Healthcare

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In Oregon the insurers on the "affordable" care act exchange got a 10% rate increase for 2025. They are filing for another 10% for 2026. No inflation???
 
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Democrats were on a really vicious witch-hunt with RFK today. Every question was nothing but a platform of lies about MRNA and Covid...

 
Say what you will about Dems or Reps...
I just wish Trump put 75% of his effort into fixing the healthcare system. Leave invading Greenland for the next president. I thought he could be the only one out of the last 8 presidents who could.
I am not in the medical field. But to me, should be simple to find the root cause and fix it: trace every step of the way and find the common sense nexus point of 'what the hell is this?', throw those people in jail, and fix it :)
 
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Insurance/Medical/Pharma triad owns too many Congress critters.

If I had to choose the #1 evil it would be Insurance. They literally dictate to docs what care you get.

Pharma takes advantage of the situation and is the #1 lobby group by far.
Trump said he was going to reduce drugs by %1500
Ignore for a moment he didn’t pass math, he’s not done a thing as far as I can tell
 
I had a similar mess with billing and trying to get straight answers, so I started checking out Pedirayudas after someone mentioned it. It covers a lot of local healthcare stories and policy stuff in plain language, which helped me understand what’s actually going on. Found a couple of posts there about hospital billing practices that matched what I was seeing. Worth browsing through if you're confused.
 
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6 years ago I broke leg in Portugal.

Without any insurance here, I paid in private nice hospital something like 300 Euro (like 350 USD) for everything - with X-ray and leg cast.

there were some rehabilitation after, it was something like 50-100 euro per visit

and those prices are similar in many countries in Europe...

if you have insurance things like this can be free in public hospitals (but you must wait more and quality can be lower)..

You paid all that because you were to the Private Sector, if you went to the Public you would pay according to the earnings, or pay nothing.
Emergencies are always taken care and the billing, if there's a reason to be billed, is only afterwards and you don't even have to pay at the moment.

Nowadays Emergencies in Private Sector are taking more time, specially concerning kids, but the quality isn't lower at Public, by the contrary.
At what matters: Medical Expertise, means and methods the Public uses the best there is without looking at budgets or patient's wallet.

The system isn't perfect, but to serious or risky medical treatments there's no better system than the Public.
 
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Tip of the iceberg

Just found out that after Jan 30 due to the Republican Congress, Medicare will no longer pay for Telehealth visits.

Due to sever hyperthyroidism I see an Endo doc 4-6X per year.
Essentially she reads my blood labs.
I’ve learned how to do that but go through the motions because it’s an easy 10minute video call. (She’s 1.5 hrs away)

No more.

Now have to do a regular in person visit, next appt? April 7th :rofl:

We’re all going to see less service, higher prices. I feel sorry for those with private insurance and/or employer shared insurance. And of course the 22 million on ACA are truly fucked

Thanks Republicans!
 
Tip of the iceberg

Just found out that after Jan 30 due to the Republican Congress, Medicare will no longer pay for Telehealth visits.

Due to sever hyperthyroidism I see an Endo doc 4-6X per year.
Essentially she reads my blood labs.
I’ve learned how to do that but go through the motions because it’s an easy 10minute video call. (She’s 1.5 hrs away)

No more.

Now have to do a regular in person visit, next appt? April 7th :rofl:

We’re all going to see less service, higher prices. I feel sorry for those with private insurance and/or employer shared insurance. And of course the 22 million on ACA are truly fucked

Thanks Republicans!

In Portugal, I simply go to pharmacy every 2 months, give my ID number and without any prescription buy the same meds as last time (hypertension) paying full price (because I don't have new prescription) at 30 Euro range (for 2 months)...

For me is a cheaper (counting my time) than I will go to any doc (private or public) to get new prescription.
 
Yeah the prescription isn’t a problem. I call that in and usually have a years worth approved. Hell now they send me a text every 3 months and say it’s ready for pickup

The doctors are going to lose business cancelling telemedicine. I’ll now see her 1x per year vs avg 5x using telemedicine
 
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There are few if any of us that aren’t going to be smacked upside the head with healthcare costs and quality of care in the coming few short years

Great article

Why Healthcare Is In A Death Spiral: Follow The Money​

 
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Why Healthcare Is In A Death Spiral: Follow The Money
Even if none of the waste, corruption, etc. didn't exist, I think it's still in a death spiral. People are being kept alive longer thanks to all of the new technology. Many of these people need more and continuous expensive treatments, drugs, and care by healthcare workers. On a long enough timeline (shameless stealing from zerohedge) the entire GDP and output of the labor force will be dedicated to healthcare.

A couple hundred years ago I would have been dead in my 30s from appendicitis. I would have been dead 10 years ago had my cancer hit then. Now a new very expensive drug, along with CT and MRI machines keeps me going for an undetermined amount of time. Multiple this one case by the increasing number of people that have a "big picture" similar situation, and it will eventually suck the economy dry. All that will be left is healthcare workers and patients. Won't be any factories or workers to build cameras.
 
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I’m not clear on how much comes out of your paycheck? For health

Here its around 15% for healthcare only

But there is a huge difference here.
In the US they can write anything they want on the bill, here the gov dictate the prices.

MRI is around 300€ for employees, 800 for private insured individuals

CT is around 50€ / 150€

normal X-Ray is 10€ / 50€

All includes report

medical meeting/report after is 20€ / 100€

For me the US has always the same problem. No regularies = freedom

Some investment companies come try making big money, you end up in a situation where a simple broken leg make up to 15.000$$

The model may work, but if it comes to food, living, healthcare then you are screwed.
 
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