• KISSmyOS@feddit.de
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    9 months ago

    The “healthcare” system isn’t broken, it works perfectly.
    You’re just mistaken about what its purpose is.

    It’s one of the most beautiful examples of capitalism working as intended: When you’re hurting or dying, your demand for healthcare is unlimited, and you’re in no position to compare prices or services, so cost is determined by the maximum amount that can be squeezed out of you during your remaining lifetime.

    • WaxedWookie@lemmy.world
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      9 months ago

      To spell out the point here - healthcare isn’t the point of the healthcare industry under capitalism - profit is. Any healthcare delivered is going to be the bare minimum required to separate you from your money.

      • End0fLine@programming.dev
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        9 months ago

        I’ve worked in hospital systems since I graduated from college. There has been one meeting (out of all the meetings!) that I have absolutely never forgotten due to something that was brought up.

        They thought it was super cool to talk about how much cash our new surgical center was bringing in. I know it was small in the scheme of things, but in my head a hospital should be super happy when they don’t have to perform surgery on a person. They shouldn’t be happy to perform surgery so that they can make money.

        • MayTheBananaBeWithYo@lemmy.world
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          9 months ago

          For me it was a quarterly town hall with hospital leadership and they kept pushing “we are a business…” and all I could think was “no, we are a hospital…” because being a business is indicative of being profit motivated. I know, I know, that’s exactly what it is, but it just really bothered me to hear that line over and over.

        • nybble41@programming.dev
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          9 months ago

          When you have an actual functioning competitive market the money you bring in correlates with the value of the service you provide, so it makes perfect sense to be happy about the money the new surgical center is bringing in. That means it’s useful.

          The problem is that the health care market is regulated and subsidized in so many ways, many of them conflicting with each other, that competition is very limited and price discovery is reduced to “whatever the patient (and their insurance) can afford to pay” since they can’t go anywhere else. Fix that and there won’t be any reason for hospital owners or employees to feel guilty about making money.

      • jeffw@lemmy.worldM
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        9 months ago

        Most healthcare systems in the US are non-profits. To run a non-profit, you still need revenue to operate no matter where you are or what you do. They have to pay their own bills just like anyone else.

        Bring on the downvotes. Then go ahead and take all of your local hospital’s funding and see what happens.

        Edit: maybe people misunderstood my point? People are replying and saying that profit shouldn’t be part of healthcare. Yes, but that doesn’t solve the problem of funding. Every hospital gets money. Pick your favorite country, the hospital still gets money.

        • skulblaka@startrek.website
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          9 months ago

          Yeah that’s not what it’s about at all. Hospitals need funding. Hospitals do not need a profit motive. Remove the profit motive and socialize the costs of healthcare. Just like every civilized country does it.

          • jeffw@lemmy.worldM
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            9 months ago

            You say I’m wrong and then you go on to reiterate my exact point about money. Hospitals require funding and they are funded in every developed nation. Nonprofits do not have a profit motive. They argue with your insurance company for more money, just like every other developed nation, regardless of whether it is directly single payer or a system like Germany or Japan, which largely rely on private companies.

            • jpreston2005@lemmy.world
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              9 months ago

              you’re arguing for profit to remain a focus within the healthcare industry. That’s anti-people, and why everyone is downvoting you. Everyone knows a hospital requires funding, we just want our tax dollars to pay it.

              • jeffw@lemmy.worldM
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                9 months ago

                You’re putting words in my mouth. I never said that. I said anything needs money to run, even a nationalized system or a single payer system.

          • jeffw@lemmy.worldM
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            9 months ago

            Did you have an actual response to the fact that hospitals need funding?

            • the post of tom joad@sh.itjust.works
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              9 months ago

              The short answer is no. You may stop reading now as the next sentence is similar to the last one.

              If it wasn’t clear to you, I’m busy dismissing your opinion as uninformed and without merit. It is clearly, objectively wrong, and the idea that you deserve a voice in this discussion with the level of information you own currently? Patently ridiculous.

              Your sense of self worth would be admirable is it weren’t so misplaced.

    • pdxfed@lemmy.world
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      9 months ago

      One of the most perfect parts of how powerful lobbies constructed it is that, unaffordable as it is, there IS no free market for care, you are forced into networks and PPOs, etc. so if someone DID offer a better price outside of your consumer funnel(sorry, insurance plan), your insurer would just deny the claim at the providers standard 20x cost price for uninsured procedures. Also, 100% price obfuscation so comparison shopping is impossible. It is end-game capitalism.

    • Wanderer@lemm.ee
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      9 months ago

      That’s not how capitalism is meant to work at all.

      Its obviously and uncompetitive market and something needs to change.

  • _haha_oh_wow_@sh.itjust.works
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    9 months ago

    Yeah, no shit. I have a full time job, supposedly great health insurance, but I still can’t actually afford to go to the doctor (never mind an ER). You’re God damn right the healthcare system is broken!

      • na_th_an@lemmy.world
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        9 months ago

        I remember when my dad lost his job around 2002. I was a little kid and my mom told me to be careful when I’m playing outside, because if I broke my arm we could lose our house. That’s something I don’t think should ever be a reality, or something that parents or children should worry about in a functioning country.

      • Vanon@lemmy.world
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        9 months ago

        Yes, but longer. It’s absurd. Not sure exactly when premiums really got out of control, though. There’s probably a good chart out there.

        Democrats tried to fix this almost… 15 years ago (“thanks Obama”). Critical failure: no Medicare option for all. Most civilized democracies implemented right to free care 30+ years ago, should’ve been easy to follow. (Then higher education as well.) For-profit health insurance companies and their armies of lobbyists are evil and should be burned to the ground.

        • theneverfox@pawb.social
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          9 months ago

          The worst part is Obamacare wasn’t even good - it was a huge compromise with insurance companies… Before it was further compromised and sabotaged. It came out of the heritage foundation after all - everything they come up with is some way to cause mass suffering to make a few people a lot of money

          On the pro column, they gave up preexisting condition rejections - definitely good - and increased child coverage to 25 - which is nice to have I guess. It also made it easier to get health care not coupled to your job. Which would be great, except insurance gives you so much less protection at this point that people aren’t much better off than they were uninsured before

          On the minus side, they came up with standards of care, which creates so much documentation it drove most of private practice out of business, forcing them to join healthcare systems. It’s as much as 2-4x as much time doing paperwork as seeing patients, and then the doctor has to negotiate with the insurance company back and forth on a case by case basis.

          And healthcare systems are basically regional monopolies, which is why costs ballooned so ridiculously. It was always bad in this country, but nowhere near this bad.

          They also overwork doctors, which is probably a big part of why outcomes are getting worse - they’re running healthcare as a business. People who have zero healthcare training are min-maxing health system policies to make line go up

          Not to mention, the one big win was supposed to be a public option on the healthcare marketplaces - the idea is you get something like a government run, at-cost insurance company. That was going to be the base line - private competition with “government inefficiency”

          It’s all just such a shit show - the solution is so simple too. Insurance does three things - it collects a little money from a lot of people to cover big costs from the minority who suddenly needs a lot of it. It uses economies of scale/collective bargaining to keep costs down on the provider side. And it has to have enough bureaucracy/oversight to keep embezzlement/fraud/kickbacks at sustainable levels (you don’t even have to stop it, you could just keep good records and watch for large scale offenders, and come down on them hard)

          All of those things are better done without a profit incentive, and they work better the more people are in this kind of union… It’s mind boggling that people don’t understand how straightforward it is.

          Hell, know what happens when a homeless man comes into the ER and racks up a 6 figure bill because they couldn’t afford treatment until they’re at deaths door? The hospital doesn’t just eat the cost, we all pay for it collectively anyways

        • the post of tom joad@sh.itjust.works
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          9 months ago

          Because i think you’re the thinking sort, I suggest you Google ‘how Democrats sabotaged Obamacare’ or similar, select a source or sources you trust and see what you take away from your reading.

          Edit: look… I don’t give a single shit about downvotes, what i want is for you to see… Just do it. Don’t be afraid. Do it, and see for yourself

          • Vanon@lemmy.world
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            9 months ago

            In my view it was similar to the recent Manchin / Sinema travesty. Zero Republican votes, plus some very cowardly or corrupt “centrist Democrats” that neuter or kill bill. A classic recipe for disappointment.

            • the post of tom joad@sh.itjust.works
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              9 months ago

              You are right. It was eerily similar. There was even a single scapegoat! His name was Ben Nelson, and he was a former insurance executive.

              He joined politics for a few years, vsinglehandedly destroyed the public option, and then quit public service.

              Makes you think, huh?

    • metaStatic@kbin.social
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      9 months ago

      all insurance is a scam but any insurance that doesn’t cover you for the only thing it’s selling is also fraud.

    • threeduck@aussie.zone
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      9 months ago

      Our (Australian) right wing government stopped increasing the amount they pay doctors when people visit, and the new left wing government isn’t doing anything either.

      So now I have to “co-pay” $30 whenever I visit, when it used to be free. I found that so outrageous that next time, I’m travelling half an hour to go to a clinic that still “bulk bills” (read: doesn’t charge the patient).

      If I was an American I think I’d just die of rage. I wonder how much that’d cost me.

      Edit: Oops, turns out our new left wing government just recently INCREASED the GP payment rate, so hopefully we’ll see more bulk billing places return.

      • dotMonkey@lemmy.world
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        9 months ago

        I hope the number of bulk billing places starts to increase again. I get scared thinking about how we’re becoming more and more like the US.

  • dynamojoe@lemmy.world
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    9 months ago

    Fucking tired of people who suddenly see a problem when a) it happens to them or b) when they’re no longer relying on the problem for their income.

    • Daft_ish@lemmy.world
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      9 months ago

      It’s the republican way. They live in delusion land and when reality hits them in the face they get all pissy about it.

      • Jim_Just_Jim@lemmy.world
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        9 months ago

        If it were exclusively the “Republican way” then this issue could have been resolved at several inflection points throughout US history.

        It’s not a problem exclusive to any political party. It’s a problem because people like money. That’s the end of it. Politicians invest in corporations. Lobbyists provide kickbacks to politicians. Politicians bias their legislation to ensure maximum personal profit.

        To isolate this issue to any particular political party or orientation is to perpetuate it.

        Blame all of them. And vote accordingly.

        • Burn_The_Right@lemmy.world
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          9 months ago

          Most Democrat politicians are conservatives by every international standard. They are often called neoliberals.

          The reason we have a corporatocracy and do not have a legitimate healthcare system is because of conservatives, many of whom are Democrat neoliberals, unfortunately. We don’t have a progressive party. We have a conservative party and a more conservative party.

          We need progressive minded non-politicians to say “fuck it” and run for office. If Boebert, Gomert, and Santos can do it, literally ANYONE can.

          Looking for work? Run for office. The less of a politician and more of an honest progressive you are, the more needed you are! Do it! Do it now!

        • Sami_Uso@lemmy.world
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          9 months ago

          We act like these politicians are not friendly with each other regardless of D or R. Like they aren’t getting together in DC bars just like we do after work and joking around about the bills they blocked today or the votes they were able to get. They don’t care. They’re all on the same side they just have to appease different groups of people at home.

          We have a long way to go, man.

        • Zeppo@sh.itjust.works
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          9 months ago

          He was appointed to positions by Pence in Indiana and then Trump, but he has kept his public life to being about a doctor and not politics. Overall he was possibly the most respectable member of the Trump administration.

      • Buffaloaf@lemmy.world
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        9 months ago

        Sometimes, it still doesn’t hit them though. They’ll get a $20,000 bill and say “thank God I don’t live in Canada or this would be even worse!”

        • ripcord@lemmy.world
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          9 months ago

          “In shithole countries like Europe I’d just have died! Probably still waiting to see the doctor!”

    • INHALE_VEGETABLES@aussie.zone
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      9 months ago

      “If I’m in this situation with my knowledge and with my financial resources and with my bully pulpit, then the average Joe doesn’t stand a chance. The system is just broken,” Adams said.

    • blazeknave@lemmy.world
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      9 months ago

      I mean… that’s kind of why we never stop ranting and raving… To force them to find new sources of compassion and to find empathy for the other which they weren’t taught by their family of origin. I’m tired of dealing with half the country being raised like thoughtless sociopathic fucking savages and eating the poor and each other.

    • EnderMB@lemmy.world
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      9 months ago

      To be fair to him, it seems to be a common thread with many in the medical profession, probably because they dedicate themselves to a system that is fundamentally broken. Even the likes of Doctor Mike (Medical YouTuber, whose content I really enjoy) have painted things like universal healthcare in a way that highlights the problems without painting the full picture of why (systemic underfunding to push privatisation).

      I don’t want to excuse it, but it’s a very common problem that few want to address in the field.

      • Ranvier@sopuli.xyz
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        9 months ago

        I think doctors know as much if not more than anyone how broken the system is and how it constantly fails people, disagreements more about what to do about it and fears about change.

        And there’s certainly some physicians organizing in support of single payer.

        Physicians for a National Health Program

        A lot of doctors are concerned about how much say or influence they would have in such a health system, but hey not like they have much as it is as everything has become giant conglomerates run by MBAs and private equity, so not much to lose. At least government is theoretically beholden to the people.

      • Tamo240@programming.dev
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        9 months ago

        Doctor Mike lost any respect I had for him after his behaviour during the pandemic. He is a content creator far above being an actual medical professional.

          • Tamo240@programming.dev
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            9 months ago

            From wiki:

            On November 12, 2020,[20] for his 31st birthday, Varshavski traveled to Miami to attend a beach party that was also attended by a number of other people without masks, during the COVID-19 pandemic. Footage of the event was posted on Instagram and went viral, particularly on Reddit.[21] On November 18, Varshavski apologized for his actions in a YouTube video,[22] saying he “messed up” and he needed “to do better”.[23] His attendance of the party was criticized by medical professionals. Bioethicist Arthur Caplan, director of the division of medical ethics at NYU Langone Health, said Varshavski “fails completely in being an appropriate role model and he should be called out, and he deserves even more criticism than he’s getting so far.”[23]

  • Jim_Just_Jim@lemmy.world
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    9 months ago

    “Rich person doesn’t understand how to save money!”

    Haha what a joker. Everyone knows you don’t go to the ER for lightheadedness. You gotta self medicate, use WebMD, and ride that wave until you can get seen by your grandmama, your buddy who’s a volunteer 1st responder, your friend’s wife who’s a nurse, or, if push comes to shove, the N.P. at the CVS Minute Clinic.

    You never go full E.R. Gotta clip those coupons.

    (Tongue in cheek.)

  • Underwaterbob@lemm.ee
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    9 months ago

    A couple years ago, I ended up in an ambulance due to what turned out to be a small urethra stone. At the hospital, I had an x-ray. When that didn’t find the problem, they gave me a CT scan. Once they found the stone, they called in a urologist. I got a consultation, prescription, passed the stone later that day (it was tiny), and recovered very quickly. My total bill was 243’000 Korean won - just about $200 USD. I only had the mandatory insurance that was paid for by my employer. Something to the tune of $50 a month that they are legally required to pay.

    The US’s system is completely fucked. Broken beyond repair. I wish them luck.

        • KevonLooney@lemm.ee
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          9 months ago

          In other countries, the ambulance is free. They’re just sitting there waiting around unless you use them, like firefighters. It makes no sense why it costs so much.

          Do you ever have to decide if you want to call the fire department? No, it’s “see smoke, call fire department”.

      • Rakonat@lemmy.world
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        9 months ago

        US Medical Costs aren’t racked up by the complexity of the work or care being given, its by how many people are scheduled to see you, diagnose or provide care. Each of them has a set rate per appointment, so the 200,000 figure for a kidney stone that was confirmed by multiple different specialists is not far off. A broken arm at the ER is basically the trauma nurses, an emergency medical specialist, a surgeon or two, anesthesiologist and their respective teams. The more departments you get passed around to the more your bill goes up.

      • lolcatnip@reddthat.com
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        9 months ago

        Probably not for what OP described, but that’s pretty close to the amount they billed my insurance when I broke two bones in my arm.

      • STOMPYI@lemmy.world
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        9 months ago

        It’s the rich running this country. The political system is there to make the masses feel represented.

      • metaStatic@kbin.social
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        9 months ago

        I think you mean

        Working as intended
        -The owning class

        plenty of working class people could be considered rich and a medical bill would still upend their lives.

    • Dozzi92@lemmy.world
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      9 months ago

      They live on a different planet. Our representatives are completely out of touch and there’s no bringing them back. For the few good ones there are 99 career polticians out there carving out a niche for themselves and their families.

      • FontMasterFlex@lemmy.world
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        9 months ago

        99% agreed. I don’t believe there are currently any “good ones”. Everyone thinks “their guy” is going good and the rest suck and it’s why we never have change in the guard.

    • mellowheat@suppo.fi
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      9 months ago

      I think public healthcare generally speaking doesn’t work, but it sure would work a whole lot better if the people who decide things would have to use the exact same version of it. I think a hybrid (which seems to be more or less what every country is doing) is the worst of both worlds.

  • ExtraordinaryJoe@reddthat.com
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    9 months ago

    On February 14 I met my max out of pocket for the year. I had an upper and lower GI taken which is the bulk of the cost. My insurance is already refusing to cover some of my diabetes medication, because some people use it to lose weight (Mounjaro). I need it to keep my A1C levels under 10. I already weigh the ideal weight for my height. Because it’s so expensive and insurance doesn’t cover it, I will end up going without for the rest of the year. My old insurance covered it, but my company switched insurance in January. New insurance has never equaled better insurance. I’m so tired of insurance being tied to my job.

    • AA5B@lemmy.world
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      9 months ago

      I just want to make sure one of the options you tried was a different medicine. Doctors can be pretty good about playing the insurance game sometimes

      • JasonDJ@lemmy.zip
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        9 months ago

        I love how it’s some bureaucrats job to decide what medication is best for his needs. Not OP, who had been having desired results prior to his employer switching insurance, and not his PCP, who is more closely tied to his outcomes than anyone else.

    • spider@lemmy.nz
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      9 months ago

      Have you tried any online Canadian pharmacies? That’s what we had to do for a few of the scripts that were exorbitantly expensive here in the States.

      • ExtraordinaryJoe@reddthat.com
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        9 months ago

        This medication isn’t available on a lot of those sites. I’ve looked, but I haven’t checked Canada yet. I’ll give it a go soon.

  • jaschen@lemm.ee
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    9 months ago

    I paid 1200 USD a month for a family of 3 for my health insurance to have the privilege of paying more a hospital bill.

    I had to go to the ER because I slit my pinky on some glass and waited in the ER for 5 hours. They had to rip then dried blood and paper towel that was stuck on my finger because it took so long.

    After all that, I had to pay 3000usd of my own money which didn’t cover my minimum. Why DA FUCK DO I EVEN NEED INSURANCE!?!?!?

    The fucking nurse on staff that came to help me for a few minutes was not within my network. Ya fuck that hospital too.

    • spider@lemmy.nz
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      9 months ago

      The fucking nurse on staff that came to help me for a few minutes was not within my network.

      Oh, that’s unfortunately quite common in the States – the hospital itself might be in your network, but their own ER docs, etc. are technically contract employees who are not. So then you get out-of-network bills.

      Imagine trying to sort through all this when, for example, you’re having trouble breathing and need immediate medical care.

      It’s f**ked up, bad, and has been for years.

    • june@lemmy.world
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      9 months ago

      For small wounds like that I generally recommend an urgent care clinic over the ER. Way cheaper and they can handle that shit. Save the ER for proper trauma.

      • JasonDJ@lemmy.zip
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        9 months ago

        Sure. If the urgent care is open.

        God forbid you slice your hand open outside of regular business hours.

        I used to get some random unexplained swelling in one leg. My wife has a family history of blood clots. I don’t , but that doesn’t keep her from panicking, or from inciting my own panic. Only way to know for sure that it’s not a clot, as far as anyone told me, is imaging…sonograms specifically.

        I don’t think any urgent care around me has sonograms. It’s ER, or get PCP to refer out and have an appointment in 3 weeks.

        If you Google “Ultrasound Machine” and look at the shopping listings, you’ll find more than a few entire fucking machines that cost less than half of just one of those visits. And what did I have for that time? A few hours of waiting, interspersed with 5 minutes with an ultrasound tech, and 20 seconds with a doctor telling me (in the hallway) that nothing was wrong.

        • june@lemmy.world
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          9 months ago

          Yes, this was general advice. If there’s no urgent care open and you need to see someone more immediately, go to the ER. For a cut that needs stitches, you can probably wait for the urgent care to open.

    • jeffw@lemmy.worldM
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      9 months ago

      It’s illegal for them to send you a bill because a provider isn’t your network. One of the few good things passed under Trump. Lmk if you need any specific help or information in disputing that bill.

      Edit: assuming this ER visit happened on or after 1/1/2022. Or potentially earlier depending on your state.

      • jaschen@lemm.ee
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        9 months ago

        It has been years. I actually decided to move out of the USA. Paid the bill and decided to be more careful.

    • SeaJ@lemm.ee
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      9 months ago

      My wife had to go to the ER and we went to a hospital that was in network. The hospital is indeed in network but the fucking ER is a separate entity and was not. I guess we should have been better informed consumers. /s

      • Styxia@lemmy.world
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        9 months ago

        ER was in-network. The nurse and doctor was also in-network. The second nurse, who connected me to the ECG, and the person who read the ECG was not in-network. No way of knowing at the time. Balance billing was permitted in that state at that time, which out-of-network provider used to the full extent.

        I’m still salty about that.

        • nybble41@programming.dev
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          9 months ago

          That part is messed up. You shouldn’t be dealing with individual contractors as a patient. All billing should go through the hospital, and be considered in-network provided the hospital is in-network, regardless of what kind of specialist sees you there. Any exception, such as bringing in someone who doesn’t normally work there to treat a rare condition, should require separate and specific authorization from the patient in advance.

          • Styxia@lemmy.world
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            9 months ago

            Ridiculous isn’t it? I had my annual physical a few weeks back, which for me is filling an online form and having my blood pressure read and a few blood tests. $550, insurance pays for everything.

            Well. Almost. Turns out 2 of my blood tests were not covered by some healthcare bill passed in 2007. $267. And the mole I asked to be checked, billing code wasn’t covered as standard checkup, and so that question was $240. Mole was benign, and surprisingly didn’t result in some convenience fee.

      • jaschen@lemm.ee
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        9 months ago

        That is seriously fucked up.

        For me, I called my insurance on the phone while bleeding profusely and wanted to make sure I went to the right hospital. I still got hit with out of network bills.

      • Billiam@lemmy.world
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        9 months ago

        We have waits for specialists too. To get my vasectomy, I had to wait six weeks from my referral to my first consult, then another month from the consult to the actual surgery.

        And then I got a bill from the surgical center, a bill from the urologist, and a bill from the anesthesiologist, despite only going to one office for the whole thing.

        • PaleRider
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          9 months ago

          I’m in the UK. From my first enquiry to the operation was about the same…

          … but I didn’t get any bills after.

      • SeaJ@lemm.ee
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        9 months ago

        Where the fuck are you in the US that you do not have to wait for specialists? You living in Fantasy Land? Even a simple specialist like a dermatologist is a 2-3 month wait.

        • nonailsleft@lemm.ee
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          9 months ago

          Yeah I know, it was a cruel joke. But if you talk to a con about this, you’re sure to find this in their argument salad

        • jaschen@lemm.ee
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          9 months ago

          He said UK. We only wish we only needed to wait 2 weeks for a specialist.

      • jeffw@lemmy.worldM
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        9 months ago

        OECD data shows that wait times don’t significantly vary based on how a system is funded. The USA is just plain bad at wait times. That being said, the UK’s system is not the best example.

      • june@lemmy.world
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        9 months ago

        I just scheduled and appointment for my PCP. His next available is in June. Fucking 4 months for primary care.

        I’ll take wait times in the UK with no bill over this bullshit any day.

      • jaschen@lemm.ee
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        9 months ago

        Lol, we wish we could wait 2 weeks. My wife needed a tumor removed in her stomach and took 6 months.

  • FReddit@lemmy.world
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    9 months ago

    If he thinks five grand is a big hospital bill, he’s not living in the real world.

    • Jax@sh.itjust.works
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      9 months ago

      5 grand for something that can be fixed by quite literally buying salt and distilled water (obviously give or take a month, but that doesn’t matter). Idk where you live but that shit is cheap where I am.

      It’s not that 5 grand is a big bill. It’s that they’re charging 5 grand for salt water.

      • RGB3x3@lemmy.world
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        9 months ago

        Don’t go to the ER for dehydration. If it’s really that bad, find an IV lounge that can just give you an IV bag with some vitamins and maybe some meds.

        It’s like $150-$200, which I know is still expensive, but you don’t need insurance and it’s a quick in-and-out.

        When that dehydrated, injecting liquids is way more effective than drinking them.

        • Cataphract@lemmy.ml
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          I highly doubt he just felt a little parched and decided to go to the ER. I also wouldn’t suggest to others to diagnose themselves as dehydrated and go to an IV clinic (unless they perform medical check-ups from licensed physicians as well).

          In an interview Monday with Business Insider, Adams said he went to the ER in Scottsdale, Arizona, in January after he became lightheaded while hiking on a work trip.

          From his wiki he looks like a fit military figure who’s probably not had the many health complications (is also still in his 40’s). As a doctor himself and probably his colleagues around him (work trip), I imagine the recommendation is to get checked-up asap. It’s also kind of ironic you’re calling out the former Surgeon General and a licensed doctor while giving alternative medical advice lol.

          • RGB3x3@lemmy.world
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            It’s not even alternative medical advice though. You go to the ER for dehydration and they’re going to give you an IV of fluids and vitamins. I know because I’ve done it several times.

            Whatever the Surgeon General’s issue was, I’m sure he knew what was best for him and of course go to the ER if you’re that bad.

            But I’ve personally been in situations where an ER visit would have been warranted. I’m not talking just parched, it’s when I’ve been frequently vomiting for 18 hours every 20 minutes and severely dehydrated because of my migraines. But instead of needing the ER, it took 10 minutes to get an IV at an IV lounge that took care of it for far cheaper and quicker. And then I’m not taking up a bed from someone who could use it more.

            There’s nothing wrong with getting IVs because the people administering them are trained nurses. It’s not “alternative medicine” because it’s literally what the ER gives you.

            • Cataphract@lemmy.ml
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              lol sorry, I didn’t mean “alternative medicine”. I was referring to alternative (noun 1. One of a number of possible choices or courses of action) medical advice. Though, I haven’t looked into the claims the IV clinics make which might skew towards the “alternative medicine” side (ducked it, FTC has been going after a lot of them for false advertising). But, we’re talking strictly dehydration so that’s moot.

              I am glad that the clinics worked out for you and sympathize as well coming from a family with a history of migraines. If you have a diagnosed medical history with a common side effect and you personally decide to go treatment first without further investigation that is your personal choice (again, I have no clue what the intake is like at one of these clinics i.e. blood pressure, heart rate, etc). You are self-diagnosing though regardless in this instance, same as anyone taking some otc medicine for pain (which can be fatal like a gallbladder or mundane like some bloating). This seems like a case of a sudden-onset of symptoms which he hadn’t experienced before, which can happen as someone gets older. I took offense to your comment as the dehydration diagnosis didn’t come till after his visit, so “knowing” beforehand is a gamble in this situation and one I wouldn’t lightly pass onto others as good medical advice.

          • RGB3x3@lemmy.world
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            9 months ago

            Yeah, it’s actually kinda wild because the first time I went in, something about it felt illegal. But nope, they’re perfectly fine and a great way to treat dehydration, hangovers, migraines, general pain, nausea, etc. Anyone can walk in and use them.

            They’ve personally saved me several times when my migraines have gotten to their 10/10 point because the meds hit so much more effectively through IV than orally.

            • Jax@sh.itjust.works
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              9 months ago

              I’ve been considering starting a vitamin regiment and, after doing a little research based on the information you’ve given me, this seems perfect. How often do you go in?

        • wildcardology@lemmy.world
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          It is fixable with “salt water” he just didn’t know that at the time. That’s why he went to the ER to get checked out.

        • Jax@sh.itjust.works
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          9 months ago

          Saline, it’s fixed by saline.

          Saline is salt mixed with distilled water, after about a month you can use it.

          To your later comment, no your question is not an important one. You can’t figure out that salt/distilled water + a month of waiting ≠ 5000 dollars? Use your head.

    • systemglitch@lemmy.world
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      I’m living in the real world, most I’ve ever had to pay was parking and I guess a few bucks for meds. I remember how $100 for meds a fe years ago made me cringe.

      But I also live in a first world country, with first world problems.

      • Blackmist
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        9 months ago

        Two years ago my dad had a cardiac arrest.

        Resuscitation, ambulance ride, four stents, nearly a week in a coma in intensive care, another week recovering. No charge at all. Due to Covid and them not really want everyone putting their germy hospital hands on the ticket machines, even the parking was free.

        All I paid was a few quid for a bottle of water and some biscuits from the hospital shop.

        Now there are issues with the NHS, in that anything non-urgent can take a very long time and might not get resolved at all, and it being chronically understaffed to the point of negligence (which is intentional sabotage by our government) but for emergencies, it’s amazing.

        • meliaesc@lemmy.world
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          9 months ago

          That sounds so… wonderful. The patient and family get to focus on health and feel like they belong to a society that values their wellbeing? 🤩

          • Blackmist
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            9 months ago

            Well I wouldn’t go that far. I do live in the UK after all.

            But it’s nice to not be bankrupt, so there’s that.

    • UnderpantsWeevil@lemmy.world
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      Nonsense. Greed Is Good.

      Capitalists are constantly telling me that if the Mayo Clinic wasn’t charging $5000 for saline drips, the service simply wouldn’t exist and he’d have died. This is what happens all the time in Communist Countries.

      Besides, $5000 is a small price to pay for your life. If anything, he should have been charged extra. The hospital could have extorted him for five figures, easily, if they’d just twisted the screws a little tighter.

  • rusticus@lemm.ee
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    9 months ago

    Fuck this joker. He’s the IDIOT that said, as the SURGEON GENERAL, “Seriously people - STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus, but if healthcare providers can’t get them to care for sick patients, it puts them and our communities at risk!” (Tweet was then deleted). He should lose his medical license and be imprisoned for the excessive number of deaths his lies caused.

    • El Barto@lemmy.world
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      When exactly did he say this? At the beginning of the pandemic when things were still uncertain?

      I’m sorry, but I have to disagree with you if he said that at the beginning. To be clear, I know masks were an effective protection against the coronavirus. But at that time there was a lot of uncertainty, first, and second, he was half-right: there was a shortage of masks, and medical professionals needed them at a very critical time. I followed that advice. Then when the CDC said “oops, no actually DO wear masks!” I started wearing them.

      So… I’m not saying he was right. I’m just saying we should judge people in context. Don’t pile him up with the true idiot anti-mask bundle.

    • nonailsleft@lemm.ee
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      9 months ago

      They were lying in order to get as many masks as possible to healthcare staff. Perhaps they saved more lives doing so

      • Patches@sh.itjust.works
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        And perhaps they didn’t.

        I’m not putting the full blame of the Anti-Covid nonsense on him - but that decision was certainly straw on the camels back. I know I will never forget.

        • JasonDJ@lemmy.zip
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          Smart people understand that science is fallible. As more information becomes available, science can be corrected.

          Covid denialism came out of mishandling that. People believing that since science wasn’t infallible, it can’t be trusted.

          It’s a problem with the state of education in this country. Same reason why people don’t believe in gravity because “it’s just a theory”.

          • Patches@sh.itjust.works
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            There is a distinct difference between science being fallible, and being told that Life Preserver Jackets won’t save you - while you’re on a sinking ship - and every medical professional around you goes to extreme lengths to acquire as many life preservers as possible.

            They at no-point-in-time believed masks were pointless.

            I get it. I really do. Doesn’t make it right.


            Just in case:

            Well, the reason for that is that we were concerned the public health community, and many people were saying this, were concerned that it was at a time when personal protective equipment, including the N95 masks and the surgical masks, were in very short supply. And we wanted to make sure that the people namely, the health care workers, who were brave enough to put themselves in a harm way, to take care of people who you know were infected with the coronavirus and the danger of them getting infected

            • JasonDJ@lemmy.zip
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              I don’t agree with it, but I get it.

              We had a very limited supply of masks in the country. Remember, we had people volunteering to stitch cloth masks or 3D printed “straps” for face shields…to donate to doctors and nurses who couldn’t get enough masks to stay safe. Breweries and distilleries were re-tooling to make hand sanitizer.

              Meanwhile we were already at the start of the supply chain itself collapsing.

              We were at a point where Trump was hijacking intercepting shipments of masks to scalp redistribute them to the highest bidder hospitals that needed them more.

              Now, if they had said that day “everyone needs to wear a mask in public”, that would have completely toppled the supply for hospitals, and I’d say it’s significantly more critical for frontline workers to have them than people who were able to hunker down and wait until Easter when the whole thing blows over (womp womp).

              You know that any other messaging would’ve caused a rush on face masks and frontline workers, and probably made the whole thing worse.

              In retrospect it’s easy to say that they should have been transparent about the messaging. But in retrospect, we also know that most people are selfish assholes.

              • Patches@sh.itjust.works
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                You don’t get to play the Prisoners Dilemma, publicly betray the other as your opening gambit, and then foam at the mouth that everyone is refusing to cooperate for the next 3 years.

                There is no point in arguing this.

                You can believe the ends justify the means however you want.

                I watched people very-close-to-me die from COVID in front of me as an essential worker. I was told a mask would not save my life. I was a pig for the slaughter.

                Science can be infallible. People aren’t. I will never trust the CDC again.

        • nonailsleft@lemm.ee
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          Sure, and I agree it was a bad idea because it burned so much credibility. And secondly, I can’t imagine it making a real difference. Those who had the means to acquire masks at that time wouldn’t be dumb enough to believe it.

          And I also agree that it’s good to remind everybody every once in a while.

          But my main point is that they didn’t lie because they are bad people that were preparing the masses for a one world government - they did it because they saw hospital staff falling ill or dying at unsustainable rates and were willing to do almost anything to slow that.

    • Duamerthrax@lemmy.world
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      9 months ago

      They are NOT effective in preventing general public from catching

      That’s technically true, but the correct answer is more nuanced then the average adult has the attention span to understand or the character limit of twitter.

      Masks are better at stopping the wearer from spreading it to other people, but a lot of people were getting infected through spit going into their eyes. Did this post occur during the mask shortage were even surgeons couldn’t get the masks they needed to do their work? The quote you gave said to stop buying masks, not to stop wearing them. Best practice was to use a reusable mask and face shield.

      • El Barto@lemmy.world
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        We’ve already had this discussion ad nauseum since 2020. It’s 2024. Just stop with spreading information that can fuel the anti-mask bullshit.

        I understand that wearing eye protection can reduce the risk of catching the virus. But to say “masks are not effective” being technically true is irresponsible.

        • Duamerthrax@lemmy.world
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          People only accepting simple answers are why so many people died. I never said masks aren’t effective. You reduced my comment until it lost it’s original meaning.

          • El Barto@lemmy.world
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            Yeah, sorry, man. Freaking anti-maskers and anti-vaxxers had me on edge for so long, that it was practically an automatic response.

  • boonhet@lemm.ee
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    9 months ago

    I have a little experience with the medical billing system for this fantastic country that I’m lucky and unlucky enough not to live in (yes, both lucky and unlucky; different reasons).

    It’s messed up. There are band-aids in place to keep costs down for charges billed to medicare and medicaid, but that just makes the whole thing worse because it adds a lot of extra complexity and everyone else likely gets fleeced to make up for the new overhead. The medicare 8 minute rule itself isn’t that complex, but add modifiers for activities performed by different providers (in therapy, this could be a PT and a PTA providing the same service, for different lengths of time, on the same visit)? It goes NUTS.

    Single payer healthcare with optional private coverage would solve nearly everything. The cost to the patient first and foremost, but also the cost to the government itself, due to greatly decreased complexity. And private clinics and private insurance don’t have to disappear, they can still provide more high-end services, or shorter wait times, for those who can ACTUALLY AFFORD IT.