Re:Healthy California Act: proposal to make findings about s...
by IslaDeEncanta on Wednesday March 08, 2017 @08:15PM
(#13825839)
Physician pay (last I checked) only makes up about 20%, including the costs of them practicing. They see about half of it in the end. There is even more spent on administration, which makes up about 25% of spending. Compare that 25% to the 9% in Canada and it becomes pretty obvious where you can save money.
Re:Healthy California Act: proposal to make findings about s...
by ars on Wednesday March 08, 2017 @08:24PM
(#13825910)
> Physician pay (last I checked) only makes up about 20%
Does that number include specialists? Nurses? Lab technicians?
If not, why are you excluding them?
You basically have 4 expenses: Durable Equipment, Medication, Salary, Facilities.
I suspect that Salary is the largest one, and the hardest to reduce.
Re:Healthy California Act: proposal to make findings about s...
by parasubvert on Wednesday March 08, 2017 @09:03PM
(#13826195)
Costs across the board are higher due to structural and incentive factors - more intervention, more fee for service, etc. also, specialists' income has risen ridiculously vs. GPs .
Re:Healthy California Act: proposal to make findings about s...
by r00fus on Wednesday March 08, 2017 @09:05PM
(#13826213)
The pharma and medical instrument pricing racket is unbelievable. Took a look at the cost for our last delivery - of the $36k+ cost billed, facilities, equipment and medication were way over the billed rate of the doctors/nurses/anesthesiologists.
Re:Healthy California Act: proposal to make findings about s...
by IslaDeEncanta on Thursday March 09, 2017 @02:04AM
(#13827604)
That number includes specialists and lab techs. It doesn't include hospital care (i.e. nurses).
You are just ignoring the profiteering done by the drug and insurance companies and the savings due to streamlining administration that a single payer system would bring.
You can only do that by paying Doctors less.
Good luck with that. If you did it anyway, good luck finding enough Doctors.
When people think "negotiate prices" they usually think of drugs, but Doctors is the real problem.
Medi-Cal (and Medicaid in general for all states) only works because the regular rates subsidize the under-market charity rates. That only works up to a point, then it doesn't.
That BTW is why hospitals never publish rates - they need the higher rates to subsidize the charity rates.
Until you change that, you will never have single payer, it's impossible to do.