If nearby be no medical insurance picking up the tab, would doctors and hospitals hold to be more?
competitive and price conscious? I am referring to the U.S.
Answers:
I just need they'd be nicer. Seriously, charm school should be a requirement for getting a license to practice medicine. If you are nice to people they are much smaller number likely to sue you even if you do screw up.
Of course. Health insurance in the US was an unusual thing up to that time the wage and price freezes of World War II, and even into the 1980's, it was more common that insurance covered only hospitalizations, not prescriptions or department visits/procedures. Now costs to doctors and hospitals have almost no relationship to charges, because of insurance and regulatory requirements. Also, since the current debate over health insurance has heated up again, I'd point out that whenever Uncle Sam starts discussion about cutting costs by cutting "fraud, misuse and abuse" it's going to cost you a lot more money than all the fraud, waste, and misuse there's ever been, so it's time to hold onto your wallet!
But you have to ask yourself what your real interrogate is. For what is now standard care, very few Americans could afford much of the high-tech procedures that are routine, and the technology would simply not be in that for much of it, even for those who could pay. When you're thinking about investing a couple of million dollars in a foreign machine, it's a tougher investment if you have no idea how it'll pay cheque for itself.
The reason why they are so expensive is because in America we are sue jubilant. We have grown up with the NEED for justice. We deem that things should be perfect for us to be treated fairly. People don't want to become doctors anymore because they want to help those, it's for the money. 99% of pay the cost because someone took phen-phen and got sick so they sued. No one knowing gave out those drug knowing they would create heart attacks. That's why we need insurance for doctors, cars, houses, etc etc. Because people sue and it's to help hang on to losers out of courts who clog up the system. So if we had no insurance doctors wouldn't practice because they wouldn't be able to get malpractice insurance. It's that malpractice insurance that cause doctor visits to be so high and for us to need medical insurance. Stupid.
"Pricing" was never arbitrary, and never will be.
I was a Medical Assistant/Office Manager working within Santa Monica, CA for a vascular surgeon in the early 1970's. Billing insurance companies then be quite simple, involving only one or two forms. And at that time, there be only one Relative Value Schedule book, which was compact yet especially concise. I used the RVS for codes matching the procedures and services the doctor performed in the hospital and wrote within a patent's chart, and from the office Write It Once journal (listings of patient department visits -- regular, pre and post-op).
"Relative" is the definitive word in all this because insurance companies base their payments relative to the physical location of where services were performed.
There are very soon many more RVS-type "books", both for private and government billing. This is one reason colleges proposal a medical billing certificate and why computers take up half the space within the doctor's front office.
They should be competitive regardless, but alas too many are only interested in making as considerable a profit as possible.
No, I doubt it.
In reality, I suspect the opposite, that w/o having to negotiate prices with a sizeable insurance company, and free to send a bill for whatever the care patron felt like billing, the care supporter would pursue greater profits, which could easily take the form of higher fees and superior cost structure, depending on the competitiveness of any particular market....
Medical insurance does a good job of covering major medical expenses but is not free. Patients usually hold to pay premiums of hundreds of dollars a year and there may be deductibles of perhaps a hundred dollars respectively year before the plan pays anything and then there may be co-pays on most expenses and the plan may settle limited amounts or percents of certain procedures or for only a trustworthy number of visits. Plans usually do not pay for cutting perimeter experimental procedures and do not pay for elective procedures (cosmetic, etc.). Most plans do not include dental expenses which most people require. If a person know they would have only a minor cut or a physical exam it would be much cheaper to pay out of pocket. But you never know when you might own a major expense and medical insurance spreads major costs over the sick and the well. Hospitals and doctors obligation to be price conscious to make the system work.
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Answers:
I just need they'd be nicer. Seriously, charm school should be a requirement for getting a license to practice medicine. If you are nice to people they are much smaller number likely to sue you even if you do screw up.
Of course. Health insurance in the US was an unusual thing up to that time the wage and price freezes of World War II, and even into the 1980's, it was more common that insurance covered only hospitalizations, not prescriptions or department visits/procedures. Now costs to doctors and hospitals have almost no relationship to charges, because of insurance and regulatory requirements. Also, since the current debate over health insurance has heated up again, I'd point out that whenever Uncle Sam starts discussion about cutting costs by cutting "fraud, misuse and abuse" it's going to cost you a lot more money than all the fraud, waste, and misuse there's ever been, so it's time to hold onto your wallet!
But you have to ask yourself what your real interrogate is. For what is now standard care, very few Americans could afford much of the high-tech procedures that are routine, and the technology would simply not be in that for much of it, even for those who could pay. When you're thinking about investing a couple of million dollars in a foreign machine, it's a tougher investment if you have no idea how it'll pay cheque for itself.
The reason why they are so expensive is because in America we are sue jubilant. We have grown up with the NEED for justice. We deem that things should be perfect for us to be treated fairly. People don't want to become doctors anymore because they want to help those, it's for the money. 99% of pay the cost because someone took phen-phen and got sick so they sued. No one knowing gave out those drug knowing they would create heart attacks. That's why we need insurance for doctors, cars, houses, etc etc. Because people sue and it's to help hang on to losers out of courts who clog up the system. So if we had no insurance doctors wouldn't practice because they wouldn't be able to get malpractice insurance. It's that malpractice insurance that cause doctor visits to be so high and for us to need medical insurance. Stupid.
"Pricing" was never arbitrary, and never will be.
I was a Medical Assistant/Office Manager working within Santa Monica, CA for a vascular surgeon in the early 1970's. Billing insurance companies then be quite simple, involving only one or two forms. And at that time, there be only one Relative Value Schedule book, which was compact yet especially concise. I used the RVS for codes matching the procedures and services the doctor performed in the hospital and wrote within a patent's chart, and from the office Write It Once journal (listings of patient department visits -- regular, pre and post-op).
"Relative" is the definitive word in all this because insurance companies base their payments relative to the physical location of where services were performed.
There are very soon many more RVS-type "books", both for private and government billing. This is one reason colleges proposal a medical billing certificate and why computers take up half the space within the doctor's front office.
They should be competitive regardless, but alas too many are only interested in making as considerable a profit as possible.
No, I doubt it.
In reality, I suspect the opposite, that w/o having to negotiate prices with a sizeable insurance company, and free to send a bill for whatever the care patron felt like billing, the care supporter would pursue greater profits, which could easily take the form of higher fees and superior cost structure, depending on the competitiveness of any particular market....
Medical insurance does a good job of covering major medical expenses but is not free. Patients usually hold to pay premiums of hundreds of dollars a year and there may be deductibles of perhaps a hundred dollars respectively year before the plan pays anything and then there may be co-pays on most expenses and the plan may settle limited amounts or percents of certain procedures or for only a trustworthy number of visits. Plans usually do not pay for cutting perimeter experimental procedures and do not pay for elective procedures (cosmetic, etc.). Most plans do not include dental expenses which most people require. If a person know they would have only a minor cut or a physical exam it would be much cheaper to pay out of pocket. But you never know when you might own a major expense and medical insurance spreads major costs over the sick and the well. Hospitals and doctors obligation to be price conscious to make the system work.
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