View Poll Results: What should be fixed first?

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  • Cost

    35 70.00%
  • Medical Malpractice

    6 12.00%
  • Medicare Fraud

    7 14.00%
  • Coverage Denial

    9 18.00%
  • Claim Denial

    5 10.00%
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Thread: What should be the first step to fixing healthcare in the US?

  1. #111
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by AGENT J View Post
    your example of elective is just that, ELECTIVE so the consumer/patient power is dramatically increased vs me needing a new or artificial hurt by next week or cancer meds, or knee surgery so i can walk, or my gall bladder removed so i can eat and sleep right etc
    That's the reason the caring dear government has left them alone, but it is not any kind of proof that the market cannot take care of necessary procedures. Medical goods and services being "inelastic" is largely a myth. They are made inelastic by the pathological setup we have. And direct price controls never work - you will just pay for them with diminished choices, quality and longer waiting periods.

    Regulations are necessary of course, but they should focus on safety and efficacy (as we are discussing on this very thread).

  2. #112
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Green Man View Post
    That's not what I meant, but that would be great too. I meant agencies along the lines of Underwriters Labs that would test and approve medicines.
    Which in turn would have to certified by the State...But yes, in theory, I have nothing again the FDA getting some competition.

  3. #113
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Cyrylek View Post
    Which in turn would have to certified by the State...But yes, in theory, I have nothing again the FDA getting some competition.
    I would not require that any agency seek permission from the state to operate. That's the whole point of my suggestions.

  4. #114
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Green Man View Post
    I would not require that any agency seek permission from the state to operate. That's the whole point of my suggestions.

    So, how do we know they are qualified to do something as complex as drug testing?

  5. #115
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Cyrylek View Post
    So, how do we know they are qualified to do something as complex as drug testing?
    In the same way we know that the FDA is qualified to do something as complex as drug testing.

  6. #116
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by AGENT J View Post
    doesnt really matter what the cause is regulate it, until then the system will never work and you said actually what the problem is, if you cant make apples to apples compassion how does one ever address the problems on a fiscal level?

    if i owned 13 car factories and they all made the same cars using the same tools but had 13 extremely different budgets, insurances, prices for services etc etc how do I ever come up with a way to control costs that works? I cant until they all operate with in at least a close range of eachother.

    If some of them give free oil changes one sunday a month then they all do it or none of them do it or they all do it once every 3 months.
    If some of my factories are mandated to use Pirelli tires then they all use them

    etc etc

    without this control and forcing an apples to apples situation or at least a granny apple to red delicious apple im ****ed (or at least my customers are) and so is any guess at my costs and bottom line.
    Using your car analogy, would you charge the same price for a car sold for cash up front as you would to fill out a 10 page loan application and then wait for up to two months to get your asking price reimbursed? The clinic that I use offers a 20% discount for cash payment at the time of service. They save the cost of preparing/mailing the bill(s), payment delay (or non-payment) and the need to fill out lots of insurance paperwork.
    “The reasonable man adapts himself to the world: the unreasonable one persists to adapt the world to himself.
    Therefore all progress depends on the unreasonable man.” ― George Bernard Shaw, Man and Superman

  7. #117
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Cyrylek View Post
    That's the reason the caring dear government has left them alone, but it is not any kind of proof that the market cannot take care of necessary procedures. Medical goods and services being "inelastic" is largely a myth.
    1.)They are made inelastic by the pathological setup we have.
    2.) And direct price controls never work - you will just pay for them with diminished choices, quality and longer waiting periods.

    Regulations are necessary of course, but they should focus on safety and efficacy (as we are discussing on this very thread).
    1.) i agree thats why i want more regulation
    2.) i disagree has i dont want a direct control but a window just like other countries.
    so the choices dont matter much to me in this field, quality is already regulated and cant go down passed that and waiting wont happen any more than it does now

    but of course safety and efficiency are concerns too but again they dont matter much if i cant pay to get them used on me.


    bottom line its a mess and with out cost regulation and basic conformity it can never be at its potential or even close to it
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  8. #118
    I'm kind of a big deal

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by ttwtt78640 View Post
    Using your car analogy, would you charge the same price for a car sold for cash up front as you would to fill out a 10 page loan application and then wait for up to two months to get your asking price reimbursed? The clinic that I use offers a 20% discount for cash payment at the time of service. They save the cost of preparing/mailing the bill(s), payment delay (or non-payment) and the need to fill out lots of insurance paperwork.
    would depend on how well the loans are regulated and thier success (pay off rate)

    but again that has no impact because i would make "cash" prices the same everywhere and "loan" prices the same every where. Easily controllable and able to be calculated or at least guesstimated.

    the costs you are talking about are no more than a admin/risk line irem that can easily be accounted for.

    with regulation it would never create the problem of customer A going to my shop on 1st street or my shop on 5th street and finding the price of the care different by 500%

    now costumer A paying cash might find a 20% different price than customer B using a lone and that is fine.
    Last edited by AGENT J; 11-07-13 at 11:46 AM.
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  9. #119
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Green Man View Post
    In the same way we know that the FDA is qualified to do something as complex as drug testing.
    FDA does not actually do the testing: drug companies do. FDA sets the rules and monitors the process, then decides if gathered data is sufficient.
    Do you propose that the hypothetical competitor(s) should be given access to the same data, or that companies should able to choose who is overseeing them, or both?

  10. #120
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Cyrylek View Post
    FDA does not actually do the testing: drug companies do. FDA sets the rules and monitors the process, then decides if gathered data is sufficient.
    Do you propose that the hypothetical competitor(s) should be given access to the same data, or that companies should able to choose who is overseeing them, or both?
    That companies should be able to choose who is overseeing them (could be multiple agencies), each of which would obviously want the same sort of information currently required by the FDA.

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