US healthcare system

So, what is wrong with the US heslthcare system?

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Conservatives

not enough surgeons from Syria

In America there are too many (((barriers))) to the higher education required to become a doctor.

Artificial monopoly granted by US govt. that stunts competition.

I can agree that's a problem. US medical education is too long and complicated. It should be more straightforward

Artificial monopoly? You mean from Medicare and Medicaid?

>What's wrong with x?
>Asking pol
hmm... I wonder

It does not enforce global socialism acceptably.
So Obama made insurance companies believe they would be fairly paid to cover Lauren Duca's abortions and gonorrhea.
But premiums are still paid by real people so they know that the bill is astronomical so it insufficiently enforces global socialism so single payer has to be shoved down the throat of the US taxpayer for $40 trillion over the next decade.

Clear enough?

also the fact that you deny useful people access in order to promote racial equity, which is based on a false premise.

The government is involved.

I work in engineering for diagnostic imaging systems, part of the issue is the companies that rape the healthcare industry.

We make the equipment for the doctors to perform their services, we charge them an exorbitant amount for installations and repairs. I've seen scheduled replacement parts go for over a 300% mark up of he initial cost just for using our "service" to order the part for the hospital. The kicker is that they can't even out source to third parties for parts or else they have chosen to wave their service contract, which results in a loss of service from our service techs (who are the only authorized technicians to work on the equipment) which will consequently result in them no longer being able to use the system at all. This is a pretty standard practice thru most companies that provide healthcare needs. They know they have them by the balls and that the hospital really has no idea the true price of labor and parts procurement, so they pay whatever we deem it to be worth

If a foreign doctor can pass the test USMLE regardless where he studied, he should be able to practice in the US. Period, that's all that's need it.

Whenever an old person goes to a clinic, it's like a bag of money walked into the doctors office due to medicare.

The really crooked ones have elderly care clinics and run diagnostic tests/perform surgery on half-conscious people.

>t.former clinic employee

It exists

That's a problem with Obamacare, which is why is needed to be repealed. What was the problem before Obamacare tho?

True, but it's not only companies. Health Providers are ridiculously expensive. All of them, starting from doctors, nurses, therapists, etc..

Then we go back with the providers being the problem. The solution to improve the system would be then to train more providers and give the government more power to negotiate payments like the MCOs do.

Obamacare Period

I wonder if in any of the EU countries where "single payer" or government run healthcare has been implemented, there has been a serious study on how rampant is fraud, waste and abuse by providers? It's just seems that the system can be easily exploited for gains if only one entity is in charge of healthcare payments for the whole country.

The fact that we pay the vast bulk of the costs associated with R&D while the rest of the world benefits from it.

Stupidly costly, as I see. I heard horror stories about medical bills that you even have to pay nurses for every minute they hug a newborn babies to calm them down.

Would health-savings accounts help with this? It gives the patient more responsibility for their healthcare. We all have older family that has tests/procedures that don't seem particularly necessary.

Then there's 'specialists' that have a factory that performs 2 or 3 procedures on bus-loads of patients at a time (yay! social hour(s)!)

I too enjoy fictional stories.

Nothing, since mine is 100% free now

>Be Britbong
>Live in Orwellian country
>Politicians are control freaks
>General population cucked beyond repair
>Muslims run several major cities
BUT
>When I need healthcare, I get it without question
>Don't have to worry about if I can afford it or not

Even Britcucks are laughing at your pathetic system.
And you can call the NHS out all you want. It has saved my life twice, and I've never worried about being in debt afterward or the cost or anything.

They're definitely not off the hook. When a doctor has to have a brand new multi million dollar CT machine installed so he can have a slightly better image quality than clinically necessary, the patient pays for it. Now that we have obama care the older systems that were in use have been deemed obsolete by the government so they're being forced to replace the entire system or go without federal gibsmedats and have to defer patients to other hospitals with newer systems. Which isn't necessarily bad since they receive a better quality of care with less harmful radiation but it really hurts small town hospitals that don't have the funds to pay for a newer system.

But why would I be worried about debt?

It's nothing short of extortion.

Overregulation preventing competition.

Yellow Snake says deregulate it to hell, make sertification and medical license optional (yet desirable) and the next morning you will have McClinics offering to fix people for bargain prices.

My dad got an MRT for 80$ couple months ago.
Which makes the MRT machine and doctors wages can pay for themselves even at this rate.

insane cost markups compared to other western countries. even an MRI in the US can cost up to 9x the amount it would in the UK or France. Gotta solve that problem before fixing anything else.

We also get it without question. Where do you get this meme that we can't access healthcare easily? Most people that work get their healthcare payed by their employer, the elderly get Medicare and the dead poor get Medicaid. There is no problem with access to healthcare in the US, and although some stories are pannef a lot by the press they are not the majority.

The saving accounts would help, but another type of insurance or coverage would be needed for people with genetic disorders that would obviously use Healthcare much more than healthy people.

>Medical debt is a big problem in the United States. For years, it’s been the No. 1 reason people file for bankruptcy — even though the more common assumption is that those struggling financially have been overspending in other areas of their life.

>According to a Kaiser Health Tracking Poll in 2017, 45% of Americans said they’d have a difficult time paying an unexpected $500 medical bill. About 19% wouldn’t be able to pay it at all, while 20% would put it on a credit card and pay it over time. Others said they’d need to borrow money from a friend, a family member, a bank, or a payday lender.

You are going to tell me about the 6 digits you make, and how you surf etc.
But the fact remains, your country is a sorry state of affairs when it comes to healthcare.

>personal finance
ftfy

this. The FDA slows down new medical researcher because each new drug has to be determined safe

Medicare/Medicaid and insurance companies fight doctors for every dollar. So in order to just deal with the bullshit from them, doctors have to hire staff to deal with the payment processing and they have to spend a stupid amount of time on it with numerous call backs. The result is that you have to increase the cost then the majority of the time they will refuse to pay the full amount - resulting in overcharging so that they can get the amount owed or something close to it. Also, you can't charge the gov't and private sector differently, so if one is giving you problems and the other is a breeze you're SOL when it comes to selective pricing.

Then there's the whole lawsuit business where even a small practice with one doctor has to have a minimum of three separate types of insurance. Hospitals can be sued for not having the proper equipment on site- leading to purchasing expensive, new equipment that only gets used once or twice a year. Can be sued for incompetence and malpractice if you don't have enough specialists on staff to refer to, even if its an exceedingly rare case. Then on the flip side if you find something and think that it doesn't require a specialist, you can be sued for not doing a referral. The whole thing is a mess. What used to be around to get drunk doctors, clear cases of malpractice and surgeons fucking up by leaving shit inside someone has become a multi billion dollar industry.

True. Shouldn't require 2+ years of schooling to be a dental hygenist/technician or be qualified to draw blood.

Where is the source for that? I wouldn't trust Kaiser Group as far as I can throw them. They gain a lot by healthcare being more subsidized.

Insirance and regulation create cortuption.
The big pharma can charge literally anything if the state has to pay for it (remember Martin Shkrely?) while immense regulation prevebts new companies appearing from the ground up to challenge the cronies.

Murrican pharma is a definition if protected crony capitalism.

ITT: Sup Forums is retarded

all the problems can be attributed to economic policy failures, anyone who took econ 101 should be able to see these:

1) Supply: The only way to become a doctor is to spend 8+ years in college, a time where you'll have VERY little income. The problem isn't the length of time for their training(thats good), but almost nobody can afford to do this. If we can lower the $$$ cost that it takes to train doctors, then the only barrier of entry to that field will be intelligence and drive to get through the years of training. Maybe some sort of subsidy, or stipend system for doctors in training(better to give doctors-in-training subsidies than give EBT to homeless alcoholics)

2) No competition, at all:
>Insurance companies face no competition across state lines
>drug companies face no competition from outside the US
>because of the low supply of doctors, there is little competition between them since many patients have little choice in doctors
More competition and options for consumers lowers cost, everyone knows this. Fix these two issues(low supply of doctors because of the insane cost to become one, and zero competition in the healthcare industry) and prices naturally fall, WITHOUT giving control of the whole industry to "muh gubment"

everything

>When I need healthcare, I get it without question

Don't go down this road...

thesun.co.uk/news/3346790/boy-17-dead-bed-hours-after-hospital-suspected-appendicitis/

you can become a phlebotomist in as little as 6 weeks./

Yes, but you still need a nursing license if you want to actually do anything more than volunteer at a blood bank.

wasn't always the case. HMOs used to be a topic not discussed in polite conversation. Pre-existing conditions weren't covered regularly until Obama.

Hell, even Medicare Part D (prescription drug plans) you have the following scenarios

>required to get it after 65.
Every month you dont pick up a prescription drug plan, you add a 1% fee to your monthly premium if you ever do grab one. So lets say you wait 5 years before you jump on it, congrats. your PDP now costs 60% more than it would have initially.

>The coverage gap destroys people
After ~3000-4000 dollars worth of drugs for the year, you start having to pay a much larger percentage of drug costs, around ~50% of the retail drug cost, depending on your PDP plan. Its not until you spend X amount of dollars out of pocket that the government picks up slack in whats known as 'catastrophic' coverage.

>less choice
Most PDPs require you to pick a specific pharmacy on their plans, or you pay more, or all of the costs. This is less of an issue now thanks to mail order prescriptions, but in rural towns you still can get fucked if Bob's pharmacy isnt on the approved list.


shit's fucked, and needs a massive overhaul, starting with the absurd costs.

A doctor that knows how to document and justify it's procedures shouldn't need to fight insurers for money. It's on the best interest of the people that Medicare and Medicaid fight with providers for incorrect billing or repetitive procedures or else we would be cucks like the british with their NHS. You have for example a gastroenterologists performing an endoscopy, and then repeating the endoscopy to burn some polyps he found on the first one. That's bullshit.

It's profitable....

>spend 10 years in college to become pharmacist
>work inpatient mostly, occasionally outpatient
>several drugs are generic, affordable
>big pharma will take a generic drug, make an extended release or delayed form of a generic medication, relabel, sell a $3-4 drug for 100x the price
>shits happening now for amatadine, adderall (could just take the generic and get prescribed to take a dose twice daily...... or....... pay 100x+ for the relabeled new brand)
>clinical trials are flawed, so much collusion between pharma execs and researchers, "publish or perish."

Could say a lot more, the rabbit hole is deep regarding the shady side of US healthcare pharma side. There's a conspiracy that alleges the large chunks of funding medical schools receive come from Pharma, and in turn, the schools push the chosen studies / recommend prescribing various chosen drugs

There's a difference between incorrect billing and repetitive procedures and refusing to pay for procedures that they personally don't think are necessary as they think that there's a one size fits all formula for the entire population.

So yeah I agree that (((pharma))) is also a big part of the problem, and comically, fixing the problem will probably fuck over other countries because they benefit from us paying more for drugs since we absorb the research and development costs of creating those new drugs that enter the marketplace.

it's not socialised

>kff.org/health-costs/poll-finding/data-note-americans-challenges-with-health-care-costs/?utm_campaign=KFF-2017-March-Polling-Beyond-The-ACA&utm_source=hs_email&utm_medium=email&utm_content=2&_hsenc=p2ANqtz-8iEClmk0OX0wcdPhlJlYKTQ5AlAmOxuX-v_NVWsxfPErmYprLQb0aHNjLqYMGX3yBSERYOPCq8Gzqzqaaqd_VCsTGHbg&_hsmi=2

>posting a massive link
Spam filter left me no option

>The sun
You ready for this burger?
>archive.is/4ipDV

>You are going to tell me about the 6 digits you make, and how you surf etc.
Nope, I make $56k a year. It's amazing the difference a good company healthcare plan can make when you don't do something idiotic for a living like graphic t-shirt artist.
>But the fact remains, your country is a sorry state of affairs when it comes to healthcare.
Seems fine to me m8, I'm healthy, happy and have a larger percent of disposable income than you.

Psychiatry. It's a fake atheistic religion that bills billions and cures nothing. Should be relegated to the side as religion, not science. Should not be something that can bill insurance or receive Govt subsidies.

>washington compost

so is your excuse really just whataboutism?

How pathetic. Here's your final (You).

>For the most part, the majority of the public does not have difficulty paying for care, but significant minorities do, and even more worry about their ability to afford care in the future.

Stop reading there. Then by their own account the problem is not as big as everyone says it is.

Niggers.

t. scientologist

nope, I'm here working at Walmart with a $7k deductible while I pay $280 a month. What a fuckin' joke. I haven't been to a physician in like 15 years, even in pain.

Americans.
2/3 of Americans are overweight.
1/3 of Americans are obese.
As a society you can't afford and don't deserve socialized health care.

I really despise fat Americunts whining about how they're denied health care by private institutions and then drag people who suffer from pre-existing conditions but still tried to live a healthy life, into the same category as they are. You're the fucking reason America can't establish a successful socialized health care system and you're the reason why people with cancer don't receive the necessary treatment.

Go fuck yourself fatty and just die. At least then people who need health care will finally be able to receive it.

Well as medicine moves into being more science or evidence based, than an art, which was considered as such in the past, you do tend to move to a one size fits all type of care. That's why health plans use current medical guidelines to see which procedures are necessary. And those guidelines are created by a group of doctors. Now I'm not saying there are no exceptions, but they have to be justified through medical documentation.

But it's true tho. What other science do you know where they a group of professionals "vote" on what is or not is a sickness?

How much does a ride in an ambulance cost for you?

If you trapped your foot or something and needed to be rushed to hospital, what kind of up-front costs would you personally face?
Could you afford it without worrying about how?
Could you focus 100% on getting better instead of managing finances?

>Complaining about source
>Posting the sun first
>burying your head in the sand this bad
America really was a mistake.

An insane number of middlemen get thrown into the fray. People have jobs to raise the price of goods and services. People have jobs to negotiate lower prices for those artificially raised prices. At the end of the day there are like 3-5 completely useless people stealing money from whomever they can.

The problem is the cost

It's that kind of selfish thinking that makes me think you guys are all cunts.

>"Oh, I don't commit crimes, I don't care about police brutality"
>"Oh, I don't get sick, I don't care about others going bankrupt because of a disease"
>"Oh, I don't care, It's not me, it's someone else"

You don't need to pay nothing for an ambulance upfront even if you call them for a non emergency, although if it's latter find out you didn't had an emergency, the healthplan will probably not cover or only cover a partial cost of the ambulance. In the ER they can't deny you healthcare for the inability to pay based on the law EMTALA. They can charge you if your healthplan decides not to cover you since you went to an ER for something that could hace been resolved at a clinic, but they will still treat you. How is that unfair? If you have a migraine that's not reason enough to go to an ER.

Shieeet nigga

You forget how this works

Patient comes in with fractured finger, states life is unbearable, also has a mild headache, borderline anemic and mildly elevated BUN.
"Buddy tape that and visit ortho tomorrow"
*notified that patient is a lawyer*
>MRI
>CT
>consult ortho
>consult PT/OT
>consult psychiatry
>consult internal med
>consult geology
>consult archeology
>consult microbiology
>consult astrology
>consult sociology
All bout dem consults son

You have to pay absurd amounts of money.

By its very nature, you cannot expect a one size fits all approach to medicine. You can't go about saying "Patient has X, the procedure for it is Y." without knowing A, B and C regarding their medical history and simple things like allergies. The issue comes from that on the side of the insurer/government, efficiency is more important, so they will gladly follow a simple set of rules as they cannot and will not employ thousands of people to look over medical records. Thus the only alternative to this situation comes from the medical provider trying to recoup their own losses.

Then you have one of the key issues at hospitals in that they have to treat anyone no matter if they can pay or not, resulting in them having to charge insurers stupid prices for things like asprin to make up for it all.

Stop replying to the shitposting bongoloid. You can't show a shitposter where they're wrong or try to reason with them, the most you can do is to get them to point out their own fallacies and watch them be oblivious to it.

refer to the specific scenario
>trapped your leg or something
If you have an emergency like this, you would pay nothing? your healthcare plan would take care of it for you?

Genuinely curious here, but I also have substantial doubts.

>waah stop speaking to people who disagree with me
Sounds familiar?

Poor trash and mexicans going to the ER for EVERYTHING driving the costs up

For the record, there are people in this VERY THREAD right now who struggle with healthcare costs, and admit they haven't been to a doctor in a while because of this.

I don't know how more obvious you need it to be. I am not even shitposting, sort yourselves out burgers.

ever heard of healthcare rationing, bong? our governments get to literally choose who lives and dies in the waiting room.

It's very inefficient and expensive.

Its purpose is basically taking money from sick people, instead of making them better.

People being dumb and hedonistic and not being able to control their impulses leading to addictive behaviors that lead to obesity, liver and lung damage, and heart failure.

Overeating shitty food
Drinking too much alcohol
Abusing drugs
Smoking multiple packs daily

All these things contribute to an unhealthy society. That's not even touching the issue of the problems inside the medical industry

Well your scenario is not very well structured. "Trap your leg on something" like what? Well for the sake of it supposed a tree fell in your leg and now you can't get it out. You would call an ambulance which would remove your leg from the tree, possibly by calling firefighters or some other personnel that can remove the tree, then they stabilize you and take you to an ER for further evaluation. So if you're covered by a health plan then no, you would probably won't pay either nothing or the deductible which could be between $100 or $500 depending on the health plan after you get all your care. If you don't have a health plan then you're probably fucked because sure you will get all your care, the ambulance and the ER etc, but all those bills you will have to pay latter. Which would beg the question, what kind of dumbass goes to a risky activity where a tree can fall in your foot and you're uninsured? It's all about risks. If you don't want to be insured then be sure to live your life as much risk free as possible.

You actually have to pay for it?

-Mohammed and family

US Healthcare
>Be in debt for the rest of your life after getting a splinter removed from your pinky
EU Healthcare
>Everyone can afford it only you die waiting before getting the treatment you need

No you idiot. It's the lack of competition which drives cost up. Hence artificial monopolies.

Also, health care in a capitalist society collapses on itself when some doctors can be automated. Free health care will become a realistic scenario then, but capitalism won't give it to us.

Thats why we have superior dutch care

I am not as well up on the healthcare in Canada, but I am lead to believe that it is significantly better than American, and mostly free for the end-user. Is this true leaf? Educate me.

>It's all about risks. If you don't want to be insured
(or can't afford to be?)
>then be sure to live your life as much risk free as possible.
I'll try not to catch any diseases while I am between jobs then? or are diseases handled differently.

I am glad you have made good replies, because I am learning more than I thought I would in this thread, but my point still stands.
Your healthcare system favors those who have money. In most things in life this is the correct way to do things, but when it comes to keeping people alive/healthy, then this is just retarded.

Even if you don't care about the welfare of an individual, you should know that a healthy workforce is a productive workforce.

Give me 3 years. My company will fix healthcare. Screen-cap this. You're all the first to hear this publicly.

Don't forget faggotry. My taxes pay for worthless sodomites to get their Truvada and rectal repair surgeries and dick choppings and hormones.

Way too expensive and corrupted.

The government interviend and didint let the free market work it out because gib me

huffingtonpost.ca/2013/08/29/brian-sinclair-winnipeg_n_3837008.html This happened in my city which is boasted as the "Kidney care capital of Canada." It can take people literally years to get a GP and people die while waiting for specialist appointments all the time.

Archive time
archive.is/85VKE

Not that user, but I don't care if people sometimes do stupid self-destructive things. I want life to be less shitty, and cheap/efficient health care is a huge part of that.

Also, I'm in favor of minimizing risks in general. If a human falters at some point, I don't mind there being a safety net.

thanks archivebot

The answer to that problem is more funding.

Statistically, it fares much worse than other developed countries. The best system seems to be a mixed public and private one, something along distributism.

If you're employed, then you most likely have a health plan, since most employed people get their healthplan from their employer. It wouldn't be this way if you're working part time jobs, which if you are still young (under 26) you still get your parents health plan. If you're a grown ass adult and still working part time jobs, then it would be on your best interest to invest on a health plan. How much a health plan can cost monthly? Well before ObamaCare you could find health plans ranging from $100 to $1,000+ a month, it all depends on what type of coverage you're looking for. If you're relatively healthy and only need coverage when you get sick, you could find a health plan for $100 or $200 a month. But after Obama and all regulations, the health plan costs sky rocketed. That's why it needs to be repealed.

And say what you want, I still preffer my healthcare to be based on individual responsability, rather than pay for all the obese motherfuckers that inhabit this country. What I do have gather from thid thread is that we need to reform the way the government buy drugs from the pharma industry and to curve the costs of providers. They are way too expensive.

That story...
>24 hours into a 36 hour wait for care
I have never waited more than 3 hours to be seen in an NHS hospital. Things really aren't as bad as the newspapers tell us here. But that is horrendous.

Is this commonplace?

>I still preffer my healthcare to be based on individual responsability, rather than pay for all the obese motherfuckers that inhabit this country.
I absolutely agree there needs to be a cut-off point for people who cause their own suffering then expect everyone else to pay for it. There should be guidelines for that sort of thing.

Putting healthcare entirely on the individual is good, but as you can see, it creates a situation where you can be charged whatever they feel like charging because the alternative is to get sick and die. You have already addressed this in your conclusion, so that's that.

One final question. I am type-1 diabetic, and the NHS pays for my insulin when I am working, when I am between jobs or even if I decided never to work again.
How would I survive in burgerland if I say, lost my job and couldn't find another one. Would there be a program for me or would I accumulate debts constantly for insulin. (I would die within 3-4 days without it)

Isnt the healtcare insurance scam industry 20% of USA gdp?

lmao

>this thread

Has Sup Forums turned socialist?

for anything besides walking into ER holding your own arm 4-8 hour waits aren't rare.

Niggers

Many users don't like capitalism, but many of these people don't like socialism either.