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(CBS News)   One reason for the high cost of emergency hospitalization in the America? "Superusers" that are clogging the nation's emergency rooms by treating them like party rooms for any little thing that ails them   (cbsnews.com) divider line 259
    More: Interesting, Villareal, emergency rooms, San Francisco General Hospital, emergency physician, primary care physicians, MedStar Washington Hospital Center, rubber bands, American College of Emergency Physicians  
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9776 clicks; posted to Main » on 15 Oct 2013 at 10:22 PM (40 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-10-16 12:49:53 PM
... Superusers that who are using ...

FTFY

/I despair
 
2013-10-16 01:43:32 PM
I'd like to see an end to all employer provided insurance coverage, and the elimination to all bars to nationanwide insurance exchanges. just give employees that money that was going to health benefits. I'd like all of the limitations on Medical savings accounts lifted as well, allowing people to take high deductible medical insurance plans when they are young, save up the deductible in a tax deferred MSA that can roll over--and earn interest.  Those who don't buy insurance dont get treatment beyond emergency stabilization at an ER. After that, hope for charity or pro-bono care.  We'll make seperate arrangements for the elderly who qualify based on income, and the truly disabled 9not counting fatties as disabled, those who claim their disability is due to addiction, pain med seekers, and other leeches claiming vague pain related complexes as a disability.)  Make it easier for medical consumers to chnage care providers based on performance and cost.

Do this, and poof, watch things get better.
I'll never support any unconstitutional law saying poeple must by inurance. (Yes, I know what the Supreme court said--and that ruling was stupidly wrong.)
 
2013-10-16 01:54:47 PM
stop forcing emergency rooms/hospitals to stabilize people regardless of ability to pay

poof, health care "crisis" solved
 
2013-10-16 03:10:36 PM

RembrandtQEinstein: stop forcing emergency rooms/hospitals to stabilize people regardless of ability to pay

poof, health care "crisis" solved


Works for the third world, so why not us?  Heck, I bet their health care costs are way way less than ours too.
 
2013-10-16 08:32:32 PM

AliceBToklasLives: Nice article - good job mentioned the key reason there are "superusers" - lack of health insurance. For many people, the only way to see a doctor is to go to the ER.


I didnt read the article; assumed the above.
 
2013-10-16 09:02:03 PM

KrispyKritter: worked for a major medical x ray film company based in Japan. we were the first customer, their USA division. they marked up what they sold/shipped to our warehouses.

the USA salesmen would pursue major accounts. they would give away huge dollars worth of hi tech equipment with free install and maintenance to help land a film contract. since they were stepping on the toes of a local dealer (who carried multiple brands of film & equipment) that dealer would get a cut right off the bat. if the local dealer was trained & under contract to service that equipment they would get fat dollars annually regardless if they went on site 1 time or 10 times.

the USA division marked up film and equipment sold to x-ray film & equipment dealers.

the x-ray film & equipment dealers marked up the film, equipment & service contracts they sold to every doc-in-the-box, vet, dentist, hospital, clinic, you name it.

it costs a bundle to cover the overhead of any doc-in-the-box, vet, dentist, hospital, clinic, you name it. so they mark up every x-ray sky high to cover expenses and make a profit at the end of the day.

whole lot of people making a whole lot of money.


Clearly the answer is for consumers to give the insurance companies more money.

I voted for Obama, and I support universal healthcare, but making consumers buy more private insurance is like treating an open wound with multiple blood transfusions and hoping things get better.  I'm self employed, healthy, and have paid about $200 a month for a high deductible policy- my new premium is $400 per month, though my deductible is much lower.  The inanity is that the vast majority of the uninsured are never going to be able to pay $400 per month, so we've barely addressed the problem while driving insurance company profits through the roof.
 
2013-10-16 09:07:56 PM
I just thought of a resolution.  minimum copay at ER is $200.  Doctors, at their discretion, can wave the fee and be reimbursed by insurance/medicare.  Would it cause problems?  probably.  Would it solve more than it caused?  probably.
 
2013-10-16 10:24:24 PM

Marcus Aurelius: sno man: The actual one is paying for all the people between you and your doctor.  Yea free market!

All civilized nations provide basic health care for free to everyone.


Given what passes for modern medicine, I'll pass, thanks.

You are responsible for your own health, the way I see it.  You can get information (one of my favorite sites is mercola.com), but it's up to you to implement it.

Don't be gorging on sugar then whining about diabetes down the road and demanding free diabetic stuff.  Just an example.

I would say a civilized nation wouldn't be trying to steer people away from "alternative" medicine, and would stop giving in to Big Pharma.

As my dad would say, money talks, BS walks.
 
2013-10-17 09:52:01 AM

The Beatings Will Continue Until Morale Improves: One thing health care plans provide is discounting. If you have insurance and even if you are paying out-of-pocket with a high deductible, hospitals will bill you at a much lower rate for care (saw a hospital stay of $30k get billed to Blue Cross for $9k). With no insurance you pay full retail. Also you can set up an HSA with high-deductible insurance so your health care is tax-free. Without an HSA you pay after-tax dollars and you can't even start to write it off until it's around 7% of your income.


My uninsured brother often gets even better discounts via obscure methods called 'bargaining', 'cash on barrelhead', and 'shopping around'.  He earns so little money that it's tax free anyways, and I very much support HSAs.

Matter of fact, some of my proposals are:
1.  Eligibility for HSAs is expanded to, essentially speaking, 'everybody'.
2.  Any company that doesn't provide a qualifying healthcare plan will instead be forced to deposit $1-2/hour* into the employee's HSA.
3.  Money in an HSA can be used to purchase healthcare insurance/plans

Benefits I see:
1.  It's a simple system.  A company that does direct deposit simply needs to DD two accounts rather than one.
2.  It eliminates the 'cliffs' of 50 employees/30 hours a week that have generated so many complaints
3.  A person can leverage multiple part time jobs to provision their healthcare costs
4.  If they work overtime they end up with extra money in their HSA to cover the extra expenses from working so hard.  ;)

*Actual amount to be set at somewhere around the median indivual healthcare costs.

hardinparamedic: I had to look this up to see what you were talking about. The actual story is far worse than people might think.


I'm not sure how much 'worse' that article makes out Bessie Smith's death.  Given the described injuries and what I know(admittably limited) about medical care of the time, the story is indeed tragic but not something that you can automatically blame her death on the existence of segregated hospitals.  Not that I approve of segregated hospitals, but in any attack on them you should be able to quote clear statistics, or at least clear cases.

flondrix: To elaborate: My home town has an urgent care clinic, but no ER. If the urgent care clinic can turn you away for not having the bucks...I guess you're dead.


If it's a condition that you'll end up dead from quickly enough that you can't reach an actual ER, it's not a condition for 'urgent care' in the first place.
 
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