View Poll Results: Why are Medical Costs, so high?

Voters
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  • Nature of Capitalism

    10 31.25%
  • Insurance Companies

    16 50.00%
  • Medicare, Medicaid

    6 18.75%
  • Specialization

    5 15.63%
  • All the Above

    10 31.25%
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Thread: Cause of Medical Costs?

  1. #1
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    Cause of Medical Costs?

    What do you think, caused the Medical costs to become so astronomical?


    Was it the nature of capitalism to extract as much profit from the value of a product, as possible. And of course, what amount would we not pay to be healthy? Is capitalism of this sort, taking an unfair advantage of our desire to not be physically miserable or dying?

    Or is it the insurance companies that have gotten in between us and our providers, increasing the costs of service and medicines, by taking an absorbent share?

    Do we factor in the Medicare, Medicaid provisions and non payers, as a source of increased prices, because of their discounted and written off income sources?

    Is it the specialized facilities, medicines, equipment and cost of training the professionals of the field?

    Could it be all of the above?
    Last edited by grip; 02-26-14 at 06:41 PM.
    Einstein, "science without religion is lame, religion without science is blind."

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    Re: Cause of Medical Costs?

    Quote Originally Posted by grip View Post
    What do you think, caused the Medical costs to become so astronomical?

    Was it the nature of capitalism to extract as much profit from the value of a product, as possible. And of course, what amount would we not pay to be healthy? Is capitalism of this sort, taking an unfair advantage of our desire to not be physically miserable or dying?

    Or is it the insurance companies that have gotten in between us and our providers, increasing the costs of service and medicines, by taking an absorbent share?

    Do we factor in the Medicare, Medicaid provisions and non payers, as a source of increased prices, because of their discounted and written off income sources?

    Is it the specialized facilities, medicines, equipment and cost of training the professionals of the field?

    Could it be all the above?
    Here are my thoughts. The reason medical care is so expensive in this country is because:

    • There's insurance out there with $500 deductibles. Too low.
    • Doctors look for zebras because of malpractice concerns.
    • Hospitals won't let doctors have hospital privileges unless they feed quotas of patients to their expensive diagnostic equipment.
    • Emergency rooms have either chosen to or been forced to treat non-emergencies.
    • The AMA stands firmly opposed to nurse practitioners staffing clinics at your local Walgreen's.
    • We aggressively treat terminally-ill patients instead of giving them palliative care that would ease their suffering and improve their quality of life.
    • We refuse to allow people to end their own lives with faced with terminal illness.



    I could go on, but few of them would match yours.

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    Re: Cause of Medical Costs?

    You left out two big ones: malpractice insurance overhead and the mandate to provide life saving care without pay.
    “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

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    Re: Cause of Medical Costs?

    The cause is very simple to understand. If everyone in America wanted to drive a Ferrari, then the cost of buying a car would be more than the cost of buying a typical house.

    Consumer demand for top-of-the-line medical care - the latest and greatest - the most sophisticated tests and the most sophisticated equipment. That costs. The consumer doesn't pay directly, the consumer doesn't weigh costs versus benefits as they would when buying a car. The bill gets sent to the insurance company, so hey, spare no expense and give me the best.

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    Re: Cause of Medical Costs?

    Quote Originally Posted by grip View Post
    What do you think, caused the Medical costs to become so astronomical?


    Was it the nature of capitalism to extract as much profit from the value of a product, as possible. And of course, what amount would we not pay to be healthy? Is capitalism of this sort, taking an unfair advantage of our desire to not be physically miserable or dying?

    Or is it the insurance companies that have gotten in between us and our providers, increasing the costs of service and medicines, by taking an absorbent share?

    Do we factor in the Medicare, Medicaid provisions and non payers, as a source of increased prices, because of their discounted and written off income sources?

    Is it the specialized facilities, medicines, equipment and cost of training the professionals of the field?

    Could it be all of the above?
    When Doctors write their bills, they do not know exactly what the maximum amounts are that the Companies will pay. For that reason they write outrageously high bills and the Insurance pays the maximum and sometimes the doctors request that the patients pay the remaining balance. Other Doctors just tell the patient to forget the balance, because they wrote an outrageous bill to begin wtih and received a satisfactory amount from the insurance, even though it was less than the billed amount. This always gets the doctor/HMO/clinic the maximum amount that the Insurance will pay because of the outrageous billing. The doctors/HOs/etc. don't leave anything on the table this way.

  6. #6
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    Re: Cause of Medical Costs?

    Quote Originally Posted by MaggieD View Post
    Here are my thoughts. The reason medical care is so expensive in this country is because:

    • There's insurance out there with $500 deductibles. Too low.
    • Doctors look for zebras because of malpractice concerns.
    • Hospitals won't let doctors have hospital privileges unless they feed quotas of patients to their expensive diagnostic equipment.
    • Emergency rooms have either chosen to or been forced to treat non-emergencies.
    • The AMA stands firmly opposed to nurse practitioners staffing clinics at your local Walgreen's.
    • We aggressively treat terminally-ill patients instead of giving them palliative care that would ease their suffering and improve their quality of life.
    • We refuse to allow people to end their own lives with faced with terminal illness.



    I could go on, but few of them would match yours.
    • Too cheap of insurance? I find this almost unfathomable.
    • Malpractice needs tort reform, badly.
    • Hospitals have become too business like in their models to make more profit.
    • Emergency rooms should not be a treatment center for Flu's and boo-boo's.
    • The AMA are a bunch of over officious jerks. More clinics with Physicians Assistants or Nurse Practitioners would lower costs and make more people available to treat.
    • Palliative care vs aggressive treatment for "end of life" patients needs legal reform. It's an older tradition stuck by religious beliefs.



    These are very good points that certainly, add to costs.
    Last edited by grip; 02-26-14 at 07:00 PM.
    Einstein, "science without religion is lame, religion without science is blind."

  7. #7
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    Re: Cause of Medical Costs?

    Quote Originally Posted by RiverDad View Post
    The cause is very simple to understand. If everyone in America wanted to drive a Ferrari, then the cost of buying a car would be more than the cost of buying a typical house.

    Consumer demand for top-of-the-line medical care - the latest and greatest - the most sophisticated tests and the most sophisticated equipment. That costs. The consumer doesn't pay directly, the consumer doesn't weigh costs versus benefits as they would when buying a car. The bill gets sent to the insurance company, so hey, spare no expense and give me the best.

    Of all the things to sacrifice quality on, Medical Care. Really? I'll let you get the rusty needle and I'll push for the reasonably priced, sterile, plastic syringe. Everything is not always about money.


    Quote Originally Posted by DaveFagan View Post
    When Doctors write their bills, they do not know exactly what the maximum amounts are that the Companies will pay. For that reason they write outrageously high bills and the Insurance pays the maximum and sometimes the doctors request that the patients pay the remaining balance. Other Doctors just tell the patient to forget the balance, because they wrote an outrageous bill to begin wtih and received a satisfactory amount from the insurance, even though it was less than the billed amount. This always gets the doctor/HMO/clinic the maximum amount that the Insurance will pay because of the outrageous billing. The doctors/HOs/etc. don't leave anything on the table this way.
    I've worked around the medical profession for 25 years and found the physicians, as a rule, to be very ignorant about business. Somehow they always manage to afford the Mercedes, BMW or Volvo.
    Einstein, "science without religion is lame, religion without science is blind."

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    Re: Cause of Medical Costs?

    Skyrocketting cost of medical care is not a uniquely American phenomenom. We here in Canada, supposedly a UHC utopia, are suffering from many of the same problems. Here in Ontario, Canada, just under 50% of every tax and revenue dollar the Province collects goes to serve an ever decreasing list of "free" healthcare services.

    I don't have the answers - just wanted to share that this is a reality world-wide and getting increasingly so as first world economies find themselves with an ever increasingly aging population and fewer young people working.
    "Liberals claim to want to give a hearing to other views, but then are shocked and offended to discover that there are other views." William F. Buckley Jr.

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    Re: Cause of Medical Costs?

    Quote Originally Posted by grip View Post
    • Too cheap of insurance? I find this almost unfathomable.
    • Malpractice needs tort reform, badly.
    • Hospitals have become too business like in their models to make more profit.
    • Emergency rooms should not be a treatment center for Flu's and boo-boo's.
    • The AMA are a bunch of over officious jerks. More clinics with Physicians Assistants or Nurse Practitioners would lower costs and make more people available to treat.
    • Palliative care vs aggressive treatment for "end of life" patients needs legal reform. It's an older tradition stuck by religious beliefs.



    These are very good points that certainly, add to costs.
    Just to clarify, nowhere did I talk about "too-cheap insurance".

  10. #10
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    Re: Cause of Medical Costs?

    Quote Originally Posted by grip View Post
    What do you think, caused the Medical costs to become so astronomical?


    Was it the nature of capitalism to extract as much profit from the value of a product, as possible. And of course, what amount would we not pay to be healthy? Is capitalism of this sort, taking an unfair advantage of our desire to not be physically miserable or dying?

    Or is it the insurance companies that have gotten in between us and our providers, increasing the costs of service and medicines, by taking an absorbent share?

    Do we factor in the Medicare, Medicaid provisions and non payers, as a source of increased prices, because of their discounted and written off income sources?

    Is it the specialized facilities, medicines, equipment and cost of training the professionals of the field?

    Could it be all of the above?
    Why didn't you include malpractice as one of the options?

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