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sailingaround August 2nd, 2015 6:01pm

Why does the US have the most expensive and least effective healthcare in the world?

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MaxineL New Jersey
08/02/15 9:41 pm

Health insurance companies and big Pharma.

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Ru12bseen Ignoring the Ignorant
08/02/15 8:48 pm

Hardly the least effective. Not by miles. Most costly? Maybe. Most obvious waste? Probably. Most inefficient? Sure.

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Wert A picture of my junk
08/02/15 8:56 pm

Costly, wasteful and inefficient... Doesn't seem very effective.

FacePalm That Trick Never Works
08/02/15 9:07 pm

Do people become ill/remain ill/die in the streets in a regular basis as a result of our health care industry? No? Then it is effective most of the time.

dominiclandry
08/02/15 8:34 pm

What basis do you have for these claims?

Wert A picture of my junk
08/02/15 8:19 pm

Greed. That, and we just let it happen.

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Ru12bseen Ignoring the Ignorant
08/02/15 8:47 pm

Not the first issue. There was a major healthcare access problem the Medicare was created to help with. Perhaps it made things worse, but the problem existed prior to Medicare.

duey in a fools paradise
08/03/15 2:55 am

Totally disagree, when our government involves itself like they have with Medicare/Medicaid they drive the prices. They will only pay so much which drives prices higher and higher for the rest of us.

Ru12bseen Ignoring the Ignorant
08/03/15 5:06 am

I appreciate your thoughts. Sadly, they are off. Prior to 1965, there was already a major issue with access to healthcare. Most middle class Americans could not afford the medical costs incurred due to chronic conditions or accidents.

Ru12bseen Ignoring the Ignorant
08/03/15 5:06 am

Medicare was created to fix this. Initially, Medicare was a strictly fee for service program meaning hospitals could pretty much charge what they wanted and get paid for it. This ended in the 80s when CMS created the IPPS and OPPS regulations.

Ru12bseen Ignoring the Ignorant
08/03/15 5:06 am

A key initiative being DRG payment plans for inpatient hospital stays. At this point, hospitals would be paid X dollars per patient with X disease and those dollars would increase based on co-morbidities.

Ru12bseen Ignoring the Ignorant
08/03/15 5:07 am

This plan works for the most part but is clunky for sure. Where you're confused is that BCBS (et al) also began to rise around the same time that Medicare was initiated. BCBS had (have) such a large number of members under their plans,

Ru12bseen Ignoring the Ignorant
08/03/15 5:08 am

that they can control prices. They tell a hospital that they'll only pay 80% of charges for X service. The hospital, in turn, increases the charge for X service to make the 80% go further. 80% is generous.

Ru12bseen Ignoring the Ignorant
08/03/15 5:08 am

Also, Medicaid is a huge problem for hospitals because the only pay a fraction of the costs it takes to treat a patient plus are a major administrative burden to work with but hospitals are nearly required by law to accept them.

Ru12bseen Ignoring the Ignorant
08/03/15 5:08 am

The other costs are then rolled up into other areas (CT, MRI, etc) to try and recoup. Hospitals/physicians have blame, too. Hospitals build multimillion dollar facilities to outdo their nearby competition.

Ru12bseen Ignoring the Ignorant
08/03/15 5:08 am

Physicians (mostly specialists) charge exorbitant amounts for their services. In all, the entire U.S. system needs an overhaul.

Ru12bseen Ignoring the Ignorant
08/03/15 5:09 am

Finally, does Medicare influence the costs of care? Yes. Are they the root of all healthcare woes? No. They are just another player.

duey in a fools paradise
08/03/15 7:20 am

Actually Medicare was put in place to help the millions of elderly that found after retiring they no longer kept their company insurance. If you understand how Insurers rate their customers the elderly are in the costliest bracket. As you age you use

duey in a fools paradise
08/03/15 7:22 am

doctors and require more medication. On the other hand the least costly group 18 to 35 is much healthier and rarely use medical services.

duey in a fools paradise
08/03/15 7:24 am

Once Medicaid came on board all hell broke loose and that's when costs were spread to those insured through normal channels at a much accelerated rate.

duey in a fools paradise
08/03/15 7:27 am

Lastly as a layer of protection from lawyers, doctors found that each injury or disease required a myriad of tests to escape lawsuits by unhappy patients and enthusiastic attorneys.

duey in a fools paradise
08/03/15 7:29 am

Oh yeah one more added cost are those who use the emergency room like the rest of us use a normal routine Dr. appointment. These folks rarely if ever pay their bill so it's another huge factor in everyone else's rate.

Ebola1 Florida
08/02/15 7:47 pm

Wow! The statement itself is laughable and w/o merit!

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FacePalm That Trick Never Works
08/02/15 7:33 pm

Because private health insurance and Corporate Capitalism

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FacePalm That Trick Never Works
08/02/15 9:05 pm

Although it isn't the least effective to my knowledge.

curiousmonkey30
08/02/15 7:30 pm

It depends what you mean by "effective" because people here survive ailments they would never survive elsewhere.

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allswel Minnesota
08/02/15 7:30 pm

Mainly because we do not have a health care system.
Is employment the best place to begin grouping our health insurance groups?
We do not get the outcomes proportionate to how much of our GDP we spend on health care.

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allswel Minnesota
08/02/15 7:32 pm

Our research is uncoordinated, focused on treatment and not prevention.
Land grant universities, (what should be our national research program), are underfunded. We now look at higher education as a private good and not a public good.

allswel Minnesota
08/02/15 7:36 pm

Heath care costs a the number one reason for bankruptcies.

Ebola1 Florida
08/02/15 7:49 pm

Allswell, your statement that healthcare costs is the number one cause of bankruptcies is absurd and easily shown to be false.

Maj Worth Economist
08/02/15 8:03 pm

I'd like him to be wrong. It's less depressing.

allswel Minnesota
08/03/15 2:48 pm

My response to that Ebola would be for those interested to read the cited articles and then decide what each thinks is accurate.

Maj Worth Economist
08/03/15 7:03 pm

Actually, Ebola, I saw that. It's from six years ago. My links are 2013, an update in 2014, and another study from 2014.

Maj Worth Economist
08/03/15 7:05 pm

When I got a wide variety of responses on the first Google search, I set the search filter to only return recent articles.

alkie New York
08/02/15 7:26 pm

America is extremely rich and with all that money they offer poor service.

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Kay41 the Midwest
08/02/15 6:52 pm

I completely disagree that it is the least effective in the world. The number of third world countries alone with ineffective health care and people dying of things they wouldn't die of here makes this false.

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swervin Maryland
08/02/15 6:13 pm

Least efficient? Yeah, it's obvious you have not traveled very far outside your little bubble if you believe this.

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swervin Maryland
08/02/15 6:14 pm

Effective*.

swervin Maryland
08/02/15 6:24 pm

I've been to over 50 myself and only lived in 2. I can guarantee you, the U.S. is not even close to least effective.

swervin Maryland
08/02/15 6:27 pm

Your "studies". They only measured 11 countries bro. Cool story. Or do you think there are only 11 countries in the world? Someone has no idea what they are talking. I figured as much...

swervin Maryland
08/02/15 6:28 pm

Which 6 have you lived in by the way? And in what way were you living there? Work related? Pleasure related? How long in each one? Did you utilize the healthcare in each one?

swervin Maryland
08/02/15 6:33 pm

You did see where I actually went to the links you posted and proved you wrong. That study only measured 11 countries. Unless they changed the borders over night and there are only 11 counties left in the world, you poll is wrong.

swervin Maryland
08/02/15 6:34 pm

You have to explain yourself when you make outrageous claims that are backed up by nothing. Come up with a link that proves the U.S. is the absolute worst in world, or sit down and shut up. You are making a fool out of yourself.

biker4life Arizona
08/02/15 5:55 pm

Because the insurance and pharmaceutical companies are making a fortune raping the tax paying American.

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bringstheeagle Colorado
08/02/15 5:44 pm

What's wrong with you - free markets are efficient and our healthcare is efficient. Just ask anybody here. Lol. Oh, wait.

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thelowend imitation is flattery
08/02/15 4:01 pm

this country focuses on tertiary prevention (take this pill, get this surgery) as opposed to primary prevention (here's what you do to avoid this disease).

and our system is damn comfortable letting us know they make the most money...

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thelowend imitation is flattery
08/02/15 4:02 pm

..and have the "latest and greatest" tertiary "cures" you can swallow, surgically repair, or swindle to make everybody fat, rich (poor) , and happy (bankrupt).

stand outside a Golden Corral. how much "primary prevention" do we have?

brianator2
08/02/15 2:55 pm

"Least effective"?

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anonymousmn Minnesota
08/02/15 5:47 pm

That was my thought too. Far from least effective!

rstatesmen2 equally unfair to ALL
08/02/15 1:07 pm

Your opinion is based on what? What facts? What studies or reports? Before you make a general statement, provide some proof. Why do thousands come to this country for medical help if it is so bad?πŸ‘ΏπŸ˜

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thelowend imitation is flattery
08/02/15 4:04 pm

"thousands"?

most people are going to Cuba for world class health care. who.org. world health organization has been ranking countries health care for years. check it out

brianator2
08/02/15 6:23 pm

You're arguing with someone that thinks Michael Moore is a news source.

rstatesmen2 equally unfair to ALL
08/02/15 6:47 pm

I live in Rochester, MN. There is 1000's of foreigners that come to mayo clinic from all over the world for treatment. Why, because we have the best & most modern med. system in the world. Now Cubans can come to US they w/ be here for meds too. 😈

thelowend imitation is flattery
08/03/15 9:36 am

hyperbole and conjecture. did you even read anything on the WHO site regarding health care ratings about Cuba?

do you *personally* work at the mayo clinic and register all these people from all over the world? you know for a *fact*

brianator2
08/03/15 7:30 pm

Look, there's no way of knowing how many people do (or don't) come to the U.S. For medical treatment. HIPAA prevents disclosure of that info from the facilities and it requires a B-2 Visa; B-2's are for any short-term travel, so there's no way...

brianator2
08/03/15 7:32 pm

To know what percentage are exclusively for medical. There's literally no way that anyone can know. As for the WHO report, the last comparison was from data that is now over 15 years old. The U.S. is ranked 37 on that list...

brianator2
08/03/15 7:34 pm

But consider that Greece is ranked 14th on that same list. Greece's extravagant low-cost,

brianator2
08/03/15 7:36 pm

But consider that Greece is ranked 14th on that same list. Greece's extravagant low-cost, high-quality healthcare was a direct contribution to their economic collapse that has forced austerity and kept them on the edge of turmoil for the last decade

brianator2
08/03/15 7:40 pm

So you can argue about who goes where for what and how good the care is, but none of you know a damn thing. As for me, I can get whatever medical care I need in the US and, importantly, WHEN I need it, and this is my 1st choice for place of treatment

thelowend imitation is flattery
08/03/15 9:32 pm

sorry (not sorry) I'll rely on epidemiological studies and fact based resources with statistically significant reporting and results for my information, regardless of bias or worldview.

again... www.who.org

brianator2
08/04/15 3:07 am

That like just goes to the WHO webpage.

Odysseus We All Need A Fantasy
08/02/15 11:24 am

An employer based health care system, private health insurance and no checks or balances on our pharmaceutical industry. You put these things together and that is why our health care is the most expensive in the world.

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rstatesmen2 equally unfair to ALL
08/02/15 1:12 pm

Your opinion is based on what? What facts? What studies or reports? Before you make a general statement, provide some proof. Why do thousands come to this country for medical help if it is so bad? Most expensive because it is the most modern.πŸ‘ΏπŸ˜

Odysseus We All Need A Fantasy
08/02/15 1:58 pm

I was part of a team that decided the health care benefits for the corporation I worked for. These are my observations gleaned over 40 years. You can accept them or reject them. I didn't pull them out of the air. They are based on years of experience

EnderWiggin So disillusioned...
08/02/15 11:02 am

The middle. In many other countries, there is patient and provider. No middle.

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EnderWiggin So disillusioned...
08/02/15 11:45 am

HMO's I'm slightly more fine with. It's pretty direct. For pure "insurance providers" who make deals with hospitals, I'm not. Adding a building with a bunch of people to say yes to this procedure or no to that test adds unnecessary costs to what

EnderWiggin So disillusioned...
08/02/15 11:46 am

should be a simple system. Patient <-> Provider. No middle.

The next layer of wrong in our system that really jacks things up is, providing health care should not have any profit motive. The middle is all about profit and shareholder, not patient.