Current Events > American healthcare is great! Routine colonoscopy = $18,000

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tri sapphire
10/29/19 1:06:14 AM
#101:


OnWingsOfMisery posted...


A family member was in the hospital due to a bad infection. No insurance. He spent three days in the hospital, including one in the ER with lots of antibiotics. The bill did arrive as a large sum but after talking to the hospital they waived all fees except for a $100 copay for each of the days he was in the hospital. So he spent $300 total plus parking.

More expensive than your $90, but no huge taxes.

So you're saying that we don't even need insurance, and that all anyone in America has to do is "talk to the hospital" and they'll immediately drop all charges?

Can I sue you if this doesn't work?
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OnWingsOfMisery
10/29/19 1:07:55 AM
#102:


tri sapphire posted...
So you're saying that we don't even need insurance, and that all anyone in America has to do is "talk to the hospital" and they'll immediately drop all charges?

Can I sue you if this doesn't work?


No, I was just raising an anecdote to respond to the other guy's anecdote. Mine really did happen, but I'd still have insurance because not every hospital will be as forgiving.

I'm all for finding ways to get the hospitals to reduce costs btw.
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SableWolfAngel
10/29/19 1:12:57 AM
#103:


OnWingsOfMisery posted...

How is this account so old and has so little Karma? Something doesn't add up here.
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tri sapphire
10/29/19 1:13:06 AM
#104:


OnWingsOfMisery posted...
tri sapphire posted...
So you're saying that we don't even need insurance, and that all anyone in America has to do is "talk to the hospital" and they'll immediately drop all charges?

Can I sue you if this doesn't work?


No, I was just raising an anecdote to respond to the other guy's anecdote. Mine really did happen, but I'd still have insurance because not every hospital will be as forgiving.

I'm all for finding ways to get the hospitals to reduce costs btw.

The reason costs aren't inflated in other countries is because they don't have insurance as a middle man.

Hospitals have such ridiculous charges because they're preempting the insurance companies haggling those charges down when it comes time to pay out.
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QueenCarly
10/29/19 1:15:48 AM
#105:


Terrified to see what my hospital bill ends up at.

I've been her since Thursday night and have had gall stones blocking my bile duct removed and my gall bladder removed.

Fucking pancreatitis.

Fucking American medical system.
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tremain07
10/29/19 1:18:41 AM
#106:


I wonder what the american health care system would look like if they just turned away people who can't pay would it get cheaper?
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masterbarf
10/29/19 1:19:28 AM
#107:


Don't pay. What are they going to do? Unoscopy your colon?
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OnWingsOfMisery
10/29/19 1:19:50 AM
#108:


tri sapphire posted...
The reason costs aren't inflated in other countries is because they don't have insurance as a middle man.

Hospitals have such ridiculous charges because they're preempting the insurance companies haggling those charges down when it comes time to pay out.


Costs are inflated in other countries, they are just hidden behind giant taxes. That is why you see the healthcare systems in Canada, the UK, and other western countries strained and requiring constant infusions of cash from additional taxes. To say that the costs aren't inflated is ridiculous.

Hospitals preempt the insurance companies because they want the insurance companies to just settle for a higher amount than the hospitals are entitled to. This is a classic example of hospital greed. The insurance companies themselves aren't incentivized to pay higher than what the treatment actually costs.

The only real solution to this overcharging from the hospitals is to force the hospitals and doctors to publish their prices in public portals. That way if TC needs another colonoscopy, he can just search what they cost all around him and pick the cheapest and best reviewed one.

The market would do its thing if the information was available. Many healthcare needs can be shopped for.
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OnWingsOfMisery
10/29/19 1:21:08 AM
#109:


tremain07 posted...
I wonder what the american health care system would look like if they just turned away people who can't pay would it get cheaper?


Most of the time they'd rather treat you and bill you something, even if it's a tiny amount as a payment plan. And they'll leverage state programs to get grants and other sources of funding for patients who can't afford care.

It'd be great to have the government put a giant pile of cash into such grants, but we'd also need hospitals to lower their prices. Best way to do that is published pricing so that competition can do its thing.

We really need a public-private partnership on this.
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Ivany2008
10/29/19 1:21:50 AM
#110:


bIuerain posted...
Motherfucker, Americans are literally hopping the border because in Canada a vial of insulin doesn't cost hundreds of dollars. Americans will literally visit your country specifically to buy insulin at like less than a tenth of the price.

But sure, let's assume you're not full of shit here and I'll fire back with another vacation anecdote too:

A family member of mine was in vacation in Poland. He has no insurance, American, European, or otherwise. He gets in an accident and breaks his arm. Has to go to a Polish ER. He gets a CAT scan, they fix him up, put his arm in a sling and give him some painkiller meds. In and out in a day.

You know what the grand total was?

Ninety whole fucking dollars. Just $90. And this is with no insurance whatsoever.

Do you have any idea how literally impossible this scenario would be in America? A hospital visit, a CAT scan, treatment, a sling and pain meds, with no insurance? You'd be in debt for the rest of your life. But Poland is one of the many countries that has some of that socialized, non-dogshit healthcare.

But tell me more about how great my American healthcare system is.


And I'll quote my cousin who said it best "In Canada I could be waiting for months, if not years to see a specialist. In America, I can hop into any clinic, pay the money and get an X-Ray done that day. I have insurance, so its not as bad for me." You can bitch and whine about how unfair American Healthcare is, and I agree with you. The cost of American Healthcare is unfair. But let me counter using my own experience. I have a messed up body. It's always getting sick. I had an asthma test done last July. Came out clear thankfully, but now I have to wait 6 months to get the next test done, which is now in February. That was the earliest for that kind of test, which is a routine test. And I have to get the testing done, because I've been coughing up a lung even on the hottest of days and its been going on for almost 2 years now.

My uncle, who had to get a heart transplant has been on a waiting list for 4 years now. I worked as a security guard at a hospital and a patient was lying on the floor unconscious with a broken back, for 12 hours. Why wasn't he seen? because we don't have the staff to keep up with the demand. Because our staff doesn't get paid like American hospitals do. So on a shift where there should be 15-20 people working the emergency area, there are only 5 or 6.

Everyone in North America is screwed. Either you are waiting forever to get seen, or your paying ridiculous amounts of money to get seen. There should be a healthy median, but I have my doubts that will ever happen with our populations.
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ThyCorndog
10/29/19 1:22:04 AM
#111:


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apocalyptic_4
10/29/19 2:43:44 AM
#112:


OnWingsOfMisery posted...
What is routine about a colonoscopy? $1,500 out of pocket for an abnormal thing like that isn't bad. Certainly beats paying 20% more in taxes each and every year even when you don't need it.


Lmao is this how Americans think health care works in other countries
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ArchiePeck
10/29/19 2:49:49 AM
#113:


Imagine a combination of everyone paying a small amount extra in tax combined with healthcare not being a for-profit commercial concern... like most first world countries!
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DevsBro
10/29/19 8:09:07 AM
#114:


OnWingsOfMisery posted...
DevsBro posted...
The garbagest thing about it all is that it's 100% insurance companies that are responsible for this, and the Obamacare solution is literally to make it illegal to not do business with them.

*sigh*


The hospital is the one that billed $18,000 though.

Right, because they know the insurance company will "negociate" them into getting a fraction of what they bill.
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UnfairRepresent
10/29/19 8:11:16 AM
#115:


mattnd2007 posted...
American healthcare is a fucking nightmare

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DevsBro
10/29/19 8:14:15 AM
#116:


hockeybub89 posted...
Healthcare shouldn't even be a business

Eh. Not crazy about my diet and execrise routines suddenly amounting to misuse of public funds.
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DanHaren2019
10/29/19 8:16:23 AM
#117:


Have you tried not being poor?
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UnfairRepresent
10/29/19 8:16:52 AM
#118:


DevsBro posted...
hockeybub89 posted...
Healthcare shouldn't even be a business

Eh. Not crazy about my diet and execrise routines suddenly amounting to misuse of public funds.

It already is tho
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Cheater87
10/29/19 8:23:05 AM
#119:


Capitalism, a geedy parasite.

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DevsBro
10/29/19 8:23:24 AM
#120:


UnfairRepresent posted...
DevsBro posted...
hockeybub89 posted...
Healthcare shouldn't even be a business

Eh. Not crazy about my diet and execrise routines suddenly amounting to misuse of public funds.

It already is tho

How so?
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Rexdragon125
10/29/19 8:25:20 AM
#121:


If you're in America you're already paying the most for everyone's healthcare on average
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closetjpopfan
10/29/19 8:32:52 AM
#122:


OnWingsOfMisery posted...
Blackstar110 posted...
Shut the fuck up


What a great rebuttal. Im convinced

Your post is SO FUCKING STUPID, that it can't get a rebuttal.

That bad, kid. That bad.

That's how bad it is. That's how bad it's got.

You are beyond the point of being engaged. You are way, way beyond the point of trying to be reasoned with. You are too far gone, much too far gone to be approached.

That's how bad.
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Makeveli_lives
10/29/19 8:33:56 AM
#123:


OnWingsOfMisery posted...
1,500 out of pocket for an abnormal thing like that isn't bad

Colon checks are standard for old people aren't they? Like a yearly thing? Or are they different procedures?
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ArchiePeck
10/29/19 8:39:16 AM
#124:


Makeveli_lives posted...
Colon checks are standard for old people aren't they? Like a yearly thing? Or are they different procedures?

Prostate checks are standard, on amount of prostate cancer being one of the biggest male death causes (so if you're insecure about someone sticking a finger up there, better drop that now LOL) but actual colonoscopies are not.
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hockeybub89
10/29/19 8:43:38 AM
#125:


Colonoscopies aren't something every individual gets all the time, but they are a common and routine procedure in practice.
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treewojima
10/29/19 8:50:59 AM
#126:


here's a good breakdown of the problems with American health care as well as a breakdown of costs versus the UK's NHS:

https://www.youtube.com/watch?v=44mvkMqrW4U" data-time="


tl;dw - NHS still winds up being cheaper despite the higher taxes when you factor in the costs of insurance premiums, deductibles and OOP expenses
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darkmaian23
10/29/19 9:50:32 AM
#127:


@OnWingsOfMisery posted...
A family member was in the hospital due to a bad infection. No insurance. He spent three days in the hospital, including one in the ER with lots of antibiotics. The bill did arrive as a large sum but after talking to the hospital they waived all fees except for a $100 copay for each of the days he was in the hospital. So he spent $300 total plus parking.

More expensive than your $90, but no huge taxes.


So your family member owed a $100 copay for insurance you claim they didn't have? Also, nowhere in the real world can you talk to the hospital and and negotiate giving them so little money. Based on some quick research, unless you are in an extremely rare situation, the most you can expect to get your costs reduced by is about 40%.
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masterpug53
10/29/19 10:00:18 AM
#128:


OnWingsOfMisery posted...
There's like a .01% chance of getting cancer.


Today I breathed a heavy sigh of relief when I learned from Internet Man that there's only a 1 in 10,000 chance of developing cancer in my lifetime.
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Balrog0
10/29/19 10:11:48 AM
#129:


darkmaian23 posted...
So your family member owed a $100 copay for insurance you claim they didn't have? Also, nowhere in the real world can you talk to the hospital and and negotiate giving them so little money. Based on some quick research, unless you are in an extremely rare situation, the most you can expect to get your costs reduced by is about 40%.


yeah of course he's just making stuff up

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bloodydeath0
10/29/19 10:31:20 AM
#130:


OnWingsOfMisery posted...
The only real solution to this overcharging from the hospitals is to force the hospitals and doctors to publish their prices in public portals. That way if TC needs another colonoscopy, he can just search what they cost all around him and pick the cheapest and best reviewed one.
i think laser eye surgery is one of the few things that works this way. drove costs way down and you can look up where you wanna go and what you wanna pay

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OnWingsOfMisery
10/29/19 11:14:50 AM
#131:


darkmaian23 posted...
So your family member owed a $100 copay for insurance you claim they didn't have? Also, nowhere in the real world can you talk to the hospital and and negotiate giving them so little money. Based on some quick research, unless you are in an extremely rare situation, the most you can expect to get your costs reduced by is about 40%.


Sorry I meant office fee. Copays are office fees but usually an insurance term. But it definitely is a true story, I promise even if I can't prove it.

Balrog0 posted...
yeah of course he's just making stuff up


It actually happened.
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OnWingsOfMisery
10/29/19 11:15:10 AM
#132:


bloodydeath0 posted...
i think laser eye surgery is one of the few things that works this way. drove costs way down and you can look up where you wanna go and what you wanna pay


Yeah and the same thing would happen with every service if we published pricing the same way.
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OnWingsOfMisery
10/29/19 11:15:56 AM
#133:


Makeveli_lives posted...
Colon checks are standard for old people aren't they? Like a yearly thing? Or are they different procedures?


No, you usually get one by 50 and then another one each ten years until you are 80. They are not a yearly thing for the majority of people.
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OnWingsOfMisery
10/29/19 11:17:34 AM
#134:


Here is a post I just made about the power of markets.

https://gamefaqs.gamespot.com/boards/400-current-events/78119234

We do not leverage this power in healthcare currently. We need to force hospitals to compete on price. Cash and Medicare prices are not currently published by hospitals, even for procedures and treatments that are typically always the same. We can't even begin to get this effect in healthcare until we do that.
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#135
Post #135 was unavailable or deleted.
Archibleedies
10/29/19 11:22:01 AM
#136:


Look at this quadruple post. I'd mark him for spamming/disruptive posting, but the report button isn't there for some reason.
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Rexdragon125
10/29/19 11:25:18 AM
#137:


Yes let me shop around for hospitals while I'm unconscious and bleeding out, lol
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OnWingsOfMisery
10/29/19 11:30:09 AM
#138:


Rexdragon125 posted...
Yes let me shop around for hospitals while I'm unconscious and bleeding out, lol


Clearly this would only work for things that you can shop for. A colonoscopy and most routine checkups can definitely be shopped around for. Not everything is an emergency, which is why the common advice is to go to an urgent care center rather than an emergency room.

Let's not be facetious in order to avoid ideas that are too challenging.
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treewojima
10/29/19 11:33:36 AM
#139:


let's talk about communism
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CanuckCowboy
10/29/19 11:44:27 AM
#140:


OnWingsOfMisery posted...
What is routine about a colonoscopy? $1,500 out of pocket for an abnormal thing like that isn't bad. Certainly beats paying 20% more in taxes each and every year even when you don't need it.


Lmfao at that not being bad. Jesus.

Thank fuck I live in a sane country. Im in the er right now and Id be tens of thousands of dollars in debt since 7 this morning if I were an American.

god my diverticulitis surgery wouldve bankrupted me for life.

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Archibleedies
10/29/19 11:49:05 AM
#141:


CanuckCowboy posted...
OnWingsOfMisery posted...
What is routine about a colonoscopy? $1,500 out of pocket for an abnormal thing like that isn't bad. Certainly beats paying 20% more in taxes each and every year even when you don't need it.


Lmfao at that not being bad. Jesus.

Thank fuck I live in a sane country. Im in the er right now and Id be tens of thousands of dollars in debt since 7 this morning if I were an American.

god my diverticulitis surgery wouldve bankrupted me for life.

one of the worst things about the healthcare in this country is that there is a nonzero number of people just like proudclad, who tell us it's our fault and that those poor insurance companies and healthcare providers are the real victims, as they hose us down for everything we have for daring to not want to be sick
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Blackstar110
10/29/19 12:12:27 PM
#142:


Archibleedies posted...
CanuckCowboy posted...
OnWingsOfMisery posted...
What is routine about a colonoscopy? $1,500 out of pocket for an abnormal thing like that isn't bad. Certainly beats paying 20% more in taxes each and every year even when you don't need it.


Lmfao at that not being bad. Jesus.

Thank fuck I live in a sane country. Im in the er right now and Id be tens of thousands of dollars in debt since 7 this morning if I were an American.

god my diverticulitis surgery wouldve bankrupted me for life.

one of the worst things about the healthcare in this country is that there is a nonzero number of people just like proudclad, who tell us it's our fault and that those poor insurance companies and healthcare providers are the real victims, as they hose us down for everything we have for daring to not want to be sick

Not only non zero, but plenty.

And yeah, thats exactly it. If insurance just meant you pay this much when something happens, thatd be one thing, but the nature of it is that I have hundreds upon hundreds taken out every month ALREADY, then the first time anything happens, I get dicked down for almost two grand if you count the lead up appointments.

Then these guys lecture better than paying higher taxes! Bitch, even if that were true, my premium is already a tax, and I still get killed on top of it. Absurd.
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Rexdragon125
10/29/19 12:14:04 PM
#143:


Stop being poor! Classist bs
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