The Extravagant High Cost of Colonoscopies in the U.S. compared to the rest of the world

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As warning this is a long read but especially for those of us suffering from Crohn's Disease or Ulcerative Colitis this is something EVERYONE needs to know about.

Something must be done about this for what is the point of living in a democracy if we can't fix glaring issues in our country that affects every single citizen in it?

The $2.7 Trillion Medical Bill: Colonoscopies Explain Why U.S. Leads the World in Health Expenditures

http://www.nytimes.com/2013/06/02/h...the-world-in-health-expenditures.html?hp&_r=0
 
There has been a number of article of late looking at pricing at hospitals. Recall this one which found medical costs for procedures, even at neighboring hospitals, can vary wildly.

People need to be given more incentives to shop around, save money. With the current system, and with the new health care law coming into being, people have few reasons to comparison shop health care services.

"Tips for Consumers to Shop Around Amid Wildly Differing Hospital Costs"

excerpt from the article:
Consumers headed to the emergency room don’t usually have time to compare prices to find the best deal for their medical care, but for those in non-emergency situations, it might be in their interest to shop around.
A study recently released by researchers at the University of California San Francisco finds surgery costs can vary widely at different hospitals, even if they are just down the street or right around the corner from each other.
The researchers found that among 20,000 cases of routine appendicitis, at 289 hospitals and medical centers across the state of California, the price range was as low as $1,529 and as high as $183,000. The median hospital bill came in at $33,611. The patients were all adults, and were admitted for three days or less.
National Center for Policy Analysis senior fellow Devon Herrick says hospitals simply aren’t competing based on price anymore, which is why the prices fluctuate so much.
“Eighty-eight percent of doctor and hospital bills are paid for today by third parties,” Herrick says. “And even when a hospital tells you a price, it’s not a real price. This is a negotiation point, or starting point for these plans.”
He adds that no matter if it’s the government or an insurance company picking up the tab, it’s all about negotiation power when it comes to determining the price of a surgery.
“They are never paying list price,” he says. “And if consumers offer cash, especially cash up front, they will be given a better price. So these prices are fictitious.”....


Read more: http://www.foxbusiness.com/personal...spital-costs-vary-widely-study/#ixzz2VA2zuSFL
 
is having a hip replacement in spain necessarily better then america? sometimes the price means that the surgeons could be better educated, and more motivated to devote time to being good at what they do.

but at the same time i agree everyone should have access to affordable healthcare.
 
is having a hip replacement in spain necessarily better then america? sometimes the price means that the surgeons could be better educated, and more motivated to devote time to being good at what they do.

but at the same time i agree everyone should have access to affordable healthcare.

Just because the price is higher in America it doesn't necessarily mean that the doctor is better than the one elsewhere that charges less. The cost is higher because everyone (insurance company, hospital, all doctors involved) wants a piece of the payment.
 
I have to agree with seebee. In countries with universal health care the government, through our taxes, is the consumer. There is only so much money in the pot so when it comes to dealing with health professionals and pharmaceutical companies it is in the governments best interests to drive the price down.

Also, because it is an entrenched system, just as the one in the US is, a doctor or pharmaceutical company wouldn't survive if they don't compromise. The ultimate aim for a doctor/health professional is to obtain a provider number and a drug company to get a product on the PBS. Without them they have limited patients/consumers as they would be locked out of the Medicare system and that is the system that our health care revolves around. That is why the costs are cheaper outside of the US.

Our system is based around the public hospitals not private, therefore the vast majority of high cost medicine is based in those public hospitals. That does not stop a doctor having beds in a private hospital if they wish and of course most doctors have a private practice but to access the beds and services for his private patients in a public hospital he/she has to then take on a certain amount of public patients.

I hope that makes sense!

Dusty. :)
 
I have to agree with seebee. In countries with universal health care the government, through our taxes, is the consumer. There is only so much money in the pot so when it comes to dealing with health professionals and pharmaceutical companies it is in the governments best interests to drive the price down.

Also, because it is an entrenched system, just as the one in the US is, a doctor or pharmaceutical company wouldn't survive if they don't compromise. The ultimate aim for a doctor/health professional is to obtain a provider number and a drug company to get a product on the PBS. Without them they have limited patients/consumers as they would be locked out of the Medicare system and that is the system that our health care revolves around. That is why the costs are cheaper outside of the US.

Our system is based around the public hospitals not private, therefore the vast majority of high cost medicine is based in those public hospitals. That does not stop a doctor having beds in a private hospital if they wish and of course most doctors have a private practice but to access the beds and services for his private patients in a public hospital he/she has to then take on a certain amount of public patients.

I hope that makes sense!

Dusty. :)

Well, that would be nice. Sadly though that is not how politicians often think , (nor world wide Fed money printing chiefs increasing the pots size at record rates.), when it comes to controlling costs with our health care system or other government services for that matter. Additionally, in America already a majority of medical costs are paid by government organizations such as Medicaid and Medicare, yet medical costs keep rising. The opportunity for cost reform is there, and has been for decades.

I was chuckling the other day when reading about government expenditures outside of medical care. Our Post Office for example is in need of large reforms. Even officials in charge of the Post Office seem to be begging to be allowed to make cuts, and modernize the mail system. Each time ideas of modernizing are brought up our politicians turn down the ideas. Politicians want to keep things the same as they have been.

Modernization of the USPS is needed simply because fewer Americans have been mailing letters because of the internet. Bills can be paid online, friends and family can be contacted through e-mail, text messages, face book, etc. advertising is sent through the internet.

The last time the Senate turned down the idea of modernizing the post office the reason given by the head of the Senate was that grandmas' love to receive junk mail. That is what was said. Having an older grandma, that hates junk mail, I have doubts.

The real reason why the USPS is not reformed is due to it being a convenient place for political patronage. It's a good place to gain votes (union lobby efforts), and political donations. Modernizing Post Office services leads to bad press too - interviewed upset grandmas apparently.

Another example off the top of my head - decades ago new regulations where made for building codes. As a result, buildings have become less prone to catching fire. That's a good deal. I believe there are now around 70% fewer fires since the building regulations were enacted. In theory, with less fires there would be fewer fire departments. Of course that has not happened.

Another common example read yesterday was this idea to save a billion dollars in military expenditures. In theory the government should look into this food saving cost idea. It is in the nations best interest to do so. The money could be spent better elsewhere. Of course though, doing so would be common sense but not political sense.

"The Challenge of Making Commonsense Cuts to the Pentagon"

http://www.commentarymagazine.com/2...e-of-making-commonsense-cuts-to-the-pentagon/
 
national health services work ok but like all things there is a limit to the cash pot,but we all know that.got to laugh at fox news when they talk about death panels in the uk,we don,t,as we all know "miracle"drugs are generally only miraculous for drug companies.bye the bye a hip replacement in spain is the same as the one you get anywhere else the only difference being the lack of a profit margin
 
national health services work ok but like all things there is a limit to the cash pot,but we all know that.got to laugh at fox news when they talk about death panels in the uk,we don,t,as we all know "miracle"drugs are generally only miraculous for drug companies.bye the bye a hip replacement in spain is the same as the one you get anywhere else the only difference being the lack of a profit margin

Well, if concerned about image here of late a good number of news outlets, liberal and conservative, in America have been critical of the UK health system. I forget that one hospital in your country that was giving very poor treatment to patients, but it made the news, here and such - people drinking from flower vases, left in soiled sheets, etc. I'm sure it isn't like that at most health care facilities in the UK.

My point isn't to criticize other countries national health care. If it works well in your country, the people are happy, that is great in my opinion.

Right now in the US the health care system we have, as of next year, is similar to what the Swiss use. Everyone is required to buy insurance which is regulated by government on what must be covered, and those that have difficulty buying receive government assistance. And like the Swiss costs are high.

The problem many report here is a crisis in government. Many have been writing about the problem of outside influence, liberals and conservatives. Many believe if only money could be removed from the political system, and lobbying limited then our government programs would operate better and be cost efficient. Personally I doubt that would happen on both counts. The courts have ruled too that money donations to politicians is free speech. (Additionally the recent IRS scandal, targeting those that are trying to improve the system, is not likely to help matters in government confidence.)

Personally, I think what will help Americans with providing quality health care, at good costs is providing incentives to save/ shop around, and allowing the use of new technology. Not everyone likes new technology though. The internet is a great disruptor.

Some new technology ideas I've been listing on the sight can be seen at.

"Are Smartphones the New Doctors?"

http://www.crohnsforum.com/showthread.php?t=47257

I don't know if we will be moving away from the big box hospitals we have now any time soon, but imagine a portion of health care will be delivered differently in the future.
 
That was Stafford hospital a national disgrace still amazed that there wasn't,t criminal prosecutions,management got target orientated instead of patient orientated,but fairly sure disasters like that are a world wide but hopefully rare phenomen.medical costs be it private or government funded are a bottomless pit but at least there are no profits involved except for large drug companies.it amazes me the cost of a course of the latest wonder drugs.
I have a friend who is very senior in a big hospital,she says if joe public was aware of how little progress had been made in medical research in the last 30years they,d be shocked.
I hope she,s wrong
 
I find the scary thing for us all is the tidal wave of conditions that have no answer,Alzheimer's,cancer,aids,flu(Spanish flu).internationally we could be doing with some joined up thinking.we only seem to manage or maintain these things and not cure crohns being one of them.
P.s Spanish flu killed 5/10 percent of the population after ww1we,re no better equipped to deal with it now
 
I'm in UAE where health care is almost totally private however my impression is that the balance of power between insurance companies & hospitals is different here. There are a small number of large insurance companies, who because of there size are able to negotiate prices with hospitals and medical providers.

When the insurance company has an agreement in place with a hospital or medical provider, the patient only has to pay the gap upfront. In other cases the full account must be settled upfront and then patient try to claim some of it back which takes months. I think Insurance Companies make this process as difficult as possible to try to discourage patients from using health care providers they don't have deals with.

The vast majority of health care providers fit in with the insurance company schedules, anyone who insists on charging more is going to find this impacts the number of patients choosing to be treated by them as paying upfront is such a pain for consumers.
 
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