Why medical costs are high

http://www.investors.com/newsandanalysis/article.aspx?id=506199

Thanks. I wonder what this meant, “Four of nine doctors, or 45%, said they “would consider leaving their practice or taking an early retirement” if Congress passes the plan the Democratic majority and White House have in mind.”

Which version/provisions was that?

Any idea what kind of premium he was paying down there? Just wondering if what I’ve read ($100-200k for FL OBs) is ballpark accurate.

No idea, I heard 75k from someone, but I don’t remember if it was from the actual guy whose son I’m talking about, and he has since retired.

hmmm, I would suppose increased physicians fees are in part directly related to increased malpractice insurance costs, as well as others. Not sure where you get the post facto concept.

it was a 2009 poll so a bit dated.

I don’t mind paying a little more for the absolute best healthcare in the entire world.

We’ve been over this. You can keep lying to yourself but stop trying to lie to us.

How do we know that the doctors in those countries that are being compared to (don’t most, if not all, of them have some form of socialized medicine?) aren’t being underpaid for the services that they perform?

So let me ask you this. Given the choice, would you rather have your hip replacement surgery done in the UK or the US? Yeah, me too.

I don’t mind paying a little more for the absolute best healthcare in the entire world.

The USA was the best until Obama ruined it along with the economy simultaneously–a rare feat indeed.

And you mean German treatment in the UK vs the US right?

http://www.guardian.co.uk/society/2011/sep/04/german-company-takeover-nhs-hospitals

“A German company has been in talks to take over NHS hospitals, the first tangible evidence that foreign multinationals will be able to run state-owned acute services, a market worth £8bn, the Guardian can reveal.
On the eve of the last Commons vote on the government’s bill before it heads to the Lords this week, freedom of information requests reveal a series of meetings focused on “potential opportunities in London” between officials from the Department of Health, the NHS, the management consultant McKinsey and one of the largest German private hospital chains, Helios.”

Looks like NHS is going to privatize since the current system is an epic fucking failure.

Shit bitches, I wonder why?

What a fucking joke.

Socialism = FAIL, when will you moonbats learn.

So, just like Canada, the UK finally sees the writing on the wall that the private sector solution is the only solution, yet here in the US we have a marxist asshat stearing us in the opposite direction.

Stupid AINO.

The US is one of the best in certain areas of healthcare (example: cancer) and not so much in others,
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yes. The US is the best in areas where high-cost innovations can lead to profit for providers. We’re spectacularly poor (given our wealth) in areas where basic low-cost measures deliver big improvements in health.

Which is sad. The low hanging fruit is where we’re striking out.

x2
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How do we know that the doctors in those countries that are being compared to (don’t most, if not all, of them have some form of socialized medicine?) aren’t being underpaid for the services that they perform?

That's a good question too, and one that, I think, depends much on societal ethos.  I remember reading a story on one of the Scandinavian countries that talked about the fact that while there was not really any more money in being a physician than in many other jobs, there was a higher regard or level of respect you gain by being a provider.

How do we know that the doctors in those countries that are being compared to (don’t most, if not all, of them have some form of socialized medicine?) aren’t being underpaid for the services that they perform?

That’s a good question too, and one that, I think, depends much on societal ethos. I remember reading a story on one of the Scandinavian countries that talked about the fact that while there was not really any more money in being a physician than in many other jobs, there was a higher regard or level of respect you gain by being a provider.

People often bemoan how expensive doctors and lawyers are…and yet, those are 2 professions where when you really need them, you REALLY need them!

If people thought they could go to the UK or Canada and get as good of a hip replacement for 1/2 the price, they probably would, don’t ya think?

I’m just saying that making the comparison that was made in that article is a bit false. The doctor incomes in those other countries made be held artificially low due to government interference…so to compare US doctor incomes to them is a somewhat of an apples and oranges comparison.

Looks like NHS is going to privatize since the current system is an epic fucking failure.
Shit bitches, I wonder why?

What a fucking joke.

Socialism = FAIL, when will you moonbats learn.

So, just like Canada, the UK finally sees the writing on the wall that the private sector solution is the only solution, yet here in the US we have a marxist asshat stearing us in the opposite direction.

It’s not so much that the system is failing and it needs to go private but that philosophically the current government believes in privatising (“marketisation”) everything. Unfortunately with things like National Rail, we’ve seen that the privatise everything philosophy doesn’t always work but it will keep on getting tried.

That’s not to say that reform is not needed, it is, but not necessarily to the extent that is being proposed. It is unlikely to get passed in it’s current form anyway.

And the UK maybe broadly to the left of the US but that doesn’t make it Socialist - that expression is used alot (along with “liberal” and “Marxist”) by people who really have no idea what the words mean, but use them because they sound good.

I deduct or expense my malpractice and other insurance as a business expense. Insurance costs may increase medical costs but the premise that physician “income” should be discounted because they have to pay high malpractice insurance is inaccurate. Income is what is left over after paying expenses.

X1000

The OP can feel free to shop for the lowest bidder when he needs something major done medically!

I guess it all depends if one is talking physicians fees, gross income, or net income. The OPs article fails to differentiate between fees and type of income.

No, the reason why HC costs are so high is because the govt is the largest customer and they control the whole game. Doctors don’t just get to charge what they want or better don’t get reimbursed what they think they deserve - Medicare sets pricing and all private insurance work from there. And then the 2nd biggest reason is patients suck and put more thought into buying a new cell phone than consuming healthcare.

Except that it isn’t the reason.

“A similar trend was seen in specific procedures. Hip replacements, for instance, cost almost twice as much in the US as they do in foreign countries: When a private insurer paid, the US cost was $3,996. That’s compared to $1,943 in Australia and $2,160 in the UK, for example. The disparity wasn’t as sharp when there was a public payor, but the US still led the pack with an average payment of $1,634 vs. $652 in Canada, $1,046 in Australia and $1,181 in the UK.”

Please put some thought into what you are saying…who sets the price? How does a doctor get paid? Citing the cost for a procedure and comparing them with other countries is meaningless without context and understanding why and how people get paid.

Maybe they are retiring because they are old and not because of Obamacare

Nearly 40 percent of doctors are 55 or older, according to the Center for Workforce Studies of the Association of American Medical Colleges.

Indeed, good health is very important for us to do the things that we want freely. Whenever we’re sick we often ask for help to doctors. But doctors are at risk of committing medical malpractice. Medical malpractice is something that health professionals commit. For more information about the legal aspects of medical malpractive check the article written by Mr. Haskell. http://haskellaw.com/article-medical-mistakes-a-primer-on-the-basic-of-medical-malpractice-4

Doctors must be equipped with enough knowledege and training and they must execute their job with due care to avoid mistakes. A single mistakes could cost the life of a patient.

Malpractice insurance takes away nearly 50% of each dollar spent on health care. Doctors and other health professionals student loan balances almost always begin with six figures and payments often last until the individual retires. The equipment costs are going up, but the payments from insurance and government programs are going down.

Ultimately, the two biggest reasons are: the advent of the medical malpractice lottery (including the class action lawsuit scratch-off game) where every single undesireable outcome can and most likely will end up in court, and the rise of insurance for health care. If we did not have insurance and had to pay for our health care out of pocket, either the costs would drop or the whole system would collapse and allow us to rebuild a rational system. With insurance, the prices can go up seemingly without limitation because someone else is subsidizing it. Until everyone is subsidizing it.

By the way, a reporter went to a local clinic recently and had a procedure done without insurance coverage. Another reported went to the same clinic and had the same procedure done using the insurance issued by his employer. The reporter with insurance paid more out of pocket for that procedure than the reporter without insurance. I don’t recall exactly but I believe when the insurance payment was added, the reporter who had insurance paid twice as much as the reporter who did not have insurance.

Either the availability of excess money through insurance is the cause of that, or the person with insurance is subsidizing the costs of persons without. I tend to think it is a mixture of both.