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I still would like an example of a country where the unorganized healthcare system is in place and working, other than the USA with the highest healthcare costs in the world. |
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Hip replacement costs
• $6,757 in Spain • $7,685 in South Africa • $15,465 in New Zealand • $16,335 in the United Kingdom • $17,112 in Switzerland • $19,484 in Australia • $29,067 in the United States As far as other providers in other countries, you can save more than enough to travel and stay for the recovery period in many places. 10 to 20K will put you up very nicely. That won't help you if you have a heart attack here, will it? That won't help people who need primary care and cannot afford to go. When they end up in the emergency room for issues that could have been dealt with in the early stages by a primary care physician and the costs end up shifted because they cannot pay, who does that help? In our current somewhat freemarket system (actually the closest to your dream among developed nations) healthcare certainly is not inexpensive, though it can be for a lucky person who never has insurance and never has a need to use it. |
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The main problem in expanding this model is government. Many states require proof that there is a need to establish a medical facility if an entrepreneur wants to do so. The boards that determine that are staffed by administrators of current hospitals (who pour in donations to political campaigns and are crony benefactors of government regulations) and who are not, understandably, friendly to competitors who provide services at fractions of fees that crony capital hospitals do. Apparently, Oklahoma doesn't have that requirement. And it does have other clinics, as I mentioned, who provide other, general, medical services other than surgery. The surgery clinic gets patients from other states and Canada who have found out about it. |
So it would seem based on this clinic, that your opinion is that horizontal and vertical integration is not a viable method of reducing costs and providing better service. Most businesses would disagree with that, sounds like health care is special.
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The earliest documentation of critical thinking are the teachings of Socrates recorded by Plato. Socrates established the fact that one cannot depend upon those in "authority" to have sound knowledge and insight. He demonstrated that persons may have power and high position and yet be deeply confused and irrational. He established the importance of asking deep questions that probe profoundly into thinking before we accept ideas as worthy of belief. |
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Just went on this site you see on TV GOOD RX my insurance is not covering a med my wife takes 40mg doxycline they want to change her to the generic called oracea its 1825.00 for 90 day supply with out insurance the non generic is guess what 1825.00 for a 90 day supply
in Canada the price for 100 pills of tetracycline is under $50. this is a 50-year-old antibiotic 2013 According to a U.S. House committee investigating price hikes in several generic drugs, the average wholesale price of 500 tablets in October 2013 was $20. Seven months later, the average wholesale price for the same amount was $1,849, an increase of more than 8,000 per cent. just another example of big business fleecing of America |
You can get them in Canada
1700+ is a good price for driving and staying over a night Posted from my iPhone/Mobile device |
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fortunately I belong to one of those public sector the unions who account for only 10% of the work force the the right loves to hate mostly because I have better benefits AKA Health insurance ... I felt bad for those with out insurance before the ACA was passed and now since Trump isn't do a thing now and this is only one 50 year old drug.. But I honestly had no idea of the real costs I should say the price gouging and profit taking of the industry as a whole... is a crime it Just re enforces my believe health care is a right not a choice ... its not a choice that The wealthiest 1 percent of American households own 40 percent of the country's wealth... But its not in the constitution thats the rights argument .... yep they will die with their guns because they cant pay to live longer to use them.... ironic |
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You state Doxycline generic Oracea $1800 for 3 month supply yet you compare it to Tretracycline, a different drug, in 100 pills for $50. Doxycline is kindasorta Oracea but not Tretracycline and a 90 day supply usually does not equate to 100 pills. This is a Word Salad. What is the equivalent of Oracea, 90 Day Supply, in Canada? Still probably a lot cheaper in Canada. It is also a lot cheaper as a pet medication (not saying or insinuating anything mean - purely open discussion). So yes, Big Pharma is gouging here under the top cover of Congress. This is normally where I would ask where this is Trump's Fault but he wasn't pres in 2013. Congress and both parties have been screwing this up for a while now. |
IMO in today's society you should be able to purchase most non-controlled medications anywhere you choose. Of course it would be "caveat emptor".
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Eliminated the ability of drug companies to have sales reps wine and dine prescribers, Hint while this purportedly made it so the doctors didn't push certain drugs it actually saved the companies money. They dumped the money saved into those stupid adds pushing drugs and raised prices since Congress made it so they could not negotiate pricing. |
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Certainly agree with you on the Congress and Big Pharma lobbying part ; ) Let's eliminate all lobbying, corporate, Union, etc - and Term Limits |
From The Grumpy Economist
https://johnhcochrane.blogspot.com/ Single payer sympathy? A July 30 2018 Op-Ed in the Wall Street Journal, titled "The tax and spend health care solution" Why is paying for health care such a mess in America? Why is it so hard to fix? Cross-subsidies are the original sin. The government wants to subsidize health care for poor people, chronically sick people, and people who have money but choose to spend less of it on health care than officials find sufficient. These are worthy goals, easily achieved in a completely free-market system by raising taxes and then subsidizing health care or insurance, at market prices, for people the government wishes to help. But lawmakers do not want to be seen taxing and spending, so they hide transfers in cross-subsidies. They require emergency rooms to treat everyone who comes along, and then hospitals must overcharge everybody else. Medicare and Medicaid do not pay the full amount their services cost. Hospitals then overcharge private insurance and the few remaining cash customers. Overcharging paying customers and providing free care in an emergency room is economically equivalent to a tax on emergency-room services that funds subsidies for others. But the effective tax and expenditure of a forced cross-subsidy do not show up on the federal budget. Over the long term, cross-subsidies are far more inefficient than forthright taxing and spending. If the hospital is going to overcharge private insurance and paying customers to cross-subsidize the poor, the uninsured, Medicare, Medicaid and, increasingly, victims of limited exchange policies, then the hospital must be protected from competition. If competitors can come in and offer services to the paying customers, the scheme unravels. No competition means no pressure to innovate for better service and lower costs. ..... ... As usual, I have to wait 30 days to post the whole thing. It synthesizes some of my earlier blog posts (here here here) on how cross subsidies are worse than straightforward, on budget, taxing and spending. Let me here admit to one of the implications of this view. Single payer might not be so bad -- it might not be as bad as the current Medicare, Medicaid, Obamacare, VA, etc. mess. But before you quote that, let's be careful to define what we mean by "single payer," which has become a mantra and litmus test on the left. There is a huge difference between "there is a single payer that everyone can use," and "there is a single payer that everyone must use." Most on the left promise the former and mean the latter. Not only is there some sort of single easy to access health care and insurance scheme for poor or unfortunate people, but you and I are forbidden to escape it, to have private doctors, private hospitals, or private insurance outside the scheme. Doctors are forbidden to have private cash paying customers. That truly is a nightmare, and will mean the allocation of good medical care by connections and bribes. But a single provider than anyone in trouble can use, supported by taxes, not cross-subsidized by restrictions on your and my health care -- not underpaying in a private system and forcing that system to overcharge others -- while allowing a vibrant completely competitive free market in private health care on top of that, is not such a terrible idea, and follows from my Op-Ed. A single bureaucracy that hands out vouchers, pays full market costs, or pays partially but allows doctors to charge whatever they want on top of that would work. A VA like system of public hospitals and clinics would work too. Like public schools, or public restrooms, you can use them, but you don't have to; you're free to spend your money on better options if you like, and people are free to start businesses to serve you. And no cross-subisides. Whether we restrict provision with income and other tests, and thus introduce another marginal disincentive to work, or give everyone access and count on most working people to choose a better product, I leave for another day. It would always be an inefficient bureaucratic problem, but it might not be the nightmare of anti-competitive inefficiency of the current system. |
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Wow, that's some hard hitting investigative journalism. They should have consulted with Veritas, could have helped with production quality.
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Trailer Park Boys go to the doctor
Apparently you’ve never been to an American emergency room on a weekend with a non critical health issue Posted from my iPhone/Mobile device |
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