How to reduce health care prices 80% in two easy steps:

Discussion in 'Health Care' started by james M, Oct 11, 2017.

  1. james M

    james M Banned

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    so? who cares what manufacturing and build imply to you? What is your point relative to thread subject if you have any idea. Thanks
     
  2. james M

    james M Banned

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    reporting hospital infections is a very very very extremely simple idea compared to Medicare, Medicaid, Ship, Obamacare, single payer, community clinics.
     
    petef56 likes this.
  3. Fenton Lum

    Fenton Lum Banned

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    Every other advanced post industrial nation on the planet has come up with better approaches than ours.
     
    Last edited: Nov 18, 2017
  4. Distraff

    Distraff Well-Known Member

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    Isn't that what private healthcare already is basically?

    How does this not already happen? Virtually all healthcare providers are private and competing with each other.

    The solution to healthcare you are proposing is already happening which indicates to me that you don't understand why healthcare has gotten so expensive.
     
  5. james M

    james M Banned

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    1) not true America invented health care and holds 70% of the patents. Without American capitalism, research, and entrepreneurship there would be no health care.

    2) yes they are better at socialism than we are but we know from 120 million dead people that socialism does not work and Republican capitalism does. Every heard of east/west Germany?
     
  6. james M

    james M Banned

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    there is no private health care in USA is all govt infested BS.
     
    Last edited: Nov 18, 2017
  7. Fenton Lum

    Fenton Lum Banned

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    New York, N.Y., October 8, 2015 — The U.S. spent more per person on health care than 12 other high-income nations in 2013, while seeing the lowest life expectancy and some of the worst health outcomes among this group, according to a Commonwealth Fund report out today. The analysis shows that in the U.S., which spent an average of $9,086 per person annually, life expectancy was 78.8 years. Switzerland, the second-highest-spending country, spent $6,325 per person and had a life expectancy of 82.9 years. Mortality rates for cancer were among the lowest in the U.S., but rates of chronic conditions, obesity, and infant mortality were higher than those abroad.

    “Time and again, we see evidence that the amount of money we spend on health care in this country is not gaining us comparable health benefits,” said Commonwealth Fund President David Blumenthal, M.D. “We have to look at the root causes of this disconnect and invest our health care dollars in ways that will allow us to live longer while enjoying better health and greater productivity.”

    http://www.commonwealthfund.org/pub...spends-more-on-health-care-than-other-nations


    U.S. Healthcare Ranked Dead Last Compared To 10 Other Countries

    https://www.forbes.com/sites/danmun...-compared-to-10-other-countries/#486bbd6f576f


    Major Findings
    · Quality: The indicators of quality were grouped into four categories: effective care, safe care, coordinated care, and patient-centered care. Compared with the other 10 countries, the U.S. fares best on provision and receipt of preventive and patient-centered care. While there has been some improvement in recent years, lower scores on safe and coordinated care pull the overall U.S. quality score down. Continued adoption of health information technology should enhance the ability of U.S. physicians to identify, monitor, and coordinate care for their patients, particularly those with chronic conditions.

    · Access: Not surprisingly—given the absence of universal coverage—people in the U.S. go without needed health care because of cost more often than people do in the other countries. Americans were the most likely to say they had access problems related to cost. Patients in the U.S. have rapid access to specialized health care services; however, they are less likely to report rapid access to primary care than people in leading countries in the study. In other countries, like Canada, patients have little to no financial burden, but experience wait times for such specialized services. There is a frequent misperception that trade-offs between universal coverage and timely access to specialized services are inevitable; however, the Netherlands, U.K., and Germany provide universal coverage with low out-of-pocket costs while maintaining quick access to specialty services.

    · Efficiency: On indicators of efficiency, the U.S. ranks last among the 11 countries, with the U.K. and Sweden ranking first and second, respectively. The U.S. has poor performance on measures of national health expenditures and administrative costs as well as on measures of administrative hassles, avoidable emergency room use, and duplicative medical testing. Sicker survey respondents in the U.K. and France are less likely to visit the emergency room for a condition that could have been treated by a regular doctor, had one been available.

    · Equity: The U.S. ranks a clear last on measures of equity. Americans with below-average incomes were much more likely than their counterparts in other countries to report not visiting a physician when sick; not getting a recommended test, treatment, or follow-up care; or not filling a prescription or skipping doses when needed because of costs. On each of these indicators, one-third or more lower-income adults in the U.S. said they went without needed care because of costs in the past year.

    · Healthy lives: The U.S. ranks last overall with poor scores on all three indicators of healthy lives—mortality amenable to medical care, infant mortality, and healthy life expectancy at age 60. The U.S. and U.K. had much higher death rates in 2007 from conditions amenable to medical care than some of the other countries, e.g., rates 25 percent to 50 percent higher than Australia and Sweden. Overall, France, Sweden, and Switzerland rank highest on healthy lives.

    http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror


    No other advanced country even comes close to the United States in annual spending on health care, but plenty of those other countries see much better outcomes in their citizens' actual health overall.

    A new Commonwealth Fund report released Thursday underscored that point — yet again — with an analysis that ranks 13 high-income nations on their overall health spending, use of medical services, prices and health outcomes.

    The study data, which is from 2013, predates the full implementation of Obamacare, which took place in 2014. Obamacare is designed to increase health coverage for Americans and stem the rise in health-care costs.

    The findings indicate that despite spending well in excess of the rate of any other of those countries in 2013, the United States achieved worse outcomes when it comes to rates of chronic conditions, obesity and infant mortality.

    One rare bright spot for the U.S., however, is that its mortality rate for cancer is among the lowest out of the 13 countries, and that cancer rates fell faster between 1995 and 2007 than in other countries.

    "Time and again, we see evidence that the amount of money we spend on health care in this country is not gaining us comparable health benefits," said Dr. David Blumenthal, president of the Commonwealth Fund. "We have to look at the root causes of this disconnect and invest our health-care dollars in ways that will allow us to live longer while enjoying better health and greater productivity."

    http://www.cnbc.com/2015/10/08/us-health-care-spending-is-high-results-arenot-so-good.html


    Ranking 37th — Measuring the Performance of the U.S. Health Care System
    http://www.nejm.org/doi/full/10.1056/NEJMp0910064#t=article


    Health Care Outcomes in States Influenced by Coverage, Disparities
    https://www.usnews.com/news/best-st...-in-states-influenced-by-coverage-disparities


    One explanation for the health disadvantage of the United States relative to other high-income countries might be deficiencies in health services. Although the United States is renowned for its leadership in biomedical research, its cutting-edge medical technology, and its hospitals and specialists, problems with ensuring Americans’ access to the system and providing quality care have been a long-standing concern of policy makers and the public (Berwick et al., 2008; Brook, 2011b; Fineberg, 2012). Higher mortality rates from diseases, and even from transportation-related injuries and homicides, may be traceable in part to failings in the health care system.

    The United States stands out from many other countries in not offering universal health insurance coverage. In 2010, 50 million people (16 percent of the U.S. population) were uninsured (DeNavas-Walt et al., 2011). Access to health care services, particularly in rural and frontier communities or disadvantaged urban centers, is often limited. The United States has a relatively weak foundation for primary care and a shortage of family physicians (American Academy of Family Physicians, 2009; Grumbach et al., 2009; Macinko et al., 2007; Sandy et al., 2009). Many Americans rely on emergency departments for acute, chronic, and even preventive care (Institute of Medicine, 2007a; Schoen et al., 2009b, 2011). Cost sharing is common in the United States, and high out-of-pocket expenses make health care services, pharmaceuticals, and medical supplies increasingly unaffordable (Commonwealth Fund Commission on a High Performance System, 2011; Karaca-Mandic et al., 2012). In 2011, one-third of American households reported problems paying medical bills (Cohen et al., 2012), a problem that seems to have worsened in recent years (Himmelstein et al., 2009). Health insurance premiums are consuming an increasing proportion of U.S. household income (Commonwealth Fund Commission on a High Performance System, 2011).

    https://www.ncbi.nlm.nih.gov/books/NBK154484/


    Once again, U.S. has most expensive, least effective health care system in survey

    A report released Monday by a respected think tank ranks the United States dead last in the quality of its health-care system when compared with 10 other western, industrialized nations, the same spot it occupied in four previous studies by the same organization. Not only did the U.S. fail to move up between 2004 and 2014 -- as other nations did with concerted effort and significant reforms -- it also has maintained this dubious distinction while spending far more per capita ($8,508) on health care than Norway ($5,669), which has the second most expensive system.

    "Although the U.S. spends more on health care than any other country and has the highest proportion of specialist physicians, survey findings indicate that from the patients’ perspective, and based on outcome indicators, the performance of American health care is severely lacking," the Commonwealth Fund, a New York-based foundation that promotes improved health care, concluded in its extensive analysis. The charts in this post are from the report.

    [​IMG]

    https://www.washingtonpost.com/news...care-system-in-survey/?utm_term=.3bea55276072


    US healthcare system ranks 50th out of 55 countries for efficiency
    http://www.beckershospitalreview.co...-50th-out-of-55-countries-for-efficiency.html


    he U.S. healthcare system notched another dubious honor in a new comparison of its quality to the systems of 10 other developed countries: its rank was dead last.

    The new study by the Commonwealth Fund ranks the U.S. against seven wealthy European countries and Canada, Australia and New Zealand. It's a follow-up of previous surveys published in 2010, 2007, 2006 and 2004, in all of which the U.S. also ranked last.

    Although the U.S. ranked in the middle of the pack on measures of effectiveness, safety and coordination of care, it ranked dead last on access and cost, by a sufficient margin to rank dead last overall. The breakdowns are in the chart above.

    Conservative pundits hastened to explain away these results after the report was published. See Aaron Carroll for a gloss on the "zombie arguments" put forth against the clear evidence that the U.S. system falls short.

    http://www.latimes.com/business/hiltzik/la-fi-mh-the-us-healthcare-system-20140617-column.html

    U.S. Health Care Ranked Worst in the Developed World
    http://time.com/2888403/u-s-health-care-ranked-worst-in-the-developed-world/
     
  8. james M

    james M Banned

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    McCarren Furguson made health care competition illegal in 1946. That is why there is no competition across state lines. Imagine if each state had its own car companies. Making sense now?
     
  9. james M

    james M Banned

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  10. Fenton Lum

    Fenton Lum Banned

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    Your aristocracy has things exactly as they want it.
     
  11. Fenton Lum

    Fenton Lum Banned

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    You trail the rest of the advanced post industrial world.
     
  12. james M

    james M Banned

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    the issue is what do you want to do about it: Republican capitalism or another libcommie bureaucracy? Do you think the aristocracy in North Korea is better than the aristocracy in Venezuela or Cuba?
    do you get it now? capitalism is the only system that makes survival dependent on always better quality and always lower price.
     
  13. james M

    james M Banned

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    which is why intelligent people want to switch to capitalism
     
    Last edited: Nov 18, 2017
  14. Distraff

    Distraff Well-Known Member

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    The vast majority of people are covered under private insurance and go to privately owned hopitals and consume drugs from privately owned drug companies. How on earth do you promise these 80% savings when you don't even understand how our healthcare even works?
     
  15. Distraff

    Distraff Well-Known Member

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    Where did this act make healthcare competition illegal? Drug companies, hospitals, and insurance companies compete all the time and some states allow selling plans across state lines.
     
  16. james M

    james M Banned

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    get your facts straight:
    • The largest shares of total health spending were sponsored by the federal government (28.7 percent) and the households (27.7 percent). The private business share of health spending accounted for 19.9 percent of total health care spending, state and local governments accounted for 17.1 percent, and other private revenues accounted for 6.7 percent.
    we know from Cuba /Florida, East West Germany how much more people can afford under capitalism, about 80% more.
     
  17. james M

    james M Banned

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    free competition means national competition all the time for everyone, and providers competing on basis of price and quality. Do you think its coincidental there is no competition in health care or do you think liberal govt made competition illegal?
     
  18. james M

    james M Banned

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    some states allow tooth paste and cars to be sold across state lines too. Do you understand that libcommie govt made real competition illegal in health care?? Now you understand why we pat 5 times more than we should. Libcommie govt strikes again!!
     
    Last edited: Nov 22, 2017
  19. Distraff

    Distraff Well-Known Member

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    48% of healthcare spending in the US is public and 52% is private. The government covers only about 30% of the population who tend to disproportionately old and expensive while 70% of covered under private insurance. And even those using medicare and medicaid are going to private doctors in private clinics and taking drugs by private businesses, the government only compensates private providers so we still have a mostly private system and most people have to pay for it themselves. You cherry pick the worst examples of public healthcare from failed third-world countries but leave out the rest of the developed world which uses mostly public funded healthcare and averages 2 1/2 times less the cost than the US.
     
  20. Distraff

    Distraff Well-Known Member

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    This claim that there is no competition in healthcare is just false and there is no point in repeating it over and over. In my town there are about four major insurance companies competing for customers and two major hospitals, and a bunch more major clinics in competition. When you have two or more private entities who are not working together and offering the same product there will be competition.
     
  21. Distraff

    Distraff Well-Known Member

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    Give me a source showing that there was an actual law banning this because there is definitely competition and I can't find a single regulation that bans competition. Many states allow selling across state lines, most people get their healthcare privately but they aren't seeing 80% lower costs. There is no discernible difference.
     
  22. james M

    james M Banned

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    yes Europe has a more efficient form of socialism than we do. Our costs would be reduced by about 80% if we switched to capitalism. Do you understand?
     
  23. james M

    james M Banned

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    do you think its coincidence that insurance is not sold across state lines, that each state has an insurance commissioner, and that prices are not published. Do you have any idea what a free market is? McCarran Furguson made competition illegal in 1946. Where have you been? Liberals run the country and they lack the IQ to know what capitalism is let alone why it is superior.
     
    Last edited: Nov 22, 2017
  24. james M

    james M Banned

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    not only is there no competition but prices are not even published!! How can their be competition if you don't know the price? OMG!!!! Our system is a soviet mess. Do you know what happened to the soviet union?
     
    Last edited: Nov 22, 2017
  25. james M

    james M Banned

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    show me their price lists and quality reviews! Oligopoly at best, but not free market!!
     
    Last edited: Nov 22, 2017

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