In part, that’s because almost everything we knew came from analysis of Medicare data. Finally there is the whole thing about human lives being at stake. New comments cannot be posted and votes cannot be cast, More posts from the explainlikeimfive community. Had an MRI done as my vision kept blurring Had EKG stuff done as I was having … MLive file photo. One of the reasons that healthcare is so expensive is that we are fat. So it is a vicious circle. https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000. 75% Upvoted. some of them are inherent in the system others are a result of how things are set up. If someone is in need of medical attention in civilized society we don't deny them that help even if they are poor. Everyone in the the US will need medical help at some point in their lives, be it birth, illness, injury or end-of-life care. Yes and no. So it is in everyone's interest to pay for health insurance. Partly because everyone needs healthcare. Health care in the United States has never been more expensive. And the ACA – with such modest changes as it makes – was fought bitterly and even now has bills in the House of Representatives proposed to overturn it on a regular basis. The costs of actually providing healthcare are enormous. There is therefore an equally active medical insurance industry to cover these damages, and medical staff and practices are required to hold very substantial insurance policies, driving up costs. Education is more expensive, too. When I was an intern 20 years ago, it was rare to see someone over 350 lbs. Even with all this money being spent on healthcare, the World Health Organization ranked the U.S. thirty-seventh in healthcare systems, and The Commonwealth Fund placed the U.S. last among the top 11 industrialized countries in overall healthcare. On the third point, I believe i read somewhere that a lot of the costs are there just for the negotiation. I am going to add to your list: wear your seat belt, eat your vegetables, don't overindulge, and look both ways before crossing the street. compare the BBC and CNN or Fox). The cost of family health coverage in the U.S. now tops $20,000, an annual survey of employers found, a record high that has pushed an increasing number of … The doctors and hospitals know that when they bill an insurance company (often in bulk) the insurance company goes "that's way too much, here is a lower offer" and the hospital agrees, because it still makes money off it. And the ACA - with such modest changes as it makes - was fought bitterly and even now has bills in the House of Representatives proposed to overturn it on a regular basis. But the reason so many people can't pay is because it's so expensive. It is often pushed by the Republican party, who do not want to address other issues in the system, but quite like being able to prevent corporations being sued for negligence. Is such a high price really fair to the citizens? Person for person, health care in the U.S. costs about twice as much as it does in the rest of the developed world. The huge Democratic field of presidential hopefuls makes for some interesting television as voters listen to candidates pitch their ideas to solve the many problems facing our country. The New York Times recently reported that the U.S. spent more than $3.3 trillion on healthcare in 2016. WRONG! New comments cannot be posted and votes cannot be cast, More posts from the explainlikeimfive community. Obamacare is now so expensive it keeps patients away from their doctors. For the 2016-2017 school year, students had … It really boils down to time and expertise. Foundation researchers expect that number to rise past 50% by 2030, at which point health care expenses will consume most of a Social Security retiree's assets. 131k members in the Anarcho_Capitalism community. Because they can't usually. Now every needle manufacturer in the land knows that if any of it's competitors offer needles cheaper than it does, it looses the contract, and has almost nobody to make needles for, so it HAS to bet the most competative offer or it's market disappears. The US has a very active medical litigation industry. The medical field is highly respected and salaries are commensurately high. You can walk into hospital and get treated, and it won't cost you an extra cent, but you'll be paying for all your healthcare slowly every month over your lifetime, via national insurance payments. Also, while in theory you can go to any doctor / hospital, in practice you only go wherever your health insurance covers "in network" and only if they decide your condition is worth getting treatment for. Explain Like I'm Five is the best forum and archive on the internet for layperson-friendly explanations. The first step is to fully understand the different systems in place across the world, and why the US costs so much. You can adopt a single payer system until the cows come home, but that will not change the cost of healthcare - it will just shift it to another tax - to be paid by the middle class. Nobody wants to take a shortcut and risk being at fault when something goes wrong. Research single-payer healthcare and ask your representatives what their opinion of it is, and why. 2. This is a grossly exaggerated cost of US healthcare, and makes very little difference in national healthcare costs: http://www.press.uchicago.edu/Misc/Chicago/036480.html. So healthcare is "free at the point of delivery". Neither is the doctors and nurses salaries. Gross Domestic Product (GDP). The stereotype of cops eating donuts came about because donut shops gave them away to the cops for free. U.S. has highest health-care costs in world, but mediocre outcomes. From the owners of hospitals to the producers of medicine everyone wants to make money of the whole thing. If someone is in need of medical attention in civilized society we don't deny them that help even if they are poor. BY JULIE MACK The United States has, easily, the most expensive health-care system in … His surgery should cost $1500, but now it costs $60000, and they haggle with the insurance company for $34000. share. The WHO study really frustrates me. Ever. Sometimes a single payer works ok. Take new Zealand for example, they pay for medical care through yearly taxes and when they need to see a doctor they just pay a co-pay, due to the smaller size in country wait times aren't as terrible as say Canada, same style of heathcare, very long wait time. The fi And there is the problem for people without insurance, because they have less ground to negotiate their costs, even though their costs are the same as the insurance companies. ... Reddit; Mail; Why U.S. Healthcare is So Expensive ... A conservative (free markets and such) friend and I were having a private conversation about healthcare when he asked why there was so much waste in our healthcare system, i.e. I am a cardiac nurse and the vast majority of my patients are "frequent flyers" with numerous comorbidities - congestive heart failure, diabetes, hypertension, hypercholesteremia, coronary artery disease - and I educate these people until I am blue in the face yet they still continue to eat whatever they want, maintain a sedentary lifestyle, smoke, and not take their medication. Meanwhile, the average spending of 11 … You have to take my word on this, but I will... jump to content. Doctors tend to graduate medical school with huge amounts of college debt. The US has a very active medical litigation industry. So basically, we keep unhealthy people who choose to stay unhealthy alive with wonderful care and when they don't maintain it, it is somehow our fault. wouldn't WHO control or have a say of medical costs? Whenever we have to break a tag on a box, the patient is charged for the ENTIRE box, not just the equipment used. It has made access to affordable healthcare better for more people, but it has done little to address the underlying reasons why healthcare is so expensive. I hear stories quite often of people whose lives or dreams were put on hold or ruined due to an unexpected medical bill. If we applied the same third-party payment technique to any other segment of the economy, we would get the exact same inflationary spiral we see in health care. The really reason is this, any body can go to the ER, and they do. Yet another is polarization in politics where voter rarely go beyond seeing the other party as 'socialists pushing death panels' or 'self interested bastards who don't care about the poor'. Medicare covers about 16% of the population, primarily people over 65. Surely that's not in your best interest, right? Most Republican politicians publicly oppose it. Press J to jump to the feed. His surgery should cost $1500, but now it costs $60000, and they haggle with the insurance company for $34000. The U.S. is famous for over-spending on health care.The nation spent 17.8 percent of its GDP on health care in 2016. Compared to what Americans pay, it may as well be free. Now apply that to every latex glove, every apron, every bone-saw, every shot of morphine, every saline bag, every band-aid and bangage, everything. By Lita Epstein | August 6, 2015 — 6:40 PM EDT. Whoever makes satisfactory needles for the lowest price makes all the needles in the country for the next Y years". Related: http://www.forbes.com/sites/rickungar/2012/06/25/busted-health-insurers-secretly-spent-huge-to-defeat-health-care-reform-while-pretending-to-support-obamacare/. Why is health care so expensive? This is particularly true of imaging services: in the U.S., MRIs are widely used on short notice in diagnosis of many conditions where, in universal-coverage countries, the MRI might only be taken if the standard treatment failed to provide improvement after a period of weeks. popular-all-random-users | AskReddit-news-funny-pics-videos-todayilearned-worldnews-aww-gaming-tifu … Sure my insurance will cover most of it, but what makes basic healthcare so expensive in the US? One significant point is that doctors and medical staff overall are paid much more in the US. The reason health care is so expensive is because of the uninsured. If those donuts were free at the point of purchase, I would buy (and eat) a whole lot more than I do today. Damages can run into the millions of dollars. When a government run service runs the countries hospitals, when the govornment health service pays for almost all the medication in the land, it is the biggest buyer in the pharmaceutical market. Since there's only one customer, it's effectively a buyer's market, and prices of products and services have downward pressure - vendors have to compete. Has the ACA (Obamacare) changed things? Photo courtesy of Joe Raedle/Getty Images. How American health care got so expensive The American health care system is in a sort of tug of war between physicians, hospitals, insurance companies, pharmaceuticals and shareholders. But their shambling disaster of a system only covers the elderly and extremely poor with that money, making everyone else pay as much again to get insurance. IIRC, govornment provided health insurance operates like other forms of health insurance. And there are many, many powerful vested interests in the status quo (e.g. Not a dime. edit subscriptions. The best way to cut the cost of healthcare would be collective bargaining conducted by the govornment: A national health service, IMO. I was going say something similar-don't get sick or hurt. If the most important thing in your life is not dying...the people best equipped to help you in that endeavour better be very skilled at their job. Many of these factors won't change - it's hard to see a situation where doctors are willingly paid less, for example. Not according to the World Health Organization. By No Labels April 04, 2019. This means that somehow those who can afford healthcare will have to pay for those who can't and healthcare will get more expensive for … Don't Panic! When it comes to basic human needs such as food and clothing, people usually have a wide range of options in terms of what they can pay for a given item. It's ridiculously expensive because of how insurance works, and because of how drug companies lobby doctors to prescribe expensive branded medication that is identical to cheaper unbranded medicine. You don’t have to go much digging to find out that healthcare costs a lot in this country. You could bring up alot of technical reasons of this and that but in all honesty i thing it boils down to greed. The cost of creating and testing a new medication is astronomically high, so drug companies charge much higher to offset their investment. 7 comments. The American health care system is structured differently from systems in other countries, making it more expensive. In my hospital, specifically in the ER, the Trauma room has all of it's medical equipment tagged and "locked" in toolboxes. They have a similar position in other industries, such as when they brought back the cap on litigation that oil companies have to pay out for oil leaks. The United States is spending about $3.5 trillion a year on health care expenses , an increase of 12,300% since 1960. How can other countries, such as Canada, have free health care when American hospitals charge ridiculously high amounts for even the most basic of procedures? Damages can run into the millions of dollars. It is not unusual in America for a patient to receive an additional test that costs 3x as much, but rules out only a very low-likelihood condition. Every hospital needs needles, by the bucket-load. So health insurance aside, why does health care in general cost so darn much? So the electorate can provide the government with a mandate to force everyone to pay for the medical care of everyone in the country (as long as they aren't too poor to pay). In 1971, tuition at Harvard University cost students $2,600 annually. If you’re looking for specifics, though, here’s an example. 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