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Almost 100 Million People a Year 'Forced To Choose Between Food and Healthcare' (theguardian.com)

Almost 100 million people are pushed into extreme poverty each year because of debts accrued through healthcare expenses. From a report: A report, published by the World Health Organization and the World Bank this week, found the poorest and most vulnerable people are routinely forced to choose between healthcare and other necessities for their household, including food and education, subsisting on $1.90 a day. Researchers found that more than 122 million people around the world are forced to live on $3.10 a day, the benchmark for "moderate poverty," due to healthcare expenditure. Since 2000, this number has increased by 1.5% a year. A total of 800 million people spend more than 10% of their household budgets on "out-of-pocket" health expenses, defined as costs not covered by insurance. Almost 180 million people spend a quarter or more, a population increasing at a rate of almost 5% per year, with women among those worst affected.

47 of 415 comments (clear)

  1. Don't be mistaken by damn_registrars · · Score: 5, Insightful

    The reason health care is so costly in the US can be found at the top of the insurance companies. Many of the top execs of these companies - including the ones that are listed as "non-profit" or "not-for-profit" take in guaranteed annual bonuses that exceed the lifetime earnings of most Americans. The "Affordable Care Act" just gave these greedy capitalists the keys to the kingdom as well, in guaranteeing them customers for the rest of time.

    People dropping out of the insurance market and having no coverage won't solve this problem. The solution is to finally have our country behave like a modern industrialized nation and have a single-payer system. It's too bad nobody was willing to propose such a sensible thing.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    1. Re:Don't be mistaken by Train0987 · · Score: 2, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

    2. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Insightful

      This is so dangerously stupid.

    3. Re:Don't be mistaken by mridoni · · Score: 5, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

    4. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Informative

      By limiting services as much as possible.

    5. Re:Don't be mistaken by OrangeTide · · Score: 4, Insightful

      Yet everyone gets their insulin in Canada. I can't say the same for USA.

      There is limiting services through budget constraints that are applied broadly. And there is limited services by not providing any services to lower class people. Which model do you think we have in the US?

      --
      “Common sense is not so common.” — Voltaire
    6. Re:Don't be mistaken by dcw3 · · Score: 5, Insightful

      Bullshit. Single payer removes a middleman that is of no value added, and in fact raises the total cost of healthcare.
      And, for whatever it's worth, I'm saying this as a fiscal conservative.

      --
      Just another day in Paradise
    7. Re:Don't be mistaken by damn_registrars · · Score: 5, Insightful

      Single-payer would bankrupt the country.

      Just because the GOP says that, doesn't make it true. The rest of the industrialized world uses some form of single-payer and their nations aren't going broke. We use a market-based system with essentially no floor and we are going broke. We are the only industrialized nation where it is even possible to go bankrupt due to medical debt.

      The solution is to relax regulations, not increase them

      Single payer does relax regulations. The biggest barriers to health care right now come from the insurance industry, not the government.

      Remove the artificial limits placed on the number of doctors by the AMA

      You really need to look in to what you're saying. Several problems exist with that statement.

      First of all, we have alternative paths to practicing medicine. Ever hear of a Nurse Practitioner? They are able to practice medicine on their own now in several states. Ever hear of a Physician's Assistant? They are taking patients independently for routine cases in many states as well. Ever hear of a Doctor of Osteopathic medicine? They can also see patients on their own. We also have pharmacists who can do more patient care than before in many situations - they are doing a lot more now than just handing out prescriptions and selling Sudafed.

      Do you really want someone practicing medicine who has less qualifications than that?

      Cap malpractice payouts through tort reform.

      Malpractice payouts are a trivial expense compared to what goes to the top of the insurance industry. In fact most doctors pay vastly more in malpractice insurance than they will ever pay in malpractice settlements. The reason why so few doctors go in to Obstetrics (for example) isn't because they are actually concerned about the possibility of committing malpractice, but because the insurance industry requires them to carry absurd terms for their malpractice insurance. Sure, the lawyers are getting a big cut but it is dwarfed again by what the insurance company execs get - and the insurance execs get it regardless of their own performance while the lawyers have to prove a case in court to get the big paycheck.

      In other words the bulk of your argument reads like an ad for the insurance industry.

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    8. Re:Don't be mistaken by Computershack · · Score: 4, Insightful

      Single-payer would bankrupt the country. There will never be enough of anything to satisfy demand completely.

      The solution is to relax regulations, not increase them. Remove the artificial limits placed on the number of doctors by the AMA, relax the burdens on licensing, etc. Cap malpractice payouts through tort reform.

      Its not bankrupted any other first world country which has universal healthcare free at the point of need. The tax burden per capita of the UK NHS is the same as the tax burden per capita in the USA for Medicare and Medicaid yet the NHS covers 100% of the population. It may not be perfect but people don't have to make the choice between getting treatment and eating.

      --
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    9. Re:Don't be mistaken by ranton · · Score: 5, Insightful

      It's not how much they draw compared to each person, it's how much they draw in total. It is, in fact, obscene.

      Considering this thread was started with the statement: "The reason health care is so costly in the US can be found at the top of the insurance companies.", the only thing that matters is how much they draw compared to each person. For the purposes of this discussion that is. Whether or not their pay is obscene has no bearing on whether or not it is the reason health care is so costly in the US, which is the contention which was being refuted by the post you replied to.

      Based on the figures I found here the top 10 highest paid insurance CEO's made $159 million in 2014. That is about $1.30 per household. I don't think health care costs are so high just because of an extra ten cents per month we all pay extra to pay these CEO's.

      If I use Amtrust Financial Services (home of the highest paid CEO above) as a model, the entire C-level suite including the CEO made 261% of the CEO's pay. So I'll estimate that the C-level suite at the 10 companies above were paid $415 million in 2014, which is about a quarter per household per month.

      If you factor in every C-level executive in every insurance company in the US, I doubt you would come to more than a couple dollars per household per month. That is not why insurance is so expensive. I would still agree that private insurance companies are the number one reason why health care is so expensive in the US but it has far more to do with the stockholders who demand return on investment (gasp, the horror) than it does with obscene CEO pay.

      --
      -- All that is necessary for the triumph of evil is that good men do nothing. -- Edmund Burke
    10. Re:Don't be mistaken by Anonymous Coward · · Score: 5, Informative

      This is so very wrong. As much as we would like to think we have that much effect on the world economy, the reality is that the reason why drugs are so expensive in the USA is because the pharma companies can charge as much as they want. And it is coming to light that most of them are doing just that. Most of the rest of the civilized world took one look at the potential for rent-seeking that could happen in health care and quickly put in fee schedules to keep their citizenry from being robbed blind. Did this slow down progress? Not really, since a majority of the pure research that feeds these drug companies is actually funded by public monies. By the time pharma companies actually start picking up the bill on research of a promising drug, most of the basic research is done. The majority of the private money spent by pharma companies from that point on is in the marketing of that drug. The clinical trials are actually little more than a speed bump in comparison to this. This is true whether the drug is being developed in the US, Germany, France or the UK. And a lot more research is happening in Europe and Asia than in the US right now. And that's in markets where the governments regulate the profits that pharma companies make on their products.

    11. Re:Don't be mistaken by PopeRatzo · · Score: 5, Informative

      Sure with death panels and less than stellar services.

      Countries with single-payer health care have better medical outcomes and longer life expectancy.

      https://www.oecd.org/els/healt...

      --
      You are welcome on my lawn.
    12. Re:Don't be mistaken by sycodon · · Score: 2

      Perhaps the US should adopt the Canadian Immigration policies.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    13. Re:Don't be mistaken by wyHunter · · Score: 2

      Hate to tell you this but folks throughout the world hate the Europeans as much as they hate the Americans.

    14. Re:Don't be mistaken by PopeRatzo · · Score: 4, Informative

      Huh? Citation required on that comment. Show me where people can't get insulin in the country that supplies it to most of the world.

      You could have googled it pretty easily.

      https://tonic.vice.com/en_us/a...

      http://www.kaaltv.com/news/mot...

      --
      You are welcome on my lawn.
    15. Re:Don't be mistaken by Anonymous Coward · · Score: 3, Interesting

      Guess what happens to all those European oil and mining companies after the US soldiers pack up & go home?
      Oh, everyone likes to ignore that Norway was drilling for oil in Iraq in 2004 before the blood had dried.

    16. Re:Don't be mistaken by Anonymous Coward · · Score: 2, Interesting

      US imperialism is solely to the benefit of the capitalists who which to control the regions like in Syria which has nothing to do with liberating the people and everything to do with a gas pipeline that competes with Russia as Russia is funding their own with their ally Assad.
      Now do you get why there is all this Russian xenophobia all of a sudden? Why we are arming Al Queda(the 9/11 guys) to overthrow Assad?
      Its all bullshit

    17. Re:Don't be mistaken by TheRaven64 · · Score: 4, Informative

      Do you know why the UK can negotiate better rates than the US? Because the country negotiates as a single entity and if a drug isn't offered at a reasonable rate then the company may find that they lose their right to sell the drug at all. In contrast, individual hospitals in the USA negotiate rates separately and (on top of having little bargaining power) have little incentive to negotiate good rates because they're going to pass on the costs directly to the insurance companies.

      The fact that the US moving to single payer and negotiating drug rates centrally would push up the cost of healthcare in other countries is a pretty weak argument to advance to US health insurance payers as to why they should keep being overcharged.

      --
      I am TheRaven on Soylent News
    18. Re:Don't be mistaken by c · · Score: 4, Insightful

      Single-payer would bankrupt the country.

      Just because the GOP says that, doesn't make it true.

      If the GOP were in charge of single-payer, they'd make it true.

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      Log in or piss off.
    19. Re:Don't be mistaken by Khashishi · · Score: 2

      How big a factor is the wages of doctors and nurses in the bottom line? The cost of drugs and supplies is much higher in US, driven up by collusion between pharmaceuticals, insurance companies, and government. You also have leeches like Martin Shkreli pumping up the cost.

    20. Re:Don't be mistaken by Kjella · · Score: 5, Informative

      Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

      It's because US people put up a straw man and cut it down. A single payer system means it's funded almost entirely by taxes (here in Norway co-pay is ~$30/visit and capped at ~$250/year), it doesn't mean they got infinite money or resources and it doesn't mean they deliver everything the patients want or need. There's only so many hospitals, doctors and nurses as the budget permits. Treatments are granted based on medical need and ranked based on quality-adjusted years of life. Waiting lists are prioritized on urgency and impact. It's not the best care money can buy, it's trying to be the most fairly distributed level of care possible at that funding level.

      Single payer doesn't mean exclusively public employees, there are many private doctors and institutions delivering services into the public system. But apart from that there's also truly private insurance and private healthcare, if you can afford it. It's not subsidized, you don't get a tax refund and it caters to a market that won't wait and won't take anything less than excellence. LIke if a pro sports player is injured and need surgery, they often use that because in the public system they're not special and you can't pay to get to the head of the line. Same way some people bankroll certain medications we've rejected to give because of cost, typically >$100k/year. Even though they're medically proven to work and the patient will die sooner.

      So if it's not a happy wonderland, why is it working better? Because we don't have insurance people trying to save costs by denying coverage. We don't have doctors that earn more by billing more or get kickbacks from selling brand drugs. While there's an ever ongoing pressure to reduce costs, we're not looking to cherry pick profitable patients and hospitals don't get stuck with unprofitable ones. For the most part we simply have medical personnel and administrators trying to balance out the limited resources based on who needs it most. And they're actually pretty good at it, as long as they don't get other personal incentives.

      Just to take one example, there's a national standard for average ambulance response time which says it should be <12 minutes in >90% of the cases in urban areas and <25 minutes in >90% of the cases in rural areas. Poor or rich area? Easy or hard geography? Doesn't really matter. The money is distributed so it's mostly uniform no matter where you live, we're not quite hitting that metric but then we'd rather fall a little short most places rather than fail spectacularly in a few. Those are the stretch goals, on the low end you have a standard of adequate healthcare which is like a legal minimum. It's a pretty low bar though where violations are usually human error, flaws or failures in the system like say no ambulance is actually dispatched. It's not your typical triage.

      --
      Live today, because you never know what tomorrow brings
    21. Re:Don't be mistaken by deathguppie · · Score: 2

      Medical insurance companies tell the hospitals what they can charge for any given procedure based on the individual plan the customer has purchased. Depending on your plan the the cost of the procedure and the copay will differ. There are only two major health care insurance providers in the US. On the west coast this is Bluecross/Blueshield for instance. Every other provider is a reseller of their products who make money by slightly changing the packages and adding things like vision and dental (also provided by other carriers). To deal with the ever complex series of plans and payment schedules hospitals and insurance companies have had to increase their administrative costs by over 60% in the last 20 years. Most major hospitals now have at least one entirely separate building complex dedicated to nothing but billing. Where as in Japan (where the insurance/medical costs are regulated by government) an MRI will cost 500 USD in the US an MRI will cost anywhere between $600-$3000 and that often doesn't even cover the staff required to operate or analyse the results.

      Now while you may not trust government bureaucracy (and hell I'm right with you) it's really hard to imagine how it could get any more bloated and screwed up than it is.

      But lets just look at some basic known quantities. Medicaid. Now mind you copays on Medicaid are very low to almost nonexistent so keep that in mind when searching for a health care plan. Use this chart to find your state and then see if you can find a comparable private health care plan at a comparible cost. There is nothing more simple than looking for yourself.

      --
      once more into the breach
    22. Re:Don't be mistaken by bobbied · · Score: 2

      Why exactly is dangerous and stupid?

      You think this idea is wrong, but I believe there to be evidence that this *could* be at least partially right on some points.

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    23. Re: Don't be mistaken by bobbied · · Score: 2

      Single payer would not bankrupt America. How about cutting your fucked up military budget? Lol. Omg the US used to really be a beacon and now it's just a fucked up mess.

      Really? Having the government fork over 14% of GDP could be covered by the military budget? I think you GREATLY over estimate what we spend on the military. Something like 3.5% of GDP. So yea, let's zero out the defense budget and have single payer... NOT possible.

      And.. Have you considered what situation we'd be in without a military?

      --
      "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    24. Re:Don't be mistaken by AlanObject · · Score: 2

      Why exactly is dangerous and stupid?

      I sense presence of the libertarian shibboleth that the free market will fix everything. That is what is dangerous and stupid.

      Also the reliance on shaky facts, common among libertarians. I don't want to get into a long discussion but let's just pick out one since it was mentioned:

      Cap malpractice payouts through tort reform.

      This has always been an appeal to emotion rather than reliance on actual facts and figures. My dad was a personal injury lawyer for 60 years and had gotten record-setting multimilion dollar malpractice settlements. Outrageous? Not the the person who has to care for a cripple for life because the hospital screwed up. Do you know what percentage of malpractice suits result in a payout for the plantiff? About 2%.

      Yet the "tort reform" banner always gets hoisted in these discussions. When they do, I know that the one doing the hoisting doesn't really know what they are talking about. Instead they are relying on right-wing media propaganda.

    25. Re: Don't be mistaken by Hognoxious · · Score: 4, Funny

      Single payer would not bankrupt America.

      We can't possibly know for sure.

      I mean, if any other developed country had implemented it, or even something close (especially in difficult times, like after being bombed to shit by the Germans), we could like look at them or something.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    26. Re:Don't be mistaken by j-beda · · Score: 2

      We could use some spackle for the cracks but "be like Canada" is a really stupid approach.

      Yeah, except that Canada seems to have better health outcomes than the USA does. With some exceptions, waiting times are not unreasonable across the country, and patient satisfaction rates are significantly higher than in the US. Sure, they aren't perfect, and there are many areas that could be improved, but to paint it as an unmitigated disaster is disingenuous.

      Of course the US already spends about twice the per-capita rate for healthcare as Canada, so maybe the US could just do the Canadian system and spend an extra 50% to "fill-in-the-cracks" and still come out at 25% lower than current costs.

    27. Re:Don't be mistaken by PopeRatzo · · Score: 4, Informative

      Try a real citation next time. Random local news and blogs have no place other than for low information 10 second googlers.

      https://www.washingtonpost.com...

      https://www.cbsnews.com/news/s...

      https://www.nytimes.com/2017/0...

      https://www.indystar.com/story...

      --
      You are welcome on my lawn.
    28. Re: Don't be mistaken by harvey+the+nerd · · Score: 2

      Prices in the US are a mess, Even a 75 yr old drug, a few cents in Asia, was monopolized thanks to some FDA regs and then hawked for $700+.

    29. Re:Don't be mistaken by Alsn · · Score: 4, Informative

      You "know people"? What about the tens of thousands(studies show 18k-45k depending on methodology, the 18k figure is from conservative estimates) of American citizens who die every year because they simply can't afford to take part in your health care system? I guess since you don't know them, they can fuck off and die?

      What you call propaganda is simply truth.
      I'm a jr. doctor in Sweden and our (single payer) healthcare costs per capita are way less than the US (even though we rank way up there in costs). Sure, we do have long queues for some diagnostics, especially when the illness in question is not life threatening (such as back pain, which btw generally just gets better on its own in a few years, no treatment other than acetaminophen or some other mild painkiller required). That said, implying as others in these comments have that single payer systems skip cancer tests and other life threatening diagnostic tools is not only misleading, but often based on ignorance or plain lies. Doctors here have full authority to order any damn test we like, the life of the patient goes before all else, anyone telling you different has no clue.

      In short, the us system of insurance is inefficient (poor people often can't pay for regular check ups which increase costs when they do have to go to the ER), expensive (find any list of healthcare spending per capita, then remember that you don't even cover all of your citizens) and finally just plain unethical (if you can't figure out why, you're a shitty human being).

      Ps. We even have private health care in Sweden, it's just funded publicly. So spare me the "socialist commie" bullshit. And yes, arguing about this makes me mad, which doesn't happen often.

    30. Re:Don't be mistaken by Alsn · · Score: 2

      Said text also includes a suggestion at the end that in one of the cases where that government IS the middle man, costs are lower. I'm not American, so I don't really know what to compare it to, but unless that part is an outright lie, the text does indeed seem to suggest that a government payer is a *better* middleman.

    31. Re: Don't be mistaken by torkus · · Score: 2

      How can we NOT know this? There are multiple examples of other countries with people and less wealth per-capita (so they get less economy of scale while having less to spend per person) who do this quite readily.

      I love using canada as an example here. US spend for healthcare is $8233PP while Canada with universal healthcare is a mere 4445. Multiply THEIR rate by OUR population and you could cover the whole US for an additional $400BB. Not cheap, but not impractical by any means given we wast^^^^spend $600BB on the military a year.

      --
      You can get rich if you own a politician, but you have to be rich to buy one in the first place.
  2. 10% spent on out-of-pocket" health expenses? by OffTheLip · · Score: 3, Insightful

    I'm surprised it's not a greater percentage than that. It is for me.

  3. News for Nerds? by SpaceBoyToy · · Score: 4, Insightful

    First of all, I don't want to minimize the seriousness of this topic. It deserves discussion and action. I'm just not sure it belongs here, on this site.

    I have come to /. for many years to stay up to speed on the latest tech news and other interesting news that interests me. I also follow many other sites for political content. Lately, every site has seemed to wade into politics more than usual. I understand we live in a hyper partisan environment. However, we must have some safe havens from it. This site serves as that, to some extent, for me. I would hate to see it devolve into yet another political dystopia.

    This site was built for a particular niche. I don't know about the rest of you, but I would like to see it stay in the niche.

  4. Re:What fraction of those are in the USA? by Archangel+Michael · · Score: 2, Insightful

    The poorest Americans are richer than the average of the rest of the world. They have access to actual healthcare where in other places, they don't even have access, as there are no doctors. We live in a world of riches, and think we're poor, because the myopia we suffer. The solution being offered, "single payer" isn't really a solution, and will end up putting us on the road to Venezuela and Greece.

    The real fix is to get rid of insurance all together, and rid ourselves of the middlemen extracting 50% of all costs for themselves. It will actually lower costs (backoffice) that doctors have to run chasing down insurance repayments and keeping track of all the required paperwork it involves.

    There is no reason why 8 hour (that should have been 2) visit to the Emergancy Room cost $10,000(no costly tests), except insurance. You see, those that can pay, end up paying for those that can't (or won't), with the Insurance Middlemen getting their cut.

    And THAT is why healthcare costs so much.

    --
    Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
  5. Re:What fraction of those are in the USA? by sycodon · · Score: 2, Insightful

    On a gold-gray morning in Mitchell County, Iowa, Christina Dreier sends her son, Keagan, to school without breakfast. He is three years old, barrel-chested, and stubborn, and usually refuses to eat the free meal he qualifies for at preschool. Faced with a dwindling pantry, Dreier has decided to try some tough love: If she sends Keagan to school hungry, maybe he’ll eat the free breakfast, which will leave more food at home for lunch.

    Dreier knows her gambit might backfire, and it does. Keagan ignores the school breakfast on offer and is so hungry by lunchtime that Dreier picks through the dregs of her freezer in hopes of filling him and his little sister up. She shakes the last seven chicken nuggets onto a battered baking sheet, adds the remnants of a bag of Tater Tots and a couple of hot dogs from the fridge, and slides it all into the oven.

    So her little brat kid won't eat the free meals. But wait, she was feeding him breakfast at home too?

    And she's buying frozen chicken nuggets and Tater tots? A dozen eggs cost $1.50. Potatoes even less per pound. Iceberg Lettuce is sometimes also $1,.50 cents a head.

    On this particular afternoon Dreier is worried about the family van, which is on the brink of repossession. She and Jim need to open a new bank account so they can make automatic payments instead of scrambling to pay in cash. But that will happen only if Jim finishes work early.

    And they own a Van. OK. Seems like a Corolla would have been a better choice. And apparently she is incapable of opening a bank account by herself? BTW, most banks have Sat hours.

    Either this article is poorly made up bullshit or these people are the victims of their own idiocy.

    --
    When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
  6. Re:Easy way to cap malpractice payouts. by Anonymous Coward · · Score: 3, Insightful

    Don't be a shitty doctor, and you won't get sued. It is literally that easy.

    Do you think 100% of lawsuits against doctors are reasonable? That is an extraordinary claim. It presumes no one who seeks medical care, and gets a bad outcome due to the limits of medicine and/or bad luck is not willing to cry in front of a jury to get several million dollars.

    I live and work with humans. I can report to you that at least 10% of people do something that makes them a jerk at least once a week. People who think they have been wronged in some way (such as going to the doctor and not getting a pill that cures cancer for $1) are even more likely to do this. Please explain why people become angels the minute they step into a doctor's office.

  7. Vermont tried it by Kohath · · Score: 4, Informative

    Well, I just can't understand how most of Europe and Canada do it without actually going bankrupt.

    By starting 50 or 75 years ago and keeping costs from rising year after year up until the present.

    Vermont tried to go single-payer a couple years ago. They couldn’t make it work because there was no way for them to cut doctor and nurse salaries enough to make the financing work out.

    If you want to understand, start by learning from Vermont's experience.

  8. the idiot can't google by Anonymous Coward · · Score: 3, Informative

    www.businessinsider.com/insulin-prices-increased-in-2017-2017-5

    "It's led some people living with diabetes to turn to the black market, crowdfunding pages, and Facebook pages to get access to the life-saving drug."

  9. Re:What fraction of those are in the USA? by Khashishi · · Score: 2

    It's true: poor Americans don't normally starve. But they do frequently die of exposure or lack of medical care. The indigent mostly get care from emergency rooms, and don't have treatment for more chronic issues.

  10. Re:In the USA you just show up at ER and don't pay by Train0987 · · Score: 4, Insightful

    And the rest of us absorb those costs. That's another reason why prices are out of control.

  11. Re:In the USA you just show up at ER and don't pay by damn_registrars · · Score: 5, Informative

    In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

    That is not entirely true. If you are having a medical emergency the ER cannot turn you away for lack of insurance but that doesn't mean they can't bill you for coming in - and they will. They're just limited in how far they can go with their attempts to collect on fees before they hand them over to the government.

    Furthermore as already pointed out the hospital only needs to stabilize you. If you need an organ transplant and you have no insurance, that simply won't happen. If you went in because you were suicidal you'll be kept for a couple days and then sent right back out.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
  12. Re:One of the things which I like of my country by CustomSolvers2 · · Score: 2

    Spain has MASSIVE economic problems.

    Macro-economically speaking, sure. From the everyone's living fine point of view, I don't think so. I am not precisely a blind defender of my country and, in fact, I will be most likely moving out within the next years; but people here live well, safe and happy. If you like exorbitant luxury and hard-capitalism atmosphere where only richness matters, etc., Spain wouldn't be for you. But if you want to live without too many concerns on the basic safety, wellness, tolerance fronts, you would certainly like it.

    In any case, the free health system is very nice and I cannot even picture myself paying because of being ill (what if I happen to not have too much money at that point?). Additionally, this aspect is quite self-sustained as far as everyone is over-paying (I did over-pay on top of the due over-payment) for what they will be spending. This is a forced contribution which is automatically subtracted from all the salaries/companies.

    --
    Custom Solvers 2.0 = Alvaro Carballo Garcia = varocarbas.
  13. This nonsense again by fyngyrz · · Score: 5, Informative

    In the USA you just show up at ER and don't pay if you don't have a med plan and they can't turn you away.

    The ER has to try to stabilize you. They don't have to provide needed treatment beyond that, or drugs — and they won't. What they will do is determine what will stabilize you, do that, give you perhaps one dose of whatever prescription(s) is(are) needed which you can then go get from a pharmacy if you can pay for it, and refer you to a doctor, who you can also go to if you can pay for it, and that's the end of it.

    You have cancer? Diabetes? A hernia? You're not going to get the treatment you need for that at the ER. Period. The ER does things that are specific to the moment, like set a broken arm. Still, you get to pay for the meds, and any follow-up care.

    ER visits are not even remotely comparable to appropriate medical care for anything serious. People who claim it is have no idea what they are talking about.

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    I've fallen off your lawn, and I can't get up.
  14. Re:Easy way to cap malpractice payouts. by cayenne8 · · Score: 2, Insightful

    Do you think 100% of lawsuits against doctors are reasonable? That is an extraordinary claim. It presumes no one who seeks medical care, and gets a bad outcome due to the limits of medicine and/or bad luck is not willing to cry in front of a jury to get several million dollars.

    Yep...one cost of increased US health care is Dr's running multiple tests to CYA against a lawsuit...when usually 1-2 would suffice. But, medicine is NOT an exact science, and occasionally a test misses something or false negative. If the Dr doesn't cover his ass with every test possible, he's gonna get sued.

    Aside from the ONE thing Obama care did to positively, that being disallowing coverage refusal for pre-existing conditions....it has been a disaster and a great reason prices have increased and continue to do so.

    For example...I'm self employed. Way back 10 years or so ago, I could get a simple, high deductible insurance policy (only $1300 or so), and basically have that for what used to be termed, "Major Medical" coverage. Basically there for $$$ emergencies like getting hit by a bus or heart attack. I paid about $120/mo for that, and that was with being a smoker and high cholesterol pre-existing.

    I couple that with a HSA (Health Savings Account) that I fully fund (this year about $3200 max) annually pre-tax that I used to pay my routine meds needs, and office visit fees, etc.

    Now? Well, about 4 years ago, I started off with a "silver" policy...about $450/mo.....increasing yearly till for 2018 they were wanting about $1100-$1200 a month for same thing.

    Part of the problem? Well, with fscking Obama care regulations, there isn't ability to get a "major medical" type policy. No....EVERYTHING and the kitchen sink has to be included.

    I'm a single male, in between women....I have NO plans to get pregnant, yet I have policy coverage for prenatal, etc. Why the fuck should I pay that?

    That's one reason.

    Another...WTF don't they allow insurance to be sold across state lines, like car insurance is? That would surely increase competition....and lower prices.

    Why can't I pick and choose what coverages I need, a cafeteria type thing, much like we want to do TV ala carte, why can't we all be big boys and big girls and pick and choose what coverage we need?

    Let's get the bean counters out of the way, and go back to having insurance be for EMERGENCY care, and all....prices will lower, Dr's then could be independent again and charge reasonable...and let's get some tort reform in there to prevent frivolous lawsuits.

    Back before the bean counters, HMO's and all...medical care wan't THAT expensive. I had a relative that was a Dr. back in the 70's-80's....he would charge according to what the patients' means were.

    We have medicaid for the truly poor, but for everyone else that is capable of working, lets go back to the older says and things like I've put forth where it won't cost an arm and a leg and people are covered for emergency care, but for routine stuff, they manage themselves.

    If nothing else, it would unclog the fucking ER at hospitals...and keep people from using that as their primary physician....

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    Light travels faster than sound. This is why some people appear bright until you hear them speak.........
  15. Re:What fraction of those are in the USA? by Graymalkin · · Score: 2

    So we get rid of insurance but single-payer is a no go...the way to pay for medical care is then âoebe richâ? If you donâ(TM)t want to suffer from chronic conditions with expensive treatment then simply donâ(TM)t be not rich?

    Even if you take all of the insurance industry padding out of medical bills they are still not cheap. The bottom four quintiles of the population wouldnâ(TM)t be able to afford more than occasional clinic visits. Treatment of chronic conditions would only end up available to the wealthy, even a good portion of the top quintile of the population would find treatment inaccessible.

    Insurance works by risk pooling. Thereâ(TM)s nothing fundamentally wrong with risk pooling and is exactly what a single-payer system would do. Everyone pays into the system which has funds to pay for individual expenses because not everyone gets expensive to treat conditions simultaneously. Overall productivity increases because everyone has ready access to basic healthcare and doesnâ(TM)t need to choose between food and a trip to the doctor or filling a prescription.

    When people can see a doctor for minor conditions without resorting to an emergency room visit not only do they see less impact from minor conditions but can get early identification and treatment for major ones. Businesses win because their workers are sick at work less often (just by having their symptoms effectively treated sooner) which limits the spread of disease through the staff.

    Single-payer has the same benefits economically as just eliminating health insurance with the added bonus of people having effective healthcare.

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    I'm a loner Dottie, a Rebel.
  16. Re:Easy way to cap malpractice payouts. by fluffernutter · · Score: 2

    Why don't you just be happy that women who plan to get pregnant are paying for treatment if you get prostate cancer? It works both ways.

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    Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.