Ronald Reagan Created Socialized Medicine in USA

sanguine cynic - 


Unpaid hospital bills account for 41 billion a year. The US spends collectively, 3.2 trillion on healthcare a year.



So that accounts for about 1.2% of the total bill.



So no, people going to the hospital that can't pay is absolutely not the reason for our astronomical prices.





The average person in the USA spends 10,000 a year on healthcare. The average person in Spain spends 2500. Why the difference?



The reason for our astronomical prices is price gouging by the medical/ Big Pharma/ etc, as well as paying insurance companies who make a profit.



When you have single payer, the government bargains down the price of services..that's why an MRI costs 10x more in the USA than in Europe. Also you just pay for services, you don't pay for services + insurance companies making a profit.



So why do we have this system? The insurance companies have bought off congress. Look at how much  they spend on lobbying. It's millions and millions. 



Sorry bud, a free market is how prices best get bargained down.  Single payer systems still have the concept of an insurer, and those associated costs.  Otherwise, a non-profit insurance company would solve the problem.  Your argument that for profit insurance, causes a 10x increase, in the cost of an MRI, is silly.  Next time you need an MRI, call around, you'll be shocked at how easy it is to price shop for an MRI.



Administrative costs, using more expensive treatment protocols, using specialists more, luxury branding, drug costs, patents, and defensive medicine, are the drivers of cost.



 



 



 

cruedi - That's actually not an accurate picture, because hospitals can and do turn people away in emergency rooms.

A friend of mine was in the hospital recently. They stabilized her, then told her in order to find out the root cause she'd need a ultra sound, which would have a $600 copay. She didn't have that, she was getting ready to leave when my wife showed up to pick her up. My wife paid the $600 for tests.


Another friend I have is a retired podiatrist. He said there are tons of people, many diabetics, with foot problems that could be treated but ERs won't until it's too late and they amputate parts of their feet.

Sad problem we have in America.


In your example, the ER didn't turn your friend away.

Trust - 


It applied only to hospitals that accept Medicare.  Medicare is socialized healthcare, so socialized healthcare existed before this bill.  Medicare was signed into law by LBJ.  



None of that changes the fact that Reagan signed a socialized healthcare system into law.  Not only did he create one, he created the worst socialized healthcare system ever, and then forgot to fund it.



 



 

Pura Vida -
Trust - 


It applied only to hospitals that accept Medicare.  Medicare is socialized healthcare, so socialized healthcare existed before this bill.  Medicare was signed into law by LBJ.  



None of that changes the fact that Reagan signed a socialized healthcare system into law.  Not only did he create one, he created the worst socialized healthcare system ever, and then forgot to fund it.



 



 

Yes.

Pura Vida -
sanguine cynic - 


Unpaid hospital bills account for 41 billion a year. The US spends collectively, 3.2 trillion on healthcare a year.



So that accounts for about 1.2% of the total bill.



So no, people going to the hospital that can't pay is absolutely not the reason for our astronomical prices.





The average person in the USA spends 10,000 a year on healthcare. The average person in Spain spends 2500. Why the difference?



The reason for our astronomical prices is price gouging by the medical/ Big Pharma/ etc, as well as paying insurance companies who make a profit.



When you have single payer, the government bargains down the price of services..that's why an MRI costs 10x more in the USA than in Europe. Also you just pay for services, you don't pay for services + insurance companies making a profit.



So why do we have this system? The insurance companies have bought off congress. Look at how much  they spend on lobbying. It's millions and millions. 



Sorry bud, a free market is how prices best get bargained down.  Single payer systems still have the concept of an insurer, and those associated costs.  Otherwise, a non-profit insurance company would solve the problem.  Your argument that for profit insurance, causes a 10x increase, in the cost of an MRI, is silly.  Next time you need an MRI, call around, you'll be shocked at how easy it is to price shop for an MRI.



Administrative costs, using more expensive treatment protocols, using specialists more, luxury branding, drug costs, patents, and defensive medicine, are the drivers of cost.



 



 



 

http://readersupportednews.org/news-section2/313-17/10323-why-an-mri-costs-1080-in-america-and-280-in-france

 

I'm not sure if your reply was sarcastic? If not, read the above and get back to me my friend. 

Or this.

https://www.theatlantic.com/business/archive/2013/03/why-is-american-health-care-so-ridiculously-expensive/274425/

Here is the bottom line. 

"two big reasons why U.S. health care is so expensive: (1) Unlike other countries, the U.S. government doesn't manage prices; and (2) the complications created by our for-profit system adds tremendous costs. "

 

The reason the "free market" is not have the best way to bring prices down is because I as individual consumer, or even a huge health insurance company do not have the bargaining leverage of the government. You can window shop all you want, you aren't going to find an MRI for 200 bucks like you can in Europe. 

 

Sad people taking advantage of emergency room services ruined the concept. Like so many socialist programs they ignore human nature.

The Atlantic is a bias source but I will bite. Health insurance providers are what they are because of wage ceilings during ww2. The answer isn't the government stepping in since they tipped the first domino its moving away from insurance for none catastrophic issues. Insurance is a perfect example of subsidizing screwing up the market.