Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

Blurring the Expense of Medical Care
Townhall.com ^ | June 25, 2019 | Stephen Moore

Posted on 06/25/2019 6:13:49 AM PDT by Kaslin

click here to read article


Navigation: use the links below to view more comments.
first 1-2021-27 next last

1 posted on 06/25/2019 6:13:49 AM PDT by Kaslin
[ Post Reply | Private Reply | View Replies]

To: Kaslin
One major reason for this is the third-party payment system, which anesthetizes Americans from the true costs of drugs, hospitals, and procedures. If someone else is paying the tab, who cares what it costs?

As a CASH paying customer, the price for medical care is about 20% of what My Doctor bills the Insurance Company. Example: 12 Stitches with Insurance, My Doctor bills Insurance $2200 All In. I walk in with $500 CASH and I get the same 12 stitches but with a Smile because the doc is paid right then.
2 posted on 06/25/2019 6:24:47 AM PDT by eyeamok
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

But it is your health. It does not matter what it costs. That is what everyone says. That is the rubric for ever increasing costs and yet, nobody in medicine ever gets enough. It is an industry that has not yet found the limits of the price that traffic will bear. It is an industry that is essential for life and holds us hostage for it. It is an industry that is out of control. It is an industry that needs a lid put on it. The research will still get done.


3 posted on 06/25/2019 6:28:25 AM PDT by Sequoyah101 (We are governed by the consent of the governed and we are fools for allowing it.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: eyeamok

I have NEVER found any medical expense that would be discounted for CASH. I have tried and the answer is NO. This is one problem with Christian Health Ministries and having to negotiate your own acceptable price that the ministry will accept.


4 posted on 06/25/2019 6:30:49 AM PDT by Sequoyah101 (We are governed by the consent of the governed and we are fools for allowing it.)
[ Post Reply | Private Reply | To 2 | View Replies]

To: Kaslin

My wife and I are both 65 and have no health insurance. This is a hot button issue for us. Trump’s EO is HUGE for us. We always ask how much it costs, but to include perspective. We rarely have a need to ask because our medical system has little to offer us.

This sort of thing is why:
https://www.google.com/search?rlz=1C1GCEB_enUS853US853&ei=giISXYOuNOuF9PwP2bKnQA&q=pinworm+medication+cancer+man+healed&oq=pinworm+medication+cancer+man+healed


5 posted on 06/25/2019 6:33:34 AM PDT by cuban leaf
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

We could seriously slash the cost of health care if we could find a cure for hypochondria. I worked for a large government agency which required that I review medical records. My best guess is that about 70 percent of all visits to the doctor are unnecessary, amounting to assorted aches and pains that are in most cases, imaginary.

I did notice that in old medical records that doctors routinely noted that the patient was a hypochondriac and was essentially just humored, and given some sugar pills. In extreme and particularly annoying cases, patients were told that there was nothing wrong with them and that they could not come back. No more of truth-telling. Now, vast amounts of very expensive testing and medication are the rules. Naturally, the testing comes up negative and most of the meds contain a big dose of anti-depressants.


6 posted on 06/25/2019 6:44:38 AM PDT by euram (is)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

Instead of paying for prescriptions through our insurance, we use the GoodRx (Gold) plan, paying a mere fraction of what our copay would be.

Most of the high cost of prescription medicine it pharmacy markup. GoodRx works in the same way the insurance company intermediaries do, negotiating with the pharmacies, but GoodRx does it for the cash-paying consumer, obtaining up to 90% discounts.

https://www.mdedge.com/psychiatry/article/157623/business-medicine/medication-pricing-so-how-it-works

https://www.goodrx.com/


7 posted on 06/25/2019 6:50:07 AM PDT by Jeff Chandler (This Space For Rant)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

The only way to bend the medical cost curve is to abolish healthcare insurance in all forms. Then and only then will the supply and demand curve for healthcare function as a free market. Back to reality though, the President’s executive order amounts to nothing more than pandering.


8 posted on 06/25/2019 6:57:08 AM PDT by buckalfa (Earth First ! We Will Strip Mine The Other Planets Later !)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin
Several years ago, I had a shoulder injury, and the doctor told me I might need surgery to fix the small tear in my rotator cuff. So, I asked, "Doctor, if I have this surgery, about how much will it cost?"

He looked at me confusedly and said, "Steve, I've been doing these surgeries for 20 years, and you are the first patient to ever ask me what it costs!"

Early 2000, I was between jobs, COBRA ran out or wasn't re-newed, so I had no health care insurance.

Had an incident that sent me to the hospital in an ambulance and the original diagnosis was a heart attack.

I was admitted and the following day they docs wanted to perform multiple tests and I axed how much would it cost me.

They were shocked that someone in a hospital bed with a supposed heart attack wanted to know the price of their service. I was paying, it was my money and my heart, and I wanted to know the cost to me.

Long story short, they finally told me it would be around $2,500 and I said put it in writing, they declined.

I said OK, go ahead but I'm not paying anything higher than what ever your best price is to medicade.

We argued for over a year, it was messy, with bill collectors, lawyers, and nastygrams.

I finally settled for about 15% of the original bill.

9 posted on 06/25/2019 7:04:56 AM PDT by USS Alaska
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin
Another problem is that you and I could buy the exact same drug and pay wildly different prices depending on what kind of insurance we have.

Not just drugs. I had a blood and urine test. The bill I got had a list price of $1500. My insurance company's contract rate with the hospital group was $75 of which $5 was my copay.

What was the reasonable price for collecting a couple of fluids, mixing some chemicals in for the tests and maybe looking into a microscope? I have no idea. But a 20 times difference between billed and paid rates is insane. It's like having a sticker price on a car as $150,000 but only $7500 if your car insurance company buys it for you.

10 posted on 06/25/2019 7:15:11 AM PDT by KarlInOhio (Who's the leader of the club that feeds on dead babies? M-O-L... O-C-H... M-O-U-S-E.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

The costs will continue to go up for anything and everything the gov ‘controls’ that just also happens to be unconstitutional. For instance healthcare and schools but also at a local level housing/rentals costs for urban areas like San Francisco, New York etc. Anywhere the gov. is ‘helping’ even though they’ve overstepped their limits.


11 posted on 06/25/2019 7:38:37 AM PDT by BrandtMichaels
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

Health care prices are the direct result of epidemic political corruption.

We will not fix the former without first fixing the root cause.


12 posted on 06/25/2019 7:43:01 AM PDT by thoughtomator (The Clinton Coup attempt was a worse attack on the USA than was 9/11)
[ Post Reply | Private Reply | To 1 | View Replies]

To: thoughtomator

Right - shorter version of what I said in the prior post.

If we’d just review the 10 planks of communism then we’d see how our gov is slowly whittling the constitution and our rights down to nothing and charging us taxes for this transformation. I’m afraid even Trump doesn’t get it unless he’s suddenly gonna start eliminating gov jobs and depts. in a major way.


13 posted on 06/25/2019 7:55:38 AM PDT by BrandtMichaels
[ Post Reply | Private Reply | To 12 | View Replies]

To: Kaslin

It is extremely difficult to find out what things cost.

One of the reasons is that things in healthcare (except in the “cash only” private sector) really don’t have prices. They have “charges”, and the charges are never what anyone pays.

Charges are a term of art that arise from the delicate dance between hospitals, physician groups, and payers. Most payers except Medicaid pay a negotiated percentage of “charge”, so to get to an actual price (presuming that a provider KNOWS what things cost), the “charge” has to be set high enough that for a given payor mix (and therefore sliding scale of “discounts”), you can make payroll every two weeks.

This system really got going after 1965, and at this point charges only bear the slightest resemblance to cost+profit.

Anyone who thinks this is NOT going to end up with single payer of some type (there are many variants on single payer, some better than others) is, IMO, out of his mind.


14 posted on 06/25/2019 7:55:38 AM PDT by Jim Noble (1)
[ Post Reply | Private Reply | To 1 | View Replies]

To: cuban leaf

If you are 65 you qualify for Medicare.


15 posted on 06/25/2019 8:13:24 AM PDT by kaila
[ Post Reply | Private Reply | To 5 | View Replies]

To: kaila

Yes. Plan B is free and the only one I’ll get when I retire, because I have no choice. But it’s pretty much worthless.


16 posted on 06/25/2019 8:14:14 AM PDT by cuban leaf
[ Post Reply | Private Reply | To 15 | View Replies]

To: Kaslin

It wouldn’t be so high if we weren’t billed for the illegal who didn’t pay right before you went in (hello, Baylor Scott and White). Or they wouldn’t bill you for two lenses when you only had one eye done and double the national cost (hello, Baylor Scott and White) and for a million other things you didn’t have done.


17 posted on 06/25/2019 8:30:12 AM PDT by bgill
[ Post Reply | Private Reply | To 1 | View Replies]

To: Kaslin

“If you have to ask, you can’t afford it...”


18 posted on 06/25/2019 10:12:52 AM PDT by rockrr ( Everything is different now...)
[ Post Reply | Private Reply | To 1 | View Replies]

To: kaila

I consider it worthless.


19 posted on 06/25/2019 10:40:53 AM PDT by cuban leaf
[ Post Reply | Private Reply | To 15 | View Replies]

To: Sequoyah101
I have NEVER found any medical expense that would be discounted for CASH.

That's funny, I have never ran in to a Doctor yet that won't give a hefty discount for Cash!! I would look for a New Doctor pronto. Here is a place that deals in cash only that has the lowest infection rate in the country and is half price compared to the average insured price. All Prices are Posted and it is an All In Price, NO Extras.

https://surgerycenterok.com/
https://surgerycenterok.com/pricing/
20 posted on 06/25/2019 11:42:15 AM PDT by eyeamok
[ Post Reply | Private Reply | To 4 | View Replies]


Navigation: use the links below to view more comments.
first 1-2021-27 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson