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View Diary: ACA's narrow networks allow insurance companies to gouge public, doctors (97 comments)

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  •  That's one of the many reasons costs are high, yes (5+ / 0-)
    Recommended by:
    quill, gooderservice, Chi, JesseCW, aliasalias

    But it's not the only or even major one. Look at how much more drugs cost here than just across the Canadian border. Look at how much higher medical device costs are here than in countries where the national health system negotiates for lower rates.

    •  Those things are much less due to (2+ / 0-)
      Recommended by:
      nextstep, OrganicChemist

      "massive profits" than the willingness of reimbursers to pay for virtually anything the FDA approves (for safety) rather than efficacy, much higher physician salaries, and the such.

      Drug costs are something like 1/7th of all health care costs, so you could eliminate them entirely (not the just profits) and we'd still be above international norms.

      •  You're talking about two sides of the same coin (3+ / 0-)
        Recommended by:
        quill, JesseCW, aliasalias

        Yes, they overcharge because they can get away with it. That doesn't change the fact that they're overcharging, and that overcharging results in massive profits.

        And I made it pretty clear I'm not just talking about drug costs. Profit is baked into the entire health system.

        The best way to clear the whole system out is through a real National Health System.

        •  But there are not massive profits (1+ / 0-)
          Recommended by:
          nextstep

          per se.

          Services  * are * being rendered, etc - my point is that a very large number of these services are not necessary and would not be done under a "national health plan"  (so maybe on that we agree)

          •  I have a feeling we agree in principle (2+ / 0-)
            Recommended by:
            quill, JesseCW

            and maybe this is a semantic point, but yes, there are massive profits in the current system. Maybe we are using a different definitions of the word? Because there being services rendered doesn't invalidate there being profits; indeed, it's necessary. If there wasn't some kind of exchange going on, there wouldn't be any profits in the first place.

      •  We can say that about most items taken alone. (1+ / 0-)
        Recommended by:
        aliasalias

        The Insurance Skim adds about 20% to our health costs.  Take it away entirely and run a program with the overhead of Medicare and we're still only about a fifth of the way there.

        "I read New republic and Nation/I've learned to take every view.." P. Ochs

        by JesseCW on Mon Nov 25, 2013 at 05:33:18 AM PST

        [ Parent ]

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