Truth. I have done this many times by WISHIMAY

REAL WORLD EVENT DISCUSSIONS

Truth. I have done this many times

POSTED BY: WISHIMAY
UPDATED: Monday, January 20, 2020 14:43
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VIEWED: 1611
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Sunday, January 19, 2020 3:04 PM

https://cheezburger.com/10328837/guy-on-twitter-details-infuriating-me
dical-insurance-experience

The most annoying part, they can't guarantee ANYTHING, so you may spend hours doing this and they are still gonna bill you whatever they want anyway.

And then people take their rotten bills out to the Mainstream Media and the hospital walks it back, but no mention of the other 30 people who got the same rotten bill, so when it says at the end of the broadcast "this bill has been removed or changed" people get the false sense of security that if they get one of these they can just go to the media about it and it'll be fine...

Letting our corrupt medical system get a pass over and over and over.

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Sunday, January 19, 2020 8:01 PM

6IXSTRINGJACK

I was told that if I had cancer or I was an alcoholic (with my income) that I would be put on a state insurance plan that would cover my dental expenses in full.

I thanked them and let them know that I would not start drinking again just to get my "cosmetic" false teeth and I will pay for them myself.

Do Right, Be Right. :)

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Monday, January 20, 2020 3:31 AM

SIGNYM

I believe in solving problems, not sharing them.

Jeezus, what a racket.

There should be standard listed prices for everything routine, none of this "we pay $1000 for ABC insurance but $300 for Medicare and self-pay is on a sliding scale..."

Or what about just Medicare for all?. I mean, can you imagine the overhead that all of that bean-counting imposes on the hospitals, labs, doctor's offices, and insurances? All of that software-writing? All of those people in billing offices worming their way thru the maze of insurances, providers, charges, and co-pays? All of those people who have to waste their time listening to angry people on the phone ... and all of this angry people who probably just spent 40 minutes on-hold just to get the run-around?

I know that people say government is fucked up, but nothing could be worse than this ....

-----------
Pity would be no more,
If we did not MAKE men poor - William Blake

Happy New Year, WISHY. I edited out your psychopathic screed!

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Monday, January 20, 2020 7:47 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/two

Quote:
Originally posted by SIGNYM:
Jeezus, what a racket.
. . .
I know that people say government is fucked up, but nothing could be worse than this ....

This is the best possible system . . . for the people who designed it in order to extract the most money from the economy.

As a share of the nation's Gross Domestic Product, health spending accounted for 17.7 percent.
www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and
-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical

On average, other wealthy countries spend about half as much per person on health than the U.S. spends
www.healthsystemtracker.org/chart-collection/health-spending-u-s-compa
re-countries/#item-average-wealthy-countries-spend-half-much-per-person-health-u-s-spends

A study of why the United States spends so much more on health care than in other high-income countries concludes that higher prices — particularly for doctors and pharmaceuticals — and higher administration expenses are predominantly to blame. U.S. policy must focus on reducing these costs in order to close its spending gap with other countries.
www.commonwealthfund.org/publications/journal-article/2018/mar/health-
care-spending-united-states-and-other-high-income

The health care system works as it was designed to work: to make the designers rich.
Does it need saying that the designers deny that this was their goal?

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Monday, January 20, 2020 9:52 AM

JONGSSTRAW

I've had Medicare for a few years and each time I've used it for something I find that it's very fair and reasonable. Once you reach the annual deductible the copays are not bad at all. And the best part is I get almost zero paperwork in the mail.

I handle my mom's mail and bills too. She has Avmed Medicare Advantage. The amount of letters in the mail, every week literally page after page of medical payment summaries and prescription drug usage, etc. etc. Like who cares!? Just pay the gorram expenses and leave me alone with all these "explanations". The forests are getting depleted just from the paper associated with her account.

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Monday, January 20, 2020 10:16 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/two

Quote:
Originally posted by Jongsstraw:
I've had Medicare for a few years and each time I've used it for something I find that it's very fair and reasonable. Once you reach the annual deductible the copays are not bad at all. And the best part is I get almost zero paperwork in the mail.

I handle my mom's mail and bills too. She has Avmed Medicare Advantage. The amount of letters in the mail, every week literally page after page of medical payment summaries and prescription drug usage, etc. etc. Like who cares!? Just pay the gorram expenses and leave me alone with all these "explanations". The forests are getting depleted just from the paper associated with her account.

The cost of some Medicare Advantage plans was at least 25 percent higher for the Federal government than the cost of providing standard Medicare coverage.

Billions of tax dollars are misspent every year through billing errors linked to a payment tool called a “risk score,” which is supposed to pay Medicare Advantage plans higher rates for sicker patients and less for those in good health.

Government officials have struggled for years to halt health plans from running up patient risk scores and, in many cases, wresting higher Medicare payments than they deserve, records show.

The Center’s findings are based on an analysis of Medicare Advantage enrollment data from 2007 through 2011, as well as thousands of pages of government audits, research papers and other documents.

More at https://publicintegrity.org/health/why-medicare-advantage-costs-taxpay
ers-billions-more-than-it-should/

Medicare Advantage Audits Reveal Pervasive Overcharges of the Federal Government
More at https://publicintegrity.org/health/medicare-advantage-audits-reveal-pe
rvasive-overcharges/

Sen. Chuck Grassley, R-Iowa, wants federal health officials to tighten scrutiny of private Medicare Advantage health plans amid ongoing concern that insurers overbill the government by billions of dollars every year.
https://publicintegrity.org/health/sen-grassley-demands-new-scrutiny-o
f-medicare-advantage-plans/

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Monday, January 20, 2020 10:34 AM

CAPTAINCRUNCH

... stay crunchy...

Quote:
Originally posted by Jongsstraw:
I've had Medicare for a few years and each time I've used it for something I find that it's very fair and reasonable. Once you reach the annual deductible the copays are not bad at all. And the best part is I get almost zero paperwork in the mail.

I handle my mom's mail and bills too. She has Avmed Medicare Advantage. The amount of letters in the mail, every week literally page after page of medical payment summaries and prescription drug usage, etc. etc. Like who cares!? Just pay the gorram expenses and leave me alone with all these "explanations". The forests are getting depleted just from the paper associated with her account.

I recall getting my parent's updated medical insurance "manuscripts" each year. It was a f*cking joke. 10 pounds of super thin paper with 4 pt type. Nothing says, "we came up with all of this for US, not YOU" than such a paper dump. NO ONE READS IT BECAUSE NO ONE CAN. I doubt the people who wrote it could.
One of the most representative algorithmic rat's nest stipulations they came up, was finding out that one of my parents had injured themselves while they were in the Donut Hole of their coverage. No sh*t. So they were less covered. Are you f*cking kidding me?

Sad truths:

1. There are enough of us + enough employers + tax revenue, to cover all of us for everything.

2. If you cleaned up this mess and simplified it to where it should be, how would we employ all of those people that currently make a living from the excess?

3. Would HC for All improve or weaken overall quality of care? When you take the profit out of HC you can remove the innovation and motivation.

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Monday, January 20, 2020 10:52 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/two

Quote:
Originally posted by captaincrunch:

Sad truths:

1. There are enough of us + enough employers + tax revenue, to cover all of us for everything.

2. If you cleaned up this mess and simplified it to where it should be, how would we employ all of those people that currently make a living from the excess?

3. Would HC for All improve or weaken overall quality of care? When you take the profit out of HC you can remove the innovation and motivation.

The Happy Truth is that in many countries Everybody is Covered. America could do the same:
www.vox.com/2020/1/13/21055327/everybody-covered

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Monday, January 20, 2020 2:24 PM

SIGNYM

I believe in solving problems, not sharing them.

SECOND et al, I've actually tried to answer the question IF all of our healthcare revenue sources (Medicare, employer-paid insurance, private insurance, county and state-funded hospital and clinic services etc) were consolidated under one heading, would it pay for "Medicare for all"?

http://fireflyfans.net/mthread.aspx?bid=18&tid=63022&p=5

Quote:
Waste in the US Health Care SystemEstimated Costs and Potential for Savings
https://jamanetwork.com/journals/jama/fullarticle/2752664
To the tune of almost a trillion dollrs every year, equal to the entire Pentagon budget... The largest component of waste is "administrative complexity" followed by "pricing failure". Fraud and abuse is small in comparison.

http://fireflyfans.net/mthread.aspx?bid=18&tid=63022&p=6
Given the waste and complexity that this would save, then add in the savings from renegotiating drug prices, there is more than adequate funding for Medicare for all.

However, my pencil-whipping exercise would mean that - altho private insurance premiums, county and state taxes (to fund county and state hospitals and clinics) and premiums paid by employers would disappear, it would require increasing Medicare taxes by about a factor of 5, to roughly 15%. Given than this is a tax on wages, rather than disincentivizing wages I would probably look to alternate forms of funding ... for example, savings in military spending... so Medicare taxes wouldn't have to be raised so much.

But overall it is doable.

There in one other thing - people say that they wouldn't want to "lose their doctor" under Medicare for all. I frankly don't understand where those fears are coming from. Most doctors accept Medicare insurance as well as private insurances. All itwould mean is that your favorite doctor would get paid by one insurance instead of another. I mean ... where would your doctor go, that you would "lose" them?

-----------
Pity would be no more,
If we did not MAKE men poor - William Blake

Happy New Year, WISHY. I edited out your psychopathic screed!

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Monday, January 20, 2020 2:43 PM

1KIKI

Goodbye, kind world (George Monbiot) - In common with all those generations which have contemplated catastrophe, we appear to be incapable of understanding what confronts us.

Quote:
Originally posted by SIGNYM:
Jeezus, what a racket.

There should be standard listed prices for everything routine, none of this "we pay $1000 for ABC insurance but $300 for Medicare and self-pay is on a sliding scale..."

I'm a nosy person. My prescriptions come to somewhat over $11 per month as billed to the insurance company. Out of curiosity I wanted to know how much they'd be If I paid for them myself. They'd cost somewhat over $350.

I mean - why such a big difference in how much the bill is depending on who's paying?

SOMEbody is raking it in! And on the flip side, SOMEbody is getting ripped-off.

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