Perhaps I misunderstand, are you saying simple procedures should be preformed as a hospital inpatient and this would be less expensive? If so, that is insane.When I first started in nursing, patients stayed in the hospital days at a time for what is now done as an outpatient. In VA hospitals it was worse. They stayed weeks at a time, patients even walked to different parts of the hospital, carrying their charts for treatment. That could never happen today.
This article sounds about right.When you create a system in which no one making decisions even knows the cost of a procedure, and no one performs the slightest cost-benefit analysis, and the company paying is in a real sense selling you that service through raising premiums when you use a lot - well, its a perfect formula for the kind of throw the kitchen sink at it health care spending we currently have. And that's before you add in doctors who make 50-100% more than their counterparts in other developed countries.
Our fundamental foolishness is using market mechanisms for a commodity (good health) that isn't amenable to consumer choice. Costs would drop dramatically in a single-payer system where the profit-making insurance middlemen were eliminated. They make the real decisions, and nothing about health outcomes of individuals figures into those decisions.
the insurance companies are making buttloads of money!
Obama's socialist medical plan is not affordable and it is not a choice.
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