Healthcare Reform

[RedDenver]

Medicare for All and the Myth of the 40% Physician Pay Cut

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Since for-profit insurers ultimately decide what will be covered, it’s like having a third party in the exam room second-guessing our medical decisions. This process disrupts the doctor-patient relationship that we work so hard to build. And copays and coinsurance (what patients pay out-of-pocket) mean that even smaller practices must employ several full-time staff just to handle payments, billing, and collections.

 

Smaller practices spend an average of $83,000 per year on claims, coverage and billing. Doctors personally spend nine hours each week on billing and admin; that’s time we’re not seeing patients. It’s no surprise that doctors today report unprecedented levels of exhaustion and burnout.

 

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In reality, relatively few doctors work in private practice anymore. Due to rampant industry consolidation, most providers actually work on salary for larger health systems or hospitals. Under our current multi-payer system, billing and administration account for one-quarter of U.S. hospital expenditures, twice the level in single-payer nations. Medicare for All would simplify hospital payments by funding them through global budgets (similar to the way fire departments are paid), rather than the current patient-by-patient payments, saving billions more in administrative costs.

 

At the national level, single payer would cut about $504 billion annually in administrative costs. In other words, single payer works by cutting administrative waste and corporate profits, not doctor incomes.

 

Overall, we estimate that average physician incomes would remain unchanged under Medicare for All.

 

 

[RedDenver]

6 minutes ago, Archy1221 said:

 

An unhinged rant about how the left wants to kill people very not convincing.

 

He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare.

[Archy1221]

1 minute ago, RedDenver said:

An unhinged rant about how the left wants to kill people very not convincing.

 

He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare.

St. Jude’s.  Mayo also does indigent care.  
 

He is actually one of the most respected pediatricians in Chicago. 
 

He does mention what would happen to his son in a system run by Ezekiel though.  

[Archy1221]

[knapplc]

10 minutes ago, RedDenver said:

An unhinged rant about how the left wants to kill people very not convincing.

 

He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare.

 

So the premise of this guy's schtick is that his child would die in a healthcare system as proposed by AOC?

 

 

And people believe this guy's opinion because of all the well-sourced links he provides, I suppose?  

 

 

 

 

[deedsker]

1 hour ago, Archy1221 said:

Apparently we only care about people about to die...

Quote

Rank	Country/territory	Continent	Hospital beds per 1000 people					Change from previous year, average		Occupancy (%)[6]	ICU-CCB beds /100,000 inhabitants	Ventilators
			2013	2014	2015	2016	2017	Actual	Proportional (%)
1	Japan	Asia	13.3	13.21	13.17	13.11	13.05	−0.06	−0.48	75.5	13.5[7]	45.293[8]
2	South Korea	Asia	10.92	11.59	11.61	11.98	12.27	0.34	2.85		10.6[9]	9,795[10]
3	Russia	Europe	9.07	8.81	8.35	8.16	8.05	−0.26	−3.04		8.3[11]	40,000[12] (27.3 per 100,000 inhabitants[12])
4	Germany	Europe	8.28	8.23	8.13	8.06	8.00	−0.07	−0.86	62.1[13]	38.7[13]	25,000[14]
5	Austria	Europe	7.64	7.58	7.54	7.42	7.37	−0.07	−0.90	73.8	21.8[15]	2,500[16]
6	Hungary	Europe	7.04	6.98	6.99	7.00	7.02	−0.01	−0.07	65.5	13.8[15]	2560[17]
7	Czech Republic	Europe	6.7	6.68	6.67	6.66	6.63	−0.02	−0.26	70.1	11.6[15]	3,529[18]
8	Poland	Europe	6.61	6.63	6.63	6.64	6.62	0.00	0.04		6.9[15]	10,100 (26.6 per 100,000 inhabitants) [19][20]
9	Lithuania	Europe	7.28	7.22	6.97	6.69	6.56	−0.18	−2.65	73.2	15.5[15]	~1000 [21]
10	France	Europe	6.28	6.20	6.13	6.06	5.98	−0.08	−1.23	75.6	11.6[15]	9,236(2006)[22] 7,007 (2009)[23]
11	Slovakia	Europe	5.8	5.79	5.75	5.78	5.82	0.01	0.08	67.8	9.2[15]	600[24]
12	Belgium	Europe	5.93	5.85	5.83	5.76	5.76	−0.04	−0.73	81.8	15.9[15]	Un­known
13	Latvia	Europe	5.8	5.66	5.69	5.72	5.57	−0.06	−1.03	71.1	9.7[15]	Un­known
14	Hong Kong	Asia	5.4	5.4	5.4			0.00	0.00		7.1[9]	Un­known
15	Estonia	Europe	5.01	5.01	4.96	4.76	4.69	−0.08	−1.68	70.4	14.6[15]	Un­known
16	Luxembourg	Europe	5.17	5.05	4.93	4.81	4.66	−0.13	−2.63	70.7	24.8[15]	Un­known
17	Switzerland	Europe	4.68	4.58	4.58	4.55	4.53	−0.04	−0.82	82.0	11.0[15]	Un­known
18	Slovenia	Europe	4.55	4.54	4.51	4.49	4.50	−0.01	−0.28	69.5	6.4[15]	Un­known
19	China	Asia	3.31	3.57	3.82	4.05	4.34	0.26	6.55		3.6[9]	Un­known
20	Greece	Europe	4.24	4.24	4.25	4.20	4.21	−0.01	−0.18	61.6[15]	9.5[25]	Un­known
21	Australia	Oceania	3.74	3.79	3.82	3.84		0.03	0.88		9.1[26]	1314[27]
22	Norway	Europe	3.86	3.84	3.76	3.68	3.60	−0.07	−1.76	80.7	8[15]	800[28]
23	Portugal	Europe	3.39	3.32	3.37	3.39	3.39	0.00	−0.01	66.8	4.2[15]	1,400[29]
24	Netherlands	Europe	4.18		3.52	3.44	3.32	0.00	0.00	65.4	6.4[15]	Un­known
25	Finland	Europe	4.87	4.53	4.35	3.97	3.28	−0.40	−10.56		6.1[15]	Un­known
26	Italy	Europe	3.31	3.21	3.20	3.17	3.18	−0.03	−1.01	78.9	12.5[15]	5,324 (January 2020) [30] 5,000 (8.3 per 100,000 inhabitants)[12]
27	Iceland	Europe	3.22	3.16	3.12	3.13	3.06	−0.04	−1.29		9.1[15]	Un­known
28	Israel	Asia	3.09	3.08	3.03	2.99	3.02	−0.02	−0.58	93.3		Un­known
29	Spain	Europe	2.96	2.97	2.98	2.97	2.97	0.00	0.08	75.3	9.7[15]	Un­known
30	Ireland	Europe	2.56	2.57	2.92	2.97	2.96	0.10	3.43	94.9	6.5[15]	Un­known
31	Turkey	Europe	2.65	2.68	2.68	2.75	2.81	0.04	1.45	68.0	46.5[31]	17,000[32]
32	United States	North America	2.89	2.83	2.80	2.77		−0.04	−1.42	64.0	29.4[33]	177,000[34] 68,000[12] (18.8 per 100,000 inhabitants[12])

 

https://en.wikipedia.org/wiki/List_of_countries_by_hospital_beds

 

**Good job finding a stat that leaves out the whole picture but helps your argument though.**

[DevoHusker]

2 hours ago, RedDenver said:

An unhinged rant about how the left wants to kill people very not convincing.

 

He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare.

He may be wrong (I don't know) but he is definitely not unhinged. Well written and thought provoking. 

 

It is nigh on 2 years old, so who knows.

[Ratt Mhule]

 

[Archy1221]

4 hours ago, deedsker said:

Apparently we only care about people about to die...

 

https://en.wikipedia.org/wiki/List_of_countries_by_hospital_beds

 

**Good job finding a stat that leaves out the whole picture but helps your argument though.**

The US has more than plenty hospital bed capacity.  That isn’t an issue here.  
 

the more important component is Critical Care Beds.  One big reason Italy was such a mess. 
 

If you would like to argue otherwise, feel free

[RedDenver]

16 hours ago, DevoHusker said:

He may be wrong (I don't know) but he is definitely not unhinged. Well written and thought provoking. 

 

It is nigh on 2 years old, so who knows.

It's a twitter rant where he appeals to authors of bills being "creepy". It's some of the dumbest sh!t I've read about healthcare.

[Archy1221]

56 minutes ago, RedDenver said:

It's a twitter rant where he appeals to authors of bills being "creepy". It's some of the dumbest sh!t I've read about healthcare.

Ezekiel literally suggests to take potential  health care resources away from those who hit 70+ years old because their value to society isn’t as great as the working age group.  Ya that’s kinda “creepy”. 
 

This guy’s “rant” about his own child’s experience with the current healthcare system that saved his life would not be considered dumb s#!t by normal human standards.  

[RedDenver]

4 minutes ago, Archy1221 said:

This guy’s “rant” about his own child’s experience with the current healthcare system that saved his life would not be considered dumb s#!t by normal human standards.  

I'm guessing the normal humans that can't afford the care that his son got would consider his rant dumb sh!t.

[Archy1221]

13 minutes ago, RedDenver said:

I'm guessing the normal humans that can't afford the care that his son got would consider his rant dumb sh!t.

I’ve posted where people can go for free Healthcare, you just choose to put your head in the sand and ignore it.  So ya it’s dumb s#!t 

[RedDenver]

19 minutes ago, Archy1221 said:

I’ve posted where people can go for free Healthcare, you just choose to put your head in the sand and ignore it.  So ya it’s dumb s#!t 

The Americans dying because they can't afford medical care

 

More than 26 000 Americans die each year because of lack of health insurance

 

'Kids are falling off': Why fewer children have health insurance now

 

(From before ACA passed) New study finds 45,000 deaths annually linked to lack of health coverage: Uninsured, working-age Americans have 40 percent higher death risk than privately insured counterparts

 

Key Facts about the Uninsured Population

[Archy1221]

1 hour ago, RedDenver said:

The Americans dying because they can't afford medical care

 

More than 26 000 Americans die each year because of lack of health insurance

 

'Kids are falling off': Why fewer children have health insurance now

 

(From before ACA passed) New study finds 45,000 deaths annually linked to lack of health coverage: Uninsured, working-age Americans have 40 percent higher death risk than privately insured counterparts

 

Key Facts about the Uninsured Population

Want Obamacare sold as giving insurance to everyone in the country?