It would be easier if the greedy and corrupt medical community didnt charge 60$ per tylenol in hospitals and other outrageous prices for treatment. My dad spent 2 days in the hospital for pulmonary embolism and got a 100k bill. Each tylenol was 60$ on the itemized bill. I could buy 10 bottles for that price. That was 15 years ago. It's probably closer to a hundred now
The doctors hospitals and clinics are the root of this issue. End their insatiable greed and it would make it easier on uninsured people
Hospital charges are obscene. But you don't understand the billing process (and its idiocy) if you link clinic, hospital, and doctor as one. There are vast differences in what and how each thing gets billed. Beyond that, your tylenol bill is a fake bill because the whole thing is a stupid shell game between entities and insurance.
Hospital profit margins are currently double what they were 20 years ago while physician payment is flat (with the exception of things like emergency medicine that have profited from a broken system without preventative care focus).
To the doc piece...
1/3 of my billing charges are JUST to capture payment from the insurance system.
That is, when you see me and I bill you 70 bucks for a visit (standard cost) 1/3 of that has to go to paying billers just to submit paperwork. This isn't corrupt as much as its terribly inefficient. I have zero control over what your drug prices are when you get to the pharmacy and even when I try to use computers and educated guesses, I can't tell you the cost of the drug I'm writing...even trying to keep it cheap sometimes I'm surprised at what's covered or what's not on name brand plans.
Hospital charges are separate from the physicians fee. But as hospitals bought up all the physician practices, they were then allowed to charge facility fees for clinics. They treat clinics like hospital locations...charge you more for the same services you were already getting. As a private practice doc I cam not allowed to charge this fee. So I make less as a clinic entity even though my physician fee is the same. If a hospital buys me, they can just tack on an extra cost wtf?
How much is all the stuff outside the doctors fee?
Well enough that you can afford to pay a USA orthopedic surgeon THREE TIMES more than what they make in the united states AND
pay the patient five thousand dollars and fly both to a luxury five star hospital in the yucatan to place the same prosthetic as the united states and STILL make profit as a company arranging this. Yes its obscene. But most of that payment is prosthetics, drugs, and hospitals.
A novel twist on medical tourism to avoid the high cost of U.S. health care saves an employer money and even earns the patient a bonus.
www.nytimes.com
I'd make more money working in Canada FYI.