Hard Selling Healthcare President O says the small businesses are paying more than big businesses for health care and that's another reason to line up for government health care.
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The whole problem in health care (and one of the reasons for what are cited as high costs) is that healthcare is worse than the auto industry when it comes to pricing. Everyone gets a different rate.
Don't know why, but going back into memory, seemed to me that there used to be laws that required equal products with equal delivery times, had to be
priced the same for all customers and that to do otherwise was a violation of (bad memory here, again) anti-trust laws.
But, obviously, since the insurance industry has more money than God to lobby, the fed's who could go after the smorgasbord of pricing (which seeks to get as much blood from each of us turnips as possible without regard to the discrimination involved), namely the US attorneys, all seem to get canned when they actually might provide the intended independent check & balance on corruption.
I have some first-hand experience in this from when I had my appendix out in Burbank in 2005. The 'rack rate' for my appendectomy was $17,000 (including the $10 Tylenol capsules, LOL) but when the big health care provider mess was straightened out, BC/BS paid around $7,200. If I hadn't had insurance, the involuntary sex act with my wallet would have been $10-large more. Which is (pardon this) bullshit.
I'm shopping health care again now, and seems even if the premiums don't buy me anything (I'm looking for a $5,000 deductible) the whole thing I'm really paying for is getting
contract rates which are lower than man-off-the-street rates.
My bottom line: Big insurance outfits are not getting screwed. It's the guys like me that the hospitals try to stick rack rates to in order to subsidize freebies...and that's just wrong.
George's simple solution? No healthcare rate differentials allowed! Do away with this three-card Monte pricing crap and if people come in who can't/won't pay? Send the bill to Washington which mandated free medical care for illegals and such. Don't want anyone to die, but I do want
congress to understand that bad policy on the border comes associated with a cost and it shouldn't land on Main street's back.
Congress has gotten into a horrible habit of mandating all kinds of programs to the States and then not providing funding. Under the Constitution, equal protection seems to mean that an emergency operation (mine was a burst appendix) should be done at the same rate for everyone. Anything else is crooked and I reject as BS the healthcare industry claims that they should get a discount because they will 'buy
x appendectomies' this year. That's a function of demographics and health of a general population. They're not putting appendectomies on a shelf if the backroom till need, you know!
That actuaries and accountants are negotiating such nonsense (and not for free) is one reason healthcare is so damn bloated and expensive. Single rates to all comers - why that would take the bloom of the insurance profits, wouldn't it? Golly, then who'd pay for all that lobbying? That alone could collapse the hoteliers and restaurants in the District. Can't have that happening...Nossir.
Our other reader made an interesting note recently: "You know who does the best healthcare bang for the buck? The V.A...." Got a point: No rate games, hence no herds of negotiators, accountants, and actuaries and other leaches to support. Just doctors and other service deliverers.
Oh-oh...that would up the unemployment rate for accountants, actuaries, negotiators, and lobbyists plus the hotel & server types, though...so you see how this is a policy box of some dimension...
Meantime,
House talks on healthcare break down in anger. Quick, look surprised.