hospital as well.

I honestly can't think of anything I'd like to control that I don't. What am I missing?
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Re: A free market solution to some people's health care problems... [eb] [ In reply to ]
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eb wrote:
So they charge you a monthly fee of about $150, and there are no copays. How exactly does this differ from a regular insurance plan? Where is the massive cost savings achieved? Do they cut you off when you are seriously ill and require more than primary care?

If it sounds too good to be true ...

That seems like the crux. What happens when you get seriously ill, which is going to require treatment by a specialist of one stripe or another and treatment at other facilities?

My one serious illness probably cost an order of magnitude more to treat than I had spent on healthcare for the previous 45 years of my life.
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Re: A free market solution to some people's health care problems... [eb] [ In reply to ]
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eb wrote:
Jim @ LOTO, MO wrote:
I have direct primary care, just like that discussed in the article. I pay $1,000 a year to a local doctor for my membership, and am very pleased with it. I've talked to others in our community who also happen to be members, and they're very happy as well.


What happens when you need an MRI? Or cataract surgery? How does that work?

The majority of Americans die of either heart disease or cancer. Basically most people end up with some sort of medical condition that costs a lot to treat and it's not your PC that's going to treat it, and it will be the most costly aspect of your lifetime healthcare costs. I don't see how this addresses that.
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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Thats how I get paid to provide primary care in Canada. Its a good arrangement in that it likely provides better access to the doc because he is competing for your business. And it cuts out the insurance company taking a cut. But it doesn't solve the overall cost issue because its an add on. You still need insurance to cover the expensive stuff like catastrophic illness or even a cardiac stent. As I read the article it doesn't pay for tests or drugs either just allows access at close to wholesale prices.

Duffy wrote:
Quote:
It's called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.


http://finance.yahoo.com/...nthly-131907240.html

Now if the Gov. will just let this happen...

Apparently this was tried in NY but the state shut it down. Yay!

Life is full of froth and trouble, two things stand in stone
Kindness in another's troubles, courage in one's own
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Re: A free market solution to some people's health care problems... [Bone Idol] [ In reply to ]
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Bone Idol wrote:
I honestly can't think of anything I'd like to control that I don't. What am I missing?

i believe it was foucault who once said "universal health care is way worse than whatever it is they're doing in america, because of . . . control."

____________________________________
https://lshtm.academia.edu/MikeCallaghan

http://howtobeswiss.blogspot.ch/
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Re: A free market solution to some people's health care problems... [Duffy] [ In reply to ]
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Duffy wrote:
Quote:
It's called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.


http://finance.yahoo.com/...nthly-131907240.html

Now if the Gov. will just let this happen...

Apparently this was tried in NY but the state shut it down. Yay!

There was a doctor in this area about 8-10 years ago that was doing this successfully, but he wasn't charging a monthly subscription - $200-$250 got you an exam, xrays (if needed) and blood work.

I was looking at what my wife's employer gives her in benefits, and of the $18k per year, something like $15 is healthcare. Why not give us $10k so we can shop for a major med policy (family of 5 with a $25k or $50k deductible) and enroll in a subscription service like these practices are doing? We would still be ahead by at least $2000-$4000 annually, even with my meds, bloodwork and 2 annual doctor's visits for my kidney disease. With that extra savings, we could put that in a tax deductible MSA/HSA for future use, like medical expenditures when my wife and I are older. Seems like a simple idea, but way to complex for that average politician.
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Re: A free market solution to some people's health care problems... [eb] [ In reply to ]
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eb wrote:
So they charge you a monthly fee of about $150, and there are no copays. How exactly does this differ from a regular insurance plan? Where is the massive cost savings achieved? Do they cut you off when you are seriously ill and require more than primary care?

If it sounds too good to be true ...

See the post below yours.

I wouldn't take this deal at this time in my life. I rarely use doctors and when I do I usually pay cash (at a price I negotiate) and I usually get my services from friends who are doctors. I have health insurance because I have to.

Again, what some of you may be missing is the word "some" in the title of this thread.

Callusing the mind through pain and suffering

- David Goggins
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