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  1. #51
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    Sep 2004
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    champlain valley
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    and on another note, in the peoples republic of vermont - the State's contribution to UVM's direct funding is a whopping 6%.

  2. #52
    Join Date
    Oct 2005
    Location
    Idaho
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    Quote Originally Posted by Conundrum View Post
    The largest payer of claims in the US is a single payer system by the way. You just need to be old enough to access it. Their reimbursement rates to providers is lower than any private (non-profit or for-profit) payer by a decent margin. Weird the negotiation powers of the the federal gov...
    Quote Originally Posted by DBdude View Post


    the largest healthcare payer in the united states is the federal government. if you were to use a more expansive term like "government" it would be higher
    You're so stuck on thinking I'm a cunt that you're missing that we're saying the same thing and that I think we should expand it. Medicare runs on a different reimbursement schedule than other public employee schedules. The feds pump tons off subsidy into the private insurance market that could be redirected into a single payer system. I'm saying Medicare for all is the only feasible fix at this point but doubt it will happen. It would also make healthcare systems not much of a target for PE money.
    Quote Originally Posted by Benny Profane View Post
    Well, I'm not allowed to delete this post, but, I can say, go fuck yourselves, everybody!

  3. #53
    Join Date
    Feb 2010
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    1,387
    Quote Originally Posted by Conundrum View Post
    I'm saying Medicare for all is the only feasible fix at this point but doubt it will happen. It would also make healthcare systems not much of a target for PE money.
    This is not me, and I don't know if PE is involved here, but I don't think this is an unusual experience these days for a lot of folks.

    I recently met with a PCP for the first time and was shocked when the bill came 2 weeks later. It was a basic appt lasting about 30 minutes where I needed to refill a prescription and asked some questions about frequent bloating. I have a high deductible plan, so I paid for the total cost out of pocket. After calling into UCSD Health to confirm what was included in the $865, they said that was how much a regular Doctors appt cost.

    Another bill I had was $2000 for regular blood work. Fortunately, insurance kicked in and paid most of it, but my portion was another $825.


    https://old.reddit.com/r/sanfrancisc...pt_865_at_ucsf
    The past is a foreign country; they do things differently there.

  4. #54
    Join Date
    Sep 2010
    Location
    Tejas
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    12,073
    South Park totally nailed it with this song "Navigating the American Healthcare System" from their latest episode:


  5. #55
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    Feb 2010
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    1,387
    Quote Originally Posted by MontuckyFried View Post
    South Park totally nailed it with this song "Navigating the American Healthcare System" from their latest episode:
    That's it in a nutty nutshell.
    The past is a foreign country; they do things differently there.

  6. #56
    Join Date
    Sep 2010
    Location
    Tejas
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    Quote Originally Posted by fomofo View Post
    That's it in a nutty nutshell.
    Thought you'd appreciate that. Our system is so FUBAR. And just like they point out in the episode, they are ALL in cahoots with each other.

    Insurance medical advisors be like...

    Click image for larger version. 

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  7. #57
    Join Date
    Feb 2010
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    1,387
    The torture never stops.

    The past is a foreign country; they do things differently there.

  8. #58
    Join Date
    Dec 2004
    Location
    Where the sheets have no stains
    Posts
    22,457
    ^^^ Pretty ironing.

    A bunch of investors (read Boomers) who want a good ROI buy a bunch of nursing homes and slash the costs by reducing care levels, thereby fucking over themselves and other boomers.
    I have been in this State for 30 years and I am willing to admit that I am part of the problem.

    "Happiest years of my life were earning < $8.00 and hour, collecting unemployment every spring and fall, no car, no debt and no responsibilities. 1984-1990 Park City UT"

  9. #59
    Join Date
    Sep 2005
    Location
    Not in the PRB
    Posts
    33,368
    hear a few anecdotes recently that made me think of this thread

    An ER nurse at a hospital that doesn't have health insurance (her employer doesn't offer it)
    Another nurse that has health insurance from his employer but the hospital he works at is out of network for his insurance
    And Kaiser, which is a 503 tax exempt non profit, had a revenue of 70 billion in 2022, and their CEO made 13.8 million in compensation, with executive compensation totaling 81 million dollars
    "fuck off you asshat gaper shit for brains fucktard wanker." - Jesus Christ
    "She was tossing her bean salad with the vigor of a Drunken Pop princess so I walked out of the corner and said.... "need a hand?"" - Odin
    "everybody's got their hooks into you, fuck em....forge on motherfuckers, drag all those bitches across the goal line with you." - (not so) ill-advised strategy

  10. #60
    Join Date
    Sep 2005
    Location
    Not in the PRB
    Posts
    33,368
    hear a few anecdotes recently that made me think of this thread

    An ER nurse at a hospital that doesn't have health insurance (her employer doesn't offer it)
    Another nurse that has health insurance from his employer but the hospital he works at is out of network for his insurance
    And Kaiser, which is a 503 tax exempt non profit, had a revenue of 70 billion in 2022, and their CEO made 13.8 million in compensation, with executive compensation totaling 81 million dollars
    "fuck off you asshat gaper shit for brains fucktard wanker." - Jesus Christ
    "She was tossing her bean salad with the vigor of a Drunken Pop princess so I walked out of the corner and said.... "need a hand?"" - Odin
    "everybody's got their hooks into you, fuck em....forge on motherfuckers, drag all those bitches across the goal line with you." - (not so) ill-advised strategy

  11. #61
    Join Date
    Feb 2010
    Posts
    1,387
    Quote Originally Posted by Danno View Post
    hear a few anecdotes recently that made me think of this thread

    An ER nurse at a hospital that doesn't have health insurance (her employer doesn't offer it)
    Another nurse that has health insurance from his employer but the hospital he works at is out of network for his insurance
    And Kaiser, which is a 503 tax exempt non profit, had a revenue of 70 billion in 2022, and their CEO made 13.8 million in compensation, with executive compensation totaling 81 million dollars
    Things proceeding according to plan.

    Ehrlichman: “Edgar Kaiser is running his Permanente deal for profit. And the reason that he can … the reason he can do it … I had Edgar Kaiser come in … talk to me about this and I went into it in some depth. All the incentives are toward less medical care, because …”

    President Nixon: [Unclear.]

    Ehrlichman: “… the less care they give them, the more money they make.”

    President Nixon: “Fine.” [Unclear.]

    Ehrlichman: [Unclear] “… and the incentives run the right way.”

    President Nixon: “Not bad.”


    https://en.wikisource.org/wiki/Trans...MO_act_of_1973

    The past is a foreign country; they do things differently there.

  12. #62
    Join Date
    Aug 2015
    Location
    Slightly off route
    Posts
    243
    FTC has been attempting to regulate, though lost in court recently to stop a Texas roll-up of anesthesia providers.

    I'd bet the FTC will continue with this (unless the November election changes it up) all the same.

    Possibly a few successful regulatory actions (state or federal) and you'd chill the activity - it'll never go away, but it can be tamped down until memories dim.



    https://www.hklaw.com/en/insights/pu...a-path-through

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