Win / KotakuInAction2
KotakuInAction2
Communities Topics Log In Sign Up
Sign In
Hot
All Posts
Settings
All
Profile
Saved
Upvoted
Hidden
Messages

Your Communities

General
AskWin
Funny
Technology
Animals
Sports
Gaming
DIY
Health
Positive
Privacy
News
Changelogs

More Communities

frenworld
OhTwitter
MillionDollarExtreme
NoNewNormal
Ladies
Conspiracies
GreatAwakening
IP2Always
GameDev
ParallelSociety
Privacy Policy
Terms of Service
Content Policy
DEFAULT COMMUNITIES • All General AskWin Funny Technology Animals Sports Gaming DIY Health Positive Privacy
KotakuInAction2 The Official Gamergate Forum
hot new rising top

Sign In or Create an Account

68
Is this that socialist health care system Americans are supposed to want to pay $4 trillion per year for? (media.kotakuinaction2.win)
posted 2 years ago by dekachin 2 years ago by dekachin +71 / -3
51 comments download share
51 comments share download save hide report block hide replies
You're viewing a single comment thread. View all comments, or full comment thread.
Comments (51)
sorted by:
▲ 5 ▼
– Guyven 5 points 2 years ago +5 / -0

The dirty secret of the runaway prices in medical is that they are built entirely on bullying and extortion of anyone without council (insurance or other advocate). That seems wild until the second reason is known: emergency care cannot be refused to the indigent. This second point is actually the entire reason for everything. It has created a class of person, who abuses emergency service for general care.

Medical pricing, then, is a constant haggle and negotiation where most Americans aren't aware of it happening and don't participate in it. The hospital quotes you high-unto-unreasonable, and you look at that price and assume it's just the price, and then wonder why insurance payers don't go out of business. They don't because they ignore the bill and send them the only money they're going to get, and the hospital takes it quietly. That is not "price-fixing" in the monopoly sense, that is price dictation in the haggling sense.

My own experience in this was a surgery for my son. I examined every bill and watched the negotiation in real-time between my insurance and the hospital's many, many entities. Finally, when all was settled, there were some outstanding items that the insurance didn't participate in by their own election (not their purview because my coverage didn't include it). The hospital turned their Eye of Sauron on me and wanted immediate full gratification on the remaining items.

I had a phone conversation where I dictated my own terms to them, basically insisting on a pay schedule for the outstanding amount. They were unhappy and pushed back, and I said, "It's what's happening. The first check will arrive next month for this amount." Finally, after conferring out of my hearing they came back to the line with, "ok," and immediately hung up. I sent my checks as I'd promised, and they never contacted me again.

The extortion system can be fixed. Trump's attempt to mandate that hospitals post prices was a great first step in that, because it forces public competition and eliminates the haggling requirement of pricing being an individual affair. The reason the extortion system exists, can also be fixed, but that is a harder ask because we have 40 years of ER rooms receiving people with non-emergency problems who are up-front about the fact that they will not pay, and no ability to stop it. The hospitals have to squeeze money from payers to cover non-payers they can't refuse. Until that is addressed, this will continue to spiral.

permalink parent save report block reply
▲ 2 ▼
– GimmeFuelGimmeFire 2 points 2 years ago +2 / -0

but that is a harder ask because we have 40 years of ER rooms receiving people with non-emergency problems who are up-front about the fact that they will not pay, and no ability to stop it

Thanks, Reagan.

permalink parent save report block reply

Original 8chan Links to Gamer Gate:

.

The main GG discussion is on the videogames board: https://8chan.moe/v/

.

GamerGate archive is at https://8chan.moe/gamergatehq/

.

GamerGate Wiki:

https://ggwiki.deepfreeze.it/index.php/Main_Page

. . . . . .

. . . . . .

The below rules are just a summary of the rules which can be found in the Welcome Ashore post.

.

ONE: Do not post Illegal Activity, or criminal manifestos.

.

TWO: Do not engage in speech that promotes, advocates, glorifies, or endorses violence.

.

THREE: Do not threaten, harass, defame, or bully users.

.

FOUR: Do not post involuntary Salacious Material.

.

FIVE: Do not post Porn

.

SIX: NSFW content must be flaired NSFW.

.

SEVEN: Do not post Facebook accounts or twitter accounts with less than 500 followers, and personal information.

.

EIGHT: Do not intentionally deceive others by impersonating another.

.

NINE: Do not solicit or engage in transactions that are federally regulated by the US govt.

.

TEN: No vote manipulation. Do not break communities.win's features.

.

ELEVEN: Do not post spam.

.

TWELVE: Do not post intentional falsehoods or hoaxes.

.

THIRTEEN: No reposts

.

FOURTEEN: Do not post more than 5 posts a day to this sub.

.

FIFTEEN: Do not direct particularly egregious identity based slurs at users.

.

SIXTEEN: Do not attack entire identity groups as inferior or conspiring.


Moderators

  • DomitiusOfMassilia
  • ClockworkFool
  • C
Message the Moderators

Terms of Service | Privacy Policy

2025.03.01 - wpl9c (status)

Copyright © 2024.

Terms of Service | Privacy Policy