They do: Inertia, the free market hospital movement was born recently, plus cronyism (eg certificate of need laws that would prevent someone from competing)
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Replying to @ArtirKel @webdevMason
I should probably write this up later w/ numbers later, but my two cents: procedures in hospital are inherently expensive due to greater overhead/complexity, unionization, etc. +
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Replying to @RCAFDM @webdevMason
But these are unrelated to what goes on in the podcast isn't it?
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Replying to @ArtirKel @webdevMason
I should probably finish listening to it, but I don't think so.
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Here's an interesting analysis by an ambulatory surgery trade group. Numbers look plausible to me, tho I haven't vetted them https://www.ascassociation.org/advancingsurgicalcare/reducinghealthcarecosts/costsavings/healthcarebluebookstudy …pic.twitter.com/gN8sNLpdnK
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They're teo totally different patient populations. They're essentially poaching and free riding off the system. They take the easy and high paying stuff, while charging more than an insured person would pay, strange, but good for them.
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The evidence I've seen suggests there's some cherry-picking, but there are still significant savings. I buy it, but doesn't mean it's generalizable or likely to radically alter cost trajectory (esp. not on net)
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If you can afford cash pay of this nature you can afford insurance which max out of pocket is less than for most of these. God forbid you have a complication, you go to hospital and insurance charged there.
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They handle most of their own complications, as is standard in the industry. The difference is that they don't charge for complications that can be attributed to physician error or poor diagnostics.
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Of course, but if someone needs anything outside a revision they go to the place needed, and they dont cover that, guaranteed. They dont charge because you almost cant in cash pay surgery, people go wild.
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Give me an example? Any example?
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