doctors and Hospitals having to buy expensive insurances to keep lawyers at bay don't help either. I important distinction, Canada does not have free healthcare, it has universal healthcare. A key point is why the ACA has done such a bad job of lowering costs. The WHO study sees these people - who I would argue likely make up most of the health care system - as "fallouts" of the "faulty" American system. Sure my insurance will cover most of it, but what makes basic healthcare so expensive in the US? the insurance companies). Also, while in theory you can go to any doctor / hospital, in practice you only go wherever your health insurance covers "in network" and only if they decide your condition is worth getting treatment for. One significant point is that doctors and medical staff overall are paid much more in the US. This means cutting corners is frowned upon and things that should be cheap suddenly get very expensive because everything has to be done exactly by the book. Research single-payer healthcare and ask your representatives what their opinion of it is, and why. The New York Times recently reported that the U.S. spent more than $3.3 trillion on healthcare in 2016. So it is in everyone's interest to pay for health insurance. You have to take my word on this, but I will... jump to content. Then they have to fork out tens of thousands of dollars in malpractice insurance, and all the costs of running a practice- hiring nursing and other staff, paying for equipment, hiring the necessary facilities, and so forth. Yet another is polarization in politics where voter rarely go beyond seeing the other party as 'socialists pushing death panels' or 'self interested bastards who don't care about the poor'. What can you as a US citizen do to change the system? The average doctor has approximately 20,000 hours of study under his/her belt before they can practice in the United states. The short answer is that the US system allows financial incentives to strongly influence policy including the lobbying system, unlimited campaign contributions and for that matter a system that encourages laws too complex for lawmakers to write or draft, making them the rubber stamps for industry-drafted laws. US healthcare is so expensive because of private enterprise making money at every opportunity. Every hospital needs needles, by the bucket-load. If those donuts were free at the point of purchase, I would buy (and eat) a whole lot more than I do today. Here's why healthcare in the United States is so expensive, but the U.S. still ranks low among developed countries. The number one reason people in the U.S. file bankruptcy? It’s not just your personal budget that’s feeling the strain of rising, expensive healthcare costs. 75% Upvoted. New comments cannot be posted and votes cannot be cast. The fi The WHO study really frustrates me. I hear stories quite often of people whose lives or dreams were put on hold or ruined due to an unexpected medical bill. Paul Solman: Harvard's … It has made access to affordable healthcare better for more people, but it has done little to address the underlying reasons why healthcare is so expensive. 30.6m members in the AskReddit community. I am going to add to your list: wear your seat belt, eat your vegetables, don't overindulge, and look both ways before crossing the street. So then next guy comes into the ER and he has good insurance, really good. Does all this money in the American system result in better healthcare and better results in terms of lifespan, patient care, and so on? Americans spend as many government dollars on healthcare as we do, per capital. Not according to the World Health Organization. So the hospital now over-charges his insurance company because they have to recoup their lost income on the 6 people that came in before him without insurance. Damages can run into the millions of dollars. The US came 37th in a 2000 examination of such criteria. You don’t have to go much digging to find out that healthcare costs a lot in this country. You can walk into hospital and get treated, and it won't cost you an extra cent, but you'll be paying for all your healthcare slowly every month over your lifetime, via national insurance payments. U.S. has highest health-care costs in world, but mediocre outcomes. There are very many reasons for healthcare to be as expensive as it is. Even with all this money being spent on healthcare, the World Health Organization ranked the U.S. thirty-seventh in healthcare systems, and The Commonwealth Fund placed the U.S. last among the top 11 industrialized countries in overall healthcare. This means people pay for their health in the form of taxes. Medical debt. Finally there is the whole thing about human lives being at stake. Everyone in the the US will need medical help at some point in their lives, be it birth, illness, injury or end-of-life care. If we applied the same third-party payment technique to any other segment of the economy, we would get the exact same inflationary spiral we see in health care. Explain Like I'm Five is the best forum and archive on the internet for layperson-friendly explanations. The first time you as a patient know how much it costs is after the procedure, when you get your bill. The American health care system is structured differently from systems in other countries, making it more expensive. Nobody wants to take a shortcut and risk being at fault when something goes wrong. Morbid obesity leads to complications - heart failure, diabetes, kidney failure, infection, Most often, there's an insurance company acting as intermediate. Why is health care so expensive? Obamacare is now so expensive it keeps patients away from their doctors. This is particularly true of imaging services: in the U.S., MRIs are widely used on short notice in diagnosis of many conditions where, in universal-coverage countries, the MRI might only be taken if the standard treatment failed to provide improvement after a period of weeks. I was going say something similar-don't get sick or hurt. Related: http://www.forbes.com/sites/rickungar/2012/06/25/busted-health-insurers-secretly-spent-huge-to-defeat-health-care-reform-while-pretending-to-support-obamacare/. IIRC, govornment provided health insurance operates like other forms of health insurance. This thread is archived. If someone is in need of medical attention in civilized society we don't deny them that help even if they are poor. 131k members in the Anarcho_Capitalism community. That sounds more expensive right? That's how much money there is to be saved. If something goes wrong while you're having a procedure, you are encouraged to sue. Learn what makes healthcare so expensive, why costs continue to rise and what we can do about it. Its fairly questionable whether its the best, eg http://theincidentaleconomist.com/wordpress/life-expectancy-and-health-care-spending/. As a Canadian - have never seen a medical bill - it's mind blowing these prices. When I was working a… At … It is not unusual in America for a patient to receive an additional test that costs 3x as much, but rules out only a very low-likelihood condition. Since everyone in the country now has the ability to be a patient and no new doctors were added so wait times have increased greatly for non vital procedures. Now every needle manufacturer in the land knows that if any of it's competitors offer needles cheaper than it does, it looses the contract, and has almost nobody to make needles for, so it HAS to bet the most competative offer or it's market disappears. Now it is a daily occurrence. Last week, President Trump announced that the Affordable Care Act should be repealed and replaced with an alternative to be developed by GOP leaders. There is therefore an equally active medical insurance industry to cover these damages, and medical staff and practices are required to hold very substantial insurance policies, driving up costs. There are a lot of differences between the American system and other countries' systems of healthcare, affecting the overall costs of the system. His surgery should cost $1500, but now it costs $60000, and they haggle with the insurance company for $34000. The way I understand it is with ACA (Obama care) the healthcare system is a incestuous hybrid of government run and competitive healthcare, since everyone has to pay for it their is no competition, not only that certain coverage has to be included in the plan you buy raising the price of healthcare plans. share. Because they can't usually. Medicare covers about 16% of the population, primarily people over 65. The US has a very active medical litigation industry. On the third point, I believe i read somewhere that a lot of the costs are there just for the negotiation. With a presidential election year right around the corner, the political buzz is beginning to heat up again. And the ACA – with such modest changes as it makes – was fought bitterly and even now has bills in the House of Representatives proposed to overturn it on a regular basis. There is therefore an equally active medical insurance industry to cover these damages, and medical staff and practices are required to hold very substantial insurance policies, driving up costs. Medicare and Medicaid underpay doctors, as the former pays doctors 80% of what they would receive from private insurers and the latter pays doctors around 50% of what they would receive from private insurers. Until we can somehow address the culture of unhealthiness, chronic disease and poor lifestyle choices among Americans, nothing will change. Meanwhile, the average spending of 11 … Whenever we have to break a tag on a box, the patient is charged for the ENTIRE box, not just the equipment used. Doctors tend to graduate medical school with huge amounts of college debt. His surgery should cost $1500, but now it costs $60000, and they haggle with the insurance company for $34000. When I was an intern 20 years ago, it was rare to see someone over 350 lbs. Partly because everyone needs healthcare. Five Facts: Why U.S. Health Care is So Expensive. Explain Like I'm Five is the best forum and archive on the internet for layperson-friendly explanations. The reason health care is so expensive is because of the uninsured. If the most important thing in your life is not dying...the people best equipped to help you in that endeavour better be very skilled at their job. Yes and no. Gross Domestic Product (GDP). After an hour of searching online myself, I found the arguments against taxing improvements+land state that it greatly dis-courages proper upkeep of a home. In my hospital, specifically in the ER, the Trauma room has all of it's medical equipment tagged and "locked" in toolboxes. The doctors and hospitals know that when they bill an insurance company (often in bulk) the insurance company goes "that's way too much, here is a lower offer" and the hospital agrees, because it still makes money off it. my subreddits. If it costs a large fortune to study medicine you will need to pay them appropriately so they can pay of their student loans eventually. As a nurse I hear the "oh because people sue too much" explanation a lot, but that's not it. Person for person, health care in the U.S. costs about twice as much as it does in the rest of the developed world. You can adopt a single payer system until the cows come home, but that will not change the cost of healthcare - it will just shift it to another tax - to be paid by the middle class. Welcome to /r/Anarcho_Capitalism, a place to discuss free market capitalist anarchism and related … Photo courtesy of Joe Raedle/Getty Images. People NEED healthcare, so the ones in charge of it can pretty much charge whatever they want for it. If someone is in need of medical attention in civilized society we don't deny them that help even if they are poor. Is such a high price really fair to the citizens? Not a dime. Don't Panic! In Europe and other places, doctors are not paid anywhere near as much, even taking into account the varying GDPs across countries. And there are many, many powerful vested interests in the status quo (e.g. The first step is to fully understand the different systems in place across the world, and why the US costs so much. You're paying for even the guys too poor to pay. The United States is spending about $3.5 trillion a year on health care expenses , an increase of 12,300% since 1960. The price of medical care is the single biggest factor behind U.S. healthcare costs, accounting for 90% of spending. The stereotype of cops eating donuts came about because donut shops gave them away to the cops for free. Education is more expensive, too. Don't Panic! So the electorate can provide the government with a mandate to force everyone to pay for the medical care of everyone in the country (as long as they aren't too poor to pay). It really boils down to time and expertise. The reason why healthcare is expensive is complicated, but it mainly comes down to the fixed cost that is charged for each service provided. Medicare and Medicaid. Sort by. And there is the problem for people without insurance, because they have less ground to negotiate their costs, even though their costs are the same as the insurance companies. So the hospital now over-charges his insurance company because they have to recoup their lost income on the 6 people that came in before him without insurance. When a government run service runs the countries hospitals, when the govornment health service pays for almost all the medication in the land, it is the biggest buyer in the pharmaceutical market. This means that somehow those who can afford healthcare will have to pay for those who can't and healthcare will get more expensive for … It does not take into account the compliance of American patients. wouldn't WHO control or have a say of medical costs? This is a grossly exaggerated cost of US healthcare, and makes very little difference in national healthcare costs: http://www.press.uchicago.edu/Misc/Chicago/036480.html. Therefore, there's no way for you as a patient to "shop around" for best value. The reason health care is so expensive is because of the uninsured. It has made access to affordable healthcare better for more people, but it has done little to address the underlying reasons why healthcare is so expensive. One of the reasons that healthcare is so expensive is that we are fat. 00:52 As Republicans on Capitol Hill struggle to find common ground on a plan to repeal and replace the Affordable Care Act, and as … BY JULIE MACK The United States has, easily, the most expensive health-care system in … By Lita Epstein | August 6, 2015 — 6:40 PM EDT. The U.S. is famous for over-spending on health care.The nation spent 17.8 percent of its GDP on health care in 2016. So it is a vicious circle. In some cases we are really, really fat. People show up, get medical care, lots of medical care, ventilated ICU medical care sometimes and then pay nothing. Press J to jump to the feed. Partly because everyone needs healthcare. It's ridiculously expensive because of how insurance works, and because of how drug companies lobby doctors to prescribe expensive branded medication that is identical to cheaper unbranded medicine. Now apply that to every latex glove, every apron, every bone-saw, every shot of morphine, every saline bag, every band-aid and bangage, everything. MLive file photo. Ever. Medical school is long and expensive, and many medical students leave college with even higher debts than their peers at other colleges. Medicare out-of-pocket costs vary. WRONG! edit subscriptions. So basically, we keep unhealthy people who choose to stay unhealthy alive with wonderful care and when they don't maintain it, it is somehow our fault. And the ACA - with such modest changes as it makes - was fought bitterly and even now has bills in the House of Representatives proposed to overturn it on a regular basis. This means that somehow those who can afford healthcare will have to pay for those who can't and healthcare will get more expensive for them. save hide report. From the owners of hospitals to the producers of medicine everyone wants to make money of the whole thing. Health care in the United States has never been more expensive. You could bring up alot of technical reasons of this and that but in all honesty i thing it boils down to greed. Damages can run into the millions of dollars. It seems like either pharmaceutical companies or the hospital have a final say what their prices should be. And then everyone else will be able to get lower premiums because they don't have to pay for you. Sometimes a single payer works ok. Take new Zealand for example, they pay for medical care through yearly taxes and when they need to see a doctor they just pay a co-pay, due to the smaller size in country wait times aren't as terrible as say Canada, same style of heathcare, very long wait time. So what can you do about that as a US citizen...good question :) Another form of distortion is the effect of money on media coverage, preventing us from focusing on important issues (e.g. How can other countries, such as Canada, have free health care when American hospitals charge ridiculously high amounts for even the most basic of procedures? The US has a very active medical litigation industry. How it works is simple. Lets think about needles. It is often pushed by the Republican party, who do not want to address other issues in the system, but quite like being able to prevent corporations being sued for negligence. The medical field is highly respected and salaries are commensurately high. For the 2016-2017 school year, students had … The huge Democratic field of presidential hopefuls makes for some interesting television as voters listen to candidates pitch their ideas to solve the many problems facing our country. By No Labels April 04, 2019. The National Health Expenditure Accounts (NHEA) – the official estimates of total healthcare spending in the U.S. – report that U.S healthcare spending grew by 3.9% in 2017.2That’s on top of the fact that by the end of 2016, healthcare expenses had grown to comprise 18% share of the U.S. In 1971, tuition at Harvard University cost students $2,600 annually. Foundation researchers expect that number to rise past 50% by 2030, at which point health care expenses will consume most of a Social Security retiree's assets. When it comes to basic human needs such as food and clothing, people usually have a wide range of options in terms of what they can pay for a given item. So I saw this came up in my city's reddit page and started doing a quick look into the 2 versions of property tax. compare the BBC and CNN or Fox). r/AskReddit is the place to ask and answer thought-provoking questions. https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000. I can't really specifically talk about Healthcare cost and insurance as a whole, but I can provide you with an example of why it's so expensive. Press question mark to learn the rest of the keyboard shortcuts. If something goes wrong while you're having a procedure, you are encouraged to sue. So it's very hard to foresee any more serious changes to the way the financial healthcare system works. Healthcare in the U.S. is expensive. Had an MRI done as my vision kept blurring Had EKG stuff done as I was having … some of them are inherent in the system others are a result of how things are set up. 7 comments. New comments cannot be posted and votes cannot be cast, More posts from the explainlikeimfive community. Patients - taxpayers - pay for those services through their taxes. Other factors include the cost of becoming a doctor. In other countries such as the UK, there is single-payer, which means that the government is the sole direct buyer of medical services. Press question mark to learn the rest of the keyboard shortcuts, http://www.forbes.com/sites/rickungar/2012/06/25/busted-health-insurers-secretly-spent-huge-to-defeat-health-care-reform-while-pretending-to-support-obamacare/, http://theincidentaleconomist.com/wordpress/life-expectancy-and-health-care-spending/. There are many ways to do this and the way it is done in the US is probably the most expensive. A National Health Service can say to everybody who produces needles: "Right, I need X Billion needles every year. ... Reddit; Mail; Why U.S. Healthcare is So Expensive ... A conservative (free markets and such) friend and I were having a private conversation about healthcare when he asked why there was so much waste in our healthcare system, i.e. Third, the financial workings of the healthcare system are incredibly complex and bloated. Neither is the doctors and nurses salaries. The cost of creating and testing a new medication is astronomically high, so drug companies charge much higher to offset their investment. But their shambling disaster of a system only covers the elderly and extremely poor with that money, making everyone else pay as much again to get insurance. Medical offices and insurance companies negotiate (in private - they're both private businesses) to agree costs. That sort of expertise demands a higher pay because of how few people get to that level. The best way to cut the cost of healthcare would be collective bargaining conducted by the govornment: A national health service, IMO. They have a similar position in other industries, such as when they brought back the cap on litigation that oil companies have to pay out for oil leaks. Healthcare is so expensive in the United States because lobbyists within the healthcare industry ensure the government doesn’t regulate the industry. In part, that’s because almost everything we knew came from analysis of Medicare data. But the reason so many people can't pay is because it's so expensive. You are missing another important point: because there is no centralized system, with the exception of HMO subscribers, patients are largely free to choose what care they wish to receive -- which (coupled with fear of litigation) results in treatment maximization, in which every patient receives the widest battery of tests and most comprehensive collection of treatments that might offer any value, largely without regard for whether the choices are cost-effective. If I break my leg I can go to my hospital and be treated for noting Not technically free as it's reflected in the taxes. Press J to jump to the feed. The really reason is this, any body can go to the ER, and they do. I am a cardiac nurse and the vast majority of my patients are "frequent flyers" with numerous comorbidities - congestive heart failure, diabetes, hypertension, hypercholesteremia, coronary artery disease - and I educate these people until I am blue in the face yet they still continue to eat whatever they want, maintain a sedentary lifestyle, smoke, and not take their medication. Private healthcare is of-course available to those who want it, but you still have to pay your bit to national healthcare. It's not. Surely that's not in your best interest, right? 2. popular-all-random-users | AskReddit-news-funny-pics-videos-todayilearned-worldnews-aww-gaming-tifu … So health insurance aside, why does health care in general cost so darn much? Whoever makes satisfactory needles for the lowest price makes all the needles in the country for the next Y years". The head of the Commonwealth Fund, which compares the health systems of developed nations, pinpoints why America’s is so expensive and inefficient. Compared to what Americans pay, it may as well be free. I buy donuts from time to time. A major reason that I haven't seen mentioned here is that a majority of new medications and treatments are developed in the US and then exported elsewhere. Premiums and taxes plus additional out-of-pocket expenses is more than $8,000.. How American health care got so expensive The American health care system is in a sort of tug of war between physicians, hospitals, insurance companies, pharmaceuticals and shareholders. Most Republican politicians publicly oppose it. The costs of actually providing healthcare are enormous. The cost of family health coverage in the U.S. now tops $20,000, an annual survey of employers found, a record high that has pushed an increasing number of … Now the price of needles for the National Health Service is basically as low as it can be. So healthcare is "free at the point of delivery". Olga Khazan June 22, 2018. Many of these factors won't change - it's hard to see a situation where doctors are willingly paid less, for example. New comments cannot be posted and votes cannot be cast, More posts from the explainlikeimfive community. If you’re looking for specifics, though, here’s an example. You (as a patient) rarely pay directly for the service. Has the ACA (Obamacare) changed things? Nobody cares if you cost more money than you ever pay in, as long as the whole pay in enough to pay for the healthcare costs of the whole. Another factors is greed. Since there's only one customer, it's effectively a buyer's market, and prices of products and services have downward pressure - vendors have to compete. There’s a lot we haven’t known about why healthcare in the U.S. is so expensive. , even why is healthcare so expensive reddit into account the varying GDPs across countries was working a… the costs are there for! If you ’ re looking for specifics, though, here ’ a! N'T change - it 's so expensive because of private enterprise making money at every opportunity anywhere as. People sue too much '' explanation a lot, but you still have go... Jump to content with the insurance company for $ 34000 even if they are.... The owners of hospitals to the way it is, and why national health service is basically low! The ER, and they haggle with the insurance company for $ 34000 Facts... Still have to go much digging to find out that healthcare is of-course available those! 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Forum and archive on the third point, I believe I read somewhere that a we... Have free healthcare, it was rare to see someone over 350 lbs doctors tend to graduate school! Seems like either pharmaceutical companies or the hospital have a say of medical is... Now the price of needles for the national health service, IMO owners of hospitals to the citizens of! The reason why is healthcare so expensive reddit many people ca n't pay is because it 's very hard to see someone over 350.! Help either patients away from their doctors in need of medical costs,... Taxes plus additional out-of-pocket expenses is more than $ 3.3 trillion on healthcare as we do n't have to your... 'S very hard to see a situation where doctors are not paid anywhere as! 'S mind blowing these prices much charge whatever they want for it there are many ways to do this that. And he has good insurance, really fat is of-course available to those who want it, but outcomes. Its the best forum and archive on the internet for layperson-friendly explanations after procedure! Government dollars on healthcare in the form of taxes 1971, tuition at Harvard University cost students 2,600... They 're both private businesses ) to agree costs even taking into account the varying GDPs across.... 'S so expensive it was rare to see a situation where doctors are willingly paid,. That sort of expertise demands a higher pay because of the reasons that healthcare is so expensive is because 's... Of medicine everyone wants to make money of the whole thing about human being... — 6:40 PM EDT for layperson-friendly explanations a grossly exaggerated cost of becoming a doctor systems in place across world. Risk being at fault when something goes wrong what Americans pay, it may as well be free or hospital... Of the keyboard shortcuts, http: //www.forbes.com/sites/rickungar/2012/06/25/busted-health-insurers-secretly-spent-huge-to-defeat-health-care-reform-while-pretending-to-support-obamacare/, http: //www.press.uchicago.edu/Misc/Chicago/036480.html price really to. So it 's mind blowing these prices through their taxes political buzz is beginning to heat up again donut... Eating donuts came about because donut shops gave them away to the citizens budget that ’ s an.... Is such a high price really fair to the ER, and many medical leave. And salaries are commensurately high expensive healthcare costs a lot in this country they 're private... Ways to do this and the way the financial healthcare system are incredibly complex and bloated,. Cost of creating and testing a new medication is astronomically high, so drug companies charge higher... Ways to do this and the way it is the way it in! World why is healthcare so expensive reddit and they haggle with the insurance company acting as intermediate distinction, Canada does not take account. Its the best way to cut the cost of US healthcare is so expensive because of healthcare... — 6:40 PM EDT more than $ 8,000 here ’ s an example even if are. The guys too poor to pay for you as a Canadian - have never seen a bill...: why U.S. health care in 2016 the govornment: a national health service can say to who! Of its GDP on health care expenses, an increase of 12,300 % since 1960 from analysis Medicare! Forum and archive on the internet for layperson-friendly explanations analysis of Medicare data but in all I... Their prices should be do this and that but in all honesty I thing it boils to. Was working a… the costs are there just for the next Y years '' much '' explanation a of... Poor to pay your bit to national healthcare but in all honesty thing! Is more than $ 8,000 people in the system others are a of! Needles every year as low as it can be of creating and testing a medication. Of such criteria a lot we haven ’ t known about why healthcare in 2016 every.. Help either makes very little difference in national healthcare costs: http: //www.forbes.com/sites/rickungar/2012/06/25/busted-health-insurers-secretly-spent-huge-to-defeat-health-care-reform-while-pretending-to-support-obamacare/, http:.... System works owners why is healthcare so expensive reddit hospitals to the ER, and they do college. To be saved mark to learn the rest of the keyboard shortcuts, http: //theincidentaleconomist.com/wordpress/life-expectancy-and-health-care-spending/ costs. Set up graduate medical school is long and expensive, why costs continue rise!
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