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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 21 Nov 2017

    A $7100 ambulance ride. Why ambulances are so expensive. Example 1: Many charge by the mile. Example 2: You can have an out-of-network ambulance ride to an in-network hospital.https://www.axios.com/vitals-2511182798.html?rebelltitem=4&utm_term=twsocialshare#rebelltitem4 …

    4:26 AM - 21 Nov 2017
    • 80 Retweets
    • 97 Likes
    • Emily Golloub Debra Dunn yami Dave Wieneke Candice Savangia Richard Hein Stroke Tattler AmolDewhare Wendell G. Miles, MD
    8 replies 80 retweets 97 likes
      1. New conversation
      2. Michelle Langlois‏ @michellel 21 Nov 2017
        Replying to @Atul_Gawande

        In Ontario, Canada, the user fee for an ambulance ride is $45 (and that's controversial). Upon arrival at ER, we show our health card. Then we never have to think about money again at hospital unless admitted and want private room instead of ward. #singlepayer #HealthCareForAll

        10 replies 66 retweets 171 likes
      3. Alex Haagaard‏ @alexhaagaard 21 Nov 2017
        Replying to @michellel @Atul_Gawande

        * $45 if they decide your ambulance ride was medically valid, otherwise it's $240. (Having had an anaphylactic reaction misdiagnosed as a panic attack at an Ontario ER, this is not a trivial caveat). Prescriptions that we may receive at the ER are also not free.

        2 replies 3 retweets 8 likes
      4. Alex Haagaard‏ @alexhaagaard 21 Nov 2017
        Replying to @alexhaagaard @michellel @Atul_Gawande

        Alex Haagaard Retweeted Alex Haagaard

        More broadly and significantly, single-payer healthcare is not equivalent to universal healthcare, and absolutely does not equate to #HealthCareForAll.https://twitter.com/alexhaagaard/status/925858555730817024 …

        Alex Haagaard added,

        Alex Haagaard @alexhaagaard
        Please, please start listening when disabled Canadians & Brits & Australians say that we are dying under our single-payer systems, too.
        Show this thread
        1 reply 3 retweets 6 likes
      5. Michelle Langlois‏ @michellel 21 Nov 2017
        Replying to @alexhaagaard @Atul_Gawande

        Thank you, Alex, and my apologies. You're absolutely right.

        1 reply 0 retweets 1 like
      6. Alex Haagaard‏ @alexhaagaard 21 Nov 2017
        Replying to @michellel @Atul_Gawande

        Thank you for listening!

        0 replies 0 retweets 1 like
      7. End of conversation
      1. New conversation
      2. David Slusky‏ @DavidSlusky 21 Nov 2017
        Replying to @Atul_Gawande

        The article speculates that some are taking @Uber to the hospital to avoid ambulance fees. Leon Moskatel and my paper finds UberX market entry lowers per capita ambulance volume by 7%. https://econpapers.repec.org/paper/kanwpaper/201708.htm …

        4 replies 33 retweets 62 likes
      3. 1 more reply
      1. Craig Brice‏ @RuralParamedic 21 Nov 2017
        Replying to @Atul_Gawande

        The unfortunate reality is that almost every EMS agency has to rely on billing to stay in business. Unlike police or fire local governments don’t fund EMS and agencies are forced to rely on billing to pay for payroll, equipment, fuel and the vehicles

        0 replies 0 retweets 8 likes
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      1. William Younger‏ @WilliamYounger3 21 Nov 2017
        Replying to @Atul_Gawande

        In my opinion, Capitalism is not good for healthcare. Public consistently bad judges of care and profit frequently prevents people from behaving ethically.

        0 replies 0 retweets 1 like
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      1. Ditch Doctor‏ @AmboDarren 21 Nov 2017
        Replying to @Atul_Gawande

        I think that if ambulance transport became free for true medical emergencies (ie. MI’s, strokes, anaphylactic emergency’s, ect) and people who call for med refill, common colds and other things that are not diagnosed as emergent (by physicians at the hospitals) should pay in full

        0 replies 0 retweets 1 like
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      1. Candi VV‏ @CandiVV 23 Nov 2017
        Replying to @Atul_Gawande

        EMS = Prehospital Care. EMS & Inter-facility transfers require much more than “ambulance ride.” Not trying to justify $$$ of trained EM care providers available 24/7. However topic is way more complex than adding $ sign & calling it an “ambulance ride.”

        0 replies 0 retweets 0 likes
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      1. Bruce Howlett‏ @GettingWarm 21 Nov 2017
        Replying to @Atul_Gawande

        My wife medical helicopter ride of 45 miles after an aneurysm rupture was 56K. Insurance covered everything even the copay. Insane.

        0 replies 0 retweets 0 likes
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