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Re:The US is the most expensive nation in which to have a baby by jostmey on Friday January 19, 2018 @10:10PM (#16191840)
My wife is a resident physician. She also went through the same experience of delivering a kid.

Here's what I've learned:

* Pricing is not transparent. When the hospital tells you how much the procedure will cost, they are not telling you about the anesthesiologists portion, or the room fee, ect. There will be surprise bills. Why isn't it law that Hospitals provide transparent pricing for non-emergency procedures?

* Doctors are in short supply. This is because becoming a doctor is impossibly hard. Why can't undergraduates enter straight into a medical school program? Doctor's are in the 30's when they complete training and are already halfway toward the retirement age

* If things go badly during the delivery, you will be glad you are at a well equipped Hospital. A $5000 bill is a small price to pay to ensure the baby does not arrive brain damaged.

Re:The US is the most expensive nation in which to have a baby by gaius on Saturday January 20, 2018 @04:13AM (#16192703)
Doctors are in short supply. This is because becoming a doctor is impossibly hard

That's an entirely artificial problem created by the AMA (or BMA in the UK) to keep wages high. What if everyone who had the academic ability could train, rather than having to compete for a restricted number of slots? It's how every other discipline does it (they defer competing for places until the job market).

Re:The US is the most expensive nation in which to have a baby by moorhosj on Saturday January 20, 2018 @12:00PM (#16194075)
AMA also blocks nurse practitioners from being able to take on more duties. Need to protect that market share.
Re:The US is the most expensive nation in which to have a baby by tcbawo on Saturday January 20, 2018 @09:28AM (#16193442)
This is a huge problem. The limiting factor appears to be the number of residency spots, not the number of accepted medical school students. We should take some of the billions our Federal government spends and increase the number of residency spots and increase funding for tuition reimbursement for practicing in underserved areas.
Re:The US is the most expensive nation in which to have a baby by jhokanson on Saturday January 20, 2018 @09:47AM (#16193514)
I can't personally speak to the accuracy of the linked claim below, but it suggests that the coverage of residency spots is controlled by a physician led advisory board called RUC that intentionally limits the reimbursement so as to control wages.

http://www.motherjones.com/kevin-drum/2013/11/its-doctors-wh...

Re:The US is the most expensive nation in which to have a baby by dizzystar on Saturday January 20, 2018 @08:37AM (#16193277)
I'm sorry, but if someone is going to be cutting into my body, I want them well trained and I want them to have dissected a human. I don't want someone who "moves fast and breaks things" puking on my exposed parts.
Re:The US is the most expensive nation in which to have a baby by jhokanson on Saturday January 20, 2018 @09:41AM (#16193492)
The parent isn't talking about reducing quality, but rather waiting to pick "winners and losers" so to speak until after training.
Re:The US is the most expensive nation in which to have a baby by jws on Friday January 19, 2018 @11:33PM (#16192067)
Why can't undergraduates enter straight into a medical school program?

That is a thing called a direct entry medical program. It gets you the the end of medical school in 6 years instead of 8 by dispensing with the undergraduate degree. The extra two years cover the sciences and how to learn at medical school speeds.

It shaves two years off, but at the cost of pinning the student into a rigid track. The number of high school seniors who think they want to be doctors and change their mind during an undergraduate is pretty high.

Re:The US is the most expensive nation in which to have a baby by newfoundglory on Saturday January 20, 2018 @03:55AM (#16192668)
Is there evidence that this leads to worse outcomes in all the countries that have direct entry out of high school as the standard path for doctors?
Re:The US is the most expensive nation in which to have a baby by maxxxxx on Friday January 19, 2018 @11:58PM (#16192141)
"Why isn't it law that Hospitals provide transparent pricing for non-emergency procedures?"

that's the first thing that should happen. Especially the free market people should want it.

Re:The US is the most expensive nation in which to have a baby by point78 on Saturday January 20, 2018 @04:08AM (#16192694)
You realize millions of babies are born in countries with better healthcare than the US and $5k is literally about 1000 times what they pay.
Re:The US is the most expensive nation in which to have a baby by Brendinooo on Saturday January 20, 2018 @05:28PM (#16195773)
This is an important point. I think I'd be ashamed if my kid grew up and found my archives here, lamenting a $5k bill. Bringing a human into the world is a big deal, and worth at least that much. And I'm not lamenting too much; we were blessed enough financially to be able to cover it without going into debt.

But if it's being done for less elsewhere, then I don't think it's wrong to let that influence your expectations.

Re:The US is the most expensive nation in which to have a baby by threatofrain on Saturday January 20, 2018 @12:08AM (#16192174)
I believe in the UK, hospitals are by law required to give you the fully itemized bill. Knowing transaction price up-front seems to be an obvious part of market health.
Re:The US is the most expensive nation in which to have a baby by isostatic on Saturday January 20, 2018 @03:25AM (#16192599)
There is no cost to the patient in the UK, nor is there any bill presented, so in that sense you're right.
Re:The US is the most expensive nation in which to have a baby by DanBC on Saturday January 20, 2018 @04:43AM (#16192771)
Private health care exists in the UK. Some people chose it. If you do chose it the hospital must tell you the price up front.

https://www.legislation.gov.uk/uksi/2001/3968/regulation/7/m...

> Patients' guide

> 7.—(1) The registered person shall produce a written guide to the establishment or agency (in these Regulations referred to as “the patients' guide”) which shall consist of—

> (a)a summary of the statement of purpose;

> (b)the terms and conditions in respect of services to be provided for patients, including as to the amount and method of payment of charges for all aspects of their treatment;

Re:The US is the most expensive nation in which to have a baby by oh_sigh on Saturday January 20, 2018 @02:55AM (#16192544)
> Doctors are in short supply

Yes, but also there is the fact that there is an artificial cap placed on total US residency class size, meaning there is a pretty effective bottleneck on actually becoming a medical doctor.

Re:The US is the most expensive nation in which to have a baby by rabboRubble on Saturday January 20, 2018 @01:31AM (#16192350)
> the baby does not arrive brain damaged.

Or the woman dies.

Re:The US is the most expensive nation in which to have a baby by dsnuh on Saturday January 20, 2018 @02:12AM (#16192451)
Or both....

Seriously though, listen to the advice of giving birth in a hospital setting. If they have a midwife center then take advantage of it, but I would highly caution against the trend of birth clinics and home birth unless you live very close to an emergency room. Things can wrong in an instant.

Source: Experience. First born was in NICU for 12 days and mother had bad complications. We had to be rushed in an ambulance from a natural birth center when things went south.

Re:The US is the most expensive nation in which to have a baby by jpster on Saturday January 20, 2018 @02:52AM (#16192537)
And yet 30% of Dutch women choose to give birth at home and it seems to work out. https://www.expatica.com/nl/healthcare/Why-the-Dutch-cherish...
Re:The US is the most expensive nation in which to have a baby by roel_v on Saturday January 20, 2018 @04:28AM (#16192740)
Actually Dutch child mortality (birth mortality?) is high compared to surrounding countries, in part because of home birthing (the occurrence of which is trending downwards, btw)

https://www.google.nl/amp/s/www.volkskrant.nl/wetenschap/typ...

Can't find english source easily - tl dr 13% of births are at home vs 23% 10 years ago.

Re:The US is the most expensive nation in which to have a baby by chimeracoder on Saturday January 20, 2018 @01:37AM (#16192367)
> Why isn't it law that Hospitals provide transparent pricing for non-emergency procedures?

Medicare would oppose this tooth and nail. The lack of pricing transparency enables them to keep reimbursing less than cost, because they can expect private insurers to be forced to pay the difference.

Re:The US is the most expensive nation in which to have a baby by cmurf on Saturday January 20, 2018 @02:33AM (#16192503)
Re:The US is the most expensive nation in which to have a baby by chimeracoder on Saturday January 20, 2018 @01:50PM (#16194740)
I'm not sure what you're implying by posting that link. Medicare posts its fees and schedules, yes, but the point is about what private insurers reimburse.
Re:The US is the most expensive nation in which to have a baby by the_mitsuhiko on Saturday January 20, 2018 @01:45AM (#16192382)
Got a source for that?