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“The Price We Pay” Healthcare

Discussion in 'Too Hot for Swamp Gas' started by QGator2414, May 9, 2022.

  1. philnotfil

    philnotfil GC Hall of Fame

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    The thing that changed my position on universal health care is that we already spend as much government money, per capita, on health care as countries that provide universal health care. If we are already spending enough money to do the job, we may as well go ahead and do the job.

    Germany has a good system, taxes cover the basics and catastophic healthcare, and private insurance is available if you want more. Singapore also has a good system where catastrophic healthcare is covered and tax money funds HSAs for everyone to cover any other needs. I don't really have strong opinions on how we make it work, so long as catastrophic care is covered and those who want to pay for more are allowed to pay for more. We have the highest prices and the worst outcomes, so clearly what we are doing now isn't working.

    In our current system, the wealthy get better care than those under universal coverage systems in other countries, and the rest of us get worse care. Allowing for private health insurance will mean that the wealthy can still get their better care, but the rest of us don't have to suffer as much.
     
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  2. ajoseph

    ajoseph Premium Member

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    I totally agree with this. We have a broken system. We each pay huge amounts of money now for insurance, individually and companies. I cannot imagine how those same monies, channeled through a single-payor system, with all the economies of scale naturally built-on to the system, cannot provide care for every citizen. And, unlike the current system that punishes companies who want to give great insurance to their employees (the Cadillac plan-penalties), there should be proscription against procuring upgraded insurance of things like concierge service.
     
  3. philnotfil

    philnotfil GC Hall of Fame

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    Depending on the study, insurance companies suck up 7-30% of healthcare spending. In countries with universal healthcare, only about 2-3% of healthcare spending goes to the administrative stuff insurance companies are handling in the US.
     
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  4. QGator2414

    QGator2414 VIP Member

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    We can have a combination of a free market and safety net. It would be extremely complicated to accomplish. But this would be the best way to move forward. However we have created a quasi fascist monster since Medicare. Making this a very tough thing to fix and answer.

    We have a grandfathered HSA plan. We would have over a 50% increase in premiums to switch to an ACA compliant plan. We could go HMO and get close to what we are paying for out PPO. But I do not want to navigate the HMO side of our system.

    Currently we spend $1.5 trillionish on medicare and medicaid.

    We should give every single person an HSA account that they can share and use for themselves for medical expenses only. The government can fund each account $2000 every year on January 1 and it would cost approximately $660 billion. Each person should be able to contribute tax free to these accounts (one complicated issue would be the penalty for contributed for non medical expenses if necessary). Any money left in the account after death would be transferred to those the person wishes or the state determines if there is no Will.

    Then we simplify the insurance side and offer true insurance. No more third party payer with mandated coverages for all sorts of things. Big Insurance will hate this. Catastrophic policies. Cadillac policies. Whatever you desire can be available. Insurance will still fight to control the price of the large procedures/treatments. And the patients will be able to fight and control the costs of the smaller procedures and treatments. Giving power back to the doctor/patient relationship.

    With that we still have approximately $840 billion to use for chronic illness and a safety net. This needs to be used to help control the cost of drugs and certain treatments. Which will be extremely hard to do with the lobbies of Big Providers (hospitals)/Big Insurance/Big Pharma. They are why it will be hard to fix anything at this point. They have too much control and power. And we need to shift it back to the doctor/patient. It can be done but the big players do not want a more free market. They want control of the quasi fascist system we have.

    Now with that idea...there will be a massive complication in how to shift/transfer to a system like that. Obviously we have a lot of people who are older and have not had a chance to amass money in an HSA account like I proposed. Which would be a major factor in how to transition. The transition would have to take decades imo. And be means tested. But once we transitioned...we would have a revenue neutral system that is more free market with the government there as a safety net. And the people can decide how big they want that safety net to be.

    Sadly...not likely as Corporate Providers/Big Insurance/Big Pharma will not like giving the doctor/patient relationship more power.

    That leaves approximately $840 billion for chronic illnesses and a safety net.
     
  5. gatorpa

    gatorpa GC Hall of Fame

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    Welcome and hold on to you hat, things can get a bit testy…
     
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  6. lacuna

    lacuna VIP Member

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    Lucas Duplan? Is that you?
    21-Year-Old Raises Largest Seed Round In Silicon Valley History — $25 Million — For Mysterious Payments App
    [​IMG]
    Clinkle CEO and founder, Lucas Duplan, just raised the largest seed round in Silicon Valley history.
    Clinkle

    Is David Lee a Duplan dupleecity ? Is this latest scheme a clunker reminiscent of Clinkle? Forgive my skepticism.

    8 Reasons Why Clinkle's Lucas Duplan is the Worst Startup Founder Ever
    (From 2013/14)

    8 Reasons Why Clinkle’s Lucas Duplan is the Worst Startup Founder Ever
    The picture above says it all, but if you want to find out exactly how this Stanford kid raised $30 million for his startup Clinkle and became responsible for one of Silicon Valleys biggest fails, then keep reading.

    Quotes from former employees -

    “He doesn’t want to know you, he doesn’t want to care about you, nor does he want to lead you; he simply wants to control you. You’re a pawn on his chessboard. In his mind, everyone is replaceable.”

    “Working for Clinkle was like going through an abusive relationship… I still have trust issues and think my new boss is going to screw me over.”

    “He treated them like second-class citizens,” one former employee describes, and that a lot of people who have left Clinkle feel “permanently scarred.”
     
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  7. BigCypressGator1981

    BigCypressGator1981 GC Hall of Fame

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    We need single payer. So very obvious.
     
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  8. g8trjax

    g8trjax GC Hall of Fame

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    Just what we need, govt controlled health care...and as a bonus CBDC just around the corner.
     
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  9. citygator

    citygator VIP Member

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    Not sure what the complaint is. I love overpriced bad service industries that lack transparency. Medical, car repair come to mind.
     
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  10. duggers_dad

    duggers_dad GC Hall of Fame

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    At least my mechanic doesn’t kill my car.
     
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  11. littlebluelw

    littlebluelw GC Hall of Fame

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    I dropped my coverage a couple years ago. To date I am ahead about $22K vs what I would have been paying for a family plan. Kept a $500/mo plan for my wife and college freshman son.
    Go to my primary once a year for bloodwork. Self pay about $300 for the tests and visit. $50 self pay office visits when ill.
     
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  12. G8tas

    G8tas GC Hall of Fame

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    Are you saying all mechanic dont kill cars or just yours? We know other people have had bad experiences
     
  13. duggers_dad

    duggers_dad GC Hall of Fame

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    Are you suggesting that mechanics are the leading cause of mechanical failure in cars ?

    http://www.webdc.com/pdfs/deathbymedicine.pdf
     
  14. defensewinschampionships

    defensewinschampionships GC Hall of Fame

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    Health Care, no matter the system, should always promote a culture of prevention. Start with diet and exercise. How much of American diseases could be prevented if we were at ideal weight and laid off the sugars and seed oils? I bet it is as high as 75%
     
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  15. wgbgator

    wgbgator Premium Member

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    I've mentioned this before, but I bet we have more gyms, yoga studios, fitness businesses per capita than countries we'd consider healthier. If you want healthier Americans its going to take reigning in capitalism in a way that selling certain foods, portion sizes or using certain ingredients is illegal. Mandating certain nutrition standards in schools (ketchup isnt a vegetable). Building walkable or bikeable cities/towns would be a plus too, phasing out car culture and long commutes. Of course being able to do that without someone screaming "what about our freedom" or claiming some kind of UN conspiracy theory to kill the car seems pretty unlikely. Health is largely a lifestyle issue, and basically all the forces in America are aligned in a way that it makes living that kind of lifestyle unobtainable or difficult for many people. Your diet matters a lot less if you are walking to the store or work everyday vs. sitting in a car for hours.
     
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  16. G8tas

    G8tas GC Hall of Fame

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    No I am not. Are you saying all mechanic dont kill cars or just yours? We know other people have had bad experiences
     
  17. G8tas

    G8tas GC Hall of Fame

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    Stop subsidizing corn and soy beans. We have high fructose corn syrup as a result of scientists and the gluttony of corn. Not only is it addictive but it's cheaper than fresh food
     
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  18. QGator2414

    QGator2414 VIP Member

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    Did we just not witness the idiots in government and how they did with Covid?

    No issue with some government. We need to move more free market and get rid of the fascism in healthcare…
     
  19. partdopy

    partdopy GC Hall of Fame

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    Really, really dumb comparison to lawn care that shows the author is more interested in making a political point than anything else.

    The time to make sure your health expenses are covered (through hsa, savings, insurance, whatever) is as soon as you're legally responsible for them, otherwise known as when you become an adult. If you don't do this and then have a medical emergency (you will) then you'll pay the cost of healthcare and irresponsibility. The second is what's expensive there.

    Irresponsibility with lawn care can be equally costly when the city comes and takes your property due to unpaid fines from years of violating ordinances, so maybe the comparison isn't terrible if you look at it that way, but neglecting any responsibility for decades usually results in a big problem.

    Tldr try being a responsible adult, the alternative is expensive
     
  20. VAg8r1

    VAg8r1 GC Hall of Fame

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    I guess you would consider the family that was the focus of this article as irresponsible.
    ‘UVA Has Ruined Us’: Health System Sues Thousands Of Patients, Seizing Paychecks And Claiming Homes
    Heather Waldron and John Hawley are losing their four-bedroom house in the hills above Blacksburg, Va. A teenage daughter, one of their five children, sold her clothes for spending money. They worried about paying the electric bill. Financial disaster, they say, contributed to their divorce, finalized in April. Their money problems began when the University of Virginia Health System pursued the couple with a lawsuit and a lien on their home to recoup $164,000 in charges for Waldron’s emergency surgery in 2017.
     
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