Where do you stand on Healthcare?

[Rickyvol77]

Yeah I’m sure that’s the issue.

It is a serious issue, as is the opioid crisis and the lack of mental health facilities.

But hey "mental illness should be celebrated and legalize all drugs" amirite?

 

[volbeast33]

I suggest that healthcare motivated by profit is at odds with the nature of healthcare. It’s an inherent conflict of interest.

The reason healthcare is so much more expensive in this country is that people here are burdened with supporting billionaire executives from insurance and pharmaceutical companies and the millionaires that work for them. That isn’t a patient-centered system, it’s a profit factory.

My suggestion is removing profit to benefit the patient population.

Our government came up with PDPM which stands for patient driven payment model.... I can guarantee you that is anything but patient driven.

 

[Rickyvol77]

I realize I'm in the small minority here that think this, but yes, I think we should eliminate homelessness. I'm not sure I think that more than 3 hots and a cot should be provided, but they should taken care of. Probably this would lessen the burden on our healthcare system too.

Cool, how do you propose we "eliminate homelessness"?

 

[hog88]

Might want to study what "local Medicare rates" means to the Hospital's bottom line, along with Press Ganey and other governmental interference that prevents the hospitals from having lower prices

Friend of mine does doors and damper systems for hospitals. He told me once that 1 hospital door that separates units cost a minimum of 6k.

 

[Rickyvol77]

I’d like to see a list of all the breakthroughs through for profit companies vs universities/governments.

Pharmaceuticals can remain for profit but they’re known for price gouging in the US while writing off commercials on taxes. Also, us taxpayers subsidize a good portion of pharmacy research, so how much of that is paid by us while they take in their profits and give big bonuses to their top guys?

Having a sole insurance provider grants a lot of purchasing power because hospitals would have to go through one source. Additionally, profits are not built in.

This quote shows you are naive with how large hospitals are ran.

 

[LouderVol]

Depends on what’s put in there. That’s what republicans would want anyways.

Medicare for all would save us tons of money just through admin costs alone.

As far as your solutions:

Employer insurance is done away with why exactly? Because you don’t want to provide your employees benefits?

Insurance premiums are already deductible if expenses are high enough. That doesn’t help with the overpriced costs. Same with HSA.

Denying people healthcare that can’t pay is absolutely idiotic.

Uh what about government bureau suddenly negotiating prices makes you think admin costs will drop? Plus paying people. Setting standards etc? All you sre doing is shifting the middle man around

 

[Rickyvol77]

Friend of mine does doors and damper systems for hospitals. He told me once that 1 hospital door that separates units cost a minimum of 6k.

Depends on the type of door, but that has nothing to do "with the hospital". That is how much the contractor or CSR charges for that regionally

 

[Rickyvol77]

But if you don’t have insurance at all, you are on the hook for the billed amount not the “settled amount@.

Not for most, the hospitals just write it off assuming the homeless and illegals and such won't pay...which they dont

 

[Rickyvol77]

I can agree with that. Medicare for all would provide
insurance regardless of current employment.

Health care expenses including premiums are deductible if your expenses exceed a certain percentage of your AGI.

Your metaphor doesn’t apply to this. Healthcare is a completely different issue and seen as being unethical to not treat people who cannot pay, which is why it’s law (for ERs at least). If you have Medicare for all, you don’t have that issue and it saves us money.

the problem is that half the people who are required to be seen by EMTALA in the ED are NOT emergency situations....so thus hospital time/staff/resources are wasted and becomes costly to deal with the same homeless guy who got drunk and was brought for the 10th time this week to be seen in the ED. Police used to arrest these guys and take them to the "drunk tank" but lawyers stated this was a case for suing

 

[hog88]

Depends on the type of door, but that has nothing to do "with the hospital". That is how much the contractor or CSR charges for that regionally

I was getting at the regulations hospitals have to follow. Those doors cost so much because the have to be fire doors.

 

[Rickyvol77]

I was getting at the regulations hospitals have to follow. Those doors cost so much because the have to be fire doors.

Joint Commission, the ACA, Press Ganey, and the AMA are the worst things to ever happen to healthcare in this country

 

[NorthDallas40]

I was getting at the regulations hospitals have to follow. Those doors cost so much because the have to be fire doors.

Buying the door for our storm room in the new house, the conversation between me and the sales rep:

Me: so the FEMA door is $4k and the non FEMA approved door is $2k?

Rep: yep.

Me: what’s the difference?

Rep: the FEMA door has a FEMA spec plate on it. And it’s lighter gauge steel.

Me: wait the non FEMA marked door is a heavier gauge door made the exact same way it just doesn’t have the spec plate?

Rep: yep.

Me: but the non FEMA door is actually the stronger door?

Rep: yep.

Me: for $2k less?

Rep: yep.

Me: I’ll take the non FEMA door please.

Rep: smart man! That’s why I wanted to talk to you.

 

[USMC-TNVOL]

I’m not tone deaf at all, I just don’t think it’s right to force someone to give you their labor.

And don’t come back again with the “the workers are getting paid” argument, that is BS. If I don’t get paid for my employees work you are stealing my labor.

Hmm it’s as if the issue stems from somewhere else. Oh not everyone can afford coverage. Go cry about “stealing labor” to someone who cares.

 

[USMC-TNVOL]

This quote shows you are naive with how large hospitals are ran.

Enlighten me expert.

 

[USMC-TNVOL]

Uh what about government bureau suddenly negotiating prices makes you think admin costs will drop? Plus paying people. Setting standards etc? All you sre doing is shifting the middle man around

There’s been several studies done that show Medicare for all would drop healthcare costs.

 

[NorthDallas40]

There’s been several studies done that show Medicare for all would drop healthcare costs.

Medicare is senior insurance that I’ve paid into since my first job at 16. So in Medicare for all is everybody paying into it before they get benefits? Or if you can’t afford it then it’s just given to you.

 

[hog88]

Hmm it’s as if the issue stems from somewhere else. Oh not everyone can afford coverage. Go cry about “stealing labor” to someone who cares.

Spoken like someone who’s never signed the front of a paycheck.

 

[LouderVol]

There’s been several studies done that show Medicare for all would drop healthcare costs.

Let me guess. Done by the government?

 

[Sea Ray]

Let me guess. Done by the government?

Worse than that. The studies are likely done by the socialist candidate that's pushing for it.

Let's set one thing straight. The left doesn't want Medicare for all. They don't know what that means. Medicare has co-payments and deductibles to the point where folks generally need gap insurance. So the left doesn't know enough to know what it wants

Furthermore the system as it stands now cannot survive if they only collect what Medicare will pay. Hospitals will go under and doctors' offices can't make it either. That's why you often here Congress pay a "doctor fix" to their medicare and medicaid programs.

 

[USMC-TNVOL]

Let me guess. Done by the government?

No.

 

[LouderVol]

No.

Well then try me. I will at least read the abstract and if there is some type of summary. If I find it compelling I will even read more.

But I see no way in hades giving it to the government makes it cheaper.

How much cheaper does the military get its 1911s than the public can? Or a box of 308?

 

[Ashevolle]

This quote shows you are naive with how large hospitals are ran.

Why would the way that hospitals are currently run (in a failing system) matter? We should be scrapping our current system and moving in a new direction.

 

[VolsAgainstTheWorld15]

I am 100% against free healthcare ran by the .gov, but I do think something needs to be done to lower the prices, particularly with the pharmaceutical companies.

 

[USMC-TNVOL]

Worse than that. The studies are likely done by the socialist candidate that's pushing for it.

Let's set one thing straight. The left doesn't want Medicare for all. They don't know what that means. Medicare has co-payments and deductibles to the point where folks generally need gap insurance. So the left doesn't know enough to know what it wants

Furthermore the system as it stands now cannot survive if they only collect what Medicare will pay. Hospitals will go under and doctors' offices can't make it either. That's why you often here Congress pay a "doctor fix" to their medicare and medicaid programs.

22 studies agree: 'Medicare for All' saves money

“All of the studies, regardless of ideological orientation, showed that long-term cost savings were likely. Even the Mercatus Center, a right-wing think tank, recently found about $2 trillion in net savings over 10 years from a single-payer Medicare for All system.”

 

[Sea Ray]

Medicare for All is far less costly than our current system largely because it reduces administrative costs. With one public plan negotiating rates with health care providers...

Where's the negotiations? If it's single payer, who else can doctors and hospitals negotiate with? If there's no competition then there's no negotiation. It's whatever Nancy Pelosi and co say

I can get behind single payer if I had any confidence that our politicians could write a plan that would be somewhat workable. I'm sorry, I just don't