this post was submitted on 18 Nov 2024
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That Looked Expensive

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I'll never understand why we pretend that things are this expensive.

USA, of course, because I can't imagine anywhere else in the world working this much harder and not at all smarter.

FYI, Medicare is our government insurance for older or disabled people and is paid for mainly with taxpayer dollars as well as "small" premiums by members.

Screenshot of an itemized bill.The first line is a charge for an initial outpatient appointment lasting longer than 60 minutes, and is for 679 USD. The second line is a payment from Medicare for 149.49 USD. There is a third line for a Medicare Adjustment of 491.38 USD. The total patient responsibility is listed at the bottom and is 38.13 USD.

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[–] Zachariah 16 points 4 weeks ago

And those adjustments aren’t actually paid to anyone. They’re just the different price if that’s the insurance you have.

[–] [email protected] 10 points 4 weeks ago* (last edited 4 weeks ago) (1 children)

Because if you don't have Medicare, MediCal, or any other insurance worth a shit, you're not paying just $38. You're paying the full $679.

[–] acetanilide 12 points 4 weeks ago (1 children)

True, but that doesn't make it worth $679.

[–] [email protected] 11 points 4 weeks ago (2 children)

Ah. I misunderstood what the argument was; sounded like you were wondering why people say the prices are so high because you only paid $38.

One explanation for the costs I've seen is that big companies seek discounts for the insurance they provide, so hospitals started just inflating the prices to give them a perceived discount without having to basically sell at a cost to them. Somehow those just became the regular prices everyone pays, and it's ridiculous. Like it might cost $100 for a single Aspirin.

[–] [email protected] 2 points 4 weeks ago

I read it this way too.

[–] acetanilide 1 points 3 weeks ago

I'm sorry for the confusion!

Yes I think you are right. I just don't get the point. It seems like a lot of extra work lol. But as long as the shareholders think it's better I guess that's what matters.

[–] reddig33 8 points 4 weeks ago (1 children)

We could fix this by not allowing someone to charge different prices to different people. There shouldn’t be any of this fake negotiating. The price should be the price.

[–] acetanilide 1 points 3 weeks ago

Agreed! I'm also frustrated they won't give accurate estimates. They just say that it depends. But it's like... don't they have an hourly rate or a piece rate? Something more accurate than "it will be $100 to $2000"???

Ugh lol

[–] [email protected] 6 points 4 weeks ago (2 children)

My first appointment with a psychiatrist was about $550 AFTER insurance..and I'm in Canada .

They handed me some grade school color charts and told me to reflect on them. Never went back.

I will never understand why psychiatrics charge so much when they printed out Google search results.

Hope you get the help you need however. Everyone's different.

[–] acetanilide 4 points 4 weeks ago (1 children)

Yikes. Well, I guess I am still a bit ethnocentric.

I hope you are able to get the care you need.

[–] [email protected] 0 points 4 weeks ago (2 children)

Yeah, people complain about America's healthcare system, but they forget that basically no countries provide free mental health care. Or dental for some reason. It's kinda weird, they're using America as an excuse to not improve their own situation.

[–] RedditWanderer 9 points 4 weeks ago* (last edited 4 weeks ago)

It's not "for some reason". Dental was covered or heavily subsidized in Canada at least to 18 years old, until the conservative goverment convinced idiots only poor people without jobs need dental care. "If you work, youll have dental", and now they take it from our total compensation.

I have teeth and mental health covered through my employer, which sadly doesn't fit all situations that need dental and mental health (hence why tying insurance to employers is stupid).

I got a lot of teeth work done in the UK while I lived there on a Visa, and it cost almost nothing without employers insurance.

People complain about the american healthcare system because it's an oligarchy and oligarchs in other countries are trying to do the same. US just showed them with enough money and lies you can get there.

[–] [email protected] 2 points 4 weeks ago (1 children)

You are Wrong.

Almost all European countries have healthcare available for all citizens. Most European countries have systems of competing private health insurance companies, along with government regulation and subsidies for citizens who cannot afford health insurance premiums.Countries with universal healthcare include Austria, Belarus, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Italy, Latvia, Lithuania, Luxembourg, Macedonia, Malta, Moldova,[56] Norway, Poland, Portugal, Romania, Russia, Serbia, Slovenia, Spain, Sweden, Switzerland, Ukraine, and the United Kingdom.

The Royal Government of Bhutan maintains a policy of free and universal access to primary health care.

In India primary health care is provided by city and district hospitals and rural primary health centres (PHCs). These hospitals provide treatment free of cost.

Indonesia is currently building a universal healthcare system.

Israel has a system of universal healthcare as set out by the 1995 National Health Insurance Law. The state is responsible for providing health services to all residents of the country.

All residents of Japan are required by the law to have health insurance coverage. People without insurance from employers can participate in a national health insurance programme, administered by local governments. Patients are free to select physicians or facilities of their choice and cannot be denied coverage. Hospitals, by law, must be run as non-profit and be managed by physicians.

Kuwait offers universal healthcare.

Macau offers universally accessible single-payer system funded by taxes. Health care is provided by the Health Bureau.

Malaysia has achieved universal health coverage.

Some of Pakistan's provinces have universal healthcare coverage.

Filipinos are covered under the National Health Insurance Program (NHIP) of the Philippine government-owned Philippine Health Insurance Corporation or PhilHealth. Under the Universal Health Care Law of 2019, all Filipinos were automatically enrolled in the NHIP.

The government of Saudi Arabia provides free universal health coverage for all citizens.

Singapore has a universal health care system where government ensures affordability, largely through compulsory savings and price controls, while the private sector provides most care.

South Koreans have access to a universal healthcare safety net, although a significant portion of healthcare is privately funded.

Sri Lanka provides free universal healthcare to their citizens.

Thailand introduced universal coverage reforms in 2001.

The list goes on and on.

[–] [email protected] 0 points 4 weeks ago (1 children)

For all you wrote, you failed to read. I said mental health care and dental. And when you go looking, a lot of those countries are missing one or the other.

[–] [email protected] 1 points 4 weeks ago* (last edited 4 weeks ago)

Show me.

I have free physical, mental, dental and eye in the US.

And for all you've written in other threads, you're so incredibly wrong mods deleted it all. You constantly fail. Sucks to suck.

[–] SatansMaggotyCumFart 1 points 4 weeks ago (1 children)

I’m in Canada

grade school color charts

[–] [email protected] 6 points 4 weeks ago

Not sure why your quoting that but ok.

Example..