Obamacare Survives SCOTUS

#301
#301
I think we can all agree that the medical industry is raping our asses for as much as they can. Everyone has a story about how they were ripped off by doctors or insurance companies or drug companies.
 
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#302
#302
VolStrom said:
I think we can all agree that the medical industry is raping our asses for as much as they can. Everyone has a story about how they were ripped off by doctors or insurance companies or drug companies.
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The crazy thing is for all the money that pours into to system, the ones that have the best parking spots and the nicest cars are the 9-5 non-clinical personnel. If we did away with all the non-essential, profit-driven “business” side of the industry and paid the people actually putting in the clinical work, the consumer would pay much less and there wouldn’t be this issue of profitability vs what’s best for the patient (which is always at odds).
 
#303
#303
OHvol40 said:
The crazy thing is for all the money that pours into to system, the ones that have the best parking spots and the nicest cars are the 9-5 non-clinical personnel. If we did away with all the non-essential, profit-driven “business” side of the industry and paid the people actually putting in the clinical work, the consumer would pay much less and there wouldn’t be this issue of profitability vs what’s best for the patient (which is always at odds).
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You really are a jealous bitter person lol. And are you suggesting that physicians and nurses are not paid well?
 
#304
#304
OHvol40 said:
The crazy thing is for all the money that pours into to system, the ones that have the best parking spots and the nicest cars are the 9-5 non-clinical personnel. If we did away with all the non-essential, profit-driven “business” side of the industry and paid the people actually putting in the clinical work, the consumer would pay much less and there wouldn’t be this issue of profitability vs what’s best for the patient (which is always at odds).
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even not-for-profits need some non-clinical to navigate the maze of regulations and billing issues among other things (medical error, HR, etc). Likewise, even not-for-profits have to manage payer-mix in order to have inflows exceed outflows. No margin; no mission.

profit seeking is NOT always at odds with the best interest of the patient
 
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#305
#305
Rickyvol77 said:
You really are a jealous bitter person lol. And are you suggesting that physicians and nurses are not paid well?
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I think he's pointing out that the people that make the most are adminstrators and not the doctors and nurses.
 
#308
#308
VolStrom said:
Everything is about money. Nobody GAS about costs.
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I'd flip that around for a hospital - for them everything is about costs and if they can't generate enough revenue they are SOL. If they don't attract enough patients with premium insurance to cover the patients with Medicare/Medicaid then they will not survive. With each new set of government regulations, costs grow along with costs of compliance.
 
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#310
#310
OHvol40 said:
The crazy thing is for all the money that pours into to system, the ones that have the best parking spots and the nicest cars are the 9-5 non-clinical personnel. If we did away with all the non-essential, profit-driven “business” side of the industry and paid the people actually putting in the clinical work, the consumer would pay much less and there wouldn’t be this issue of profitability vs what’s best for the patient (which is always at odds).
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A bureacracy of millions of unaccountable is certainly not the answer.
 
#311
#311
volinbham said:
I'd flip that around for a hospital - for them everything is about costs and if they can't generate enough revenue they are SOL. If they don't attract enough patients with premium insurance to cover the patients with Medicare/Medicaid then they will not survive. With each new set of government regulations, costs grow along with costs of compliance.
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Hence the slippey slope of socialized med
 
#313
#313
I used to go to the old St Mary's Hospital for wound care, before it was bought by Tennova. As they were closing out accounts for the changeover, I got hit by a $25k charge for out of state treatments.

According to Blue Cross/Blue Shield, I was magically being transported from Knoxville, TN to Cincinnati, OH when I stepped in the procedure room. That doctor's billing was out of Cincinnati, that's it. It took almost six months to convince BC/BS that transporter technology didn't exist.

Then there's DeniedIt Health Care...
 
#314
#314
volinbham said:
even not-for-profits need some non-clinical to navigate the maze of regulations and billing issues among other things (medical error, HR, etc). Likewise, even not-for-profits have to manage payer-mix in order to have inflows exceed outflows. No margin; no mission.

profit seeking is NOT always at odds with the best interest of the patient
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1st, not-for-profit means basically nothing in this country, it’s mostly a tax shelter like churches use. The largest employer in the my state is UPMC (University of Pittsburgh medical branch) and they are technically non-profit… it’s a sham.

2nd, Yeah, SOME non-clinical personnel are required for critical functions, but if you did away with medical coding, bill collections, medical sales, etc then you could drive down costs considerably.

3rd, profit seeking isn’t ALWAYS at odds with what’s best for the patient, but it is all too often. If you only knew how hard doctors and nurses and allied health professionals had to fight to get basic materials that make a huge difference in patient care that are often denied because of “cost containment” you’d be staggered.
 
#316
#316
OHvol40 said:
An unchecked system steeped in huge profit margins on the backs of sick people isn’t either.
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What’s for damn sure not going to help is letting the government take it over and administer it. I think you’re an M4A advocate and attacking for profit fits that view. No damn way the government could even match the horrible efficiency we get today out of the current network.
 
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#318
#318
volfanhill said:
Median health insurance companies profit margins is about 3%
Median hospital profit margins in 2020 was around 2.5%
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Yes but if the government ran it then all funds would be returned to the tax payers with zero net profit and thus the costs would go down while maintaining the same quality of service… right?
 
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#319
#319
volfanhill said:
Median health insurance companies profit margins is about 3%
Median hospital profit margins in 2020 was around 2.5%
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We can all agree, I believe, that 2020 isn’t a great measuring stick for any business, especially hospitals. Even so, what’s the dollar amount on those numbers?
 
#320
#320
OHvol40 said:
We can all agree, I believe, that 2020 isn’t a great measuring stick for any business, especially hospitals. Even so, what’s the dollar amount on those numbers?
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Irrelevant. Margins are always weighed by % as that’s the only way to scale up or down in size when comparing businesses. And I’d probably run like hell from a business with razor thin margins like that in almost any market other than healthcare. People are always gonna get sick though. Especially last year and with Uncle Sam picking up the tab on COVID I’d guess hospitals did just fine.
 
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#321
#321
OHvol40 said:
We can all agree, I believe, that 2020 isn’t a great measuring stick for any business, especially hospitals. Even so, what’s the dollar amount on those numbers?
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It was a 56% decline from 2019. So those booming mid 3% margins. In 2018 operating profit was lower then 2020. It's like when posters say if the ceo of McDonlads took a pay cut he could pay his employees more. Sure. A couple cents more.
 
#322
#322
NorthDallas40 said:
An interesting deflection away from overly burdening Americans on paying for healthcare they don’t want or need which is what louder is pointing to
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Everyone wants Healthcare and no one needs it, until they need it. Just admit you're in it for yourself and that the less fortunate can f*** themselves. America being "great" is just a catchphrase for you guys, you have no real interest in making a sacrifice for others.
 
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#323
#323
LouderVol said:
Plenty of ways to do that beyond what you are pushing down everyone's throats.
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Remind me, what is it I'm "pushing down your throats?"

I've clearly stated the ACA is bad and the status quo was bad. I'm pointing out reality and facts, not trying to sell you on a solution.
 
#324
#324
Septic said:
Everyone wants Healthcare and no one needs it, until they need it. Just admit you're in it for yourself and that the less fortunate can f*** themselves. America being "great" is just a catchphrase for you guys, you have no real interest in making a sacrifice for others.
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Lulz. So emotional. I’ll admit I pay a crap ton for healthcare and I pay considerably more now than I did five years ago for the same level of access and use so yeah you’re damn sure I want to reverse my costs. What idiot wouldn’t want to do that FFS? … oh …

Give the virtues signaling BS a rest nobody is buying it.
 
#325
#325
LouderVol said:
Sounds like I am proposing ideas you are too lazy to bother to understand in favor of the failed familiar that will work this time if we just believe hard enough.
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Please. What ideas have you posited that will result in ALL Americans being covered without additional cost? Tell you what, write your congressman with your idea and collect your Nobel prize in economics on your way to the ceremony where I kiss your ass.
 
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