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Old June 23rd, 2017, 10:22 AM   #1
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Post Patients May Face Big Bill Markup in ER, Study Finds

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According to a recent study published in JAMA Internal Medicine, the cost of emergency medical care varies widely from one hospital to another in the United States — and many charge exorbitant markups.

The research team that published the study analyzed billing records for 12,337 emergency medicine doctors from 2,707 hospitals across all 50 states in 2013.

Additionally, they found that emergency departments charged an average markup of 340 percent on Medicare allowable amounts.

The Medicare allowable amount is the sum of what Medicare reimburses for a service, the deductible and coinsurance paid by beneficiaries, and any amount that a third party is responsible for covering.

Some people think that Medicare allowable amounts are set too low.

But Dr. Martin Makary, MPH, the study’s senior investigator and a professor of surgery at Johns Hopkins University School of Medicine suggested they reflect the true costs of providing care.

“The reality is, the vast majority of medical centers do accept Medicare patients, which tells us they likely find those patients profitable to them,” he told Healthline.

“Therefore, what Medicare is paying them is probably somewhere close to the actual cost of delivering that service. It’s either similar or higher than the true cost to the hospital.”

His research team found that hospitals in neighborhoods with higher proportions of uninsured, African-American, and Hispanic patients tended to charge higher markups.

While they don’t know why that’s the case, Makary is concerned about how it may impact community members and contribute to healthcare disparities.

“This problem is a real problem,” he said. “And it’s crushing everyday Americans.”
Expensive Emergency Room Bills

There is a real problem with healthcare costs in this country.
What we (individual citizens) pay compared to what we actually get? Puts us well below other modern countries.

The "free market" is not the solution, despite what some right-wingers repeat like cultists.
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Old June 23rd, 2017, 08:26 PM   #2
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Originally Posted by foundit66 View Post
Expensive Emergency Room Bills

There is a real problem with healthcare costs in this country.
What we (individual citizens) pay compared to what we actually get? Puts us well below other modern countries.

The "free market" is not the solution, despite what some right-wingers repeat like cultists.
It can not be free market if government is paying for it. This is a example of what is wrong with college tuition as well. As long as institutions keep raising the price of tuition, the government will pay for it through student loans or military vouchers or other forms of subsidies. Hospitals are no different. They will continue to raise the rates, and people on medicare will continue to use emergency rooms as Dr. offices.
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Old June 24th, 2017, 12:54 PM   #3
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Originally Posted by username View Post
It can not be free market if government is paying for it. This is a example of what is wrong with college tuition as well. As long as institutions keep raising the price of tuition, the government will pay for it through student loans or military vouchers or other forms of subsidies. Hospitals are no different. They will continue to raise the rates, and people on medicare will continue to use emergency rooms as Dr. offices.
Shh...progressive economics 101. The state has unlimited resorces and there are no negative repercussions to utilizing them.
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Old June 24th, 2017, 01:07 PM   #4
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As somebody with a spouse who has student loans for schooling from B.A through Ph.D, I can tell you the government does NOT pay for student loans.

Jon didn't go to college until he was 40, so even though we're retired now, we're still paying off his 9 years of college. The government LOANED the money - they didn't pay for it.
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Old June 24th, 2017, 01:20 PM   #5
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As somebody with a spouse who has student loans for schooling from B.A through Ph.D, I can tell you the government does NOT pay for student loans.

Jon didn't go to college until he was 40, so even though we're retired now, we're still paying off his 9 years of college. The government LOANED the money - they didn't pay for it.
Yes, the state does "loan" out a % of that but they are risky loans that if they were not backed by the state would never be made furthermore the subsidized amout keeps growing as to tuitions.


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The federal government has boosted aid to families in recent decades to make college more affordable. A new study from the New York Federal Reserve faults these policies for enabling college institutions to aggressively raise tuitions.

The implication is the federal government is fueling a vicious cycle of higher prices and government aid that ultimately could cost taxpayers and price some Americans out of higher education, similar to what some economists contend happened with the housing bubble.

https://www.google.com/amp/s/www.for...e-tuition/amp/
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Old June 24th, 2017, 01:21 PM   #6
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It can not be free market if government is paying for it. This is a example of what is wrong with college tuition as well. As long as institutions keep raising the price of tuition, the government will pay for it through student loans or military vouchers or other forms of subsidies. Hospitals are no different. They will continue to raise the rates, and people on medicare will continue to use emergency rooms as Dr. offices.
Education and Health Care are not well suited to market solutions.
These are two areas where the government can do a better job for less money.

That is what all the data points to.
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Old June 24th, 2017, 01:25 PM   #7
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Education and Health Care are not well suited to market solutions.
These are two areas where the government can do a better job for less money.

That is what all the data points to.
The real life evidence disagrees w/ your POV. Education in the states has been becoming more and more expensive w/ decrease in quality since the state has gotten involved.
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Old June 24th, 2017, 01:30 PM   #8
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It can not be free market if government is paying for it. This is a example of what is wrong with college tuition as well. As long as institutions keep raising the price of tuition, the government will pay for it through student loans or military vouchers or other forms of subsidies. Hospitals are no different. They will continue to raise the rates, and people on medicare will continue to use emergency rooms as Dr. offices.
And Republicans in Congress want to increase that traffic to the emergency rooms, while cutting the funding for those bills at the same time.

Which explains why the AARP, and National Hospitals Association is against both bills the Republicans have put forward.

Healthcare isn't about free markets.

Used care sales is about free markets.

Healthcare is about not getting sick and dying.

So you can be healthy enough to participate in the free markets.

Your idea of health care has already been proven a failure.

Which is why the Affordable Care Act was passed.

The country will not be returning to the days before the Affordable Care Act.

At worse, Republicans will be a temporary bump in the road in that endeavor.

And then the free marketers will rue the day when single payer comes to town.

And nobody will shed a tear that billions in profits will be lost to the private healthcare industry.

And if leaving the country appeals to you. Here's the bad news.

Every other country you might possibly want to escape to already has single payer health care.

Sucks to be a for profit health care whore huh?
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Old June 24th, 2017, 01:39 PM   #9
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The real life evidence disagrees w/ your POV. Education in the states has been becoming more and more expensive w/ decrease in quality since the state has gotten involved.
In America, the state got involved involved in education beginning in 1635.
Are you saying that prior to 1635, education was better?
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Old June 24th, 2017, 06:07 PM   #10
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Originally Posted by goober View Post
In America, the state got involved involved in education beginning in 1635.
Are you saying that prior to 1635, education was better?


Lol. Talk about stretching something so far it becomes ridiculous. That is hilarious.
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