Can't comprehend why those that are aware of this don't cry 😿 out for single payer. My guess is those those that are aware of this(with very few? exceptions) do so.Health insurers are required to pay 80% of their premiums for actual services…so they negotiate higher rates , not lower rates with providers.
Why hospitals, insurers didn’t want you to see their prices
Why hospitals, insurers didn’t want you to see their prices - The Seattle Times
replica.seattletimes.com
Apparently for many it is another big step down the road toward ‘socialism’ and the end of freedom of choice and capitalism. So the knee jerk opposition will ramp up immediately. Obama wanted single payer but the Senate finance committee nixed even discussing it. The hope was settling for Obamacare would be a transition step to single payer.
Yeah, that’s the biggest problem with healthcare. Some people don’t want to touch it because they don’t want it to be more ‘socialist’, but they neglect that most user level services (other than maybe plastic surgery) are also not currently an appropriate capitalistic approach.
Yes it is ridiculous. I held on to the idea that we could transform the system to be market oriented for a long time. But now I favor a Dutch style system with some layer of choice. Similar to medicare part c.
Agreed, most are. Anyway, the difference I was trying to identify is that our healthcare companies are profit driven companies trying to meet very high investor expectations as hot stocks. In many developed countries they are regulated businesses that make their profits by running the company efficiently and keeping customer satisfaction high. Germany and Switzerland are examples. France and Britain have a different, more nationalized system. Australia has a national insurance system but docs run their own practices. Lots of ways to skin a cat other than our kludged together system which costs more and covers fewer people.
www.vox.com
Great read.They do pay premiums and choose insurers. I have a friend who has lived there a long time. But it is highly regulated.
The Netherlands has universal health insurance — and it’s all private
How the Dutch harnessed the market to cover everybody.
Yes and there is the key element of compulsory enrollment. And no getting out of it by just paying a small tax penalty. Wage garnishment eventually comes into effect.
so why do we have aca, an inferior planThey do pay premiums and choose insurers. I have a friend who has lived there a long time. But it is highly regulated.
The Netherlands has universal health insurance — and it’s all private
How the Dutch harnessed the market to cover everybody.
Thanks for posting. There's a lot of ways to provide universal care if, as you point out, there's the will to do so. Somehow every other industrialized country has been able to come up with a solution, but somehow we can't. Bummer.
the early colonists were escaping government control and created the Constitution to emphasize self reliance.
Again are you ok with turning people with life threatening conditions away from the hospital. Or said another way, relying solely on the goodwill of those hospitals, if any, that will provide care for free.
Here is another one. There is only 1 child neurologist in the entire 1 million plus Tulsa metro area. He happens to be out of network with my insurance. So either we pay extra out of network or drive to OKC taking kids out of school for care.
no.
Right on.
After my daughter was born, she needed to be flown to Albuquerque to get a life saving surgery due to a congenital defect in her bowels that we were unaware of before birth. She was too young to put on a helicopter, and the docter wanted to arrange an ‘air ambulance’ for her, which is a special Cessna. I have ‘very good‘ insurance. I remember my conversation with the doctor, it went something like this:
if the only dr in tulsa take one insurance, then free the market system will generate demand for more.
A free market would let Mullins pick his own doctor or health insurance provider. What you describe is…. Not a free market effect.
It is always easy to criticize particular points somebody makes and throw out narrow counterarguments.
I used to find the Libertarian philosophy appealing but it falls apart in the ways I showed above, plus we all don't start out equal. Just like communism and socialism fall apart when it comes to the matter of human motivation. So I have become a non philosophical pragmatist - the world is messy so try things, see how well they work, rinse and repeat.
As to your number 4, I think everyone realizes that people in need can go to the emergency room. The problem is that they have to require emergency care to necessitate that use of the Hippocratic oath. If they’re suffering from cancer, or some disease that’s debilitating when left untreated the hospital won’t see them until it’s already to late, and that’s when the care becomes expensive to a degree it might not have been if preventative measures were administered before things turned into an emergency.
You’re 100% right. Point 4 was only for my friend, aTUfan, that isn’t aware the uninsured still get treated in our current medical environment. Albeit in the least effective manner possible.
