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English Literature Isn’t Brain Surgery: Why is American medicine so expensive?
Wall Street Journal ^ | April 23, 2018 | Chris Pope and Tim Rice

Posted on 04/24/2018 5:14:25 AM PDT by reaganaut1

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To: reaganaut1

English Literature is static and the same old stuff studied beyond belief

Medicine is science and continually advancing with new knowledge and technology.


41 posted on 04/24/2018 8:32:37 AM PDT by bert (RE)
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To: a fool in paradise

Remember that pillow you slept on is NOW YOURS you paid for it.

Last 2 ER trips never saw a Doctor, saw PA’s. My once 3 Internal Med practice is now down to 1 Internist a APN and a NP. Internist is close to retirement age. The other 2 are to Undereducated to manage the routine medical a Senior needs, as most Seniors are multi health issues patients.


42 posted on 04/24/2018 8:38:56 AM PDT by GailA (Ret. SCPO wife: suck it up buttercups it's President Donald Trump!)
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To: Redleg Duke

I hope you don’t bother suing your doctor for a botched procedure or diagnosis. You wouldn’t do that now would you?


43 posted on 04/24/2018 8:50:36 AM PDT by SgtHooper (If you remember the 60's, YOU WEREN'T THERE!)
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To: SgtHooper

Get real, lawyer! You folks have driven up medical costs with your damned frivolous, contingency lawsuits for years.


44 posted on 04/24/2018 9:24:48 AM PDT by Redleg Duke (The Democrats in California want another civil war over cheap labor!)
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To: Redleg Duke

Because we are subsidizing the medical care of the rest of the planet and lining the cabal’s pocket too.

Are you new here? /s

Europe operates a monopsony. We don’t. Each hospital buys its meds on the ‘open’ market.


45 posted on 04/24/2018 9:28:19 AM PDT by RinaseaofDs
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To: a fool in paradise

I don’t want my heart surgery done by the lowest bidder. I also don’t want my bridge designed by the lowest bidder.

Or the most politically favored group. (FL bridge collapse)


46 posted on 04/24/2018 10:47:36 AM PDT by generally ( Don't be stupid. We have politicians for that.)
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To: CharleysPride
Less time in college means a twenty three year old, immature, douche-bag doctor.


47 posted on 04/24/2018 10:49:40 AM PDT by dfwgator
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To: KarlInOhio

Excellent point.

There should be a single price whether you’re insured or not.

I was going to the same dentist for over 20 years. When I lost my insurance, the costs doubled (more than doubled for some things, iirc). How ridiculous that the person who most needs the discount (the one without insurance probably because he is unemployed) is the person who is expected to pay the most.

What is wrong with this picture? Everything.

If there were ONE insurance/health law that needs to be passed, it would be that you get charged the same thing for a procedure regardless of who is paying.


48 posted on 04/24/2018 10:51:23 AM PDT by generally ( Don't be stupid. We have politicians for that.)
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To: RinaseaofDs

Why don’t you take the time to click on my handle before asking such a dumbshit question.


49 posted on 04/24/2018 10:55:08 AM PDT by Redleg Duke (The Democrats in California want another civil war over cheap labor!)
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To: Redleg Duke

Sarcasm, mate. Hence the ‘/s’.


50 posted on 04/24/2018 10:58:23 AM PDT by RinaseaofDs
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To: dfwgator

Had an Aunt who had a masectomy. Her surgeon was called out of a meeting to go and write “NO” in marker on the breast not to be removed.

Over attention to detail, bureaucracy run amok?

Probably, but looking at the lad in picture you posted — I’ll take any safe-guards I can get!


51 posted on 04/24/2018 11:02:57 AM PDT by CharleysPride (Peace, Freedom and Prosperity. Thank you, President Trump.)
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To: reaganaut1

Q = Why is American medicine so expensive?

A = The same reason everything else is expensive, government.


52 posted on 04/24/2018 11:06:16 AM PDT by yuleeyahoo (Those are my principles, and if you do not like them...well I have others. - Groucho Marx)
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To: Balding_Eagle

Considering the condition on was in, he could have done me on the table and I don’t think anybody would have been the wiser. I’m well aware of what’s what. I don’t contribute to the Saladin’s Swords of Mercy.


53 posted on 04/24/2018 12:29:08 PM PDT by j.argese (/s tags: If you have a mind unnecessary. If you're a cretin it really doesn't matter, does it?)
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To: neverevergiveup

what’s the leading cause of death in American hospitals ?

infection and misdiagnosis

Yeah keep telling yourself - we have the highest quality system in the world. If your people can‘t be bothered to wash their hands or equipment properly; how can anyone believe your people have any idea what quality even is.


54 posted on 04/24/2018 3:07:06 PM PDT by vooch (America First Drain the Swamp)
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To: j.argese

Are you truly aware of what’s what? Maybe not.

You seem to be justifying having doctors whose Holy Book instructs them to kill the infidel. That’s you and me.

Just because he didn’t do it in your case only means he’s an fallen Muslim. That may be a temporary condition.

Do you really want to bet your life on having a series of fallen Muslims treating you?


55 posted on 04/24/2018 3:14:52 PM PDT by Balding_Eagle ( The Great Wall of Trump ---- 100% sealing of the border. Coming soon.)
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To: Balding_Eagle

SMFH


56 posted on 04/24/2018 4:38:23 PM PDT by j.argese (/s tags: If you have a mind unnecessary. If you're a cretin it really doesn't matter, does it?)
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To: vooch
Infection is not just about washing hands - although that is an absolute must. Infection also has a lot to do with what you're treating in the hospital you're working in (e.g. the level of acuity of illness, the seriousness, and co-morbities such as diabetes, HIV, and cancer - and thus the susceptibility of the patients you're treating). It also has to do with the emergence of resistant organisms in the community - often driven by inappropriate use of antibiotics on an outpatient basis. Infection is a problem world-wide in hospitals - including Europe. I've been to hospitals in Europe, yes Europe, where there were flies flying around the emergency room and landing on patients.

Misdiagnosis is not a ‘leading cause’, and I think you are confusing this with ‘medical error’, which is the third leading cause. It's very important to keep in mind that this designation of ‘medical error’ is also falsely conflated by including all patients who die from/or during treatment. For example, if a patient is appropriately placed on an anticoagulant, but has a life-threatening bleed or dies while on that medication, it gets counted as a treatment associated death. If a patient comes into the emergency room receiving CPR and is resuscitated but critically ill, and their only chance is if I take them for a procedure or operation, if they die during or after that procedure it will be recorded as a procedure-associated death. In Europe they are not as aggressive in trying to save people (just read the news about the latest and greatest NHS escapades). We could debate whether or not we are too aggressive in the US, but what drives this the vast majority of the time is trying to save a patient. I don't and won't practice defensive medicine. If there is a chance, I'll take it, and if it doesn't work out I will take the statistical hit.

This is a lot longer discussion than we can or should have on a discussion board, but I gave much of my youth and most of my adult life to this point, becoming and being a practicing physician. I've been all over the world, and the problems and limitations with medicine are universal. Medicine is not like engineering, and requires a lot more extrapolation and fuzzy logic than I would guess most engineers would feel comfortable with. One would expect that if 100 engineers all were asked to compute the load-bearing of a specific bridge, given the same input data they would come up with the same, or close to the same answer. That's not always the case in medicine, and it's not because medicine isn't ‘standardized’ enough. It's because there's too much we don't know, and therefore medicine can't be practiced effectively by algorithm - although some are trying to push this.

Anyway, sounds like you've met some arrogant docs (just my supposition). Just like businessmen, we're not all the same.

57 posted on 04/24/2018 5:33:59 PM PDT by neverevergiveup
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To: neverevergiveup

somehow medical diagnosis is soooooo much more complex & difficult in the US than 36 other countries with better quality health care at 1/2 the cost.

for example I had emergency surgery in a small town german hospital - $3,000 soup to nuts. Superior talent, clean, incredibly well organized, and clean, calm and methodical

My Mom had a similar event, went to UCSD ( because Scripps is a death trap ) - sloppy, chaos, kinda clean, harried & confused, lots and lots of people rushing around ; fortunately she wasn‘t killed; $64,000

that’s typical


58 posted on 04/24/2018 5:56:28 PM PDT by vooch (America First Drain the Swamp)
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To: j.argese

Yes, it does seem like you have FH.


59 posted on 04/24/2018 6:06:25 PM PDT by Balding_Eagle ( The Great Wall of Trump ---- 100% sealing of the border. Coming soon.)
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To: Balding_Eagle
You're clueless.

Frame your folly with by responding. To prove your wisdom, walk away.

Later troll.

60 posted on 04/24/2018 6:14:40 PM PDT by j.argese (/s tags: If you have a mind unnecessary. If you're a cretin it really doesn't matter, does it?)
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