American healthcare might not be the best world, but it is the most expensive.
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Adam Ruins Everything - The Real Reason Hospitals Are So Expensive | truTV
USA healthcare system is a legal mafia. They kill and disable more people than a war. I am a proof of that , I went to the hospital with an asthma attack and 3 days later wake up disable for life. Now I have to depend of other people to live. And they charged me 200,000 dollars + more than 50,000 in OT, PT, and Speech Therapy. For something that they caused in the first place. How about that for the best healthcare system of the word !
I was working as a contractor in Turkey and needed major surgery to repair ulnar nerve damage. It cost $3,200 for a 90 minute procedure including the anesthesiologist and overnight stay. A year later I returned stateside and needed a follow-up surgery to remove scare tissue pressing on the nerve. The insurance company charges totaled $12,940 and was treated as an out-patient, same-day surgery. The 2nd surgery took about 25 minutes and was over 4 times more expensive! Many expats who returned to the US have similar stories (and no, American doctors are not always better). It's an outrage how Americans get fleeced.
But antibiotics won't help for a cold... It's caused by a virus, not bacteria.
Also, taking them when you don't need to can cause problems later down the road.
He missed a great opportunity to lecture her on antibiotic resistance. 🙁
Why didn't he talk about non billable items?
These are things like IV catheters, the Nurses salary, the Support staff salary, gauze, IV tubing, tape, computer programs that allow us to care for you.
He missed a whole section of what you don't get billed for but still receive every time you enter a hospital.
+Silver Lining yes, costs that are passed on by the items you get billed for. (I.E. that IV Bag he says you get over changed for) the cost includes IV Cath, start kit to clean and secure it, IV line, Nurse to insert it,
computer program to chart it and portion of hardware to infuse mediation. Not to mention software to run the infusion pump.
You're not just paying for salt water.
Point is there are 5-10 items that aren't direct billed to the patient. Those costs are passed on by increasing the overall price of billable items.
Hell I cost the hospital about $30/hour (not my income directly but salary, benefits, workers comp, training, etc) but I don't send a bill to the patient for $30+. That is eaten in the cost of tests I perform.
wait so how is this not the governments fall when they get away with rigging the market through lobbying? sounds like the laws made by the government are corrupt and allow themselves to be bribed.... like this is the politicians fault
Funny how he neglects to mention the billions hospitals spend on unpaid emergency healthcare, paying off sleazy trial laywers who sue at every chance they get-and the subsequent malpractice insurance- not to mention the cost of regulations. If you look at a chart of heathcare employees since the 50s, the number of doctors has stayed the same, while the number of regulation compliance and other non medial personnel has risen something like 10x, and they have to be paid too.
Chicken or the egg in my opinion, is the excessive litigation a result of the out of control pricing or the other way around? About 14% of healthcare costs are associated with billing and insurance ( https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.28.4.w544 ) which adds cost to the consumer, but no value to their health. Right away you could do away with that as well as bad debt expense of those that cannot pay their bills at all by moving to a single payer system. Also, many physicians are independent contractors and pay their own malpractice insurance out of pocket, so that's not entirely a cost of the hospital itself.
i dont care if universal healthcare raises my taxes, overall ill be spending less money on healthcare than i would without it. yeah, even if i dont need healthcare ill still be paying for it, but thats kinda how taxes work?? im not in school but my taxes still help schools, and thats not a bad thing! that means my taxes are doing what theyre supposed to do!!
Immigrants don't pay for hospital care, they simply walk in, and after they get better leave and ignore the bill. hospitals make the money back by simply adding and hiding additional costs to American citizens bills
I bet if Canada opened their borders there would be a mass exodus from this greedy shithole country. We will be moving for sure if the next president and new Congress don't give us a public option or medicare for all.
You can thank the GOP for killing the single payer option in the healthcare mandate: http://www.nbcnews.com/id/34446325/ns/politics-health_care_reform/t/single-payer-health-care-plan-dies-senate/#.XBG_ixNKhTY
Granted, yes, any form of entertainment sensationalizes an issue, but he is right about us being ripped off. It is a real thing. It is true that American's love to sue, that illegal immigrants sometimes use hospitals, usually as a last resort, that the poor go to the hospital also as a last resort and can never afford to pay it back... but health care is a real, American problem. I went the ER because I had a shard of metal shoot into my arm. An X-ray and an antibiotic later, and without insurance it would have cost me $4,000. With insurance, it was $300. I was serviced 20 minutes. That is totally absurd. I'm not sure if you can rationally disagree with that.
I saw an episode of this guy show on television (I believe it was on CNN channel) where he was teaching a young African-Americans family the lack gender dress code's in America pass and how it became gender-based as time progressed. the show came across to me as an undertone cross-dress teaching (amongst other things) more so than an historic teaching.( the little black boy suddenly appear in a white dress and initially disapproved of it,But than he suddenly started dancing and saying how it wasn't that bad) teaching this too African American Boys and Girls...... We African American say' NOOO as many are already confused enough in this wayward Society'.
Ps Black men / families continue to be the one to teach your children or face the consequences of your children being victim's of the teaching of the Wayward West.!!!
+Wendy K , it's the nature of the all American beast. All nonprofit means is, they can't exist for the sake of profit. Colleges are the same way. Nonprofit. Administration/Directors get all the cash. Students pay in. Profs make nothing... Same with the NFL... etc. It's a crazy world... I mean country.
I’ve been working in the hospital setting for over 20 years and the medical supply companies are also cashing in on this. They wanted to charge me $80 for a set of pick ups or fancy tweezers. I found the same set on Amazon for $15. They over charge us for everything.
You can say its not the politician but they made it to where if you don't have insurance they charge you for not having it. So you would be paying the government $200 for basically nothing. when that could go to health insurance.
Insurance companies can overcharge what they want because of government regulations restricting competition in the medical industry. Remember, it was government regulations that outlawed lodge practice because it was too affordable.
The answer!! Medical Tourism!! Why spend thousands in the US when you can find equal treatment in Thailand, The Philippines, or Spain for lower price and an extra vacation. Seriously hospital rooms here are better than most hotels
Doctors and hospitals always try to find ways to overbill insurance, no different than what most used car dealerships do. Amd even if they wanted to lower prices they cant bc the govt's stupid laws limits competition
Also when an uninsured person goes to the ER with a gunshot wound, by law the hospital still has to treat that uninsured patient. Thus hospital prices are higher than cost in order to also cover the amount spent on treating uninsured / low income patients. The cost of treating uninsured people is built into the charges that hospitals bill everyone else.
its not insurance, its the hospitals who overbills insurance companies and insurance pays for it everytime. Also, there are freeloaders who do not pay but get treated through ERs. So then the insurance companies are forced to raise the rates for people who can pay. That is why my health insurance is now $700/month and that doesn't even include dental care.
The underlying problem appears to be that there is a middleman who is rewarded based on the discount off the list price, it is part of many industries and seems to be a function of being produced in or supplied by the USA.
What caused “The Rise of Insurance Companies”
Adam talks about the 2nd part of this in his video, but he does not go in to what caused “the rise of insurance companies”
because businesses had been upping Pay to keep their best people or to hire the best. with the war going on they where having a hard time finding and keeping people. Fighting over the few top people available to employ, so they started offering other things seeing the Government stopped them from offering a higher pay.
In 1942 the us Government under a executive order by FDR put in place a Maximum Wage of about $12.00 an hour.
so yes Stock options was one thing we all know executives get. But did you know Businesses also started offering paid time off for vacation and sick days. And yes the business started offering Paid Heath Care Insurance. all to get the best employees to work for them. and because of this Government Regulation on Maximum Wage we have
“The Rise Of The INSURANCE COMPANIES”
and the Big Insurance Companies is what has made Health Care Cost so much with the “Charge Master”. and Adam explained this part of it in his video.
People watch this and still are against universal healthcare because “SOCIALISM!!”, when the reality is the proposed higher taxes will be offset by the elimination of insurance and everything that comes with it: premiums, copayments, administration, etc.
Despite higher taxes, universal healthcare means more money in our pockets.
I'm a year away from graduating with an MD, and I have to say that this is a topic we are utterly unfamiliar with. We are just taught to provide the best standard of care for our patients and let the MBA's running the hospital deal with the finances. I wish doctors were better prepared to advocate for our patients financially too. And since I know someone is going to say it, doctors are overpaid in this country compared to other countries (where education is free) but it is on par with the fact that most of us graduate with 6 figures of debt. It's clearly not paying doctors and nurses (who are straight up underpaid) that makes healthcare so expensive.
one thing from the people who sing why doesn't the u.s. use universal health Care we do need to use parts of it but we can't because the countries that you people are using it have smaller populations then some of the states in the u.s.. u.s. just need to fix its healthcare system to where it's not so expensive for people. But we also can't just take a country whose a population of 20 million use that for over 300 million
I went to an ER that said on their website that they took my health insurance, turns out their urgent care only takes my insurance but that wasn’t on their website. I was triaged and they had taken blood and urine, plus I had been there at least an hour before the receptionist who took my insurance information came in and told me it was out of network. How much will it cost? $2500. I signed a paper and got in the car and went to a hospital we knew took our insurance. I don’t even have some random weird obscure insurance, it’s very common in Texas. It wasn’t that they didn’t take my insurance, but they didn’t tell me until an hour after I had been there! They should have it on their website or told me when I checked in. I could have been getting treatment somewhere that took my insurance. And now I’m scared they are gonna send some bill to me because the doctor looked in my ears and nose.
Community pharmacists are the health professionals most accessible to the public. They supply medicines in accordance with a prescription or, when legally permitted, sell them without a prescription. In addition to ensuring an accurate supply of appropriate products, their professional activities also cover counselling of patients at the time of dispensing of prescription and non-prescription drugs, drug information to health professionals, patients and the general public, and participation in health-promotion programmes. They maintain links with other health professionals in primary health care.