Saturday, January 04, 2014

If everyone in the U.S. was on Medicare, the savings would move the federal budget from deficit to surplus.

Courtesy of Newsweek:  

We don't have a free market for health-care services. If we did, we would see a narrow range of prices for the same service. After all, a Ford F-150 pickup with the same options costs about the same in Washington, West Virginia, or Wyoming. Not so hospital and medical costs, a fact brought home in the 2012 Pricing Report of the International Federation of Health Plans, a trade association for health insurance companies. 

While the average U.S. hospital stay is just under $4,300 per day, one in four patients are charged $1,514 or less and one in 20 pay $12,537 or more. 

The total cost for an appendectomy ranges from $8,156 for a fourth of these procedures to more than $29,426 for the most expensive 5 percent. The average cost is $13,851. 

Economists learn before they get their undergraduate degrees that such huge variations are signs of inefficient markets or even faux markets. Such wide price variations may even indicate collusion among some providers to jack up prices, which is generally illegal. 

But even if we ignore these huge price variations, the trade industry report illustrates another problem: American health-care costs are completely out of line with the rest of the modern world. 

In France the average daily cost of a hospital stay is $853; in the U.S., it's $4,287. 

An MRI costs on average $335 in Britain and $363 in France, but $1,121 in the U.S. 

Routine and normal childbirth costs, on average: $2,641 in Britain and $3,541 in France but in the U.S. averages $9,775. Caesarean section delivery runs $4,435 in Britain, $6,441 in France; $15,041 in the U.S. 

This pattern holds for all 21 procedures examined in the report. 

Excessive health-care costs drain both the public purse and private purses, make manufacturing uncompetitive and force employers to divert attention from running their firms to dealing with health insurers. 

Our universal single-payer health-care plan for older Americans, Medicare, has lower costs and lower overhead than the system serving those under age 65. If everyone in the U.S. was on Medicare, the savings would move the federal budget from deficit to surplus.

Of course this is common sense for many of us, but the Republicans have fought against this idea with tooth and nail every time the suggestion is made.

Why? Well that would have much to do with lobbyists and campaign donations. 

One of the reasons that the Right Wing has pushed back so hard against the Affordable Care Act, in fact Sarah Palin said this outright, is that they see it as the first step toward universal care.

There are very few times that I hope Sarah Palin is right about something, but this is one of those times.

21 comments:

  1. Leland10:28 AM

    The repubes probably are trying to protect their cronies who are making BILLIONS in the health care industry. And a lot of times it ISN'T the doctor! It's the insurance executives and the machine manufacturers and the medicine producers. It's no wonder there is such a push back against getting medicines from good solid pharmacology producers overseas. This crap about them not having the same high level of standards is, for the most part, insulting garbage.

    The old saying still holds true: FOLLOW THE MONEY!

    ReplyDelete
  2. Anonymous10:32 AM

    Why the fuck are you giving Sarah ANY credit for ANYTHING, Jesse, she'll just eat it up and use it for her twisted agenda. She is just fed information that she spews out verbatim, having NO insight or understanding of it, only parroting. To give her credit for someone else's ideas is just plain wrong. She isn't the one who came up with that, she's just the one who is sucking the hardest on the Koch's dicks, and uses her platform to promote their agenda of fear and hate.

    Here's the latest data on ACA:

    http://obamacaresignups.net/spreadsheet

    ReplyDelete
  3. Anonymous10:33 AM

    And it's gonna get even uglier!

    http://www.nationalmemo.com/5-reasons-the-gops-obamacare-sabotage-will-have-to-get-even-more-desperate/#.UsdNdio5Itc.twitter

    ReplyDelete
  4. Anonymous10:37 AM

    While Democrats Focus on Real Issues, Republicans Plan Another Attack on Obamacare

    ...Cantor and the House GOP know that they are on the losing end of this battle. the ACA is here to stay and it isn’t going anywhere. Their only tactic now is just to make people fear it and hope they can somehow slow the surge of people signing up on the insurance exchanges. Therefore, they will go ahead and hold votes on measures like this as well as hold more and more ‘hearings’ by and Issa and Co. in order to drive a wedge of fear. Cantor pretty much said so himself in his memo to his fellow House Republicans:

    http://www.politicususa.com/2014/01/03/democrats-focus-real-issues-house-republicans-plan-anti-aca-vote.html

    ReplyDelete
  5. The republicans want to keep healthcare prices high. They are the ones that get the profits...and profits trump people!

    ReplyDelete
  6. Anonymous11:18 AM

    Would the insurance companies be eliminated? This could have something to do with the push back by the right. I guess if you are Sarah Palin it doesn’t matter as her kids have always been on “socialist” medicine or Native health in Alaska. This is proven given Bristol’s son is a beneficiary as well. Remember during the 2008 downturn, we bailed out AIG the biggest insurance company in the world. Insurance companies are especially involved in every part of our financial world: investment, life and health insurance. It is mind boggling how connected all our transactions are every day. Any sidelining of the insurance companies creates stress on the system. This is yet to be resolved no matter a single payer or the ACA system. It is extremely complex and Obama simply did not have the courage to eliminate the insurance companies, but on the other hand, it is possible it is impossible short of an entire overhaul of the economic model.

    ReplyDelete
  7. Anonymous11:42 AM

    Deficit to a surplus? Do you really believe that? Beings the military is the single biggest cost to the government and medical is a drop in the bucket, I think there is some hyperbole in that statement. Hell the interest on the National debt is probably bigger than medical costs.

    ReplyDelete
    Replies
    1. Anonymous12:50 PM

      Medicare and Medicaid is 23% of the budget, the military is 19% (2012).

      Delete
  8. No worries. Hillary will get it done. Healthcare reform was her baby first and she will perfect it.

    ReplyDelete
  9. Anonymous12:30 PM

    SPREAD IT FAR AND WIDE

    Sarah Palin: A female Bill Clinton when it comes to sex?

    ReplyDelete
    Replies
    1. Anonymous12:39 PM

      I don't believe Sarah Palin has had any sex in a really, really long time. (How old is Piper now?)

      Delete
    2. Anita Winecooler6:45 PM

      Why do they show her with Bristol in her wedding outfit?
      As for a female Bill Clinton, good luck with that! Not even close.

      Delete
  10. Anonymous1:59 PM

    Cost of services has a lot more variables...is it a specialist, or general Dr performing the procedure? How experienced? How in demand? How much overhead do they have? (Lets face it, it costs a different amount in NYC than in Po Dunk Illinois for the same Dr. to rent office space.

    If single payer is so great, why didn't Dems pass it when they had a super majority in both houses and Obama? No one could have fillibustered... they had an easy path!

    Veterans have government run healthcare, and I know of a 70some year old vet that was denied a hearing aid because he was too old, and wouldn't live long enough to make it worth it! That is the type of situation that makes me leary of single payer.

    ReplyDelete
    Replies
    1. Anonymous5:04 PM

      "If single payer is so great, why didn't Dems pass it when they had a super majority in both houses and Obama?"

      60 votes weren't there. The "supermajority" wasn't so super. The devil is in the details. Google.

      Delete
    2. Anonymous6:56 PM

      That is my point. If the votes aren't there, pass a craptastic bill that the only way to fix it is to go single payer.

      The votes aren't there because there's not enough support for it. The majority of citizens know that changes are needed, but there were lots of other ideas that weren't even allowed to come up for discussion.

      I'm sayin' that mandating everybody purchase insurance isn't about healthcare. It's about insurance. They needed to work on costs, not on 'insurance'.

      One thing I agree with Gryphen on is the cost. The solution, however, we disagree on.

      Delete
  11. Anonymous4:44 PM

    I think that Vermont will be the first state to implement single payer healthcare. Once the other states see what a savings that is they will get on board, or not if it's like my twisted state of Indiana with Governor "I say shut it down" Mike Pence, one of the original tea party republicans.

    ReplyDelete
    Replies
    1. Anonymous7:02 PM

      If a state wants to decide for itself to go Romneycare, or single payer, or just a middle finger, that is their decision. I think that this is something that each state should legislate for themselves. The Feds shouldn't be involved with it. That is my biggest problem with Obamacare.

      Delete
    2. 7:02 -- Just so you know, I immediately classify any comment that uses the phrase "the Feds" as horse puckey.

      Delete
  12. Anita Winecooler6:49 PM

    The GOP doesn't give a damn about affordable health care. They're in it for profits and big Pharma Lobbyists. The best they can hope for is to put up a vote to defund or delay, but with the law up and working out well, the only thing WE can hope for is Medicare for ALL.
    It makes the most sense in the long run.

    ReplyDelete
  13. Anonymous1:14 PM

    Dems are no better! They allowed a bailout for health insurance companies if they don't make enough to be built into this law. As someone said above, I agree that it should be left to the states.

    And I don't agree about Medicare for all ma

    ReplyDelete
    Replies
    1. Anonymous5:22 PM

      I don't agree about Medicare for all Massachusetts too, unless every other state gets it, also too!

      Delete

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