View Poll Results: What is the LARGEST cause of increasing health care expenditures in the US?

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  • Increasing Consumer Demand (rising income and population)

    1 2.94%
  • Advancement in Medical Technology

    5 14.71%
  • Cost Insulation from Third Party Payers (Employers, Insurance, Government)

    17 50.00%
  • Employee Based Health Insurance

    0 0%
  • State Mandated Benefits

    3 8.82%
  • Spending on Prescription Drugs

    0 0%
  • Adminstrative Costs (customer service, IT, underwriting)

    2 5.88%
  • Rising Prices in the Health Care Sector

    4 11.76%
  • Aging Population

    2 5.88%
  • Defensive Medicine

    0 0%
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Thread: Increasing Health Care Expenditures

  1. #21
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    Re: Increasing Health Care Expenditures

    Here is an example of fraud as a reason healthcare cost are so high in the US:
    Hill-Rom settles Medicare fraud lawsuit - BusinessWeek
    Hill-Rom Holdings Inc., a medical-equipment company in Indiana, agreed Tuesday to pay nearly $42 million to settle a government lawsuit that alleged Medicare fraud.

    The government had accused the company of knowingly submitting false claims to Medicare from 1999 to 2007 for bed support surfaces meant to treat pressure ulcers and bedsores. According to the charges, Hill-Rom asked "numerous and repeated" times for payment from Medicare for patients who no longer qualified for it, including patients who had died or were no longer using the equipment.

    According to the charges, Hill-Rom would automatically bill Medicare for "long periods of time," "without making any reasonable effort to determine if the patients for whom it submitted the claims continued to meet Medicare conditions for payment."
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  2. #22
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    Re: Increasing Health Care Expenditures

    Quote Originally Posted by Removable Mind View Post
    Gosh Harry... Did my satirical post rub you the wrong way? It wasn't intended to. My post was obviously on a different track, and which had nothing to do with your point. You hit nail on the head.

    Health care happens to be one of the most complex social problems our nation faces - if not "the most" complex problem. Yet, so many people constantly attack the "symptoms" associated with the our problems...and attack a population of people who use and exacerbate the problem rather than examining potential root causes that reach far beyond health care consumers and even providers.

    We have a broken health care system that became such because of the corruption and control of a broken government.

    As the old saying goes - "the fox is minding the hen house."

    I apologize for using your post as a spring board to make a nonsensical comment.
    You were jumping to conclusions about what I meant, assuming that I believed that people should only pay cash for health services.
    Instead, you could of asked me to clarify, but you didn't do that.

    Next time, when you try to mock someones position, try to know what you're talking about.
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  3. #23
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    Re: Increasing Health Care Expenditures

    The correct answers to the poll question, at the most basic level, are:

    Rising Prices in the Health Care Sector
    Aging Population
    However, "rising prices" is pretty vague and doesn't actually address the root cause. So a better question is what is causing those rising prices in the health care sector. For this question, the best answer is:

    Cost Insulation from Third Party Payers (Employers, Insurance, Government)
    The US has the worst health care system of any developed country in the world. It's the worst of all possible worlds: No incentive for anyone to cut their costs, and no regulation to limit costs. We should be dissuading employers from providing health insurance, encouraging people to move to high-deductible plans, and subsidizing health insurance for those who can't afford it.
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  4. #24
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    Re: Increasing Health Care Expenditures

    Quote Originally Posted by Kandahar View Post
    The correct answers to the poll question, at the most basic level, are:



    However, "rising prices" is pretty vague and doesn't actually address the root cause. So a better question is what is causing those rising prices in the health care sector. For this question, the best answer is:



    The US has the worst health care system of any developed country in the world. It's the worst of all possible worlds: No incentive for anyone to cut their costs, and no regulation to limit costs. We should be dissuading employers from providing health insurance, encouraging people to move to high-deductible plans, and subsidizing health insurance for those who can't afford it.
    While I disagree on the "worst" part, I'd say it was more problematic.
    Otherwise good post.
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    Re: Increasing Health Care Expenditures

    People use insurance (which was intended for large medical costs) for things they should be paying out of pocket for, and don't care nor ask what the cost is since insurance is paying.

    Lasik however, which is not covered, has a competitive price that keeps going down. If people used insurance properly and shopped around, providers couldn't raise prices so easily that people get use to them.
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  6. #26
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    Re: Increasing Health Care Expenditures

    Basically, I see the government's role in health care to be two things:

    1. Making sure everyone has access to insurance. This includes subsidies for the poor, and banning preexisting conditions (which of course requires an individual mandate, as proposed by the Heritage Foundation and Bob Dole, and as implemented by Barack Obama).

    2. Providing solid choice architecture. I'm perfectly fine with private health insurance. The problem is expecting the average person to wade through all the legalese and fine print that health insurance policies typically entail, and decide which procedures they want covered. None of this crap where people think that their surgery is covered, but clause 47B of their insurance policy specifically rules out that procedure. The government should set standards for what services health insurance MUST cover, so that consumers can more competently compare various options. I think consumers can make better choices when they aren't flooded with unintelligible information, and when they only have to compare a few variables (e.g. monthly premium, out-of-pocket maximum, and annual deductible). And another aspect of choice architecture is, well, making sure the consumer actually HAS a choice: This means the government should end the subsidy for employer-covered health insurance, to encourage people to move toward individual insurance.
    Last edited by Kandahar; 09-28-11 at 07:33 PM.
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    Re: Increasing Health Care Expenditures

    Quote Originally Posted by Lachean View Post
    Lasik however, which is not covered, has a competitive price that keeps going down. If people used insurance properly and shopped around, providers couldn't raise prices so easily that people get use to them.
    it's difficult to argue that the demand for Lasik is comparable to the demand for antibiotics, heart surgery, or cancer treatment. the demand for the former is elastic. the demand for the latter services is not.

  8. #28
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    Re: Increasing Health Care Expenditures

    I don't see the reasons I would pick on the poll list... First I'd say chronic disease would be first, second would be the under and uninsured, and third would probably be a lack of efficiency in the system itself.
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  9. #29
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    Quote Originally Posted by Helix View Post
    it's difficult to argue that the demand for Lasik is comparable to the demand for antibiotics, heart surgery, or cancer treatment. the demand for the former is elastic. the demand for the latter services is not.
    It would all be elastic if you only got what you paid for. And what is elastic becomes affordable, naturally.

  10. #30
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    Re: Increasing Health Care Expenditures

    Quote Originally Posted by Neomalthusian View Post
    It would all be elastic if you only got what you paid for. And what is elastic becomes affordable, naturally.
    no, life saving treatment would just be out of the reach of more people. most would still probably pay everything they had not to die.

    Lasik means increased convenience over glasses or contacts. cancer treatment can mean not being dead. the two scenarios do not share the same demand dynamic.

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