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ck4829

(35,900 posts)
Fri Dec 2, 2022, 07:22 AM Dec 2022

The Most Expensive Health Care in the World Is Far From the Best

It’s a fantasy world where none of the the byzantine, baffling, sometimes ruinous financing of US medical care exists — no insurance premiums, deductibles, copays, out-of-pocket limits, surprise bills, ambulance fees, payment plans, health savings accounts, coverage denials, coverage appeals, insulin costs, patient assistance charities, crowdfunding a,nd medical bankruptcies. Nice dream, right?

Then, back in the real world, you break your leg in one of the scores of countries with universal health insurance. You’re taken to an emergency room, where you receive X-rays. You’re seen by a doctor or nurse practitioner who confirms the diagnosis. You get a stabilizing boot and some crutches. And off you go, without so much as a parking fee.

That’s when reality comes crashing in. You thought you lived in the country with the finest health care in the world. You don’t. You live in the country with the world’s most expensive health care. A country where, 12 years after an enormous legislative effort to extend affordable coverage to the entire population, 8% still lack health insurance. Where half of adults are worried about medical costs that sometimes force them to delay or forgo care. Where life expectancy ranks 40th among all nations — that’s just better than Ecuador but behind Turkey, for those of you scoring at home — and newborn mortality ranks 33rd worldwide. 

The only category in which the US hold the undisputed lead is in measures of health spending — gross, per capita, and as a percentage of GDP.

https://www.bloomberg.com/news/newsletters/2022-11-30/the-most-expensive-health-care-in-the-world-is-far-from-the-best

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The Most Expensive Health Care in the World Is Far From the Best (Original Post) ck4829 Dec 2022 OP
Throw more money at it bucolic_frolic Dec 2022 #1
K&R burrowowl Dec 2022 #2
We've seen private sector efficiency make things very slow, poor quality, and expensive IronLionZion Dec 2022 #3
Facts about American Healthcare? We don' need no stinkin' facts about American Healthcare. jaxexpat Dec 2022 #4
I believe the system is broken for many. Between co-pays, deductibles, "out-of-network", and Evolve Dammit Dec 2022 #5
Kicked and recommended. Uncle Joe Dec 2022 #6
We have a new healthcare system for all within our reach. We just need the courage to do it. fightforfreedom Dec 2022 #7
Let's add mental health coverage as well as dental, optical. erronis Dec 2022 #10
I think all of us deserve the I_UndergroundPanther Dec 2022 #22
Very well said! nightwing1240 Dec 2022 #11
And get rid of Medicare Advantage. Lonestarblue Dec 2022 #15
Medicaid I_UndergroundPanther Dec 2022 #23
TFG has a plan. The Jungle 1 Dec 2022 #8
But, but national healthcare would be socialism nightwing1240 Dec 2022 #9
+1 n/t area51 Dec 2022 #14
And healthcare in the US is treated as a "benefit" for companies to use as leverage. erronis Dec 2022 #12
I have wondered why US companies have not been pushing for Medicare-for-all. 70sEraVet Dec 2022 #20
Also consider the takeover of all of human life activities by capitalists erronis Dec 2022 #13
I so dispise capitalism. I_UndergroundPanther Dec 2022 #24
The plan is working. The one where we all get screwed. twodogsbarking Dec 2022 #16
Yes, voter/vassals dependent on corporations for their very health and well being, as god intended! Alexander Of Assyria Dec 2022 #21
It is another universe worse. onecaliberal Dec 2022 #17
We don't have a Health Care System, we have a Health Care Industry... Wounded Bear Dec 2022 #18
The ACA expanded access to "coverage" dflprincess Dec 2022 #19

IronLionZion

(46,962 posts)
3. We've seen private sector efficiency make things very slow, poor quality, and expensive
Fri Dec 2, 2022, 08:22 AM
Dec 2022

while plenty of people are getting rich from it. And in the US, when you lose your job, you lose your health insurance as an extra kick while you're down.

jaxexpat

(7,782 posts)
4. Facts about American Healthcare? We don' need no stinkin' facts about American Healthcare.
Fri Dec 2, 2022, 08:56 AM
Dec 2022

At this time, we can only place Band-Aids on the systemic problem because of political "realities". Which is newspeak for, "Too many huge investments by ambitious people are at stake to change, much less improve, anything in an effective way". Obamacare essentially only improved American Healthcare by spreading the pain of working within a miserable system over a larger demographic.

Our only logical approaches to reform are like trying to repair the engine of a get-away car while on the run right after a heist.

Evolve Dammit

(18,603 posts)
5. I believe the system is broken for many. Between co-pays, deductibles, "out-of-network", and
Fri Dec 2, 2022, 09:06 AM
Dec 2022

premiums, our family spends between 8-10K per year. And we have employer-based insurance that used to be, USED TO BE be good, even 15 years ago. Every year it got worse and I watched the gross corporate greed that consolidated the industry and the new buildings going up, as these corporations gobbled up all the smaller clinics and specialty practices. A minority of doctors, dentists, etc. refuse to participate and either retire or go it alone. The rest are employed by these huge corporations and subject to their rules. I have lost three physicians who were either terminated or went it alone and I can't afford to see them if they are "out-of-network."

I remember when BC/BS was NON-profit. We had a plan for a while that you could get many commonly prescribed meds from a Canadian (CanRX) company that networked with other countries for free. This was ended when a Republican admin came into office. It was a blessing for the consumers, but apparently wrankled pharmacists who complained to the State Legislature ad the program was cut.

U.S. "consumers" (patients) are increasingly paying more out-of-pocket as "Big Pharma" and the army of lobbyists control the politicians. How many drug ads have we watched over the last ten years and how much money is spent in that slick marketing using ACTORS with the disclaimers? My favorite is "side effects may include Death." Yeah that would be an undesirable side effect.

I remember when Oprah interviewed Harry and Meghan and the Brits that watched couldn't believe all our drug ads, cause of course they don't have them as health care in UK is free.

Medical debt is still the number one cause of bankruptcy in the U.S.of A. That alone says it's a broken, perverted system.

 

fightforfreedom

(4,913 posts)
7. We have a new healthcare system for all within our reach. We just need the courage to do it.
Fri Dec 2, 2022, 09:11 AM
Dec 2022

Medicare for All. Medicare part A and B work great. They are one plan for all. Easy to figure out and people like it. The problem is Medicare part C and D. They are convoluted. Dozens of insurances companies offering different plans. It's impossible to figure out.

If we created a Medicare part C and D that was one plan for all, people would like it. Once we did that we could expand Medicare to all Americans which would drive all our costs down.

We as a people, a nation, simply don't have the courage to do it.


I can assure everyone, when you get something like cancer the last thing you want to deal with is insurance companies and bills. Medicare for All would remove a lot of stress and worries from our lives. You can't put a price tag on that.

erronis

(16,825 posts)
10. Let's add mental health coverage as well as dental, optical.
Fri Dec 2, 2022, 09:26 AM
Dec 2022

They keep the peasants poor by separating these areas of concern into their own profit centers.

I_UndergroundPanther

(12,934 posts)
22. I think all of us deserve the
Sat Dec 3, 2022, 02:11 AM
Dec 2022

Healthcare quality that senators have
We all should have universal healthcare and all "cadillac" plans. Wtf makes us believe we deserve less and must tolerate less . I dont belive rich people deserve the best care ,we all do! Dental,mental health everything. It is a human necessity.

nightwing1240

(1,996 posts)
11. Very well said!
Fri Dec 2, 2022, 09:28 AM
Dec 2022

I don't think we lack the courage, I think it is more large numbers of us sticking to it and demanding this is what WE want

Lonestarblue

(11,807 posts)
15. And get rid of Medicare Advantage.
Fri Dec 2, 2022, 10:01 AM
Dec 2022

It was sold as a way for private insurance to take on Medicare patients and save the government money. Instead it costs more money because Advantage patients are now costing more than original Medicare patients. Plus, the plans vary widely, as does the actual quality of healthcare. Some people get good results on Advantage plans, while other have nothing but complaints about insurers adding on costs or refusing to pay fir treatment.

Advantage was an attempt by the insurance industry to privatize Medicare and thus make a fortune in premiums. They’re succeeding because people want the extra services not covered by Medicare. Then when they become the only providers by getting the government out of Medicare entirely, they can raise prices and cut services as insurers frequently do.

I chose original Medicare because I can go to the doctors of my choice, not just a few doctors in the insurer’s network. I don’t need an authorization to see a specialist of my choice. My doctors and I make the decisions about my medical care, not a profit-driven insurance stooge. And if I need medical care while traveling to another state, I am not charged extra because I’m out of network.

Preserving original Medicare is worth doing because at some point we may find it has all been privatized and is no better than the thousands of for-profit healthcare plans offered by insurance companies. I had private insurance through employers my whole working life, and I can say for sure that Medicare is much better and less a hassle than any private insurance I ever had.

I_UndergroundPanther

(12,934 posts)
23. Medicaid
Sat Dec 3, 2022, 02:13 AM
Dec 2022

Has been fucked up by privatization bullshit too. I hate the damn referrals bullshit. Sick of the hoops to jump through. Its stupid.

 

The Jungle 1

(4,552 posts)
8. TFG has a plan.
Fri Dec 2, 2022, 09:18 AM
Dec 2022

He is going to release it next week and we will be getting the check from Mexico.

What I will never understand is why republican Americans continue to support the republican party. They have never supported one thing that helped the American people. Medicare, Medicaid, SS, education, feeding the poor, housing are all liberal causes.

nightwing1240

(1,996 posts)
9. But, but national healthcare would be socialism
Fri Dec 2, 2022, 09:24 AM
Dec 2022

Sick of hearing that stupid excuse as to why it should not exist in the USA. Come on people! Police, fire departments, public schools etc are social programs. Your social security you do not wish to lose is socialism!

Ok I am preaching to the choir here but a rant is in order for the countless public figures, political or otherwise, as well as people worse off financially or perhaps in the same boat as we accepting that nonsense as gospel.

Like some have mentioned, Medicare for all is the simplest way to proceed.

There's a lot more we can all share on the subject. ObamaCare was a very good first start, let's push for and demand more!

erronis

(16,825 posts)
12. And healthcare in the US is treated as a "benefit" for companies to use as leverage.
Fri Dec 2, 2022, 09:28 AM
Dec 2022

Not a universal right.

Think how much we could shrink the HR departments of big corpa if they didn't have to deal with health insurance.

70sEraVet

(4,142 posts)
20. I have wondered why US companies have not been pushing for Medicare-for-all.
Fri Dec 2, 2022, 10:35 AM
Dec 2022

Why wouldn't US companies see having to be responsible for providing health insurance to their employees, as a competitive disadvantage to companies based in countries that have health insurance provided by their governments?

erronis

(16,825 posts)
13. Also consider the takeover of all of human life activities by capitalists
Fri Dec 2, 2022, 09:32 AM
Dec 2022

From before cradle to in the grave with stops in hospitals, caretakers, hospices, morticians, cemeteries along the way. Each stop a way for the corporatists to shake more money out of our pockets.

Wounded Bear

(60,681 posts)
18. We don't have a Health Care System, we have a Health Care Industry...
Fri Dec 2, 2022, 10:20 AM
Dec 2022

A "System" would be streamlined and would incentivize preventive care and desirable health outcomes.

The Industry we have is designed to maximize profits, particularly to those who are isolated from the outcomes.

dflprincess

(28,468 posts)
19. The ACA expanded access to "coverage"
Fri Dec 2, 2022, 10:28 AM
Dec 2022

But access to coverage does not translate to access to care when the large deductibles allowed prevent a person from seeking care.

Medical bankruptcies are still common among the "covered".

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