Hint: single-payer won’t fix America’s health care spending.
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Americans don't drive up the price by consuming more health care. They don't visit the doctor more than other developed countries:
But the price we pay for that visit - for a procedure - it costs way more:
The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US.
That's because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans.
There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription.
Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price.
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I was an intern with a training company not too long ago and we were stationed at another state about two hours drive from my house for a weekend long training session. While I was there, I'd developed a kidney stone and at first I ignored the pain for the first day and a half because I'm an intern that's still studying and I was far from my home and my parents, I was afraid of the cost. Also, I didn't want to bother my workmates.
But by Saturday night I could no longer withstand the pain, I was writhing and throwing up. This was my second time with kidney stones so I knew that I needed the hospital. Immediately.
At 3am, the pain was too much. I called one of my senior colleagues, who was also head of HR, and told her I needed the hospital.
Fast forward to 5am, a doctor has seen me, put me on drip, and given me a _week's_ worth of medicine. At this point I was panicking so badly thinking about the costs. But when I went to the payment counter, the nurse told me it all amounted to RM1≈$0.25. One US quarter. I almost wept right then and there.
It wasn't comfortable at all there but I was tended to. I was given medicine. And all for RM1. Bless Malaysian public healthcare.
I heard this other guy explaining just the opposite, and as much as I hate it; I think this he's right. Igrew up thinking socialized medicine, was the way to go, but now I'm more convinced that the actual problem is the government inflating the prices of Heath Care.
I think the competition on an open free market would bring the cost of health care, and raise the quality. Because that's what competition does, it brings down prices, and raises the quality of a product.
I never thought about it that way but it makes sense.
After Obama care was implemented, private insurance prices sky rocketed, and virtually all middle class people such as my self; could no longer afford private health insurance, and government insurance really sucks.
I'm just trying to put pieces together, and the other theory makes more sense.
It's only expensive because it's really high quality. Ever watched House MD? It takes place in AMERICA. The technology they have to save lives is directly because of the competitive nature of the free market, not government research programs.
Forgot to mention how America likes to sue anyone for anything. The cost of malpractice insurance is astronomical.
The medical field is just like any other industry, they pass the cost of business to the customer. That's why it's so expensive.
Same goes for the aviation industry.
American health care is scary, especially if you're poor and Don't have insurance.
In India I got my appendix removed for free (govt. hospital) and I did't have insurance either, bed charges was free too. Another time i spent a month in hospital for tuberculosis treatment, free of charges (TB antibiotics was free too), I just had to foot bills for other medicine and tests. X-ray was around $2 - $3, ultrasound $3-$4, blood tests $2-$3
Wonder how much it would've cost me in America.
I didn't hear anything about government regulations influencing the cost of private healthcare or how many private institutions will not accept government programs because the government dictated price is so low that they either must refuse those programs or charge their private patients more. Please name anything that government does better and cheaper than the private sector.
This is great, until you can’t get your meds because your universal healthcare doesn’t want to pay for them. Both my brother and father wouldn’t be able to function without their new meds that were just developed within the last few years. My brother wanted to study abroad in England but can’t because their healthcare will not pay for his meds because they are “too expensive” to be offered. Be careful of what you want, because affordable isn’t always the best care out there.
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Although there are a lot of echelons to the problem i believe the two main culprits to the medical disaster is the doctors and litigation. More often than not, a doctor you see at an appointment will see you, charge you and your insurance full price for a visit and just to refer you to a specialist. Doctors claim to need high pay to justify their education and specialty levels yet now only rely on one or two years of their training to do their practice claiming to only be "specialists" in a certain field, despite the fact that that they have had clinical rotations in every branch of medicine. They claim that they need half million dollar annual salaries to justify the high cost of their education but even that is irrelevant. The average person going to a 4 year college comes out with more than 100k in debt and can earn a salary of 50k meaning they have a debt to income ration of 2 to 1. The average "specialist " to come out of rotation makes well over 300k a year and has a debt to inome ratio of 1 to 1. So doctors make between 6 and 20 times more than the average peson and have a debt to income ratio of half of that of the average person. They hide behind their specialties to just dump people off onto another doctor further increasing the problem of rising medical costs and all the while doing nothing to help the person who paid to see them. Doctors also charge insurance companies for litwrally everything through shady coding practices. If you are fat and the doctor tells you are overweight they literally charge a code for counseling you on your weight. Litigation is also to blame because of defensive medicine practices.
Well here is an unpopular opinion. I'm a Portuguese guy living in Portugal who has never been to America and I can tell you that at least here, a lot of people prefer going to the private healthcare instead of going to the public healthcare (which is a lot cheaper on the individual since a lot of it is paid by our high taxes) because the service is just so much better in private healthcare. If you go to a hospital that doesn't belong to anyone (run by the state), none cares if staff is overpaid or if you are unhappy with the service, but if you complain in a private hospital they even call someone to negotiate with you and offer you stuff so you don't complain and lower the rating. I have a friend who just graduated and say he won't work as a doctor in a major hospital, because those are run by a core of lazy older doctors who live off younger people's work, and it's all paid with our taxes. And just as a final note, people here also die for lack of money, waiting years for appointments that never seem to happen in our public system.
I think we should eliminate health insurance. That is what is driving the cost of health care up and the health industries take advantage of that, and health insurance companies try to recoup and kill us with copays. If everyone were to pay out of their pocket. The cost would have to go down. And that would eliminate the ridiculous cost of health care and medicine. Now if you feel that health insurance is needed, then I would recommend Life-threatening insurance, and this would only kick in when the health care would really become a financial issue and hardship. Like flood insurance for your home and pay it as a monthly plan. Health Owner insurance. I know this sounds delusional, but like everyone else, I'm sick of being threatened with health insurance and health care. It's crazy
actually this video proves public healthcare is more expensive; we spend as much as other countries do on coverage for just our limited programs? so covering everyone would be MORE MONEY?
i mean if the public spending we do already equals other countries but is very limited in who it covers its very clearly more expensive overall
Here's what you're leaving out -
There is no "free market" regarding healthcare in the US. It is regulated and subsidized in every aspect which has driven the cost up.
It's never "free". What we really have in America is government sanctioned monopolies.
No matter what country you live in, it is never "free". Someone, somewhere is paying for it.
Universality, affordability, quality.
You can only have 2. There's no system that provides all 3.
If you have Universality and affordability then you have crappy quality. That's called Nationalized Healthcare.
If you want Universality and quality then you have to bankrupt the country by spending an inordinate amount of money on your healthcare system.
Personally, I like my employer sponsored plan where the company can self insure and negotiate on my behalf. There's power in that price negotiation that a government bureaucracy cannot achieve. This year, the employee share of healthcare premiums actually dropped by 8% and we are not a large company by any means, less than 3000 employees.
In my opinion, this is the best system. Full employment, company sponsored healthcare insurance, more market competition.
There is no difference with what you have and what you criticised, you are a slave to your company and cannot leave as you then have no insurance. At least I can move jobs, still pay my 2% and still have Medicare. Regards the Wizard of Aus.
How to solve this problem.
Step 1) tax less (to allow the growth of economy making healthcare more affordable)
Step 2) allow more medical companies to get into business and more people to become medical professionals (because healthcare is very regulated in the us)
Step 3) remove Medicare and medicate (they were the driving cause for the cost influx in healthcare)
Step 4)wait for the company’s to drive prices down due to competition (this happens all the time with goods and services like TVs microwaves etc)
Step 5) good affordable healthcare
I had two surgeries in the UK while I was studying for my Masters degree (as an International Student) and I didn't have to pay for those surgeries as well as the pre/post-surgical care I got. I feel indebted to that country and that's one of the reasons I have a soft spot for the UK
Anyone with a basic economic background could figure out a million reasons wrong with giving a merit good (aka healthcare) to the private sector, so I'm going to attempt to guess the points that are going to brought up in this video.
Privet sector runs for profit. That is THE only goal of the private sector. So when you give away basic needs to the private sector (cough healthcare cough) the private sector sees limited supply, excess demand. Any good business man in this situation sees and opportunity for profit and voila. Extremely expensive healthcare. This is called demand pull inflation. Except this isn't a pair of limited edition shoes your dealing with, it's people's lives. The government is more humanitarian and more likely to think of those who are on or below the poverty line. The people living check to check. They would subsidise medicine so that it's available to everyone not just those with insurance or those who can afford it. So why don't we do that? Why can't the government just make it public? Cause that requires more money and funding from... Ding ding ding! Tax money. A lot of people aren't willing to give more money in taxes using the argument "why do I have to pay for someone else's healthcare" completely undermining how taxes work, forgetting that they are actually making it cheaper and easier for themselves. Also, taxes from people alone won't cut it. Higher taxes will have to be taken from corporations as well and, that doesn't go well in America...it goes against "everything America stands for". Why give out free healthcare when we can build a stupid border wall (that won't help curb illegal immigrants BTW) and fund for guns?
I hope I'm right on all this cause I have an Economics exam coming up...
Edit: kinda I guess...
Americans like billionaires - and the people who built this system are all billionaires. Most of them became billionaires just by moving a drug from the manufacturer to the patient - earning more money than the manufacturer himself. It boggles my mind why the Americans built this system - and are agressively fighting to keep in place. Just to create new billionaires (while people die). Good luck Americans. I really like you, but I'll be damned if I understand you. Cheers from Denmark.
The lower the cost of something the less efficient or effective it is. Yes it might cost less but your given less access to medical care as a result. America leads in the creation of new drugs and medicine and that comes with a cost. My family had Medicare for several years and we couldn’t even do anything but simple check ups and get prescriptions. As we moved to a private insurance, our access expanded greatly. My mom has cancer and she could do her screening to check the cancer for a greatly reduced price for when we had Medicare. You cant expect to pay less for something and expect the same results. Also that chart of yours might say that we have the same percentage as other countries but you have to take into account that our economy and GDP is far larger than other countries. It’s like saying, “Bobby and Jimmy gave 20% of their toys to charity but Bobby is richer and so he should’ve given more” even though in contrast Bobby had given 25 of his toys while jimmy just gave 1. That’s just stupid
There's an amazing idea for healthcare on github right now. It covers both the Capitalist and Socialist part that both parties want. Check it out github.com/HeliusMaximus/healthcareforall/blob/master/First-Draft
The Americans are so brainwashed by this left and right propaganda is unbelievable.
This greedy people want to keep you all in darkness to keep taking all of your savings and retirement money.
The whole civilized world figured this out long time ago how to take care of the health needs of their people.
It’s very simple just look other civilized country.
Every election they promise you to take care of this problem but in reality nothing going to change and we are paying more and more because the pharmaceutical and insurance companies are running the show. Every year they are taking more of your money and is never enough for them.
All of us are paying enough taxes to have very good health care services for all without anybody seeing a medical bill.
Unfortunately we spent all of the money on meaningless wars and paying these greedy vampires who are sucking the very life out of our society.
They can’t take this with them any way and one day they going to stand before God.
Every person should have a guaranteed residual income and there should have always been equal wealth so people could pay for everything themselves. And insurance never should have existed, because it was always only the rich who could get it, and ironically they were the only ones who could pay for everything themselves. Today the richest CEO's get free healthcare. The root of all problems on earth is wage slavery which is slavery, and it's now called capitalism, not a new system, just a new name for slavery of the masses to make a few people rich.
and it's not just health care. one of my daughters has just returned from a holiday in the USA visiting five different cities. she was shocked at the terrible state of the infrastructure, ie roads, pavements, parks. The people of the USA need to wake up fast. your system is not working in your best interest.
Andrew Stith But it isn't that obvious from an American perspective. We are already so deep in debt that we cannot realistically have a prospective, nationwide single-payer system. We would be the first country that I know of that has over 100 million people to do so. Other countries could do it because they don't have the large population we have and out-of-control spending problem we have, but we do have those and it would just add fuel to the fire of increasing debt and misery. If another country were willing to pay for universal healthcare for all Americans and were not willing to demand return payments and interest, then it'd be a different story, but that would be very unlikely.
It's because the government and mostly the GOP has indoctrinated so many morons to believe that it's better for them this way.
You hear them say that they don't want to pay for someone else's care. The GOP tells them that they should pick themselves up by the bootstraps and others are lazy, relying on government assistance. People are too stupid to realize that they are being screwed, most are simply too wicked to accept a system change.
I understand most of this and agree(partially). The part where I disagree is about healthcare in America being free market. It's a highly regulated system competing with a socialized system. This isn't the same as a free market system where doctors, hospitals and medicine compete with others for business.
As a curious data, in Colombia you can get a top quality surgery for less than 10 dollars, even if you have the capacity to pay more and the coverage of the system is above the 90% of the population. I think it is one of the best in the world, however it makes the Healthcare companies so powerful, and hard to control that some of them start to become corrupt. Would be a nice idea to compare both systems.. The universal coverage with low prices and the American.
what I hate most about our Healthcare System is the way they hospitals departmentalize everything if you go to the emergency room there is one fee you go to have an x-ray that's a second fee and they are on a different bill sent by a different company then you got to pay a separate bill for any medication they need to take blood and do a blood work guess what that's another bill then you have to pay the doctor with another bill you get admitted to the hospital they can't put that on the same bill as everything else so there's another bill so by the time you go to the hospital one time they stuff your mailbox with 10-12 different bills I am not saying that you should not have to pay for these things but why if you go to One hospital can't they put everything on one bill
I live in America and there was a point in time when I was uninsured. Now during the time I got into a really bad car accident and the ambulance came and took me to the hospital. They entire way there I’m telling the first responders I don’t have insurance I don’t want to be in this ambulance and I don’t want to go the hospital. I don’t want to get stuck with a bill just so you can save my life I’d rather die. Anyway they took me to the hospital and the doctor operated on me against my will. Even managed to save my leg. I was allowed to leave a month later (it was highly ill-advise but they couldn’t force s to stay longer) 6 months later a bill came floating into my mail box for the hospital and ambulance fee and I hired a lawyer and sued the hospital.
See that's the problem. When you had the accident you were too frightened to even be in control of your health. This should not have been in the forefront of your mind. In Australia we pay our Ambulance bill through our power bills in my state, Queensland. We also have subsidised health care by the government, whilst choices are ours to make with going private or public the fear is not there. If an accident happens and you go to hospital until you are able to advocate for yourself you are automatically public which means no excess or fees to be paid. It is very sad to me that a person would rather die then have the worry of a medical bill. I'm glad it did work out for you. Cheers.
CASPIAN PYLES good to hear you story had a happy ending. It’s sad to know that even in developing countries like mine, healthcare isn’t an issue but in the US, a developed country, it is. Basically because of the power the pharmaceutical industry has over the government.
Alex Hernandez actually yes I got a million dollar settlement. I ended up walking away with almost 700,000 after lawyer fees and other stuff. I pad to have top surgery because I’m trans and brought a house straight up. I still work and all that jazz and my house isn’t humongous but it’s mine. So I should thank those doctors
is it just me who thought that McDonald and other fast food chain in the country are one of the root cause of the expensive healthcare? like those fast food chains is the reason why people developed unhealthy lifestyle.
What if we created multiple public hospitals. Make them compete with each other for government funding. Those that are more efficient get lots more funding and those who are not efficient get a lot less so they’d want to be better.
You guys have a problem. You said in the video that doctors are being lost and hospitals close because of this, but then explain how this will be overshadowed somehow when everyone has it. Those doctors refuse, because they don’t believe that they are getting paid enough for wha5 they do, which they aren’t. And who do you thinks invents all those fancy drugs that are used to help people. The private sector. And not only that, but you advocate for a fixed price, but around a century ago that is what people like you, fought against monopolies trying to create fixed prices. But no, apparently because it is government run, and not company run, it is all fine and dandy to have fixed prices.
One more example. hospitals spending $93 billion per year on medical equipment.
Competing providers buy hugely expensive diagnostic machines & competent staff are **duplicated**, unused/under used, when a single unit will serve.
Do a cost benefit analyst, Are you smarter than a 5th grader? The results are clear.
Mismanagement on a practical scale. That is one way single payer health care is more efficient than our competitive system that is defeating public health.
The free market isn't "bad" at all at regulating the healthcare system. On the contrary, it's actually been excellent at it for decades. The issue is that it's been doing exactly what it was intended to... maximizing profits.
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