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PostPosted: Fri Feb 22, 2013 2:55 pm 
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Interesting that no one has brought up the hospital's costs. Personally I believe the cost of treatment in America is ridiculous due to pharmaceutical price gouging, rampant malpractice suits, and people insisting on treatment with unreasonable goals (put 90 year old grandpa on chemotherapy to save his life). That cost is passed along to the consumer.

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PostPosted: Fri Feb 22, 2013 6:44 pm 
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Hopwin wrote:
Interesting that no one has brought up the hospital's costs. Personally I believe the cost of treatment in America is ridiculous due to pharmaceutical price gouging, rampant malpractice suits, and people insisting on treatment with unreasonable goals (put 90 year old grandpa on chemotherapy to save his life). That cost is passed along to the consumer.


That is a good portion of the cost, indeed.

The pharmaceuticals are particularly hilarious participants because they charge vastly more for drugs here than in Europe. So next time you hear about how low the spending per-capita is on healthcare in Europe, remember that you are subsidizing it.


It should be said, though, that a lot of the cost comes from new technology. This is, in fact, the biggest cost driver of the last 30 years, in my opinion.

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PostPosted: Fri Feb 22, 2013 10:26 pm 
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Interesting how the more socialist Europe has better pricing on the same drugs than the US.


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PostPosted: Fri Feb 22, 2013 10:42 pm 
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Aizle wrote:
Interesting how the more socialist Europe has better pricing on the same drugs than the US.

Because we're subsidizing them.

If we cracked down and legislatively mandated drug costs, they just shut down and go out of business.

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PostPosted: Fri Feb 22, 2013 10:48 pm 
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Not to mention that "socialist Europe" has been getting a free ride on defense for at least 20 years now, and maybe a lot longer depending on how you look at it.

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PostPosted: Sat Feb 23, 2013 11:54 am 
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Kaffis Mark V wrote:
Aizle wrote:
Interesting how the more socialist Europe has better pricing on the same drugs than the US.

Because we're subsidizing them.

If we cracked down and legislatively mandated drug costs, they just shut down and go out of business.


Indeed. If you look at one of the Swiss pharma companies, their entire business model depends on being able to charge high prices here, because European governments don't allow them charge reasonable market rates there.

That said, they probably wouldn't just shut down. Manufacturing the drugs isn't the costliest part: it's the research. So what would happen is that zero new drugs would ever come out.

Given that they haven't cured some of the stuff we all want them to cure, but have promising research in the works (like, say, Alzheimers, or AIDS), I'd rather they didn't have to shut down research for economic reasons.

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PostPosted: Sat Feb 23, 2013 1:48 pm 
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I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


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PostPosted: Sat Feb 23, 2013 6:07 pm 
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Xequecal wrote:
I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


Medicine is only for the wealthy. All the poor people are supposed to die, preferably quietly somewhere where the 1% don't have to watch.


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PostPosted: Sat Feb 23, 2013 6:13 pm 
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It's interesting to note that medical care was generally a lot cheaper (relatively) when people paid for it themselves.

I think the disconnect is one of the biggest things. we don't shop around or insist on the best price practices because the insurance will just cover it. Instead we (as a society) go to the ER for stupid pointless stuff so we can get our money's worth out of our premiums.

health insurance should be like my car insurance, there when I get in a big wreck, but not changing my oil and filling up my gas tank.

I'm not some rich guy with a big insurance plan, and now somehow I have to pay the government $600 a year on top of that. And on top of that I can't work more than 29 hours a week. I don't have any clue what i'd do if I actually got sick, and I as I just said the government isn't helping. Aren't I supposed to be one of those unsinsured guys the great health insurance overhaul was supposed to "help"

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PostPosted: Sat Feb 23, 2013 8:07 pm 
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Aizle wrote:
All the poor people are supposed to die, preferably quietly somewhere where the 1% don't have to watch.


Everyone dies


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PostPosted: Sat Feb 23, 2013 9:49 pm 
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Xequecal wrote:
I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


It's really simple: People will charge the government a lot more because they know the government is enormous bureaucracy coupled with endless ability to assume debt. Why do you think they were charging the Navy $700 for a toilet seat in the 80s? Did that mean people couldn't go to a hardware store and buy a toilet seat?

No, it didn't, because when people know they can overcharge, they overcharge. When it's charge a fair price or don't get anything at all.. they charge a fair price.

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PostPosted: Sat Feb 23, 2013 10:32 pm 
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non competitive?


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PostPosted: Sat Feb 23, 2013 10:55 pm 
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Not sure what you mean, but if you mean the toilet seat incident, it's not like there's only one company that makes toilet seats.

The "no competition contracts" that were so infamous, such as to Haliburton were awarded because there's only one company that can provide the service in the first place. Just like nuclear-powered aircraft carriers. There's exactly one place that makes them, and there's no way to support enough of a market for competition.

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PostPosted: Sun Feb 24, 2013 12:27 am 
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Diamondeye wrote:
Xequecal wrote:
I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


It's really simple: People will charge the government a lot more because they know the government is enormous bureaucracy coupled with endless ability to assume debt. Why do you think they were charging the Navy $700 for a toilet seat in the 80s? Did that mean people couldn't go to a hardware store and buy a toilet seat?

No, it didn't, because when people know they can overcharge, they overcharge. When it's charge a fair price or don't get anything at all.. they charge a fair price.


I don't believe it's that simple these days. Most government contracts have strict regulations around pricing and forcing the most competitive bid to be picked.


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PostPosted: Sun Feb 24, 2013 9:18 am 
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Do you mean fine organizations that oversee the spending like this...

http://www.nytimes.com/2012/04/17/us/po ... .html?_r=0

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PostPosted: Sun Feb 24, 2013 9:21 pm 
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Aizle wrote:
Xequecal wrote:
I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


Medicine is only for the wealthy. All the poor people are supposed to die, preferably quietly somewhere where the 1% don't have to watch.


Must be nice for those 99%, then, that you're not in charge if this is your belief.

This is especially true since you're in the 1% globally.

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PostPosted: Sun Feb 24, 2013 9:39 pm 
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Aizle wrote:
Diamondeye wrote:
Xequecal wrote:
I'm still baffled as to how Medicare and Medicaid can be now close to $600 billion in debt annually and still considered to be underpaying, yet health care is not somehow exorbitantly expensive. The program that underpays has $700 billion in costs on $180 billion in revenue. How is anyone supposed to afford it for real?


It's really simple: People will charge the government a lot more because they know the government is enormous bureaucracy coupled with endless ability to assume debt. Why do you think they were charging the Navy $700 for a toilet seat in the 80s? Did that mean people couldn't go to a hardware store and buy a toilet seat?

No, it didn't, because when people know they can overcharge, they overcharge. When it's charge a fair price or don't get anything at all.. they charge a fair price.


I don't believe it's that simple these days. Most government contracts have strict regulations around pricing and forcing the most competitive bid to be picked.


Contrary to popular belief, the most competitive bid is not necessarily the lowest. There's enormous subjectivity involved, and it is compounded by mandated discrimination in favor or minority and female-owned business.

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PostPosted: Mon Feb 25, 2013 10:58 am 
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Midgen wrote:
Aizle wrote:
All the poor people are supposed to die, preferably quietly somewhere where the 1% don't have to watch.


Everyone dies


You can't prove that.


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